Evidence map›Paper›PMID 40450234›Full record

SynthesisBMC neurology2025

The efficacy and safety of stem cell therapy for ischemic stroke: a systematic review and network meta-analysis study.

Wanpeng Chang, Xuejun Ma, Huawei Zhang, Hongli Xu, Shuai Liu, Binhong Du, Yanwen Xu, Yan Huang

Abstract readNetwork Meta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Wanpeng ChangChildren's Hospital Affiliated to Shandong University& Jinan Children's Hospital, Jinan, Shandong, China.
Xuejun MaChildren's Hospital Affiliated to Shandong University& Jinan Children's Hospital, Jinan, Shandong, China.
Huawei ZhangChildren's Hospital Affiliated to Shandong University& Jinan Children's Hospital, Jinan, Shandong, China.
Hongli XuJinan Vocational College of Nursing, Jinan, Shandong, China.
Shuai LiuChildren's Hospital Affiliated to Shandong University& Jinan Children's Hospital, Jinan, Shandong, China.
Binhong DuChildren's Hospital Affiliated to Shandong University& Jinan Children's Hospital, Jinan, Shandong, China.
Yanwen Xu *Ergonomics and Vocational Rehabilitation Lab, College of Rehabilitation Medicine, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China. xudeng2@163.com.
Yan Huang *Children's Hospital Affiliated to Shandong University& Jinan Children's Hospital, Jinan, Shandong, China. jnhuangyan@163.com.

Funding

Shandong Provincial Clinical Research Center for Children's Health and Disease SDPRC011
6 · The paper itself

Abstract

BACKGROUND AND

aimUsing a network meta-analysis, this study evaluates the clinical efficacy and safety of different types of stem cell therapy in regard to the recovery of neurological function, motor function, and daily living ability in ischemic stroke patients.

methodsA computerized search of the Cochrane Library, PubMed, Web of Science, Google Scholar, CNKI, and Wanfang Database was performed to collect randomized controlled clinical studies published from the time of library construction to December 2024, on the use of stem cells to improve function in patients with ischemic stroke.

resultsA total of 19 studies and 1055 patients were included, comprising five stem cell types: bone marrow mononuclear cells (BMMNC), bone marrow mesenchymal stem cells (BMSC), progenitor cells (PC), peripheral blood stem cells (PBSC), and umbilical cord blood mesenchymal stem cells (UBMSC). A network meta-analysis showed that, in terms of National Institute of Health Stroke Scale (NIHSS) scores, the ranked results of different stem cell transplants were: UBMSC [69.4%] > PBSC 29.2%] > BMSC [0.8%] > PC [0.6%] > BMMNC [0.0%] > CRT [0.0%]. In terms of Modified Rankin Scale (mRS) scores, the ranked results of different stem cell transplants were: BMMNC [66.8%] > PBSC [31.7%] > PC [1.3%] > BMSC [0.2%] > CRT [0%]. In terms of Modified Barthel Index (MBI) scores, the ranked results of different stem cell transplants were: BMMNC [56.3%] > PC [34.2%] > BMSC [9.5%] > CRT [0%]. In terms of Fugl-Meyer Assessment (FMA) scores, the results of the ranking of different stem cell transplants were: BMMNC [79.3%] > BMSC [17.3%] > UBMSC [3.4%] > CRT [0%].

conclusionUBMSC had the best efficacy in repairing neurological function in patients with ischemic stroke. BMMNC had the best efficacy in improving motor function and daily living ability in patients with ischemic stroke. BMMNC had a superior overall effect.

Indexed as

Ischemic StrokeStem Cell TransplantationHumansRecovery of FunctionTreatment OutcomeBone marrow mononuclear cellsIschemic strokeNetwork meta-analysisStem cellsStem cell transplantation

Identifiers

PMID40450234
PMCPMC12125799

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.