Evidence map›Paper›PMID 40681655›Full record

SynthesisSpinal cord2025

Stem cell therapy for locomotion recovery and neuropathic pain alleviation in spinal cord injury: an umbrella review and meta-analysis.

Amir Azimi, Amirmohammad Toloui, Mohammadhossein Mozafarybazargany, Mohammad Kiah, Hamed Zarei, Parsa Paridari, Sajjad Jabermoradi, Donya Pourkand, Hamzah Adel Ramawad, Alexander R Vaccaro and 3 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Spinal cord, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

13 authors.

Amir AzimiPhysiology Research Center, Iran University of Medical Sciences, Tehran, Iran.
Amirmohammad TolouiPhysiology Research Center, Iran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-9809-0985
Mohammadhossein MozafarybazarganyRajaie Cardiovascular Medical and Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Mohammad KiahPhysiology Research Center, Iran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-4193-9239
Hamed ZareiPhysiology Research Center, Iran University of Medical Sciences, Tehran, Iran.
Parsa ParidariPhysiology Research Center, Iran University of Medical Sciences, Tehran, Iran.
Sajjad JabermoradiPhysiology Research Center, Iran University of Medical Sciences, Tehran, Iran.
Donya PourkandPhysiology Research Center, Iran University of Medical Sciences, Tehran, Iran.
Hamzah Adel RamawadDepartment of Emergency Medicine, NYC Health + Hospitals, Coney Island, New York, NY, USA.
Alexander R VaccaroDepartment of Orthopedics and Neurosurgery, Rothman Institute, Thomas Jefferson University, Philadelphia, PA, USA.
Mostafa HosseiniDepartment of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Mahmoud YousefifardPhysiology Research Center, Iran University of Medical Sciences, Tehran, Iran. yousefifard20@gmail.com.ORCID 0000-0001-5181-4985
Vafa Rahimi-MovagharSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran. v_rahimi@yahoo.com.ORCID 0000-0001-7347-8767

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designAn Umbrella Review and Meta-analysis.

objectiveThis umbrella review and meta-analysis aims to evaluate the efficacy of stem cell therapy for locomotion recovery and neuropathic pain alleviation in rodent models of spinal cord injury (SCI).

methodsA comprehensive literature search was conducted in Medline, Embase, Scopus, and Web of Science until May 2024 to identify systematic reviews/meta-analyses on stem cell therapy for SCI. Original studies from these reviews were screened based on the predefined inclusion criteria. Data on locomotion, thermal hyperalgesia, and mechanical allodynia were extracted. Standardized mean differences (SMD) with 95% confidence intervals (CIs) were calculated and pooled to determine overall effect sizes. Subgroup analyses and meta-regressions were performed to investigate the optimal conditions for efficacy in each stem cell type.

results31 systematic reviews/meta-analyses with 323 original studies (516 experiments, 11,290 rodents) were included. Significant locomotion recovery was observed across stem cell types, with umbilical cord-derived mesenchymal stem cells (U-MSCs) (SMD = 2.34, 95% CI 1.76-2.93) and oligodendrocyte progenitor cells (OPCs) (SMD = 2.14, 95% CI 1.24-3.03) demonstrating superior efficacy. Only bone marrow-derived mesenchymal stem cells (BM-MSCs) alleviated mechanical allodynia (SMD = 1.33, 95% CI 0.61-2.05). Subgroup analysis showed that the efficacy of stem cell therapy is dependent on injury models, injury to treatment interval, stem cell dosage, and use of antibiotics/immunosuppressants. The certainty of evidence assessment showed high certainty for U-MSC in locomotion recovery, medium for BM-MSC in pain alleviation, and low for OPCs in locomotion recovery.

conclusionWith moderate-to-high certainty, our study demonstrated superior efficacy of mesenchymal stem cells, particularly U-MSCs, when administered immediately post-injury at lower doses without antibiotics for locomotion recovery and BM-MSCs for pain alleviation. These findings suggest further clinical investigation of these stem cell types under optimal conditions.

Indexed as

LocomotionMesenchymal Stem Cell TransplantationNeuralgiaRecovery of FunctionSpinal Cord InjuriesStem Cell TransplantationAnimalsHumansMeta-Analysis as TopicSystematic Reviews as Topic

Identifiers

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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.