Evidence map›Paper›PMID 40722027›Full record

SynthesisStem cell research & therapy2025

Intranasal administration of stem cell derivatives for the treatment of AD animal models: a systematic review and meta-analysis.

Zilin Hua, Nan Zhou, Zijing Zhou, Zewei Fu, Ruiyun Guo, Herman Yao Akogo, Jiayin Yang, Meixuan Yu, Yujie Jiang, Siyi Lan and 3 more

Abstract readSystematic ReviewMeta-AnalysisReview
In one paragraph

Synthesis in Stem cell research & therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
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  6. Article
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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.

Zilin Hua *Stem Cell Research Center, Hebei Medical University-Galway University, Hebei Medical University, Shijiazhuang, Hebei Province, 050017, China.
Nan Zhou *The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei Province, 050017, China.
Zijing ZhouStem Cell Research Center, Hebei Medical University-Galway University, Hebei Medical University, Shijiazhuang, Hebei Province, 050017, China.
Zewei FuStem Cell Research Center, Hebei Medical University-Galway University, Hebei Medical University, Shijiazhuang, Hebei Province, 050017, China.
Ruiyun GuoStem Cell Research Center, Hebei Medical University-Galway University, Hebei Medical University, Shijiazhuang, Hebei Province, 050017, China.
Herman Yao AkogoStem Cell Research Center, Hebei Medical University-Galway University, Hebei Medical University, Shijiazhuang, Hebei Province, 050017, China.
Jiayin YangStem Cell Research Center, Hebei Medical University-Galway University, Hebei Medical University, Shijiazhuang, Hebei Province, 050017, China.
Meixuan YuStem Cell Research Center, Hebei Medical University-Galway University, Hebei Medical University, Shijiazhuang, Hebei Province, 050017, China.
Yujie JiangStem Cell Research Center, Hebei Medical University-Galway University, Hebei Medical University, Shijiazhuang, Hebei Province, 050017, China.
Siyi LanStem Cell Research Center, Hebei Medical University-Galway University, Hebei Medical University, Shijiazhuang, Hebei Province, 050017, China.
Haixia ChangDepartment of Child Health, Hebei Children's Hospital, Hebei International Joint Research Center for Stem Cell and Regenerative Medicine, Shijiazhuang, Hebei Province, 050017, China. haixiachanghmu@hebmu.edu.cn.
Jun MaStem Cell Research Center, Hebei Medical University-Galway University, Hebei Medical University, Shijiazhuang, Hebei Province, 050017, China. junmahmu@hebmu.edu.cn.ORCID http://orcid.org/0000-0003-2843-0769
Huixian CuiStem Cell Research Center, Hebei Medical University-Galway University, Hebei Medical University, Shijiazhuang, Hebei Province, 050017, China.

Funding

Natural Science Foundation of Hebei Province H2021206321
6 · The paper itself

Abstract

backgroundAlzheimer’s disease (AD) is a neurodegenerative disorder with increasing prevalence and limited efficacy of current therapies. Stem cell-derived therapies have attracted attention for their potential neurodegenerative and reparative effects. Intranasal administration provides a non-invasive route that bypasses the blood-brain barrier and delivers stem cell derivatives directly to the brain. Although studies have shown that the intranasal administration of stem cell derivatives alleviates symptoms in animal models of AD, a comprehensive meta-analysis evaluating their therapeutic efficacy is yet to be conducted. This study aims to evaluate the efficacy of intranasal stem cell derivatives therapies in AD animal models and provide a foundation for clinical translation.

methodsWe conducted a systematic literature search across four databases (Pubmed, Embase, Web of Science and Cochrane Library) using subject terms and complementary keywords. After applying inclusion and exclusion criteria, data were extracted using Origin 2024 software and analysed using Review Mange 5.4. The SYRCLE tool was applied to assess study quality and evaluate the potential risk of bias systematically.

resultsThis meta-analysis of 14 studies investigated the efficacy of intranasal stem cell-derived therapies in animal models of Alzheimer’s disease (AD). Using predominantly mouse and rat models from diverse geographical locations and employing various stem cell types (bone marrow, umbilical cord blood, adipose tissue, hiPSCs), the analysis revealed a significant reduction in amyloid-beta (Aβ) deposition (SMD = -2.69, p < 0.0001). Subgroup analyses indicated that stem cell source, stem cell derivative types and Aβ detection method were not primary drivers of heterogeneity. Furthermore, treatment significantly reduced inflammatory markers IL-1β (SMD = -0.92, p = 0.008) and IBA-1 (SMD = -1.68, p = 0.006), suggesting an anti-inflammatory effect. Auxiliary outcomes CD68 and GFAP also exhibited decreased expression levels. Improved cognitive function was evident, as measured by increased target quadrant dwell time (MD = 10.17, p < 0.00001) and decreased escape latency (MD = -15.74, p = 0.003) in behavioral experiments, and enhanced recognition in the Novel Object Recognition Test (NORT) (SMD = 1.10, p = 0.006). Nissl staining demonstrated a significant reduction in neuronal cell death (SMD=-3.33,p < 0.00001),suggesting a role in neuronal repair.Together, these findings support the potential of intranasal stem cell-derived therapies to improve Alzheimer’s disease pathology, neuronal repair, and cognition in animal models.

conclusionIntranasal administration of stem cell derivatives has demonstrated efficacy in Alzheimer’s disease (AD) animal models, leading to reductions in amyloid-beta (Aβ) deposition, cognitive improvement, repair neurons and attenuation of inflammatory responses. However, limitations such as potential publication bias and heterogeneity among existing studies are noted. Due to insufficient data and study limitations, additional preclinical and clinical trials are required to confirm these results and explore the therapy’s long-term safety and efficacy.

Indexed as

Alzheimer DiseaseStem CellsStem Cell TransplantationAdministration, IntranasalAnimalsDisease Models, AnimalMiceAlzheimer’s diseaseIntranasal administrationMeta-analysisStem cell derivativeSystematic review

Identifiers

PMID40722027
PMCPMC12306092

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.