Evidence map›Paper›PMID 40841922›Full record

ArticleStem cell research & therapy2025

Constraint-induced movement therapy combined with mesenchymal stem cell transplantation promotes myelination and functional recovery by inhibiting PRKCD/MEK/ERK pathway in hemiplegic cerebral palsy rats.

Xiaolin Guo, Liru Liu, Jie Luo, Tingting Peng, You Wang, Shiya Huang, Xiaoli Zeng, Tingting Peng, Aihua Chen, Mengru Zhong and 3 more

Abstract read
In one paragraph

Article 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 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.

Xiaolin Guo *Department of Rehabilitation, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, 510120, China.
Liru Liu *Department of Rehabilitation, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, 510120, China.
Jie Luo *Department of Rehabilitation, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, 510120, China.
Tingting Peng *Department of Rehabilitation, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, 510120, China.ORCID http://orcid.org/0000-0001-5154-599X
You WangDepartment of Rehabilitation, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, 510120, China.
Shiya HuangDepartment of Rehabilitation, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, 510120, China.
Xiaoli ZengGuangdong Xiangxue Stem Cell Regenerative Medicine Technology Co., Ltd, Guangzhou, 510005, China.
Tingting PengDepartment of Rehabilitation, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, 510120, China.ORCID http://orcid.org/0000-0002-7820-6610
Aihua ChenGuangdong Xiangxue Stem Cell Regenerative Medicine Technology Co., Ltd, Guangzhou, 510005, China.
Mengru ZhongDepartment of Rehabilitation, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, 510120, China.
Yage ZhangDepartment of Rehabilitation, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, 510120, China.
Kaishou XuDepartment of Rehabilitation, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, 510120, China. xksyi@126.com.
Lu HeDepartment of Rehabilitation, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, 510120, China. kittyhelu@126.com.ORCID http://orcid.org/0000-0002-5329-2153

Funding

Guangzhou Municipal Science and Technology Project 2024A03J01274National Nature Science Foundation of China 82472598the Featured Clinical Technique of Guangzhou 2023C-TS59
6 · The paper itself

Abstract

backgroundThe core problem of hemiplegic cerebral palsy (HCP) is upper limb motor deficits with high rates of disability. Given the shared goals of stem cell therapy and rehabilitation, this study investigated the synergistic effects of constraint-induced movement therapy (CIMT) and human umbilical cord-derived mesenchymal stem cells (hUC-MSCs) transplantation in promoting motor recovery and elucidates the underlying mechanisms in HCP.

methodsThe rats were allocated to a control group and HCP groups receiving different interventions (CIMT, hUC-MSCs or combination treatment), namely, the Control, HCP, HCP + CIMT, HCP + MSC, and HCP + CIMT + MSC groups. Motor function was evaluated using rotarod duration, grip strength, and forelimb suspension time. Golgi-Cox staining, transmission electron microscopy, immunofluorescence staining, Western blotting, quantitative real-time PCR and label-free proteomic quantification technology were used to measure dendritic/axonal area, myelin integrity, oligodendrocyte (OL)/oligodendrocyte precursor cell (OPC)-associated proteins and PRKCD/MEK/ERK expression in the motor cortex.

resultsRats in the HCP + CIMT + MSC group exhibited improved motor function, increased dendritic spines and branches, enhanced myelin integrity, higher numbers of Olig2

conclusionsCIMT combined with hUC-MSCs transplantation synergistically promoted OPC differentiation into immature OL, induced myelination, and restored motor function in HCP rats, potentially by inhibiting the PRKCD/MEK/ERK pathway. This combined approach expands therapeutic options for HCP and identifies a promising target for future interventions.

Indexed as

Cerebral PalsyHemiplegiaMAP Kinase Signaling SystemMesenchymal Stem Cell TransplantationMyelin SheathAnimalsHumansMaleMesenchymal Stem CellsRatsRats, Sprague-DawleyRecovery of FunctionUmbilical CordCombination therapyConstraint-induced movement therapyMesenchymal stem cellsMotor functionMyelinationOligodendrocyte progenitor cells differentiation

Identifiers

PMID40841922
PMCPMC12369169

What OpenQuestion holds

Textmetadata
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.