Efficacy of stem cell secretome in the treatment of traumatic brain injury: A systematic review and meta-analysis of preclinical studies

Autor: Suleiman Alhaji Muhammad, Abdullahi Yahya Abbas, Mustapha Umar Imam, Yusuf Saidu, Lawal Suleiman Bilbis
Rok vydání: 2022
Předmět:
Zdroj: Molecular Neurobiology. 59:2894-2909
ISSN: 1559-1182
0893-7648
Popis: Traumatic brain injury (TBI) remains a public health challenge and represents one of the major contributors to disability and mortality worldwide among all trauma-related injuries. This study aimed to determine a precise effect size of secretome intervention in TBI. We performed a systematic literature search through Cochrane, MEDLINE Complete, PubMed and Scopus databases for articles published until June 2021. The search terms used include cells OR stem cells OR mesenchymal stem cells AND secretome OR conditioned medium OR extracellular vesicles OR exosomes OR microvesicles AND traumatic brain injury OR head injury. Neurological deficits and neuroinflammation were the outcome measures assessed after the intervention. Thirty-one (31) studies involving mouse, rat and swine were enrolled for the meta-analysis. Secretome significantly improved structural and functional recovery when compared with control. The mean effect sizes were as follows: modified neurological severity score (mNSS) (-2.65, 95% CI: -3.42, -1.87, p 0.00001), impact size (-3.02 mm
Databáze: OpenAIRE