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干细胞移植对阿尔茨海默病动物模型认知功能衰退的影响:一项系统评价与荟萃分析

Effects of stem cell transplantation on cognitive decline in animal models of Alzheimer's disease: A systematic review and meta-analysis.

作者信息

Wang Zhe, Peng Weijun, Zhang Chunhu, Sheng Chenxia, Huang Wei, Wang Yang, Fan Rong

机构信息

Department of Integrated Chinese and Western Medicine, The Second Xiangya Hospital, Central South University, Changsha 410011, P.R. China.

Institute of Integrated Medicine, Xiangya Hospital, Central South University, Changsha 410008, P.R. China.

出版信息

Sci Rep. 2015 Jul 10;5:12134. doi: 10.1038/srep12134.

Abstract

Alzheimer's disease (AD), an irreversible progressive neurodegenerative disease, causes characteristic cognitive impairment, and no curative treatments are currently available. Stem cell transplantation offers a powerful tool for the treatment of AD. We conducted a systematic review and meta-analysis of data from controlled studies to study the impact of stem cell biology and experimental design on learning and memory function following stem cell transplantation in animal models of AD. A total of 58 eligible controlled studies were included by searching PubMed, EMBASE, and Web of Science up to April 13, 2015. Meta-analysis showed that stem cell transplantation could promote both learning and memory recovery. Stratified meta-analysis was used to explore the influence of the potential factors on the estimated effect size, and meta-regression analyses were undertaken to explore the sources of heterogeneity for learning and memory function. Publication bias was assessed using funnel plots and Egger's test. The present review reinforces the evidence supporting stem cell transplantation in experimental AD. However, it highlights areas that require well-designed and well-reported animal studies.

摘要

阿尔茨海默病(AD)是一种不可逆的进行性神经退行性疾病,会导致特征性的认知障碍,目前尚无治愈性治疗方法。干细胞移植为AD的治疗提供了一种有力工具。我们对对照研究的数据进行了系统综述和荟萃分析,以研究干细胞生物学和实验设计对AD动物模型中干细胞移植后学习和记忆功能的影响。通过检索截至2015年4月13日的PubMed、EMBASE和科学网,共纳入了58项符合条件的对照研究。荟萃分析表明,干细胞移植可促进学习和记忆恢复。采用分层荟萃分析来探讨潜在因素对估计效应大小的影响,并进行荟萃回归分析以探讨学习和记忆功能异质性的来源。使用漏斗图和埃格检验评估发表偏倚。本综述强化了支持在实验性AD中进行干细胞移植的证据。然而,它突出了需要精心设计和充分报告的动物研究的领域。

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