Institute of Neuroscience, Kunming Medical University, Kunming, Yunnan, China.
Biosci Rep. 2022 Jan 28;42(1). doi: 10.1042/BSR20211399.
Treatment of peripheral nerve regeneration with stem cells (SCs) alone has some limitations. For this reason, we evaluate the efficacy of neurotrophic factors combined with stem cell transplantation in the treatment of sciatic nerve injury (SNI) in rats. PubMed, Cochrane Library, Embase, WanFang, VIP and China National Knowledge Infrastructure databases were retrieved from inception to October 2021, and control experiments on neurotrophic factors combined with stem cells in the treatment of SNI in rats were searched. Nine articles and 551 rats were included in the meta-analysis. The results of meta-analysis confirmed that neurotrophic factor combined with stem cells for the treatment of SNI yielded more effective repair than normal rats with regard to sciatic nerve index, electrophysiological detection index, electron microscope observation index, and recovery rate of muscle wet weight. The conclusion is that neurotrophic factor combined with stem cells is more conducive to peripheral nerve regeneration and functional recovery than stem cells alone. However, due to the limitation of the quality of the included literature, the above conclusions need to be verified by randomized controlled experiments with higher quality and larger samples.
单纯使用干细胞(SCs)治疗周围神经再生存在一些局限性。因此,我们评估神经营养因子联合干细胞移植治疗大鼠坐骨神经损伤(SNI)的疗效。从建库到 2021 年 10 月,我们检索了 PubMed、Cochrane Library、Embase、万方、VIP 和中国知网数据库,并搜索了大鼠 SNI 治疗中神经营养因子联合干细胞的对照实验。共有 9 篇文章和 551 只大鼠纳入荟萃分析。荟萃分析结果证实,与正常大鼠相比,神经营养因子联合干细胞治疗 SNI 在坐骨神经指数、电生理检测指标、电镜观察指标和肌肉湿重恢复率方面具有更有效的修复效果。结论是,神经营养因子联合干细胞比单独使用干细胞更有利于周围神经再生和功能恢复。然而,由于纳入文献的质量有限,上述结论需要通过更高质量和更大样本的随机对照实验来验证。