Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=25633980
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\25633980
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Dis+Model+Mech
2015 ; 8
(3
): 281-93
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Cell-based therapies for experimental chronic kidney disease: a systematic review
and meta-analysis
#MMPMID25633980
Papazova DA
; Oosterhuis NR
; Gremmels H
; van Koppen A
; Joles JA
; Verhaar MC
Dis Model Mech
2015[Mar]; 8
(3
): 281-93
PMID25633980
show ga
Cell-based therapy is a promising strategy for treating chronic kidney disease
(CKD) and is currently the focus of preclinical studies. We performed a
systematic review and meta-analysis to evaluate the efficacy of cell-based
therapy in preclinical (animal) studies of CKD, and determined factors affecting
cell-based therapy efficacy in order to guide future clinical trials. In total,
71 articles met the inclusion criteria. Standardised mean differences (SMD) and
95% confidence intervals (CI) were calculated for outcome parameters including
plasma urea, plasma creatinine, urinary protein, blood pressure, glomerular
filtration rate, glomerulosclerosis and interstitial fibrosis. Sub-analysis for
each outcome measure was performed for model-related factors (species, gender,
model and timing of therapy) and cell-related factors (cell type, condition and
origin, administration route and regime of therapy). Overall, meta-analysis
showed that cell-based therapy reduced the development and progression of CKD.
This was most prominent for urinary protein (SMD, 1.34; 95% CI, 1.00-1.68) and
urea (1.09; 0.66-1.51), both P<0.001. Changes in plasma urea were associated with
changes in both glomerulosclerosis and interstitial fibrosis. Sub-analysis showed
that cell type (bone-marrow-derived progenitors and mesenchymal stromal cells
being most effective) and administration route (intravenous or renal artery
injection) were significant predictors of therapeutic efficacy. The timing of
therapy in relation to clinical manifestation of disease, and cell origin and
dose, were not associated with efficacy. Our meta-analysis confirms that
cell-based therapies improve impaired renal function and morphology in
preclinical models of CKD. Our analyses can be used to optimise experimental
interventions and thus support both improved preclinical research and development
of cell-based therapeutic interventions in a clinical setting.