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논문 기본 정보

자료유형
학술저널
저자정보
Shaghayegh Askarian-Amiri (Grenoble Alpes University) Solmaz Nasseri Maleki (Iran University of Medical Sciences) Seyedeh Niloufar Rafiei Alavi (Iran University of Medical Sciences) Arian Madani Neishaboori (Iran University of Medical Sciences) Amirmohammad Toloui (Iran University of Medical Sciences) Mohammed I. M. Gubari (University of Sulaimani) Arash Sarveazad (Iran University of Medical Sciences) Mostafa Hosseini (Tehran University of Medical Sciences) Mahmoud Yousefifard (Iran University of Medical Sciences)
저널정보
대한통증학회 The Korean Journal of Pain The Korean Journal of Pain 제35권 제1호
발행연도
2022.1
수록면
43 - 58 (16page)
DOI
10.3344/kjp.2022.35.1.43

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Background: Current therapies are quite unsuccessful in the management of neuropathic pain. Therefore, considering the inhibitory characteristics of GABA mediators, the present systematic review and meta-analysis aimed to determine the efficacy of GABAergic neural precursor cells on neuropathic pain management. Methods: Search was conducted on Medline, Embase, Scopus, and Web of Science databases. A search strategy was designed based on the keywords related to GABAergic cells combined with neuropathic pain. The outcomes were allodynia and hyperalgesia. The results were reported as a pooled standardized mean difference (SMD) with a 95% confidence interval (95% CI). Results: Data of 13 studies were analyzed in the present meta-analysis. The results showed that administration of GABAergic cells improved allodynia (SMD = 1.79; 95% CI: 0.87, 271; P < 0.001) and hyperalgesia (SMD = 1.29; 95% CI: 0.26, 2.32; P = 0.019). Moreover, the analyses demonstrated that the efficacy of GABAergic cells in the management of allodynia and hyperalgesia is only observed in rats. Also, only genetically modified cells are effective in improving both of allodynia, and hyperalgesia. Conclusions: A moderate level of pre-clinical evidence showed that transplantation of genetically-modified GABAergic cells is effective in the management of neuropathic pain. However, it seems that the transplantation efficacy of these cells is only statistically significant in improving pain symptoms in rats. Hence, caution should be exercised regarding the generalizability and the translation of the findings from rats and mice studies to large animal studies and clinical trials.

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