PMID- 37806104 OWN - NLM STAT- MEDLINE DCOM- 20231101 LR - 20231101 IS - 1878-1705 (Electronic) IS - 1567-5769 (Linking) VI - 124 IP - Pt B DP - 2023 Nov TI - Effect of mesenchymal stem cell therapy in animal models of allergic rhinitis: A systematic review and meta-analysis. PG - 111003 LID - S1567-5769(23)01328-0 [pii] LID - 10.1016/j.intimp.2023.111003 [doi] AB - BACKGROUND: Allergic rhinitis (AR) is a worldwide problem that affects people of all ages, impairing patients' physical and mental health and causing great social expenditure. Animal studies have suggested the potential efficacy of mesenchymal stem cell (MSC) therapy in treating AR. Our meta-analysis was performed to evaluate the effect of MSC therapy in animal models of AR by pooling animal studies. METHODS: The search was executed in PubMed, Embase, Web of Science, OVID, and the Cochrane Library for relevant studies up to February 2023. The applicable data were extracted from the eligible studies, and the risk of bias was assessed for each study. The meta-analysis was conducted using Review Manager (version 5.4.1) and Stata (version 15.1). RESULTS: A total of 12 studies were included in the final analysis. Compared to the model control group, the MSC therapy group presented lower frequency of sneezing [(Standardized mean difference (SMD) -1.87, 95% CI -2.30 to -1.43)], nasal scratching (SMD -1.41, 95% CI -1.83 to -0.99), and overall nasal symptoms (SMD -1.88, 95% CI -3.22 to -0.54). There were also remarkable reductions after transplantation with MSCs in the levels of total immunoglobulin E (IgE) (SMD -1.25, 95% CI -1.72 to -0.79), allergen-specific IgE (SMD -1.79, 95% CI -2.25 to -1.32), and allergen-specific immunoglobulin G1 (SMD -1.29, 95% CI -2.03) in serum, as well as the count of eosinophils (EOS) in nasal mucosa (SMD -3.48, 95% CI -4.48 to -2.49). In terms of cytokines, MSC therapy significantly decreased both protein and mRNA levels of T helper cell 2 (Th2)-related cytokines, including interleukin (IL)-4, IL-5, IL-10, and IL-13. CONCLUSION: MSC therapy has the potential to be an effective clinical treatment for AR patients by attenuating Th2 immune responses, reducing secretion of IgE and nasal infiltration of EOS, and consequently alleviating nasal symptoms. CI - Copyright (c) 2023 The Author(s). Published by Elsevier B.V. All rights reserved. FAU - Hong, Dongdong AU - Hong D AD - Department of Otorhinolaryngology, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen 518033, China. FAU - Hu, Zhen AU - Hu Z AD - Department of Otorhinolaryngology, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen 518033, China. FAU - Weng, Juanling AU - Weng J AD - Department of Otorhinolaryngology, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen 518033, China. FAU - Yang, Long AU - Yang L AD - Department of Otorhinolaryngology, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen 518033, China. FAU - Xiong, Yalan AU - Xiong Y AD - Department of Otorhinolaryngology, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen 518033, China. FAU - Liu, Yuanxian AU - Liu Y AD - Department of Otorhinolaryngology, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen 518033, China. Electronic address: yxl_sztcm@163.com. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20231006 PL - Netherlands TA - Int Immunopharmacol JT - International immunopharmacology JID - 100965259 RN - 0 (Cytokines) RN - 37341-29-0 (Immunoglobulin E) RN - 0 (Allergens) SB - IM MH - Animals MH - Humans MH - *Mesenchymal Stem Cell Transplantation MH - *Rhinitis, Allergic/drug therapy MH - Nasal Mucosa MH - Cytokines/metabolism MH - Disease Models, Animal MH - Immunoglobulin E/metabolism MH - Allergens/pharmacology MH - *Mesenchymal Stem Cells/metabolism OTO - NOTNLM OT - Allergic rhinitis OT - Animal study OT - Mesenchymal stem cells OT - Meta-analysis COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2023/10/09 00:41 MHDA- 2023/11/01 12:44 CRDT- 2023/10/08 18:13 PHST- 2023/03/09 00:00 [received] PHST- 2023/09/06 00:00 [revised] PHST- 2023/09/25 00:00 [accepted] PHST- 2023/11/01 12:44 [medline] PHST- 2023/10/09 00:41 [pubmed] PHST- 2023/10/08 18:13 [entrez] AID - S1567-5769(23)01328-0 [pii] AID - 10.1016/j.intimp.2023.111003 [doi] PST - ppublish SO - Int Immunopharmacol. 2023 Nov;124(Pt B):111003. doi: 10.1016/j.intimp.2023.111003. Epub 2023 Oct 6.