干细胞(SC)移植已显示出作为卵巢早衰(POF)的治疗方法的潜力。尽管如此,尚未对SC治疗人类POF的疗效进行定量分析。为了解决这个差距,本研究进行了一项荟萃分析,以评估SC移植改善POF患者卵巢功能的有效性.通过搜索PubMed,在这方面进行了系统的审查,ScienceDirect,clinicalTrial.gov,和Cochrane的图书馆数据库进行,以确定相关的研究,同时也考虑了相关的评论。提取的数据包括诸如雌二醇(E2),卵泡刺激素(FSH),卵泡计数(FC),卵巢重量(OW),怀孕次数,和活产。根据上次随访时间的综合效果,SC组的FSH和AMH水平低于基线水平(SMD:1.58,95%CI:0.76至3.92,P值:0.185>0.05,I2:94.03%)和(SMD:1.34,95%CI:0.77至1.92,P值:0.001<0.05,I2:0%)。而SC组的E2和OW平均值高于基线(SMD:-0.47,95%CI:-0.73至-0.21,P值:0.001<0.01,I2:38.23%)和(SMD:-1.18,95%CI:-2.62至0.26,P值:0.108>0.05,I2:76.68%)。以5%的显着性水平的妊娠和活产比例测量的总效应大小为(组合比例:0.09,95%CI:0.03至0.15,P值:0.002<0.05,I2:46.29%)和(SMD:0.09,95%CI:0.03至0.15,P值:0.003<0.05,I2:1.76%)。基于固定效应模型,卵泡计数的估计平均对数比值比为1.0234(95%CI:0.1252~1.9216).因此,由于SC移植,平均结局与0显着不同(P值:0.0255<0.05)。这些结果表明,使用SCs恢复卵巢功能对于治疗POF可能是可行的。然而,由于受检研究的异质性,将来需要进行更大,质量更好的调查.
Stem cell (SC) transplantation has shown potential as a therapeutic approach for premature ovarian failure (POF). Despite this, no quantitative analysis has been conducted on the efficacy of SC therapy for POF in humans. To address this gap, the present study conducted a meta-analysis to evaluate the effectiveness of the transplantation of SC in improving ovarian function among POF patients. A systematic review in this regard by searching PubMed, ScienceDirect, clinicalTrial.gov, and Cochrane\'s library databases was conducted to identify relevant studies, while associated reviews were also considered. The extracted data included parameters such as estradiol (E2), follicle-stimulating hormone (FSH), follicle count (FC), ovarian weight (OW), number of pregnancies, and live birth. As per the combined effect taking the last follow-up time, the level of FSH and AMH for the SC group was lower than these were at the baseline as (SMD: 1.58, 95% CI: 0.76 to 3.92, P-value: 0.185 > 0.05, I2: 94.03%) and (SMD: 1.34, 95% CI: 0.77 to 1.92, P-value: 0.001 < 0.05, I2: 0%) respectively. While the means of E2 and OW for the SC group was higher than these were at the baseline as (SMD: -0.47, 95% CI: -0.73 to -0.21, P-value: 0.001 < 0.01, I2: 38.23%) and (SMD: -1.18, 95% CI: -2.62 to 0.26, P-value: 0.108 > 0.05, I2: 76.68%) respectively. The overall effect size measured with proportion of pregnancy and live birth at a 5% level of significance expected SC transplantation results were as (combined proportion: 0.09, 95% CI: 0.03 to 0.15, P-value: 0.002 < 0.05, I2: 46.29%) and (SMD: 0.09, 95% CI: 0.03 to 0.15, P-value: 0.003 < 0.05, I2: 1.76%) respectively. Based on the fixed-effects model, the estimated average log odds ratio of Follicles count was 1.0234 (95% CI: 0.1252 to 1.9216). Therefore, the average outcome differed significantly from zero (P-value: 0.0255 < 0.05) due to SC transplantation. These results suggest that using SCs to restore ovarian function may be viable for treating POF. However, larger and better-quality investigations would need to be conducted in the future due to the heterogeneity of the examined studies.