Mesenchymal Stem Cell Therapy for Acute Myocardial Infarction: Protocol for a Systematic Review and Meta-Analysis

BackgroundMedical therapy and interventional approaches have improved outcomes in patients with acute myocardial infarction (MI). However, these strategies are inadequate for replacing cells lost during tissue ischemia, thereby leaving behind noncontractile scar tissue. The a...

Full description

Saved in:
Bibliographic Details
Main Authors: Michael Vincent DiCaro, Brianna Yee, KaChon Lei, Kavita Batra, Buddhadeb Dawn
Format: Article
Language:English
Published: JMIR Publications 2025-02-01
Series:JMIR Research Protocols
Online Access:https://www.researchprotocols.org/2025/1/e60591
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1825208853985230848
author Michael Vincent DiCaro
Brianna Yee
KaChon Lei
Kavita Batra
Buddhadeb Dawn
author_facet Michael Vincent DiCaro
Brianna Yee
KaChon Lei
Kavita Batra
Buddhadeb Dawn
author_sort Michael Vincent DiCaro
collection DOAJ
description BackgroundMedical therapy and interventional approaches have improved outcomes in patients with acute myocardial infarction (MI). However, these strategies are inadequate for replacing cells lost during tissue ischemia, thereby leaving behind noncontractile scar tissue. The anti-inflammatory and immune modulating properties of mesenchymal stem cells (MSCs) may prove useful in inducing functional cardiac regeneration following acute MI. ObjectiveThis is a protocol for systematic review and meta-analysis that will aggregate and synthesize high-level clinical data on the effects of MSC therapy for acute MI. The findings of this study may serve as evidence for clinicians and researchers in guiding the use of MSC therapy as an adjunct to reperfusion and optimal medical therapy in patients with acute MI. MethodsThe proposed systematic review is registered with PROSPERO (International Prospective Register of Systematic Reviews). A systematic search of bibliographical databases, including Embase, PubMed, and Cochrane was conducted from inception to June 2023 to identify English-language human studies with adult patients receiving MSC therapy and optimal medical therapy for acute MI in comparison with respective controls. Article screening was performed using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Data on functional cardiac outcomes and major adverse cardiac events were extracted and analyzed as primary outcomes. ResultsLiterature search and article screening commenced in June 2023. Data extraction and analysis will be completed by October 2024. The findings will be synthesized and reported by the end of November 2024. ConclusionsThis systematic review and meta-analysis will summarize the best available updated evidence from published randomized controlled trials on the effects of MSC therapy for the treatment of acute MI. The findings of this systematic review and meta-analysis may shed light on the efficacy of MSC therapy in improving cardiac functional and structural parameters and reducing adverse cardiac events following acute MI. Trial RegistrationPROSPERO CRD42024522398; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=522398 International Registered Report Identifier (IRRID)DERR1-10.2196/60591
format Article
id doaj-art-55943f1b44864bf48ae595a325ed6f34
institution Kabale University
issn 1929-0748
language English
publishDate 2025-02-01
publisher JMIR Publications
record_format Article
series JMIR Research Protocols
spelling doaj-art-55943f1b44864bf48ae595a325ed6f342025-02-06T18:01:12ZengJMIR PublicationsJMIR Research Protocols1929-07482025-02-0114e6059110.2196/60591Mesenchymal Stem Cell Therapy for Acute Myocardial Infarction: Protocol for a Systematic Review and Meta-AnalysisMichael Vincent DiCarohttps://orcid.org/0000-0003-3376-4608Brianna Yeehttps://orcid.org/0009-0009-1948-5099KaChon Leihttps://orcid.org/0000-0002-3696-195XKavita Batrahttps://orcid.org/0000-0002-0722-0191Buddhadeb Dawnhttps://orcid.org/0000-0001-5890-115X BackgroundMedical therapy and interventional approaches have improved outcomes in patients with acute myocardial infarction (MI). However, these strategies are inadequate for replacing cells lost during tissue ischemia, thereby leaving behind noncontractile scar tissue. The anti-inflammatory and immune modulating properties of mesenchymal stem cells (MSCs) may prove useful in inducing functional cardiac regeneration following acute MI. ObjectiveThis is a protocol for systematic review and meta-analysis that will aggregate and synthesize high-level clinical data on the effects of MSC therapy for acute MI. The findings of this study may serve as evidence for clinicians and researchers in guiding the use of MSC therapy as an adjunct to reperfusion and optimal medical therapy in patients with acute MI. MethodsThe proposed systematic review is registered with PROSPERO (International Prospective Register of Systematic Reviews). A systematic search of bibliographical databases, including Embase, PubMed, and Cochrane was conducted from inception to June 2023 to identify English-language human studies with adult patients receiving MSC therapy and optimal medical therapy for acute MI in comparison with respective controls. Article screening was performed using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Data on functional cardiac outcomes and major adverse cardiac events were extracted and analyzed as primary outcomes. ResultsLiterature search and article screening commenced in June 2023. Data extraction and analysis will be completed by October 2024. The findings will be synthesized and reported by the end of November 2024. ConclusionsThis systematic review and meta-analysis will summarize the best available updated evidence from published randomized controlled trials on the effects of MSC therapy for the treatment of acute MI. The findings of this systematic review and meta-analysis may shed light on the efficacy of MSC therapy in improving cardiac functional and structural parameters and reducing adverse cardiac events following acute MI. Trial RegistrationPROSPERO CRD42024522398; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=522398 International Registered Report Identifier (IRRID)DERR1-10.2196/60591https://www.researchprotocols.org/2025/1/e60591
spellingShingle Michael Vincent DiCaro
Brianna Yee
KaChon Lei
Kavita Batra
Buddhadeb Dawn
Mesenchymal Stem Cell Therapy for Acute Myocardial Infarction: Protocol for a Systematic Review and Meta-Analysis
JMIR Research Protocols
title Mesenchymal Stem Cell Therapy for Acute Myocardial Infarction: Protocol for a Systematic Review and Meta-Analysis
title_full Mesenchymal Stem Cell Therapy for Acute Myocardial Infarction: Protocol for a Systematic Review and Meta-Analysis
title_fullStr Mesenchymal Stem Cell Therapy for Acute Myocardial Infarction: Protocol for a Systematic Review and Meta-Analysis
title_full_unstemmed Mesenchymal Stem Cell Therapy for Acute Myocardial Infarction: Protocol for a Systematic Review and Meta-Analysis
title_short Mesenchymal Stem Cell Therapy for Acute Myocardial Infarction: Protocol for a Systematic Review and Meta-Analysis
title_sort mesenchymal stem cell therapy for acute myocardial infarction protocol for a systematic review and meta analysis
url https://www.researchprotocols.org/2025/1/e60591
work_keys_str_mv AT michaelvincentdicaro mesenchymalstemcelltherapyforacutemyocardialinfarctionprotocolforasystematicreviewandmetaanalysis
AT briannayee mesenchymalstemcelltherapyforacutemyocardialinfarctionprotocolforasystematicreviewandmetaanalysis
AT kachonlei mesenchymalstemcelltherapyforacutemyocardialinfarctionprotocolforasystematicreviewandmetaanalysis
AT kavitabatra mesenchymalstemcelltherapyforacutemyocardialinfarctionprotocolforasystematicreviewandmetaanalysis
AT buddhadebdawn mesenchymalstemcelltherapyforacutemyocardialinfarctionprotocolforasystematicreviewandmetaanalysis