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Table 1 The characteristics of the involved studies

From: Clinical performance of stem cell therapy in patients with acute-on-chronic liver failure: a systematic review and meta-analysis

First authors/published year

Country

No.

Disease etiology

Study design

Cell source

Cell dosage

Injection rout

Sex (male/female)

Age (years)

End-point of observation

Quality

SCT

SMT

SCT

SMT

Ming Shi/2012

China

43

HBV-ACLF

RCT

UC-MSCs

Each 0.5 × 106/kg, thrice

PV

20/4

15/4

40 (24–59)

45 (26–62)

18 months

High

Bing-liang Lin/2017

China

110

HBV-ACLF

RCT

BM-MSCs

1.0 to 10 × 105 cells/kg for 4 weeks

PV

53/3

51/3

42.8 ± 8.4

40.0 ± 9.9

24 weeks

High

Zheng Zhang/2012

China

45

HBV with decompensated LC

Open-labeled, paired, controlled study, CT

UC-MSCs

Each 0.5 × 106/kg in NS, once every 4 weeks three times

PV

14/1

26/4

48 (25–64)

47 (29–64)

12 months

Low

Mehdi Mohamadnejad/2013

Iran

25

Decompensated LC (cirrhosis cryptogenic 11, PBC 2, HBV 2, HCV 1, AIH 9)

RCT

BM-MSCs

Median of 195 million (120–295 million) in 100 mL NS

PV

7/7

6/5

43.1 ± 17.6

34.6 ± 13.8

12 months

Moderate

Liang Peng/2011

China

158

LF caused by HBV

Retrospective case control study

BM-MSCs

In 10 mL of NS

HA

50/3

99/6

42.19 ± 10.8

42.22 ± 11.37

48 weeks

Very low

Yang-Qiu Bai/2014

China

47

Decompensated LC (43 HBV)

Prospective CT

BM-MNCs

1.0–11.2 × 1010/L

HA

20/12

9/6

46.4 ± 11.6

47.4 ± 11.1

24 months

Very low

Laurent Spahr/2013

Switzerland

58

Decompensated ALD (all with cirrhosis, 81% with alcoholic steatohepatitis

RCT

BM-MNCs

4.7 × 107/kg

HA

24/4

20/10

54 (34–66)

56 (37–68)

3 months

Moderate

Qinzhi Deng/2015

China

70

HBV-related decompensated cirrhosis

Prospective study

APBSC

2–4 × 107

HA

20/13

12/23

49.48 ± 11.07

50.20 ± 10.64

48 weeks

Low

Mehdi Mohamadnejad/2016

Iran

27

Decompensatedcirrhosis

RCT

BM-MNCs

20 mL of serum

PV

12/6

5/4

43.90 ± 14.84

46.22 ± 15.31

6 months

Moderate

Yu-Hua Li/2016

China

45

HBV-ACLF

Prospective study

UC-MSCs

100 × 106 cells in 60 mL of NS

HA

8/3

26/8

51.1 ± 11.2

50.0 ± 10.9

24 months

Very low

  1. PBC primary biliary cirrhosis, HBV hepatitis B virus, HCV hepatitis C virus, AIH autoimmune hepatitis, BM-MNCs bone marrow mononuclear cells, HA hepatic artery, MSC mesenchyme stem cell, NA not available, RCT randomized controlled trial, PV peripheral vein