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Table 2 Effect size and subgroup analyses for MSC administration in preclinical studies of solid tumor metastasis incidence

From: Effects of mesenchymal stem cells on solid tumor metastasis in experimental cancer models: a systematic review and meta-analysis

Group

Weight

Effect size

I2a

P

I2b

(%)

RR

95% CI

(%)

(%)

All experiments

100.0

2.04

1.57, 2.65

21

  

Cancer type

 Breast cancer

45.8

1.94

1.43, 2.62

0

0.630

0

 Other cancer

54.2

2.22

1.41, 3.50

21

  

Animal species/strain

 Nude mice

86.2

2.03

1.53, 2.68

19

0.810

0

 Other mice/rat

13.8

2.30

0.85, 6.22

54

  

Source of MSC

 Human bone marrow

65.1

1.81

1.24, 2.64

42

0.450

0

 Other human tissue

16.1

2.77

1.61, 4.77

0

  

 Mice/rat bone marrow

18.8

2.09

1.24, 3.51

0

  

Metastasis estimation

 Fluorescence microscopy

17.2

2.95

1.32, 6.60

27

0.610

0

 Histological evaluation

34.6

1.79

1.03, 3.14

38

  

 Bioluminescence

48.2

2.13

1.59, 2.84

0

  

Cancer cell/MSC dose ratio

 = 1

47.2

1.39

0.9, 2.16

38

0.030

71.6

 > 1

45.3

2.62

1.89, 3.65

0

  

 < 1

7.5

3.83

1.68, 8.73

0

  

Timing of MSC administration

 Co-administration

73.6

2.19

1.72, 2.79

0

0.240

28.5

 Follow-administration

26.4

1.39

0.68, 2.84

48

  

Study length (days)

 ≤ 42

100

2.04

1.57,2.65

21

–

–

 > 42

0

–

–

–

  

Metastasis site

 Lung

55.4

1.61

1.08, 2.40

34

0.060

72

 Other tissue

44.6

2.64

1.92, 3.63

0

  

Study quality category

 Meet 9–12 criteria

0

–

–

–

0.630

0

 Meet 5–8 criteria

9.2

2.90

0.74, 11.40

37

  

 Meet 0–4 criteria

90.8

2.06

1.56, 2.71

21

  

Impact factor of journal

≤ 5

49.3

1.90

1.19, 3.01

36%

0.580

0

> 5

50.7

2.21

1.66, 2.95

0

  
  1. RR risk ratio; CI confidence interval; I2a, I2 for heterogeneity within each subgroup; P P value for heterogeneity between subgroups; I2b, I2 for heterogeneity between subgroups