Semita IN, Utomo DN, Suroto H. Mechanism of spinal cord injury regeneration and the effect of human neural stem cells-secretome treatment in rat model. World J Orthop 2023; 14(2): 64-82 [PMID: 36844381 DOI: 10.5312/wjo.v14.i2.64]
Corresponding Author of This Article
Dwikora Novembri Utomo, MD, Surgeon, Department of Orthopedic and Traumatology, Faculty of Medicine, Universitas Airlangga, Manyar Tirtosari Street IV/7, Surabaya 60118, East Java, Indonesia. dwikora-novembri-u@fk.unair.ac.id
Research Domain of This Article
Orthopedics
Article-Type of This Article
Basic Study
Open-Access Policy of This Article
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World J Orthop. Feb 18, 2023; 14(2): 64-82 Published online Feb 18, 2023. doi: 10.5312/wjo.v14.i2.64
Table 1 Loading factor value
Anti apoptotic
Anti inflammatory
Lokomotorius
Neuroangiogenesis
Neurogenesis
Pro inflammatory
Anti apoptotic
1.000
Anti inflammatory 1
0.978
Anti inflammatory 2
0.978
Lokomotorius
1.000
Neurogenesis 1
0.932
Neurogenesis 2
0.928
Neurogenesis 3
0.892
Neuroangiogenesi
1.000
Pro inflammatory 1
0.940
Pro inflammatory 2
0.901
Pro inflammatory 3
0.936
Pro inflammatory 4
0.770
Table 2 Average variance extracted value
Cronbach’s alpha
rho_A
Composite reliability
Average variance extracted
Anti apoptotic
1.000
1.000
1.000
1.000
Anti inflammatory
0.954
0.954
0.978
0.956
Lokomotorius
1.000
1.000
1.000
1.000
Neuroangiogenesis
1.000
1.000
1.000
1.000
Neurogenesis
0.907
0.915
0.941
0.842
Pro inflammatory
0.917
0.979
0.938
0.792
Table 3 Discriminant validity values
Anti apoptotic
Anti inflammatory
Lokomotorius
Neuroangiogenesis
Neurogenesis
Pro inflammatory
Anti apoptotic
1.000
0.697
0.271
0.850
0.815
0.085
Anti inflammatory 1
0.663
0.978
-0.293
0.714
0.704
0.642
Anti inflammatory 2
0.699
0.978
-0.140
0.796
0.739
0.532
Lokomotorius
0.271
-0.220
1.000
0.064
0.072
-0.869
Neurogenesis 1
0.725
0.691
-0.037
0.961
0.932
0.369
Neurogenesis 2
0.776
0.612
0.313
0.862
0.928
-0.006
Neurogenesis 3
0.748
0.736
-0.084
0.804
0.892
0.338
Neuroangiogenesi
0.850
0.772
0.064
1.000
0.958
0.319
Pro inflammatory 1
0.078
0.580
-0.865
0.268
0.201
0.940
Pro inflammatory 2
-0.073
0.496
-0.760
0.192
0.118
0.901
Pro inflammatory 3
0.257
0.654
-0.740
0.455
0.392
0.936
Pro inflammatory 4
-0.206
0.153
-0.881
0.012
0.046
0.770
Table 4 Results of bootstrapping and blindfolding partial least squares structural equation modeling
O
M
STDEV
T statistics (|O/STDEV|)
P values
Anti apoptotic - > lokomotorius
0.109
0.129
0.210
4.519
0.000
Anti inflammatory - > anti apoptotic
0.697
0.692
0.145
4.818
0.000
Anti inflammatory- > neuroangiogenesis
0.772
0.768
0.125
6.196
0.000
Neuroangiogenesis - > neurogenesis
0.176
0.183
0.258
4.682
0.000
Neurogenesis - > lokomotorius
0.754
0.782
0.130
5.789
0.000
Pro inflammatory - > anti inflammatory
0.600
0.622
0.193
3.102
0.002
Table 5 F square value
Anti apoptotic
Antiinflammatory
Lokomotorius
Neuroangiogenesis
Neurogenesis
Pro inflammatory
Anti apoptotic
0.197
Anti inflammatory
2.126
3.458
Lokomotorius
Neuroangiogenesis
0.797
Neurogenesis
0.563
Pro inflammatory
6.163
Table 6 Q square value
SSO
SSE
Q² (= 1-SSE/SSO)
Anti apoptotic
15.000
8.131
0.458
Anti inflammatory
30.000
24.178
0.194
Lokomotorius
15.000
6.222
0.585
Neuroangiogenesis
15.000
13.410
0.106
Neurogenesis
45.000
44.724
0.006
Pro inflammatory
60.000
60.000
Table 7 R square value
R square
R square adjusted
Anti apoptotic
0.680
0.655
Anti inflammatory
0.860
0.850
Lokomotorius
0.536
0.459
Neuroangiogenesis
0.776
0.758
Neurogenesis
0.444
0.401
Table 8 Tukey HSD test results of all biomarkers
Biomarker
Group
Group
P value
Oxidative stress
F2-Isoprostanes
Treatment (mean = 258.40; SD = 12.45)
Normal (mean = 252.59; SD = 25.54)
0.938
Control (mean = 338.82; SD = 36.87)
0.001
Pro-inflammatory
NF-kB
Treatment (mean = 1.400; SD = 0.254)
Normal (mean = 0.475; SD = 0.206)
0.003
Control (mean = 2.820; SD = 0.531)
0.000
MMP-9
Treatment (mean = 1.19; SD = 0.931)
Normal (mean = 0.160; SD = 0.213)
0.217
Control (mean = 3.09; SD = 1.056)
0.001
TNF-α
Treatment (mean = 171.85; SD = 35.84)
Normal (mean = 105.07; SD = 11.34)
0.002
Control (mean = 215.14; SD = 15.38)
0.032
Anti-inflammatory
IL-10
Treatment (mean = 3.160; SD = 0.801)
Normal (mean = 0.240; SD = 0.167)
0.000
Control (mean = 1.900; SD = 0.734)
0.022
TGF-β
Treatment (mean = 2.740; SD = 0.684)
Normal (mean = 0.260; SD = 0.181)
0.000
Control (mean = 1.840; SD = 0.572)
0.047
Neuroangiogenesis
VEGF
Treatment (mean = 5.12; SD = 0.878)
Normal (mean = 0.220; SD = 0.130)
0.000
Control (mean = 2.120; SD = 0.889)
0.000
Anti-apoptotic
Bcl-2
Treatment (mean = 2.02; SD = 0.712)
Normal (mean = 0.160; SD = 0.151)
0.000
Control (mean = 0.500; SD = 0.380)
0.001
Neurogenesis
Nestin
Treatment (mean = 1.96; SD = 0.610)
Normal (mean = 0.160; SD = 0.114)
0.000
Control (mean = 1.000; SD = 0.524)
0.018
BDNF
Treatment (mean = 2.01; SD = 0.576)
Normal (mean = 0.40; SD = 0.482)
0.000
Control (mean = 0.57; SD = 0.468)
0.001
GDNF
Treatment (mean = 3.420; SD = 2.480)
Normal (mean = 1.420; SD = 0.356)
0.000
Control (mean = 2.480; SD = 0.788)
0.043
Citation: Semita IN, Utomo DN, Suroto H. Mechanism of spinal cord injury regeneration and the effect of human neural stem cells-secretome treatment in rat model. World J Orthop 2023; 14(2): 64-82