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Table 1 Characteristics of included studies

From: Injectable hydrogel-based combination therapy for myocardial infarction: a systematic review and Meta-analysis of preclinical trials

 

Reference (study, year)

Animal

Total N

Age

Weight(SD)

Follow-up

Timing of Treatment (post-MI)

Baseline EF or FS (post-MI)

Encapsulation materials

Hydrogel

Funding Source

Setting

Rufaihah et al. 2013 [18]

Combined group

Rats

7F

Not reported

250 g

4w

0

Not reported

VEGF-A

PEGylated fibrinogen hydrogel

Agency

Singapore

Hydrogel group

 

7F

         

Rufaihah et al. 2017 [19]

Combined group

Rats

10 M

Not reported

250-300 g

4w

0

Not reported

VEGF+ANG-1

polyethylene glycol-fibrinogen (PF) hydrogels

Agency/Idustry

China

Hydrogel group

 

10 M

         

Rocker et al. 2022 [20]

Combined group

Mice

4

Not reported

24–28 g

4w

0

Not reported

VEGF+IL-10 + PDGF

S-GC-PNIPAM hydrogel

Agency

USA

Hydrogel group

 

4

         

Steele et al. 2017 [21]

Combined group

Rats

10 M

Not reported

250–300 g

4w

0

Not reported

HGFdf

PEG-PNIPAM-P1 hydrogel

Agency

USA

Hydrogel group

 

10 M

         

Steele et al. 2020 [22]

Combined group

Rats

12 M

Not reported

250-300 g

4w

0

Not reported

HGFdf+ESA 1α

hydhyaluronic acid poly(ethyleneglycol) poly(lactic acid) hydrogel

Agency

USA

Hydrogel group

 

12 M

         

Steele et al. 2020 [22]

Combined group

Sheep

7 M

Not reported

 

8w

0

Not reported

HGFdf+ESA 1α

hydhyaluronic acid poly(ethyleneglycol) poly(lactic acid) hydrogel

Agency

USA

Hydrogel group

 

7 M

         

Chow et al. 2017 [23]

Combined group

Rats

5 M

8 weeks

 

10w

0

EF = 45.4 ± 7.8

Human Induced Pluripotent Stem Cell-Derived Cardiomyocyte

PEG hydrogel

Agency/Idustry

UK

Hydrogel group

 

6 M

         

Gaffey et al. 2015 [24]

Combined group

Rats

10 M

Not reported

250-300 g

4w

0

Not reported

Rat bone marrow-derived endothelial progenitor cells

hyaluronic acid hydrogel

 

USA

Hydrogel group

 

10 M

         

Hakravarti et al. 2018 [25]

Combined group

Mice

4F

12 weeks

 

3w

0

Not reported

Human adipose-derived stem cells

gelatin methacrylamide (GelMA)

Agency

USA

Hydrogel group

 

4F

         

Paul et al. 2014 [26]

Combined group

Rats

7 M

Not reported

200-250 g

2w

0

EF = 36.6

Graphene oxide +VEGF

GelMA hydrogel

Agency/Idustry

USA

Hydrogel group

 

7 M

         

Qian et al. 2022 [27]

Combined group

Rats

8 M

Not reported

Not reported

4w

0w

Not reported

platelet concentrates including PRP

ALG-HA hydrogels

Agency/Idustry

China

Hydrogel group

 

8 M

         

Xu et al. 2017 [28]

Combined group

Rats

6 M

Not reported

225-250 g

4w

1w

Not reported

rat bone-marrow mesenchymal stem cells

chitosan hydrogel

Agency

China

Hydrogel group

 

6 M

         

Follin et al. 2018 [29]

Combined group

Rats

13 M

Not reported

266 ± 15 g

4w

0w

EF = 45.04 ± 9.08

adipose-derived Mesenchymal stem cell

Alginate Hydrogel

Agency

Denmark

Hydrogel group

 

10 M

         

Fu et al. 2022 [30]

Combined group

Rats

10 M

8 weeks

200–250 g

4w

0w

 

bFGF

CMCS-S-S-Py and rBSA hydrogel

Agency/Idustry

China

Hydrogel group

 

10 M

         

Purcell et al. 2018 [31]

Combined group

Pigs

7 M

Not reported

20,000 g

4w

0w

Not reported

rTIMP-3

hyaluronic acid (HA)-based hydrogel

Agency

USA

Hydrogel group

 

7 M

         

Purcell et al. 2014 [32]

Combined group

Pigs

7 M

Not reported

25,000 g

4w

0w

Not reported

rTIMP-3

Dextran sulphate (DS) / ALD modification of its diol groups hydrogels

Agency/Idustry

USA

Hydrogel group

 

7 M

         

Cimenci et al. 2022 [33]

Combined group

Mice

7F

Not reported

Not reported

5w

0w

Not reported

fisetin

thermoresponsive collagen hydrogel

Agency/Idustry

Canada

Hydrogel group

 

7F

         

Fan et al. 2019 [34]

Combined group

Rats

12F

Not reported

200-220 g

4w

0w

Not reported

GST-TIMP-bFGF

collagen-GSH hydrogel

Agency/Idustry

China

Hydrogel group

 

12F

         

Chen et al. 2018 [35]

Combined group

Rats

11 M

Not reported

350-375 g

5w

0w

Not reported

EPCs EVs

adamantane-modified HA (Ad-HA) and β-cyclodextrin-modified HA (CD-HA) shear-thinning hydrogel (STG)

Agency/Idustry

USA

Hydrogel group

 

10 M

         

Kim et al. 2020 [36]

Combined group

Mice

9 M

7 weeks

20-22 g

4w

0w

Not reported

MSC

gelatin–hydroxyphenyl propionic acid (GH) hydrogels

Agency

Korea

Hydrogel group

 

9 M

         

Han et al. 2019 [36]

Combined group

Rats

5 M

  

4w

0w

Not reported

UMSC exosomes

(PA-GHRPS and NapFF) PGN hydrogel

Agency/Idustry

China

Hydrogel group

 

5 M

         

Chen et al. 2013 [37]

Combined group

Rats

8 M

6 weeks

200-250 g

4w

0w

EF = 37.9

allogeneic bone marrow mononuclear cells

hyaluronan (HA) hydrogel

Agency/Idustry

Taiwan of China

Hydrogel group

 

8 M

         

Chen et al. 2014 [38]

Combined group

Pigs

7

Not reported

Not reported

8w

0w

EF = 45.8

bone marrow mononuclear cells

hyaluronan (HA) hydrogel

Agency/Idustry

Taiwan of China

Hydrogel group

 

8

         

Projahn et al. 2014 [39]

Combined group

Mice

8 M

Not reported

25–26 g

4w

0w

Not reported

CXCL12 (S4V)、Met-CCL5

sP(EO-stat-PO)/oxidation of thiolated (FDH) / PEG-diacrylate(SDH)

Agency/Idustry

Germany

Hydrogel group

 

8 M

         

Mathieu et al. 2012 [40]

Combined group

Rats

9F

Not reported

180-190 g

8w

0w

Not reported

rat bone-marrow mesenchymal stem cells

Silanized-Hydroxypropyl Methyicellulose hydrogel

Agency/Idustry

France

Hydrogel group

 

7F

         

Xu et al. 2014 [41]

Combined group

Rats

5F

Not reported

150-200 g

4w

0w

Not reported

Rat bone marrow mesenchymal stem cells

Col-SH/OAC-PEG-OAC hybrid hydrogels

Agency/Idustry

China

Hydrogel group

 

5F

         

Chen et al. 2017 [42]

Combined group

Mice

6 M

8-11 weeks

 

2w

0w

Not reported

Curcumin+NO

FFE-ss-ERGD hydrogels

Agency/Idustry

China

Hydrogel group

 

6 M

         

Awada et al. 2017 [43]

Combined group

Rats

8 M

6-7 weeks

175-225 g

8w

0w

Not reported

TIMP-3 + FGF-2+ SDF-1α

fibrin gel hydrogels

Agency

USA

Hydrogel group

 

8 M

         

Wang et al. 2010 [44]

Combined group

Rats

8F

6 weeks

 

4w

0w

Not reported

bFGF

chitosan hydrogel

Agency/Idustry

China

Hydrogel group

 

8F

         

Wang et al. 2012 [45]

Combined group

Rats

32F

6 weeks

 

4w

1w

Not reported

mouse embryonic stem cells

OPF hydrogels [fumaryl chloride and poly(ethylene glycol) (PEG)]

Agency

USA

Hydrogel group

 

24F

         

Wang et al. 2014 [46]

Combined group

Rats

20 M

Not reported

250 ± 10 g

4w

0w

Not reported

CD29 Rat brown adipose-derived stem cells

chitosan hydrogel

Agency/Idustry

China

Hydrogel group

 

20 M

         

Ding et al. 2020 [47]

Combined group

Rats

6 M

Not reported

250 g

4w

0w

EF = 42.4 FS = 21.9

mesenchymal stem cells

methacrylate hyaluronic acid hydrogel

Agency/Idustry

China

Hydrogel group

 

6 M

         

Li et al. 2018 [48]

Combined group

Mice

4 M

8–10 weeks

20 ± 5 g

4w

0w

Not reported

Mouse Induced pluripotent stem (MiPS) cells

folic acid (FA) Hydrogel

Agency/Idustry

China

Hydrogel group

 

4 M

         

Zhu et al. 2017 [49]

Combined group

Rats

7 M

8-10 weeks

200-250 g

4w

0w

Not reported

bFGF

Dex-PCL-HEMA/PNIPAAm hydrogel

Agency/Idustry

China

Hydrogel group

 

7 M

         

Cohen et al. 2014 [50]

Combined group

Mice

5 M

10 weeks

25-30 g

2w

0w

Not reported

Neuregulin-1β

hyaluronate hydrogel

Agency

USA

Hydrogel group

 

5 M

         

Cohen et al. 2020 [22]

Combined group

Sheep

6 M

26-30 weeks

35,000-40,000 g

8w

0w

Not reported

Neuregulin-1β

hyaluronate hydrogel

Agency

USA

Hydrogel group

 

4 M

         

Ding et al. 2020 [51]

Combined group

Rats

5 M

8 weeks

200-250 g

4w

0w

Not reported

catalase + hyperbranched polymers

Reactive Oxygen Species Scavenging and O2 Generating Injectable Hydrogel/hyaluronic acid (HA-MA)

Agency/Idustry

China

Hydrogel group

 

5 M

         

Zhou et al. 2021 [52]

Combined group

Rats

10 M

Not reported

250 ± 10 g

4w

0w

Not reported

melanin

Alginate (Alg) hydrogels

Agency/Idustry

China

Hydrogel group

 

10 M

         

Chen et al. 2021 [53]

Combined group

Rats

4 M

6-8 weeks

220-250 g

4w

0w

Not reported

Astragaloside IV

(PEGDA-PBA) - (HA-SH) hydrogel

Agency/Idustry

China

Hydrogel group

 

4 M

         

Chen et al. 2014 [54]

Combined group

Rabbits

7 M

Not reported

2200-2600 g

4w

1w

EF = 56.13 ± 7.51

Rabbit bone marrow stem cells

α-cylcodextrin/MPEG–PCL–MPEG hydrogel

Idustry

China

Hydrogel group

 

7 M

         

Wu et al. 2011 [55]

Combined group

Rats

10

Not reported

200-250 g

5w

1w

FS = 28.9

VEGF

PVL-b-PEG-b-PVL/aliphatic polyester hydrogel (HG)

Agency/Idustry

Canada

Hydrogel group

 

11

         

Khan et al. 2022 [56]

Combined group

Rats

9F

Not reported

250-300 g

4w

0w

Not reported

hAMSC/amniotic stromal mesenchymal stem cells

chitosan and hyaluronic acid (C/HA) based hydrogel

Agency

Canada

Hydrogel group

 

10F

         

Cheng et al. 2012 [57]

Combined group

Mice

8 M

10-12 weeks

Not reported

3w

0w

EF = 31.8

Cardiosphere-derived cells (CDCs)

hyaluronan and porcine gelatin hydrogel

Agency

USA

Hydrogel group

 

8 M

         

Zhu et al. 2022 [58]

Combined group

Rats

6 M

Not reported

200 g

4w

0w

Not reported

Mesenchymal stem cell and 68Ga3+ cations

GNR@SNs/PLGA-PEG-PLGA hydrogel

Agency/Idustry

China

Hydrogel group

 

6 M

         

Wu et al. 2023 [59]

Combined group

Mice

6 M

8 weeks

22-25 g

4w

0w

EF = 37.55 FS = 19

SDF-1/CMs

dECM hydrogel

Agency/Idustry

China

Hydrogel group

 

6 M

         

Montazeri et al. 2020 [60]

Combined group

Rats

5 M

8 weeks

250–300 g

4w

0w

Not reported

vascular endothelial growth factor (VEGF)/ hESC-CPC-derived cardiomyocytes

fibrin hydrogel

Agency/Idustry

Iran

Hydrogel group

 

5 M

         

Reis et al. 2015 [61]

Combined group

Rats

7 M

Not reported

200–250 g

6w

0w

Not reported

prosurvival angiopoietin-1–derived peptide, QHREDGS

chitosan-collagen hydrogel

Agency/Idustry

Canada

Hydrogel group

 

7 M

         

Liu et al. 2020 [62]

Combined group

Mice

8

Not reported

Not reported

4w

0w

Not reported

bone marrow-derived Mesenchymal stem cell

chitosan (CS) thermosensitive hydrogel

Agency/Idustry

China

Hydrogel group

 

8

         

Vong et al. 2018 [63]

Combined group

Mice

6 M

7-8 weeks

32–35 g

4w

0w

Not reported

NO

PMNT-PEG-PMNT PArg-PEG-PArg+PAAc

Agency/Idustry

Japan

Hydrogel group

 

6 M

         

Gao et al. 2020 [64]

Combined group

Mice

5 M

8-10 weeks

Not reported

4w

0w

Not reported

Mesenchymal stem cells

bioglass (BG)/γ-polyglutamic acid/chitosan hydrogel

Agency/Idustry

China

Hydrogel group

 

5 M

         

Ciuffreda et al. 2018 [65]

Combined group

Rats

10F

Not reported

Not reported

4w

1w

EF25.14 ± 4.15 FS30.90 ± 4.68

rat bone-marrow MSC

polyethylene glycol (PEG)-based hydrogel containing heparin (H-HG)

Agency

Italy

Hydrogel group

 

10F

         

Chang et al. 2016 [66]

Combined group

Pigs

6 M

20 weeks

22.26 ± 0.78 kg

8w

0w

EF = 47.5

human cord blood mononuclear cells

hyaluronan (HA) hydrogel

Agency/Idustry

Taiwan of China

Hydrogel group

 

6 M

         

Chen et al. 2019 [67]

Combined group

Rats

10 M

Not reported

Not reported

4w

0w

Not reported

IL-10

AdHA and CDHA hydrogel

Agency/Idustry

USA

Hydrogel group

 

8 M

         

Song et al. 2014 [68]

Combined group

Rats

10 M

6 weeks

Not reported

4w

0w

Not reported

stem cell homing factor (SDF-1) angiogenic peptides

Biomimetic hyaluronic acid based hydrogel

Agency

Korea

Hydrogel group

 

10 M

         

Qi et al. 2020 [69]

Combined group

Rats

8 M

Not reported

200-250 g

4w

1w

Not reported

Bioglass

Alginate hydrogel

Agency/Idustry

China

Hydrogel group

 

8 M

         

Bao et al. 2017 [70]

Combined group

Rats

13 M

Not reported

250 ± 20 g

4w

0w

Not reported

adipose tissue-derived stromal cells

PEG-MEL/HA-SH/GO hydrogels

Agency/Idustry

China

Hydrogel group

 

13 M

         

Firoozi et al. 2020 [71]

Combined group

Rats

6 M

Not reported

280-350 g

4w

0w

Not reported

human bone marrow-derived mesenchymal stem cells

(RADA)4-SDKP hydrogel

Agency/Idustry

Iran

Hydrogel group

 

6 M

         

Shafei et al. 2022 [72]

Combined group

Rats

6 M

12 weeks

250-280 g

4w

0w

FS = 30

microRNA-126/146a mimics in exosomes

alginate hydrogel

Agency

USA

Hydrogel group

 

6 M

         

Lü et al. 2010 [73]

Combined group

Rats

10 M

6 weeks

Not reported

4w

1w

Not reported

nuclear-transferred embryonic stem cells

temperature-responsive chitosan hydrogel

Agency/Idustry

China

Hydrogel group

 

10 M

         

Zhu et al. 2022 [58]

Combined group

Rats

10 M

6 weeks

Not reported

4w

0w

Not reported

Umbilical cord mesenchymal stem cells

GelMA-O5/rGO hydrogels

Agency/Idustry

China

Hydrogel group

 

10 M

         

Bao et al. 2023 [74]

Combined group

Rats

5 M

Not reported

200-220 g

4w

1w

Not reported

superparamagnetic iron oxide (SPIO)

chitosan/β-glycerophosphate (CS/GP) hydrogel

Agency/Idustry

China

Hydrogel group

 

5 M

         

Wang et al. 2009 [75]

Combined group

Rats

12 M

Not reported

200–250 g

4w

0w

Not reported

recombined human erythropoietin

α-cyclodextrin/MPEG–PCL–MPEG hydrogel

Agency

China

Hydrogel group

 

12 M

         

Wang et al. 2009 [76]

Combined group

Rabbits

8 M

Not reported

2200–2600 g

4w

0w

Not reported

Bone marrow stem cells

α-cyclodextrin/MPEG–PCL–MPEG hydrogel

Agency/Idustry

China

Hydrogel group

 

8 M

         

Vu et al. 2015 [77]

Combined group

Pigs

6 M

Not reported

65,000-70,000 g

8w

0w

Not reported

PRP, allopurinol, ascorbic acid and ibuprofen

Gelatin hydrogel

Agency

Singapore

Hydrogel group

 

6 M

         

Kraehenbuehl et al. 2011 [78]

Combined group

Rats

8 M

Not reported

200-250 g

6w

0w

EF = 52.7

hESC-derived ELC + SMLC+Tβ4

PEG-hydrogels

Agency/Idustry

USA

Hydrogel group

 

8 M

         

Wan et al. 2014 [79]

Combined group

Rats

14 M

Not reported

200-250 g

4w

0w

Not reported

short-hairpin RNA of angiotensin

(Dex-PCL-HEMA/PNIPAAm) hydrogel

Agency/Idustry

China

Hydrogel group

 

14 M

         

Wang et al. 2018 [80]

Combined group

Rats

17 M

Not reported

250 ± 20 g

6w

0w

Not reported

plasmid DNA-eNOs + ADSCs

TA-PEG/HA-SH hydrogels

Agency/Idustry

China

Hydrogel group

 

16 M

         

Lu et al. 2009 [81]

Combined group

Rats

12F

Not reported

Not reported

4w

1w

Not reported

Mouse embryonic stem cells

temperature-responsive chitosan hydrogel

Agency/Idustry

China

Hydrogel group

 

13F

         

Li et al. 2014 [82]

Combined group

Rats

6 M

Not reported

250 ± 20 g

4w

0w

Not reported

Rat brown adipose-derived stem cells

SWCNTs-modified PNIPAAm hydrogel

Agency/Idustry

China

Hydrogel group

 

6 M

         

Li et al. 2010 [83]

Combined group

Rabbits

11 M

Not reported

2000–2500 g

4w

1w

Not reported

bone marrow-derived mononuclear cells

Dex-PCL-HEMA/PNIPAAm hydrogel

Agency/Idustry

China

Hydrogel group

 

8 M

         

Hu et al. 2022 [84]

Combined group

Mice

5 M

8-10 weeks

 

4w

0w

Not reported

ISL1-Mesenchymal stem cell-Exo

angiogenin-1 hydrogel (Ang-1 gel)

Agency/Idustry

China

Hydrogel group

 

5 M

         

Li et al. 2021 [85]

Combined group

Pigs

6 M

Not reported

45,000-50,000 g

4w

0w

EF = 35

MSN / miR-21-5p

gelatin hydrogels

Agency/Idustry

China

Hydrogel group

 

6 M

         

Liu et al. 2021 [86]

Combined group

Rats

20 M

6-8 weeks

200 ± 10 g

4w

0w

Not reported

puerarin + rBMesenchymal stem cell

hyaluronic acid (HA-Tyr) hydrogel

Agency/Idustry

China

Hydrogel group

 

20 M

         

Wu et al. 2021 [87]

Combined group

Mice

15 M

8 weeks

22-25 g

4w

0w

Not reported

VEGF and B/SF microspheres

alginate based composite hydrogel

Agency/Idustry

China

Hydrogel group

 

15 M

         

Chen et al. 2020 [88]

Combined group

Mice

20 M

8-12 weeks

 

4w

0w

EF = 36.4

Rat adipose-derived mesenchymal stem cells

Col-Transglutaminase cross-linked gelatin

Agency/Idustry

China

Hydrogel group

 

20 M

         

Zhang et al. 2021 [89]

Combined group

Mice

5 M

 

22-28 g

4w

0w

Not reported

Dendritic cell-derived exosomes (DEXs)

Alginate hydrogel

Agency/Idustry

China

Hydrogel group

 

5 M

         

Chen et al. 2020 [90]

Combined group

Mice

13 M

6 weeks

 

4w

0w

Not reported

colchicine

(PLGA–PEG–PLGA) hydrogel

Agency/Idustry

China

Hydrogel group

 

11 M

         

Xia et al. 2015 [91]

Combined group

Mice

8F

Not reported

Not reported

4w

0w

Not reported

Mouse bone marrow mesenchymal stem cells

poly(NIPAAm-co-HEMA-co-HEMAPCL)-type I collagen hydrogel

Agency

China

Hydrogel group

 

8F

         
 

Lyu et al. 2020

           
 

Combined group

Rats

5 M

Not reported

220 ± 20 g

4w

0w

Not reported

MSC aggregates (FMAs) hMesenchymal stem cell+PLGA

OHA@HHA hydrogel

Agency/Idustry

China

 

Hydrogel group

 

5 M

         

Sakakibara et al. 2002 [92]

Combined group

Rats

10 M

Not reported

250-290 g

4w

1w

FS = 19.8 ± 4.1

bFGF+ fetal cardiomyocyte

gelatin hydrogels

Agency

Japan

Hydrogel group

           

Zheng et al. 2022 [93]

Combined group

Rats

3 M

Not reported

250 ± 20 g

4w

0w

Not reported

bone mesenchymal stem cells (BMesenchymal stem cell)/KLT (a VEGF mimetic peptide with pro-angiogenic effects)

MaHA/B-G-SH/Fe3+ hydrogels

Agency/Idustry

China

Hydrogel group

 

3 M

         

Zheng et al. 2022 [94]

Combined group

Rats

3 M

Not reported

250 ± 20 g

4w

0w

Not reported

S1P SS-31(plasma enzyme-degradable peptide)/Lipo

PAMB-G-TK/4-Arm-PEG-SG Hydrogels

Agency/Idustry

China

Hydrogel group

 

3 M

         

Liu et al. 2012 [95]

Combined group

Rats

22 M

Not reported

Not reported

4w

0w

Not reported

Rat adipose-derived mesenchymal stem cells

chitosan hydrogel

Agency/Idustry

China

Hydrogel group

           

Yuan et al. 2019 [96]

Combined group

Rats

8 M

9–10 weeks

200 ± 20 g

4w

0w

Not reported

Mydgf

citrate-containing polyester hydrogel (PPC-ET/PEG Hydrogels)

Agency/Idustry

China

Hydrogel group