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SYSTEMATIC REVIEW article

Front. Neurol.

Sec. Experimental Therapeutics

Volume 16 - 2025 | doi: 10.3389/fneur.2025.1637608

Intervention of Astragalus membranaceus extract in rats of spinal cord injury: a systematic review and meta-analysis

Provisionally accepted
hong li  wuhong li wulan lan  yulan lan yuhao  yanghao yangjia hao  lijia hao lijing  dengjing dengzi chao  zhouzi chao zhouyu feng  taoyu feng taofeng jiao  chenfeng jiao chenle yi  zhangle yi zhangchi  zhangchi zhang*
  • 成都中医药大学, 成都市, China

The final, formatted version of the article will be published soon.

OBJECTIVE: Spinal cord injury (SCI) causes motor, sensory and autonomic dysfunction below the level of injury and its incidence is increasing every year. Astragalus Membranaceus Extract (AME) has received attention in spinal cord injury in recent years, but its specific effects in spinal cord injury are unclear.Databases of PubMed, Embase, WOS, Cochrane Library, FMRS, Clinical trial, CNKI, VIP, and WangFang were searched from their establishment to December 1, 2024 using the following terms: "Astragalus propinquus", "Huang qi", "Astragalus mongholicus Bunge", "Spinal cord injuries", "spinal cord diseases", "spinal cord trauma". To ensure comprehensiveness, the search strategy included both traditional names (Astragalus) and scientific names (Astragalus membranaceus). Only studies published in Chinese or English were included. Cross-sectional studies, survey designs, quality improvement studies, and other study designs that did not meet the inclusion criteria were excluded.After screening, a total of 16 studies with 996 animals were included in the review.Astragalus Membranaceus Extract (AME) administration was associated with more significant functional recovery (mean difference [MD] = 3.68, 95% CI = 2.74, 4.62). Subgroup analyses showed the best functional recovery of the spinal cord when the dose exceeded 20 units and the duration of treatment was less than 14 days.Our study suggests that AME has therapeutic potential for spinal cord injured rats.Further studies are needed to determine if this can be developed into a new alternative therapy through experimental and clinical studies with larger samples.

Keywords: Phytomedicine, spinal cord injury, animal experiments, Meta-analysis, Huang qi

Received: 29 May 2025; Accepted: 19 Jul 2025.

Copyright: © 2025 wu, yu, yang, li, deng, zhou, tao, chen, zhang and zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: chi zhang, 成都中医药大学, 成都市, China

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