Evidence map›Paper›PMID 30760290›Full record

ArticleCritical care (London, England)2019

Exosomes from endothelial progenitor cells improve outcomes of the lipopolysaccharide-induced acute lung injury.

Yue Zhou, Pengfei Li, Andrew J Goodwin, James A Cook, Perry V Halushka, Eugene Chang, Basilia Zingarelli, Hongkuan Fan

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Critical care (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05476029 (Study on Exosomes and Biomarkers in Plasma and Alveolar Lavage Fluid of Patients With Sepsis Complicated With ARDS), which is not on this map. Cited by 169 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
169citing papers in PubMed, 4 pooled it
12.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05476029 unknown statusnot on this mapstarted 2022, after this paper: background citation

Study on Exosomes and Biomarkers in Plasma and Alveolar Lavage Fluid of Patients With Sepsis Complicated With ARDS

Typeobservational_patient_registrySponsorTianjin Nankai HospitalRan2022 to 2023Enrolled20ConditionsSepsis Complicated With ARDSArmsBlood samples and alveolar lavage fluid were collected
3 · Its place in the literature

Who cites it

169 citing papers in PubMed, 4 syntheses or guidelines pooled it, 312 citations in OpenAlex.

  1. Pooled it
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  20. Endothelial Progenitor Cells: Disease Markers and Potential Therapy in Kidney Disease.Journal of the American Society of Nephrology : JASN · 2025
    Review

109 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Yue ZhouDepartment of Pathology and Laboratory Medicine, Medical University of South Carolina, 173 Ashley Ave., MSC 908, CRI Room 610, Charleston, SC, 29425, USA.
Pengfei LiDepartment of Pathology and Laboratory Medicine, Medical University of South Carolina, 173 Ashley Ave., MSC 908, CRI Room 610, Charleston, SC, 29425, USA.
Andrew J GoodwinDivision of Pulmonary, Critical Care, Allergy, and Sleep Medicine, Medical University of South Carolina, Charleston, SC, 29425, USA.
James A CookDepartment of Neurosciences, Medical University of South Carolina, Charleston, SC, 29425, USA.
Perry V HalushkaDepartment of Medicine, Medical University of South Carolina, Charleston, SC, 29425, USA.
Eugene ChangDepartment of Obstetrics-Gynecology, Medical University of South Carolina, Charleston, SC, 29425, USA.
Basilia ZingarelliDivision of Critical Care Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 41073, USA.
Hongkuan FanDepartment of Pathology and Laboratory Medicine, Medical University of South Carolina, 173 Ashley Ave., MSC 908, CRI Room 610, Charleston, SC, 29425, USA. fanhong@musc.edu.ORCID 0000-0002-9441-9405
Medical University of South Carolina · USCincinnati Children's Hospital Medical Center · USNanjing University of Chinese Medicine · CN

Funding

Translational Science Laboratory Shared ResourceP30CA138313 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Jian Ouyang · 2009 to 2026
$42.7M
South Carolina Clinical & Translational Research Institute (SCTR)UL1TR001450 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T., FLUME, PATRICK A · 2015 to 2024
$41.1M
South Carolina Clinical & Translational Research Institute (SCTR)TL1TR001451 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI FEGHALI-BOSTWICK, CAROL A. · 2015 to 2024
$4.6M
The Beneficial Effects of Endothelial Progenitor Cells in the Vascular Dysfunction of SepsisR01GM113995 · NIGMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI FAN, HONGKUAN · 2015 to 2019
$1.9M
The Role of Pericytes in the Vascular Dysfunction of SepsisR01GM130653 · NIGMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI FAN, HONGKUAN · 2018 to 2021
$1.3M
The Role of Circulating Micro RNAs in ARDS Pathogenesis and OutcomesK23HL135263 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI GOODWIN, ANDREW J · 2017 to 2019
$537k
NCATS NIH HHS 5TL1TR001451NCATS NIH HHS TL1 TR001451NCATS NIH HHS UL1 TR001450NCI NIH HHS P30 CA138313NHLBI NIH HHS 1K23HL135263-01A1NHLBI NIH HHS K23 HL135263NIGMS NIH HHS 1R01GM113995NIGMS NIH HHS 1R01GM130653NIGMS NIH HHS R01 GM113995NIGMS NIH HHS R01 GM130653
6 · The paper itself

Abstract

backgroundThe acute respiratory distress syndrome (ARDS) is characterized by disruption of the alveolar-capillary barrier resulting in accumulation of proteinaceous edema and increased inflammatory cells in the alveolar space. We previously found that endothelial progenitor cell (EPC) exosomes prevent endothelial dysfunction and lung injury in sepsis in part due to their encapsulation of miRNA-126. However, the effects of EPC exosomes in acute lung injury (ALI) remain unknown.

methodsTo determine if EPC exosomes would have beneficial effects in ALI, intratracheal administration of lipopolysaccharide (LPS) was used to induce ALI in mice. Lung permeability, inflammation, and the role of miRNA-126 in the alveolar-epithelial barrier function were examined.

resultsThe intratracheal administration of EPC exosomes reduced lung injury following LPS-induced ALI at 24 and 48 h. Compared to placebo, intratracheal administration of EPC exosomes significantly reduced the cell number, protein concentration, and cytokines/chemokines in the bronchoalveolar lavage fluid (BALF), indicating a reduction in permeability and inflammation. Further, EPC exosomes reduced myeloperoxidase (MPO) activity, lung injury score, and pulmonary edema, demonstrating protection against lung injury. Murine fibroblast (NIH3T3) exosomes, which do not contain abundant miRNA-126, did not provide these beneficial effects. In human small airway epithelial cells (SAECs), we found that overexpression of miRNA-126-3p can target phosphoinositide-3-kinase regulatory subunit 2 (PIK3R2), while overexpression of miRNA-126-5p inhibits the inflammatory alarmin HMGB1 and permeability factor VEGFα. Interestingly, both miR-126-3p and 5p increase the expression of tight junction proteins suggesting a potential mechanism by which miRNA-126 may mitigate LPS-induced lung injury.

conclusionsOur data demonstrated that human EPC exosomes are beneficial in LPS-induced ALI mice, in part through the delivery of miRNA-126 into the injured alveolus.

Indexed as

Acute Lung InjuryAnimalsBlotting, WesternEndothelial Progenitor CellsExosomesHMGB1 ProteinInflammationLipopolysaccharidesMiceMicroRNAsPeroxidasePhosphatidylinositol 3-KinasesReal-Time Polymerase Chain ReactionSeverity of Illness IndexTracheaVascular Endothelial Growth Factor AHMGB1 ProteinHMGB1 protein, mouseLipopolysaccharidesMicroRNAsMIRN126 microRNA, mousePeroxidasePhosphatidylinositol 3-Kinasesphosphoinositol-3 kinase regulatory subunit 2, mouseVascular Endothelial Growth Factor Avascular endothelial growth factor A, mouseAcute lung injuryExosomesmiR-126Tight junction protein

Identifiers

PMID30760290
PMCPMC6373158
OpenAlexW2923975460

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.