Evidence map›Paper›PMID 34020704›Full record

ReviewStem cell research & therapy2021

Mesenchymal stem/stromal cell-derived exosomes in regenerative medicine and cancer; overview of development, challenges, and opportunities.

Ali Hassanzadeh, Heshu Sulaiman Rahman, Alexander Markov, Judi Januadi Endjun, Angelina Olegovna Zekiy, Max Stanley Chartrand, Nasrin Beheshtkhoo, Mohammad Amin Jadidi Kouhbanani, Faroogh Marofi, Marzieh Nikoo and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Stem cell research & therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 111 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing papers in PubMed, 2 pooled it
8.8field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

111 citing papers in PubMed, 2 syntheses or guidelines pooled it, 179 citations in OpenAlex.

  1. Pooled it
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  15. 3D-bioprinted adipose-derived stem cell-secreted GAS6Journal of nanobiotechnology · 2026
    Article
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51 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

11 authors at 9 institutions in 5 countries.

Ali HassanzadehDepartment of Applied Cell Sciences, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Heshu Sulaiman RahmanDepartment of Physiology, College of Medicine, University of Suleimanyah, Sulaymaniyah, Iraq.
Alexander MarkovTyumen State Medical University, Tyumen, Russian Federation.
Judi Januadi EndjunMedical Faculty, UPN Veteran, Jakarta, Indonesia.
Angelina Olegovna ZekiySechenov First Moscow State Medical University, Moscow, Russia.
Max Stanley ChartrandDigiCare Behavioral Research, Casa Grande, AZ, USA.
Nasrin BeheshtkhooDepartment of Medical Nanotechnology, School of Advanced Medical Sciences and Technologies, Shiraz University of Medical Sciences, Shiraz, Iran.
Mohammad Amin Jadidi KouhbananiDepartment of Medical Nanotechnology, School of Advanced Medical Sciences and Technologies, Shiraz University of Medical Sciences, Shiraz, Iran.
Faroogh MarofiImmunology Research Center (IRC), Tabriz University of Medical Sciences, Tabriz, Iran.
Marzieh NikooDepartment of Immunology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Mostafa JarahianToxicology and Chemotherapy Unit (G401), German Cancer Research Center, 69120, Heidelberg, Germany. mostafajarahian@gmail.com.
Shiraz University of Medical Sciences · IRGerman Cancer Research Center · DEKermanshah University of Medical Sciences · IRSechenov University · RUTabriz University of Medical Sciences · IRTehran University of Medical Sciences · IRTyumen State Medical University · RUUniversity of Pembangunan Nasional Veteran Jawa Timur · IDUniversity of Sulaimani · IQ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recently, mesenchymal stem/stromal cells (MSCs) and their widespread biomedical applications have attracted great consideration from the scientific community around the world. However, reports have shown that the main populations of the transplanted MSCs are trapped in the liver, spleen, and lung upon administration, highlighting the importance of the development of cell-free therapies. Concerning rising evidence suggesting that the beneficial effects of MSC therapy are closely linked to MSC-released components, predominantly MSC-derived exosomes, the development of an MSC-based cell-free approach is of paramount importance. The exosomes are nano-sized (30-100 nm) lipid bilayer membrane vesicles, which are typically released by MSCs and are found in different body fluids. They include various bioactive molecules, such as messenger RNA (mRNA), microRNAs, proteins, and bioactive lipids, thus showing pronounced therapeutic competence for tissues recovery through the maintenance of their endogenous stem cells, the enhancement of regenerative phenotypic traits, inhibition of apoptosis concomitant with immune modulation, and stimulation of the angiogenesis. Conversely, the specific roles of MSC exosomes in the treatment of various tumors remain challenging. The development and clinical application of novel MSC-based cell-free strategies can be supported by better understanding their mechanisms, classifying the subpopulation of exosomes, enhancing the conditions of cell culture and isolation, and increasing the production of exosomes along with engineering exosomes to deliver drugs and therapeutic molecules to the target sites. In the current review, we deliver a brief overview of MSC-derived exosome biogenesis, composition, and isolation methods and discuss recent investigation regarding the therapeutic potential of MSC exosomes in regenerative medicine accompanied by their double-edged sword role in cancer.

Indexed as

ExosomesMesenchymal Stem CellsMicroRNAsNeoplasmsHumansRegenerative MedicineMicroRNAsCancerExosomesMesenchymal stem/stromal cells (MSCs)MicroRNAs (miRNAs)Regenerative medicine

Identifiers

PMID34020704
PMCPMC8138094
OpenAlexW3161946478

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.