Evidence map›Paper›PMID 34025953›Full record

ArticleJournal of extracellular vesicles2021

WNT3A-loaded exosomes enable cartilage repair.

Bethan L Thomas, Suzanne E Eldridge, Babak Nosrati, Mario Alvarez, Anne-Sophie Thorup, Giovanna Nalesso, Sara Caxaria, Aida Barawi, James G Nicholson, Mauro Perretti and 6 more

Open access · goldAbstract read
In one paragraph

Article in Journal of extracellular vesicles, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 6% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. 3D-bioprinting for joint regeneration.Frontiers in bioengineering and biotechnology · 2026
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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

16 authors at 5 institutions in 2 countries.

Bethan L ThomasBarts and the London School of Medicine and Dentistry William Harvey Research Institute Queen Mary University of London London UK.
Suzanne E EldridgeBarts and the London School of Medicine and Dentistry William Harvey Research Institute Queen Mary University of London London UK.
Babak NosratiDipartimento di scienza e tecnologia del farmaco Università degli Studi di Torino Torino Italy.
Mario AlvarezBarts and the London School of Medicine and Dentistry William Harvey Research Institute Queen Mary University of London London UK.
Anne-Sophie ThorupBarts and the London School of Medicine and Dentistry William Harvey Research Institute Queen Mary University of London London UK.
Giovanna NalessoSchool of Veterinary Medicine University of Surrey Daphne Jackson Road Guildford UK.
Sara CaxariaBarts and the London School of Medicine and Dentistry William Harvey Research Institute Queen Mary University of London London UK.
Aida BarawiBarts and the London School of Medicine and Dentistry William Harvey Research Institute Queen Mary University of London London UK.
James G NicholsonBarts and the London School of Medicine and Dentistry William Harvey Research Institute Queen Mary University of London London UK.
Mauro PerrettiBarts and the London School of Medicine and Dentistry William Harvey Research Institute Queen Mary University of London London UK.
Carles Gaston-MassuetBarts and the London School of Medicine and Dentistry William Harvey Research Institute Queen Mary University of London London UK.
Costantino PitzalisBarts and the London School of Medicine and Dentistry William Harvey Research Institute Queen Mary University of London London UK.
Alison MaloneyUCB Pharma Slough Berkshire UK.
Adrian MooreUCB Pharma Slough Berkshire UK.
Ray JuppUCB Pharma Slough Berkshire UK.
Francesco Dell'AccioBarts and the London School of Medicine and Dentistry William Harvey Research Institute Queen Mary University of London London UK.
William Harvey Research Institute · GBQueen Mary University of London · GBUCB Pharma (United Kingdom) · GBDaphne Jackson Trust · GBUniversity of Turin · IT

Funding

Medical Research Council MR/K013076/1Medical Research Council MR/N010973/1Medical Research Council MR/P026362/1Medical Research Council MR/R000956/1Versus Arthritis 21515Versus Arthritis 21621
6 · The paper itself

Abstract

Cartilage defects repair poorly. Recent genetic studies suggest that WNT3a may contribute to cartilage regeneration, however the dense, avascular cartilage extracellular matrix limits its penetration and signalling to chondrocytes. Extracellular vesicles actively penetrate intact cartilage. This study investigates the effect of delivering WNT3a into large cartilage defects in vivo using exosomes as a delivery vehicle. Exosomes were purified by ultracentrifugation from conditioned medium of either L-cells overexpressing WNT3a or control un-transduced L-cells, and characterized by electron microscopy, nanoparticle tracking analysis and marker profiling. WNT3a loaded on exosomes was quantified by western blotting and functionally characterized in vitro using the SUPER8TOPFlash reporter assay and other established readouts including proliferation and proteoglycan content. In vivo pathway activation was assessed using TCF/Lef:H2B-GFP reporter mice. Wnt3a loaded exosomes were injected into the knees of mice, in which large osteochondral defects were surgically generated. The degree of repair was histologically scored after 8 weeks. WNT3a was successfully loaded on exosomes and resulted in activation of WNT signalling in vitro. In vivo, recombinant WNT3a failed to activate WNT signalling in cartilage, whereas a single administration of WNT3a loaded exosomes activated canonical WNT signalling for at least one week, and eight weeks later, improved the repair of osteochondral defects. WNT3a assembled on exosomes, is efficiently delivered into cartilage and contributes to the healing of osteochondral defects.

Indexed as

AnimalsCartilageCartilage, ArticularCell DifferentiationCell LineChondrocytesCulture Media, ConditionedDrug Delivery SystemsExosomesExtracellular MatrixExtracellular VesiclesHEK293 CellsHumansMiceMice, Inbred C57BLWnt3A ProteinCulture Media, ConditionedWnt3A ProteinWnt3a protein, mousecartilagedrug deliveryexosomesjoint repairWNT3a

Identifiers

PMID34025953
PMCPMC8134720
OpenAlexW3165615316

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.