Evidence map›Paper›PMID 36382606›Full record

ArticleJournal of extracellular vesicles2022

A human kidney and liver organoid-based multi-organ-on-a-chip model to study the therapeutic effects and biodistribution of mesenchymal stromal cell-derived extracellular vesicles.

Vivian V T Nguyen, Shicheng Ye, Vasiliki Gkouzioti, Monique E van Wolferen, Fjodor Yousef Yengej, Dennis Melkert, Sofia Siti, Bart de Jong, Paul J Besseling, Bart Spee and 4 more

Abstract read
In one paragraph

Article in Journal of extracellular vesicles, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed
–field-weighted citation impact
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

58 citing papers in PubMed.

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  8. Bridging the Gap Between Static Histology and Dynamic Organ-on-a-Chip Models.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
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  17. Sepsis and the Liver.Diseases (Basel, Switzerland) · 2025
    Review
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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

14 authors.

Vivian V T NguyenDepartment of Nephrology and Hypertension, UMC Utrecht, Utrecht, The Netherlands.
Shicheng YeDepartment of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands.
Vasiliki GkouziotiDepartment of Nephrology and Hypertension, UMC Utrecht, Utrecht, The Netherlands.
Monique E van WolferenDepartment of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands.
Fjodor Yousef YengejDepartment of Nephrology and Hypertension, UMC Utrecht, Utrecht, The Netherlands.
Dennis MelkertDepartment of Nephrology and Hypertension, UMC Utrecht, Utrecht, The Netherlands.
Sofia SitiDepartment of Nephrology and Hypertension, UMC Utrecht, Utrecht, The Netherlands.
Bart de JongDepartment of Nephrology and Hypertension, UMC Utrecht, Utrecht, The Netherlands.
Paul J BesselingDepartment of Nephrology and Hypertension, UMC Utrecht, Utrecht, The Netherlands.
Bart SpeeDepartment of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands.
Luc J W van der LaanDept of Surgery, Erasmus MC Transplant Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Reyk HorlandTissUse GmbH, Berlin, Germany.
Marianne C VerhaarDepartment of Nephrology and Hypertension, UMC Utrecht, Utrecht, The Netherlands.
Bas W M van BalkomDepartment of Nephrology and Hypertension, UMC Utrecht, Utrecht, The Netherlands.

Funding

Dutch Society for the Replacement of Animal Testing (Stichting Proefdiervrij)H2020 Marie Sklodowska-Curie Actions 801540Hartstichting CVON2014-11Health Holland LSHM18045Health-Holland, Top Sector Life Sciences & Health, to the Association of Collaborating Health Foundations (SGF) LSHM20046-SGFMedical Delta program Regenerative Medicine 4DNederlandse Organisatie voor Wetenschappelijk Onderzoek 024.003.013Utrecht University 3Rs stimulus fund MOOI!
6 · The paper itself

Abstract

Mesenchymal stromal cell (MSC)-derived small extracellular vesicles (sEVs) show therapeutic potential in multiple disease models, including kidney injury. Clinical translation of sEVs requires further preclinical and regulatory developments, including elucidation of the biodistribution and mode of action (MoA). Biodistribution can be determined using labelled sEVs in animal models which come with ethical concerns, are time-consuming and expensive, and may not well represent human physiology. We hypothesised that, based on developments in microfluidics and human organoid technology, in vitro multi-organ-on-a-chip (MOC) models allow us to study effects of sEVs in modelled human organs like kidney and liver in a semi-systemic manner. Human kidney- and liver organoids combined by microfluidic channels maintained physiological functions, and a kidney injury model was established using hydrogenperoxide. MSC-sEVs were isolated, and their size, density and potential contamination were analysed. These sEVs stimulated recovery of the renal epithelium after injury. Microscopic analysis shows increased accumulation of PKH67-labelled sEVs not only in injured kidney cells, but also in the unharmed liver organoids, compared to healthy control conditions. In conclusion, this new MOC model recapitulates therapeutic efficacy and biodistribution of MSC-sEVs as observed in animal models. Its human background allows for in-depth analysis of the MoA and identification of potential side effects.

Indexed as

Extracellular VesiclesMesenchymal Stem CellsAnimalsHumansKidneyLab-On-A-Chip DevicesLiverOrganoidsTissue Distribution3RsEV-based therapeuticsmicro-physiological modelsrenal injury

Identifiers

PMID36382606
PMCPMC9667402

What OpenQuestion holds

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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.