Evidence map›Paper›PMID 36593485›Full record

ArticleJournal of neuroinflammation2023

Extracellular vesicles from mesenchymal stem cells reduce neuroinflammation in hippocampus and restore cognitive function in hyperammonemic rats.

Paula Izquierdo-Altarejos, Andrea Cabrera-Pastor, Mar Martínez-García, Carlos Sánchez-Huertas, Alberto Hernández, Victoria Moreno-Manzano, Vicente Felipo

Open access · goldAbstract read
In one paragraph

Article in Journal of neuroinflammation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
8.9field-weighted citation impact, top 2% 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

22 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Cross-Organ Neuroimmunology of Behavior.Annual review of immunology · 2026
    Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. Review
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

7 authors at 2 institutions in 1 country.

Paula Izquierdo-AltarejosLaboratory of Neurobiology, Centro Investigación Príncipe Felipe, Eduardo Primo-Yufera 3, 46012, Valencia, Spain.
Andrea Cabrera-PastorLaboratory of Neurobiology, Centro Investigación Príncipe Felipe, Eduardo Primo-Yufera 3, 46012, Valencia, Spain.
Mar Martínez-GarcíaLaboratory of Neurobiology, Centro Investigación Príncipe Felipe, Eduardo Primo-Yufera 3, 46012, Valencia, Spain.
Carlos Sánchez-HuertasNeuronal and Tissue Regeneration Laboratory, Centro Investigación Príncipe Felipe, Valencia, Spain.
Alberto HernándezOptical and Confocal Microscopy Service, Centro Investigación Príncipe Felipe, Valencia, Spain.
Victoria Moreno-ManzanoNeuronal and Tissue Regeneration Laboratory, Centro Investigación Príncipe Felipe, Valencia, Spain.
Vicente FelipoLaboratory of Neurobiology, Centro Investigación Príncipe Felipe, Eduardo Primo-Yufera 3, 46012, Valencia, Spain. vfelipo@cipf.es.
Centro de Investigacion Principe Felipe · ESINCLIVA Health Research Institute · ES

Funding

Conselleria de Cultura, Educación y Ciencia, Generalitat Valenciana PROMETEOII/2018/051Conselleria d'Educació, Investigació, Cultura i Esport CIPROM2021/082Instituto de Salud Carlos III CD17/00031Ministerio de Ciencia e Innovación PID2020-113388RB-I00Ministerio de Ciencia, Innovación y Universidades FPU17/01698
6 · The paper itself

Abstract

Chronic hyperammonemia, a main contributor to hepatic encephalopathy (HE), leads to neuroinflammation which alters neurotransmission leading to cognitive impairment. There are no specific treatments for the neurological alterations in HE. Extracellular vesicles (EVs) from mesenchymal stem cells (MSCs) reduce neuroinflammation in some pathological conditions. The aims were to assess if treatment of hyperammonemic rats with EVs from MSCs restores cognitive function and analyze the underlying mechanisms. EVs injected in vivo reach the hippocampus and restore performance of hyperammonemic rats in object location, object recognition, short-term memory in the Y-maze and reference memory in the radial maze. Hyperammonemic rats show reduced TGFβ levels and membrane expression of TGFβ receptors in hippocampus. This leads to microglia activation and reduced Smad7-IkB pathway, which induces NF-κB nuclear translocation in neurons, increasing IL-1β which alters AMPA and NMDA receptors membrane expression, leading to cognitive impairment. These effects are reversed by TGFβ in the EVs from MSCs, which activates TGFβ receptors, reducing microglia activation and NF-κB nuclear translocation in neurons by normalizing the Smad7-IkB pathway. This normalizes IL-1β, AMPA and NMDA receptors membrane expression and, therefore, cognitive function. EVs from MSCs may be useful to improve cognitive function in patients with hyperammonemia and minimal HE.

Indexed as

Extracellular VesiclesHyperammonemiaMesenchymal Stem Cellsalpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic AcidAnimalsCognitionHippocampusInflammationNeuroinflammatory DiseasesNF-kappa BRatsRats, WistarReceptors, N-Methyl-D-AspartateTransforming Growth Factor betaalpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic AcidNF-kappa BReceptors, N-Methyl-D-AspartateTransforming Growth Factor betaCognitive impairmentExtracellular vesiclesHyperammonemiaMesenchymal stem cellsNeuroinflammation

Identifiers

PMID36593485
PMCPMC9806918
OpenAlexW4313477142

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.