Evidence map›Paper›PMID 38790904›Full record

ReviewBiomedicines2024

The Use of Extracellular Vesicles in Achilles Tendon Repair: A Systematic Review.

Varun Kasula, Vikram Padala, Nithin Gupta, David Doyle, Kian Bagheri, Albert Anastasio, Samuel Bruce Adams

Abstract readReview
In one paragraph

Review in Biomedicines, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Achilles tendinopathy.Nature reviews. Disease primers · 2025
    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.

Varun KasulaDepartment of Orthopedic Surgery, Campbell University School of Osteopathic Medicine, Lillington, NC 27546, USA.
Vikram PadalaDepartment of Orthopedic Surgery, Lewis Katz School of Medicine at Temple University, Philadelphia, PA 19140, USA.ORCID 0009-0000-8684-6215
Nithin GuptaDepartment of Orthopedic Surgery, Campbell University School of Osteopathic Medicine, Lillington, NC 27546, USA.ORCID 0000-0002-6696-8984
David DoyleDepartment of Orthopedic Surgery, Central Michigan University College of Medicine, Saginaw, MI 48602, USA.
Kian BagheriDepartment of Orthopedic Surgery, Campbell University School of Osteopathic Medicine, Lillington, NC 27546, USA.ORCID 0000-0003-0303-5949
Albert AnastasioDepartment of Orthopedic Surgery, Duke University School of Medicine, Durham, NC 27710, USA.ORCID 0000-0001-5817-3826
Samuel Bruce AdamsDepartment of Orthopedic Surgery, Duke University School of Medicine, Durham, NC 27710, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Achilles tendon (AT) pathologies are common musculoskeletal conditions that can significantly impair function. Despite various traditional treatments, recovery is often slow and may not restore full functionality. The use of extracellular vesicles (EVs) has emerged as a promising therapeutic option due to their role in cell signaling and tissue regeneration. This systematic review aims to consolidate current in vivo animal study findings on the therapeutic effects of EVs on AT injuries. An extensive literature search was conducted using the PubMed, Scopus, and Embase databases for in vivo animal studies examining the effects of EVs on AT pathologies. The extracted variables included but were not limited to the study design, type of EVs used, administration methods, efficacy of treatment, and proposed therapeutic mechanisms. After screening, 18 studies comprising 800 subjects were included. All but one study reported that EVs augmented wound healing processes in the AT. The most proposed mechanisms through which this occurred were gene regulation of the extracellular matrix (ECM), the enhancement of macrophage polarization, and the delivery of therapeutic microRNAs to the injury site. Further research is warranted to not only explore the therapeutic potential of EVs in the context of AT pathologies, but also to establish protocols for their clinical application.

Indexed as

Achilles tendonexosomeextracellular vesiclemesenchymal stem cellwound healing

Identifiers

PMID38790904
PMCPMC11117955

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.