Evidence map›Paper›PMID 39040569›Full record

ArticleBioactive materials2024

Exosomes derived from tendon stem/progenitor cells enhance tendon-bone interface healing after rotator cuff repair in a rat model.

Yanwei He, Shihao Lu, Wenbo Chen, Li Yang, Fangqi Li, Peng Zhou, Zan Chen, Renwen Wan, Zifan Zhang, Yaying Sun and 5 more

Abstract read
In one paragraph

Article in Bioactive materials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing 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

32 citing papers in PubMed.

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  14. The Role of Phagocytic Cells in the Achilles Tendon.International journal of molecular sciences · 2026
    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

15 authors.

Yanwei HeDepartment of Sports Medicine, Huashan Hospital Fudan University, Shanghai, 200040, China.
Shihao LuDepartment of Orthopedics, Shanghai Changzheng Hospital, Naval Medical University, Shanghai, 200003, China.
Wenbo ChenDepartment of Sports Medicine, Huashan Hospital Fudan University, Shanghai, 200040, China.
Li YangDepartment of Rheumatology and Immunology, Affiliated Hospital, Southwest Medical University, Luzhou, Sichuan, 646000, China.
Fangqi LiDepartment of Sports Medicine, Huashan Hospital Fudan University, Shanghai, 200040, China.
Peng ZhouDepartment of Trauma and Reconstructive Surgery, RWTH Aachen University Hospital, Aachen, 52074, Germany.
Zan ChenDepartment of Orthopaedics, The Affiliated Hospital of Southwest Medical University, Luzhou, 646000, China.
Renwen WanDepartment of Sports Medicine, Huashan Hospital Fudan University, Shanghai, 200040, China.
Zifan ZhangDepartment of Orthopedics, Shanghai Changzheng Hospital, Naval Medical University, Shanghai, 200003, China.
Yaying SunDepartment of Sports Medicine, Shanghai General Hospital, Shanghai Jiaotong University, Shanghai, 200080, China.
Jinrong LinDepartment of Sports Medicine, Huashan Hospital Fudan University, Shanghai, 200040, China.
Yisheng ChenDepartment of Sports Medicine, Huashan Hospital Fudan University, Shanghai, 200040, China.
Zhiwen LuoDepartment of Sports Medicine, Huashan Hospital Fudan University, Shanghai, 200040, China.
Chen XuDepartment of Orthopedics, Shanghai Changzheng Hospital, Naval Medical University, Shanghai, 200003, China.
Shiyi ChenDepartment of Sports Medicine, Huashan Hospital Fudan University, Shanghai, 200040, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The rate of retear after surgical repair remains high. Mesenchymal stem cells (MSCs) have been extensively employed in regenerative medicine for several decades. However, safety and ethical concerns constrain their clinical application. Tendon Stem/Progenitor Cells (TSPCs)-derived exosomes have emerged as promising cell-free therapeutic agents. Therefore, urgent studies are needed to investigate whether TSPC-Exos could enhance tendon-bone healing and elucidate the underlying mechanisms. In this study, TSPC-Exos were found to promote the proliferation, migration, and expression of fibrogenesis markers in BMSCs. Furthermore, TSPC-Exos demonstrated an ability to suppress the polarization of M1 macrophages while promoting M2 macrophage polarization. In a rat model of rotator cuff repair, TSPC-Exos modulated inflammation and improved the histological structure of the tendon-bone interface, the biomechanical properties of the repaired tendon, and the function of the joint. Mechanistically, TSPC-Exos exhibited high expression of miR-21a-5p, which regulated the expression of PDCD4. The PDCD4/AKT/mTOR axis was implicated in the therapeutic effects of TSPC-Exos on proliferation, migration, and fibrogenesis in BMSCs. This study introduces a novel approach utilizing TSPC-Exos therapy as a promising strategy for cell-free therapies, potentially benefiting patients with rotator cuff tear in the future.

Indexed as

ExosomeMacrophagesMicroRNA-21a-5pRotator cuff tearTendon stem cellsTendon-to-bone healing

Identifiers

PMID39040569
PMCPMC11260958

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Registered trials

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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.