Evidence map›Paper›PMID 39070124›Full record

ArticleRegenerative therapy2024

High efficiency protocol for platelet derived fibrin gel loaded with mesenchymal stromal cells extracellular vesicles.

Enrico Ragni, Paola De Luca, Simona Landoni, Federico Valli, Leonardo Mortati, Silvia Palombella, Giuseppe Talò, Matteo Moretti, Laura de Girolamo

Registry-linked trialAbstract read
In one paragraph

Article in Regenerative therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06713902 (Fibrin Gel Loaded with Extracellular Vesicles for the Treatment of Cartilage Lesions in the Joints - GelVex Study), which is not on this map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT06713902 recruitingnot on this map

Fibrin Gel Loaded with Extracellular Vesicles for the Treatment of Cartilage Lesions in the Joints - GelVex Study

TypeobservationalSponsorI.R.C.C.S Ospedale Galeazzi-Sant'AmbrogioRan2024 to 2026Enrolled51ConditionsJoint Disease
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

9 authors.

Enrico RagniIRCCS Istituto Ortopedico Galeazzi, Laboratorio di Biotecnologie Applicate all'Ortopedia, Via Cristina Belgioioso 173, 20157 Milano, Italy.
Paola De LucaIRCCS Istituto Ortopedico Galeazzi, Laboratorio di Biotecnologie Applicate all'Ortopedia, Via Cristina Belgioioso 173, 20157 Milano, Italy.
Simona LandoniIRCCS Istituto Ortopedico Galeazzi, Laboratorio di Biotecnologie Applicate all'Ortopedia, Via Cristina Belgioioso 173, 20157 Milano, Italy.
Federico ValliIRCCS Istituto Ortopedico Galeazzi, Chirurgia Articolare Sostitutiva e Chirurgia Ortopedica (C.A.S.C.O.), Via Cristina Belgioioso 173, 20157 Milano, Italy.
Leonardo MortatiIstituto Nazionale di Ricerca Metrologica (INRIM), Str. delle Cacce 91, 10135 Torino, Italy.
Silvia PalombellaIRCCS Istituto Ortopedico Galeazzi, Cell and Tissue Engineering Laboratory, Via C. Belgioioso 173, 20157, Milano, Italy.
Giuseppe TalòIRCCS Istituto Ortopedico Galeazzi, Cell and Tissue Engineering Laboratory, Via C. Belgioioso 173, 20157, Milano, Italy.
Matteo MorettiIRCCS Istituto Ortopedico Galeazzi, Cell and Tissue Engineering Laboratory, Via C. Belgioioso 173, 20157, Milano, Italy.
Laura de GirolamoIRCCS Istituto Ortopedico Galeazzi, Laboratorio di Biotecnologie Applicate all'Ortopedia, Via Cristina Belgioioso 173, 20157 Milano, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Extracellular vesicles from mesenchymal stromal cells (MSC-EVs) are potent stimulators of naïve cartilage and their injection is studied in clinical trials for cartilage lesions, since often cartilage repaired with conventional approaches is incomplete or less performant leading to joint degeneration. The main pitfall of these innovative approaches is the high EVs dispersion into the joint cavity and consequent low concentration at lesion site. Thus, biological scaffolds for concentration of EVs where needed might be a promising option. This work aimed at producing an enhanced platelet-derived fibrin gel loaded with adipose-derived MSCs (ASCs)-EVs. Methods: EVs' embedment efficiency in platelet gel, their release and incorporation in OA chondrocytes and cartilage explants were monitored by flow cytometry, microfluidic approaches, scansion electron microscopy and real-time quantitative multimodal nonlinear optics imaging. The effect of released EVs was tested in OA chondrocytes by gene expression studies. Results: A protocol ensuring high incorporation EVs efficiency in platelet gels was defined, relying on a one-step modification of the standard procedure used in current clinical practice. Trapped EVs were released continuously for up to 4 weeks and uptaken in pathologic chondrocytes and cartilage explants. The release of the EVs-loaded platelet gel had stronger and synergic anti-inflammatory/matrix remodelling effects with respect to both EVs per se and unloaded gel released products. Conclusions: These results suggest the feasibility of producing a platelet gel loaded with MSC-EVs at high efficiency that can be used as an enhanced tool to foster chondrocyte homeostasis, a key requisite for proper cartilage healing.

Indexed as

CartilageExtracellular vesiclesMesenchymal stromal cellsOsteoarthritisPlatelet gelPlatelet rich plasma

Identifiers

PMID39070124
PMCPMC11276930

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Registered trials

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.