Evidence map›Paper›PMID 39468355›Full record

ReviewNature nanotechnology2025

Harnessing extracellular vesicle heterogeneity for diagnostic and therapeutic applications.

Randy P Carney, Rachel R Mizenko, Batuhan T Bozkurt, Neona Lowe, Tanner Henson, Alessandra Arizzi, Aijun Wang, Cheemeng Tan, Steven C George

Abstract readReview
In one paragraph

Review in Nature nanotechnology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 123 papers.

0numbers the graph read from it
0cells of the map it votes in
123citing 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

123 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Extracellular Vesicles and Their Role in Osteogenesis.Bioengineering (Basel, Switzerland) · 2026
    Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Condensates on the Move: Midbody Remnants as Large, Translation-Competent Extracellular Vesicles.BioEssays : news and reviews in molecular, cellular and developmental biology · 2026
    Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Review
  19. Review
  20. Review

63 more citing papers are in PubMed but not listed here.

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.

Randy P Carney *Department of Biomedical Engineering, University of California, Davis, Davis, CA, USA. rcarney@ucdavis.edu.ORCID http://orcid.org/0000-0001-8193-1664
Rachel R Mizenko *Department of Biomedical Engineering, University of California, Davis, Davis, CA, USA.ORCID http://orcid.org/0000-0002-9991-8799
Batuhan T BozkurtDepartment of Biomedical Engineering, University of California, Davis, Davis, CA, USA.ORCID http://orcid.org/0000-0003-1034-482X
Neona LoweDepartment of Biomedical Engineering, University of California, Davis, Davis, CA, USA.ORCID http://orcid.org/0000-0002-7426-0273
Tanner HensonDepartment of Biomedical Engineering, University of California, Davis, Davis, CA, USA.
Alessandra ArizziDepartment of Biomedical Engineering, University of California, Davis, Davis, CA, USA.ORCID http://orcid.org/0009-0004-5664-9615
Aijun WangDepartment of Biomedical Engineering, University of California, Davis, Davis, CA, USA.ORCID http://orcid.org/0000-0002-2985-3627
Cheemeng TanDepartment of Biomedical Engineering, University of California, Davis, Davis, CA, USA.ORCID http://orcid.org/0000-0003-1049-1192
Steven C GeorgeDepartment of Biomedical Engineering, University of California, Davis, Davis, CA, USA. scgeorge@ucdavis.edu.ORCID http://orcid.org/0000-0003-2263-1914

Funding

TRAINING IN COMPARATIVE LUNG BIOLOGY AND MEDICINET32HL007013 · NHLBI · UNIVERSITY OF CALIFORNIA DAVIS · PI Elena Goncharova, Nicholas J. KENYON · 1985 to 2026
$10.1M
UC Davis MCB T32 Administrative Supplement to Recognize Excellence in Diversity, Equity, Inclusion, and Accessibility (DEIA) MentorshipT32GM007377 · NIGMS · UNIVERSITY OF CALIFORNIA DAVIS · PI CHEDIN, FREDERIC LOUIS · 1985 to 2023
$9.9M
Engineering and dissecting the synthetic non-dividing-but-active state of hybrid cell-materialsR35GM142788 · NIGMS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Cheemeng Tan · 2021 to 2026
$2.7M
SERS diagnostics platform for liquid bioapsy analysis of tumor-associated exosomesR01CA241666 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI CARNEY, RANDY · 2020 to 2024
$2.5M
Bottom-up, high-throughput prototyping of extracellular vesicle mimetics using cell-free synthetic biologyR01EB034279 · NIBIB · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Randy Carney, Cheemeng Tan · 2023 to 2026
$2.5M
Homogenized, engineered extracellular vesicles for intracranial targetingR01EB033389 · NIBIB · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Randy Carney, Aijun Wang · 2023 to 2026
$2.4M
The UC Davis enhanced Molecular, Cellular, and Developmental Biology Training ProgramT32GM153586 · NIGMS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Frederic Louis Chedin, ELVA D DIAZ · 2024 to 2026
$2.3M
Engineering an extracellular vesicle-based targeted regenerative nanotherapeutic for multiple sclerosisR01NS131538 · NINDS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Aijun Wang · 2024 to 2026
$1.4M
Engineered extracellular vesicles as a targeted drug delivery system for multiple sclerosisF31NS120590 · NINDS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI MIZENKO, RACHEL REGINA · 2022 to 2024
$109k
NCI NIH HHS R01 CA241666NHLBI NIH HHS T32 HL007013NIBIB NIH HHS R01 EB033389NIBIB NIH HHS R01 EB034279NIGMS NIH HHS R35 GM142788NIGMS NIH HHS T32 GM007377NIGMS NIH HHS T32 GM153586NINDS NIH HHS F31 NS120590NINDS NIH HHS R01 NS131538U.S. Department of Health & Human Services | National Institutes of Health (NIH) F31NS120590U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01CA241666U.S. Department of Health & Human Services | National Institutes of Health (NIH) R35GM142788U.S. Department of Health & Human Services | National Institutes of Health (NIH) T32GM007377U.S. Department of Health & Human Services | National Institutes of Health (NIH) T32HL007013
6 · The paper itself

Abstract

Extracellular vesicles (EVs) are diverse nanoparticles with large heterogeneity in size and molecular composition. Although this heterogeneity provides high diagnostic value for liquid biopsy and confers many exploitable functions for therapeutic applications in cancer detection, wound healing and neurodegenerative and cardiovascular diseases, it has also impeded their clinical translation-hence heterogeneity acts as a double-edged sword. Here we review the impact of subpopulation heterogeneity on EV function and identify key cornerstones for addressing heterogeneity in the context of modern analytical platforms with single-particle resolution. We outline concrete steps towards the identification of key active biomolecules that determine EV mechanisms of action across different EV subtypes. We describe how such knowledge could accelerate EV-based therapies and engineering approaches for mimetic artificial nanovesicle formulations. This approach blunts one edge of the sword, leaving only a single razor-sharp edge on which EV heterogeneity can be exploited for therapeutic applications across many diseases.

Indexed as

Extracellular VesiclesNeoplasmsAnimalsCardiovascular DiseasesHumansNanoparticlesNeurodegenerative Diseases

Identifiers

PMID39468355
PMCPMC11781840

What OpenQuestion holds

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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.