Evidence map›Paper›PMID 39865263›Full record

ArticleJournal of nanobiotechnology2025

Immunomodulation effects of collagen hydrogel encapsulating extracellular vesicles derived from calcium silicate stimulated-adipose mesenchymal stem cells for diabetic healing.

Yen-Hong Lin, Yeh Chen, En-Wei Liu, Mei-Chih Chen, Min-Hua Yu, Cheng-Yu Chen, Chia-Che Ho, Tai-Yi Hsu-Jiang, Jian-Jr Lee, Der-Yang Cho and 1 more

Abstract read
In one paragraph

Article in Journal of nanobiotechnology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

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

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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

11 authors.

Yen-Hong Lin *Department of Biomedical Engineering, China Medical University, Taichung, 406040, Taiwan.
Yeh Chen *Department of Food Science and Biotechnology, National Chung Hsing University, Taichung, 402202, Taiwan.
En-Wei Liu *Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, 404327, Taiwan.
Mei-Chih ChenTranslational Cell Therapy Center, Department of Medical Research, China Medical University Hospital, Taichung, 404327, Taiwan.
Min-Hua YuInstitute of Translational Medicine and New Drug Development, China Medical University, Taichung, 406040, Taiwan.
Cheng-Yu ChenResearch & Development Center for x-Dimensional Extracellular Vesicles, Department of Medical Research, China Medical University Hospital, Taichung, 404327, Taiwan.
Chia-Che HoDepartment of Bioinformatics and Medical Engineering, Asia University, Taichung, 413305, Taiwan.
Tai-Yi Hsu-JiangSchool of Medicine, China Medical University, Taichung, 406040, Taiwan.
Jian-Jr LeeDepartment of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, 404327, Taiwan. 033977@tool.caaumed.org.tw.
Der-Yang ChoResearch & Development Center for x-Dimensional Extracellular Vesicles, Department of Medical Research, China Medical University Hospital, Taichung, 404327, Taiwan. dycho1212@gmail.com.
Ming-You ShieDepartment of Biomedical Engineering, China Medical University, Taichung, 406040, Taiwan. eric@mail.cmu.edu.tw.

Funding

China Medical University Hospital DMR-113-035China Medical University Hospital EXO-112-007National Science and Technology Council NSTC 112-2628-E-039-001-MY3National Science and Technology Council NSTC 113-2314-B-039-010National Science and Technology Council NSTC 113-2314-B-039-018National Science and Technology Council NSTC 113-2811-E-039-001
6 · The paper itself

Abstract

Diabetic wounds are characterized by chronic inflammation, reduced angiogenesis, and insufficient collagen deposition, leading to impaired healing. Extracellular vesicles (EVs) derived from adipose-derived mesenchymal stem cells (ADSC) offer a promising cell-free therapeutic strategy, yet their efficacy and immunomodulation can be enhanced through bioactivation. In this study, we developed calcium silicate (CS)-stimulated ADSC-derived EVs (CSEV) incorporated into collagen hydrogels to create a sustained-release system for promoting diabetic wound healing. CSEV exhibited enhanced protein content, surface marker expression, and bioactive cargo enriched with pro-angiogenic and anti-inflammatory factors. In vitro, CSEV-loaded collagen significantly reduced reactive oxygen species production, promoted cell proliferation and migration compared to standard EV-loaded collagen. Cytokine profiling revealed the upregulation of anti-inflammatory cytokines and extracellular matrix components, highlighting their immunomodulatory and regenerative potential. In vivo, histological evaluation of diabetic rabbit models treated with CSEV-loaded collagen revealed superior reepithelialization and organized collagen deposition, indicating accelerated wound closure. These findings underscore the potential of CSEV-loaded collagen hydrogels as an innovative and effective therapeutic platform for enhancing diabetic wound healing by simultaneously addressing inflammation and tissue regeneration.

Indexed as

Calcium CompoundsCollagenExtracellular VesiclesHydrogelsMesenchymal Stem CellsSilicatesWound HealingAdipose TissueAnimalsCell MovementCell ProliferationCytokinesDiabetes Mellitus, ExperimentalHumansImmunomodulationMaleCalcium Compoundscalcium silicateCollagenCytokinesHydrogelsSilicatesCalcium silicateDiabetic wound healingExtracellular vesiclesImmunomodulation

Identifiers

PMID39865263
PMCPMC11770968

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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.