Evidence map›Paper›PMID 39985001›Full record

ArticleStem cell research & therapy2025

Human spindle-shaped urine-derived stem cell exosomes alleviate severe fatty liver ischemia-reperfusion injury by inhibiting ferroptosis via GPX4.

Shangheng Shi, Cunle Zhu, Shangxuan Shi, Xinqiang Li, Imran Muhammad, Qingguo Xu, Xinwei Li, Ziyin Zhao, Huan Liu, Guangming Fu and 4 more

Abstract read
In one paragraph

Article in Stem cell research & therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
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  4. LDLRJournal of clinical and translational hepatology · 2026
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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

14 authors.

Shangheng Shi *Organ Transplantation Center, Affiliated Hospital of Qingdao University, Qingdao, China.
Cunle Zhu *Organ Transplant Center, Fujian Medical University Union Hospital, Fuzhou, China.
Shangxuan Shi *Shanghai Institute for Advanced Immunochemical Studies, Shanghai Tech University, Shanghai, China.
Xinqiang LiOrgan Transplantation Center, Affiliated Hospital of Qingdao University, Qingdao, China.
Imran MuhammadOrgan Transplantation Center, Affiliated Hospital of Qingdao University, Qingdao, China.
Qingguo XuOrgan Transplantation Center, Affiliated Hospital of Qingdao University, Qingdao, China.
Xinwei LiOrgan Transplantation Center, Affiliated Hospital of Qingdao University, Qingdao, China.
Ziyin ZhaoOrgan Transplantation Center, Affiliated Hospital of Qingdao University, Qingdao, China.
Huan LiuOrgan Transplantation Center, Affiliated Hospital of Qingdao University, Qingdao, China.
Guangming FuOrgan Transplantation Center, Affiliated Hospital of Qingdao University, Qingdao, China.
Meiying SongDepartment of Immunology, Medical College of Qingdao University, Qingdao, China.
Xijian HuangOrgan Transplantation Center, Affiliated Hospital of Qingdao University, Qingdao, China.
Feng WangOrgan Transplantation Center, Affiliated Hospital of Qingdao University, Qingdao, China. wangfengrr@qdu.edu.cn.
Jinzhen CaiOrgan Transplantation Center, Affiliated Hospital of Qingdao University, Qingdao, China. caijinzhen@qdu.edu.cn.

Funding

National Natural Science Foundation of China 82272973National Natural Science Foundation of China 82370667
6 · The paper itself

Abstract

backgroundSevere hepatic steatosis can exacerbate Ischemia-reperfusion injury (IRI), potentially leading to early graft dysfunction and primary non-function. In this study, we investigated the heterogeneity of different subpopulations of Urine-derived stem cells (USCs) to explore the most suitable cell subtype for treating severe steatotic liver IRI.

methodsThis study utilized scRNA-seq and Bulk RNA-seq to investigate the transcriptional heterogeneity between Spindle-shaped USCs (SS-USCs) and Rice-shaped USCs (RS-USCs). Additionally, rat fatty Liver transplantation (LT) model, mouse fatty liver IRI model, and Steatotic Hepatocyte Hypoxia-Reoxygenation (SHP-HR) model were constructed. Extracellular vesicles derived from SS-USCs and RS-USCs were isolated and subjected to mass spectrometry analysis. The therapeutic effects of Spindle-shaped USCs Exosomes (SS-USCs-Exo) and Rice-shaped USCs Exosomes (RS-USCs-Exo) were explored, elucidating their potential mechanisms in inhibiting ferroptosis and alleviating IRI.

resultsMultiple omics analyses confirmed that SS-USCs possess strong tissue repair and antioxidant capabilities, while RS-USCs have the potential to differentiate towards specific directions such as the kidney, nervous system, and skeletal system, particularly showing great application potential in renal system reconstruction. Further experiments demonstrated in vivo and in vitro models confirming that SS-USCs and SS-USCs-Exo significantly inhibit ferroptosis and alleviate severe fatty liver IRI, whereas the effects of RS-USCs/RS-USCs-Exo are less pronounced. Analysis comparing the proteomic differences between SS-USCs-Exo and RS-USCs-Exo revealed that SS-USCs-Exo primarily inhibit ferroptosis and improve cellular viability by secreting exosomes containing Glutathione Peroxidase 4 (GPX4) protein. This highlights the most suitable cell subtype for treating severe fatty liver IRI.

conclusionsSS-USCs possess strong tissue repair and antioxidant capabilities, primarily alleviating ferroptosis in the donor liver of fatty liver through the presence of GPX4 protein in their exosomes. This highlights SS-USCs as the most appropriate cell subtype for treating severe fatty liver IRI.

Indexed as

ExosomesFatty LiverFerroptosisPhospholipid Hydroperoxide Glutathione PeroxidaseReperfusion InjuryStem CellsAnimalsHumansMaleMiceMice, Inbred C57BLRatsRats, Sprague-DawleyPhospholipid Hydroperoxide Glutathione PeroxidaseExosomesFatty liverFerroptosisHeterogeneityIschemia–reperfusion injuryUrine-derived stem cells

Identifiers

PMID39985001
PMCPMC11846247

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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.