Evidence map›Paper›PMID 40136683›Full record

ArticleCells2025

Extracellular Vesicles (EVs) Derived from Mesenchymal Stem Cells (MSCs) as Adjuvants in the Treatment of Chronic Kidney Disease (CKD).

Paloma Noda, Ana L R Francini, Flavio Teles, Samuel J Júnior, Fernando L A Fonseca, Fernanda T Borges, Adão C Sobrinho, Noemi Taniwaki, Irene L Noronha, Camilla Fanelli

Abstract read
In one paragraph

Article in Cells, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Review
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

10 authors.

Paloma NodaLaboratory of Cellular, Genetic and Molecular Nephrology, Renal Division, Faculty of Medicine, University of São Paulo, Av. Dr. Arnaldo, 455, 4° Andar, 4304, São Paulo 01246-903, SP, Brazil.
Ana L R FranciniLaboratory of Cellular, Genetic and Molecular Nephrology, Renal Division, Faculty of Medicine, University of São Paulo, Av. Dr. Arnaldo, 455, 4° Andar, 4304, São Paulo 01246-903, SP, Brazil.
Flavio TelesRenal Division, Faculty of Medicine, Federal University of Alagoas, Maceio 57200-000, AL, Brazil.
Samuel J JúniorLaboratory of Cellular, Genetic and Molecular Nephrology, Renal Division, Faculty of Medicine, University of São Paulo, Av. Dr. Arnaldo, 455, 4° Andar, 4304, São Paulo 01246-903, SP, Brazil.ORCID 0009-0002-8657-1287
Fernando L A FonsecaDepartment of Clinical Laboratory, University Center of ABC Medical School, Santo Andre 09060-650, SP, Brazil.ORCID 0000-0003-1223-1589
Fernanda T BorgesDepartament of Medicine, Nephrology Division, Paulista School of Medicine, Federal University of São Paulo, São Paulo 04023-062, SP, Brazil.
Adão C SobrinhoLaboratory of Cellular Biology, Department of Pathology, School of Medicine, University of São Paulo, São Paulo 01246-903, SP, Brazil.
Noemi TaniwakiLaboratory of Electron Microscopy, Instituto Adolfo Lutz, São Paulo 01246-000, SP, Brazil.ORCID 0000-0001-5756-0787
Irene L NoronhaLaboratory of Cellular, Genetic and Molecular Nephrology, Renal Division, Faculty of Medicine, University of São Paulo, Av. Dr. Arnaldo, 455, 4° Andar, 4304, São Paulo 01246-903, SP, Brazil.
Camilla FanelliLaboratory of Cellular, Genetic and Molecular Nephrology, Renal Division, Faculty of Medicine, University of São Paulo, Av. Dr. Arnaldo, 455, 4° Andar, 4304, São Paulo 01246-903, SP, Brazil.ORCID 0000-0003-4425-7708

Funding

Fundação de Amparo à Pesquisa do Estado de São Paulo 22/03609-5Fundação de Amparo à Pesquisa do Estado de São Paulo 22/03614-9
6 · The paper itself

Abstract

Chronic kidney disease (CKD) is considered an important health issue worldwide. The renin-angiotensin-aldosterone system (RAAS) blockade through the administration of angiotensin II receptor blockers, such as Losartan (LOS), has been considered the best strategy for CKD treatment for decades. However, this approach promotes only partial detention of CKD progression and cannot reverse renal damage. The aim of the present study was to investigate whether the therapeutic administration of extracellular vesicles (EVs) derived from adipose stem cells (ASCs), associated to LOS treatment, would promote additional renoprotection in rats underwent the 5/6 renal ablation CKD model. ASC-derived EV were administered locally, in the renal subcapsular area, 15 days after CKD induction, when LOS therapy also began. Animals were followed for additional 15 days and our results demonstrated that subcapsular injection of ASC-derived EV associated with LOS significantly reduced glomerulosclerosis, renal interstitial infiltration by myofibroblasts, and macrophages in the 5/6 CKD model. Additionally, LOS + EV abrogated systemic hypertension, proteinuria, and albuminuria, and stimulated local gene overexpression of the endogenous anti-inflammatory

Indexed as

Extracellular VesiclesMesenchymal Stem CellsRenal Insufficiency, ChronicAnimalsDisease Models, AnimalKidneyLosartanMaleRatsLosartancell therapychronic kidney diseaseextracellular vesiclesmesenchymal stem cells

Identifiers

PMID40136683
PMCPMC11941753

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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.