Evidence map›Paper›PMID 40483503›Full record

ArticleStem cell research & therapy2025

Bridging the gap: clinical translation of adipose-derived stem cells - a scoping review of clinical trials.

Hankun Su, Hoksan Chau, Qilin Li, Fen Xiao, Yuanyuan Sun, Jingjing Chen, Yayi He, Jinyao Ning, Qin Hu, Yujie Xiao and 5 more

Abstract readScoping Review
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.

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

9 citing papers in PubMed.

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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

15 authors.

Hankun SuDepartment of Reproductive Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Hoksan ChauXiangya School of Medicine, Central South University, Changsha, Hunan, China.
Qilin LiDepartment of Reproductive Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Fen XiaoDepartment of Metabolism and Endocrinology, The Second Xiangya, Hospital of Central South University, Changsha, Hunan, China.
Yuanyuan SunDepartment of Reproductive Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Jingjing ChenDepartment of Reproductive Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Yayi HeXiangya School of Medicine, Central South University, Changsha, Hunan, China.
Jinyao NingDepartment of Reproductive Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Qin HuDepartment of Reproductive Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Yujie XiaoDepartment of Reproductive Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Caiwen LiDepartment of Fetal Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Bixia HuangDepartment of Reproductive Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Jing ZhaoDepartment of Reproductive Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Yanping LiDepartment of Reproductive Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Hui LiDepartment of Reproductive Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China. HuiLi257@csu.edu.cn.ORCID http://orcid.org/0000-0002-7516-7126

Funding

China Postdoctoral Foundation 2021TQ0372China Postdoctoral Science Foundation(General Program) 2022M713522Fundamental Research Funds for the Central Universities of Central South University 105332022249Innovation and Entrepreneurship Training Program for College Students S202410533307National Natural Science Foundation of China(General Program) 82371682Science Foundation For Excellent Young Scholars of Hunan Province, China 2024JJ4091Science Foundation for Young Scholars of Hunan Province, China 2023JJ40956Young Investigator Grant of Xiangya Hospital, Central South University 2021TQ0372Young Scientists Fund of the National Natural Science Foundation of China 82301835
6 · The paper itself

Abstract

backgroundAdipose-derived stem cells (ADSCs) have emerged as a promising therapeutic tool in regenerative medicine due to their multipotency, immunomodulatory properties, and ease of procurement. Despite extensive preclinical research, the clinical translation of ADSCs remains fragmented, with challenges in standardization, reproducibility, and evidence synthesis.

objectiveThis scoping review, complemented by bibliometric analysis, aims to map the landscape of randomized controlled trials (RCTs) evaluating ADSC therapies, identify gaps between basic research and clinical translation, and highlight emerging trends in the field.

methodsA systematic search of Web of Science, PubMed, Embase, ClinicalTrials.gov, EudraCT, and ChiCTR database (2009-2025) identified 82 RCTs. Bibliometric analysis of preclinical studies was conducted using VoSviewer to visualize keyword clusters and temporal trends. Data on trial characteristics, endpoints, and translational challenges were extracted and synthesized.

resultsThe 82 included RCTs spanned 17 medical specialties, with orthopedics (26.8%), dermatology (14.6%), and neurology (9.7%) being the most studied. Spain (21.95%) and China (18.29%) and the USA (15.85%) led trial numbers, but 97% were single-country studies with a median sample size of 40. Primary endpoints trends from safety to efficacy. Bibliometric analysis revealed three clusters: stem cell sources and basic biology, orthopedic applications, and tissue regeneration mechanisms. Key gaps included protocol heterogeneity (e.g., isolation methods, cryopreservation variability), regulatory fragmentation, limited long-term follow-up, and inconsistent clinical outcomes, particularly in neurology. Emerging trends highlighted the therapeutic potential of stromal vascular fraction (SVF) and ADSC-derived exosomes.

conclusionsWhile ADSCs demonstrate significant therapeutic potential, clinical translation is hindered by standardization deficits and mechanistic knowledge gaps. Future research should prioritize international collaboration, large-scale trials, and mechanistic studies to optimize ADSC therapies. Innovations in SVF and exosome-based treatments represent promising avenues for advancing regenerative medicine. TRIAL REGISTRY: This scoping review was preregistered at OSF platform: https://doi.org/10.17605/OSF.IO/YKHW3 .

Indexed as

Adipose TissueStem CellsStem Cell TransplantationTranslational Research, BiomedicalHumansRandomized Controlled Trials as TopicRegenerative MedicineAdipose-derived stem cellsBibliometric analysisRandomized controlled trialsRegenerative medicineScoping review

Identifiers

PMID40483503
PMCPMC12145640

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.