Evidence map›Paper›PMID 40620065›Full record

ArticleJournal of extracellular vesicles2025

Umbilical Cord-Mesenchymal Stromal Cell-Derived Extracellular Vesicles Target the Liver to Improve Neurovascular Health in Type 2 Diabetes With Non-Alcoholic Fatty Liver Disease.

Minghao Du, Hao Yang, Jinyun Niu, Jing Huang, Lihong Wang, Junxiu Xi, Panpan Meng, Zhiyong Liu, Guaiguai Ma, Jiani Li and 10 more

Abstract read
In one paragraph

Article in Journal of extracellular vesicles, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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  6. Review
  7. Article
  8. Efficacy ofFrontiers in immunology · 2025
    Article
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

20 authors.

Minghao DuDepartment of Neurosurgery, Xi'an Central Hospital, Xi'an Jiaotong University, Xi'an, China.
Hao YangDepartment of Neurosurgery, Xi'an Central Hospital, Xi'an Jiaotong University, Xi'an, China.
Jinyun NiuKey Laboratory for Space Bioscience & Biotechnology, Northwestern Polytechnical University, Xi'an, China.
Jing HuangDepartment of Neurobiology, School of Basic Medicine, Fourth Military Medical University, Xi'an, China.
Lihong WangDepartment of Endocrinology, Xi'an Central Hospital, Xi'an Jiaotong University, Xi'an, China.
Junxiu XiDepartment of Neurosurgery, Xi'an Central Hospital, Xi'an Jiaotong University, Xi'an, China.
Panpan MengDepartment of Neurosurgery, Xi'an Central Hospital, Xi'an Jiaotong University, Xi'an, China.
Zhiyong LiuDepartment of Neurosurgery, Xi'an Central Hospital, Xi'an Jiaotong University, Xi'an, China.
Guaiguai MaDepartment of Neurobiology, School of Basic Medicine, Fourth Military Medical University, Xi'an, China.
Jiani LiDepartment of Neurosurgery, Xi'an Central Hospital, Xi'an Jiaotong University, Xi'an, China.
Xiaoyan LiuDepartment of Neurosurgery, Xi'an Central Hospital, Xi'an Jiaotong University, Xi'an, China.
Liang GuoDepartment of Neurosurgery, Xi'an Central Hospital, Xi'an Jiaotong University, Xi'an, China.
Mingjun HuDepartment of Neurosurgery, Xi'an Central Hospital, Xi'an Jiaotong University, Xi'an, China.
Zhufang TianDepartment of Neurosurgery, Xi'an Central Hospital, Xi'an Jiaotong University, Xi'an, China.
Bin LiuDepartment of Neurosurgery, Xi'an Central Hospital, Xi'an Jiaotong University, Xi'an, China.
Weiping LiuNeurology Hospital, Xi'an People's Hospital, Northwest University, Xi'an, China.
Ashok K ShettyInstitute for Regenerative Medicine, Texas A&M University School of Medicine, College Station, Texas, USA.
Shengxi WuDepartment of Neurobiology, School of Basic Medicine, Fourth Military Medical University, Xi'an, China.
Andrius BaskysGraduate College of Biomedical Sciences, Western University of Health Sciences, Pomona, California, USA.
Qianfa LongDepartment of Neurosurgery, Xi'an Central Hospital, Xi'an Jiaotong University, Xi'an, China.ORCID https://orcid.org/0000-0001-8848-9688

Funding

National Natural Science Foundation of China 81871084National Natural Science Foundation of China 82171353Natural Science Foundation of Shaanxi Province 2023-JC-JQ-69Xi'an Municipal People's Government XYAC210023
6 · The paper itself

Abstract

Type 2 diabetes mellitus (T2DM) combined with non-alcoholic fatty liver disease (NAFLD) exacerbates metabolic dysregulation and neurovascular complications, presenting significant therapeutic challenges. We demonstrate, using SPECT/CT imaging, that extracellular vesicles (EVs) from mesenchymal stromal cells (MSCs) predominantly accumulate in the liver, where they deliver miR-31-5p to suppress platelet-derived growth factor B (PDGFB) produced by hepatic macrophages. This intervention impedes NAFLD progression and establishes a mechanistic link between liver repair and neurovascular improvement. Specifically, single-nucleus RNA sequencing reveals that PDGFB suppression enhances hippocampal pericyte recovery via the PDGFB-PDGFRβ axis and orchestrates the activation of growth differentiation factor 11 (GDF11), thus promoting neuroplasticity. Furthermore, AAV injections indicate that hepatic PDGFB modulation recalibrates transthyretin (TTR) dynamics, thereby restoring its neuroprotective functions and preventing its pathological deposition in the brain. These findings position MSC-EVs as a transformative therapeutic platform that leverages the liver-brain axis to address the intertwined metabolic and neurovascular complications of T2DM, offering a promising avenue for clinical translation.

Indexed as

Diabetes Mellitus, Type 2Extracellular VesiclesLiverMesenchymal Stem CellsNon-alcoholic Fatty Liver DiseaseUmbilical CordAnimalsHumansMaleMiceMicroRNAsPericytesMicroRNAscross‐organextracellular vesiclesNAFLDneurovascular complicationsPDGFBtype 2 diabetes mellitus

Identifiers

PMID40620065
PMCPMC12230362

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.