Evidence map›Paper›PMID 40671121›Full record

ArticleJournal of nanobiotechnology2025

Exosomes derived from platelet-rich plasma alleviate synovial inflammation by enhancing synovial lymphatic function.

Bo Liao, Yu Tian, Mengtong Guan, Wang Han, Weiwei Yi, Kaiting Li, Xiaoliang Yang, Yajuan Niu, Bin Zhang, Peiyu Teng and 4 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 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

14 authors.

Bo Liao *Department of Rehabilitation Medicine, Key Laboratory of Physical Medicine and Precision Rehabilitation of Chongqing Municipal Health Commission, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, Yuzhong District, Chongqing, 400016, China.
Yu Tian *Center of Bone Metabolism and Repair Laboratory for Prevention and Rehabilitation of Training Injuries State Key Laboratory of Trauma Burns and Combined Injury Trauma Center Research Institute of Surgery Daping, Hospital Army Medical University, Third Military Medical University, Chongqing, 400000, P.R. China.
Mengtong Guan *Department of Rehabilitation Medicine, Key Laboratory of Physical Medicine and Precision Rehabilitation of Chongqing Municipal Health Commission, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, Yuzhong District, Chongqing, 400016, China.
Wang HanDepartment of Rehabilitation Medicine, Key Laboratory of Physical Medicine and Precision Rehabilitation of Chongqing Municipal Health Commission, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, Yuzhong District, Chongqing, 400016, China.
Weiwei YiDepartment of Rehabilitation Medicine, Key Laboratory of Physical Medicine and Precision Rehabilitation of Chongqing Municipal Health Commission, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, Yuzhong District, Chongqing, 400016, China.
Kaiting LiDepartment of Rehabilitation Medicine, Key Laboratory of Physical Medicine and Precision Rehabilitation of Chongqing Municipal Health Commission, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, Yuzhong District, Chongqing, 400016, China.
Xiaoliang YangDepartment of Blood Transfusion, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, Yuzhong District, 400016, Chongqing, P. R. China.
Yajuan NiuDepartment of Rehabilitation Medicine, Key Laboratory of Physical Medicine and Precision Rehabilitation of Chongqing Municipal Health Commission, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, Yuzhong District, Chongqing, 400016, China.
Bin ZhangCenter of Bone Metabolism and Repair Laboratory for Prevention and Rehabilitation of Training Injuries State Key Laboratory of Trauma Burns and Combined Injury Trauma Center Research Institute of Surgery Daping, Hospital Army Medical University, Third Military Medical University, Chongqing, 400000, P.R. China.
Peiyu TengCenter of Bone Metabolism and Repair Laboratory for Prevention and Rehabilitation of Training Injuries State Key Laboratory of Trauma Burns and Combined Injury Trauma Center Research Institute of Surgery Daping, Hospital Army Medical University, Third Military Medical University, Chongqing, 400000, P.R. China.
Dingqun BaiDepartment of Rehabilitation Medicine, Key Laboratory of Physical Medicine and Precision Rehabilitation of Chongqing Municipal Health Commission, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, Yuzhong District, Chongqing, 400016, China. baidingqun2014@163.com.
Liang KuangCenter of Bone Metabolism and Repair Laboratory for Prevention and Rehabilitation of Training Injuries State Key Laboratory of Trauma Burns and Combined Injury Trauma Center Research Institute of Surgery Daping, Hospital Army Medical University, Third Military Medical University, Chongqing, 400000, P.R. China. kliang1989@tmmu.edu.cn.
Ying ZhuDepartment of Rehabilitation Medicine, Key Laboratory of Physical Medicine and Precision Rehabilitation of Chongqing Municipal Health Commission, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, Yuzhong District, Chongqing, 400016, China. yingzhu517@hospital.cqmu.edu.cn.
Xiaoyu HanDepartment of Rehabilitation Medicine, Key Laboratory of Physical Medicine and Precision Rehabilitation of Chongqing Municipal Health Commission, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, Yuzhong District, Chongqing, 400016, China. xiaoyuhan@hospital.cqmu.edu.cn.

Funding

China Postdoctoral Science Foundation BX20240454National Natural Science Foundation of China 82172533National Natural Science Foundation of China 82394444National Natural Science Foundation of China 82402966National Natural Science Foundation of China 82472601Natural Science Foundation of Chongqing CSTB2022NSCQ-MSX0064Natural Science Foundation of Chongqing CSTB2024NSCQ-LZX0104Scientific and Technological Research Program of Chongqing Municipal Education Commission KJQN202300485the Fund of 2023 Chongqing Research Innovation Program for Graduate Student CYB23196the Fund of 2023 Chongqing Research Innovation Program for Graduate Student in the First Affiliated Hospital of Chongqing Medical University CYYY-BSYJSCXXM-202307
6 · The paper itself

Abstract

backgroundSynovial inflammation is a pivotal factor in the pathogenesis of osteoarthritis (OA). Platelet-rich plasma-derived Exosomes (PRP-Exos), known for their low immunogenicity, have demonstrated efficacy in modulating chondrocyte function. However, the specific effects and mechanisms of PRP-Exos in synovial inflammation remain unclear. This study aimed to investigate the therapeutic effects and mechanisms of PRP-Exos in synovial inflammation induced by destabilization of the medial meniscus (DMM) in mice.

resultsPRP-Exos were extracted via ultracentrifugation. In vivo experiments revealed that PRP-Exos alleviated pain behaviors and synovial inflammation in DMM mice. Furthermore, it was discovered that PRP-Exos enhanced the synovial lymphatic function in DMM mice and promoted lymphangiogenesis. Meanwhile, the therapeutic effect of PRP-Exos on synovial inflammation was attenuated after inhibition of lymphatic function. In vitro studies demonstrated that PRP-Exos enhanced the proliferation, migration, and tube formation ability of lymphatic endothelial cells (LECs), via regulating the PI3K/Akt signaling pathway.

conclusionsThis research is the first to reveal that PRP-Exos alleviate pain behaviors and synovial inflammation in DMM mice through activation of the PI3K/Akt signaling pathway in LECs, thereby enhancing synovial lymphatic function and promoting the clearance of inflammatory cells and associated cytokines. These findings offer a novel theoretical foundation for the treatment of synovial inflammation and other inflammation-associated disorders.

Indexed as

ExosomesInflammationPlatelet-Rich PlasmaSynovial MembraneSynovitisAnimalsCell MovementCell ProliferationEndothelial CellsLymphangiogenesisMaleMiceMice, Inbred C57BLOsteoarthritisPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktLymphatic vesselPlatelet-rich plasma-derived exosomeSynovial inflammation

Identifiers

PMID40671121
PMCPMC12269200

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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.