Evidence map›Paper›PMID 40685359›Full record

ReviewJournal of nanobiotechnology2025

Enhancing exosome stability and delivery with natural polymers to prevent intrauterine adhesions and promote endometrial regeneration: a review.

Wei Sun, Wei Xu, Miaomiao Xiao, Xinge Zhang, Jing Chen, Jinzhe Zhang, Liqun Yang, Quan Na

Abstract readReview
In one paragraph

Review 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, 1 of them a synthesis that pooled it.

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

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

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
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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

8 authors.

Wei Sun *Department of Key Laboratory of Cell Biology, Ministry of Public Health and Key Laboratory of Medical Cell Biology, School of Life Sciences, China Medical University, Shenyang, 110122, China.
Wei Xu *Liaoning Research Institute for Eugenic Birth & Fertility, China Medical University, Shenyang, 110031, China.
Miaomiao Xiao *Research Center for Biomedical Materials, Engineering Research Center of Ministry of Education for Minimally Invasive Gastrointestinal Endoscopic Techniques, Shengjing Hospital of China Medical University, Shenyang, 11004, China.
Xinge ZhangDepartment of Information Science, college of science and art, New York University, 10003, New York, United States of America.
Jing ChenDepartment of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, 11004, China. chenj@sj-hospital.org.
Jinzhe ZhangLiaoning Research Institute for Eugenic Birth & Fertility, China Medical University, Shenyang, 110031, China. bgs26112800@163.com.
Liqun YangResearch Center for Biomedical Materials, Engineering Research Center of Ministry of Education for Minimally Invasive Gastrointestinal Endoscopic Techniques, Shengjing Hospital of China Medical University, Shenyang, 11004, China. yangliqun@sj-hospital.org.
Quan NaDepartment of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, 11004, China. naq@sj-hospital.org.

Funding

Natural Science Foundation of Liaoning Province 2023JH2/101700151Natural Science Foundation of Liaoning Province 2024JH2/102600340
6 · The paper itself

Abstract

Intrauterine adhesions (IUAs) are defined as the formation of fibrotic scar tissue within the uterine cavity. They can lead to a range of complications, including hypomenorrhea, amenorrhea, infertility, and recurrent pregnancy loss. Conventional methods of adhesiolysis frequently demonstrate high recurrence rates and suboptimal therapeutic outcomes. Moreover, conventional postoperative IUA prevention strategies (e.g., physical barriers and hormonal therapy) are ineffective and have adverse effects, emphasizing the need for new therapies. Natural polymers are ideal biomaterials for barrier membranes and drug delivery in uterine repair due to their safety, biodegradability, and compatibility. Exosomes, tiny cell-released vesicles containing healing factors (like miRNAs and proteins), help reduce inflammation and scarring while promoting tissue regeneration. Emerging evidence suggests that combining natural polymers with exosomes could provide a potential therapeutic approach for IUAs and endometrial regeneration. This review presents a comprehensive overview of the biological characteristics of natural polymers and exosomes, elucidating their mechanisms of action in endometrial repair. It also provides an in-depth analysis of the current research landscape pertaining to the combined delivery of natural polymers and exosomes in the prevention of IUAs and the promotion of endometrial regeneration.

Indexed as

EndometriumExosomesPolymersRegenerationUterine DiseasesAnimalsBiocompatible MaterialsDrug Delivery SystemsFemaleHumansTissue AdhesionsUterusBiocompatible MaterialsPolymersDelivery systemExosomesIntrauterine adhesionsNatural polymers

Identifiers

PMID40685359
PMCPMC12278673

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.