Evidence map›Paper›PMID 40783070›Full record

ReviewJournal of advanced research2026

Oral natural extracellular vesicles for biomedical applications: Advances and clinical perspectives.

Xiaoru Guan, Mingang Zhu, Huinan Zhu, Qi Wang, Jianshuang Chen, Yuping Chen, Xiaozhou Mou, Jingxing Si

Abstract readReview
In one paragraph

Review in Journal of advanced research, 2026. 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.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Article
  6. Bridging bioactive metabolites ofFrontiers in pharmacology · 2026
    Review
  7. Review
  8. Review
  9. Protective Effects of Orally AdministeredInternational journal of nanomedicine · 2026
    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

8 authors.

Xiaoru GuanGeneral Surgery, Cancer Center, Department of Hepatobiliary & Pancreatic Surgery and Minimally Invasive Surgery, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang 310014, PR China.
Mingang ZhuDepartment of Dermatology, the First People's Hospital of Jiashan, Jiaxing, Zhejiang 314100, PR China.
Huinan ZhuGeneral Surgery, Cancer Center, Department of Hepatobiliary & Pancreatic Surgery and Minimally Invasive Surgery, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang 310014, PR China.
Qi WangGeneral Surgery, Cancer Center, Department of Hepatobiliary & Pancreatic Surgery and Minimally Invasive Surgery, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang 310014, PR China.
Jianshuang ChenGeneral Surgery, Cancer Center, Department of Hepatobiliary & Pancreatic Surgery and Minimally Invasive Surgery, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang 310014, PR China.
Yuping ChenGeneral Surgery, Cancer Center, Department of Hepatobiliary & Pancreatic Surgery and Minimally Invasive Surgery, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang 310014, PR China. Electronic address: chenyp@zju.edu.cn.
Xiaozhou MouCenter for Rehabilitation Medicine, Rehabilitation & Sports Medicine Research Institute of Zhejiang Province, Department of Rehabilitation Medicine, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang 310014, PR China. Electronic address: mouxiaozhou@hmc.edu.cn.
Jingxing SiGeneral Surgery, Cancer Center, Department of Hepatobiliary & Pancreatic Surgery and Minimally Invasive Surgery, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang 310014, PR China. Electronic address: sijingxing@hmc.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNatural extracellular vesicles (EVs) are nanoscale vesicles derived from diverse biological sources, recognized for their roles in intercellular communication and therapeutic cargo delivery. Due to their intrinsic biocompatibility, low immunogenicity, and ability to traverse biological barriers, EVs have garnered increasing interest as oral drug delivery vehicles. However, despite growing preclinical research, there is currently no comprehensive review that systematically focuses on EVs specifically for oral delivery applications-a critical gap in the literature. AIM OF REVIEW: This review aims to systematically summarize and critically assess the current progress in the development of EVs as oral drug delivery systems. It integrates knowledge on EVs sources, extraction and engineering strategies, and their therapeutic potential across a range of diseases. By addressing this underexplored yet promising area, the review seeks to establish a foundational reference for both basic researchers and clinical innovators. KEY SCIENTIFIC CONCEPTS OF REVIEW: The review provides a comparative analysis of EVs from animal and plant origins, emphasizing their stability in the gastrointestinal tract and their ability to encapsulate and protect bioactive molecules. It explores the mechanisms by which EVs overcome physiological barriers such as intestinal epithelium and the blood-brain barrier (BBB), and how surface modifications enhance tissue targeting. The review covers therapeutic applications in oncology, neurodegenerative, metabolic, inflammatory, and infectious diseases, highlighting advantages in improving oral bioavailability and reducing side effects. It also identifies current challenges in standardization, large-scale production, and drug loading efficiency. The review concludes by proposing future directions for optimizing EVs-based oral delivery systems and facilitating their clinical translation.

Indexed as

Drug Delivery SystemsExtracellular VesiclesAdministration, OralAnimalsBlood-Brain BarrierHumansBiomedical applicationsClinical perspectivesExtracellular vesicles (EVs)Oral drug delivery

Identifiers

PMID40783070
PMCPMC13131399

What OpenQuestion holds

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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.