Evidence map›Paper›PMID 40785968›Full record

ArticleResearch (Washington, D.C.)2025

Human Amniotic Epithelial Stem Cell Exosomes Regulate Chondrocyte Ferroptosis through ACTA2-AS1-Targeted Binding to ACSL4 for Osteoarthritis Intervention.

Xiaofei Wang, Zhimin Wu, Lei Xu, Linbing Lou, Yuxia Yang, Jian Zhang, Haixiang Miao, Cunyi Xia, Zhiwei Peng, Dongsheng Yang and 7 more

Abstract read
In one paragraph

Article in Research (Washington, D.C.), 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

17 authors.

Xiaofei WangThe Yangzhou School of Clinical Medicine of Dalian Medical University, Yangzhou 225001, Jiangsu, China.ORCID https://orcid.org/0000-0001-9051-7764
Zhimin WuThe Yangzhou School of Clinical Medicine of Dalian Medical University, Yangzhou 225001, Jiangsu, China.
Lei XuDepartment of Orthopedics, Northern Jiangsu People's Hospital, Yangzhou 225001, Jiangsu, China.
Linbing LouDepartment of Orthopedics, Northern Jiangsu People's Hospital, Yangzhou 225001, Jiangsu, China.
Yuxia YangDepartment of Orthopedics, Northern Jiangsu People's Hospital, Yangzhou 225001, Jiangsu, China.
Jian ZhangDepartment of Orthopedics, Northern Jiangsu People's Hospital, Yangzhou 225001, Jiangsu, China.
Haixiang MiaoDepartment of Orthopedics, Northern Jiangsu People's Hospital, Yangzhou 225001, Jiangsu, China.
Cunyi XiaDepartment of Orthopedics, Northern Jiangsu People's Hospital, Yangzhou 225001, Jiangsu, China.
Zhiwei PengThe Yangzhou School of Clinical Medicine of Dalian Medical University, Yangzhou 225001, Jiangsu, China.
Dongsheng YangDepartment of Orthopedics, The Yangzhou Clinical Medical College of Xuzhou Medical University, Yangzhou 225001, Jiangsu, China.
Zhiwen TaoDepartment of Orthopedics, Northern Jiangsu People's Hospital, Yangzhou 225001, Jiangsu, China.
Xiangji MengThe Yangzhou School of Clinical Medicine of Dalian Medical University, Yangzhou 225001, Jiangsu, China.
Wenkang LiuDepartment of Orthopedics, Northern Jiangsu People's Hospital, Yangzhou 225001, Jiangsu, China.
Meijuan YuanDepartment of Orthopedics, Northern Jiangsu People's Hospital, Yangzhou 225001, Jiangsu, China.
Jingcheng WangDepartment of Orthopedics, Northern Jiangsu People's Hospital, Yangzhou 225001, Jiangsu, China.
Wenyong FeiDepartment of Orthopedics, Northern Jiangsu People's Hospital, Yangzhou 225001, Jiangsu, China.
Jihang DaiDepartment of Orthopedics, Northern Jiangsu People's Hospital, Yangzhou 225001, Jiangsu, China.ORCID https://orcid.org/0009-0008-2624-7219

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The inhibition of ferroptosis, a widespread form of nonapoptotic cell death, is considered a promising therapeutic approach for osteoarthritis (OA). Human amniotic epithelial stem cells (hAESCs) maintain multipotent differentiation potential, no tumorigenicity, low immunogenicity, and anti-inflammatory properties, rendering them highly biocompatible stem cells. Exosomes (Exo) are vesicular carriers for intercellular communication that participate importantly in regulating disease progression through paracrine signaling. In our study, under inflammatory stress conditions, actin alpha 2, smooth muscle antisense RNA1 (ACTA2-AS1) transcription was up-regulated in hAESCs, further delivered to chondrocytes via hAESC-derived Exo. Subsequently, ACTA2-AS1 could suppress ferroptosis in chondrocytes by facilitating the degradation of acyl-CoA synthetase long-chain family member 4 (ACSL4), a key regulator of ferroptosis, thereby modulating the progression of OA. In conclusion, for the first time, this study demonstrates the modulatory role of hAESC ACSL4 expression by releasing ACTA2-AS1-enriched Exo, leading to inhibited ferroptosis in chondrocytes and ultimately ameliorating OA progression. Thus, targeting Exo-mediated communication may offer novel therapeutic approaches for addressing OA linked to iron metabolism irregularities.

Identifiers

PMID40785968
PMCPMC12332261

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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.