Evidence map›Paper›PMID 40815324›Full record

SynthesisImmunologic research2025

Therapeutic potential of extracellular vesicles in systemic lupus erythematosus: a systematic review.

Renata Vaz Voltareli, Nayara Rozalem Moretti, Giovanni Garrido Puci, Graziela Garrido Mori

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Immunologic research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Renata Vaz VoltareliMedical School of Presidente Prudente, University of Western São Paulo(UNOESTE), José Bongiovani St., 700, Presidente Prudente, SP, 19050-920, Brazil.ORCID http://orcid.org/0009-0009-7444-2470
Nayara Rozalem MorettiMedical School of Presidente Prudente, University of Western São Paulo(UNOESTE), José Bongiovani St., 700, Presidente Prudente, SP, 19050-920, Brazil.ORCID http://orcid.org/0009-0005-9875-4904
Giovanni Garrido PuciMedical School of Presidente Prudente, University of Western São Paulo(UNOESTE), José Bongiovani St., 700, Presidente Prudente, SP, 19050-920, Brazil.ORCID http://orcid.org/0009-0009-1798-7466
Graziela Garrido MoriMedical School of Presidente Prudente, University of Western São Paulo(UNOESTE), José Bongiovani St., 700, Presidente Prudente, SP, 19050-920, Brazil. graziela@unoeste.br.ORCID http://orcid.org/0000-0002-8690-5294

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Current therapies for Systemic lupus erythematosus (SLE), such as immunosuppressants and glucocorticoids, are associated with significant side effects, necessitating alternative treatment approaches. Extracellular vesicles (EVs) have emerged as a potential therapeutic option due to their immunomodulatory properties and ability to regulate innate and adaptive immune responses. Thus, the objective of the present study was to systematically analyze the therapeutic potential of EVs for treating SLE. A systematic review was conducted according to PRISMA guidelines. An electronic search was performed in the PubMed/ MEDLINE, Scopus, Cochrane Library and Open Gray databases covering the period up to September 2024 to respond to the PICO answer "Would EVs have therapeutic potential in SLE?" Control of Systemic lupus erythematosus progression and the cellular and molecular mechanisms present were considered the primary and secondary outcome, respectively. The bias risk of studies was evaluated by SYRCLE's RoB. A total of 7 studies met the inclusion criteria, and the data exhibited that EVs reduced disease severity, improved survival rates and ameliorated organ-specific damage in SLE models. It was seen that EVs reduction of autoantibody, Th17 and Tfh cells, type-1 macrophage, neutrophils and pro-inflammatory cytokines, alongside an increase in Tregs, immunosuppressive cytokines and type-2 macrophage. The studies showed high scientific evidence. EV therapy exhibits potential in mitigating SLE progression by modulating immune responses and reducing inflammation. Further research is required to confirm these datas in humans, facilitating advancement for future clinical applications.

Indexed as

Extracellular VesiclesLupus Erythematosus, SystemicAnimalsCytokinesHumansCytokinesExosomeExtracellular vesiclesMicrovesiclesSystemic lupus erythematosus

Identifiers

What OpenQuestion holds

Textmetadata
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.