Evidence map›Paper›PMID 40830534›Full record

SynthesisEuropean journal of medical research2025

Food-derived extracellular vesicles for treatment of osteoporosis: a systematic review and meta-analysis of preclinical animal studies.

Hongchen Shi, Ying Zhang, Qingsong Zhu, Yuntong Lian, Weiqiang Geng

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in European journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. 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

5 authors.

Hongchen Shi *Department of Orthopedics, Bethune international peace hospital, Shijiazhuang, 050000, Hebei Province, China.
Ying Zhang *Department of Orthopedics, The Affiliated Hospital Southwest Medical University, Luzhou, 646000, Sichuan Province, China.
Qingsong ZhuDepartment of Orthopedics, Bethune international peace hospital, Shijiazhuang, 050000, Hebei Province, China.
Yuntong LianDepartment of Orthopedics, Bethune international peace hospital, Shijiazhuang, 050000, Hebei Province, China.
Weiqiang GengDepartment of Orthopedics, Bethune international peace hospital, Shijiazhuang, 050000, Hebei Province, China. 15373776156@189.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveFood-derived extracellular vesicles (EVs) are considered a novel therapeutic approach for osteoporosis. However, their efficacy in treating osteoporosis remains unclear. This systematic review and meta-analysis aim to preliminarily evaluate and explore the effects of food-derived EVs in animal models of osteoporosis.

methodsPubMed, Embase, and Web of Science databases were searched for preclinical studies on food-derived EVs in the treatment of osteoporosis, up to November 25, 2024. A meta-analysis was conducted to evaluate the effects of food-derived EVs on bone mineral density (BMD), bone volume/total volume (BV/TV), trabecular thickness (Tb.Th), trabecular separation/marrow thickness (Tb.Sp), trabecular number (Tb.N), and serum bone turnover markers in osteoporosis animal models.

resultsSix studies met the inclusion criteria for the meta-analysis. The results showed that food-derived EVs contributed to increases in BMD and bone mass markers (BV/TV, Tb.Th, and Tb.N), while promoting the expression of bone formation markers (OPG and PINP) and reducing the expression of bone resorption markers (TRACP 5b and β-CTX). Sensitivity analysis demonstrated the stability of the pooled effect sizes.

conclusionsThe present meta-analysis suggested that food-derived EVs could improve BMD and bone mass in animal models of osteoporosis. This positive effect may be attributed to the promotion of bone formation mediated by the upregulation of osteogenic markers and the inhibition of bone resorption mediated by the downregulation of osteoclastic markers. Moreover, it is necessary to conduct studies with larger sample sizes and using other animal models to provide important insights for clinical trials.

Indexed as

Extracellular VesiclesFoodOsteoporosisAnimalsBiomarkersBone DensityDisease Models, AnimalHumansBiomarkersExtracellular vesicleFoodMeta-analysisOsteoporosisPreclinical study

Identifiers

PMID40830534
PMCPMC12362866

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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.