Evidence map›Paper›PMID 40910352›Full record

ArticleClinical and translational medicine2025

Peripheral blood mesenchymal stem cell-derived exosomes improve renal sympathetic denervation efficacy through β-catenin-mediated cardiac reprogramming.

Lan Zhao, Chen Li, Zhichuan Huang, Jianshuo Wang, Zhanyu Deng, Yanwen Deng, Pengzhen Wang, Shaoheng Zhang

Abstract read
In one paragraph

Article in Clinical and translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

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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

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Lan ZhaoDepartment of Cardiology, Guangzhou Red Cross Hospital of Ji-Nan University, Guangzhou, China.
Chen LiDepartment of Cardiology, Guangzhou Red Cross Hospital of Ji-Nan University, Guangzhou, China.
Zhichuan HuangDepartment of Cardiology, Guangzhou Red Cross Hospital of Ji-Nan University, Guangzhou, China.
Jianshuo WangDepartment of Cardiology, Guangzhou Red Cross Hospital of Ji-Nan University, Guangzhou, China.
Zhanyu DengDepartment of Cardiology, Guangzhou Red Cross Hospital of Ji-Nan University, Guangzhou, China.
Yanwen DengDepartment of Cardiology, Guangzhou Red Cross Hospital of Ji-Nan University, Guangzhou, China.
Pengzhen WangDepartment of Cardiology, Guangzhou Red Cross Hospital of Ji-Nan University, Guangzhou, China.
Shaoheng ZhangDepartment of Cardiology, Guangzhou Red Cross Hospital of Ji-Nan University, Guangzhou, China.ORCID 0000-0002-4768-0088

Funding

Guangzhou Science and Technology Planning Project 202002030081Guangzhou Science and Technology Plan Project 2023A03J0982National Natural Science Foundation of China 81770291
6 · The paper itself

Abstract

backgroundTo investigate the role of self-peripheral blood mesenchymal stem cell (PBMSC)-derived exosomes (Exos) in enhancing renal sympathetic denervation (RD)-mediated heart regeneration following myocardial infarction (MI) in a porcine model.

methodsPigs (ejection fraction [EF] < 40% post-MI) were randomised to early sham RD or RD. At 2 weeks post-MI, autologous PBMSC-Exos were collected. At 30 days post-MI, pigs received either PBMSC-Exos (2 × 10

resultsTwo weeks post-MI, RD hearts showed increased Exos uptake and inhibited the sympathetic nervous system. By 90 days, the RD+Exos group had 11%-26% higher EF than single-treatment groups (all p < .001), with improved survival and reduced fibrosis. Exos therapy enhanced RD effects by suppressing the renin‒angiotensin‒aldosterone system and transferring the miR-141-200-429 cluster into ischaemic CMs. CMs from RD-treated hearts cocultured with PBMSC-Exos

conclusionsPBMSC-Exos KEY POINTS: Myocardial infarction triggers cardiomyocyte depletion and sympathetic overactivation, culminating in irreversible heart failure. Renal denervation (RD) attenuates sympathetic signalling, modulating catecholamine‒B-type natriuretic peptide (BNP) homeostasis. We newly demonstrate RD-enhanced peripheral blood mesenchymal stem cell exosomal secretion enriched with miR-141-200-429 clusters. These exosomal miRNAs suppress dickkopf-1 (Dkk1), activating GSK3β/Wnt/β-catenin signalling to enhance myocardial survival and regeneration. Our findings establish a combined therapeutic paradigm wherein RD maintains durable efficacy and safety alongside complementary interventions for heart failure management.

Indexed as

beta CateninExosomesMesenchymal Stem CellsSympathectomyAnimalsCellular ReprogrammingDisease Models, AnimalKidneyMicroRNAsMyocardial InfarctionSwinebeta CateninMicroRNAsacute myocardial infarctioncardiac reprogrammingexosomemicroRNAβ‐catenin

Identifiers

PMID40910352
PMCPMC12411928

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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.