Evidence map›Paper›PMID 40987919›Full record

ArticleStem cell reviews and reports2026

Investigating the Therapeutic Efficacy of Quality-Controlled, miR-146a-5p-Enriched Small Extracellular Vesicles Derived From MSCs Against Idiopathic Pulmonary Fibrosis.

Xin Wang, Lingjiao Meng, Qiuhong Wang, Ruixue Rong, Yu Zhang, Xiaohui Zhao, Chen Liang, Huizhen Guo, Li Deng, Zengqi Tan and 2 more

Abstract read
In one paragraph

Article in Stem cell reviews and reports, 2026. 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
–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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
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

12 authors.

Xin Wang *R&D Department, Shandong Qilu Cell Therapy Engineering Technology Co., Ltd., Gangyuan 6th Road, Licheng District, Ji'nan, Shandong, 250000, P. R. China.
Lingjiao Meng *R&D Department, Shandong Qilu Cell Therapy Engineering Technology Co., Ltd., Gangyuan 6th Road, Licheng District, Ji'nan, Shandong, 250000, P. R. China.
Qiuhong WangR&D Department, Shandong Qilu Cell Therapy Engineering Technology Co., Ltd., Gangyuan 6th Road, Licheng District, Ji'nan, Shandong, 250000, P. R. China.
Ruixue RongR&D Department, Shandong Qilu Cell Therapy Engineering Technology Co., Ltd., Gangyuan 6th Road, Licheng District, Ji'nan, Shandong, 250000, P. R. China.
Yu ZhangDepartment of Otolaryngology, Head and Neck Surgery, Yantai Yuhuangding Hospital, Qingdao University, Yantai, P. R. China.
Xiaohui ZhaoR&D Department, Shandong Qilu Cell Therapy Engineering Technology Co., Ltd., Gangyuan 6th Road, Licheng District, Ji'nan, Shandong, 250000, P. R. China.
Chen LiangR&D Department, Shandong Qilu Cell Therapy Engineering Technology Co., Ltd., Gangyuan 6th Road, Licheng District, Ji'nan, Shandong, 250000, P. R. China.
Huizhen GuoR&D Department, Shandong Qilu Cell Therapy Engineering Technology Co., Ltd., Gangyuan 6th Road, Licheng District, Ji'nan, Shandong, 250000, P. R. China.
Li DengDepartment of Gastroenterology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Ji'nan, P. R. China.
Zengqi TanSchool of Medicine, Northwest University, Xi'an, P. R. China.
Feng GuanKey Laboratory of Resource Biology and Biotechnology in Western China, Ministry of Education, Provincial Key Laboratory of Biotecnology, College of Life Sciences, Northwest University, Xi'an, P. R. China.
Yi TanR&D Department, Shandong Qilu Cell Therapy Engineering Technology Co., Ltd., Gangyuan 6th Road, Licheng District, Ji'nan, Shandong, 250000, P. R. China. pkuty@126.com.

Funding

China National Key R and D Program during the 14th Five-year Plan Period No. 2021YFA1101500Science and Technology SMEs Innovation Capacity Improvement Project of Shandong Province No. 2022TSGC1004
6 · The paper itself

Abstract

Small extracellular vesicles derived from umbilical cord mesenchymal stem cells (UC-sEvs) may be used for the treatment of idiopathic pulmonary fibrosis (IPF) because of their ability to control inflammation and inhibit fibrosis. However, the lack of clarity regarding the treatment mechanism of IPF and the corresponding quality standards limit the clinical application of these small extracellular vesicles. Here, we established a good manufacturing practice (GMP) grade process for isolating UC-sEvs, and RNA-seq was performed to screen for potential therapeutic cargo in the product to confirm the therapeutic effect of nebulized UC-sEv agents against IPF. Functionally, UC-sEvs inhibited the pulmonary inflammatory response by regulating macrophage function, thereby suppressing the bleomycin toxicity-induced progression of fibrosis. Mechanistically, miR-146a-5p enrichment in UC-sEvs may be involved in alleviating bleomycin-induced IPF by targeting TRAF6/IRAK1 to negatively regulate inflammation. The proposed quality control strategy ensures the stability of the product across three batches, with RNA-seq analysis revealing highly similar miRNA expression profiles. The feasibility of using miR-146a-5p as a key therapeutic molecule has been validated. Finally, on the basis of the results of pharmacodynamics and key therapeutic molecule studies, we provided a detailed quality control standard for IPF therapy by nebulizing UC-sEv. These findings help understand how sEvs impact IPF and the possible consequences of their therapeutic usage and offer a quality standard reference.

Indexed as

Extracellular VesiclesIdiopathic Pulmonary FibrosisMesenchymal Stem CellsMicroRNAsAnimalsBleomycinHumansMiceQuality ControlBleomycinMicroRNAsMIRN146 microRNA, humanKey therapeutic moleculesNebulizationQuality control strategyUmbilical cord mesenchymal stem cell

Identifiers

PMID40987919
PMCPMC12795917

What OpenQuestion holds

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LicenceCC BY
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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.