Evidence map›Paper›PMID 41261428›Full record

ReviewStem cell research & therapy2025

Mesenchymal stem cell-derived exosomes as cell-free therapeutics: mechanistic insights and engineering strategies for liver disease treatment.

Shihang Yu, Defu Kong, Beike Lu, Yixiao Pan, Zhaokai Zeng, Yuan Fu, Zhicong Zhao, Kang He, Ruqi Tang, Qiang Xia

Abstract readReview
In one paragraph

Review in Stem cell research & therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 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

10 authors.

Shihang Yu *Department of Liver Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200127, China.
Defu Kong *Department of Liver Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200127, China.
Beike Lu *Division of Gastroenterology and Hepatology, Key Laboratory of Gastroenterology and Hepatology, Ministry of Health, State Key Laboratory for Oncogenes and Related Genes, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai Institute of Digestive Disease, Shanghai, 200001, China.
Yixiao PanDepartment of Liver Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200127, China.
Zhaokai ZengDepartment of Liver Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200127, China.
Yuan FuFudan University Shanghai Cancer Center, Institutes of Biomedical Sciences, New Cornerstone Science Laboratory, State Key Laboratory of Genetic Engineering, Department of Biochemistry and Biophysics, School of Life Sciences, Shanghai Key Laboratory of Radiation Oncology, and Shanghai Key Laboratory of Medical Epigenetics, Shanghai Medical College of Fudan University, Shanghai, 200032, China.
Zhicong ZhaoDepartment of Liver Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200127, China.
Kang HeDepartment of Liver Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200127, China. hekang929@163.com.
Ruqi TangDivision of Gastroenterology and Hepatology, Key Laboratory of Gastroenterology and Hepatology, Ministry of Health, State Key Laboratory for Oncogenes and Related Genes, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai Institute of Digestive Disease, Shanghai, 200001, China. ruqi_tang@126.com.
Qiang XiaDepartment of Liver Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200127, China. xiaqiang@shsmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Liver diseases pose a global health crisis, with liver transplantation remaining the only definitive therapy yet constrained by donor scarcity and complications. Mesenchymal stem cells (MSCs), emerging as stromal cells with immunomodulatory and regenerative capacities, face translational challenges. By contrast, MSC-derived exosomes (MSC-Exos) offer a cell-free approach with lower immunogenicity, minimal tumorigenic risk, and intrinsic hepatic tropism, mediating intercellular communication via protein and microRNA (miRNAs) cargo. To provide a focused synthesis, this review establishes a unified four-pillar framework of MSC-Exos mechanisms across liver pathologies, including (i) maintaining immunological-stromal homeostasis, (ii) reprogramming metabolic circuitry, (iii) determining cell fate, and (iv) intercepting oncogenic signaling. We further discuss advances in engineered MSC-Exos from preparation and application, aiming at enabling precision delivery and the mechanism-to-translation process. While MSC-Exos represent a transformative frontier in hepatology, addressing heterogeneity, scalable production, and cargo standardization remains critical to accelerate clinical translation.

Indexed as

ExosomesLiver DiseasesMesenchymal Stem CellsAnimalsHumansMesenchymal Stem Cell TransplantationCell-free therapeuticsEngineered exosomesExosomal miRNA deliveryImmunomodulationLiver diseaseMechanistic insightMesenchymal stem cell-derived exosomeMetabolic reprogrammingRegeneration

Identifiers

PMID41261428
PMCPMC12632147

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.