Evidence map›Paper›PMID 41275445›Full record

ArticleAesthetic plastic surgery2026

Regenerative Effect of Vaginal Injections of Umbilical Cord Mesenchymal Stem Cell-Derived Exosomes in Ovariectomized Rats.

Ya-Wei Lai, Sheng-Hua Wu, Ping-Ruey Chou, Yu-Chi Wang, Jwu-Lai Yeh, Tsai-Ming Lin, Chee-Yin Chai, Cheng-Hsien Tsai, Shu-Hung Huang

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Article in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Observational
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

9 authors.

Ya-Wei LaiDivision of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, 807, Taiwan.
Sheng-Hua WuDepartment of Anesthesiology, Kaohsiung Medical University Gangshan Hospital, Kaohsiung, 820, Taiwan.ORCID 0000-0003-4675-6615
Ping-Ruey ChouGraduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
Yu-Chi WangDivision of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, 807, Taiwan.
Jwu-Lai YehDepartment of Pharmacology, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
Tsai-Ming LinCharming Institute of Aesthetic and Regenerative Surgery (CIARS), 2F.-1, No. 172, Ziqiang 2nd Road, Qianjin District, Kaohsiung, 801, Taiwan.
Chee-Yin ChaiDepartments of Pathology, College of Medicine, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
Cheng-Hsien TsaiBIONET Therapeutics Corp., 1F, No.28, Ln. 36, Xinhu 1st Rd., Neihu Dist., Taipei City, 114, Taiwan.
Shu-Hung HuangDivision of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, 807, Taiwan. huangsh63@gmail.com.ORCID 0000-0002-2903-1703

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn genitourinary syndrome of menopause (GSM), reduced estrogen levels cause several pathological changes in the vaginal mucosa, including epithelial thinning, decreased blood flow and glycogen production, loss of elasticity, and mucus production. Umbilical cord mesenchymal stem cell-derived exosomes (ucMSC-ex) facilitate intercellular communication and play a key role in mucosal regeneration and immune response modulation.

objectivesWe examined the therapeutic effect of ucMSC-ex injection on vaginal atrophy in ovariectomized rats.

methodsTangential flow filtration was used to extract ucMSC-ex. Female Sprague-Dawley rats were divided into three groups: a group receiving sham treatment, a group receiving sham treatment after ovariectomy, and a group receiving vaginal ucMSC-ex injection after ovariectomy. Treatment efficacy was determined by analyzing rat vaginal tissue to observe changes in the vaginal epithelium and in collagenesis, angiogenesis, estrogen receptor count, vaginal lubrication, and inflammatory response.

resultsOur preliminary histological results indicated that ucMSC-ex injection enhanced structural restoration, collagen formation, angiogenesis, estrogen receptor expression, vaginal lubrication, cellular proliferation, and anti-inflammatory response in vaginal tissue, indicating its regenerative potential as a treatment for GSM.

conclusionsOur findings support the therapeutic potential of exosome therapy in alleviating the symptoms of GSM by promoting tissue regeneration and vascularization, restoring vaginal lubrication, and reducing inflammation. NO LEVEL ASSIGNED: This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

ExosomesMesenchymal Stem CellsMesenchymal Stem Cell TransplantationRegenerationUmbilical CordVaginaAnimalsAtrophyDisease Models, AnimalFemaleOvariectomyRandom AllocationRatsRats, Sprague-DawleyGenitourinary syndrome of menopause (GSM)Umbilical cord mesenchymal stem cell–derived exosomes (ucMSC-ex)Vaginal lubricationVaginal rejuvenation

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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.