Evidence map›Paper›PMID 41310766›Full record

ArticleJournal of biological engineering2025

Exosome-functionalized collagen-coated 3D-printed PCL scaffold for enhanced osteogenic differentiation and bone regeneration: an in vitro and in vivo study.

Fatemeh Ghorbani Shemshadsara, Jafar Ai, Mohammad Bayat, Somayeh Ebrahimi-Barough, Sadegh Shirian, Abdolreza Mohamadnia, Mahsa Kouhestani, Moosa Javdani, Mohammad Hossein Karimzadeh, Naghmeh Bahrami

Abstract read
In one paragraph

Article in Journal of biological engineering, 2025. 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. 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

10 authors.

Fatemeh Ghorbani ShemshadsaraDepartment of Tissue Engineering, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Jafar AiDepartment of Tissue Engineering, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad BayatCraniomaxillofacial Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Somayeh Ebrahimi-BaroughDepartment of Tissue Engineering, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Sadegh ShirianDepartment of Pathobiology, Faculty of Veterinary Medicine, Shahrekord University, Shahrekord, Iran.
Abdolreza MohamadniaDepartment of Biotechnology, School of Advanced Technologies in Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mahsa KouhestaniDepartment of Applied Cell Sciences, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Moosa JavdaniDepartment of Pathobiology, Faculty of Veterinary Medicine, Shahrekord University, Shahrekord, Iran.
Mohammad Hossein KarimzadehDepartment of Pathobiology, Faculty of Veterinary Medicine, Shahrekord University, Shahrekord, Iran.
Naghmeh BahramiDepartment of Tissue Engineering, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran. naghmehbahrami@gmail.com.ORCID http://orcid.org/0000-0002-3575-4094

Funding

Tehran University of Medical Sciences 1402-2-148-65202
6 · The paper itself

Abstract

backgroundBone tissue engineering offers a promising strategy to overcome the limitations of conventional bone grafts, including donor site morbidity and immune rejection. In this study, three-dimensional (3D) polycaprolactone (PCL) scaffolds coated with collagen (Col) were fabricated by extrusion-based printing. The scaffolds were further functionalized with human endometrial mesenchymal stem cells (hEnMSCs) and osteoblast-derived exosomes (ODExo), obtained from osteoblast-like cells, to investigate their potential in bone regeneration.

resultsThe printed scaffolds exhibited controlled porosity, suitable mechanical integrity, and improved hydrophilicity following collagen coating. ODExo were isolated from osteoblast-like cells and confirmed by morphology and particle size. In vitro analyses revealed that exosome-functionalized scaffolds significantly enhanced cell adhesion, proliferation, and osteogenic differentiation of hEnMSCs, as indicated by increased calcium deposition and elevated expression of osteogenic markers such as alkaline phosphatase, osteocalcin, RUNX2, and osteonectin, even without osteogenic induction medium. In vivo experiments using a rat calvarial defect model demonstrated superior bone formation and matrix mineralization in scaffolds containing exosomes compared with control groups. Moreover, transplantation of PCL/Col scaffolds seeded with hEnMSCs and ODExo implants further promoted bone regeneration in vivo.

conclusionsThese findings demonstrate that osteoblast-derived exosomes serve as potent bioactive modulators capable of driving osteogenic differentiation and accelerating bone regeneration. Incorporating exosomes into 3D printed PCL/Col scaffolds provides a promising biomimetic and partially cell-free approach for the treatment of critical-sized bone defects. This strategy highlights the potential of combining advanced scaffold fabrication with bioactive vesicles to improve clinical outcomes in regenerative medicine.

Indexed as

3D printed scaffoldsBone tissue engineering (BTE)Collagen-coated scaffoldsOsteoblast-derived exosomes (ODExo)OsteogenesisOsteogenic differentiationPolycaprolactone (PCL)

Identifiers

PMID41310766
PMCPMC12661825

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