Evidence map›Paper›PMID 41311838›Full record

ArticleFrontiers in pharmacology2025

Early intervention with extracellular vesicles derived from human umbilical cord mesenchymal stem cells enhances survival and functional recovery after spinal cord injury in rats.

Barbara Porto Cipriano, Rachel Santana Cunha, Thaís Alves de Santana, Kátia Nunes da Silva, Erick Correia Loiola, Júlio César Queiroz Figueiredo, Elisama Araújo da Silva, Adne Vitória Rocha de Lima, Erik Aranha Rossi, Igor Campos da Silva and 4 more

Abstract read
In one paragraph

Article in Frontiers in pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Barbara Porto CiprianoCenter for Biotechnology and Cell Therapy, São Rafael Hospital, D'Or Institute for Research and Education (IDOR), Salvador, Brazil.
Rachel Santana CunhaCenter for Biotechnology and Cell Therapy, São Rafael Hospital, D'Or Institute for Research and Education (IDOR), Salvador, Brazil.
Thaís Alves de SantanaCenter for Biotechnology and Cell Therapy, São Rafael Hospital, D'Or Institute for Research and Education (IDOR), Salvador, Brazil.
Kátia Nunes da SilvaCenter for Biotechnology and Cell Therapy, São Rafael Hospital, D'Or Institute for Research and Education (IDOR), Salvador, Brazil.
Erick Correia LoiolaCenter for Biotechnology and Cell Therapy, São Rafael Hospital, D'Or Institute for Research and Education (IDOR), Salvador, Brazil.
Júlio César Queiroz FigueiredoCenter for Biotechnology and Cell Therapy, São Rafael Hospital, D'Or Institute for Research and Education (IDOR), Salvador, Brazil.
Elisama Araújo da SilvaCenter for Biotechnology and Cell Therapy, São Rafael Hospital, D'Or Institute for Research and Education (IDOR), Salvador, Brazil.
Adne Vitória Rocha de LimaCenter for Biotechnology and Cell Therapy, São Rafael Hospital, D'Or Institute for Research and Education (IDOR), Salvador, Brazil.
Erik Aranha RossiCenter for Biotechnology and Cell Therapy, São Rafael Hospital, D'Or Institute for Research and Education (IDOR), Salvador, Brazil.
Igor Campos da SilvaCenter for Biotechnology and Cell Therapy, São Rafael Hospital, D'Or Institute for Research and Education (IDOR), Salvador, Brazil.
Ravena Pereira do NascimentoLaboratory of Neurochemistry and Cell Biology, Department of Biochemistry and Biophysics, Institute of Health Sciences, Federal University of Bahia, Salvador, Brazil.
Silvia Lima CostaLaboratory of Neurochemistry and Cell Biology, Department of Biochemistry and Biophysics, Institute of Health Sciences, Federal University of Bahia, Salvador, Brazil.
Zaquer Suzana Munhoz Costa-FerroCenter for Biotechnology and Cell Therapy, São Rafael Hospital, D'Or Institute for Research and Education (IDOR), Salvador, Brazil.
Bruno Solano de Freitas SouzaCenter for Biotechnology and Cell Therapy, São Rafael Hospital, D'Or Institute for Research and Education (IDOR), Salvador, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Spinal cord injury (SCI) is a devastating condition with high mortality and limited treatment options. Mesenchymal stem cell (MSC)-derived extracellular vesicles (EVs) have emerged as promising cell-free therapies due to their immunomodulatory and neuroprotective properties. Here, we evaluated the therapeutic potential of EVs derived from human umbilical cord MSCs in a rat model of SCI. Methods: Adult male Wistar rats were randomized into three groups: control, SCI, and SCI treated with a single intralesional dose of EVs. Locomotor recovery was assessed by the Basso, Beattie & Bresnahan (BBB) score, while survival, neuroinflammation, histological alterations, and biodistribution were systematically analyzed. Results: EV administration improved 30-day survival, and locomotor performance from day 7, and was associated with sustained reductions in pro-inflammatory cytokines (IL-1β, TNF-α) alongside increased levels of anti-inflammatory cytokines (IL-10) and neurotrophic factors (BDNF). Histological and immunofluorescence analyses showed attenuated microglial activation and astrocytic reactivity, accompanied by reduced lesion size and glial scar formation. Discussion: Together, these findings demonstrate that early intralesional delivery of MSC-EVs enhances survival, modulates the inflammatory response, and promotes functional recovery after SCI, supporting further translational development of EV-based interventions for SCI.

Indexed as

extracellular vesiclesmesenchymal stem cellsneuroinflammationspinal cord injurysurvival

Identifiers

PMID41311838
PMCPMC12646952

What OpenQuestion holds

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Registered trials

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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.