Evidence map›Paper›PMID 41432310›Full record

ArticleAging cell2026

Comparing Functional Consequences of Human iPSC-Microglia and Neural Stem Cell-Derived Extracellular Vesicles in Mitigating Cognitive Decline in Alzheimer's Disease.

Robert P Krattli, Mineh Markarian, Shreya Madan, Devyani Swami, Amanda McQuade, Janet E Baulch, Matthew Blurton-Jones, Munjal M Acharya

Abstract readComparative Study
In one paragraph

Article in Aging cell, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
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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

8 authors.

Robert P KrattliDepartment of Anatomy & Neurobiology, University of California Irvine, Irvine, California, USA.
Mineh MarkarianDepartment of Anatomy & Neurobiology, University of California Irvine, Irvine, California, USA.
Shreya MadanDepartment of Anatomy & Neurobiology, University of California Irvine, Irvine, California, USA.
Devyani SwamiDepartment of Anatomy & Neurobiology, University of California Irvine, Irvine, California, USA.
Amanda McQuadeDepartment of Neurobiology & Behavior, University of California Irvine, Irvine, California, USA.
Janet E BaulchDepartment of Radiation Oncology, University of California Irvine, Irvine, California, USA.
Matthew Blurton-JonesDepartment of Neurobiology & Behavior, University of California Irvine, Irvine, California, USA.
Munjal M AcharyaDepartment of Anatomy & Neurobiology, University of California Irvine, Irvine, California, USA.ORCID 0000-0002-7767-5642

Funding

Stem cell-derived exosomes to ameliorate chemobrainR01CA262213 · NCI · UNIVERSITY OF CALIFORNIA-IRVINE · PI Munjal M Acharya · 2023 to 2026
$1.7M
California Institute for Regenerative Medicine DISC1-10079California Institute for Regenerative Medicine DISC2-12400NCI NIH HHS R01 CA262213UC Irvine Sue and Bill Gross Stem Cell Research CenterU.S. National Institutes of Health (NIH) R01CA262213
6 · The paper itself

Abstract

Stem cell-derived extracellular vesicles (EVs) show promise as a therapeutic approach for neurodegenerative diseases, particularly Alzheimer's Disease (AD), where traditional regenerative interventions have achieved limited success. Our previous research demonstrated the neuroprotective benefits of human neural stem cell (hNSC)-derived EVs in 2- and 6-month-old AD mice (5xFAD) that exibited improved cognitive function and reduced AD-related neuropathology. This study aimed to compare the neuroprotective efficacy of EVs derived from two human cell lines: hNSCs from H9 embryonic stem cells and human iPSC-derived microglia (iMGLs). Additionally, we investigated the efficacy of an expanded EV treatment paradigm at subsequently longer time points. Three-month-old 5xFAD mice received weekly retro-orbital vein injections of either hNSC- or iMGL-derived EVs for 4 weeks. Cognitive function testing revealed comparable cognitive improvements in both EV treatment groups compared to vehicle-injected AD mice. Both iMGL- and hNSC-derived EVs significantly reduced amyloid beta plaques, astrogliosis, and microglial activation, while restoring synaptophysin and postsynaptic density protein PSD-95 to control levels in AD brains. Gene expression analysis revealed significantly reduced neuroinflammation and elevated neuroprotective signatures following both EV treatments. MicroRNA analysis of the EV-derived cargo revealed unique and shared miRNA signatures associated with differentially expressed genes in both cell lines. These findings demonstrate the feasibility and neuroprotective benefits of recurrent systemic injections of EVs derived from human NSCs and differentiated human microglia lines in alleviating cognitive dysfunction and neuropathology in Alzheimer's disease.

Indexed as

Alzheimer DiseaseCognitive DysfunctionExtracellular VesiclesInduced Pluripotent Stem CellsMicrogliaNeural Stem CellsAnimalsDisease Models, AnimalHumansMiceAlzheimer's diseaseamyloid beta plaquescognitive functionextracellular vesicleshuman induced pluripotent stem cells (iPSC)human microgliahuman neural stem cellsmicroglial activationneuroinflammation

Identifiers

PMID41432310
PMCPMC12723720

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.