Evidence map›Paper›PMID 41619174›Full record

Trial reportJournal of extracellular vesicles2026

Circulating Metabolites Treat Human TMJ-OA by Eliminating Senescent Chondrocytes via the C1QBP/C1q/p14ARF Axis.

Bowen Meng, Xin Li, Benyi Yang, Yan Qu, Yifan He, Chaoran Fu, Zhe An, Antong Wu, Yuzhuo Hei, Rong Zhang and 10 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of extracellular vesicles, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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

20 authors.

Bowen Meng *Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, South China Center of Craniofacial Stem Cell Research, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China.
Xin Li *Department of Temporomandibular Joint, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Medical University, Guangzhou, China.
Benyi Yang *Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, South China Center of Craniofacial Stem Cell Research, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China.
Yan Qu *Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, South China Center of Craniofacial Stem Cell Research, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China.
Yifan HeHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, South China Center of Craniofacial Stem Cell Research, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China.
Chaoran FuHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, South China Center of Craniofacial Stem Cell Research, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China.
Zhe AnHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, South China Center of Craniofacial Stem Cell Research, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China.
Antong WuDepartment of Temporomandibular Joint, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Medical University, Guangzhou, China.
Yuzhuo HeiDepartment of Temporomandibular Joint, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Medical University, Guangzhou, China.
Rong ZhangDepartment of Temporomandibular Joint, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Medical University, Guangzhou, China.
Wenyi CaiDepartment of Temporomandibular Joint, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Medical University, Guangzhou, China.
Lingyunbo KongDepartment of Temporomandibular Joint, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Medical University, Guangzhou, China.
Rui LiDepartment of Temporomandibular Joint, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Medical University, Guangzhou, China.
Meng HaoHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, South China Center of Craniofacial Stem Cell Research, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China.
Zeyuan CaoHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, South China Center of Craniofacial Stem Cell Research, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China.
Xueli MaoHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, South China Center of Craniofacial Stem Cell Research, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China.ORCID https://orcid.org/0000-0002-2611-7712
Janak Lal PathakDepartment of Temporomandibular Joint, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Medical University, Guangzhou, China.
Yang CaoHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, South China Center of Craniofacial Stem Cell Research, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China.
Songtao ShiHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, South China Center of Craniofacial Stem Cell Research, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China.ORCID https://orcid.org/0000-0003-1516-7500
Qingbin ZhangDepartment of Temporomandibular Joint, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Medical University, Guangzhou, China.ORCID https://orcid.org/0000-0002-8523-9293

Funding

Guangdong Financial Fund for High-Caliber Hospital Construction 174-2018-XMZC-0001-03-0125,D-07National Key Research and Development Program of China 2021YFA1100600National Natural Science Foundation of China 82301123National Natural Science Foundation of China 82370985National Natural Science Foundation of China 82401162Natural Science Foundation of Guangdong Province 2023A1515010626Natural Science Foundation of Guangdong Province 2023A1515111127Natural Science Foundation of Guangdong Province 2024A1515012820Natural Science Foundation of Guangdong Province 2025A1515010453
6 · The paper itself

Abstract

Temporomandibular joint osteoarthritis (TMJ-OA) is a progressive degenerative disorder, for which therapeutic interventions remain limited. The disruption of metabolic homeostasis plays a critical role in the pathogenesis and advancement of TMJ-OA. However, it remains unclear whether extracellular vesicles (EVs) as cellular metabolites are correlated with the pathogenesis, treatment and diagnosis of TMJ-OA. In this study, we demonstrated that autologous circulating extracellular vesicles (C-EVs) possessed significant therapeutic potential for TMJ-OA through the targeted removal of senescent chondrocytes. In a randomized clinical trial (ChiCTR2200063153), C-EV administration was found to significantly enhance condylar bone regeneration and alleviate symptoms relative to hyaluronic acid controls, without eliciting any adverse effects. Comparative analysis revealed that joint cavity-derived EVs from TMJ-OA patients (OA-EVs) exhibited structural abnormalities, diminished expression of canonical EV markers, and pro-inflammatory characteristics. In contrast, C-EVs were significantly enriched with functional proteins C1q binding protein (C1QBP). And the level of C1QBP-positive EVs was positively correlated with therapeutic outcomes, thereby establishing C1QBP as a potential predictive biomarker for TMJ-OA. Furthermore, C-EVs reestablished joint homeostasis by regulating the immune microenvironment and tissue regeneration capacity. Mechanistically, C1QBP

Indexed as

ChondrocytesExtracellular VesiclesOsteoarthritisTemporomandibular Joint DisordersCarrier ProteinsCellular SenescenceComplement C1qFemaleHumansMaleMiddle AgedMitochondrial ProteinsTemporomandibular JointC1QBP protein, humanCarrier ProteinsComplement C1qMitochondrial ProteinsC1q binding proteincirculating extracellular vesiclessenolyticsTMJ‐osteoarthritis

Identifiers

PMID41619174
PMCPMC12860422

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.