Evidence map›Paper›PMID 41751812›Full record

ReviewInternational journal of molecular sciences2026

Therapeutic Potential of Extracellular Vesicles: From Biogenesis, Isolation and Molecular Characterization to Addressing Translational Gaps and Regulatory Barriers.

Dragan Primorac, Petar Brlek, Luka Bulić, Nenad Hrvatin, Vedrana Škaro, Petar Projić, Martina Glavan, Ijeoma Oleru, Pierre Rocheteau, Carlo Tremolada and 34 more

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

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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

44 authors.

Dragan PrimoracSt. Catherine Specialty Hospital, 10000 Zagreb, Croatia.ORCID 0000-0001-5565-080X
Petar BrlekSt. Catherine Specialty Hospital, 10000 Zagreb, Croatia.ORCID 0000-0001-8022-4095
Luka BulićSt. Catherine Specialty Hospital, 10000 Zagreb, Croatia.ORCID 0000-0001-6522-891X
Nenad HrvatinSt. Catherine Specialty Hospital, 10000 Zagreb, Croatia.ORCID 0009-0005-8797-3239
Vedrana ŠkaroInternational Center for Applied Biological Research, 10000 Zagreb, Croatia.ORCID 0000-0002-8275-867X
Petar ProjićInternational Center for Applied Biological Research, 10000 Zagreb, Croatia.
Martina GlavanDepartment of Neuroscience, Yale School of Medicine, Yale University, 333 Cedar Street, New Haven, CT 06510, USA.ORCID 0000-0001-6710-905X
Ijeoma OleruDepartment of Neuroscience, Yale School of Medicine, Yale University, 333 Cedar Street, New Haven, CT 06510, USA.
Pierre RocheteauExogems SA, Biopole, 1066 Epalinges, Switzerland.
Carlo TremoladaExogems SA, Biopole, 1066 Epalinges, Switzerland.ORCID 0000-0003-1331-5995
Ariana DeMersRestore Orthopedics and Sports Medicine, Sonora, CA 95370, USA.
Mary A AmbachBioEvolve, San Diego Orthobiologics and Sports Center, San Diego, CA 92024, USA.
Don BufordTexas Orthobiologics, Dallas, TX 75204, USA.
Tamara KneževićSt. Catherine Specialty Hospital, 10000 Zagreb, Croatia.
Dimitrios KouroupisDepartment of Orthopaedics, UHealth Sports Medicine Institute, Miller School of Medicine, University of Miami, Miami, FL 33146, USA.ORCID 0000-0002-3892-9013
Cole ConfortiDepartment of Orthopaedics, UHealth Sports Medicine Institute, Miller School of Medicine, University of Miami, Miami, FL 33146, USA.ORCID 0009-0001-2292-9756
D Wood KimbroughDepartment of Orthopaedics, UHealth Sports Medicine Institute, Miller School of Medicine, University of Miami, Miami, FL 33146, USA.
R Peter SchnorrFIRST Focused Integrated Regenerative Sports Medicine and Treatments, 8002 Zurich, Switzerland.
Lindsay WilliamsDepartment of Immunology and Theranostics, Beckman Research Institute, City of Hope, Duarte, CA 91010, USA.ORCID 0000-0002-9877-2935
Raminta VaiciuleviciuteState Research Institute Center for Innovative Medicine, LT-08406 Vilniaus, Lithuania.ORCID 0000-0002-4315-7783
Žan FortunaGaiaCell, Advanced Cell and Gene Therapy Ltd., Prevale 9, 1236 Trzin, Slovenia.ORCID 0009-0001-1391-8633
Lara OprešnikGaiaCell, Advanced Cell and Gene Therapy Ltd., Prevale 9, 1236 Trzin, Slovenia.
Blaž CurkGaiaCell, Advanced Cell and Gene Therapy Ltd., Prevale 9, 1236 Trzin, Slovenia.
Miomir KneževićGaiaCell, Advanced Cell and Gene Therapy Ltd., Prevale 9, 1236 Trzin, Slovenia.
Gordana Kalan ŽivčecGaiaCell, Advanced Cell and Gene Therapy Ltd., Prevale 9, 1236 Trzin, Slovenia.
Adelina HrkaćSt. Catherine Specialty Hospital, 10000 Zagreb, Croatia.ORCID 0000-0002-8518-9409
Dimitrios TsoukasOrthopaedic Clinic for Advanced Arthroscopic Sports and Regenerative Surgery Mitera Hospital, 15123 Athens, Greece.ORCID 0000-0001-7966-6670
Ilona UzielieneDepartment of Regenerative Medicine, State Research Institute Innovative Medicine Centre, LT-08406 Vilnius, Lithuania.ORCID 0000-0001-5484-9163
Jolita PachalevaDepartment of Regenerative Medicine, State Research Institute Innovative Medicine Centre, LT-08406 Vilnius, Lithuania.ORCID 0000-0001-8118-6377
Eiva BernotieneDepartment of Regenerative Medicine, State Research Institute Innovative Medicine Centre, LT-08406 Vilnius, Lithuania.ORCID 0000-0002-1529-5513
Kristiana BarbatoCell Transplant Center, Diabetes Research Institute, Miller School of Medicine, University of Miami, Miami, FL 33146, USA.
Neep PatelDepartment of Orthopaedics, UHealth Sports Medicine Institute, Miller School of Medicine, University of Miami, Miami, FL 33146, USA.ORCID 0000-0001-8241-0959
Isabella Demirdjian GuancheDr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL 33146, USA.
Evangelos V BadiavasDr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL 33146, USA.
Jana MešićSt. Catherine Specialty Hospital, 10000 Zagreb, Croatia.
Ana Medić FlajšmanSt. Catherine Specialty Hospital, 10000 Zagreb, Croatia.
Romina MilaničSt. Catherine Specialty Hospital, 10000 Zagreb, Croatia.
Danijela KlarićSt. Catherine Specialty Hospital, 10000 Zagreb, Croatia.
Vasiliki E KalodimouMedical Innovation Center (MEDIC), School of Medicine, European University Cyprus, Diogenis Str., Engomi, 2404 Nicosia, Cyprus.ORCID 0000-0002-3346-2434
Massimo AllegriCentre Lémanique de Neuromodulation et Thérapie de la Douleur, Ensemble Hospitalier de la Côte (EHC), 1110 Morges, Switzerland.ORCID 0000-0002-8201-980X
Johannes BrachmannSana Kliniken Oberfranken, 96450 Coburg, Germany.ORCID 0000-0002-9221-9856
Wei Seong TohDepartment of Orthopaedic Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119077, Singapore.ORCID 0000-0001-9147-6423
Nancy Duarte DelgadoResearch Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, 90570 Oulu, Finland.ORCID 0000-0002-1454-9307
Ali MobasheriDepartment of Regenerative Medicine, State Research Institute Innovative Medicine Centre, LT-08406 Vilnius, Lithuania.ORCID 0000-0001-6261-1286

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Extracellular vesicles (EVs) have emerged as essential mediators of intercellular communication, transporting a complex repertoire of lipids, proteins, and nucleic acids that mirror the physiological and pathological status of their parent cells. This review provides a comprehensive overview of EVs from their biogenesis and molecular composition to their translational potential in human disease. This review outlines the major classes of EVs, including exosomes, microvesicles, apoptotic bodies, and oncosomes, together with recent developments in their isolation, molecular characterization, and omics-based profiling. Special focus is given to the role of EVs in viral infection, inflammation, and immune regulation, as well as their contribution to disease development and cancer biology. Moreover, we highlight the emerging clinical applications of mesenchymal stem cell-derived EVs (MSC-EVs) in regenerative medicine and oncology, alongside the therapeutic modulation of EV signaling by photobiomodulation (PBM). Finally, we address key translational challenges related to standardization, scalability, and regulatory validation. As exosome-based therapeutics fall under strict FDA and EMA oversight, their translation further depends on harmonized quality controls and robust safety evaluation. By integrating molecular mechanisms with clinical applications, this review emphasizes the transformative potential of EVs as next-generation diagnostic and therapeutic tools in precision medicine.

Indexed as

Extracellular VesiclesAnimalsCell CommunicationExosomesHumansMesenchymal Stem CellsNeoplasmsTranslational Research, Biomedicalclinical translationexosomesextracellular vesiclesimmune responseoncosomesphotobiomodulation

Identifiers

PMID41751812
PMCPMC12940701

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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.