Evidence map›Paper›PMID 41774267›Full record

SynthesisMolecular biology reports2026

The role of extracellular vesicles in endometriosis: A systematic review of pathogenesis, diagnostic biomarkers, and therapeutic potential.

Mohsen Sheykhhasan, Saeedeh Zare Jalise, Hourieh Kalhor, Tahereh Komeili Movahed, Fatemeh Javaheri Tehrani, Hamed Afkhami

Abstract readSystematic ReviewReview
PubMed Publisher
In one paragraph

Synthesis in Molecular biology reports, 2026. 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

6 authors.

Mohsen SheykhhasanCellular and Molecular Research Center, Qom University of Medical Sciences, Qom, Iran. msheykhhasan@muq.ac.ir.ORCID http://orcid.org/0000-0001-8599-7492
Saeedeh Zare JaliseCellular and Molecular Research Center, Qom University of Medical Sciences, Qom, Iran. SaeedehZare@hotmail.com.
Hourieh KalhorCellular and Molecular Research Center, Qom University of Medical Sciences, Qom, Iran.
Tahereh Komeili MovahedCellular and Molecular Research Center, Qom University of Medical Sciences, Qom, Iran.
Fatemeh Javaheri TehraniCellular and Molecular Research Center, Qom University of Medical Sciences, Qom, Iran.
Hamed AfkhamiCellular and Molecular Research Center, Qom University of Medical Sciences, Qom, Iran. hamedafkhami70@gmail.com.

Funding

Qom University of Medical Sciences 3734
6 · The paper itself

Abstract

backgroundExtracellular vesicles (EVs), including exosomes, play pivotal roles in the pathogenesis, diagnosis, and treatment of endometriosis. These nanosized vesicles carry bioactive molecules such as microRNAs (miRNAs), long noncoding RNAs (lncRNAs), proteins, and lipids, facilitating intercellular communication and modulating the mechanisms that drive disease progression. This systematic review aims to synthesize the current evidence on the role of EVs in the pathophysiology of endometriosis, their potential as diagnostic biomarkers, and their therapeutic applications.

methodsA comprehensive systematic review was conducted following the PRISMA guidelines. A systematic search of PubMed, Web of Science, Embase, and Scopus was performed for studies published between 2019 and 2024. The search terms included “extracellular vesicles” AND “endometriosis”, “pathogenesis” AND “diagnostic biomarkers” AND “therapeutic potential” AND “targeted therapy”. After screening 327 records, 269 unique studies were assessed. Following a full-text review of the remaining articles, 43 studies were included in the qualitative synthesis.

resultsOur review identified critical roles of EVs in immune modulation, epithelial-mesenchymal transition (EMT), and fertility impairment, all of which contribute to the progression of endometriosis. EVs carry molecular cargo that mirrors disease pathophysiology, highlighting their potential as noninvasive biomarkers for early diagnosis and disease monitoring. Additionally, engineered EVs offer novel therapeutic strategies for targeting disease-specific pathways.

conclusionsThis review highlights the multifaceted roles of EVs in endometriosis. EV-derived biomarkers, particularly miRNAs and proteins, show promise for noninvasive diagnosis and disease monitoring, while engineered EVs hold potential for targeted therapeutic interventions. These findings highlight the transformative potential of EVs in the diagnosis, prognosis, and treatment of endometriosis.

Indexed as

EndometriosisExtracellular VesiclesAnimalsBiomarkersEpithelial-Mesenchymal TransitionExosomesFemaleHumansMicroRNAsBiomarkersMicroRNAsDiagnostic biomarkersEndometriosisExtracellular vesiclesPathogenesisTherapeutic potential

Identifiers

PMID41774267

What OpenQuestion holds

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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.