Evidence map›Paper›PMID 41812649›Full record

ArticleCell metabolism2026

Immune cells regulate circulating adipocyte extracellular vesicle levels in response to metabolic shifts.

Snigdha Tiash, Saket Awadhesbhai Patel, Marjori Russo, Anusha Suresh, Bo Pang, Yun-Ling Pai, Wentong Jia, Rachael L Field, Terri Pietka, Nada A Abumrad and 5 more

Abstract read
In one paragraph

Article in Cell metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Snigdha TiashDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63110, USA; Department of Medicine, Division of Endocrinology, Metabolism and Lipid Research, Washington University School of Medicine, St. Louis, MO 63110, USA.
Saket Awadhesbhai PatelDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63110, USA; Department of Medicine, Division of Endocrinology, Metabolism and Lipid Research, Washington University School of Medicine, St. Louis, MO 63110, USA.
Marjori RussoDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63110, USA; Department of Medicine, Division of Endocrinology, Metabolism and Lipid Research, Washington University School of Medicine, St. Louis, MO 63110, USA.
Anusha SureshDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63110, USA; Department of Medicine, Division of Endocrinology, Metabolism and Lipid Research, Washington University School of Medicine, St. Louis, MO 63110, USA.
Bo PangDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63110, USA; Department of Medicine, Division of Endocrinology, Metabolism and Lipid Research, Washington University School of Medicine, St. Louis, MO 63110, USA.
Yun-Ling PaiDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63110, USA; Department of Medicine, Division of Endocrinology, Metabolism and Lipid Research, Washington University School of Medicine, St. Louis, MO 63110, USA.
Wentong JiaDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO 63110, USA.
Rachael L FieldDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO 63110, USA.
Terri PietkaDepartment of Medicine, Washington University School of Medicine, St. Louis, MO 63110, USA.
Nada A AbumradDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63110, USA; Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, USA.
Gordon I SmithCenter for Human Nutrition, Washington University in St. Louis School of Medicine, St. Louis, MO 63110, USA.
Dmitri SamovskiCenter for Human Nutrition, Washington University in St. Louis School of Medicine, St. Louis, MO 63110, USA.
Samuel KleinCenter for Human Nutrition, Washington University in St. Louis School of Medicine, St. Louis, MO 63110, USA.
Jonathan R BrestoffDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO 63110, USA.
Clair CreweDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63110, USA; Department of Medicine, Division of Endocrinology, Metabolism and Lipid Research, Washington University School of Medicine, St. Louis, MO 63110, USA. Electronic address: clair.crewe@wustl.edu.

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 1999 to 2026
$30.2M
WU P&FP30DK020579 · NIDDK · WASHINGTON UNIVERSITY · PI Clay F. Semenkovich · 2013 to 2026
$27.1M
Exosomes and insulin action in metabolically healthy and unhealthy obesityR01DK137206 · NIDDK · WASHINGTON UNIVERSITY · PI Samuel Klein, Dmitri Samovski · 2023 to 2026
$3.0M
Harnessing mitochondria transfer pathways to ameliorate Leigh Syndrome-like diseaseR01NS134932 · NINDS · WASHINGTON UNIVERSITY · PI Jonathan R Brestoff · 2024 to 2026
$1.8M
Neutrophil regulation of brown adipose tissue homeostasisR01DK140330 · NIDDK · WASHINGTON UNIVERSITY · PI Jonathan R Brestoff · 2025 to 2026
$1.4M
Extracellular vesicles from adipocytes in cardiometabolic diseaseR01DK137791 · NIDDK · WASHINGTON UNIVERSITY · PI Clair Crewe · 2025 to 2026
$930k
Endothelial cell-assisted extracellular vesicle bioengineering for cytoplasmic delivery of therapeutic moleculesR21EB035738 · NIBIB · WASHINGTON UNIVERSITY · PI CREWE, CLAIR · 2024 to 2024
$622k
American Heart Association-American Stroke Association 23IPA1054013American Heart Association-American Stroke Association 24POST1244220NCATS NIH HHS UL1 TR000448NCI NIH HHS P30 CA091842NIBIB NIH HHS R21 EB035738NIDDK NIH HHS P30 DK020579NIDDK NIH HHS P30 DK056341NIDDK NIH HHS R01 DK137206NIDDK NIH HHS R01 DK137791NIDDK NIH HHS R01 DK140330NINDS NIH HHS R01 NS134932
6 · The paper itself

Abstract

Extracellular vesicles (EVs) are now recognized as potent mediators of inter-organ signaling and are implicated in the pathogenesis of obesity and associated comorbidities. Despite a recent surge in functional information about EVs, we still lack a basic understanding of how endogenous EV levels are controlled to regulate inter-organ signaling. New flow cytometry technologies have allowed us to study the regulation of circulating endogenous EVs from metabolically relevant cell types such as adipocytes (adipocyte-derived EVs [adipoEVs]). We provide evidence for a paradigm of EV regulation in which tissue-resident immune cells, predominantly macrophages, clear EVs released by local tissue cells or those entering the tissue from circulation, an activity that determines circulating EV levels. In obesity, EV uptake by adipose tissue immune cells is reduced, leading to increased circulating adipoEVs and reduced adipoEV clearance rates. This work shows that tissue immune cells gate tissue EV entry into the circulation, making them key regulators of inter-organ EV signaling.

Indexed as

AdipocytesExtracellular VesiclesMacrophagesAdipose TissueAnimalsHumansMiceObesitySignal Transductionadipocyteexosomesextracellular vesiclesinsulin resistanceinter-organ signalingmacrophagemitochondriaobesityspectral flow cytometrytype 2 diabetes

Identifiers

PMID41812649
PMCPMC13053014

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.