Evidence map›Paper›PMID 41846240›Full record

SynthesisJournal of diabetes research2026

Efficacy of Stem Cell-Derived Exosomes in Promoting Diabetic Foot Ulcer Healing: A Meta-Analysis of Preclinical Animal Studies.

Xiaona Wang, Lei Pan, Haijun Shen

Abstract readMeta-Analysis
In one paragraph

Synthesis in Journal of diabetes research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

3 authors.

Xiaona WangDepartment of General Practice, Jiangsu University, University Hospital (Community Health Service Station), Zhenjiang, Jiangsu, China, ujs.edu.cn.ORCID https://orcid.org/0009-0004-8839-9390
Lei PanDepartment of Surgery, Zhenjiang First People's Hospital, Jiangsu University, Clinical Medicine School, Zhenjiang, Jiangsu, China, ujs.edu.cn.ORCID https://orcid.org/0000-0003-0175-8238
Haijun ShenDepartment of Preventive Medicine & Public Health Laboratory Science, Jiangsu University, School of Medicine, Zhenjiang, Jiangsu, China, ujs.edu.cn.ORCID https://orcid.org/0000-0003-2899-3916

Funding

National Natural Science Foundation of China 81402870
6 · The paper itself

Abstract

objectiveThe objective of the study is to systematically evaluate the efficacy and mechanisms of action of stem cell-derived exosomes from various sources (including adipose tissue [AD-MSCs] and bone marrow [BM-MSCs]) in treating diabetic foot ulcers (DFUs) based on preclinical evidence.

methodA computerized search was performed across multiple databases including PubMed, CBM, Web of Science, Embase, Wanfang, CNKI, the Cochrane Library, and VIP. The search period covered the period from their inception through December 2024. The search is aimed at identifying all relevant randomized controlled trials (RCTs) using animal models of DFU. Ten studies involving 239 animals were included in the final meta-analysis. Data synthesis and statistical analysis were performed using RevMan 5.4. The risk of bias was assessed with SYRCLE's tool.

resultsThe pooled results demonstrated that stem cell-derived exosomes significantly promoted wound healing, evidenced by increased wound healing rates on Day 7 (SMD = 8.41, 95% CI: 4.06-12.75, p < 0.001; I

conclusionStem cell-derived exosomes represent a highly effective preclinical therapeutic strategy for DFU by accelerating wound closure and improving key wound healing parameters. However, the clinical translation of these findings requires further validation due to the high heterogeneity, potential publication bias, and the inherent limitations of animal studies.

trial registrationClinicalTrials.gov identifier: CRD420251110272.

Indexed as

Diabetic FootExosomesStem CellsWound HealingAnimalsDisease Models, AnimalNeovascularization, Physiologicdiabetic foot ulcer healingmeta-analysisstem cell–derived exosomes

Identifiers

PMID41846240
PMCPMC13140873

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.