Evidence map›Paper›PMID 41872780›Full record

ArticleBMC gastroenterology2026

Extracellular vesicles derived from live or apoptotic mesenchymal stem cells: comparison of the effects of two extracellular vesicles on liver fibrosis.

Ruobing Ju, Siyuan Tian, Bo Li, Miao Zhang, Shuoyi Ma, Yinan Hu, Rui Su, Fangfang Yang, Erzhuo Xia, Yulong Shang and 2 more

Abstract readComparative Study
In one paragraph

Article in BMC gastroenterology, 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

12 authors.

Ruobing Ju *Xijing Hospital of Digestive Diseases, State Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, The Fourth Military Medical University, Xi'an, China.
Siyuan Tian *Xijing Hospital of Digestive Diseases, State Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, The Fourth Military Medical University, Xi'an, China.
Bo Li *Xijing Hospital of Digestive Diseases, State Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, The Fourth Military Medical University, Xi'an, China.
Miao ZhangXijing Hospital of Digestive Diseases, State Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, The Fourth Military Medical University, Xi'an, China.
Shuoyi MaXijing Hospital of Digestive Diseases, State Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, The Fourth Military Medical University, Xi'an, China.
Yinan HuXijing Hospital of Digestive Diseases, State Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, The Fourth Military Medical University, Xi'an, China.
Rui SuXijing Hospital of Digestive Diseases, State Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, The Fourth Military Medical University, Xi'an, China.
Fangfang YangXijing Hospital of Digestive Diseases, State Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, The Fourth Military Medical University, Xi'an, China.
Erzhuo XiaXijing Hospital of Digestive Diseases, State Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, The Fourth Military Medical University, Xi'an, China.
Yulong ShangXijing Hospital of Digestive Diseases, State Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, The Fourth Military Medical University, Xi'an, China.
Xia ZhouXijing Hospital of Digestive Diseases, State Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, The Fourth Military Medical University, Xi'an, China.
Ying HanXijing Hospital of Digestive Diseases, State Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, The Fourth Military Medical University, Xi'an, China. hanying1@fmmu.edu.cn.

Funding

Key Research and Development Program of Shaanxi province, China No. 2024SF-GJHX-16National Key Research and Development Program of China No. 2020YFA0710803National Natural Science Foundation of China No. 82270551, No. 82200680, No.82300672Science and Technology Association youth talent lifting program of Shaanxi province, China No.20230324Xijing Hospital Project No. XJZT25ZH08
6 · The paper itself

Abstract

backgroundMesenchymal stem cells (MSCs) have become a promising treatment of liver fibrosis which is a key process in liver diseases. Recent studies have shown that transplanted MSCs undergo rapid apoptosis and the apoptotic extracellular vesicles (ApoEVs) derived from MSCs exhibited stronger immunosuppressive capability. However, the effect and the mechanisms of ApoEVs in liver fibrosis remain unclear. The functional differences between ApoEVs and extracellular vesicles (EVs) have yet to be elucidated. This study aims to compare their therapeutic effects on liver fibrosis in order to optimize existing treatment strategies.

methodsApoEVs and EVs were isolated by density gradient centrifugation and illustrated by TEM and NTA. A CCl4-induced liver fibrosis mouse model was treated with equal doses of ApoEVs and EVs. Histopathological analysis was performed on liver sections, serological indicators, fibrosis-related gene expression, macrophage polarization, and the activation status of hepatic stellate cells (HSCs) were analyzed. Subsequently, miRNA-sequencing and untargeted metabolomics analysis were conducted to identify potential pathway.

resultsOur results demonstrated that ApoEVs had fourfold higher protein yield than EVs, and ApoEVs exhibited a significant superior ability to improve liver fibrosis. In vitro, ApoEVs enhanced macrophage polarization and suppressed HSC activation more effectively, thereby reducing the degree of fibrosis. The underlying molecular mechanism likely due to the enrichment of more miRNAs targeting the PI3K-AKT pathway in ApoEVs and more metabolite molecules that mediate inflammatory metabolic processes.

conclusionThese findings showed that ApoEVs exhibit better effects than EVs in alleviating liver fibrosis. Besides, the findings highlighted their therapeutic potential which suggested that ApoEVs could be a promising approach for the treatment of liver diseases and further lay a research foundation for clarifying the therapeutic mechanism of MSCs.

Indexed as

ApoptosisExtracellular VesiclesLiver CirrhosisMesenchymal Stem CellsAnimalsDisease Models, AnimalHepatic Stellate CellsMacrophagesMaleMiceMice, Inbred C57BLMicroRNAsMicroRNAsapoptotic extracellular vesiclesextracellular vesicleshepatic stellate cellsLiver fibrosismacrophages phenotypemesenchymal stem cells

Identifiers

PMID41872780
PMCPMC13130611

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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.