Evidence map›Paper›PMID 41939200›Full record

ArticleFrontiers in nutrition2026

Isolation and characterization of extracellular vesicles from human milk for potential use as a dietary supplement in clinical research with preterm infants.

Jose Luis Moreno-Casillas, Laura Ripoll-Seguer, Emmanuel Rumba-Matano, Anna Parra-Llorca, María Cernada, María Jesús Vaya, Eduardo López Briz, Ana María Padilla-López, Ana Gil Brusola, Bernhard Lendl and 3 more

Abstract read
In one paragraph

Article in Frontiers in nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

13 authors.

Jose Luis Moreno-Casillas *Neonatal Research Group, Health Research Institute La Fe (IIS La Fe), València, Spain.
Laura Ripoll-SeguerNeonatal Research Group, Health Research Institute La Fe (IIS La Fe), València, Spain.
Emmanuel Rumba-MatanoNeonatal Research Group, Health Research Institute La Fe (IIS La Fe), València, Spain.
Anna Parra-LlorcaSpanish Network in Maternal, Neonatal, Child and Developmental Health Research (RICORS- SAMID) (RD24/0013/0014), Neonatal Research Group, Health Research Institute La Fe, València, Spain.
María CernadaSpanish Network in Maternal, Neonatal, Child and Developmental Health Research (RICORS- SAMID) (RD24/0013/0014), Neonatal Research Group, Health Research Institute La Fe, València, Spain.
María Jesús VayaBlood Transfusion Center from the Valencian Community, València, Spain.
Eduardo López BrizDepartment of Hospital Pharmacy, University and Polytechnic Hospital La Fe, València, Spain.
Ana María Padilla-LópezDepartment of Hospital Pharmacy, University and Polytechnic Hospital La Fe, València, Spain.
Ana Gil BrusolaDepartment of Microbiology, University and Polytechnic Hospital La Fe, València, Spain.
Bernhard LendlInstitute of Chemical Technologies and Analytics, Technische Universität Wien, Vienna, Austria.
Guillermo QuintásHealth and Biomedicine, Leitat Technological Center, Terrassa, Spain.
María GormazSpanish Network in Maternal, Neonatal, Child and Developmental Health Research (RICORS- SAMID) (RD24/0013/0014), Neonatal Research Group, Health Research Institute La Fe, València, Spain.
Julia KuligowskiServicio de Análisis de Vesículas Extracelulares (SAVE), Health Research Institute La Fe (IIS La Fe), València, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/objectives: Human milk (HM) is the gold standard for neonatal nutrition, providing essential macronutrients and bioactive compounds that promote immune and gastrointestinal development. Among these components, HM-derived extracellular vesicles (HMEVs) are emerging as key mediators of intestinal maturation and protection against necrotizing enterocolitis (NEC). HMEVs carry miRNAs, proteins, and bioactive lipids that resist digestion and modulate critical signaling pathways in the immature gut, making them particularly relevant for preterm infants. Methods: This study describes the development and adaptation of a robust, scalable workflow for isolating HMEVs from donor HM for potential use as a nutritional supplement. An initial laboratory-scale isolation protocol was successfully scaled up to a sterile, clinically compatible process. Key modifications included increasing ultracentrifugation speed, eliminating filtration, and replacing phosphate-buffered saline (PBS) with a resuspension medium suitable for nutritional applications. Results: The scaled procedure increased the processed milk volume from 25 mL to 63 mL while reducing the HMEVs isolation time from 14 hs to 7.7 h. Tunable Resistive Pulse Sensing (TRPS) and ExoView Conclusions: This optimized and scalable method enables the safe and efficient isolation of HMEVs for use in neonatal nutritional supplements. These findings establish methodological groundwork for future translational studies of milk-derived EVs aimed at supporting intestinal development and immune protection, and potentially reducing the risk of NEC in preterm infants.

Indexed as

donor human milk (DHM) supplementationhuman milk-derived extracellular vesicles (HMEVs)necrotizing enterocolitis (NEC)neonatal intestinal protectionpreterm infant nutrition

Identifiers

PMID41939200
PMCPMC13046510

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.