Evidence map›Paper›PMID 42038001›Full record

ReviewFrontiers in physiology2026

Exosomes in osteoporosis: regulatory mechanisms and clinical applications.

Qi Shuai, Jun Tian, Wenlong Yang, Santing Huang

Abstract readReview
In one paragraph

Review in Frontiers in physiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Review
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

4 authors.

Qi ShuaiDepartment of Spine Surgery, Tongren Hospital of Traditional Chinese Medicine, Tongren, Guizhou, China.
Jun TianDepartment of Spine Surgery, Tongren Hospital of Traditional Chinese Medicine, Tongren, Guizhou, China.
Wenlong YangDepartment of Spine Surgery, Tongren Hospital of Traditional Chinese Medicine, Tongren, Guizhou, China.
Santing HuangDepartment of Spine Surgery, Tongren Hospital of Traditional Chinese Medicine, Tongren, Guizhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Osteoporosis is a systemic metabolic bone disorder characterized by progressive bone mass reduction and microarchitectural deterioration, leading to fragility fractures. It poses a serious threat to the health of middle-aged and elderly populations and imposes a heavy healthcare burden. Exosomes mediate intercellular communication by transporting bioactive molecules such as proteins, miRNAs, and circRNAs, exerting bidirectional regulation on bone homeostasis. Exosomes derived from mesenchymal stem cells, young plasma, and plants often improve osteoporosis by promoting osteoblastic differentiation and suppressing osteoclastic activity. Conversely, exosomes originating from osteoclasts, M1 macrophages, and tumor cells tend to accelerate bone resorption. Exosomes not only provide highly specific non-invasive biomarkers for osteoporosis but also emerge as novel therapeutic carriers due to their inherent biocompatibility, targeted delivery properties, and potential for engineered modification. This systematic review examines the biological properties of exosomes, the molecular mechanisms by which exosomes from different sources regulate bone metabolism, and their application progress in the diagnosis and treatment of osteoporosis. It also explores challenges in their clinical translation, providing a comprehensive reference for further research and clinical application in this field.

Indexed as

bone metabolism regulationexosomesintercellular communicationmolecular mechanismsosteoporosistargeted therapy

Identifiers

PMID42038001
PMCPMC13106144

What OpenQuestion holds

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LicenceCC BY
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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.