Evidence map›Paper›PMID 42052617›Full record

ArticlePlastic and reconstructive surgery. Global open2026

Plant Exosome Injections in Tongue Wounds: A Comparative Histological and Immunohistochemical Experimental Study.

Noury Adel, Jesper Thulesen, Jack Kolenda, Nenad Stankovic, Francisco Llano, Youn Kyong Jo, Ida Vega Thulesen, Alyaa Ragaei, Mona Abdallah Sabry

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Article in Plastic and reconstructive surgery. Global open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Noury AdelFrom Oral and Maxillofacial Surgery Specialist, Private Practice, Cairo, Egypt.
Jesper ThulesenPrivate Practice, Copenhagen, Denmark.
Jack KolendaDepartment of Otolaryngology Head and Neck Surgery, University of Toronto, Toronto, Canada.
Nenad StankovicPrivate Practice, Belgrade, Serbia.
Francisco LlanoPrivate Practice, Estado de Mexico, Mexico.
Youn Kyong JoOrasyun Clinic, Seoul, South Korea.
Ida Vega ThulesenEye Department, Roskilde University Hospital, Roskilde, Denmark.
Alyaa RagaeiDepartment of Cell Biology and Histology, Saxony Egypt University for Applied Sciences and Technology, Cairo, Egypt.
Mona Abdallah SabrySurgery and Oral Medicine Department, Oral & Dental Research Institute National Research Centre, Giza, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Tongue tip wounds are challenging due to mechanical stress, vascularity, and microbial exposure. Although the 450-nm diode laser allows precise, minimally invasive incisions, strategies to enhance healing remain limited. Exosomes, nanoscale extracellular vesicles, have emerged as potent acellular mediators of tissue regeneration. The aim of this study is to evaluate and compare the histological and immunohistochemical effects of 2 commercial plant derived exosome formulations, Exoline and Glow, on the healing of 450-nm diode laser-induced incisions at the tongue tip in a rabbit model. Methods: A total of 108 New Zealand rabbits were randomized into 3 groups (control, Exoline, Glow; n = 36 each). Standardized linear incisions were created at the tongue tip with a 450-nm diode laser, followed by immediate injection of the assigned treatment at the wound site. Animals were euthanized at baseline, day 3, and day 7 (n = 12 per group per time point). Biopsies were analyzed using hematoxylin and eosin and Masson trichrome staining to assess inflammation, epithelial regeneration, and collagen deposition, as well as CD31 immunohistochemistry to evaluate neovascularization. Results: Both plant-derived exosome formulations accelerated healing compared with controls. By day 7, Exoline-treated wounds exhibited significantly reduced inflammatory infiltrate, denser and more organized collagen bundles, more complete epithelial regeneration, and higher CD31 expression indicating enhanced angiogenesis compared with Glow. Conclusions: Plant-derived exosomes enhance healing of diode laser-induced tongue tip wounds, with Exoline producing superior histological and angiogenic outcomes. These results highlight Exoline's potential as an adjunctive therapy for functional oral soft tissue regeneration.

Identifiers

PMID42052617
PMCPMC13120528

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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.