Evidence map›Paper›PMID 42196304›Full record

ReviewInternational journal of molecular sciences2026

The Mechanistic Review of the Molecular Interface of RNA-Loaded Extracellular Vesicles: Redefining Targeted Therapy for Autoimmune Disorders.

Aliya Orassay, Naizabek Yerzhigit, Anastassiya Ganina, Elmira Chuvakova, Oleg Lookin, Abay Baigenzhin

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 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. 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

6 authors.

Aliya OrassayJSC National Scientific Medical Center, 42 Abylay Khan Ave., Astana 010009, Kazakhstan.
Naizabek YerzhigitJSC National Scientific Medical Center, 42 Abylay Khan Ave., Astana 010009, Kazakhstan.
Anastassiya GaninaJSC National Scientific Medical Center, 42 Abylay Khan Ave., Astana 010009, Kazakhstan.ORCID 0000-0002-2047-1497
Elmira ChuvakovaJSC National Scientific Medical Center, 42 Abylay Khan Ave., Astana 010009, Kazakhstan.
Oleg LookinJSC National Scientific Medical Center, 42 Abylay Khan Ave., Astana 010009, Kazakhstan.ORCID 0000-0001-9544-1885
Abay BaigenzhinJSC National Scientific Medical Center, 42 Abylay Khan Ave., Astana 010009, Kazakhstan.

Funding

Science Committee of the Ministry of Science and Higher Education of the Republic of Kazakhstan within the framework of the program «Innovative approaches to the creation of a cellular product for the treatment of chronic and socially significant diseases BR28713159
6 · The paper itself

Abstract

Traditional treatments of autoimmune diseases relying on systemic immunosuppression often lack curative potential and have severe side effects. Mesenchymal stem cells (MSCs) are a promising alternative due to their immunomodulatory properties; however, whole-cell therapies have certain limitations. MSC-derived extracellular vesicles (EVs), including small vesicles-exosomes-have emerged as a safe cell-free therapeutic platform capable of crossing biological barriers and delivering bioactive cargo with low immunogenicity. Various types of RNAs abundantly produced by host MSCs represent a key element of EV content. In particular, EVs carry small RNAs, which essentially determine cellular life and fate. Our review provides a comprehensive mechanistic framework for the use of RNA-loaded EVs, specifically those carrying microRNAs (miRNAs), small interfering RNAs (siRNAs), and messenger RNAs (mRNAs), in restoring immune homeostasis. We detail the biogenesis and molecular mechanisms governing sorting of RNA into EVs, along with endogenous and exogenous engineering strategies to enhance therapeutic potency. We examine how RNA-loaded EVs modulate immunological processes like reprogramming of macrophage M1-M2 polarization, Th17/Treg balance, and suppression of inflammatory signaling pathways such as NF-κB and the NLRP3 inflammasome. We address critical translational challenges-EV heterogeneity, manufacturing scalability, and need for standardized quality control-while outlining future opportunities for RNA-loaded EV-based therapeutics.

Indexed as

Autoimmune DiseasesExtracellular VesiclesRNAAnimalsHumansMesenchymal Stem CellsMicroRNAsRNA, Small InterferingMicroRNAsRNARNA, Small Interferingautoimmune diseasesextracellular vesiclesimmunomodulationmesenchymal stem cellsmiRNARNA therapeuticssiRNA

Identifiers

PMID42196304
PMCPMC13206841

What OpenQuestion holds

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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.