Evidence map›Paper›PMID 42292037›Full record

ReviewInternational journal of nanomedicine2026

Plant-Derived Exosome-Like Nanoparticles in Neurodegenerative Diseases: From Dual Bioactive-Delivery Roles to Translational Challenges.

Yue Sun, Zongqiang Xu, Lianhui Cui, Jianfei Guo, Xiaohui Zhang, Yilei Xiao

Abstract readReview
In one paragraph

Review in International journal of nanomedicine, 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

6 authors.

Yue SunSchool of Clinical Medicine, Shandong Second Medical University, Weifang, Shandong, People's Republic of China.ORCID 0009-0001-4834-0130
Zongqiang XuDepartment of Neurosurgery, Liaocheng People's Hospital Affiliated to Shandong First Medical University, Liaocheng, Shandong, People's Republic of China.
Lianhui CuiDepartment of Neurosurgery, Liaocheng People's Hospital Affiliated to Shandong First Medical University, Liaocheng, Shandong, People's Republic of China.
Jianfei GuoDepartment of Neurosurgery, Liaocheng People's Hospital Affiliated to Shandong First Medical University, Liaocheng, Shandong, People's Republic of China.
Xiaohui ZhangDepartment of Neurosurgery, Liaocheng People's Hospital Affiliated to Shandong First Medical University, Liaocheng, Shandong, People's Republic of China.ORCID 0000-0002-8855-642X
Yilei XiaoDepartment of Neurosurgery, Liaocheng People's Hospital Affiliated to Shandong First Medical University, Liaocheng, Shandong, People's Republic of China.ORCID 0000-0002-6651-4122

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neurodegenerative diseases, particularly Alzheimer's disease (AD) and related disorders, remain difficult to treat because of their multifactorial pathogenesis, limited disease-modifying therapies, and insufficient central nervous system exposure of many therapeutic agents. Plant-derived exosome-like nanoparticles (PELNs) are emerging as biogenic nanovesicles that combine intrinsic bioactivity with natural nanocarrier properties. Enriched with lipids, proteins, small RNAs, and phytochemicals, PELNs may exert neuroprotective effects while offering opportunities for gastrointestinal stability, systemic transport, and potential central nervous system delivery. This review critically summarizes the dual bioactive-delivery roles of PELNs in AD and related neurodegenerative disorders. We discuss their potential mechanisms in modulating neuroinflammation, glial cell-mediated immune responses, redox imbalance, mitochondrial dysfunction, pathological protein aggregation, neural repair, and gut-brain axis regulation. We further examine how administration routes, biodistribution patterns, cellular uptake, and blood-brain barrier (BBB) models influence the interpretation of evidence for central nervous system (CNS) targeting. In addition, recent advances in isolation, purification, characterization, cargo loading, and surface engineering strategies are reviewed in the context of improving stability, targeting capacity, and translational feasibility. Despite their promise, the clinical development of PELNs remains constrained by source-dependent heterogeneity, non-standardized isolation methods, insufficiently defined critical quality attributes, inconsistent dosing metrics, limited pharmacokinetic and biodistribution data, and unresolved long-term biosafety concerns. Establishing rigorous Chemistry, Manufacturing, and Controls (CMC) frameworks, reproducible quality-control assays, and evidence-based translational pathways will be essential for advancing PELNs from experimental bioactive vesicles to clinically relevant neurotherapeutic platforms.

Indexed as

ExosomesNanoparticlesNeurodegenerative DiseasesPlantsAlzheimer DiseaseAnimalsBlood-Brain BarrierHumansNeuroprotective AgentsTissue DistributionNeuroprotective AgentsADAlzheimer’s diseaseBBBbioactive nanocarriersblood-brain barrierneurodegenerative diseasesPELNsplant-derived exosome-like nanoparticles

Identifiers

PMID42292037
PMCPMC13264307

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.