Evidence map›Paper›PMID 42454237›Full record

ReviewStem cells international2026

A Narrative Review of Stem Cell-Derived Exosomes for Diabetic Nephropathy.

Mo Li, Tianjing Sun, Allen Gao, Andrew Huang, Gagan Deep, Yuanyuan Zhang, Anyong Yu

Abstract readReview
In one paragraph

Review in Stem cells international, 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

7 authors.

Mo LiDepartment of Emergency, Affiliated Hospital of Zunyi Medical University, Zunyi, 563003, Guizhou, China, zmchospital.com.cn.ORCID https://orcid.org/0009-0006-6449-3758
Tianjing SunDepartment of Emergency, Affiliated Hospital of Zunyi Medical University, Zunyi, 563003, Guizhou, China, zmchospital.com.cn.ORCID https://orcid.org/0000-0001-7378-8175
Allen GaoDepartment of Urology, University of California, Davis, Sacramento, California, USA, berkeley.edu.ORCID https://orcid.org/0000-0002-5966-9038
Andrew HuangDepartment of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, Missouri, USA, wustl.edu.ORCID https://orcid.org/0000-0003-1939-9149
Gagan DeepDepartment of Internal Medicine-Gerontology and Geriatric Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA, wakehealth.edu.ORCID https://orcid.org/0000-0003-4445-8796
Yuanyuan ZhangWake Forest Institute for Regenerative Medicine, Wake Forest University Health Sciences, Winston-Salem, North Carolina, USA, wfu.edu.ORCID https://orcid.org/0000-0002-5708-9718
Anyong YuDepartment of Emergency, Affiliated Hospital of Zunyi Medical University, Zunyi, 563003, Guizhou, China, zmchospital.com.cn.ORCID https://orcid.org/0000-0001-5673-2479

Funding

3D Culture Systems Of Urine-Derived Stem Cell For NTRI-Induced Mitotoxicity AssessmentR21AI152832 · NIAID · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ZHANG, YUANYUAN NO · 2020 to 2021
$426k
Regeneration of human RPE cells from autologous urine-derived iPS cellsR21EY035833 · NEI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ZHANG, YUANYUAN NO · 2024 to 2025
$426k
Silk Fibers-Assisted 3D System for Large-Scale Culture of Human Urine-Derived Stem Cells Suitable for Late Mitotoxicity TestingR03AI165170 · NIAID · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ZHANG, YUANYUAN NO · 2021 to 2022
$155k
NEI NIH HHS R21 EY035833NIAID NIH HHS R03 AI165170NIAID NIH HHS R21 AI152832
6 · The paper itself

Abstract

Diabetic nephropathy (DN) remains a major cause of end-stage kidney disease. Stem cell-derived exosomes have emerged as a promising therapeutic strategy due to their ability to deliver bioactive molecules to damaged tissues. This narrative review, conducted in accordance with PRISMA guidelines, aims to evaluate the therapeutic potential of exosomes derived from various stem cell sources, including mesenchymal stem cells (MSCs), embryonic stem cells (ESCs), and induced pluripotent stem cells (iPSCs), in the context of DN. A comprehensive literature search was performed using relevant databases (e.g., PubMed, Web of Science, Scopus) to identify preclinical and clinical studies investigating the effects of stem cell-derived exosomes on DN. The identified studies were assessed for quality and methodological rigor. Priority was given to high-impact studies and those with robust experimental evidence. The selected literature was synthesized thematically to provide a coherent overview of the current state of research on exosome-based therapies for DN, highlighting current findings, and future directions. Results from preclinical studies suggest that exosomes derived from different stem cell sources can exert reno-protective effects, including reducing inflammation, fibrosis, and oxidative stress. However, comparisons between different exosome types indicate that MSCs-derived exosomes (MSC-Exos) may offer superior therapeutic benefits. While clinical trials are ongoing to evaluate the safety and efficacy of stem cell-derived exosomes in DN patients, further research is needed to optimize exosome production, delivery, and therapeutic efficacy.

Indexed as

DNexosomesmesenchymal stem cellspluripotent stem cellsstem cell therapytherapeutic effect

Identifiers

PMID42454237
PMCPMC13366409

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.