Evidence map›Paper›PMID 42811122›Full record

ArticleNature aging2026

Exercise enhances aged chondrocyte health through microRNA-29-enriched extracellular vesicles.

Hirotaka Iijima, Kandarp M Dave, Kai Wang, Adam M Khay, Ella D'Amico, Wan-Yee Tang, Renee J Rogers, John M Jakicic, Fabrisia Ambrosio

Abstract read
PubMed Publisher
In one paragraph

Article in Nature aging, 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

9 authors.

Hirotaka IijimaDiscovery Center for Musculoskeletal Recovery, Schoen Adams Research Institute at Spaulding, Charlestown, MA, USA. hiijima1@mgh.harvard.edu.ORCID http://orcid.org/0000-0001-5504-1502
Kandarp M DaveDiscovery Center for Musculoskeletal Recovery, Schoen Adams Research Institute at Spaulding, Charlestown, MA, USA.
Kai WangDiscovery Center for Musculoskeletal Recovery, Schoen Adams Research Institute at Spaulding, Charlestown, MA, USA.ORCID http://orcid.org/0000-0001-8447-6177
Adam M KhayDiscovery Center for Musculoskeletal Recovery, Schoen Adams Research Institute at Spaulding, Charlestown, MA, USA.ORCID http://orcid.org/0009-0002-3011-8010
Ella D'AmicoDepartment of Rehabilitation and Regenerative Medicine, Columbia University Irving Medical Center, New York, NY, USA.ORCID http://orcid.org/0009-0001-8991-6546
Wan-Yee TangDepartment of Environmental and Occupational Health, University of Pittsburgh, Pittsburgh, PA, USA.
Renee J RogersDepartment of Internal Medicine, Division of Physical Activity and Weight Management, University of Kansas Medical Center, Kansas City, KS, USA.
John M JakicicDepartment of Internal Medicine, Division of Physical Activity and Weight Management, University of Kansas Medical Center, Kansas City, KS, USA.ORCID http://orcid.org/0000-0001-6800-9368
Fabrisia AmbrosioDiscovery Center for Musculoskeletal Recovery, Schoen Adams Research Institute at Spaulding, Charlestown, MA, USA. fambrosio@mgh.harvard.edu.ORCID http://orcid.org/0000-0002-5497-5968

Funding

Role of extracellular matrix in age-related declines of muscle regenerationR01AG061005 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI AMBROSIO, FABRISIA, LEDUC, PHILIP R · 2019 to 2023
$2.5M
The Anti-Aging Role of Klotho in Skeletal Muscle RegenerationR01AG052978 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI AMBROSIO, FABRISIA · 2017 to 2020
$2.0M
The opposing effects of matrix aging and muscle activity on extracellular vesicle promotion of muscle regenerationR01AG087565 · NIA · SPAULDING REHABILITATION HOSPITAL · PI Fabrisia Ambrosio, Philip R LeDuc · 2024 to 2026
$2.0M
Network medicine-based discovery of therapeutics for knee osteoarthritisR01AG090356 · NIA · SPAULDING REHABILITATION HOSPITAL · PI Hirotaka Iijima · 2025 to 2026
$1.3M
Mechano-regulation of circulating extracellular vesicle cargoes to enhance knee joint healthR01AG092299 · NIA · SPAULDING REHABILITATION HOSPITAL · PI Fabrisia Ambrosio, Hirotaka Iijima · 2025 to 2026
$1.3M
MEXT | Japan Society for the Promotion of Science (JSPS) 23H03308U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) R01AG052978U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) R01AG061005U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) R01AG087565U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) R01AG090356U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) R01AG092299
6 · The paper itself

Abstract

Extracellular vesicles (EVs) have been proposed to be mediators of the health-promoting effects of exercise throughout the body, but how EVs communicate these beneficial signals to recipient cells remains unknown. Here we interrogated these mechanisms using articular cartilage as a model. Network propagation of EV microRNA perturbations on a cartilage-specific network identified microRNA-29 as an exercise-responsive regulator of cellular aging. Consistent with this prediction, a 3-month aerobic exercise intervention in older adults increased microRNA-29 levels in EVs relative to baseline EVs. In vitro studies revealed that these exercise-primed EVs epigenetically de-repressed the KL gene, which encodes the longevity-associated protein α-Klotho, and restored a more youthful chondrocyte phenotype. EVs engineered to express microRNA-29 recapitulated these anabolic effects in a KL-dependent manner. Intra-articular administration of exercise-primed EVs into aged mice enhanced cartilage health, thereby confirming physiological and potentially translational relevance. These findings elucidate mechanisms by which exercise transduces beneficial signals in EVs to promote health in distal tissues through regulation of KL.

Identifiers

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Registered trials

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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.