Evidence map›Paper›PMID 42858301›Full record

ArticleJournal of extracellular vesicles2026

Agrin-Enriched Neonatal Spinal Cord-Derived Extracellular Vesicles Bypass Age Barriers to Organize Spinal Cord Repair.

Yongfeng Zhang, Qi Liu, Beibei Yu, Borui Xue, Shijie Yang, Teng Ma, Lingli Guo, Haining Wu, Xue Gao, Shengyou Li and 22 more

Abstract read
In one paragraph

Article in Journal of extracellular vesicles, 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. Article
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

32 authors.

Yongfeng Zhang *Department of Orthopaedics, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
Qi Liu *Department of Orthopaedics, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
Beibei Yu *Department of Neurosurgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, People's Republic of China.
Borui Xue *Department of Orthopaedics, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
Shijie YangDepartment of Orthopaedics and Traumatology, School of Clinical Medicine, the University of Hong Kong, Hong Kong, People's Republic of China.
Teng MaDepartment of Orthopaedics, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
Lingli GuoDepartment of Orthopaedics, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
Haining WuDepartment of Orthopaedics, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
Xue GaoDepartment of Orthopaedics, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
Shengyou LiDepartment of Orthopaedics, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
Yujie YangDepartment of Orthopaedics, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
Yiming HaoDepartment of Orthopaedics, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
Ziqing ZhuDepartment of Orthopaedics, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
Meijia SuCollege of Basic Medicine, Shaanxi University of Chinese Medicine, Xianyang, People's Republic of China.
Hongyu LiDepartment of Orthopaedics, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
Shuanshuan FanDepartment of Orthopaedics, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
Jiaqi WangDepartment of Orthopaedics, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
Huangtao ChenDepartment of Neurosurgery, The Second Affiliated Hospital of Xi'an Jiao Tong University, Xi'an, People's Republic of China.
Longhui FuDepartment of Neurosurgery, The Second Affiliated Hospital of Xi'an Jiao Tong University, Xi'an, People's Republic of China.
Anhui QinDepartment of Orthopaedics, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
Zhenguo WangDepartment of Orthopaedics, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
Shihao NieDepartment of Orthopaedics, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
Mingze QinDepartment of Orthopaedics, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
Xinxin BaiDepartment of Orthopaedics, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
Guang KongDepartment of Orthopaedics, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
Rui ZhaoDepartment of Orthopaedics, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
Dong LeiDepartment of Orthopaedics, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
Yue YuDepartment of Orthopaedics, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
Junxiong MaDepartment of Orthopedics, General Hospital of Northern Theater Command, Shenyang, People's Republic of China.
Shouping GongDepartment of Neurosurgery, The Second Affiliated Hospital of Xi'an Jiao Tong University, Xi'an, People's Republic of China.
Bing XiaDepartment of Orthopaedics, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
Jinghui HuangDepartment of Orthopaedics, Xijing Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.ORCID https://orcid.org/0000-0002-0991-0591

Funding

National Key R&D Program of China 2024YFA1802502(J.H.)National Natural Science Foundation of China 82372404(J.H.)National Natural Science Foundation of China 82430077(Z.L.)National Natural Science Foundation of China 82472417(T.M.)National Natural Science Foundation of China 82472418(B.X.)National Natural Science Foundation of China 82502883(S.L.)National Natural Science Foundation of China 82525039(J.H.)
6 · The paper itself

Abstract

Spinal cord injury (SCI) poses a formidable challenge in regenerative medicine, with current therapeutic strategies proving largely unsuccessful in achieving functional repair. Notably, paediatric patients and neonatal mice exhibit spontaneous and efficient regeneration after SCI, while the mechanisms remain elusive. Through integrated multi-omics analysis in neonatal, adult and aged mice with SCI, we discovered that the regeneration time window, inflammatory response, and intercellular communication are all age-dependent. Neonatal spinal cord-derived extracellular vesicles (nSC-EVs) were identified carrying a regenerative protein signature and were critical mediators in restoring SCI repair in neonatal mice. Functionally, nSC-EVs promote neurogenesis via the Wnt/β-catenin pathway and mediate axonal growth through the core effector Agrin (encoded by Agrn), which was found to be predominantly expressed in endothelial cells. We further developed a targeted delivery system for nSC-EVs, which significantly enhanced functional recovery, including motor and bladder control, in adult SCI mice. This work elucidates the mechanistic basis of age-dependent repair processes and proposes a novel EV-based therapy for SCI.

Indexed as

AgrinExtracellular VesiclesSpinal CordSpinal Cord InjuriesSpinal Cord RegenerationAnimalsAnimals, NewbornHumansMiceNeurogenesisRecovery of FunctionWnt Signaling PathwayAgrin

Identifiers

PMID42858301
PMCPMC13653649

What OpenQuestion holds

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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.