Evidence map›Paper›PMID 42882429›Full record

ReviewCells2026

Not All Extracellular Vesicles Are Equal: A Narrative Comparative Review of Source-Dependent Function and Therapeutic Potential.

Yasaman Zandi Mehran, Michael Weber, Fateme Hoseinzade

Abstract readReviewComparative Study
In one paragraph

Review in Cells, 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

3 authors.

Yasaman Zandi MehranBiomedical Engineering, Regenerative Medicine Equipment, Dubai 25048, United Arab Emirates.ORCID 0000-0001-8805-4086
Michael WeberEuropean Laser Academy, 45657 Recklinghausen, Germany.
Fateme HoseinzadePhysical Medicine and Rehabilitation, Isfahan University of Medical Sciences, Isfahan 81746-73461, Iran.ORCID 0009-0009-7742-1376

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Extracellular vesicles (EVs) are increasingly investigated as cell-free therapeutic platforms, yet EVs from different cellular sources are often considered functionally interchangeable despite substantial biological heterogeneity. This narrative comparative review evaluated how EV source influences molecular cargo, phenotype, biological function, therapeutic suitability, safety, and translational potential. PubMed/MEDLINE, Europe PMC, and OpenAlex were searched from inception through 14 August 2026, supplemented by targeted Google Scholar and backward and forward citation searching. Of the 9779 database records identified, 3799 duplicates were removed and 5980 unique records were screened. Sixty-seven database studies and three additional studies identified through supplementary searching met the criteria for direct within-study comparison of EVs from distinct parental cell or tissue sources. Across the 70 direct comparisons, source-associated differences in cargo, phenotype, target-cell responses, and therapeutic performance were frequently reported; however, the depth and consistency of supporting evidence varied substantially across source families and indications, with activity further influenced by cellular state, engineering, vesicle fraction, isolation method, and dose. Based on these findings, we propose EV-FIT+-Function, Indication, Trade-off, and Contra-Function-as an author-developed qualitative framework for rational EV source selection. No EV source is universally superior; therapeutic suitability depends on matching source- and product-specific biological characteristics and risks to the intended clinical objective.

Indexed as

Extracellular VesiclesAnimalsHumanscancer immunotherapydrug deliveryextracellular vesiclesmesenchymal stromal cellsregenerative medicine

Identifiers

PMID42882429
PMCPMC13664309

What OpenQuestion holds

Textmetadata
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.