Evidence map›Paper›PMID 42923804›Full record

ReviewFrontiers in immunology2026

Extracellular vesicle-cytokine communication in diabetic kidney disease: an integrated network linking renal resident cells and macrophages.

Zhixun Guo, Xinying Si, Zhichao Ruan, Jiangteng Liu, Nan Tong, Ying Tang, Yixin Ma, Dongchen Yang, Weijun Huang, Jinxi Zhao

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 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

10 authors.

Zhixun Guo *Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Xinying Si *Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Zhichao Ruan *Department of Endocrinology, The Affiliated Hospital of Jiangxi University of Chinese Medicine (Jiangxi Provincial Hospital of Traditional Chinese Medicine), Nanchang, China.
Jiangteng LiuThe First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, Zhejiang, China.
Nan TongDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Ying TangDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Yixin MaDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Dongchen YangDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Weijun HuangDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Jinxi ZhaoDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic inflammation contributes to the onset and progression of diabetic kidney disease (DKD), yet a model centered solely on soluble cytokines does not fully explain the cellular origin, spatially directed delivery, or sustained amplification of local signals. Extracellular vesicles (EVs) couple vesicular signaling with cytokine regulation through EV-associated cytokine or ligand signals and through RNA or protein cargo that reprograms cytokine production in recipient cells. This review examines how metabolic stress alters EV release and cargo composition, summarizes evidence for unidirectional and bidirectional communication between resident kidney cells and immune cells, and evaluates the EV specificity and evidential completeness of each donor-recipient axis. Evidence is strongest for communication between tubular epithelial cells and macrophages; findings involving podocytes, mesangial cells, and glomerular endothelial cells are largely unidirectional or inferred across studies. Under the

Indexed as

Cell CommunicationCytokinesDiabetic NephropathiesExtracellular VesiclesKidneyMacrophagesAnimalsHumansSignal TransductionCytokinescytokine networksdiabetic kidney diseaseextracellular vesiclesimmune cellsintercellular communicationinterventionresident kidney cells

Identifiers

PMID42923804
PMCPMC13688021

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.