Evidence map›Paper›PMID 39780243›Full record

SynthesisJournal of orthopaedic surgery and research2025

Therapeutic effect of mesenchymal stem cell-derived exosome therapy for periodontal regeneration: a systematic review and meta-analysis of preclinical trials.

Liping Zhou, Wenjia Cai, Yuhan Zhang, Wenjie Zhong, Ping He, Jingsong Ren, Xiang Gao

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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.

Liping ZhouCollege of Stomatology, Chongqing Medical University, Chongqing, 401147 , China.
Wenjia CaiCollege of Stomatology, Chongqing Medical University, Chongqing, 401147 , China.
Yuhan ZhangCollege of Stomatology, Chongqing Medical University, Chongqing, 401147 , China.
Wenjie ZhongCollege of Stomatology, Chongqing Medical University, Chongqing, 401147 , China.
Ping HeDepartment of Stomatology, Dazhou Central Hospital, Dazhou, 635000, China. 582260761@qq.com.
Jingsong RenDepartment of Stomatology, Dazhou Central Hospital, Dazhou, 635000, China. 1152819817@qq.com.
Xiang GaoCollege of Stomatology, Chongqing Medical University, Chongqing, 401147 , China. xiangg@hospital.cqmu.edu.cn.

Funding

Chongqing Natural Science Foundation Innovation and Development Joint Fund CSTB2023NSCQ-LZX0004Chongqing Outstanding Young Medical Talent Wenjie ZhongChongqing Young and Middle-aged Medical High-end Talent Studio C202308240104Dazhou Municipal Science and Technology Bureau's External Cooperation Projects 22DWHZ0010Natural Science Foundation of Chongqing CSTB2024NSCQ-MSX0434Program for Youth Innovation in Future Medicine of Chongqing Medical University W0055
6 · The paper itself

Abstract

backgroundTo assess the therapeutic effects of mesenchymal stem cell (MSC)-derived exosome therapy on periodontal regeneration and identify treatment factors associated with enhanced periodontal regeneration in recent preclinical studies.

methodsSearches were conducted in PubMed, Cochrane Library, EMBASE, and Web of Science databases until October 10, 2024. A risk of bias (ROB) assessment was performed using the SYRCLE tool. Osteogenic-related parameters were used as the primary outcome measures.

resultsIn total, 1360 articles were identified, of which 17 preclinical studies were based on MSC-derived exosome therapy, and they demonstrated a beneficial effect on BV/TV (SMD = 13.99; 95% Cl = 10.50, 17.48; p < 0.00001), CEJ-ABC (SMD = -0.22; 95% Cl = -0.31, -0.13; p < 0.00001), BMD (SMD = 0.29; 95% Cl = 0.14, 0.45; p = 0.0002), and Tp.Sp (SMD = -0.08; 95% Cl= -0.15, -0.02; p = 0.02) compared with the control group. However, no significant differences were observed in Tp.Th (SMD = 0.03; 95% CI = 0.00, 0.07; p = 0.09) between the exosome-treated group and control group. Additionally, subgroup analysis indicated that preconditioned exosomes (p = 0.03) significantly improved BV/TV. In contrast, there were no significant differences in the enhancement of BV/TV with respect to the application method (p = 0.29), application frequency (p = 0.10), treatment duration (p = 0.15), or source of MSCs (p = 0.31).

conclusionsMSC-derived exosomes show great promise for enhancing the quality of periodontal regeneration. However, more standardized and robust trials are needed to reduce heterogeneity and bias across studies and to confirm the therapeutic parameters associated with the enhancement of periodontal regeneration by MSC-derived exosomes. REGISTRATION: CRD42024546236.

Indexed as

ExosomesMesenchymal Stem CellsMesenchymal Stem Cell TransplantationPeriodontiumRegenerationAnimalsHumansOsteogenesisExosomesMesenchymal stem cellPeriodontal regenerationPeriodontitis

Identifiers

PMID39780243
PMCPMC11715287

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.