Evidence map›Paper›PMID 40194993›Full record

ArticleJournal of extracellular vesicles2025

Intranasal Delivery of Brain-Derived Neurotrophic Factor (BDNF)-Loaded Small Extracellular Vesicles for Treating Acute Spinal Cord Injury in Rats and Monkeys.

Zhonghai Huang, Jing Li, Jin Wo, Cheng-Lin Li, Zi-Cong Wu, Xiao-Hui Deng, Yaying Liang, Fuxiang Li, Boli Chen, Bin Jia and 9 more

Abstract read
In one paragraph

Article in Journal of extracellular vesicles, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

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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

19 authors.

Zhonghai HuangGuangdong Provincial Key Laboratory of Spine and Spinal Cord Reconstruction, The Fifth Affiliated Hospital (Heyuan Shenhe People's Hospital), Jinan University, Heyuan, China.ORCID https://orcid.org/0000-0001-8249-6297
Jing LiGuangdong-Hongkong-Macau Institute of CNS Regeneration, Key Laboratory of CNS Regeneration (Jinan University)-Ministry of Education, Guangdong Key Laboratory of Non-Human Primate Research, Jinan University, Guangzhou, China.
Jin WoGuangdong Provincial Key Laboratory of Spine and Spinal Cord Reconstruction, The Fifth Affiliated Hospital (Heyuan Shenhe People's Hospital), Jinan University, Heyuan, China.
Cheng-Lin LiOtorhinolaryngology Hospital of The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Zi-Cong WuOtorhinolaryngology Hospital of The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Xiao-Hui DengOtorhinolaryngology Hospital of The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Yaying LiangGuangdong-Hongkong-Macau Institute of CNS Regeneration, Key Laboratory of CNS Regeneration (Jinan University)-Ministry of Education, Guangdong Key Laboratory of Non-Human Primate Research, Jinan University, Guangzhou, China.
Fuxiang LiGuangdong-Hongkong-Macau Institute of CNS Regeneration, Key Laboratory of CNS Regeneration (Jinan University)-Ministry of Education, Guangdong Key Laboratory of Non-Human Primate Research, Jinan University, Guangzhou, China.
Boli ChenGuangdong-Hongkong-Macau Institute of CNS Regeneration, Key Laboratory of CNS Regeneration (Jinan University)-Ministry of Education, Guangdong Key Laboratory of Non-Human Primate Research, Jinan University, Guangzhou, China.
Bin JiaGuangdong-Hongkong-Macau Institute of CNS Regeneration, Key Laboratory of CNS Regeneration (Jinan University)-Ministry of Education, Guangdong Key Laboratory of Non-Human Primate Research, Jinan University, Guangzhou, China.
Lu WangCenter of Cyclotron and PET Radiopharmaceuticals, Department of Nuclear Medicine and PET/CT-MRI Center, The First Affiliated Hospital, Jinan University, Guangzhou, China.
Ying WangMedical Imaging Center, The First Affiliated Hospital, Jinan University, Guangzhou, China.
Guodong SunGuangdong Provincial Key Laboratory of Spine and Spinal Cord Reconstruction, The Fifth Affiliated Hospital (Heyuan Shenhe People's Hospital), Jinan University, Heyuan, China.
Zhizhong LiGuangdong Provincial Key Laboratory of Spine and Spinal Cord Reconstruction, The Fifth Affiliated Hospital (Heyuan Shenhe People's Hospital), Jinan University, Heyuan, China.
Hui ZhuKunming International Spine and Spinal Cord Injury Treatment Center, Kunming Tongren Hospital, Kunming, China.
James D GuestNeurological Surgery and the Miami Project to Cure Paralysis, Miller School of Medicine, Miami, Florida, USA.
Kwok-Fai SoGuangdong-Hongkong-Macau Institute of CNS Regeneration, Key Laboratory of CNS Regeneration (Jinan University)-Ministry of Education, Guangdong Key Laboratory of Non-Human Primate Research, Jinan University, Guangzhou, China.
Qing-Ling FuOtorhinolaryngology Hospital of The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Libing ZhouGuangdong Provincial Key Laboratory of Spine and Spinal Cord Reconstruction, The Fifth Affiliated Hospital (Heyuan Shenhe People's Hospital), Jinan University, Heyuan, China.

Funding

Guangdong grant 'Key Technologies for Treatment of Brain Disorders' 2018B030332001Guangzhou Key Projects of Brain Science and Brain-Like Intelligence Technology 20200730009Guangzhou Key Projects of Brain Science and Brain-Like Intelligence Technology 202206060003National Key R and D Program of China 2022YFA1104900National Natural Science Foundation of China 81971148Programme of Introducing Talents of Discipline to Universities B14036
6 · The paper itself

Abstract

Besides surgical decompression, neuroprotection and neuroinflammation reduction are critical for acute spinal cord injury (SCI). In this study, we prepared small extracellular vesicles (sEVs) from immortalised mesenchymal stem cells overexpressing brain-derived neurotrophic factor (BDNF) and evaluated whether intranasal administration of BDNF-sEVs is a therapeutic option for acute SCI. In cultured neurons, BDNF loading enhanced neurite outgrowth promoted by sEVs. After intranasal administration, mCherry-labelled sEVs were transported to the injured spinal cords of rats and monkeys and mainly taken up by neurons. In acute SCI rats, intranasal administration of sEVs and BDNF-sEVs reduced glial responses and proinflammatory cytokine production, enhanced neuronal survival and angiogenesis in the lesion, promoted injured axon rewiring, delayed lumbar spinal motoneuron atrophy below the lesion, and improved functional performance. The rats receiving BDNF-sEV treatment showed improved neural repair and functional recovery compared to those with sEV treatment. Intranasal administration of BDNF-sEVs, but not of sEVs, increased BDNF levels and phosphorylation of downstream signals in the rat-injured spinal cord samples, indicating activation of the BDNF/TrkB signalling pathway. In acute SCI monkeys, intranasal administration of BDNF-sEVs was further confirmed to inhibit glial reactivities and proinflammatory cytokine release, increasing BDNF levels in the cerebrospinal fluid, enhancing neural network rewiring of injured spinal cords and neuronal activities of the brain, and improving functional performances in behavioural tests and electrophysiological recordings. In conclusion, BDNF-sEVs play a combinatory therapeutic role of sEVs and BDNF, and intranasal administration of BDNF-sEVs is a potential option for the clinical treatment of acute SCI.

Indexed as

Brain-Derived Neurotrophic FactorExtracellular VesiclesSpinal Cord InjuriesAdministration, IntranasalAnimalsDisease Models, AnimalFemaleMaleMesenchymal Stem CellsRatsRats, Sprague-DawleyRecovery of FunctionBrain-Derived Neurotrophic Factorbrain‐derived neurotrophic factorintranasal deliveryneuroprotectionnon‐human primatesmall extracellular vesiclesspinal cord injury

Identifiers

PMID40194993
PMCPMC11975507

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.