Evidence map›Paper›PMID 40426212›Full record

ArticleJournal of translational medicine2025

Saliva-derived extracellular vesicles: a promising therapeutic approach for salivary gland fibrosis.

Boyuan Peng, Xufei Guo, Jialing Kang, Shijiao Pan, Lili Wei, Lianhao Wang, Bo Li, Guangli Han, Yong Cheng

Abstract read
In one paragraph

Article in Journal of translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 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

9 authors.

Boyuan Peng *State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, NO. 237, Luo Yu Road, Hongshan District, Wuhan, 430079, China.
Xufei Guo *State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, NO. 237, Luo Yu Road, Hongshan District, Wuhan, 430079, China.
Jialing KangState Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, NO. 237, Luo Yu Road, Hongshan District, Wuhan, 430079, China.
Shijiao PanState Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, NO. 237, Luo Yu Road, Hongshan District, Wuhan, 430079, China.
Lili WeiState Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, NO. 237, Luo Yu Road, Hongshan District, Wuhan, 430079, China.
Lianhao WangState Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, NO. 237, Luo Yu Road, Hongshan District, Wuhan, 430079, China.
Bo LiState Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, NO. 237, Luo Yu Road, Hongshan District, Wuhan, 430079, China. libocn@whu.edu.cn.
Guangli HanState Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, NO. 237, Luo Yu Road, Hongshan District, Wuhan, 430079, China. guanglihan@whu.edu.cn.
Yong ChengState Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, NO. 237, Luo Yu Road, Hongshan District, Wuhan, 430079, China. wb003142@whu.edu.cn.ORCID 0000-0001-7434-8761

Funding

National Natural Science Foundation of China 81570995Natural Science Foundation of Hubei Province 2020CFB617
6 · The paper itself

Abstract

backgroundSalivary gland (SG) fibrosis is characterized by aberrant extracellular matrix deposition and myofibroblast activation, leading to irreversible glandular dysfunction. Current treatments remain ineffective in reversing fibrosis, necessitating novel therapeutic strategies.

methodsWe investigated the anti-fibrotic effects of saliva-derived extracellular vesicles (sEV) through in vitro and in vivo approaches. Histopathological analysis assessed collagen deposition and myofibroblast activation in SG tissues. Human SG fibroblasts (hSGFs) and SG organoids were treated with sEV to evaluate their effects on TGF-β-induced fibrogenic activity, including migration, collagen production, and myofibroblast activation. Network analysis of exosomal miRNAs and integration of RNA sequencing with sEV miRNA-seq were performed to identify key regulatory pathways. A Wharton's duct ligation model was used to examine the therapeutic potential of local sEV administration.

resultssEV treatment significantly attenuated TGF-β-induced fibrogenic activity in hSGFs and SG organoids, suppressing migration, collagen production, and myofibroblast activation. Bioinformatics analysis revealed a synergistic regulatory effect of sEV-derived miRNAs on fibrosis-associated pathways, with STAT3 identified as a key mediator. In vivo, local sEV administration reduced SG fibrosis, preserved acinar structure, and inhibited STAT3 nuclear translocation in fibroblasts.

conclusionOur findings demonstrate that sEV exerts potent anti-fibrotic effects by modulating STAT3 signaling, offering a promising cell-free therapeutic strategy for SG fibrosis. These results highlight the potential of sEV as a natural nanotherapy for fibrotic SG disorders.

Indexed as

Extracellular VesiclesSalivaSalivary GlandsAnimalsCell MovementCollagenFibroblastsFibrosisHumansMicroRNAsMyofibroblastsOrganoidsSignal TransductionSTAT3 Transcription FactorTransforming Growth Factor betaCollagenMicroRNAsSTAT3 Transcription FactorTransforming Growth Factor betaFibrosisInflammationSaliva-derived extracellular vesiclesSubmandibular glandXerostomia

Identifiers

PMID40426212
PMCPMC12107832

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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.