Evidence map›Paper›PMID 40943598›Full record

ReviewInternational journal of molecular sciences2025

Urinary Exosomes in Nephrology: A New Frontier for Diagnosis and Prognosis of Kidney Diseases.

Costanza Gaudio, Emanuele D'Arpino, Simone Stefani, Filippo Maria Fani, Giuseppina Rosso, Elio Di Marcantonio, Paola Becherelli, Gianmarco Caselli, Chiara Merciai, Laura Fortunato and 2 more

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 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. Article
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

12 authors.

Costanza GaudioUnit of Nephrology, San Giovanni di Dio Hospital, Department of Medical Specialties, Azienda USL Toscana Centro, 50143 Florence, Italy.
Emanuele D'ArpinoUnit of Nephrology, San Giovanni di Dio Hospital, Department of Medical Specialties, Azienda USL Toscana Centro, 50143 Florence, Italy.ORCID 0009-0003-0034-7274
Simone StefaniUnit of Nephrology, San Giovanni di Dio Hospital, Department of Medical Specialties, Azienda USL Toscana Centro, 50143 Florence, Italy.ORCID 0009-0005-7015-3330
Filippo Maria FaniUnit of Nephrology, San Giovanni di Dio Hospital, Department of Medical Specialties, Azienda USL Toscana Centro, 50143 Florence, Italy.
Giuseppina RossoUnit of Nephrology, San Giovanni di Dio Hospital, Department of Medical Specialties, Azienda USL Toscana Centro, 50143 Florence, Italy.
Elio Di MarcantonioUnit of Nephrology, San Giovanni di Dio Hospital, Department of Medical Specialties, Azienda USL Toscana Centro, 50143 Florence, Italy.
Paola BecherelliUnit of Nephrology, San Giovanni di Dio Hospital, Department of Medical Specialties, Azienda USL Toscana Centro, 50143 Florence, Italy.
Gianmarco CaselliUnit of Nephrology, San Giovanni di Dio Hospital, Department of Medical Specialties, Azienda USL Toscana Centro, 50143 Florence, Italy.
Chiara MerciaiUnit of Nephrology, San Giovanni di Dio Hospital, Department of Medical Specialties, Azienda USL Toscana Centro, 50143 Florence, Italy.
Laura FortunatoUnit of Nephrology, San Giovanni di Dio Hospital, Department of Medical Specialties, Azienda USL Toscana Centro, 50143 Florence, Italy.
Nicoletta ScopetaniUnit of Nephrology, San Giovanni di Dio Hospital, Department of Medical Specialties, Azienda USL Toscana Centro, 50143 Florence, Italy.
Alberto RosatiUnit of Nephrology, San Giovanni di Dio Hospital, Department of Medical Specialties, Azienda USL Toscana Centro, 50143 Florence, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exosomes are nanosized vesicles that carry intracellular mediators and their abundance in urine opens new and intriguing possibilities in nephrology since they provide a non-invasive insight into kidney diseases. The aim of this review is to examine the main applications of urinary exosomes in nephropathies. Urinary exosomes are isolated through ultrafiltration, ultracentrifugation, precipitation, and immunoaffinity chromatography. After isolation they are characterized through Western blotting, flow cytometry, and, more recently, with mass spectrometry. Through the analysis of urinary exosomes, it has been possible to distinguish patients with IgA nephropathy from healthy controls. Different profiles of expression have been identified between patients with MCD and FSGS. A distinct exosomal composition has been discovered in patients with lupus nephropathy when compared to those without renal involvement. Significant findings have been reported also in patients with monoclonal gammopathy of renal significance, allowing a differential diagnosis between LCDD and amyloidosis. Among kidney transplant recipients, the analysis of urinary exosomes highlighted differences between antibody-mediated rejection and cell-mediated rejection. Urinary exosomes are new non-invasive, promising biomarkers and potential therapeutic options that have already shown interesting results in the nephrological field. Further studies are needed to harness their potential and diffusion.

Indexed as

ExosomesKidney DiseasesBiomarkersHumansNephrologyPrognosisBiomarkersdiabetic nephropathyFSGSIgANkidney transplantmass spectrometryMCDmembranous nephropathyMGRSurinary exosomes

Identifiers

PMID40943598
PMCPMC12429545

What Socratic holds

Textmetadata
LicenceCC BY
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.