Evidence map›Paper›PMID 40944788›Full record

ReviewMolecular biology reports2025

The role and therapeutic potential of exosome-mediated microRNAs regulatory networks in diabetic kidney disease.

Xiaofei Zhang, Kexin Zhang, Qiming Fan, Jiajun Sang, Chengxia Kan, Ruiyan Pan, Xiaodong Sun, Ningning Hou, Zhentao Guo

Abstract readReview
PubMed Publisher
In one paragraph

Review in Molecular biology reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

9 authors.

Xiaofei Zhang *Department of Endocrinology and Metabolism, Shandong Provincial Key Medical and Health Discipline of Endocrinology and Laboratory of Endocrinology and Metabolic Diseases, Clinical Research Center, Affiliated Hospital of Shandong, Second Medical University, Weifang, China.
Kexin Zhang *Department of Endocrinology and Metabolism, Shandong Provincial Key Medical and Health Discipline of Endocrinology and Laboratory of Endocrinology and Metabolic Diseases, Clinical Research Center, Affiliated Hospital of Shandong, Second Medical University, Weifang, China.
Qiming FanDepartment of Nephrology, Affiliated Hospital of Shandong Second Medical University, Weifang, 261031, China.
Jiajun SangDepartment of Nephrology, Affiliated Hospital of Shandong Second Medical University, Weifang, 261031, China.
Chengxia KanDepartment of Endocrinology and Metabolism, Shandong Provincial Key Medical and Health Discipline of Endocrinology and Laboratory of Endocrinology and Metabolic Diseases, Clinical Research Center, Affiliated Hospital of Shandong, Second Medical University, Weifang, China.
Ruiyan PanSchool of Pharmacy, Shandong Second Medical University, Weifang, China.
Xiaodong SunDepartment of Endocrinology and Metabolism, Shandong Provincial Key Medical and Health Discipline of Endocrinology and Laboratory of Endocrinology and Metabolic Diseases, Clinical Research Center, Affiliated Hospital of Shandong, Second Medical University, Weifang, China.
Ningning HouDepartment of Endocrinology and Metabolism, Shandong Provincial Key Medical and Health Discipline of Endocrinology and Laboratory of Endocrinology and Metabolic Diseases, Clinical Research Center, Affiliated Hospital of Shandong, Second Medical University, Weifang, China. ningning.hou@sdsmu.edu.cn.ORCID http://orcid.org/0000-0002-3813-8465
Zhentao GuoDepartment of Nephrology, Affiliated Hospital of Shandong Second Medical University, Weifang, 261031, China. guozt@sdsmu.edu.cn.ORCID http://orcid.org/0009-0002-5232-7913

Funding

National Natural Science Foundation of China 82170865, 82370856Shandong Provincial Natural Science Foundation ZR2024MH306Taishan Scholars Project of Shandong Province tsqn202211365
6 · The paper itself

Abstract

Diabetic kidney disease (DKD), a leading cause of end-stage renal disease, involves complex pathological mechanisms such as inflammation, fibrosis, oxidative stress, and immune dysregulation. Exosome-mediated microRNAs (miRNAs), as stable carriers of genetic material in body fluids, have emerged as crucial regulators of DKD progression by modulating intercellular communication and gene expression. This review summarizes the biogenesis and regulatory mechanisms of exosome-encapsulated miRNAs, highlighting their roles in glomerular injury, tubulointerstitial fibrosis, and immunoinflammatory responses in DKD. Specific exosomal miRNAs, including miR-21, miR-29, miR-192, and miR-155, are discussed for their contributions to renal cell injury and fibrotic progression. Moreover, exosomal miRNAs demonstrate significant potential as noninvasive biomarkers for early DKD diagnosis and disease monitoring, given their stability and tissue-specific expression profiles. Therapeutically, interventions targeting pathogenic miRNAs or delivering protective miRNAs via engineered exosomes offer promising strategies for DKD treatment. Despite current challenges related to standardization, delivery efficiency, and safety, advances in exosome engineering and nucleic acid therapeutics are expected to accelerate the clinical translation of exosomal miRNA-based precision medicine in DKD.

Indexed as

Diabetic NephropathiesExosomesGene Regulatory NetworksMicroRNAsAnimalsBiomarkersGene Expression RegulationHumansBiomarkersMicroRNAsDiabetic kidney diseaseExosomeMicroRNAsRegulatory networkTherapeutic potential

Identifiers

What Socratic holds

Textmetadata
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.