Evidence map›Paper›PMID 41254732›Full record

ReviewStem cell research & therapy2025

Harnessing engineered mesenchymal stem cell-derived extracellular vesicles for innovative cancer treatments.

Wei-Lun Hwang, Shiu-Wen Huang, An-Ching Hsiao, Chin-Yau Chen, Ke-Fong Hsu, Yi-Tsen Hsieh, Tsai-Tsen Liao

Abstract readReview
In one paragraph

Review in Stem cell research & therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
  5. 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.

Wei-Lun Hwang *Department of Biotechnology and Laboratory Science in Medicine, National Yang Ming Chiao Tung University, Taipei, 11221, Taiwan.
Shiu-Wen Huang *Graduate Institute of Medical Sciences, College of Medicine, Taipei Medical University, 250 Wu-Hsing Street, Taipei, 11031, Taiwan.
An-Ching HsiaoGraduate Institute of Medical Sciences, College of Medicine, Taipei Medical University, 250 Wu-Hsing Street, Taipei, 11031, Taiwan.
Chin-Yau ChenDepartment of Surgery, National Yang Ming Chiao Tung University Hospital, Yilan, Taiwan.
Ke-Fong HsuDepartment of Medical Education, Cathay General Hospital, Taipei 106, Taiwan.
Yi-Tsen HsiehEducation Center, College of Medicine, National Cheng Kung University Hospital, National Cheng Kung University, Tainan, 704, Taiwan.
Tsai-Tsen LiaoGraduate Institute of Medical Sciences, College of Medicine, Taipei Medical University, 250 Wu-Hsing Street, Taipei, 11031, Taiwan. liaotsaitsen@tmu.edu.tw.ORCID http://orcid.org/0000-0001-9185-9926

Funding

Ministry of Education, Higher Education SPROUT Project for Cancer and Immunology Research Center 114W31101National Science and Technology Council 112-2326-B-A49-002-MY3National Science and Technology Council NSTC113-2314-B-038-049-MY2National Science and Technology Council NSTC 114-2320-B-038-038TMU-NDMC Joint Research Program 114_T&N_02Yen Tjing Ling Medical Foundation CI-111-15
6 · The paper itself

Abstract

Mesenchymal stem/stromal cells (MSCs) are known for their regenerative and immunomodulatory capabilities, which have made them the focus of extensive therapeutic research. A growing body of evidence underscores that mesenchymal stem cell-derived extracellular vesicles (MSC-EVs) have emerged as a promising cell-free platform that mimics the therapeutic benefits of MSCs while mitigating their associated risks. This review synthesizes recent advancements in bioengineering strategies aimed at enhancing the therapeutic efficacy, targeting specificity, and cargo-loading capacity of MSC-EVs for cancer treatment. These strategies include endogenous and exogenous modification approaches. Endogenous strategies involve genetically modifying parental MSCs or using environmental preconditioning to modulate the extracellular vesicles (EVs) content or surface proteins of EVs they produce. Exogenous techniques include post-isolation loading of therapeutic cargo, such as small interfering RNAs (siRNAs) and microRNAs (miRNAs), as well as EV membrane modifications. We also highlight key preclinical and clinical findings, addressing the dual role of MSC-EVs, which can be either pro- or anti-tumorigenic depending on the MSC tissue origin and the tumor microenvironment. Notably, EVs derived from human umbilical cord-derived mesenchymal stem cells (hUC-MSCs) show the most consistent tumor-suppressive activity, making them a preferred choice for clinical development. Despite challenges related to production scalability, cargo-loading efficiency, and regulatory standardization, engineered MSC-EVs are poised to become a transformative platform in next-generation, cell-free precision cancer therapies. Future efforts, including the establishment of protocols compliant with Good Manufacturing Practice (GMP) and the integration of engineering advancements, will be essential for advancing healthcare innovations.

Indexed as

Extracellular VesiclesMesenchymal Stem CellsNeoplasmsAnimalsHumansMicroRNAsTumor MicroenvironmentMicroRNAsBioengineeringCancer therapyExtracellular vesicles (EVs)Mesenchymal stem/Stromal cells (MSCs)RNA delivery

Identifiers

PMID41254732
PMCPMC12625093

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.