Evidence mapPaperPMID 41301466Full record

ReviewBiomolecules2025

Extracellular Vesicles in Calcific Aortic Valve Disease: From Biomarkers to Drug Delivery Applications.

Alberto Cook-Calvete, Maria Delgado-Marin, Blanca Fernandez-Rodriguez, Carlos Zaragoza, Marta Saura

Abstract readReview
In one paragraph

Review in Biomolecules, 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. 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

5 authors.

Alberto Cook-CalveteDepartment of Systems Biology, Faculty of Medicine, Universidad de Alcalá, 28871 Alcalá de Henares, Spain.ORCID 0000-0003-1770-2386
Maria Delgado-MarinDepartment of Systems Biology, Faculty of Medicine, Universidad de Alcalá, 28871 Alcalá de Henares, Spain.ORCID 0000-0002-3078-7321
Blanca Fernandez-RodriguezDepartment of Systems Biology, Faculty of Medicine, Universidad de Alcalá, 28871 Alcalá de Henares, Spain.ORCID 0009-0000-4839-9143
Carlos ZaragozaInstituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), 28034 Madrid, Spain.ORCID 0000-0002-1706-8592
Marta SauraDepartment of Systems Biology, Faculty of Medicine, Universidad de Alcalá, 28871 Alcalá de Henares, Spain.ORCID 0000-0002-3977-6581

Funding

Comunidad de Madrid P2022/BMD7223 CIFRA_COR_CMRegional Government of Castile-La Mancha SBPLY/23/180225/000081
6 · The paper itself

Abstract

Calcific aortic valve disease (CAVD) is a progressive disorder where molecular alterations occur long before visible calcification, making early biomarkers essential. Extracellular vesicles (EVs) have gained attention as stable biomarkers due to their lipid bilayer, which protects proteins, lipids, and RNAs, ensuring reliable detection even in archived samples. This review highlights the role of EVs as biomarkers and delivery tools in CAVD. EVs derived from valvular endothelial, interstitial, and immune cells carry disease-specific signatures, including osteogenic proteins (BMP-2, Annexins), inflammatory miRNAs (miR-30b, miR-122-5p), and lipid mediators. These reflect early pathogenic processes before macroscopic calcification develops. Their presence in minimally invasive samples such as blood, urine, or saliva facilitates diagnosis, while their stability supports long-term monitoring of disease progression and therapeutic response. Advances in purification and single-EV analysis increase specificity, though challenges remain in standardizing methods and distinguishing CAVD-derived EVs from those in atherosclerosis. Beyond diagnostics, engineered EVs show promise as therapeutic carriers. Delivery of anti-calcific miRNAs or combined RNA cargos has reduced calcification and inflammation in preclinical models. Overall, EVs act as molecular mirrors of CAVD, enabling early diagnosis, risk stratification, and novel therapeutic strategies. Yet, clinical translation requires technical refinement and validation of the disease-specific signatures.

Indexed as

Aortic ValveAortic Valve StenosisCalcinosisDrug Delivery SystemsExtracellular VesiclesAnimalsBiomarkersHumansMicroRNAsBiomarkersMicroRNAscalcific aortic valve diseasecardiovascular calcificationdrug deliveryextracellular vesiclesmicroRNAspredictive biomarkerstherapeutic targetsvalve remodeling

Identifiers

PMID41301466
PMCPMC12650086

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.