Evidence map›Paper›PMID 41496459›Full record

ArticleJournal of extracellular vesicles2026

Myofibroblast-Derived Extracellular Vesicles Drive Profibrotic Cascade Amplification in Pulmonary Fibrosis via the Nestin-Rab7 Axis.

Xiaofan Lai, Yong Xiao, Yingying Lin, Senyu Yao, Bin Wang, Hainan Chen, Tianxiang Lei, Shaojie Huang, Chenxing Lei, Qihao Zeng and 5 more

Abstract read
In one paragraph

Article in Journal of extracellular vesicles, 2026. 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. Engineered NestinJournal of extracellular vesicles · 2026
    Article
  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

15 authors.

Xiaofan LaiDepartment of Anesthesiology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Yong XiaoCenter for Stem Cell Biology and Tissue Engineering, Key Laboratory for Stem Cells and Tissue Engineering, Ministry of Education, Sun Yat-Sen University, Guangzhou, China.
Yingying LinDepartment of Anesthesiology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Senyu YaoDepartment of Spine Surgery, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Bin WangDepartment of Hematology, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong, China.
Hainan ChenStem Cells and Regenerative Medicine Joint Laboratory of Sun Yat-sen University and Gaozhou People's Hospital, Sun Yat-sen University, Guangzhou, China.
Tianxiang LeiDepartment of Thyroid and Hernia Surgery, Guangdong Provincial People's Hospital, Southern Medical University, Guangzhou, China.
Shaojie HuangDepartment of Anesthesiology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Chenxing LeiDepartment of Anesthesiology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Qihao ZengCenter for Stem Cell Biology and Tissue Engineering, Key Laboratory for Stem Cells and Tissue Engineering, Ministry of Education, Sun Yat-Sen University, Guangzhou, China.
Yuan QiuCenter for Stem Cell Biology and Tissue Engineering, Key Laboratory for Stem Cells and Tissue Engineering, Ministry of Education, Sun Yat-Sen University, Guangzhou, China.
Hong ChenShenzhen Qianhai Shekou Free Trade Zone Hospital, Shenzhen, China.
Tao WangCenter for Stem Cell Biology and Tissue Engineering, Key Laboratory for Stem Cells and Tissue Engineering, Ministry of Education, Sun Yat-Sen University, Guangzhou, China.
Jiancheng WangCenter for Stem Cell Biology and Tissue Engineering, Key Laboratory for Stem Cells and Tissue Engineering, Ministry of Education, Sun Yat-Sen University, Guangzhou, China.
Andy Peng XiangDepartment of Anesthesiology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.ORCID https://orcid.org/0000-0003-3409-5012

Funding

China Post-doctoral Science FoundationGuangdong Basic and Applied Basic Research FoundationKey Scientific and Technological Program of Guangzhou CityNational Key Research and Development Program of China 2021YFA1100601National Key Research and Development Program of China 2022YFA1104100National Natural Science Foundation of China 32170799National Natural Science Foundation of China 82171617National Natural Science Foundation of China 82200073:82400079:32130046National Natural Science Foundation of China 82301796National Natural Science Foundation of China 82301847National Natural Science Foundation of China 82371608National Natural Science Foundation of China 82371609National Natural Science Foundation of China 82371611National Natural Science Foundation of China 82430050National Natural Science Foundation of China 82504017Natural Science Foundation of Guangdong Province 2022A1515010371Sanming Project of Medicine in Shenzhen NanshanShenzhen Science and Technology Program
6 · The paper itself

Abstract

Idiopathic pulmonary fibrosis (IPF) is a fatal fibrotic lung disease characterized by aberrant myofibroblast activation and excessive extracellular matrix deposition, with extracellular vesicles (EVs) playing a crucial role in this pathological process. We observed that EVs levels are significantly elevated in IPF and positively correlate with nestin expression, a known marker of lung myofibroblasts. These myofibroblast-derived EVs further amplify profibrotic responses, creating a self-perpetuating cycle. To elucidate the mechanisms driving increased EVs secretion, we conducted in vitro and in vivo experiments, demonstrating that nestin knockdown not only suppresses EVs release but also impairs their ability to promote TGF-β-induced myofibroblast differentiation. Mechanistically, nestin recruits TBC1D15 to inactivate Rab7, thereby inhibiting multivesicular body (MVB) degradation and enhancing EVs secretion. Importantly, pharmacological activation of Rab7 using ML-098 significantly attenuated pulmonary fibrosis in mouse models. Our findings establish the Nestin-Rab7 axis as a key regulator of EVs-mediated fibrotic signaling and highlight its therapeutic potential for IPF treatment.

Indexed as

Extracellular VesiclesIdiopathic Pulmonary FibrosisMyofibroblastsNestinPulmonary Fibrosisrab GTP-Binding ProteinsAnimalsCell DifferentiationHumansMaleMiceMice, Inbred C57BLrab7 GTP-Binding ProteinsSignal TransductionNES protein, humanNestinrab7 GTP-Binding Proteinsrab7 GTP-binding proteins, humanrab7 GTP-binding proteins, mouserab GTP-Binding Proteins

Identifiers

PMID41496459
PMCPMC12775576

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.