Evidence mapPaperPMID 41515899Full record

SynthesisInternational journal of molecular sciences2025

Exosome-Based Therapies for Alopecia Areata: A Systematic Review of Clinical and Experimental Evidence.

Andra Irina Bulgaru-Iliescu, Dan Cristian Moraru, Alexandru-Hristo Amarandei, Stefana Avadanei-Luca, Mihai-Codrin Constantinescu, Alexandra Cristina Rusu, Mihaela Pertea

Abstract readSystematic Review
In one paragraph

Synthesis 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Andra Irina Bulgaru-IliescuGrigore T. Popa University of Medicine and Pharmacy Iasi, 700115 Iasi, Romania.ORCID 0009-0005-0145-7269
Dan Cristian MoraruGrigore T. Popa University of Medicine and Pharmacy Iasi, 700115 Iasi, Romania.ORCID 0000-0002-2571-1496
Alexandru-Hristo AmarandeiGrigore T. Popa University of Medicine and Pharmacy Iasi, 700115 Iasi, Romania.ORCID 0009-0000-2154-9236
Stefana Avadanei-LucaGrigore T. Popa University of Medicine and Pharmacy Iasi, 700115 Iasi, Romania.ORCID 0000-0002-9192-7607
Mihai-Codrin ConstantinescuGrigore T. Popa University of Medicine and Pharmacy Iasi, 700115 Iasi, Romania.ORCID 0009-0000-8538-7811
Alexandra Cristina RusuGeorge Emil Palade University of Medicine, Pharmacy, Science and Technology Targu Mures, 540139 Targu Mures, Romania.ORCID 0009-0000-2936-0753
Mihaela PerteaGrigore T. Popa University of Medicine and Pharmacy Iasi, 700115 Iasi, Romania.ORCID 0000-0002-5308-7192

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Alopecia areata (AA) is an autoimmune-mediated nonscarring alopecia with limited therapeutic options and frequent relapses. Exosomes, nanosized extracellular vesicles secreted by various cell types, have recently emerged as potential regenerative and immunomodulatory therapies. The aim of the study is to review the clinical and preclinical evidence regarding the efficacy and safety of EV-based therapies for alopecia areata. a systematic search of PubMed, Embase, Web of Science, and Cochrane Library was performed from 2020 to 2 October 2025. Inclusion criteria were original studies (clinical, preclinical, in vivo, in vitro) investigating exosome-derived interventions for AA. Outcomes of interest were hair regrowth, immune modulation, follicular regeneration, and safety. A total of 499 records were retrieved from electronic database searches. After deduplication and application of the inclusion/exclusion criteria, 40 studies met the eligibility criteria for the review. Of these, two were clinical studies (one retrospective cohort, one case report), while the remainder comprised five animal (in vivo) studies, six in vitro studies, and sixteen mixed translational studies (in vitro/in vivo ± clinical). Experimental studies reported hair coverage improvements of 50-99% and, in one instance, 30% regrowth in totalis and 16% in partialis, with nearly complete regrowth in incipient alopecia. Clinical reports noted density increases of 9-31 hairs per cm

Indexed as

Alopecia AreataExosomesAnimalsHairHair FollicleHumansalopecia areataexosomesexperimental studieshair follicle

Identifiers

PMID41515899
PMCPMC12785886

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.