Evidence mapPaperPMID 41580823Full record

ReviewJournal of translational medicine2026

Targeting the mitochondrial metabolite-dynamics-MDVs-MitoEVs axis: a new frontier in osteoarthritis management.

Taotao Zhang, Hongmei Zhang, Xinzhao Chen, Yingxiang Liu, Xiaoxiao Han, Weiwei Zhu, Yubo Liu, Guang Zeng, Kai Jiao

Abstract readReview
In one paragraph

Review in Journal of translational medicine, 2026. 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. 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.

Taotao Zhang *Department of Stomatology, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi, 710038, China.
Hongmei Zhang *Department of Stomatology, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi, 710038, China.
Xinzhao Chen *Department of Stomatology, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi, 710038, China.
Yingxiang LiuDepartment of Orthopedic Surgery, Orthopedic Oncology Institute, Fourth Military Medical University, Xi'an, Shaanxi, 710038, China.
Xiaoxiao HanDepartment of Stomatology, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi, 710038, China.
Weiwei ZhuDepartment of Stomatology, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi, 710038, China.
Yubo LiuDepartment of Stomatology, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi, 710038, China.
Guang ZengDepartment of Stomatology, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi, 710038, China.
Kai JiaoDepartment of Stomatology, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi, 710038, China. kjiao1@163.com.ORCID http://orcid.org/0000-0002-1901-8329

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteoarthritis (OA) is characterized by progressive cartilage degradation, osteophyte formation, and synovitis. OA progression is linked to mitochondrial metabolic dysfunction, marked by tricarboxylic acid (TCA) cycle imbalance and impaired oxidative phosphorylation (OXPHOS). KEY SCIENTIFIC CONCEPTS OF REVIEW: Three critical factors regulate mitochondrial metabolism: mitochondrial metabolites, mitochondrial dynamics, and mitochondrial-derived vesicles (MDVs). Mitochondrial metabolites such as fumarate and succinate exacerbate OA pathogenesis by mediating mitochondrial dysfunction, whereas itaconate, α-ketoglutarate (α-KG), and fumarate derivatives confer protective effects. Imbalanced mitochondrial dynamics drive cartilage degradation through oxidative stress. Inflammatory MDVs may accelerate OA by transferring mitochondrial damage-associated molecular patterns (mtDAMPs) into the extracellular space through mitochondrial-derived extracellular vesicles (mitoEVs). Given the interplay of mitochondrial metabolites, mitochondrial dynamics, and MDVs/mitoEVs, we propose that the metabolite-dynamics-MDVs-mitoEVs axis represents a pivotal mechanism driving OA progression and a potential target for mitochondrial-directed therapies.

conclusionFuture efforts should prioritize advancing mitochondrial metabolic modulators and MSC-mitoEVs, with validation through synovial fluid biomarkers and support from crucial preclinical safety and delivery studies.

Indexed as

MitochondriaMitochondrial DynamicsOsteoarthritisAnimalsHumansMDVsMitochondrial dynamicsMitochondrial metabolismMitoEVsOsteoarthritis

Identifiers

PMID41580823
PMCPMC12911271

What Socratic holds

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LicenceCC BY-NC-ND
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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.