Evidence map›Paper›PMID 41641829›Full record

ArticleVeterinary medicine and science2026

Amniotic Mesenchymal Stromal/Stem Cell-Derived Extracellular Vesicles for Equine Chronic Degenerative Endometritis Treatment.

Giulia Gaspari, Federico Funghi, Carlo Cantile, Francesco Camillo, Duccio Panzani, Saverio Maltinti, Diana Fanelli, Rebecca Moroni, Fausto Cremonesi, Paola Gagni and 1 more

Abstract read
In one paragraph

Article in Veterinary medicine and science, 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. 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

11 authors.

Giulia GaspariDepartment of Veterinary Medicine and Animal Science (DIVAS), Università degli Studi di Milano, Lodi, Italy.ORCID https://orcid.org/0009-0004-4754-3747
Federico FunghiPrivate Practitioner, Grosseto, Italy.
Carlo CantileDepartment of Veterinary Science, University of Pisa, Pisa, Italy.
Francesco CamilloDepartment of Veterinary Science, University of Pisa, Pisa, Italy.
Duccio PanzaniDepartment of Veterinary Science, University of Pisa, Pisa, Italy.
Saverio MaltintiDepartment of Veterinary Science, University of Pisa, Pisa, Italy.
Diana FanelliDepartment of Veterinary Science, University of Pisa, Pisa, Italy.
Rebecca MoroniDepartment of Veterinary Science, University of Pisa, Pisa, Italy.ORCID https://orcid.org/0000-0002-2108-1749
Fausto CremonesiDepartment of Veterinary Medicine and Animal Science (DIVAS), Università degli Studi di Milano, Lodi, Italy.
Paola GagniInstitute of Chemical Sciences and Technologies "Giulio Natta", National Research Council SCITEC-CNR, Milano, Italy.ORCID https://orcid.org/0000-0002-3652-6173
Anna Lange-ConsiglioDepartment of Veterinary Medicine and Animal Science (DIVAS), Università degli Studi di Milano, Lodi, Italy.ORCID https://orcid.org/0000-0002-7748-3413

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEquine chronic degenerative endometritis (CDE) is a progressive process characterized by endometrial fibrosis that could be responsible for alterations of uterine environment and foetal-maternal communication.

objectivesThe aim of this study was to try to restore this communication by intrauterine administrations of amniotic cell-derived extracellular vesicles (AMC-EVs) in a case series. STUDY

designTwelve mares were selected on the basis of their reproductive history of early embryonic loss or abortion and clinical suspicion of CDE subsequently verified with histopathological examination of endometrial biopsies.

methodsGynaecological and ultrasound examinations and histopathological examination of endometrial biopsies were performed. Mares were divided into two groups: Seven mares in Group 1 received a single treatment cycle (corresponding to two intrauterine AMC-EV administrations), whereas five mares of Group 2 received two treatment cycles (corresponding to four intrauterine AMC-EV administrations). Each administration was of 20 billion AMC-EVs diluted in 50 mL of sterile saline solution.

resultsEleven mares were able to establish pregnancy after the treatment with AMC-EVs without significant difference in pregnancy outcomes between one or two treatment cycles (six out of seven mares of Group 1 and all mares of Group 2 were pregnant), suggesting that one cycle may be sufficient. The histological condition of their endometrium did not show any improvement in Kenney-Doig classification, meaning AMC-EVs did not exert regenerative activity but probably contributed to re-establishing a functional paracrine interaction between embryo and maternal tissues. MAIN LIMITATIONS: This study has the limitation of the small number of animals enrolled and the lack of a control group. However, considering the large number of past artificial insemination attempts for each animal enrolled in this study, each mare could be considered self-control.

conclusionsIt would seem possible that AMC-EVs supported and enhanced foetal-maternal communication that was compromised by CDE.

Indexed as

AmnionEndometritisExtracellular VesiclesHorse DiseasesMesenchymal Stem CellsAnimalsChronic DiseaseFemaleHorsesPregnancychronic degenerative endometritisextracellular vesiclesfoetal–maternal communicationmarepregnancy

Identifiers

PMID41641829
PMCPMC12874493

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.