Evidence mapPaperPMID 41656949Full record

ArticleJournal of extracellular vesicles2026

Intranasal Human NSC-Derived EVs Therapy Can Restrain Inflammatory Microglial Transcriptome, and NLRP3 and cGAS-STING Signalling, in Aged Hippocampus.

Leelavathi N Madhu, Maheedhar Kodali, Shama Rao, Sahithi Attaluri, Raghavendra Upadhya, Goutham Shankar, Bing Shuai, Yogish Somayaji, Shruthi V Ganesh, Vignesh S Kumar and 6 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. Article
  3. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Leelavathi N MadhuInstitute for Regenerative Medicine, Department of Cell Biology and Genetics, College Station, Texas A&M University Naresh Vashisht College of Medicine, College Station, Texas, USA.
Maheedhar KodaliInstitute for Regenerative Medicine, Department of Cell Biology and Genetics, College Station, Texas A&M University Naresh Vashisht College of Medicine, College Station, Texas, USA.
Shama RaoInstitute for Regenerative Medicine, Department of Cell Biology and Genetics, College Station, Texas A&M University Naresh Vashisht College of Medicine, College Station, Texas, USA.
Sahithi AttaluriInstitute for Regenerative Medicine, Department of Cell Biology and Genetics, College Station, Texas A&M University Naresh Vashisht College of Medicine, College Station, Texas, USA.
Raghavendra UpadhyaInstitute for Regenerative Medicine, Department of Cell Biology and Genetics, College Station, Texas A&M University Naresh Vashisht College of Medicine, College Station, Texas, USA.
Goutham ShankarInstitute for Regenerative Medicine, Department of Cell Biology and Genetics, College Station, Texas A&M University Naresh Vashisht College of Medicine, College Station, Texas, USA.
Bing ShuaiInstitute for Regenerative Medicine, Department of Cell Biology and Genetics, College Station, Texas A&M University Naresh Vashisht College of Medicine, College Station, Texas, USA.
Yogish SomayajiInstitute for Regenerative Medicine, Department of Cell Biology and Genetics, College Station, Texas A&M University Naresh Vashisht College of Medicine, College Station, Texas, USA.
Shruthi V GaneshInstitute for Regenerative Medicine, Department of Cell Biology and Genetics, College Station, Texas A&M University Naresh Vashisht College of Medicine, College Station, Texas, USA.
Vignesh S KumarDepartment of Veterinary Integrative Biosciences, Texas A&M College of Veterinary Medicine, College Station, Texas, USA.
Jeswin E JamesInstitute for Regenerative Medicine, Department of Cell Biology and Genetics, College Station, Texas A&M University Naresh Vashisht College of Medicine, College Station, Texas, USA.
Padmashri A ShettyInstitute for Regenerative Medicine, Department of Cell Biology and Genetics, College Station, Texas A&M University Naresh Vashisht College of Medicine, College Station, Texas, USA.
Avery LeMaireInstitute for Regenerative Medicine, Department of Cell Biology and Genetics, College Station, Texas A&M University Naresh Vashisht College of Medicine, College Station, Texas, USA.
Xiaolan RaoInstitute for Regenerative Medicine, Department of Cell Biology and Genetics, College Station, Texas A&M University Naresh Vashisht College of Medicine, College Station, Texas, USA.
James J CaiDepartment of Veterinary Integrative Biosciences, Texas A&M College of Veterinary Medicine, College Station, Texas, USA.
Ashok K ShettyInstitute for Regenerative Medicine, Department of Cell Biology and Genetics, College Station, Texas A&M University Naresh Vashisht College of Medicine, College Station, Texas, USA.

Funding

Intranasal Treatment of Stem Cell-derived Extracellular Vesicles for Alzheimer's DiseaseRF1AG074256 · TEXAS A&M UNIVERSITY HEALTH SCIENCE CTR · 2025 to 2025
$1.4M
Neural Stem Cell-derived EVs for Improving Aged Brain FunctionR01AG075440 · TEXAS A&M UNIVERSITY HEALTH SCIENCE CTR · 2025 to 2025
$564k
NIA NIH HHS R01 AG075440NIA NIH HHS R01AG075440;RF1AG074256NIA NIH HHS RF1 AG074256
6 · The paper itself

Abstract

Neuroinflammaging, a moderate, chronic, and sterile inflammation in the hippocampus, contributes to age-related cognitive decline. Neuroinflammaging comprises the activation of the nucleotide-binding domain, leucine-rich repeat family, and pyrin domain-containing 3 (NLRP3) inflammasomes, and the cyclic GMP-AMP synthase (cGAS)-stimulator of interferon genes (STING) pathway that triggers type 1 interferon (IFN-1) signalling. Studies have shown that extracellular vesicles from human induced pluripotent stem cell-derived neural stem cells (hiPSC-NSC-EVs) contain therapeutic miRNAs that can alleviate neuroinflammation. Therefore, this study examined the effects of late middle-aged (18-month-old) male and female C57BL6/J mice receiving two intranasal doses of hiPSC-NSC-EVs on neuroinflammaging in the hippocampus at 20.5 months of age. Compared with animals receiving vehicle treatment, the hippocampus of animals receiving hiPSC-NSC-EVs exhibited reductions in astrocyte hypertrophy, microglial clusters, and oxidative stress, along with elevated expression of antioxidant proteins and genes that maintain mitochondrial respiratory chain integrity. Moreover, hiPSC-NSC-EVs therapy decreased the levels of various proteins involved in the activation of the NLRP3 inflammasome, p38/mitogen-activated protein kinase, cGAS-STING-IFN-1, and Janus kinase and signal transducer and activator of transcription signalling pathways. Furthermore, in vitro assays using genetically engineered RAW cells and hiPSC-NSC-EVs, with or without targeted depletion of specific miRNAs, demonstrated that miRNA-30e-3p and miRNA-181a-5p, both present in hiPSC-NSC-EVs, can significantly inhibit the activation of the NLRP3 inflammasome and the STING pathway, respectively. Additionally, single-cell RNA sequencing conducted 7 days post-treatment revealed that hiPSC-NSC-EVs induce widespread transcriptomic changes in microglia, including increased expression of numerous genes that enhance oxidative phosphorylation and reduced expression of abundant genes that drive multiple proinflammatory signalling pathways. These changes mediated by hiPSC-NSC-EVs were also associated with improved cognitive and memory function. Thus, intranasal hiPSC-NSC-EVs therapy in late middle age can effectively diminish proinflammatory microglial transcriptome and signalling cascades that drive neuroinflammaging in the hippocampus, contributing to better brain function in old age.

Indexed as

HippocampusMicrogliaNeural Stem CellsNLR Family, Pyrin Domain-Containing 3 ProteinAdministration, IntranasalAgingAnimalscGAS-STING Signaling PathwayCyclic Guanosine Monophosphate-Adenosine Monophosphate SynthaseFemaleHumansInduced Pluripotent Stem CellsInflammasomesInflammationMaleMembrane ProteinscGAS protein, mouseCyclic Guanosine Monophosphate-Adenosine Monophosphate SynthaseInflammasomesMembrane ProteinsNLR Family, Pyrin Domain-Containing 3 ProteinNLRP3 protein, humanNlrp3 protein, mouseNucleotidyltransferasesSting1 protein, mouseSTING Proteinbrain agingGeneWalkhippocampusinflammasomesinterferon‐1 signallingmicrogliamitochondrial functionmitogen‐activated protein kinase signallingneuroinflammationscRNA‐seq

Identifiers

PMID41656949
PMCPMC12884020

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.