Evidence mapPaperPMID 41665736Full record

ReviewCell and tissue banking2026

Engineered exosomes for targeted bone regeneration: design, delivery, and functionalization.

Asrin Emami, Iman Menbari Oskouie

Abstract readReview
PubMed Publisher
In one paragraph

Review in Cell and tissue banking, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. 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

2 authors.

Asrin EmamiIranian Tissue Bank and Research Center, Tehran University of Medical Sciences, Tehran, Iran. Emami.asrin@yahoo.com.ORCID http://orcid.org/0000-0003-3560-9169
Iman Menbari OskouieUrology Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bone regeneration remains a major clinical challenge due to the limited healing capacity of large bone defects and the limitations of conventional grafting or cell-based therapies. Exosomes, nanosized extracellular vesicles secreted by diverse cell types, have emerged as promising cell-free mediators of osteogenesis, angiogenesis, and immune regulation. However, the therapeutic efficacy of native exosomes is constrained by low yield, rapid clearance, and limited targeting. Because effective bone regeneration is inherently multi-factorial-requiring biomechanical stability, vascularization, and an instructive ECM and cellular microenvironment-engineered exosomes should be regarded as enabling components within integrated regenerative systems rather than a standalone solution. Recent advances in engineered exosomes (EExos) have opened new frontiers in bone tissue regeneration by enabling precise design, biofunctionalization, and targeted delivery. Engineering strategies-ranging from genetic modification of donor cells to chemical conjugation, hybrid nanocarrier formation, and controlled cargo loading-have been employed to enhance the osteoinductive and osteoconductive potential of exosomes. Furthermore, incorporation of EExos into smart delivery systems, such as hydrogel scaffolds, 3D-printed matrices, and bone-targeting ligands, offers sustained release and localized therapeutic effects within the bone microenvironment. This review comprehensively summarizes the latest developments in the design, delivery, and functional optimization of EExos for bone regeneration. Mechanistic insights into their roles in promoting bone remodeling, angiogenesis, and immune modulation are discussed alongside current translational progress, manufacturing challenges, and regulatory considerations. Finally, emerging directions-such as AI-assisted exosome engineering, CRISPR-based programming, and bioprinting-integrated therapies-are highlighted as transformative pathways toward personalized and clinically translatable bone regenerative medicine.

Indexed as

Bone RegenerationExosomesTissue EngineeringAnimalsDrug Delivery SystemsHumansOsteogenesisTissue ScaffoldsBone regenerationEngineered exosomesRegenerative medicineTargeted delivery

Identifiers

What Socratic holds

Textmetadata
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.