Evidence mapPaperPMID 41808198Full record

ReviewStem cell research & therapy2026

Engineering MSC-exosomes for diabetic bone regeneration: from mechanism to delivery.

Guangmei Ran, Hongrui Jin, Qian Yang, Wentao Zhai, Jun Lu, Wenjie Jiang, Jingjing Luo, Shichang Fang, Yinchang Zhang, Huan Liu and 2 more

Abstract readReview
In one paragraph

Review in Stem cell research & therapy, 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

12 authors.

Guangmei RanSchool of Graduate, Wannan Medical College, Wuhu, 241000, Anhui, China.
Hongrui JinSchool of Graduate, Wannan Medical College, Wuhu, 241000, Anhui, China.
Qian YangSchool of Graduate, Wannan Medical College, Wuhu, 241000, Anhui, China.
Wentao ZhaiSchool of Graduate, Wannan Medical College, Wuhu, 241000, Anhui, China.
Jun LuSchool of Graduate, Wannan Medical College, Wuhu, 241000, Anhui, China.
Wenjie JiangSchool of Graduate, Wannan Medical College, Wuhu, 241000, Anhui, China.
Jingjing LuoDepartment of Stomatology, Yijishan Hospital, Wannan Medical College, Wuhu, 241000, Anhui, China.
Shichang FangDepartment of Stomatology, Yijishan Hospital, Wannan Medical College, Wuhu, 241000, Anhui, China.
Yinchang ZhangDepartment of Joint Orthopedics, Yijishan Hospital, Wannan Medical College, Wuhu, 241000, Anhui, China.
Huan LiuBlood Purification Center, Yijishan Hospital, Wannan Medical College, Wuhu, 241000, Anhui, China.
Jian ZuoXin'an Medicine Research Center, Yijishan Hospital, Wannan Medical College, Wuhu, 241000, Anhui, China.
Jiating LinDepartment of Stomatology, Yijishan Hospital, Wannan Medical College, Wuhu, 241000, Anhui, China. 20141247@wnmc.edu.cn.

Funding

Anhui Provincial Health and Wellness Research Project AHWJ2023A10146the Scientific Research Foundation Project for Introducing Talents of Yijishan Hospital, Wannan Medical College YR202117
6 · The paper itself

Abstract

The rapidly growing diabetic population is at high risk of dental implant failure due to a disrupted peri-implant immune microenvironment. Mesenchymal stem cells-derived exosomes (MSC-Exos) have emerged as a potent nanotherapeutic platform to remodel this hostile niche. Their mechanisms involve reprogramming macrophage polarization to alleviate inflammation, delivering pro-angiogenic miRNAs to restore vascular-osteogenic coupling, and modulating neuro-immune crosstalk to reestablish homeostasis. Collectively, these actions break the vicious cycle of impaired healing. Furthermore, engineering strategies such as membrane modification, integration with biomaterials, and preconditioning of parent cells can enhance the targeting, stability, and controlled release of MSC-Exos, thereby improving osseointegration outcomes in diabetic models. These engineering innovations, which focus on precise delivery and controlled release, are as critical to therapeutic development as elucidating the underlying biological mechanisms. This review systematically delineates the mechanisms by which MSC-Exos recalibrate the diabetic bone immune niche to foster osseointegration and critically discusses the clinical translation prospects of engineered exosome-based therapies.

Indexed as

Bone RegenerationDiabetes MellitusExosomesMesenchymal Stem CellsAnimalsHumansOsseointegrationBone immune microenvironmentDental implant osseointegrationDiabetesExosomeMesenchymal stem cell

Identifiers

PMID41808198
PMCPMC13088555

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.