Evidence map›Paper›PMID 41810000›Full record

ReviewInternational journal of nanomedicine2026

The Dual Role of Extracellular Vesicles in Aging and Age-Related Diseases: Pathophysiology and Therapeutic Potential.

Yifan Zhu, Xiansong Fang, Shuli Zhang, Yiqun Liao, Haihong Lin, Puwen Chen, Mei Yang, Junyun Huang, Xiaoling Wang

Abstract readReview
In one paragraph

Review in International journal of nanomedicine, 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. 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.

Yifan Zhu *Laboratory Medicine, First Affiliated Hospital of Gannan Medical University, Ganzhou, People's Republic of China.ORCID 0009-0006-4083-2137
Xiansong Fang *Department of Blood Transfusion, The First Affiliated Hospital of Gannan Medical University, Ganzhou, People's Republic of China.
Shuli ZhangChinese People's Liberation Army, Secret Service Center Sanatorium of Xiamen, Xiamen, People's Republic of China.
Yiqun LiaoLaboratory Medicine, First Affiliated Hospital of Gannan Medical University, Ganzhou, People's Republic of China.
Haihong LinLaboratory Medicine, First Affiliated Hospital of Gannan Medical University, Ganzhou, People's Republic of China.
Puwen ChenLaboratory Medicine, First Affiliated Hospital of Gannan Medical University, Ganzhou, People's Republic of China.
Mei YangThe First School of Clinical Medicine, Gannan Medical University, Ganzhou, People's Republic of China.
Junyun HuangLaboratory Medicine, First Affiliated Hospital of Gannan Medical University, Ganzhou, People's Republic of China.
Xiaoling WangLaboratory Medicine, First Affiliated Hospital of Gannan Medical University, Ganzhou, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aging is a complex biological process characterized by progressive loss of physiological integrityand represents the primary risk factor for numerous chronic disorders, including neurodegenerative diseases, diabetes mellitus, cardiovascular disease, and stroke. Increasing evidence indicates that chronic low-grade inflammation ("inflammaging"), genomic instability, mitochondrial dysfunction, deregulated nutrient sensing, cellular senescence, and impaired intercellular communication collectively drive aging and age-related pathologies. Extracellular vesicles (EVs), a heterogeneous population of lipid bilayer-enclosed nanoparticles released by nearly all cell types, have emerged as critical regulators of these processes by mediating intercellular transfer of proteins, lipids, metabolites, and nucleic acids. In this review, we systematically synthesize current advances in EV biology within the context of aging and major age-related diseases, emphasizing their double-edged roles in disease pathogenesis and therapy. We discuss how senescent or diseased cell-derived EVs propagate inflammation, oxidative stress, genomic damage, mitochondrial dysfunction, and maladaptive immune responses, thereby accelerating tissue degeneration. Conversely, EVs derived from stem cells or young, healthy tissues exert therapeutic and rejuvenating effects by restoring redox balance, modulating immune polarization, enhancing mitochondrial function, regulating nutrient-sensing pathways, and promoting tissue repair and regeneration. Finally, we highlight the therapeutic potential of native and engineered EVs as diagnostic biomarkers and treatment modalities for aging and age-related diseases, while discussing key limitations, including rapid systemic clearance and targeting efficiency. Collectively, this review provides a comprehensive and therapy-oriented framework for understanding EVs as both drivers of aging-associated pathology and promising tools for anti-aging and regenerative medicine.

Indexed as

AgingExtracellular VesiclesAnimalsHumansNeurodegenerative Diseasesagingcardiovascular diseasediabetesextracellular vesiclesneurodegenerative diseasesstroke

Identifiers

PMID41810000
PMCPMC12970021

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.