Evidence map›Paper›PMID 41869376›Full record

ReviewFrontiers in surgery2026

Research progress and prospects of exosomes from diverse cellular sources in the treatment of knee osteoarthritis: a narrative review.

Xinyu Li, Zhiyong Li, Qi Zhao, Xiaoyang Zhou, Yubo Shi, Sheng Zhou, Peng Duan, Guoxin Huang, Yihua Shi

Abstract readReview
In one paragraph

Review in Frontiers in surgery, 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

9 authors.

Xinyu LiDepartment of Orthopedics, Xiangyang No.1 People's Hospital, Hubei University of Medicine, Xiangyang, China.
Zhiyong LiDepartment of Orthopedics, Postgraduate Union Training Base of Xiangyang No.1 People's Hospital, School of Medicine, Wuhan University of Science and Technology, Xiangyang, China.
Qi ZhaoDepartment of Orthopedics, Xiangyang No.1 People's Hospital, Hubei University of Medicine, Xiangyang, China.
Xiaoyang ZhouDepartment of Orthopedics, Xiangyang No.1 People's Hospital, Hubei University of Medicine, Xiangyang, China.
Yubo ShiDepartment of Orthopedics, Xiangyang No.1 People's Hospital, Hubei University of Medicine, Xiangyang, China.
Sheng ZhouDepartment of Orthopedics, Xiangyang No.1 People's Hospital, Hubei University of Medicine, Xiangyang, China.
Peng DuanKey Laboratory of Zebrafish Modeling and Drug Screening for Human Diseases of Xiangyang City, Xiangyang No. 1 People's Hospital, Hubei University of Medicine, Xiangyang, China.
Guoxin HuangDepartment of Orthopedics, Xiangyang No.1 People's Hospital, Hubei University of Medicine, Xiangyang, China.
Yihua ShiDepartment of Orthopedics, Xiangyang No.1 People's Hospital, Hubei University of Medicine, Xiangyang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Knee osteoarthritis (KOA) is a highly prevalent degenerative joint disease characterized by osteophyte formation at joint margins, subchondral bone sclerosis, and progressive degeneration of the articular cartilage. In advanced stages, it can result in severe functional impairment of the knee joint, imposing a substantial burden on patients' quality of life and on healthcare systems. Conventional intra-articular treatments, such as hyaluronic acid and corticosteroid injections, provide temporary pain relief but fail to achieve true tissue repair or regeneration. In recent years, several novel biological agents with regenerative potential have been introduced, yet their efficacy and safety remain debated. Exosomes, nanoscale vesicles secreted by cells, play essential roles in the pathophysiology of OA by mediating intercellular communication and regulating inflammatory and metabolic processes within the joint microenvironment. Exosomes derived from various cellular sources have been shown to promote chondrocyte proliferation and survival, suppress inflammation, maintain cartilage matrix homeostasis, and modulate subchondral bone remodeling and angiogenesis, demonstrating significant therapeutic promise for KOA. This review systematically summarizes current research on the mechanisms and therapeutic potential of exosomes derived from diverse cell types in KOA, highlighting recent advances and ongoing challenges. It aims to provide a theoretical foundation and reference framework for future basic studies and clinical translation of exosome-based therapies.

Indexed as

exosomeinjectionsintra-articularknee osteoarthritisregenerative medicine

Identifiers

PMID41869376
PMCPMC13002837

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.