Evidence mapPaperPMID 42193963Full record

ReviewCells2026

Extracellular Vesicles in Human Reproduction: Integrating Redox-Mitochondrial Signaling with Multi-Omics and AI-Driven Biomarker Discovery.

Sofoklis Stavros, Angeliki Gerede, Efthalia Moustakli, Athanasios Zikopoulos, Ioannis Tsakiridis, Christina Messini, Anastasios Potiris, Ismini Anagnostaki, Ioannis Arkoulis, Spyridon Topis and 2 more

Abstract readReview
In one paragraph

Review in Cells, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Sofoklis StavrosThird Department of Obstetrics and Gynecology, University General Hospital "ATTIKON", Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece.
Angeliki GeredeUnit of Maternal-Fetal-Medicine, Department of Obstetrics and Gynecology, Medical School, Democritus University of Thrace, 68100 Alexandroupolis, Greece.ORCID 0000-0001-9296-3688
Efthalia MoustakliDepartment of Nursing, School of Health Sciences, University of Ioannina, 45500 Ioannina, Greece.ORCID 0009-0005-3333-2620
Athanasios ZikopoulosObstetrics and Gynecology, Royal Cornwall Hospital, Truro TR1 3LJ, UK.ORCID 0009-0002-9553-6803
Ioannis TsakiridisThird Department of Obstetrics and Gynecology, General Hospital Ippokratio, Medical School, Aristotle University of Thessaloniki, 54642 Thessaloniki, Greece.ORCID 0000-0003-4337-7871
Christina MessiniDepartment of Obstetrics and Gynaecology, Faculty of Medicine, School of Health Sciences, University of Thessaly, 41500 Larisa, Greece.
Anastasios PotirisThird Department of Obstetrics and Gynecology, University General Hospital "ATTIKON", Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece.ORCID 0000-0001-7716-1521
Ismini AnagnostakiMedical School, National and Kapodistrian University of Athens, 11528 Athens, Greece.
Ioannis ArkoulisFirst Department of Obstetrics and Gynecology, Alexandra Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, Greece.ORCID 0009-0005-1254-1984
Spyridon TopisThird Department of Obstetrics and Gynecology, University General Hospital "ATTIKON", Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece.
Themistoklis DagklisThird Department of Obstetrics and Gynecology, General Hospital Ippokratio, Medical School, Aristotle University of Thessaloniki, 54642 Thessaloniki, Greece.ORCID 0000-0002-2863-5839
Dimitrios LoutradisFertility Institute-Assisted Reproduction Unit, Paster 15, 11528 Athens, Greece.ORCID 0000-0002-8686-594X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the human reproductive system, extracellular vesicles (EVs) have been recognized as playing a vital role in mediating cell-cell communication. They are considered critical for embryo development, implantation, gamete interaction, and fertilization. The various cargoes carried by EVs, depending on the physiological and pathological state of the cell, include proteins, lipids, nucleic acids, and mitochondrial components. EVs are recognized as critical carriers of redox-related signals and mitochondrial components, linking oxidative stress (OS) to reproductive failure and influencing gamete quality and embryo competence. Although considerable progress has been made, research remains poorly integrated, despite individual omics technologies providing valuable molecular insights. The use of multi-omics technologies, including transcriptomics, proteomics, metabolomics, and microbiome analysis, has been proposed as a global approach to understanding the complexities associated with EVs and discovering new biomarkers associated with infertility. ML and AI have been proposed to identify predictive signatures linked to ART effectiveness and reproductive outcomes, with a strong capacity to handle high-dimensional data. The review aims to provide an overview of current knowledge on EV-mediated redox-mitochondrial signaling in human reproduction, while highlighting the importance of emerging multi-omics and AI technologies for EV-mediated biomarker development. The review discusses the promise of EVs in the development of minimally invasive diagnostic approaches and therapeutic interventions, as well as the challenges in the standardization, integration, and clinical translation of EV-mediated research. In addition, the review proposes integrating computational approaches to better understand molecular pathways involved in the development of next-generation precision medicine in human reproduction.

Indexed as

BiomarkersExtracellular VesiclesMitochondriaReproductionSignal TransductionHumansMultiomicsOxidation-ReductionOxidative StressBiomarkersARTbiomarker discoveryembryo implantationendometrial receptivityexosomesmitochondrial dysfunctionoxidative stressprecision medicine

Identifiers

PMID42193963
PMCPMC13204375

What Socratic holds

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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.