Evidence map›Paper›PMID 42198345›Full record

ReviewPharmaceuticals (Basel, Switzerland)2026

Biomaterial Engineering for Spatiotemporal Regulation of Exosome Functions: From Design Principles to Key Applications in Regenerative Medicine.

Shan Long, Bo Wang, Shaodong Tian, Honglan Tang, Hanbing Wu, Xiaofeng Yang, Chuyue Zhang

Abstract readReview
In one paragraph

Review in Pharmaceuticals (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

7 authors.

Shan LongDepartment of Oncology, General Hospital of Hunan University of Medicine, No. 144, Jinxi South Road, Huaihua 418000, China.
Bo WangDepartment of Oncology, The Seventh Medical Center, Chinese PLA General Hospital, No. 5 Nanmencang, Dongcheng District, Beijing 100007, China.
Shaodong TianDepartment of Oncology, General Hospital of Hunan University of Medicine, No. 144, Jinxi South Road, Huaihua 418000, China.
Honglan TangDepartment of Oncology, General Hospital of Hunan University of Medicine, No. 144, Jinxi South Road, Huaihua 418000, China.
Hanbing WuDepartment of Oncology, General Hospital of Hunan University of Medicine, No. 144, Jinxi South Road, Huaihua 418000, China.
Xiaofeng YangDepartment of Oncology, General Hospital of Hunan University of Medicine, No. 144, Jinxi South Road, Huaihua 418000, China.
Chuyue ZhangDepartment of Nephrology, Institute of Kidney Diseases, West China Hospital, Sichuan University, Chengdu 610041, China.ORCID 0000-0001-8510-3831

Funding

Innovation Team and Talents Cultivation Program of National Administration of Traditional Chinese Medicine ZYYCXTD-D-202402National Natural Science Foundation of China 82200764Postdoctoral Research Fund from West China Hospital of Sichuan University 2023HXB092Sichuan Science and Technology Program 2025ZNSFSC1602the Health Research Project of Hunan Provincial Health Commission 20254819the Natural Science Foundation of Hunan Province 2025JJ70425the Scientific Research Fund of the Hunan Provincial Education Departmentx 24B1081Young Elite Scientists Sponsorship Program by CAST 2022QNRC001
6 · The paper itself

Abstract

As natural nanoscale intercellular messengers, exosomes exhibit considerable potential in modulating inflammation, angiogenesis, immunoregulation, and tissue remodeling, making them attractive candidates for regenerative medicine. However, their clinical translation remains limited by rapid systemic clearance, nonspecific biodistribution, insufficient lesion retention, and functional attenuation in hostile pathological microenvironments. In this review, we propose that biomaterial engineering should evolve from providing passive exosome carriers to constructing active regulatory platforms capable of precise spatiotemporal control. We summarize engineering strategies along two complementary dimensions. In the temporal dimension, biomaterials can enable sustained, sequential, or microenvironment-responsive release to match the dynamic phases of tissue repair. In the spatial dimension, biomaterials can improve local retention, tissue anchoring, structural guidance, endogenous cell recruitment, and lesion-specific delivery. Using cutaneous wound healing, osteochondral regeneration, myocardial repair, and neural regeneration as representative examples, we further analyze these strategies through a "clinical challenge-engineering strategy-biological mechanism" framework, with particular attention to how engineered systems influence key signaling pathways such as PI3K/Akt, Wnt/β-catenin, NF-κB, and PTEN/PI3K/Akt/mTOR. We also discuss translational barriers, including exosome heterogeneity, safety concerns inherited from parental cells, large-scale GMP-compliant manufacturing, product standardization, storage stability, and regulatory classification of exosome-biomaterial hybrids. Finally, we highlight emerging directions, including multi-mechanism combinational systems, closed-loop responsive platforms, and artificial intelligence-assisted design for personalized exosome therapeutics. This review provides a design-oriented framework to accelerate the bench-to-bedside development of biomaterial-enabled precision exosome therapy.

Indexed as

extracellular vesicleshydrogelssmart materialsspatiotemporal controltissue regeneration

Identifiers

PMID42198345
PMCPMC13210011

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.