Evidence map›Paper›PMID 42440599›Full record

SynthesisFrontiers in immunology2026

Tiny messengers, big impact: unlocking the power of extracellular vesicles in neonatal health and disease. a systematic review.

Alexandra Lianou, Andreas G Tsantes, Sotirios P Fortis, Effie G Papageorgiou, Anastasios G Kriebardis, Panagiotis G Zoumpoulakis, Zoi Iliodromiti, Theodora Boutsikou, Evangelos Terpos, Maria Gavriatopoulou and 2 more

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in immunology, 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.

Alexandra LianouNeonatal Intensive Care Unit, "Aghios Panteleimon" General Hospital of Nikea, Piraeus, Greece.
Andreas G TsantesMicrobiology Department, "Saint Savvas" Oncology Hospital, Athens, Greece.
Sotirios P FortisLaboratory of Reliability and Quality Control in Laboratory Hematology (HemQcR), Department of Bio-Medical Sciences, School of Health & Caring Sciences, University of West Attica (UniWA), Athens, Greece.
Effie G PapageorgiouLaboratory of Reliability and Quality Control in Laboratory Hematology (HemQcR), Department of Bio-Medical Sciences, School of Health & Caring Sciences, University of West Attica (UniWA), Athens, Greece.
Anastasios G KriebardisLaboratory of Reliability and Quality Control in Laboratory Hematology (HemQcR), Department of Bio-Medical Sciences, School of Health & Caring Sciences, University of West Attica (UniWA), Athens, Greece.
Panagiotis G ZoumpoulakisLaboratory of Chemistry, Analysis and Design of Food Processes, Department of Food Science and Technology, University of West Attica, Athens, Greece.
Zoi IliodromitiNeonatal Department, National and Kapodistrian University of Athens, Aretaieio Hospital, Athens, Greece.
Theodora BoutsikouNeonatal Department, National and Kapodistrian University of Athens, Aretaieio Hospital, Athens, Greece.
Evangelos TerposDepartment of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Maria GavriatopoulouDepartment of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Nicoletta IacovidouNeonatal Department, National and Kapodistrian University of Athens, Aretaieio Hospital, Athens, Greece.
Rozeta SokouNeonatal Department, National and Kapodistrian University of Athens, Aretaieio Hospital, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Extracellular vesicles (EVs) are cell-derived, membrane-bound particles that have gained increasing attention for their roles in pathophysiology, diagnostics, and targeted therapies. This review aimed at systematically collecting and critically synthesizing current evidence on EVs derived from neonatal biological fluids, focusing on their involvement in neonatal health and disease and their potential diagnostic and prognostic value. Methods: A systematic literature review was conducted in PubMed and Scopus databases between August and November 2025. The study protocol was registered in PROSPERO (CRD420251151417). Results: Following a PRISMA-compliant search strategy, 43 predominantly observational studies were included, encompassing term and preterm neonates with small-to-moderate sample sizes and heterogeneous clinical settings. EVs were isolated from multiple biological matrices, most frequently umbilical cord and peripheral blood, with sampling mainly performed at birth or during early postnatal life. Overall, the findings demonstrate the consistent presence and biological activity of EVs across diverse neonatal conditions, supporting their potential role as pathophysiological mediators and candidate biomarkers. Conclusions: Although EVs appear to actively participate in key neonatal processes, the available evidence remains limited and methodologically heterogenous. Larger, standardized studies are required to clarify their biological functions and clinical utility. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420251151417, identifier CRD420251151417.

Indexed as

Extracellular VesiclesInfant HealthInfant, Newborn, DiseasesAnimalsBiomarkersHumansInfant, NewbornBiomarkersexosomesextracellular vesicleshemostasismicroparticlesneonates

Identifiers

PMID42440599
PMCPMC13333448

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.