Evidence mapPaperPMID 42500645Full record

ArticleFrontiers in immunology2026

M2 macrophage-derived exosomes improves secondary lymphedema through cellular mitochondrial homeostasis regulation via the Keap1-Nrf2/mPTP axis.

Jinli Ma, Luya Pu, Yundong Zhang, Baiao Wu, Rui Fei, Dongmei Han, Miao Hao, Jianshi Du

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Article 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.

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field-weighted citation impact
1 · What the graph read from it

What it found

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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

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Jinli Ma *China-Japan Union Hospital of Jilin University, Changchun, China.
Luya Pu *China-Japan Union Hospital of Jilin University, Changchun, China.
Yundong ZhangChina-Japan Union Hospital of Jilin University, Changchun, China.
Baiao WuChina-Japan Union Hospital of Jilin University, Changchun, China.
Rui FeiChina-Japan Union Hospital of Jilin University, Changchun, China.
Dongmei HanChina-Japan Union Hospital of Jilin University, Changchun, China.
Miao HaoChina-Japan Union Hospital of Jilin University, Changchun, China.
Jianshi DuChina-Japan Union Hospital of Jilin University, Changchun, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Secondary lymphedema leads to progressive tissue remodeling and immune dysregulation. Dysregulation of macrophage polarization critically influences pathological progression. Oxidative stress and mitochondrial homeostasis are the critical components of secondary lymphedema. Methods: A secondary lymphedema model and an LPS-induced Results: Secondary lymphedema tissues exhibited a significant imbalance in M1/M2 macrophage infiltration (with an increase in M1 and decrease in M2), along with elevated IL-1β levels. M2-Exo significantly prevents the proliferation, migration, and tube formation of human lymphatic endothelial cells and alleviated the mitochondrial damage induced by LPS. This mechanism may involve activation of Keap1-Nrf2 signaling. Conclusion: M2 macrophage exosomes activated the Nrf2 anti-oxidative stress pathway. This activation improves mitochondrial homeostasis and enhances the function of human lymphatic endothelial cells by delivering active ingredients, offering a new strategy for the treatment of secondary lymphedema.

Indexed as

ExosomesKelch-Like ECH-Associated Protein 1LymphedemaMacrophagesMitochondriaNF-E2-Related Factor 2AnimalsEndothelial CellsHomeostasisHumansMacrophage ActivationMembrane Potential, MitochondrialMiceOxidative StressSignal TransductionKEAP1 protein, humanKelch-Like ECH-Associated Protein 1NFE2L2 protein, humanNF-E2-Related Factor 2exosomemacrophage polarizationmitochondrial permeability transition poreNrf2secondary lymphedema

Identifiers

PMID42500645
PMCPMC13395612

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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.