Evidence map›Paper›PMID 42631765›Full record

ReviewMolecular biology reports2026

Exosome in Hashimoto's thyroiditis: from pathogenesis to diagnostic and therapeutic potential.

Amirhossein Faghih Ojaroodi, Maryam Zamani Sani, Aziza Nasirova, Gulnora Shakhmurova, Zahraa Khudhair Abbas, Farzaneh Vahedi, Ali Saeedi-Boroujeni, Sheyda Houshmandfar, Hassan Ghasemi, Sajad Ehtiati

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In one paragraph

Review in Molecular biology reports, 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

10 authors.

Amirhossein Faghih OjaroodiStudent Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
Maryam Zamani SaniDepartment of Clinical Biochemistry and Laboratory Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Aziza NasirovaDepartment of Internal Medicine, Faculty of Pediatrics, Samarkand State Medical University, Samarkand, Uzbekistan.
Gulnora ShakhmurovaDepartment of Biological Sciences, National Pedagogical University of Uzbekistan named after Nizami, Tashkent, Uzbekistan.
Zahraa Khudhair AbbasCollege of pharmacy, the Islamic University, Najaf, Iraq.
Farzaneh VahediCellular and Molecular Research Center, Babol University of Medical Sciences, Babol, Iran.
Ali Saeedi-BoroujeniDepartment of Basic Medical Sciences, Faculty of Medicine, Abadan University of Medical Sciences, Abadan, Iran.
Sheyda HoushmandfarDepartment of Basic Medical Sciences, Faculty of Medicine, Abadan University of Medical Sciences, Abadan, Iran. houshmandfar.sh2020@gmail.com.
Hassan GhasemiDepartment of Clinical Biochemistry, Abadan University of Medical Sciences, Abadan, Iran. clinicalbiochem.1365@gmail.com.
Sajad EhtiatiStudent Research Committee, Department of Clinical Biochemistry, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. sajadehtiaty@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hashimoto's thyroiditis (HT), the most prevalent autoimmune thyroid disorder, arises from a complex interplay of genetic susceptibility, environmental triggers, and immune dysregulation. Emerging evidence highlights exosomes-small extracellular vesicles measuring 30-150 nm-as key mediators of intercellular communication and immune modulation in autoimmune disease. In HT, exosomal HSP60 released from IFN‑γ-stimulated thyroid follicular cells acts as an autoantigen cross‑reacting with TPO and TG, promoting thyrocyte injury through antigen-antibody interactions. T‑cell-derived exosomes enriched in miR‑142‑3p impair regulatory T‑cell function and exacerbate thyrocyte destruction by suppressing RAC1 and inhibiting ERK1/2 signaling. Patient‑derived exosomes containing elevated TPO and MHC‑II activate dendritic cells via TLR2/3 and NF‑κB pathways, driving Th1/Th17 polarization while suppressing Treg differentiation. Proteomic studies further reveal distinct exosomal signatures in HT, including increased immunomodulatory proteins such as HGFL, FAK1, and PTN12. Therapeutically, inhibition of exosome release (e.g., GW4869) and the use of engineered mesenchymal stem cell-derived exosomes demonstrate promising potential for restoring immune homeostasis. Collectively, these findings position exosomes as central contributors to HT pathogenesis and highlight their value as emerging diagnostic biomarkers and targets for innovative immunotherapeutic strategies.

Indexed as

ExosomesHashimoto DiseaseAnimalsAutoantigensBiomarkersChaperonin 60HumansAutoantigensBiomarkersChaperonin 60Autoimmune thyroid diseaseBiomarkersExosomesHashimoto's thyroiditisHSP60Immunotherapy

Identifiers

What Socratic holds

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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.