Evidence map›Paper›PMID 42782177›Full record

ArticleJournal of extracellular vesicles2026

Trophoblast Extracellular Vesicles Rewire Immunity: A Symptom-Relief Avenue for Recessive Dystrophic Epidermolysis Bullosa.

Nell Hirt, Enzo Manchon, Ming Wu, Helene Le Buanec, Pauline Bataille, Emmanuelle Bourrat, Jean-David Bouaziz, Nabila Jabrane-Ferrat, Reem Al-Daccak

Abstract read
In one paragraph

Article in Journal of extracellular vesicles, 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

9 authors.

Nell HirtSaint Louis Research Institute, Saint-Louis Hospital, University of Paris, INSERM, CNRS, IRSL, Paris, France.
Enzo ManchonSaint Louis Research Institute, Saint-Louis Hospital, University of Paris, INSERM, CNRS, IRSL, Paris, France.
Ming WuInfinity-Institute for Infectious and Inflammatory Diseases, University of Toulouse, CNRS, INSERM, Toulouse, France.
Helene Le BuanecSaint Louis Research Institute, Saint-Louis Hospital, University of Paris, INSERM, CNRS, IRSL, Paris, France.
Pauline BatailleAP-HP, Department of Dermatology, Saint-Louis Hospital, Paris, France.
Emmanuelle BourratAP-HP, Department of Dermatology, Saint-Louis Hospital, Paris, France.
Jean-David BouazizSaint Louis Research Institute, Saint-Louis Hospital, University of Paris, INSERM, CNRS, IRSL, Paris, France.
Nabila Jabrane-FerratInfinity-Institute for Infectious and Inflammatory Diseases, University of Toulouse, CNRS, INSERM, Toulouse, France.ORCID 0000-0003-4809-7836
Reem Al-DaccakSaint Louis Research Institute, Saint-Louis Hospital, University of Paris, INSERM, CNRS, IRSL, Paris, France.

Funding

Fondation d'AvenirFondation pour la Recherche Médicale ENV202003011510Inserm UMRS1342Inserm-CNRS-University of ToulouseSociété Française de Dermatologie AP-RM-22-006
6 · The paper itself

Abstract

Redirecting immune responses toward tissue repair represents a promising strategy for treating inflammatory and degenerative diseases. Extracellular vesicles (EVs), derived from allogeneic stem cells, have shown potential for modulating proinflammatory immunity. Among these, placental-derived EVs (PEVs) are emerging as candidates for immune-mediated inflammatory disorders due to their role in establishing maternal immune tolerance. However, their applicability beyond pregnancy remains limited by key translational barriers, including the lack of a standardized and scalable source system and need to demonstrate immunomodulatory activity in non-pregnancy allogeneic contexts. In this study, we identify extravillous trophoblasts (EVTs), which play critical role in early placental development, as key source of immunoregulatory PEVs. To overcome donor variability, we employed the HIPEC cell model as established surrogate for primary EVTs and assessed the effects of their derived EVs (EVT-EVs) on circulating monocytes, pivotal mediators of inflammatory responses. High-dimensional molecular profiling revealed that EVT-EVs, similar to EVs derived from first-trimester primary human trophoblast, carry a distinctive anti-inflammatory signature, including a unique miRNA repertoire enriched in immunoregulatory pathways. Integrated proteomic and lipidomic analyses demonstrated that EVT-EVs induce coordinated functional reprograming of monocytes toward an immunomodulatory, inflammation-resolving phenotype. Notably, EVT-EVs also modulated the inflammatory bias of monocytes from patients with recessive dystrophic epidermolysis bullosa (RDEB), a genetic disorder characterized by chronic inflammation, thereby promoting restoration of immune balance. Collectively, these findings identify EVT-EVs as a scalable, off-the-shelf platform with high translational potential for the treatment of chronic inflammatory diseases.

Indexed as

Epidermolysis Bullosa DystrophicaExtracellular VesiclesTrophoblastsExtravillous TrophoblastsFemaleHumansInflammationMonocytesPlacentaPregnancyextracellular vesiclesextravillous trophoblastsInflammationmonocytesrecessive dystrophic epidermolysis bullosa

Identifiers

PMID42782177
PMCPMC13603074

What Socratic holds

Textmetadata
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.