• YGJ preconditioning enhances the anti-fibrotic cargo of BMSC-EVs, specifically upregulating miR-7045-5p.
• YGJ-EVs deliver miR-7045-5p to hepatic stellate cells, inhibiting the Akt/AMPK/TFEB pathway and promoting lysosomal biogenesis and mitophagy.
• In a CCl4-induced mouse model, YGJ-EVs ameliorate liver fibrosis and improve hepatic function, highlighting their therapeutic potential.
• miR-7045-5p overexpression alone attenuates TGF-β1-induced HSC activation, confirming its causative role in the anti-fibrotic effect.
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