Evidence map›Paper›PMID 40169595›Full record

ArticleNature communications2025

Injectable ECM-mimetic dynamic hydrogels abolish ferroptosis-induced post-discectomy herniation through delivering nucleus pulposus progenitor cell-derived exosomes.

Wenkai Wang, Zhuo Cheng, Miao Yu, Ke Liu, Hongli Duan, Yang Zhang, Xinle Huang, Menghuan Li, Changqing Li, Yan Hu and 2 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed.

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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.

Wenkai Wang *Department of Orthopedics, Xinqiao Hospital, Third Military Medical University (Army Medical University), Chongqing, China.ORCID http://orcid.org/0000-0002-9524-1581
Zhuo Cheng *Department of Orthopedics, Xinqiao Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Miao YuDepartment of Orthopedics, Xinqiao Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Ke LiuDepartment of Orthopedics, Xinqiao Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Hongli DuanDepartment of Orthopedics, Xinqiao Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Yang ZhangDepartment of Orthopedics, Xinqiao Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Xinle HuangDepartment of Orthopedics, Xinqiao Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Menghuan LiSchool of Life Science, Chongqing University, Chongqing, China.ORCID http://orcid.org/0000-0002-4558-7648
Changqing LiDepartment of Orthopedics, Xinqiao Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Yan HuKey Laboratory of Biorheological Science and Technology, Ministry of Education, College of Bioengineering, Chongqing University, Chongqing, China. huyan303@cqu.edu.cn.ORCID http://orcid.org/0000-0001-7133-8525
Zhong LuoSchool of Life Science, Chongqing University, Chongqing, China. luozhong918@cqu.edu.cn.ORCID http://orcid.org/0000-0002-9019-3314
Minghan LiuDepartment of Orthopedics, Xinqiao Hospital, Third Military Medical University (Army Medical University), Chongqing, China. liuminghan@tmmu.edu.cn.ORCID http://orcid.org/0000-0002-8572-7668

Funding

Chongqing Municipal Education Commission (Chongqing Municipality Education Commission) 0304005401108Chongqing Science and Technology Commission (Chongqing Science and Technology Commission, Chongqing People's Municipal Government) CSTB2022NSCQ-MSX0488Chongqing Science and Technology Commission (Chongqing Science and Technology Commission, Chongqing People's Municipal Government) CSTB2022NSCQ-MSX1366National Natural Science Foundation of China (National Science Foundation of China) 32122048National Natural Science Foundation of China (National Science Foundation of China) 52333011National Natural Science Foundation of China (National Science Foundation of China) 52471261National Natural Science Foundation of China (National Science Foundation of China) 82472445Natural Science Foundation of Chongqing (Natural Science Foundation of Chongqing Municipality) 2023NSCQ-MSX3661Natural Science Foundation of Chongqing (Natural Science Foundation of Chongqing Municipality) cstc2021jcyj-cxttX0002
6 · The paper itself

Abstract

Discectomy-induced ferroptosis of nucleus pulposus cells (NPCs) contributes to postoperative lumbar disc herniation (LDH) recurrence and intervertebral disc degeneration (IDD). We discover that nucleus pulposus progenitor cells (NPPCs) could imprint ferroptosis resistance into NPCs through exosome-dependent intercellular transmission of miR-221-3p. Based on these findings, we first develop synthetically-tailored NPPC-derived exosomes with enhanced miR-221-3p expression and NPC uptake capacity, which are integrated into an injectable hydrogel based on extracellular matrix (ECM) analogues. The ECM-mimetic hydrogel (HACS) serves as a biomimetic filler for the post-operative care of herniated discs, which could be facilely injected into the discectomy-established nucleus pulposus (NP) cavity for localized treatment. HACS-mediated in-situ exosome release in the NP cavity enables marked ferroptosis inhibition in NPCs that not only prevents LDH recurrence but also reverses the IDD symptoms, leading to robust restoration of NP structure and functions. In summary, this study offers a promising approach for treating disc herniation.

Indexed as

DiskectomyExosomesExtracellular MatrixFerroptosisHydrogelsIntervertebral Disc DisplacementNucleus PulposusStem CellsAnimalsHumansIntervertebral Disc DegenerationMaleMicroRNAsHydrogelsMicroRNAs

Identifiers

PMID40169595
PMCPMC11961689

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.