Evidence mapPaperPMID 40677406Full record

ArticleMaterials today. Bio2025

Allicin-loaded hydrogel enhances the viability of multiterritory perforator flap.

Xuankuai Chen, Xingxing Zhou, Kejian Fu, Xibing Zhao, Xiang Hu, Sheng Cheng, Renhao Jiang, Chengji Dong, Long Wang, Hongqiang Wu and 2 more

Abstract read
In one paragraph

Article in Materials today. Bio, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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.

Xuankuai ChenDepartment of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.
Xingxing ZhouDepartment of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.
Kejian FuDepartment of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.
Xibing ZhaoDepartment of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.
Xiang HuDepartment of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.
Sheng ChengDepartment of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.
Renhao JiangDepartment of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.
Chengji DongDepartment of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.
Long WangDepartment of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.
Hongqiang WuDepartment of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.
Weiyang GaoDepartment of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.
Liyan ShenDepartment of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The multiterritory perforator flap has gained increasing clinical adoption in limb reconstruction and wound repair due to its procedural simplicity and distinct clinical advantages. Allicin, a multifunctional phytochemical renowned for its potent antioxidant properties, faces significant limitations due to rapid metabolic clearance, which substantially diminishes its therapeutic efficacy. Recent advances in hydrogel technology have highlighted their potential as advanced wound dressings, particularly through their capacity for sustained drug release. Our research synthesized HAMA-400K-Allicin (a hyaluronic acid methacryloyl hydrogel incorporating allicin), aiming to improve perforator flaps' survival rate by long-term oxidative stress alleviation. Characterization studies demonstrated that the synthesized hydrogel exhibits a densely crosslinked network architecture, robust tissue adhesion, and photosensitive properties. Notably, HAMA-400K-Allicin exhibited excellent biocompatibility and facilitated sustained allicin release for up to one week. Experimental validation revealed that both allicin and HAMA-400K-Allicin significantly improved perforator flap survival rates in rat models, with the hydrogel formulation demonstrating superior therapeutic outcomes. Mechanistic investigations further suggested that HAMA-400K-Allicin promotes flap survival through dual activation of the PI3K/AKT and HO-1/NRF2 signaling pathways. Ultimately, in a rat model, HAMA-400K-Allicin exhibited a robust effect in promoting perforator flap survival. In conclusion, this hydrogel system combines straightforward manufacturing processes with high clinical efficacy, positioning it as a promising solution for complex wound management scenarios.

Indexed as

cGRPHydrogelMultiterritory perforator flapNRF2/HO-1Oxidative stressPI3K/AKT

Identifiers

PMID40677406
PMCPMC12269518

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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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.