Evidence map›Paper›PMID 40893365›Full record

ArticleMaterials today. Bio2025

Dual-pathological cascade delivery of apoptotic vesicles for targeted therapy in intervertebral disc degeneration.

Wei Chen, Tianyuan Zhao, Yiming Ren, Wenzhe Huang, Jiyuan Xia, Zhenxin Hu, Libo Chen, Hao Li, Qi Zhang, Han Wang and 3 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
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

13 authors.

Wei ChenDepartment of Spine, Peking University Fourth School of Clinical Medicine, Beijing, 100035, China.
Tianyuan ZhaoDepartment of Orthopedics, Peking University Third Hospital, Beijing, 100191, China.
Yiming RenInstitute of Orthopedics, Chinese PLA General Hospital, Beijing Key Lab of Regenerative Medicine in Orthopedics, Key Laboratory of Musculoskeletal Trauma & War Injuries PLA, Beijing, 100853, China.
Wenzhe HuangDepartment of Spine, Peking University Fourth School of Clinical Medicine, Beijing, 100035, China.
Jiyuan XiaDepartment of Spine, Beijing Jishuitan Hospital Affiliated to Capital Medical University, Beijing, 100035, China.
Zhenxin HuDepartment of Spine, Peking University Fourth School of Clinical Medicine, Beijing, 100035, China.
Libo ChenInstitute of Orthopedics, Chinese PLA General Hospital, Beijing Key Lab of Regenerative Medicine in Orthopedics, Key Laboratory of Musculoskeletal Trauma & War Injuries PLA, Beijing, 100853, China.
Hao LiInstitute of Orthopedics, Chinese PLA General Hospital, Beijing Key Lab of Regenerative Medicine in Orthopedics, Key Laboratory of Musculoskeletal Trauma & War Injuries PLA, Beijing, 100853, China.
Qi ZhangDepartment of Spine, Beijing Jishuitan Hospital Affiliated to Capital Medical University, Beijing, 100035, China.
Han WangDepartment of Spine, Beijing Jishuitan Hospital Affiliated to Capital Medical University, Beijing, 100035, China.
Penglei CuiDepartment of Spine, Beijing Jishuitan Hospital Affiliated to Capital Medical University, Beijing, 100035, China.
Quanyi GuoInstitute of Orthopedics, Chinese PLA General Hospital, Beijing Key Lab of Regenerative Medicine in Orthopedics, Key Laboratory of Musculoskeletal Trauma & War Injuries PLA, Beijing, 100853, China.
Da HeDepartment of Spine, Peking University Fourth School of Clinical Medicine, Beijing, 100035, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Achieving effective drug delivery and therapeutic efficacy poses significant challenges in intervertebral disc degeneration (IDD). Here, we developed a dual-pathological cascade delivery system utilizing therapeutic mesenchymal stem cell-derived apoptotic vesicles (ApoVs). These vesicles are engineered with MMP13-responsive cell-penetrating peptides (MR-ApoVs) for targeted modulation of senescence. A reactive oxygen species (ROS)-responsive hydrogel incorporating CD44 aptamers (Apt-Gel) was developed to provide high-affinity retention and spatiotemporal controlled release of MR-ApoVs. In this system, MR-ApoV release is first triggered by hydrogel degradation in response to elevated ROS levels. Subsequently, the MMP13-responsive peptides on MR-ApoVs are activated to enhance their internalization into senescent nucleus pulposus (NP) cells, thereby achieving a sequential response to pathological signals within the degenerative disc microenvironment. In a rat model of IDD, MR-ApoV@Apt-Gel effectively attenuated NP cell senescence, restored extracellular matrix homeostasis, preserved disc hydration, and maintained intervertebral disc height. This dual-pathological cascade-responsive strategy represents a promising therapeutic approach for IDD treatment.

Indexed as

Apoptotic vesiclesAptamerCellular senescenceHydrogelIntervertebral disc degeneration

Identifiers

PMID40893365
PMCPMC12391270

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.