Evidence map›Paper›PMID 41674552›Full record

ArticleBioactive materials2026

Age-related GSS promoter methylation in BMSCs drives osteoporosis and the reversal by targeted GSH delivery.

Pan Li, Zhuowen Liang, Xianyan Zeng, Runbo Lei, Shuo Guo, Zhao Zhang, Guangwei Zhang, Jianxiong Li, Anhui Qin, Mi Qu and 4 more

Abstract read
In one paragraph

Article in Bioactive materials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. 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

14 authors.

Pan LiDepartment of Orthopedics, Xijing Hospital, The Fourth Military Medical University, Xi'an, 710032, China.
Zhuowen LiangDepartment of Orthopedics, Xijing Hospital, The Fourth Military Medical University, Xi'an, 710032, China.
Xianyan ZengCollege of Pharmacy, Chongqing Medical University, Chongqing, 400016, China.
Runbo LeiDepartment of Orthopedics, Xijing Hospital, The Fourth Military Medical University, Xi'an, 710032, China.
Shuo GuoDepartment of Radiology, Tangdu Hospital, Air Force Medical University, Xi'an, 710038, China.
Zhao ZhangDepartment of Orthopedics, Xijing Hospital, The Fourth Military Medical University, Xi'an, 710032, China.
Guangwei ZhangDepartment of Orthopedics, Xijing Hospital, The Fourth Military Medical University, Xi'an, 710032, China.
Jianxiong LiSenior Department of Orthopedics, The Fourth Medical Center of PLA General Hospital, Beijing, 100048, China.
Anhui QinDepartment of Orthopedics, Xijing Hospital, The Fourth Military Medical University, Xi'an, 710032, China.
Mi QuDepartment of Biochemistry and Molecular Biology, School of Basic Medicine, The Fourth Military Medical University, Xi'an, 710032, China.
Kangkang SuDepartment of Orthopedics, Xijing Hospital, The Fourth Military Medical University, Xi'an, 710032, China.
Dechen YuDepartment of Orthopedics, Xijing Hospital, The Fourth Military Medical University, Xi'an, 710032, China.
Wenwen LiuDepartment of Orthopedics, Xijing Hospital, The Fourth Military Medical University, Xi'an, 710032, China.
Zhuojing LuoDepartment of Orthopedics, Xijing Hospital, The Fourth Military Medical University, Xi'an, 710032, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Age-related osteoporosis arises from bone tissue with inadequate metabolic support for osteogenesis. We identified that DNA methylation-mediated suppression of glutathione synthetase (GSS) represents an upstream lesion limiting endogenous glutathione (GSH) synthesis and supply in aged bone, thereby constraining osteoblast differentiation. In turn, impaired GSH synthesis exacerbates oxidative stress levels and diminishes osteogenic capacity, and this metabolic bottleneck is independent of substrate availability: cysteine supplementation neither restored GSH synthesis flux in aged bone nor rescued its osteogenic deficits. To overcome this limitation, we developed an exosome-based GSH delivery platform using electroporation to efficiently load GSH. These exosomes are derived from CXCR4-enriched bone marrow mesenchymal stem cells (BMSCs), leveraging CXCR4-mediated homing to the bone marrow niche to enhance bone retention, stabilize GSH during loading and circulation, and elevate local GSH pools at osteogenic sites. In aged bone, this targeted system sustainably delivers GSH, alleviates oxidative stress, improves mitochondrial function, delays cellular senescence, and promotes osteogenesis. In summary, while DNA methylation acts upstream to constrain GSH synthesis in aging bone, therapeutically correcting the resultant metabolic deficit via bone-homing exosome-mediated GSH delivery restores osteogenic function and improves bone metabolism in aged individuals.

Indexed as

Age-related-OsteoporosisCXCR4Engineered exosomesGlutathioneOxidative stress

Identifiers

PMID41674552
PMCPMC12887424

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.