Evidence map›Paper›PMID 34354068›Full record

ArticleNature communications2021

Microchannelled alkylated chitosan sponge to treat noncompressible hemorrhages and facilitate wound healing.

Xinchen Du, Le Wu, Hongyu Yan, Zhuyan Jiang, Shilin Li, Wen Li, Yanli Bai, Hongjun Wang, Zhaojun Cheng, Deling Kong and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06034041 (The Effect of Mediclore as an Anti-adhesion Agent and Safety in Full-endoscopic Spine Surgery), which is not on this map. Cited by 75 papers.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed
35.7field-weighted citation impact, top 1% of its field
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.

NCT06034041 phase4unknown statusnot on this mapstarted 2023, after this paper: background citation

The Effect of Mediclore as an Anti-adhesion Agent and Safety in Full-endoscopic Spine Surgery: a Preliminary Study

TypeinterventionalSponsorKing Chulalongkorn Memorial HospitalRan2023 to 2024Enrolled78ConditionsLumbar Disc Disease, Epidural Fibrosis, Failed Back Surgery SyndromeArmsMediclore, Normal Saline
3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 336 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
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  7. Review
  8. Pharmacological and Biological Efficacy of Chitosan-Based Materials.International journal of molecular sciences · 2025
    Review
  9. Review
  10. Review
  11. Advanced Pharmaceutical Nanotechnologies Applied for Chinese Herbal Medicines.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review

15 more citing papers are in PubMed but not listed here.

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 at 4 institutions in 2 countries.

Xinchen DuCollege of Life Sciences, Key Laboratory of Bioactive Materials (Ministry of Education),Tianjin Center Hospital of Obstetrics and Gynecology, State Key Laboratory of Medicine Chemical Biology, Nankai University, Tianjin, China.
Le WuCollege of Life Sciences, Key Laboratory of Bioactive Materials (Ministry of Education),Tianjin Center Hospital of Obstetrics and Gynecology, State Key Laboratory of Medicine Chemical Biology, Nankai University, Tianjin, China.
Hongyu YanCollege of Life Sciences, Key Laboratory of Bioactive Materials (Ministry of Education),Tianjin Center Hospital of Obstetrics and Gynecology, State Key Laboratory of Medicine Chemical Biology, Nankai University, Tianjin, China.
Zhuyan JiangDepartment of Orthopedics, The Second Hospital of Tianjin Medical University, Tianjin, China.
Shilin LiCollege of Life Sciences, Key Laboratory of Bioactive Materials (Ministry of Education),Tianjin Center Hospital of Obstetrics and Gynecology, State Key Laboratory of Medicine Chemical Biology, Nankai University, Tianjin, China.
Wen LiCollege of Life Sciences, Key Laboratory of Bioactive Materials (Ministry of Education),Tianjin Center Hospital of Obstetrics and Gynecology, State Key Laboratory of Medicine Chemical Biology, Nankai University, Tianjin, China.
Yanli BaiCollege of Life Sciences, Key Laboratory of Bioactive Materials (Ministry of Education),Tianjin Center Hospital of Obstetrics and Gynecology, State Key Laboratory of Medicine Chemical Biology, Nankai University, Tianjin, China.
Hongjun WangDepartment of Biomedical Engineering, Stevens Institute of Technology, Hoboken, NJ, USA.
Zhaojun ChengShenzhen Traditional Chinese Medicine Hospital, Shenzhen, China.
Deling KongCollege of Life Sciences, Key Laboratory of Bioactive Materials (Ministry of Education),Tianjin Center Hospital of Obstetrics and Gynecology, State Key Laboratory of Medicine Chemical Biology, Nankai University, Tianjin, China. kongdeling@nankai.edu.cn.
Lianyong WangCollege of Life Sciences, Key Laboratory of Bioactive Materials (Ministry of Education),Tianjin Center Hospital of Obstetrics and Gynecology, State Key Laboratory of Medicine Chemical Biology, Nankai University, Tianjin, China. wly@nankai.edu.cn.
Meifeng ZhuCollege of Life Sciences, Key Laboratory of Bioactive Materials (Ministry of Education),Tianjin Center Hospital of Obstetrics and Gynecology, State Key Laboratory of Medicine Chemical Biology, Nankai University, Tianjin, China. zhumeifeng2013@163.com.ORCID http://orcid.org/0000-0002-5520-0769
Nankai University · CNSecond Hospital of Tianjin Medical University · CNShenzhen Pingle Orthopedic Hospital · CNStevens Institute of Technology · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Developing an anti-infective shape-memory hemostatic sponge able to guide in situ tissue regeneration for noncompressible hemorrhages in civilian and battlefield settings remains a challenge. Here we engineer hemostatic chitosan sponges with highly interconnective microchannels by combining 3D printed microfiber leaching, freeze-drying, and superficial active modification. We demonstrate that the microchannelled alkylated chitosan sponge (MACS) exhibits the capacity for water and blood absorption, as well as rapid shape recovery. We show that compared to clinically used gauze, gelatin sponge, CELOX™, and CELOX™-gauze, the MACS provides higher pro-coagulant and hemostatic capacities in lethally normal and heparinized rat and pig liver perforation wound models. We demonstrate its anti-infective activity against S. aureus and E. coli and its promotion of liver parenchymal cell infiltration, vascularization, and tissue integration in a rat liver defect model. Overall, the MACS demonstrates promising clinical translational potential in treating lethal noncompressible hemorrhage and facilitating wound healing.

Indexed as

ChitosanSurgical SpongesWound HealingAlkylationAnimalsBacterial InfectionsBlood CoagulationHemorrhageHemostatic TechniquesLiverLiver DiseasesLiver RegenerationMaleMaterials TestingMicroscopy, Electron, ScanningPorosityChitosan

Identifiers

PMID34354068
PMCPMC8342549
OpenAlexW3190295003

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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 OpenQuestion graph.