Evidence map›Paper›PMID 35986376›Full record

ArticleBiomaterials research2022

si-Tgfbr1-loading liposomes inhibit shoulder capsule fibrosis via mimicking the protective function of exosomes from patients with adhesive capsulitis.

Yaying Sun, Zhiwen Luo, Yisheng Chen, Jinrong Lin, Yuhan Zhang, Beijie Qi, Jiwu Chen

Open access · goldAbstract read
In one paragraph

Article in Biomaterials research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
11.1field-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.

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

37 citing papers in PubMed, 54 citations in OpenAlex.

  1. Article
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  8. Exosomes and microRNAs as mediators of the exercise.European journal of medical research · 2025
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  13. Anti-inflammatory therapy for tendinopathy usingFrontiers in bioengineering and biotechnology · 2025
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  15. Article
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  18. Article
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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

7 authors at 3 institutions in 1 country.

Yaying Sun *Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China.
Zhiwen Luo *Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China.
Yisheng Chen *Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China.
Jinrong LinDepartment of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China.
Yuhan ZhangDepartment of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China.
Beijie QiDepartment of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China.
Jiwu ChenDepartment of Sports Medicine, Shanghai General Hospital, Shanghai Jiaotong University, Shanghai, China. jeevechen@163.com.
Fudan University · CNHuashan Hospital · CNShanghai First People's Hospital · CN

Funding

National Natural Science Foundation of China 81972026National Natural Science Foundation of China 82102634
6 · The paper itself

Abstract

backgroundAdhesive capsulitis is a common shoulder disorder inducing joint capsule fibrosis and pain. When combined with rotator cuff tear (RCT), treatments can be more complex. Currently, targeted therapy is lacking. Since adhesive capsulitis is reported to be related to circulating materials, we analyzed the contents and biology of circulating exosomes from RCT patients with and without adhesive capsulitis, in an attempt to developing a targeting treatment.

methodsSamples from a consecutive cohort of patients with RCT for surgery were collected. Circulating exosomal miRNAs sequencing were used to detect differentially expressed miRNAs in patients with and without adhesive capsulitis. For experiments in vitro, Brdu staining, CCK-8 assay, wound healing test, collagen contraction test, real-time quantitative polymerase chain reaction, and western blot were conducted. Histological and immunofluorescent staining, and biomechanical analysis were applied in a mouse model of shoulder stiffness. The characteristics of liposomes loaded with siRNA were measured via dynamic light scattering or electron microscopy.

resultsCirculating exosomal miRNAs sequencing showed that, compared to exosomes from patients without adhesive capsulitis, miR-142 was significantly up-regulated in exosomes from adhesive capsulitis (Exo-S). Both Exo-S and miR-142 could inhibit fibrogenesis, and the anti-fibrotic effect of Exo-S relied on miR-142. The target of miR-142 was proven to be transforming growth factor β receptor 1 (Tgfbr1). Then, liposomes were developed and loaded with si-Tgfbr1. The si-Tgfbr1-loading liposomes exhibited promising therapeutic effect against shoulder stiffness in mouse model with no evidence toxicity.

conclusionThis study showed that, in RCT patients with adhesive capsulitis, circulating exosomes are protective and have anti-fibrotic potential. This effect is related to the contained miR-142, which targets Tgfbr1. By mimicking this biological function, liposomes loaded with si-Tgfbr1 can mitigate shoulder stiffness pre-clinically.

Indexed as

Adhesive capsulitisCirculating exosomesLiposomesmiRNAsRotator cuff tear

Identifiers

PMID35986376
PMCPMC9389696
OpenAlexW4292335773

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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 OpenQuestion graph.