Evidence map›Paper›PMID 36989423›Full record

ArticleACS nano2023

Cationic Carrier Mediated Delivery of Anionic Contrast Agents in Low Doses Enable Enhanced Computed Tomography Imaging of Cartilage for Early Osteoarthritis Diagnosis.

Chenzhen Zhang, Armin Vedadghavami, Tengfei He, Julia F Charles, Ambika G Bajpayee

Open access · hybridAbstract read
In one paragraph

Article in ACS nano, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
7.0field-weighted citation impact, top 2% 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

22 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Frontiers in pharmacology · 2026
    Article
  6. Article
  7. Cationic Peptoids for Systemic In Vivo Cartilage-Targeting.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. 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

5 authors at 2 institutions in 1 country.

Chenzhen ZhangDepartment of Bioengineering, Northeastern University, 360 Huntington Avenue, Boston, Massachusetts 02115, United States.ORCID 0000-0003-0800-1908
Armin VedadghavamiDepartment of Bioengineering, Northeastern University, 360 Huntington Avenue, Boston, Massachusetts 02115, United States.
Tengfei HeDepartment of Bioengineering, Northeastern University, 360 Huntington Avenue, Boston, Massachusetts 02115, United States.
Julia F CharlesDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, 60 Fenwood Road, Boston, Massachusetts 02115, United States.
Ambika G BajpayeeDepartment of Bioengineering, Northeastern University, 360 Huntington Avenue, Boston, Massachusetts 02115, United States.
Northeastern University · USBrigham and Women's Hospital · US

Funding

Anti-catabolic drug anchored cationic exosomes for cartilage targeting and repairR21EB028385 · NIBIB · NORTHEASTERN UNIVERSITY · PI BAJPAYEE, AMBIKA GOEL · 2019 to 2021
$628k
Charge driven contrast enhanced computed tomography for imaging negatively charged tissuesR03EB025903 · NIBIB · NORTHEASTERN UNIVERSITY · PI BAJPAYEE, AMBIKA GOEL · 2018 to 2019
$157k
NIBIB NIH HHS R03 EB025903NIBIB NIH HHS R21 EB028385
6 · The paper itself

Abstract

Cartilage tissue exhibits early degenerative changes with onset of osteoarthritis (OA). Early diagnosis is critical as there is only a narrow time window during which therapeutic intervention can reverse disease progression. Computed tomography (CT) has been considered for cartilage imaging as a tool for early OA diagnosis by introducing radio-opaque contrast agents like ioxaglate (IOX) into the joint. IOX, however, is anionic and thus repelled by negatively charged cartilage glycosaminoglycans (GAGs) that hinders its intra-tissue penetration and partitioning, resulting in poor CT attenuation. This is further complicated by its short intra-tissue residence time owing to rapid clearance from joints, which necessitates high doses causing toxicity concerns. Here we engineer optimally charged cationic contrast agents based on cartilage negative fixed charge density by conjugating cartilage targeting a cationic peptide carrier (CPC) and multi-arm avidin nanoconstruct (mAv) to IOX, such that they can penetrate through the full thickness of cartilage within 6 h using electrostatic interactions and elicit similar CT signal with about 40× lower dose compared to anionic IOX. Their partitioning and distribution correlate strongly with spatial GAG distribution within healthy and early- to late-stage arthritic bovine cartilage tissues at 50-100× lower doses than other cationic contrast agents used in the current literature. The use of contrast agents at low concentrations also allowed for delineation of cartilage from subchondral bone as well as other soft tissues in rat tibial joints. These contrast agents are safe to use at current doses, making CT a viable imaging modality for early detection of OA and staging of its severity.

Indexed as

Cartilage, ArticularOsteoarthritisAnimalsCationsCattleContrast MediaEarly DiagnosisIoxaglic AcidRatsTomography, X-Ray ComputedCationsContrast MediaIoxaglic Acidcartilagecationic carrierscontrast enhanced computed tomographydiagnosiselectrostatic interactionsimagingosteoarthritis

Identifiers

PMID36989423
PMCPMC10629240
OpenAlexW4361296598

What OpenQuestion holds

Textmetadata
LicenceCC BY
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 OpenQuestion graph.