Evidence map›Paper›PMID 39680747›Full record

ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2025

Ultrasound-Activated Precise Sono-Immunotherapy for Breast Cancer with Reduced Pulmonary Fibrosis.

Xiang Li, Gao He, Hui Jin, Xinyu Xiang, Dong Li, Renmiao Peng, Jing Tao, Xinping Li, Kaiyang Wang, Yu Luo and 1 more

Abstract read
In one paragraph

Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Pulmonary fibrosis: from mechanisms to therapies.Journal of translational medicine · 2025
    Review
  6. Review
  7. 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

11 authors.

Xiang LiDepartment of Thyroid-Breast Surgery, The Fourth Affiliated Hospital of Nanjing Medical University, 298 Nanpu Road, Nanjing, Jiangsu, 210032, P. R. China.
Gao HeBreast Disease Center, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing, Jiangsu, 210029, P. R. China.
Hui JinDepartment of Breast surgery, The Affiliated Tumor Hospital of Nantong University, 30 Tongyang north road, Nantong, Jiangsu, 226361, P. R. China.
Xinyu XiangShanghai Engineering Research Center of Pharmaceutical Intelligent Equipment, Shanghai Frontiers Science Research Center for Druggability of Cardiovascular Non-coding RNA, Institute for Frontier Medical Technology School of Chemistry and Chemical Engineering Shanghai University of Engineering Science, Shanghai, 201620, P. R. China.
Dong LiShanghai Engineering Research Center of Pharmaceutical Intelligent Equipment, Shanghai Frontiers Science Research Center for Druggability of Cardiovascular Non-coding RNA, Institute for Frontier Medical Technology School of Chemistry and Chemical Engineering Shanghai University of Engineering Science, Shanghai, 201620, P. R. China.
Renmiao PengShanghai Engineering Research Center of Pharmaceutical Intelligent Equipment, Shanghai Frontiers Science Research Center for Druggability of Cardiovascular Non-coding RNA, Institute for Frontier Medical Technology School of Chemistry and Chemical Engineering Shanghai University of Engineering Science, Shanghai, 201620, P. R. China.
Jing TaoDepartment of Thyroid-Breast Surgery, The Fourth Affiliated Hospital of Nanjing Medical University, 298 Nanpu Road, Nanjing, Jiangsu, 210032, P. R. China.
Xinping LiDepartment of Thyroid-Breast Surgery, The Fourth Affiliated Hospital of Nanjing Medical University, 298 Nanpu Road, Nanjing, Jiangsu, 210032, P. R. China.
Kaiyang WangShanghai Engineering Research Center of Pharmaceutical Intelligent Equipment, Shanghai Frontiers Science Research Center for Druggability of Cardiovascular Non-coding RNA, Institute for Frontier Medical Technology School of Chemistry and Chemical Engineering Shanghai University of Engineering Science, Shanghai, 201620, P. R. China.
Yu LuoShanghai Engineering Research Center of Pharmaceutical Intelligent Equipment, Shanghai Frontiers Science Research Center for Druggability of Cardiovascular Non-coding RNA, Institute for Frontier Medical Technology School of Chemistry and Chemical Engineering Shanghai University of Engineering Science, Shanghai, 201620, P. R. China.ORCID https://orcid.org/0000-0002-7088-0715
Xiaoan LiuBreast Disease Center, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing, Jiangsu, 210029, P. R. China.

Funding

Jiangsu Province Capability Improvement Project through Science, Technology and Education ZDXK202222National Natural Science Foundation of China 52272280National Natural Science Foundation of China 82003290National Natural Science Foundation of China 82072931Project of Nantong Health Commission QA2020020Shanghai Shuguang Plan 22SG53
6 · The paper itself

Abstract

Immune checkpoint inhibitors have demonstrated remarkable efficacy across various cancer types. However, immune-related adverse events (irAEs) pose a significant challenge in immunotherapy, particularly the associated pneumonia as the primary adverse reaction, which can lead to irreversible pulmonary fibrosis. Additionally, monotherapy with programmed death ligand (PD-L1) inhibitors has shown limited effectiveness. Therefore, to improve the response rate of immunotherapy and reduce pulmonary fibrosis, this study designed and prepared an intelligent nanodrug based on dendritic mesoporous silica nanoparticles (DMSNs) loaded with a sono-sensitive agent protoporphyrin IX (PpIX). Additionally, a reactive oxygen species (ROS) sensitive linker is used to attach the immunotherapeutic drug PD-L1 inhibitor (aPD-L1) to DMSNs via covalent bonds. The external ultrasound (US) activates PpIX to generate ROS, which breaks the linker to release aPD-L1 to induce sonodynamic therapy (SDT) and immunotherapy. This sono-immnotherapy approach demonstrated excellent outcomes in tumor inhibition, eliciting immune responses, and reducing pulmonary fibrosis. Overall, this study offers a new, efficient, and safe method for breast cancer treatment, and expands the application of immunotherapy.

Indexed as

Breast NeoplasmsImmunotherapyPulmonary FibrosisUltrasonic TherapyAnimalsCell Line, TumorFemaleHumansImmune Checkpoint InhibitorsMiceNanoparticlesProtoporphyrinsReactive Oxygen SpeciesSilicon DioxideImmune Checkpoint Inhibitorsprotoporphyrin IXProtoporphyrinsReactive Oxygen SpeciesSilicon Dioxidebreast cancerdendritic mesoporous silicapulmonary fibrosissono‐immunotherapy

Identifiers

PMID39680747
PMCPMC11791983

What OpenQuestion holds

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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.