Evidence map›Paper›PMID 39703158›Full record

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

Hierarchical Targeting Nanodrug with Holistic DNA Protection for Effective Treatment of Acute Kidney Injury.

Qiaohui Chen, Yongqi Yang, Xiaohong Ying, Changkun Huang, Jianlin Chen, Jue Wang, Ziyu Wu, Wan Zeng, Chenxi Miao, Xiaojing Shi and 3 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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

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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

13 authors.

Qiaohui ChenDepartment of Pharmacy, Xiangya Hospital, Central South University, Changsha, 410008, China.
Yongqi YangXiangya School of Pharmaceutical Sciences, Central South University, Changsha, 410013, China.
Xiaohong YingXiangya School of Pharmaceutical Sciences, Central South University, Changsha, 410013, China.
Changkun HuangDepartment of Urology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, China.
Jianlin ChenDepartment of Pancreatic Surgery, Xiangya Hospital, Central South University, Changsha, 410008, China.
Jue WangXiangya School of Pharmaceutical Sciences, Central South University, Changsha, 410013, China.
Ziyu WuXiangya School of Pharmaceutical Sciences, Central South University, Changsha, 410013, China.
Wan ZengXiangya School of Pharmaceutical Sciences, Central South University, Changsha, 410013, China.
Chenxi MiaoXiangya School of Pharmaceutical Sciences, Central South University, Changsha, 410013, China.
Xiaojing ShiXiangya School of Pharmaceutical Sciences, Central South University, Changsha, 410013, China.
Yayun NanGeriatric Medical Center, People's Hospital of Ningxia Hui Autonomous Region, Yinchuan, Ningxia, 750002, China.
Qiong HuangDepartment of Pharmacy, Xiangya Hospital, Central South University, Changsha, 410008, China.
Kelong AiXiangya School of Pharmaceutical Sciences, Central South University, Changsha, 410013, China.ORCID https://orcid.org/0000-0002-9863-8963

Funding

Central South University Research Programme of Advanced Interdisciplinary Studies 2023QYJC017Key Program of Ningxia Hui Autonomous Region Natural Science Foundation of China 2022AAC02058Key Research and Development Program of Hunan Province 2024JK2114Key Research Project of Ningxia Hui Autonomous Region of China (Major Project) 2021BEG01001:2023BEG02038National Natural Science Foundation of China 82373871Project Program of National Clinical Research Center for Geriatric Disorders (Xiangya Hospital) 2023LNJJ12
6 · The paper itself

Abstract

Acute kidney injury (AKI) manifests a hallmark pathological feature of extensive and severe DNA damage in renal tubules, primarily induced by the excessive of toxic reactive oxygen species (ROS) from the mitochondrial electron transport chain. The kidney's complex intricate physiological architecture and the heterogeneous intracellular environment pose significant challenges for effective sequential and high-resolution drug delivery-an urgent issue that remains unresolved. To address this, a hierarchical-targeting antioxidant nanodrug has been developed with a folic acid moiety (HAND) designed for high-resolution drug delivery in AKI treatment. For the first time, HAND enables sequential targeting from the kidney to the most severely damaged proximal tubular epithelial cells (PTECs), ultimately concentrating in the DNA-rich mitochondria and nucleus. As a result, HAND effectively scavenges ROS in situ, protecting both mitochondria and nuclei along with their vital genetic material. This action restores mitochondrial function, mitigates DNA oxidation and fragmentation, reduces apoptosis, and inhibits cGAS/STING-mediated sterile inflammation. Consequently, HAND demonstrates remarkable efficacy in safeguarding injured kidneys during AKI. Overall, this work pioneers a hierarchical, high-resolution antioxidant strategy, providing innovative guidance for the development of AKI therapies.

Indexed as

Acute Kidney InjuryAntioxidantsDNADrug Delivery SystemsAnimalsApoptosisDNA DamageFolic AcidHumansMaleMiceMitochondriaReactive Oxygen SpeciesAntioxidantsDNAFolic AcidReactive Oxygen SpeciesAKIantioxidative nanomedicinemitochondrianucleusoxidative stresssubcellular organelle targeting

Identifiers

PMID39703158
PMCPMC11809360

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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.