Evidence map›Paper›PMID 40251193›Full record

ArticleNature communications2025

Covalently reactive microparticles imbibe blood to form fortified clots for rapid hemostasis and prevention of rebleeding.

Ting Chen, Chaonan Xiao, Xianjun Chen, Ziyi Yang, Jingwei Zhao, Bingkun Bao, Qingmei Zeng, Li Jiang, Xinyi Huang, Yi Yang and 3 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. 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

13 authors.

Ting ChenSchool of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China.
Chaonan XiaoSchool of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China.
Xianjun ChenOptogenetics & Synthetic Biology Interdisciplinary Research Center, State Key Laboratory of Bioreactor Engineering, East China University of Science and Technology, Shanghai, China.ORCID http://orcid.org/0000-0002-8475-332X
Ziyi YangDepartment of General Surgery, Xinhua Hospital, affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Jingwei ZhaoSchool of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China.
Bingkun BaoSchool of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China.ORCID http://orcid.org/0009-0008-2710-8843
Qingmei ZengSchool of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China.
Li JiangSchool of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China.
Xinyi HuangSchool of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China.
Yi YangOptogenetics & Synthetic Biology Interdisciplinary Research Center, State Key Laboratory of Bioreactor Engineering, East China University of Science and Technology, Shanghai, China.ORCID http://orcid.org/0000-0001-7896-1184
Qiuning LinSchool of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China. qiuninglin@sjtu.edu.cn.ORCID http://orcid.org/0000-0002-9418-9590
Wei GongDepartment of General Surgery, Xinhua Hospital, affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Linyong ZhuSchool of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China. linyongzhu@sjtu.edu.cn.ORCID http://orcid.org/0000-0002-0398-7213

Funding

National Natural Science Foundation of China (National Science Foundation of China) 22475129National Natural Science Foundation of China (National Science Foundation of China) 32121005
6 · The paper itself

Abstract

Owing to the inherently gradual nature of coagulation, the body fails in covalently crosslinking to stabilize clots rapidly, even with the aid of topical hemostats, thus inducing hemostatic failure and potential rebleeding. Although recently developed adhesives confer sealing bleeding sites independently of coagulation, interfacial blood hampers their adhesion and practical applications. Here, we report a covalently reactive hemostat based on blood-imbibing and -crosslinking microparticles. Once contacting blood, the microparticles automatically mix with blood via imbibition and covalently crosslink with blood proteins and the tissue matrix before natural coagulation operates, rapidly forming a fortified clot with enhanced mechanical strength and tissue adhesion. In contrast to commercial hemostats, the microparticles achieve rapid hemostasis (within 30 seconds) and less blood loss (approximately 35 mg and 1 g in the rat and coagulopathic pig models, respectively), while effectively preventing blood-pressure-elevation-induced rebleeding in a rabbit model. This work advances the development and clinical translation of hemostats for rapid hemostasis and rebleeding prevention.

Indexed as

Blood CoagulationHemorrhageHemostasisHemostaticsAnimalsDisease Models, AnimalHumansMaleRabbitsRatsRats, Sprague-DawleySwineHemostatics

Identifiers

PMID40251193
PMCPMC12008190

What OpenQuestion holds

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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.