Evidence map›Paper›PMID 40373960›Full record

ArticleJournal of advanced research2026

An injectable nano-hydroxyapatite-incorporated hydrogel with sustained release of Notoginsenoside R1 enhances bone regeneration by promoting angiogenesis through Notch1/Akt signaling.

Bizhi Tan, Xiao Liu, Shuai Chen, Yan Chen, Zhongyuan He, Zemin Ling, Fangli Huang, Rongcheng Hu, Hao Hu, Xuenong Zou and 1 more

Abstract read
In one paragraph

Article in Journal of advanced research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
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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

11 authors.

Bizhi TanDepartment of Spine Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China; Institute of Spinal Cord Injury, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China.
Xiao LiuGreater Bay Area Institute for Innovation, Hunan University, Guangzhou 511338, China.
Shuai ChenGuangdong Provincial Key Laboratory of Orthopaedics and Traumatology/Orthopaedic Research Institute, Department of Spine Surgery, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510080, China.
Yan ChenDepartment of Orthopaedics, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
Zhongyuan HeDepartment of Orthopaedics, the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China.
Zemin LingDeparment of Orthopaedics, the Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen 518106, China.
Fangli HuangDepartment of Orthopaedics, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
Rongcheng HuGuangdong Provincial Key Laboratory of Orthopaedics and Traumatology/Orthopaedic Research Institute, Department of Spine Surgery, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510080, China.
Hao HuGuangdong Provincial Key Laboratory of Orthopaedics and Traumatology/Orthopaedic Research Institute, Department of Spine Surgery, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510080, China.
Xuenong ZouGuangdong Provincial Key Laboratory of Orthopaedics and Traumatology/Orthopaedic Research Institute, Department of Spine Surgery, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510080, China. Electronic address: zxnong@hotmail.com.
Fuzhi AiDepartment of Spine Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China; Institute of Spinal Cord Injury, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China. Electronic address: aifzh@mail.sysu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNotoginsenoside R1 (NGR1), a bioactive compound, exhibits significant pro-angiogenic potential, making it a promising candidate for treating various diseases. Since angiogenesis and osteogenesis are synergistically coupled processes, NGR1's capacity to stimulate blood vessel formation may critically promote bone regeneration. However, the underlying molecular mechanisms through which NGR1 promotes angiogenesis in bone repair remain to be fully elucidated.

objectivesTo investigate the potential mechanism by which NGR1 promotes angiogenesis and to validate the therapeutic effect of NGR1-loaded biomaterials on bone defect regeneration.

methodsHuman umbilical vein endothelial cells (HUVECs) were cultured in complete medium containing the screened concentration of NGR1 to investigate its pro-angiogenic phenotype and potential mechanism in vitro. Subsequently, an injectable nano-hydroxyapatite-incorporated GelMA hydrogel was synthesized as an active drug-delivery delivery system for NGR1. The therapeutic effect of this fabricated NGR1-loaded biomaterial on bone defect regeneration was further evaluated in a rat cranial bone defect model. The key molecules in relevant signaling pathways was analyzed by immunohistochemistry.

resultsIn vitro experiments demonstrated that NGR1 exhibits good biocompatibility and angiogenic capacity, as it promoted cell proliferation, enhanced cell migration, upregulated the angiogenic-related gene expression, and increased the protein expression of VEGF and VEGFR-2. Furthermore, the implantation of the injectable nano-hydroxyapatite-incorporated GelMA hydrogel loaded with NGR1 significantly enhanced bone defect regeneration in a rat cranial bone defect model compared to hydrogel-only group. Additionally, NGR1 supplementation markedly upregulated CD31 expression during bone formation, suggesting its role in coupling of angiogenesis and osteogenesis. Mechanistically, both in vivo and in vitro experiments indicated that NGR1 likely promote angiogenesis via activating Notch1/Akt singling pathway during bone regeneration.

conclusionsThese findings indicate that NGR1 promotes angiogenesis through Notch1/Akt signaling activation during bone regeneration, which might offer potential therapeutic targets for bone-related diseases. Moreover, the application of NGR1-loaded biomaterials could represent a promising strategy to enhance bone regeneration.

Indexed as

Bone RegenerationDurapatiteGinsenosidesHydrogelsNeovascularization, PhysiologicAngiogenesisAnimalsDelayed-Action PreparationsHumansHuman Umbilical Vein Endothelial CellsMaleNanoparticlesOsteogenesisProto-Oncogene Proteins c-aktRatsRats, Sprague-DawleyDelayed-Action PreparationsDurapatiteGinsenosidesHydrogelsNOTCH1 protein, humannotoginsenoside R1Proto-Oncogene Proteins c-aktReceptor, Notch1AngiogenesisBone regenerationDrug-deliveryInjectable hydrogelNotoginsenoside R1

Identifiers

PMID40373960
PMCPMC12869194

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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.