Evidence map›Paper›PMID 40491560›Full record

ArticleRegenerative therapy2025

A temperature-sensitive chitosan hydrogels loaded with nano-zinc oxide and exosomes from human umbilical vein endothelial cells accelerates wound healing.

Lei Yu, Zihao Dai, Yuchen Huang, Shuo Tang, Lihong Zhou, Xuying Zhao, Xianfeng Que, Rongfeng Shi, Jin Zhou, Jixuan Dong and 2 more

Abstract read
In one paragraph

Article in Regenerative therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Advanced small extracellular vesicles delivery systems forExtracellular vesicles and circulating nucleic acids · 2026
    Review
  6. Review
  7. Pharmacological and Biological Efficacy of Chitosan-Based Materials.International journal of molecular sciences · 2025
    Review
  8. Review
  9. 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

12 authors.

Lei YuDepartment of Endocrinology, Affiliated Hospital of Nantong University, Nantong University, 20 Xisi Road, Nantong, Jiangsu 226001, People's Republic of China.
Zihao DaiDepartment of Endocrinology, Affiliated Hospital of Nantong University, Nantong University, 20 Xisi Road, Nantong, Jiangsu 226001, People's Republic of China.
Yuchen HuangDepartment of Endocrinology, Affiliated Hospital of Nantong University, Nantong University, 20 Xisi Road, Nantong, Jiangsu 226001, People's Republic of China.
Shuo TangDepartment of Endocrinology, Affiliated Hospital of Nantong University, Nantong University, 20 Xisi Road, Nantong, Jiangsu 226001, People's Republic of China.
Lihong ZhouDepartment of Histology and Embryology, Medical School, Nantong University, Nantong, Jiangsu 226001, People's Republic of China.
Xuying ZhaoDepartment of Endocrinology, Affiliated Hospital of Nantong University, Nantong University, 20 Xisi Road, Nantong, Jiangsu 226001, People's Republic of China.
Xianfeng QueHealth Management Center, Affiliated Hospital of Nantong University, Nantong University, 20 Xisi Road, Nantong, Jiangsu 226001, People's Republic of China.
Rongfeng ShiDepartment of Interventional and Vascular Surgery, Affiliated Hospital of Nantong University, Nantong University, 20 Xisi Road, Nantong, Jiangsu 226001, People's Republic of China.
Jin ZhouNantong Xingzhong Cell Engineering Co. LTD, Nantong, Jiangsu 226001, People's Republic of China.
Jixuan DongDepartment of Radiation Oncology, Affiliated Hospital of Nantong University, Nantong University, 20 Xisi Road, Nantong, Jiangsu 226001, People's Republic of China.
Feng WangNantong Xingzhong Cell Engineering Co. LTD, Nantong, Jiangsu 226001, People's Republic of China.
Yunjuan GuDepartment of Endocrinology, Affiliated Hospital of Nantong University, Nantong University, 20 Xisi Road, Nantong, Jiangsu 226001, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The suboptimal therapeutic outcomes of diabetic foot ulcers (DFUs) represent a significant global challenge. In recent years, studies have indicated that novel dressings incorporating exosomes (Exos), nanomaterials, and hydrogels following debridement can synergistically promote tissue repair, which has been widely recognized as a promising emerging trend in the treatment of DFUs. In this study, a combination of zinc oxide nanoparticles (ZnO-NPs), Exos, and chitosan (CS) hydrogel (CS/ZnO-NPs@Exos) was applied to the full-thickness cutaneous defects in a diabetic rat model. This CS/ZnO-NPs@Exos hydrogel was applied to the wound site to achieve sustained and long-term release of Exos, allowing the evaluation of its therapeutic effects. This hydrogel significantly improved the wound closure rate in diabetic skin injuries and reduced oedema, erythema and inflammatory exudate at the wound site. These effects were characterized by enhanced re-epithelialization, reduced infiltration of inflammatory cells, increased collagen deposition, and enhanced angiogenesis in the wound area. This may be related to the Exos derived from human umbilical vein endothelial cells (HUVECs), which notably promote the migration and proliferation of fibroblasts. As a result, the CS/ZnO-NPs@Exos hydrogel offers a new therapeutic dressing for the management of diabetic wounds, with the potential to play a crucial role in clinical practice.

Indexed as

Chitosan based hydrogelDiabetic wound healingExosomesHUVECsSkin regeneration

Identifiers

PMID40491560
PMCPMC12146491

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.