Evidence map›Paper›PMID 40644368›Full record

ReviewAnnals of medicine2025

Research progress on nanotoxicity and detoxification of cobalt in metal-based implants.

Wentao Fan, Mingxin Guo

Abstract readReview
In one paragraph

Review in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Magneto-X Effects in Magnetic Soft Materials and Their Applications.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  6. Article
  7. Research progress on ferroptosis in drug resistance and therapy of gastric cancer.Journal of cancer research and clinical oncology · 2025
    Review
  8. Article
  9. Review
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

2 authors.

Wentao FanThe Affiliated Yixing Hospital of Jiangsu University, Yixing, China.
Mingxin GuoThe Affiliated Yixing Hospital of Jiangsu University, Yixing, China.ORCID 0000-0001-8401-5952

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCobalt nanoparticles (CoNPs), a primary wear debris from joint prostheses, exhibit significant cytotoxicity. This review aims to synthesize current understanding of CoNPs' toxicity mechanisms, their local and systemic pathological effects, the emerging role in ferroptosis, potential detoxification strategies, and outline critical future research directions. DISCUSSION: CoNPs are internalized by cells, primarily

conclusionsCoNPs released from joint prostheses present substantial local and systemic health hazards. Their toxicity is primarily mediated through lysosomal degradation, ROS overproduction, and the induction of cell death, including ferroptosis. While mechanisms are increasingly understood, further research is crucial to fully elucidate the long-term systemic consequences and to develop effective clinical detoxification and preventative strategies for patients with cobalt-containing implants.

Indexed as

CobaltJoint ProsthesisMetal NanoparticlesMetal-on-Metal Joint ProsthesesAnimalsFerroptosisHumansLysosomesPhagocytosisReactive Oxygen SpeciesCobaltReactive Oxygen Speciescobalt nanoparticlesdetoxificationferroptosisjoint arthroplastyMetal-based implantsparticlestoxicity

Identifiers

PMID40644368
PMCPMC12258216

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.