Evidence map›Paper›PMID 40788236›Full record

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

Mechanically Active Hydrogel for Healing Intestinal Fistulas through the YAP-Mediated Mechanosensitization of Intestinal Epithelial Cells.

Ze Li, Jiayang Li, Kang Chen, Guiwen Qu, Shuanghong Yang, Sicheng Li, Ye Liu, Yitian Teng, Rui Ma, Jinjian Huang 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

13 authors.

Ze LiResearch Institute of General Surgery, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, 210002, P. R. China.
Jiayang LiResearch Institute of General Surgery, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, 210002, P. R. China.
Kang ChenResearch Institute of General Surgery, Jinling HospitalNanjing, Medical University, Nanjing, 210002, P. R. China.
Guiwen QuSchool of Medicine, Southeast University, Nanjing, 211189, P. R. China.
Shuanghong YangJinling Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing, 210002, P. R. China.
Sicheng LiResearch Institute of General Surgery, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, 210002, P. R. China.
Ye LiuSchool of Medicine, Southeast University, Nanjing, 211189, P. R. China.
Yitian TengResearch Institute of General Surgery, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, 210002, P. R. China.
Rui MaResearch Institute of General Surgery, Jinling HospitalNanjing, Medical University, Nanjing, 210002, P. R. China.
Jinjian HuangResearch Institute of General Surgery, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, 210002, P. R. China.
Peige WangDepartment of Emergency Surgery, The Affiliated Hospital of Qingdao University, Qingdao, 266000, P. R. China.
Jianan RenResearch Institute of General Surgery, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, 210002, P. R. China.ORCID https://orcid.org/0000-0002-4697-4762
Xiuwen WuResearch Institute of General Surgery, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, 210002, P. R. China.

Funding

China Postdoctoral Science Foundation 2022M723891China Postdoctoral Science Foundation 2024M764284China Postdoctoral Science Foundation BX20220393Jiangsu Key Research and Development Plan BE2023810Jiangsu Provincial Medical Innovation Center CXZX202217Natural Science Foundation of Jiangsu Province BK20231091
6 · The paper itself

Abstract

Intestinal fistula is a serious condition characterized by abnormal connections between the intestine and surrounding tissues. Despite advances in comprehensive management of intestinal fistulas, patients often need to undergo definitive surgery and face life-threatening complications due to ineffective closure measures. Herein, a mechanically active hydrogel (GNGP) that actively constricts intestinal fistulas in response to body temperature is presented. It possesses broad-spectrum antimicrobial properties, excellent adhesion, suitable degradation properties, and a balance between injectable properties and mechanical activity-which, together, enable the in situ sealing of intestinal fistulas. Moreover, GNGP hydrogel accelerates the re-epithelialization process of rabbit intestinal fistulas, ameliorates the inflammation of the fistula tract, and promotes the deposition of collagen into the damaged area to effectively facilitate intestinal fistula healing. Mechanistically, shear stress is found to promote the proliferation of intestinal epithelial cells via Yes-associated protein-mediated mechanosensitization, through finite element simulations and in vitro experiments. Together, this mechanically active hydrogel with injectable properties offers a promising strategy for the sealing treatment of intestinal fistulas.

Indexed as

Epithelial CellsHydrogelsIntestinal FistulaMechanotransduction, CellularWound HealingAnimalsDisease Models, AnimalHumansIntestinal MucosaRabbitsYAP-Signaling ProteinsHydrogelsYAP-Signaling ProteinshydrogelIECintestinal fistulamechanically activetissue repair

Identifiers

PMID40788236
PMCPMC12631856

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.