Evidence map›Paper›PMID 40858573›Full record

ArticleNature communications2025

A multifaceted strategy for intra- and extracellular nucleic acid regulation to alleviate intervertebral disc degeneration.

Lan Zhao, Kaiyu Liang, Wenqiang Cheng, Xizhuo Zhou, Libin Yang, Xinning Mao, Weihui Qi, Hongting Jin, Wei Zhang, Hao Pan and 1 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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 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.

Lan Zhao *Department of Orthopedic Surgery, Hangzhou Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, Hangzhou, China.ORCID http://orcid.org/0009-0009-0512-3791
Kaiyu Liang *Department of Orthopaedic Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China. kaiyu_liang@zju.edu.cn.ORCID http://orcid.org/0000-0003-2535-8220
Wenqiang Cheng *Department of Orthopedic Surgery, Hangzhou Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, Hangzhou, China.
Xizhuo ZhouDepartment of Orthopedic Surgery, Hangzhou Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, Hangzhou, China.
Libin YangDepartment of Orthopedic Surgery, Hangzhou Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, Hangzhou, China.
Xinning MaoDepartment of Orthopedic Surgery, Hangzhou Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, Hangzhou, China.
Weihui QiDepartment of Orthopedic Surgery, Hangzhou Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, Hangzhou, China.
Hongting JinDepartment of Orthopedic Surgery, Hangzhou Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, Hangzhou, China. hongtingjin@zcmu.edu.cn.
Wei ZhangDepartment of Orthopedic Surgery, Hangzhou Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, Hangzhou, China. volcano8060@163.com.
Hao PanDepartment of Orthopedic Surgery, Hangzhou Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, Hangzhou, China. harper1966@alu.zcmu.edu.cn.ORCID http://orcid.org/0000-0001-7136-5822
Dong WangDepartment of Orthopedic Surgery, Hangzhou Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, Hangzhou, China. hz-wdong@alu.zcmu.edu.cn.ORCID http://orcid.org/0000-0001-6267-8819

Funding

Chinese Medicine Research Program of Zhejiang Province 2025KY1150Hangzhou Science and Technology Bureau 20241203A15National Natural Science Foundation of China (National Science Foundation of China) 82405429
6 · The paper itself

Abstract

Abnormal accumulation of both intracellular and extracellular free nucleic acids drives chronic inflammation in intervertebral disc degeneration (IVDD). Despite the development of numerous minimally invasive treatments for IVDD, systematic approaches targeting the chronic inflammation mediated by both nucleic acid types are lacking. We propose a dual clearance strategy that inhibits mitochondrial DNA release inside nucleus pulposus cells while removing extracellular DNA from the disc microenvironment. Using single-cell sequencing and clinical samples, we revealed how both nucleic acid types drive inflammation. We then developed a targeted nanovesicle system delivering a mitochondrial membrane-stabilizing small molecule to block DNA leakage and inflammatory signaling, along with a hydrogel that captures extracellular DNA to prevent immune activation. In a rat model, this approach significantly slowed disease progression. This targeted dual nucleic acid clearance strategy provides a approach for treating IVDD and offers a theoretical framework for addressing other nucleic acid-related inflammatory diseases.

Indexed as

Intervertebral Disc DegenerationNucleic AcidsAnimalsDisease Models, AnimalDNA, MitochondrialHumansHydrogelsInflammationIntervertebral DiscMaleNucleus PulposusRatsRats, Sprague-DawleyDNA, MitochondrialHydrogelsNucleic Acids

Identifiers

PMID40858573
PMCPMC12381007

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

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.