Evidence map›Paper›PMID 41024448›Full record

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

Transcriptomics Guided Engineering of Exosome-Encapsulated Bifunctional Nanosheets Targeting the Immune-PI3K/Akt Axis for Osteoporosis Therapy.

Rongze Tang, Guanhong Liu, Congcong Wang, Minghao Chao, Guangyu Ma, Pengjin Wei, Siling Du, Junjie Li, Yufan Liu, Chaonan Jing and 4 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Integrative Analysis Coupled with In Vitro Validation RevealsInternational journal of molecular sciences · 2026
    Article
  6. Application and prospects of nanomaterials in osteoporosis treatment.International journal of pharmaceutics: X · 2026
    Review
  7. Review
  8. Article
  9. Review
  10. 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

14 authors.

Rongze TangDepartment of Orthopedics, The Affiliated Hospital of Xuzhou Medical University, Jiangsu, 221004, China.
Guanhong LiuDepartment of Orthopedics, The Affiliated Hospital of Xuzhou Medical University, Jiangsu, 221004, China.
Congcong WangDepartment of Orthopedics, The Affiliated Huai'an Hospital of Xuzhou Medical University, The Second People's Hospital of Huai'an, Huai'an, 223002, China.
Minghao ChaoDepartment of Orthopaedic Surgery, Lishui Central Hospital and Fifth Affiliated Hospital of Wenzhou Medical University, Lishui, 323000, China.
Guangyu MaKey Laboratory of New Drug Research and Clinical Pharmacy, Xuzhou Medical University, Jiangsu, 221004, China.
Pengjin WeiDepartment of Orthopedics, The Affiliated Hospital of Xuzhou Medical University, Jiangsu, 221004, China.
Siling DuKey Laboratory of New Drug Research and Clinical Pharmacy, Xuzhou Medical University, Jiangsu, 221004, China.
Junjie LiKey Laboratory of New Drug Research and Clinical Pharmacy, Xuzhou Medical University, Jiangsu, 221004, China.
Yufan LiuKey Laboratory of New Drug Research and Clinical Pharmacy, Xuzhou Medical University, Jiangsu, 221004, China.
Chaonan JingKey Laboratory of New Drug Research and Clinical Pharmacy, Xuzhou Medical University, Jiangsu, 221004, China.
Guoquan WuDepartment of Orthopedics, The Affiliated Hospital of Xuzhou Medical University, Jiangsu, 221004, China.
Ming GuanDepartment of Laboratory Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, 200040, China.
Hongliang ChenDepartment of Orthopedics, The Affiliated Hospital of Xuzhou Medical University, Jiangsu, 221004, China.
Fenglei GaoDepartment of Orthopedics, The Affiliated Hospital of Xuzhou Medical University, Jiangsu, 221004, China.ORCID https://orcid.org/0000-0002-9367-8368

Funding

Aired Assistance Scientific Research Project by the Affiliated Hospital of Xuzhou Medical University SHJDBF2024101National Key Research and Development Program of China 2024YFF1206803Natural Science Foundation of Jiangsu Province BK20221211the Graduate Research and Innovation Projects of Jiangsu Province KYCX24_3122the National Natural Science Foundation of China 22174123the QingLan Research Project of Jiangsu ProvinceThe Xuzhou Medical Key Talent Training Project XWRCSL20220029Xuzhou Science and Technology Plan Project KC23339
6 · The paper itself

Abstract

Osteoporosis, characterized by imbalanced bone metabolism and chronic inflammation, remains a therapeutic challenge due to the limitations of current single-target therapies. This study integrates transcriptomic insights with nanomaterial engineering to develop a multi-target strategy. Transcriptomic analysis of ovariectomized (OVX) mice reveals immune dysregulation and PI3K/Akt pathway activation, driving osteoclastogenesis. To address this, cobalt-aluminum layered double hydroxide nanosheets (f‑CA(OH)) are synthesized, which scavenge reactive oxygen species (ROS) via peroxidase-like activity and stabilize hypoxia-inducible factor 1α (HIF‑1α) to upregulate BMP2 expression. Co-culturing f‑CA(OH) with mesenchymal stem cells (MSCs) generate engineered exosomes (fCA‑BExo), encapsulating BMP2 and nanomaterials. In vitro, fCA‑BExo suppress osteoclast differentiation by blocking PI3K/Akt signaling and enhance osteogenesis via SMAD2/RUNX2 activation. In vivo, fCA‑BExo restored trabecular architecture in OVX mice, reduces pro-inflammatory cytokines, and promote M2 macrophage polarization, demonstrating biocompatibility and efficacy. This "immune-PI3K/Akt axis" targeting strategy offers a novel paradigm for osteoporosis treatment.

Indexed as

Bone Morphogenetic Protein 2ExosomesNanoparticle Drug Delivery SystemNanostructuresOsteoporosisAnimalsBone MarrowCell EngineeringCoculture TechniquesCore Binding Factor Alpha 1 SubunitFemaleGene Expression ProfilingMesenchymal Stem CellsMiceOvariectomyPhosphatidylinositol 3-KinasesBmp2 protein, mouseBone Morphogenetic Protein 2Core Binding Factor Alpha 1 SubunitNanoparticle Drug Delivery SystemPhosphatidylinositol 3-KinasesPhosphoinositide-3 Kinase InhibitorsProto-Oncogene Proteins c-aktRunx2 protein, mouseSmad2 ProteinSmad2 protein, mousebone regenerationinflammationnanosheetosteoporosis

Identifiers

PMID41024448
PMCPMC12713082

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.