Evidence map›Paper›PMID 41076529›Full record

ArticleJournal of nanobiotechnology2025

Customized extracellular vesicles targeting lysosomal biogenesis deliver therapeutic cargo for intervertebral disc degeneration treatment.

Zhiwei Liao, Zixuan Ou, Bide Tong, Shuai Li, Cao Yang

Abstract read
In one paragraph

Article in Journal of nanobiotechnology, 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. Review
  2. Review
  3. 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

5 authors.

Zhiwei LiaoDepartment of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Zixuan OuDepartment of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Bide TongDepartment of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Shuai LiDepartment of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. lishuai_union@hust.edu.cn.
Cao YangDepartment of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. caoyangunion@hust.edu.cn.

Funding

National Natural Science Foundation of China 82302763
6 · The paper itself

Abstract

Extracellular vesicles (EVs) have gained prominence as advanced drug delivery systems due to their inherent merits. Recent advancements highlight their utility in transporting therapeutic proteins with significant progress in targeted therapies. To optimize EV efficacy, engineering strategies focus on enhancing cargo encapsulation efficiency. The robust interaction between immunoglobulin G Fc fragments and the cytoplasmic receptor TRIM21 offers a novel framework for stable cargo loading. This study identifies Ras-related GTP-binding protein D (RRAGD) as a critical regulator of lysosomal biogenesis and function. Leveraging Fc-TRIM21 interactions, engineered EVs encapsulating RRAGD were developed. Surface modification with CAP peptides enhanced nucleus pulposus (NP) cell-targeting specificity of EVs. In vitro and in vivo experiments demonstrated that engineered EVs ameliorated lysosomal dysfunction and suppressed apoptosis in NP cells, and slowed intervertebral disc degeneration (IDD) progression. The mechanistic analysis revealed the functional co-localization of RRAGD with lysosomal marker LAMP1 and lysosomal regeneration transcription factor TFEB, indicating lysosomal targeting. This study establishes CAP-modified engineered EVs based on the Fc/TRIM21 platform as a therapeutic strategy to restore lysosomal homeostasis and counteract IDD pathogenesis, underscoring the potential of EV-based therapies for degenerative disc diseases.

Indexed as

Drug Delivery SystemsExtracellular VesiclesIntervertebral Disc DegenerationLysosomesAnimalsApoptosisHumansImmunoglobulin Fc FragmentsMaleMiceNucleus PulposusImmunoglobulin Fc FragmentsExtracellular vesiclesIntervertebral discLysosomeProtein deliveryPTGFRN

Identifiers

PMID41076529
PMCPMC12514819

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.