Evidence map›Paper›PMID 41144746›Full record

ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2026

Bone Marrow Mesenchymal Stem Cell Hydrogel-Mediated Fibroblast Reprogramming Restores Intestinal Function in Adhesive Small Bowel Obstruction.

Lihong Zheng, Junrong Zhang, Zhengyuan Huang, Zhenliang Lin, Jin Zhang, Da Zhang, Ping Hou, Xianqiang Chen

Abstract read
In one paragraph

Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Lihong ZhengDepartment of General Surgery (Emergency Surgery), Fujian Medical University Union Hospital, Fujian, China.
Junrong ZhangDepartment of General Surgery (Emergency Surgery), Fujian Medical University Union Hospital, Fujian, China.
Zhengyuan HuangDepartment of General Surgery (Emergency Surgery), Fujian Medical University Union Hospital, Fujian, China.
Zhenliang LinDepartment of General Surgery (Emergency Surgery), Fujian Medical University Union Hospital, Fujian, China.
Jin ZhangDepartment of General Surgery, Fujian Medical University Union Hospital, Fujian, China.
Da ZhangThe United Innovation of Mengchao Hepatobiliary Technology Key Laboratory of Fujian Province, Mengchao Hepatobiliary Hospital of Fujian Medical University, Fujian, China.
Ping HouInstitute of Immunotherapy, Fujian Medical University, Fujian, China.
Xianqiang ChenDepartment of General Surgery (Emergency Surgery), Fujian Medical University Union Hospital, Fujian, China.ORCID https://orcid.org/0000-0001-5503-9840

Funding

Construction Project of Fujian Province Minimally Invasive Medical Center [2021]76Natural Science Foundation of Fujian Province 2023J01633Young Scientists Fund of the National Natural Science Foundation of China 82203546
6 · The paper itself

Abstract

Adhesive small bowel obstruction (ASBO) is a surgical complication characterized by intestinal stenosis due to ectopic fibroblast activation following serosal injury. This study demonstrates that bone marrow mesenchymal stem cells encapsulated in a silk hydrogel (BMSC@Gel) not only prevent tissue adhesion but also restores physiological functions in both mouse tissues and human-derived organoids. BMSCs exert dual regulatory effects on the obstructed intestinal microenvironment. First, they preferentially differentiate into proliferating fibroblasts (FBs) expressing Top2a, Stmn1, and Spp1 rather than inflammatory FBs marked by Adamdec1, Mmp3, and Igfbp3. Second, BMSC-derived exosomes suppress the inflammatory microenvironment, thereby maintaining intestinal homeostasis. Furthermore, BMSCs modulate fibroblast phenotypes and intracellular interactions and inhibit the TGF-β1/Smad3 signaling pathway during fibrosis development, thereby reversing the onset of ASBO. Collectively, these findings highlight BMSC@Gel as a promising therapeutic strategy for the prevention of ASBO in clinical practice.

Indexed as

Cellular ReprogrammingFibroblastsHydrogelsIntestinal ObstructionIntestine, SmallMesenchymal Stem CellsMesenchymal Stem Cell TransplantationAnimalsCell DifferentiationDisease Models, AnimalHumansMaleMiceMice, Inbred C57BLTissue AdhesionsHydrogelsadhesive small bowel obstructionbone marrow mesenchymal stem cellsfibroblast remodelinginflammatory responseintestinal repairTGF‐β/Smad3 signaling pathway

Identifiers

PMID41144746
PMCPMC12806514

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.