Evidence map›Paper›PMID 41582151›Full record

ArticleJournal of nanobiotechnology2026

Hydrogel microspheres loaded with sinomenine and Drynaria rhizome enhance the treatment of rheumatoid arthritis via immune regulation and promoting bone repair.

Li Cai, Jian Gao, Kai Zhang, Bing Xiao, SiJia Xu, Wei Zhao, Juan Li, Yanli Zhou, WenYing Zhu, ShuYuan Liu and 6 more

Abstract read
In one paragraph

Article in Journal of nanobiotechnology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

16 authors.

Li Cai *Department of Nephrology and Rheumatology, The Affiliated Traditional Chinese Medicine Hospital, Guangzhou Medical University, Guangzhou, China.
Jian Gao *Division of Spine Surgery, Department of Orthopaedics, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Kai Zhang *Nanjing Hospital of Chinese Medicine, Nanjing University of Chinese Medicine, Nanjing, China.
Bing Xiao *The First School of Clinical Medicine, Southern Medical University, Guangzhou, China.
SiJia Xu *Guangdong Medical University, Guangdong, China.
Wei ZhaoDepartment of Nephrology and Rheumatology, The Affiliated Traditional Chinese Medicine Hospital, Guangzhou Medical University, Guangzhou, China.
Juan LiDepartment of Nephrology and Rheumatology, The Affiliated Traditional Chinese Medicine Hospital, Guangzhou Medical University, Guangzhou, China.
Yanli ZhouDepartment of Nephrology and Rheumatology, The Affiliated Traditional Chinese Medicine Hospital, Guangzhou Medical University, Guangzhou, China.
WenYing ZhuDepartment of Nephrology and Rheumatology, The Affiliated Traditional Chinese Medicine Hospital, Guangzhou Medical University, Guangzhou, China.
ShuYuan LiuDepartment of Nephrology and Rheumatology, The Affiliated Traditional Chinese Medicine Hospital, Guangzhou Medical University, Guangzhou, China.
TingTing PeiThe Affiliated Traditional Chinese Medicine Hospital, Guangzhou Medical University, Guangzhou, China.
JunHua LiThe Affiliated Traditional Chinese Medicine Hospital, Guangzhou Medical University, Guangzhou, China.
Yang ChenDepartment of Orthopedic Surgery, Foshan Key Laboratory of Medical Tissue Engineering and Immune Function Reconstruction, First People's Hospital of Foshan, Foshan, China. drchenyang@163.com.
ShiXian ChenDepartment of Rheumatology and Immunology, Nanfang Hospital, Southern Medical University, Guangzhou, China. shixian@smu.edu.cn.
Ji LiDepartment of Nephrology and Rheumatology, The Affiliated Traditional Chinese Medicine Hospital, Guangzhou Medical University, Guangzhou, China. cdmcli@163.com.
Juan LiDepartment of Rheumatology and Immunology, Nanfang Hospital, Southern Medical University, Guangzhou, China. lijuan@smu.edu.cn.

Funding

National Natural Science Foundation of China 82304928National Natural Science Foundation of China 82374206
6 · The paper itself

Abstract

Rheumatoid arthritis (RA) is an autoimmune disease characterized by chronic synovial inflammation, cartilage destruction, and bone loss. Current therapeutic approaches are often limited by short drug half-life, insufficient local drug release, and substantial systemic side effects.In this study, we developed a composite thermosensitive hydrogel system that integrates in situ gelation, sustained drug release, and multitarget therapeutic effects for localized precision treatment of RA.The system consists of a thermosensitive hydrogel matrix composed of hydroxypropyl methylcellulose (HPMC), hyaluronic acid (HA), and glycerol, in which gelatin methacryloyl (GelMA) hydrogel microspheres are embedded. The microspheres efficiently encapsulate Drynaria rhizome-derived extracellular vesicles (DR-EVs), while sinomenine is incorporated into the thermosensitive hydrogel to enhance anti-inflammatory activity. Characterization by transmission electron microscopy (TEM), scanning electron microscopy (SEM), nanoparticle tracking analysis (NTA), rheological measurements, and Fourier-transform infrared spectroscopy (FTIR) confirmed the intact morphology of DR-EVs, the uniform porous structure of the microspheres, and the favorable thermoresponsive gelation behavior and controllable degradation properties of the composite system. Functional assays revealed that, in vitro, the system effectively suppressed TH17 cell proliferation, promoted Treg cell differentiation, and inhibited M1 macrophage polarization.Meanwhile, it upregulated osteogenesis-related genes (Runx2, BMP2) and inhibited osteoclast formation. In a collagen-induced arthritis (CIA) rat model, the system significantly alleviated joint swelling, restored cartilage and bone architecture, and suppressed the progression of synovial inflammation. In summary, this composite thermosensitive hydrogel system possesses injectability, thermoresponsive behavior, prolonged release capability, and multiple biological activities, offering a safe, efficient, and controllable novel strategy for localized precision therapy of RA.

Indexed as

Arthritis, RheumatoidHydrogelsMicrospheresMorphinansPolypodiaceaeAnimalsDrug LiberationMaleMiceRatsRats, Sprague-DawleyRAW 264.7 CellsHydrogelsMorphinanssinomenineBone repairDrug deliveryHydrogelImmunoregulationInflammationRheumatoid arthritis

Identifiers

PMID41582151
PMCPMC12915010

What OpenQuestion holds

Textmetadata
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.