Evidence map›Paper›PMID 41656236›Full record

ArticleJournal of nanobiotechnology2026

Piezoelectric scaffold with enhanced effect drives the healing of osteochondral defects through electromechanical-immune coupling.

Xin Liu, Congyang Xue, Jun Guo, Nan Chen, Bo Chen, Zihan Wang, Xuan Han, Liping Chen, Tian Tang, Nan Wang and 3 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 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

13 authors.

Xin Liu *The Third Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing, 210028, Jiangsu Province, P. R. China. liuxin@njucm.edu.cn.
Congyang Xue *The Third Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing, 210028, Jiangsu Province, P. R. China.
Jun Guo *The Third Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing, 210028, Jiangsu Province, P. R. China.
Nan ChenThe Third Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing, 210028, Jiangsu Province, P. R. China.
Bo ChenInstitute of Materials Science and Devices School of Materials Science and Engineering, Suzhou University of Science and Technology, Suzhou, 215009, Jiangsu Province, P. R. China.
Zihan WangWuxi Hospital, Nanjing University of Chinese Medicine, Nanjing, 214000, Jiangsu Province, P. R. China.
Xuan HanSchool of Integrative Medicine, Nanjing University of Chinese Medicine, Nanjing, 210023, Jiangsu Province, P. R. China.
Liping ChenThe Third Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing, 210028, Jiangsu Province, P. R. China.
Tian TangThe Third Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing, 210028, Jiangsu Province, P. R. China.
Nan WangThe Third Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing, 210028, Jiangsu Province, P. R. China.
Jun GuThe Third Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing, 210028, Jiangsu Province, P. R. China.
Ding QuThe Third Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing, 210028, Jiangsu Province, P. R. China. quding1985@hotmail.com.
Ran KangThe Third Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing, 210028, Jiangsu Province, P. R. China. kangran126@126.com.

Funding

Aid Project of Nanjing Drum Tower Hospital Health, Education & Research Foundation ICM2024020Chinese Medicine Leading Talent Project of Jiangsu Province CZ2023SLJ0304Key Projects of Jiangsu Provincial Administration of Traditional Chinese Medicine ZD202322National Natural Science Foundation of China 82302735Natural Science Foundation of Jiangsu Province BK20220464Natural Science Fund for Excellent Young Scholars of Jiangsu Province BK20230073Project of Institute of Chinese Medicine, Nanjing University ICM2024020the Open Project of Shanghai University Sub-centre of National Science Centre for Translational Medicine (Shanghai) SUITM-202405the Open Research Fund of State Key Laboratory of Digital Medical Engineering 2025-M08the Postgraduate Research & Practice Innovation Program of Jiangsu Province SJCX24_1045
6 · The paper itself

Abstract

Silk fibroin scaffolds (SFCs) that exploit piezoelectricity for osteochondral repair have been hampered by both insufficient electromechanical output and a pro‑inflammatory joint microenvironment that erodes therapeutic efficacy. To overcome these barriers, we developed an intra‑articular implantable scaffold with enhanced piezoelectricity, called FENS@MF, via covalently integrating ultradispersible magnetic nanoparticles (MNPs) into SFCs via EDC/NHS crosslinking. Under magnetically controlled stimulation, FENS@MF generates an ~ 8.5‑fold increase in output voltage, a threefold enhancement in tensile strength, and undergoes only 15.65% degradation by protease XIV over 15 d, thereby sustaining potent electromechanical signaling. In vitro, it markedly upregulates chondrogenic (COL2, SOX9), osteogenic (RUNX2, BMP2), and angiogenic (VEGF, eNOS) markers, while inducing M1‑to‑M2 macrophage polarization to attenuate inflammation. In rat osteochondral defect models, FENS@MF outperforms conventional SFC and FENS scaffolds, achieving cartilage and subchondral bone regeneration with bone mineral density and trabecular thickness comparable to autologous grafts. FENS@MF enhances the piezoelectric effect by responding to the magnetic field (MF) and absorbing electromagnetic waves, and cooperates with magnetic stimulation and immune microenvironment regulation to achieve efficient osteochondral regeneration. Enhanced piezoelectric signals may drive SOX9-mediated chondrogenesis through activation of p38 MAPK phosphorylation (upregulation of COL2/ACAN) and trigger osteogenic differentiation through β-catenin nuclear translocation (upregulation of RUNX/BMP2).This study is the first to integrate the piezoelectric effect, magnetic stimulation and immunomodulation, which breaks through the limitation of a single functional scaffold, establishes a 'structure-function-signal' paradigm for intelligent osteochondral repair, and provides a multifunctional platform for functional tissue regeneration.

Indexed as

Tissue ScaffoldsAnimalsBone RegenerationChondrogenesisFibroinsMagnetite NanoparticlesMaleOsteogenesisRatsRats, Sprague-DawleyTissue EngineeringFibroinsMagnetite NanoparticlesMagnetic nanoparticlesOsteochondralPiezoelectric effectSilk fibroin scaffoldStem cell

Identifiers

PMID41656236
PMCPMC12983714

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.