Evidence map›Paper›PMID 41715129›Full record

ArticleJournal of nanobiotechnology2026

Poria cocos-derived exosome-like nanoparticles ameliorate lymphedema by reprogramming fibroblast metabolism via enhanced TCA cycle flux.

Haotian Liu, Chaoqi He, Xin Zeng, Liquan Zhu, Hongchao Tang, Misha Mao, Yongfeng Li, Zhuotao Yang, Wenjuan Gui, Qinghui Zheng 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.

Haotian Liu *Department of Breast Surgery, General Surgery, Cancer Center, Affiliated People's Hospital, Zhejiang Provincial People's Hospital, Hangzhou Medical College, Hangzhou, 310014, Zhejiang, China.
Chaoqi He *Department of Breast Surgery, General Surgery, Cancer Center, Affiliated People's Hospital, Zhejiang Provincial People's Hospital, Hangzhou Medical College, Hangzhou, 310014, Zhejiang, China.
Xin Zeng *Department of Breast Surgery, General Surgery, Cancer Center, Affiliated People's Hospital, Zhejiang Provincial People's Hospital, Hangzhou Medical College, Hangzhou, 310014, Zhejiang, China.
Liquan ZhuDepartment of Breast Surgery, General Surgery, Cancer Center, Affiliated People's Hospital, Zhejiang Provincial People's Hospital, Hangzhou Medical College, Hangzhou, 310014, Zhejiang, China.
Hongchao TangDepartment of Breast Surgery, General Surgery, Cancer Center, Affiliated People's Hospital, Zhejiang Provincial People's Hospital, Hangzhou Medical College, Hangzhou, 310014, Zhejiang, China.
Misha MaoDepartment of Breast Surgery, General Surgery, Cancer Center, Affiliated People's Hospital, Zhejiang Provincial People's Hospital, Hangzhou Medical College, Hangzhou, 310014, Zhejiang, China.
Yongfeng LiDepartment of Breast Surgery, General Surgery, Cancer Center, Affiliated People's Hospital, Zhejiang Provincial People's Hospital, Hangzhou Medical College, Hangzhou, 310014, Zhejiang, China.
Zhuotao YangDepartment of Breast Surgery, General Surgery, Cancer Center, Affiliated People's Hospital, Zhejiang Provincial People's Hospital, Hangzhou Medical College, Hangzhou, 310014, Zhejiang, China.
Wenjuan GuiDepartment of Breast Surgery, General Surgery, Cancer Center, Affiliated People's Hospital, Zhejiang Provincial People's Hospital, Hangzhou Medical College, Hangzhou, 310014, Zhejiang, China.
Qinghui ZhengDepartment of Breast Surgery, General Surgery, Cancer Center, Affiliated People's Hospital, Zhejiang Provincial People's Hospital, Hangzhou Medical College, Hangzhou, 310014, Zhejiang, China.
Da QianCentral Laboratory, Changshu Hospital Affiliated to Soochow University, Changshu No.1 People's Hospital, Changshu, 215500, Jiangsu, China. drqianda@hotmail.com.
Xiaozhen LiuDepartment of Breast Surgery, General Surgery, Cancer Center, Affiliated People's Hospital, Zhejiang Provincial People's Hospital, Hangzhou Medical College, Hangzhou, 310014, Zhejiang, China. liuxiaozhenchina@163.com.
Xuli MengDepartment of Breast Surgery, General Surgery, Cancer Center, Affiliated People's Hospital, Zhejiang Provincial People's Hospital, Hangzhou Medical College, Hangzhou, 310014, Zhejiang, China. mxlmail@126.com.

Funding

Key Discipline of Traditional Chinese Medicine in Zhejiang Province: Integrated Clinical Medicine (Oncology) No. 2024-XK-03National Natural Science Foundation of China project 82575061Zhejiang Science and Technology Department "vanguard" "leading goose" research No.2023C03044
6 · The paper itself

Abstract

Lymphedema is a chronic condition characterized by impaired lymphatic drainage, leading to tissue fibrosis and functional impairment, with no effective pharmacological treatments currently available. This study investigated the therapeutic potential of Plant-Derived Exosome-like Nanoparticles (PELNs), particularly those from Poria cocos-Derived Exosome-like Nanoparticles (PcELNs), in treating lymphedema. We isolated PELNs from five botanical sources and found that PcELNs exhibited superior efficacy in alleviating lymphedema symptoms in a mouse model. Multi-omics analyses (transcriptomic, proteomic, metabolomic) revealed that PcELNs induce metabolic reprogramming in human foreskin fibroblasts (HFFs), shifting cell metabolism from glycolysis towards mitochondrial oxidative phosphorylation. This shift may be mediated through enhancing amino acid metabolism and TCA cycle flux, ultimately increasing oxidative phosphorylation. Furthermore, PcELNs reversed TGF-β-induced pro-fibrotic activation, promoting a matrix-remodeling phenotype. In vivo, PcELNs significantly ameliorated lymphedema by upregulating matrix metalloproteinases (MMP1a, MMP3) and improving mitochondrial function. Our findings demonstrate that PcELNs represent a novel and effective nanotherapeutic strategy for lymphedema by orchestrating metabolic reprogramming and inhibiting fibrosis.

Indexed as

Citric Acid CycleExosomesFibroblastsLymphedemaNanoparticlesAnimalsHumansMaleMetabolic ReprogrammingMiceMitochondriaOxidative PhosphorylationFibrosisLymphedemaMatrix remodelingMetabolic reprogrammingOxidative phosphorylationPoria cocos-Derived exosome-like nanoparticles

Identifiers

PMID41715129
PMCPMC13020023

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.