Evidence map›Paper›PMID 41716677›Full record

ArticleBioactive materials2026

Spatiotemporal reprogramming of cardiac lipid metabolism by platelet-engineered RNA therapy epigenetically modulate heart repair and regeneration.

Siyuan Liu, Yifang Sun, Fomin Zhang, Zhimin Xue, Peng Wang, Mei Hua Ting, Kai Ma, Ruobing Li, Jiacheng Wang, Guosheng Fu and 6 more

Abstract read
In one paragraph

Article in Bioactive materials, 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. 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.

Siyuan LiuDepartment of Cardiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Zhejiang Key Laboratory of Cardiovascular Intervention and Precision Medicine, Engineering Research Center for Cardiovascular Innovative Devices of Zhejiang Province, Hangzhou, China.
Yifang SunDepartment of Cardiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Zhejiang Key Laboratory of Cardiovascular Intervention and Precision Medicine, Engineering Research Center for Cardiovascular Innovative Devices of Zhejiang Province, Hangzhou, China.
Fomin ZhangDepartment of Cardiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Zhejiang Key Laboratory of Cardiovascular Intervention and Precision Medicine, Engineering Research Center for Cardiovascular Innovative Devices of Zhejiang Province, Hangzhou, China.
Zhimin XueDepartment of Cardiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Zhejiang Key Laboratory of Cardiovascular Intervention and Precision Medicine, Engineering Research Center for Cardiovascular Innovative Devices of Zhejiang Province, Hangzhou, China.
Peng WangDepartment of Cardiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Zhejiang Key Laboratory of Cardiovascular Intervention and Precision Medicine, Engineering Research Center for Cardiovascular Innovative Devices of Zhejiang Province, Hangzhou, China.
Mei Hua TingDepartment of Cardiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Zhejiang Key Laboratory of Cardiovascular Intervention and Precision Medicine, Engineering Research Center for Cardiovascular Innovative Devices of Zhejiang Province, Hangzhou, China.
Kai MaNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Ruobing LiDepartment of Cardiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Zhejiang Key Laboratory of Cardiovascular Intervention and Precision Medicine, Engineering Research Center for Cardiovascular Innovative Devices of Zhejiang Province, Hangzhou, China.
Jiacheng WangDepartment of Cardiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Zhejiang Key Laboratory of Cardiovascular Intervention and Precision Medicine, Engineering Research Center for Cardiovascular Innovative Devices of Zhejiang Province, Hangzhou, China.
Guosheng FuDepartment of Cardiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Zhejiang Key Laboratory of Cardiovascular Intervention and Precision Medicine, Engineering Research Center for Cardiovascular Innovative Devices of Zhejiang Province, Hangzhou, China.
Wenbin ZhangDepartment of Cardiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Zhejiang Key Laboratory of Cardiovascular Intervention and Precision Medicine, Engineering Research Center for Cardiovascular Innovative Devices of Zhejiang Province, Hangzhou, China.
Junbo GeDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, State Key Laboratory of Cardiovascular Diseases, National Clinical Research Center for Intervention Medicine, Shanghai, China.
Shenggang ZhaoDepartment of Cardiology, The Second Affiliated Hospital of Jiaxing University, Jiaxin, China.
Shengjie XuDepartment of Cardiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Zhejiang Key Laboratory of Cardiovascular Intervention and Precision Medicine, Engineering Research Center for Cardiovascular Innovative Devices of Zhejiang Province, Hangzhou, China.
Ning ZhangDepartment of Cardiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Zhejiang Key Laboratory of Cardiovascular Intervention and Precision Medicine, Engineering Research Center for Cardiovascular Innovative Devices of Zhejiang Province, Hangzhou, China.
Binquan ZhouDepartment of Cardiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Zhejiang Key Laboratory of Cardiovascular Intervention and Precision Medicine, Engineering Research Center for Cardiovascular Innovative Devices of Zhejiang Province, Hangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ischemic heart disease remains a leading global cause of morbidity and mortality, driven by the irreversible loss of cardiomyocytes (CMs) and their limited regenerative capacity. Suppression of fatty acid oxidation (FAO) has shown potential to restore CMs proliferation, but global inhibition of mitochondrial FAO usually results in lipid accumulation and metabolic stress. Targeting fatty acid uptake via CD36, a key transmembrane transporter, offers a more selective strategy to constrain FAO while minimizing lipotoxicity. Here, we report a bioresponsive siRNA delivery system composed of platelet-encapsulated mesoporous silica nanoparticles (Plt-MSNs) loaded with CD36-targeting siRNA. Exploiting the open canalicular system (OCS), platelets internalize siRNA cargo and enable specific delivery via their innate homing ability to sites of myocardial injury. In a murine ischemia-reperfusion model, Plt-MSNs achieved targeted delivery and stimulus-responsive release of siCD36, effectively reprogrammed CMs lipid metabolism, remodeled the epigenetic landscape, that eventually promoted proliferation without lipid toxicity. This approach offers a platform for regenerative gene therapy through metabolic-epigenetic reprogramming.

Indexed as

CD36Heart regenerationLipid metabolismMesoporous silica nanoparticlesPlateletssiRNA

Identifiers

PMID41716677
PMCPMC12914854

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.