Evidence map›Paper›PMID 42116131›Full record

ArticleJournal of nanobiotechnology2026

Neutrophil-guided pro-efferocytic mRNA platform for accelerated diabetic wound repair.

Junying Song, Binyu Song, Shan Pei, Yifu Zhu, Yufei Zhang, Ling Liu, Yajuan Song, Tong Wang, Yi Shi, Yan Jiao and 3 more

Abstract read
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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. 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

13 authors.

Junying Song *Department of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, 710032, People's Republic of China.
Binyu Song *Department of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, 710032, People's Republic of China.
Shan Pei *College of Biology, Hunan University, Changsha, 410082, China.
Yifu ZhuDepartment of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, 710032, People's Republic of China.
Yufei ZhangDepartment of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, 710032, People's Republic of China.
Ling LiuDepartment of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, 710032, People's Republic of China.
Yajuan SongDepartment of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, 710032, People's Republic of China.
Tong WangDepartment of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, 710032, People's Republic of China.
Yi ShiDepartment of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, 710032, People's Republic of China.
Yan JiaoDepartment of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, 710032, People's Republic of China.
Zhou YuDepartment of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, 710032, People's Republic of China. yz20080512@fmmu.edu.cn.
Liyang ShiCollege of Biology, Hunan University, Changsha, 410082, China. liysh777@hnu.edu.cn.
Baoqiang SongDepartment of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, 710032, People's Republic of China. songbq2012@163.com.

Funding

Doctoral Dissertation Research Grant of Xijing Hospital 2025BZ10Innovative Medical Research Promotion Project of Xijing Hospital XJZT25CX55National Natural Science Foundation of China 82372530
6 · The paper itself

Abstract

backgroundThe divergent fates of neutrophils play a critical yet complex role in tissue repair. However, how to harness the heterogeneity of neutrophil phenotypes in specific clinical contexts to guide the design of therapeutic materials remains poorly explored. In this study, inspired by the accumulation of apoptotic neutrophils (aNs) and exaggerated formation of neutrophil extracellular traps (NETs) in diabetic wounds, we innovatively developed nano-platform based on Interleukin 4 (IL-4) mRNA-enriched exosomes locally delivered by bisphosphonate (BP)-magnesium (Mg²⁺) coordination hydrogels.

resultsBeyond classical anti-inflammatory and glycolysis-modulating effects, we found that diabetic wound-specific accumulation of aNs surprisingly augmented the ability of our hydrogel to upregulate pro-repair genes. Moreover, the hydrogel formulations effectively rescued defective efferocytosis caused by excessive NETs, potentially through upregulating growth arrest specific 6 (Gas6) and myeloid-epithelial-reproductive tyrosine kinase (MerTK) expression. In vivo implantation of the composite hydrogels significantly accelerated the healing rate and improved the quality of skin wounds in diabetic mice.

conclusionIn summary, motivated by the divergent fates of neutrophils in diabetic wounds, we successfully engineered a pro-efferocytic platform based on IL-4 mRNA-primed exosomes incorporated into a coordination hydrogel, tailored specifically to promote diabetic wound repair.

Indexed as

Diabetes Mellitus, ExperimentalNeutrophilsRNA, MessengerWound HealingAnimalsApoptosisEfferocytosisExosomesExtracellular TrapsHydrogelsInterleukin-4MaleMiceMice, Inbred C57BLHydrogelsInterleukin-4RNA, MessengerDiabetic woundEfferocytosisExosomeIL-4NETsNeutrophils

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Registered trials

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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.