Evidence map›Paper›PMID 42365322›Full record

ArticleJournal of nanobiotechnology2026

An oral berberine nanocapsule platform orchestrates microbiota for potent gastric cancer chemotherapy.

Shuai Gong, Yuxiang Zhang, Wei Du, Chong Zhang, Nai Wu, Xiuzhong Zhang, Zeqiang Ren, Yi Zhang, Pengbo Zhang, Chenyue Zhan and 1 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. 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

11 authors.

Shuai Gong *Department of Surgical Oncology, The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, 210029, Jiangsu, China.
Yuxiang Zhang *Otolaryngology & Head and Neck Center, Cancer Center, Department of Head and Neck Surgery, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, 310014, Zhejiang, China.
Wei Du *Department of Hematology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, 221000, China.
Chong ZhangDepartment of General Surgery, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, 221000, China.
Nai WuDepartment of General Surgery, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, 221000, China.
Xiuzhong ZhangDepartment of General Surgery, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, 221000, China.
Zeqiang RenDepartment of General Surgery, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, 221000, China.
Yi ZhangDepartment of General Surgery, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, 221000, China.
Pengbo ZhangDepartment of General Surgery, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, 221000, China. zpb_ok@126.com.
Chenyue ZhanOtolaryngology & Head and Neck Center, Cancer Center, Department of Head and Neck Surgery, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, 310014, Zhejiang, China. bruce.zcy.bz@gmail.com.
Xiaoyu WuDepartment of Surgical Oncology, The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, 210029, Jiangsu, China. wuxiaoyu@njucm.edu.cn.

Funding

Leading Talent of Chinese Medicine in Jiangsu Province SLJ0314National Natural Science Foundation of China 32101063Pioneer R&D Program of Zhejiang 2025C02056
6 · The paper itself

Abstract

Systemic chemotherapy for gastric cancer is frequently compromised by debilitating, dose-dependent toxicities, necessitating innovative adjunctive strategies that balance therapeutic efficacy with systemic safety. While natural products represent a promising source of candidates, their clinical translation is frequently hindered by intrinsic pharmacokinetic barriers. To address this, we developed the oral resident binary intestinal therapy (ORBIT) system, an excipient-free nanocapsule platform engineered for prolonged gut residency. Unlike conventional pharmaceutical formulations that depend on synthetic excipients, ORBIT is an excipient-free, self-assembled nanocapsule composed of a high-density dopamine-functionalized hyaluronic acid (hDAHA) shell encapsulating a berberine (BBR) core. This unique architecture provides a protective shield for BBR against premature degradation while utilizing the adhesive properties of the hDAHA shell to enhance gastrointestinal retention. ORBIT enables sustained, pH-responsive drug release, providing robust in situ shielding of the intestinal mucosa against oxaliplatin-induced injury and preserving epithelial barrier integrity. In preclinical gastric cancer models, the ORBIT regimen synergistically potentiates oxaliplatin-mediated tumor suppression while dramatically ameliorating systemic toxicity. Mechanistically, ORBIT administration profoundly remodels the microbiome-immune axis, specifically enriching beneficial commensals such as Akkermansia to drive increased intratumoral infiltration of CD8⁺ T cells. This study establishes a new oral nanotherapeutic paradigm for chemo-immunotherapy, presenting a compelling and clinically translatable strategy to optimize gastric cancer treatment outcomes.

Indexed as

Antineoplastic AgentsBerberineMicrobiotaNanocapsulesStomach NeoplasmsAdministration, OralAnimalsCell Line, TumorDopamineDrug LiberationFemaleHumansHyaluronic AcidMiceOxaliplatinAntineoplastic AgentsBerberineDopamineHyaluronic AcidNanocapsulesOxaliplatin

Identifiers

PMID42365322
PMCPMC13573467

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.