Evidence map›Paper›PMID 42458672›Full record

ArticleAdvanced healthcare materials2026

HOF-Stabilized Apple EV Nanocargo in an NIR-Responsive Hydrogel Enables On-Demand Therapeutic Modulation for Transdermal Deep-Joint Osteoarthritis Therapy.

Yu-Wen Tseng, Pei-Wei Weng, Hsien-Tsung Lu, Jiunn-Horng Kang, Lekha Rethi, Lekshmi Rethi, Yan-Ting Chen, Hieu Trung Nguyen, Yao-Tung Tsai, Andrew E-Y Chuang

Abstract read
In one paragraph

Article in Advanced healthcare materials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Yu-Wen TsengGraduate Institute of Biomedical Materials and Tissue Engineering, International Ph.D. Program in Biomedical Engineering, College of Biomedical Engineering, Taipei Medical University, New Taipei City, Taiwan.
Pei-Wei WengDepartment of Orthopedics, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
Hsien-Tsung LuDepartment of Orthopedics, Taipei Medical University Hospital, Taipei, Taiwan.
Jiunn-Horng KangGraduate Institute of Nanomedicine and Medical Engineering, College of Biomedical Engineering, Taipei Medical University, Taipei, Taiwan.
Lekha RethiDepartment of Orthopedics, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
Lekshmi RethiGraduate Institute of Biomedical Materials and Tissue Engineering, International Ph.D. Program in Biomedical Engineering, College of Biomedical Engineering, Taipei Medical University, New Taipei City, Taiwan.
Yan-Ting ChenGraduate Institute of Biomedical Materials and Tissue Engineering, International Ph.D. Program in Biomedical Engineering, College of Biomedical Engineering, Taipei Medical University, New Taipei City, Taiwan.
Hieu Trung NguyenDepartment of Orthopedics and Trauma, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Yao-Tung TsaiDepartment of Orthopedic Surgery, Tri-Service General Hospital, National Defense Medical University, Taipei, Taiwan.
Andrew E-Y ChuangGraduate Institute of Biomedical Materials and Tissue Engineering, International Ph.D. Program in Biomedical Engineering, College of Biomedical Engineering, Taipei Medical University, New Taipei City, Taiwan.

Funding

National Health Research Institutes NHRI-EX115-11323EINational Science and Technology Council 112-2221-E-038-002-MY3National Science and Technology Council 114-2628-E-038-001-MY3Taipei Medical University Hospital
6 · The paper itself

Abstract

Osteoarthritis (OA) is driven by intertwined pathological processes, including chronic inflammation, oxidative stress, immune imbalance, hypoxia, and aberrant angiogenesis, while current noninvasive therapies remain limited by insufficient deep-joint delivery and poor multidimensional regulation. Here, an extracellular vesicle (EV)-centered, near-infrared (NIR)-responsive transdermal platform is developed to address these challenges. Apple-derived extracellular vesicles (AEVs) are used as intrinsically bioactive nanocarriers to co-deliver berberine (BBR) and piperine (PIP), and are integrated into a biocompatible dextran/alginate hydrogel containing graphene oxide (GO). Under NIR stimulation, GO provides on-demand energy conversion that supports mild hyperthermia-assisted barrier loosening together with potential photo-redox-associated microenvironment modulation, thereby enhancing local therapeutic availability while maintaining a safe thermal window. In vivo assessment of TRPV1 expression and tight-junction-related responses provides supportive indication for transport-associated modulation, whereas ex vivo diffusion findings are interpreted as barrier-level permeation evidence rather than direct confirmation of in vivo mechanisms. In an OA rat model, the NIR-activated platform is associated with reduced joint inflammation and edema, attenuated oxidative stress, improved macrophage polarization toward an anti-inflammatory phenotype, enhanced gait-related joint function, and preservation of cartilage structure. This study establishes a noninvasive, stimulus-responsive transdermal strategy for localized and multifaceted OA microenvironment modulation.

Indexed as

GraphiteHydrogelsOsteoarthritisAdministration, CutaneousAnimalsInfrared RaysMaleOxidative StressRatsRats, Sprague-DawleyTRPV Cation Channelsgraphene oxideGraphiteHydrogelsTrpv1 protein, ratTRPV Cation Channelshydrogelimmunological dysregulationnanomedicineOA‐driven pathogenesis modulationosteoarthritis (OA)oxidative imbalance/stress

Identifiers

PMID42458672
PMCPMC13447883

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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.