Evidence map›Paper›PMID 42502319›Full record

ArticleBioactive materials2026

Glycan-decorated polymeric nanomedicine for the treatment of multidrug-resistant infections.

Ruixuan Gao, Hongbing Liu, Wanbo Zhu, Shiguang Dai, Robert Zarnowski, Ke Yi, Lei Gu, Mingzhou Ye, David Andes, Ruosen Xie and 1 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. 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

11 authors.

Ruixuan GaoDepartment of Ophthalmology and Visual Sciences, University of Wisconsin-Madison, Madison, WI, 53705, USA.
Hongbing LiuDepartment of Ophthalmology and Visual Sciences, University of Wisconsin-Madison, Madison, WI, 53705, USA.
Wanbo ZhuDepartment of Ophthalmology and Visual Sciences, University of Wisconsin-Madison, Madison, WI, 53705, USA.
Shiguang DaiDepartment of Ophthalmology and Visual Sciences, University of Wisconsin-Madison, Madison, WI, 53705, USA.
Robert ZarnowskiDepartment of Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, 53705, USA.
Ke YiDepartment of Ophthalmology and Visual Sciences, University of Wisconsin-Madison, Madison, WI, 53705, USA.
Lei GuDepartment of Ophthalmology and Visual Sciences, University of Wisconsin-Madison, Madison, WI, 53705, USA.
Mingzhou YeWisconsin Institute for Discovery, University of Wisconsin-Madison, Madison, WI, 53715, USA.
David AndesDepartment of Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, 53705, USA.
Ruosen XieDepartment of Ophthalmology and Visual Sciences, University of Wisconsin-Madison, Madison, WI, 53705, USA.
Shaoqin GongDepartment of Ophthalmology and Visual Sciences, University of Wisconsin-Madison, Madison, WI, 53705, USA.

Funding

UW COMPREHENSIVE CANCER CENTER SUPPORTP30CA014520 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Justine Yang Bruce · 1985 to 2026
$142.6M
Dual-Stimuli Responsive Antibiotic-Loaded Nanoparticles: A New Strategy to Overcome Antimicrobial ResistanceR01AI177173 · NIAID · UNIVERSITY OF WISCONSIN-MADISON · PI SHAOQIN - GONG · 2023 to 2026
$1.9M
A Novel Broad-Spectrum Nanoimmunotherapeutic Approach for Combating Multidrug Resistant BacteriaR01AI187821 · NIAID · UNIVERSITY OF WISCONSIN-MADISON · PI SHAOQIN - GONG · 2025 to 2026
$801k
Automated Tissue MicroarrayerS10OD023526 · OD · UNIVERSITY OF WISCONSIN-MADISON · PI MATKOWSKYJ, KRISTINA A. · 2018 to 2018
$184k
NCI NIH HHS P30 CA014520NIAID NIH HHS R01 AI177173NIAID NIH HHS R01 AI187821NIH HHS S10 OD023526
6 · The paper itself

Abstract

The antimicrobial resistance (AMR) crisis necessitates strategies to revitalize existing antibiotics against multidrug-resistant pathogens. While cationic antimicrobial polymers can disrupt bacterial membranes, their clinical translation is hindered by host toxicity. Here we report a hierarchical, stimuli-responsive nanomedicine designed on principles of safety, specificity, switchability, and synergy. We synthesized phenylboronic ester-caged biodegradable polymers shielded by functional polysaccharide shells. These nanoparticles remain inert during circulation but selectively activate within infection microenvironments. Upon activation, the exposed cationic polymer physically compromises bacterial membranes, enabling the entry of co-delivered antibiotics such as rifampicin into Gram-positive, Gram-negative, mycobacterial, and biofilm-embedded pathogens. Our research led to the discovery of glycans that significantly improve therapeutic outcomes. We found that different glycans exhibited distinct effects in various tissues and conditions: chondroitin sulfate effectively targeted CD44-abundant infectious niches, enabling precise localization and enhanced therapeutic efficacy, whereas levan uniquely stimulated macrophage oxidative bursts, promoting intracellular pathogen clearance. By leveraging these distinct biological interactions, our platform overcomes the physical and biological barriers of AMR, offering a universal strategy to treat diverse, multidrug-resistant infections.

Identifiers

PMID42502319
PMCPMC13400332

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.