Evidence map›Paper›PMID 42644995›Full record

ReviewGels (Basel, Switzerland)2026

N-Acetylcysteine Applied to Hydrogels: A Comprehensive Systematic Review.

Ermelinda Silvana Junckes, Pâmela Elise Munzlinger, Carla Dalmolin, Marco Fosca, Marcia Margarete Meier, Julietta V Rau

Abstract readReview
In one paragraph

Review in Gels (Basel, Switzerland), 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

6 authors.

Ermelinda Silvana JunckesDepartment of Chemistry, Santa Catarina State University (UDESC), Paulo Malschitzki 200, Joinville 89219-710, Brazil.ORCID 0009-0008-9830-3435
Pâmela Elise MunzlingerDepartment of Chemistry, Santa Catarina State University (UDESC), Paulo Malschitzki 200, Joinville 89219-710, Brazil.
Carla DalmolinDepartment of Chemistry, Santa Catarina State University (UDESC), Paulo Malschitzki 200, Joinville 89219-710, Brazil.ORCID 0000-0002-4918-7633
Marco FoscaIstituto di Struttura della Materia, Consiglio Nazionale delle Ricerche (CNR-ISM), Via del Fosso del Cavaliere 100, 00133 Rome, Italy.ORCID 0000-0003-0962-8083
Marcia Margarete MeierDepartment of Chemistry, Santa Catarina State University (UDESC), Paulo Malschitzki 200, Joinville 89219-710, Brazil.ORCID 0000-0002-2475-5403
Julietta V RauIstituto di Struttura della Materia, Consiglio Nazionale delle Ricerche (CNR-ISM), Via del Fosso del Cavaliere 100, 00133 Rome, Italy.ORCID 0000-0002-7953-1853

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI MEINZEN-DERR, JAREEN, STRAWN, JEFFREY ROBERT · 2015 to 2024
$37.5M
Coordenação de Aper-feiçoamento de Pessoal de Nível Superior - Brasil (CAPES) Finance Code 001Fundação de Amparo à Pesquisa e Inovação do Estado de Santa Catarina Grant No. 2025TR001425NCATS NIH HHS UL1 TR001425Programa Doutorado Sanduíche no Exterior Edital PDSE UDESC 01/2024
6 · The paper itself

Abstract

N-acetylcysteine (NAC) is a thiol-containing molecule with antioxidant, anti-inflammatory, antimicrobial, and cytoprotective properties that has increasingly been incorporated into hydrogel-based biomaterials. This systematic review evaluates the strategies used to integrate NAC into hydrogels and examines their effects on material properties, controlled release, biocompatibility, and therapeutic activity. The review was conducted according to the PRISMA guidelines using Scopus, PubMed, Web of Science, and SciFinder to identify English-language articles published between 2000 and 2025. Seventy-three studies met the eligibility criteria of this review. NAC has been employed as a physically loaded therapeutic agent, covalently conjugated polymer modifier, contributor to hydrogel crosslinking, metal-coordination ligand, and compound incorporated into nano- and microparticulate carriers dispersed in hydrogel. These approaches enable the modulation of gelation, swelling, adhesion, degradation, and drug-release kinetics. NAC-containing hydrogels have demonstrated robust antioxidant, antimicrobial, antibiofilm, anti-inflammatory, angiogenic, and tissue-regenerative properties in various in vitro and in vivo models, underscoring their potential for advanced biomaterial applications. Release profiles varied from rapid stimulus-responsive delivery to sustained release over several days, depending on the network architecture and the NAC-matrix interactions. However, comparisons among studies were limited by the heterogeneous formulations, release conditions, biological models, and outcome measures. Standardized physicochemical characterization, NAC stability assessment, dose-response evaluation, and rigorous preclinical validation are required to support the translation of NAC-based hydrogels into biomedical applications. We hope that this review will help scientists and innovation centers understand the potential of the NAC-containing hydrogel biomaterials discussed in this study, as well as the opportunities and demands for additional research in this field.

Indexed as

biomaterialcrosslinkerhydrogelN-acetylcysteinepolymertherapeutic bioactivity

Identifiers

PMID42644995
PMCPMC13512807

What OpenQuestion holds

Textmetadata
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.