Evidence map›Paper›PMID 42746253›Full record

ArticleCell biomaterials2026

Hybrid extracellular vesicles for targeted delivery of therapeutic cargoes to combat osteoporotic bone loss.

Hilal Ahmad Rather, Sajeeshkumar Madhurakkat Perikamana, Nicole Angel, Yu-Ru V Shih, Jiaul Hoque, Huchen Tao, Hunter Newman, Giwon Cho, Shyni Varghese

Abstract read
In one paragraph

Article in Cell biomaterials, 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

9 authors.

Hilal Ahmad RatherDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC 27710, USA.
Sajeeshkumar Madhurakkat PerikamanaDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC 27710, USA.
Nicole AngelDepartment of Biomedical Engineering, Duke University, Durham, NC 27710, USA.
Yu-Ru V ShihDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC 27710, USA.
Jiaul HoqueDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC 27710, USA.
Huchen TaoDepartment of Biomedical Engineering, Duke University, Durham, NC 27710, USA.
Hunter NewmanDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC 27710, USA.
Giwon ChoDepartment of Biomedical Engineering, Duke University, Durham, NC 27710, USA.
Shyni VargheseDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC 27710, USA.

Funding

Modulation of local adenosine signaling to attenuate fracture painR01AR079189 · NIAMS · DUKE UNIVERSITY · PI VARGHESE, SHYNI · 2021 to 2025
$2.8M
Localization of adenosine to promote fracture healingR01AG074491 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Shyni Varghese · 2022 to 2026
$2.6M
Adenosine A2B Receptor in Bone Health and OsteoporosisR01AR071552 · NIAMS · DUKE UNIVERSITY · PI VARGHESE, SHYNI · 2017 to 2021
$2.4M
NIAMS NIH HHS R01 AR071552NIAMS NIH HHS R01 AR079189NIA NIH HHS R01 AG074491
6 · The paper itself

Abstract

Osteoporosis arises from an imbalance between bone-resorbing osteoclasts and bone-forming osteoblasts, driving progressive bone loss. Here, we engineer bone-targeting hybrid vesicles by fusing extracellular vesicles with lipid nanoparticles to enable coordinated delivery of complementary therapeutics. These vesicles present and carry osteoprotegerin (OPG) protein and mRNA, and are fused with adenosine-loaded nanoparticles to form OPG-EV-LNP-Ado. Acting as a decoy for RANKL, OPG directs bone-specific targeting and uptake, enhancing delivery to osteoblasts. Systemic administration results in preferential bone accumulation and significantly attenuates osteoporotic pathology, demonstrating a modular platform for targeted, multi-cargo therapy to restore bone homeostasis.

Indexed as

adenosineextracellular vesicleslipid nanoparticlesOsteoporosisosteoprotegerintargeted delivery

Identifiers

PMID42746253
PMCPMC13576572

What OpenQuestion holds

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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.