Evidence map›Paper›PMID 42839652›Full record

ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2026

An Injectable and Self-Reinforced Piezoelectric Hydrogel for Irregular Bone Defects Regeneration: Dynamic Epigenetic Regulation Approach.

Yu-Kai Huang, Juan Li, Miao-Miao Yang, Chao Jia, Quan-Xin Gong, Guang-Cheng Yuan, Dong Zhou, Wen-Hui Shen, Zeng-Gan Chen, Zhi-Rui Dong and 6 more

Abstract read
In one paragraph

Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

16 authors.

Yu-Kai Huang *Department of Orthopaedic Surgery, Zhongshan Hospital, Fudan University, Shanghai, People's Republic of China.ORCID https://orcid.org/0009-0009-6560-8715
Juan Li *Department of Orthopaedic Surgery, Zhongshan Hospital, Fudan University, Shanghai, People's Republic of China.
Miao-Miao Yang *Department of Nursing, Zhongshan Hospital Fudan University, Shanghai, People's Republic of China.ORCID https://orcid.org/0000-0002-0538-2103
Chao Jia *Department of Orthopaedic Surgery, Zhongshan Hospital, Fudan University, Shanghai, People's Republic of China.ORCID https://orcid.org/0009-0008-9726-493X
Quan-Xin GongSchool of Materials and Chemistry, University of Shanghai for Science and Technology, Shanghai, People's Republic of China.ORCID https://orcid.org/0009-0004-1541-0499
Guang-Cheng YuanDepartment of Orthopaedic Surgery, Zhongshan Hospital, Fudan University, Shanghai, People's Republic of China.
Dong ZhouFrontiers Science Center for Materiobiology and Dynamic Chemistry, School of Materials Science and Engineering, Key Laboratory for Ultrafine Materials of Ministry of Education, Research Center for Biomedical Materials of Ministry of Education, East China University of Science and Technology, Shanghai, People's Republic of China.
Wen-Hui ShenDepartment of Orthopedic Surgery, Zhongshan Hospital (Xiamen), Fudan University, Fujian, People's Republic of China.
Zeng-Gan ChenDepartment of Orthopaedic Surgery, Zhongshan Hospital, Fudan University, Shanghai, People's Republic of China.ORCID https://orcid.org/0000-0002-7678-6594
Zhi-Rui DongDepartment of Orthopaedic Surgery, Zhongshan Hospital, Fudan University, Shanghai, People's Republic of China.ORCID https://orcid.org/0009-0006-1235-6559
Jin-Wang HuangDepartment of Orthopedic Surgery, Zhongshan Hospital (Xiamen), Fudan University, Fujian, People's Republic of China.
Jie PengClinical Medical College of Xiamen Medical College, Fujian, People's Republic of China.
Di-Han SuDepartment of Orthopaedic Surgery, Zhongshan Hospital, Fudan University, Shanghai, People's Republic of China.
Ming-Dong ZhaoDepartment of Orthopaedics, Jinshan Hospital, Fudan University, Shanghai, People's Republic of China.
Jian DongDepartment of Orthopaedic Surgery, Zhongshan Hospital, Fudan University, Shanghai, People's Republic of China.
Li-Bo JiangDepartment of Orthopaedic Surgery, Zhongshan Hospital, Fudan University, Shanghai, People's Republic of China.

Funding

Clinical Expert Development Program of Fudan UniversityClinical Research Special Fund of Zhongshan Hospital Fudan University ZSLCYJ202364Fujian Provincial Natural Science Foundation of China 2024D031Medical Engineering Fund of Fudan University yg2023-27National Natural Science Foundation of China 82272457National Natural Science Foundation of China 82472396National Natural Science Foundation of China 82673074
6 · The paper itself

Abstract

Irregular bone defects demand biomaterials that can be delivered into complex shapes while offering gradually developing mechanical strength and bioactive electrical stimulation-two critical properties rarely obtained simultaneously. Here, we develop an injectable, polymer-induced self-reinforcing and piezoelectric hydrogel engineered from regenerated silk fibroin, tyramine-modified CMC, and MXene-cellulose nanofiber nanosheets through enzymatically dynamic Cross-linking. This material is designed to overcome two major limitations of current injectable hydrogels: inadequate mechanical maturation and unstable bioelectrical output. The dynamic dual-network structure undergoes gradual β-sheet alignment and nanointerfacial ordering, which increases the compressive modulus from ∼0.08 to ∼0.8 MPa and elevates piezoelectric output from 3 to 60 mV over 5 days, establishing a mechanically stable and electrically active microenvironment within the defect. The hydrogel-derived electrical signals induce Ca

Indexed as

acetylationosteogenic activitypiezoelectric hydrogelself‐reinforcingsilk fibroin

Identifiers

PMID42839652
PMCPMC13643114

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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.