Evidence map›Paper›PMID 42881448›Full record

ArticleJournal of nanobiotechnology2026

Reprogramming microglia via ShK-modified extracellular vesicles promotes immunomodulation and functional recovery after spinal cord injury.

Zuomeng Wu, Yunxiao Fang, Yue Qin, Yixiang Dong, Cancan Wang, Ruocheng Guo, Qi Sha, Ao Liu, Chongyu Jia, Tianyu Han and 2 more

Abstract read
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In one paragraph

Article in Journal of nanobiotechnology, 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

12 authors.

Zuomeng Wu *Department of Orthopedics (Spinal Surgery), The First Affiliated Hospital of Anhui Medical University, Hefei, 230032, China.
Yunxiao Fang *Department of Orthopedics (Spinal Surgery), The First Affiliated Hospital of Anhui Medical University, Hefei, 230032, China.
Yue Qin *Department of Orthopedics (Spinal Surgery), The First Affiliated Hospital of Anhui Medical University, Hefei, 230032, China.
Yixiang Dong *Department of Orthopedics (Spinal Surgery), The First Affiliated Hospital of Anhui Medical University, Hefei, 230032, China.
Cancan WangDepartment of Orthopedics (Spinal Surgery), The Affiliated Bozhou Hospital of Anhui Medical University, Bozhou, 236800, China.
Ruocheng GuoDepartment of Orthopedics (Spinal Surgery), The First Affiliated Hospital of Anhui Medical University, Hefei, 230032, China.
Qi ShaDepartment of Orthopedics (Spinal Surgery), The First Affiliated Hospital of Anhui Medical University, Hefei, 230032, China.
Ao LiuDepartment of Orthopedics (Spinal Surgery), The First Affiliated Hospital of Anhui Medical University, Hefei, 230032, China.
Chongyu JiaDepartment of Orthopedics (Spinal Surgery), The First Affiliated Hospital of Anhui Medical University, Hefei, 230032, China.
Tianyu HanDepartment of Orthopedics (Spinal Surgery), The First Affiliated Hospital of Anhui Medical University, Hefei, 230032, China.
Peiwen SongDepartment of Orthopedics (Spinal Surgery), The First Affiliated Hospital of Anhui Medical University, Hefei, 230032, China.
Cailiang ShenDepartment of Orthopedics (Spinal Surgery), The First Affiliated Hospital of Anhui Medical University, Hefei, 230032, China. shencailiang@ahmu.edu.cn.ORCID http://orcid.org/0000-0002-9835-6384

Funding

Anhui Medical University Research Fund Project no. 2023xkj088Anhui Provincial Key Research and Development Plan 2022e07020046National Natural Science Foundation of China 82572752
6 · The paper itself

Abstract

Microglia play a dual role in tissue repair and inflammatory responses following spinal cord injury (SCI), rendering the regulation of their immune activity a key therapeutic objective during disease progression. Single‑cell RNA sequencing revealed a significant upregulation of Kv1.3 expression in microglia following SCI, implicating this channel in the initiation of early neuroinflammation. To selectively target Kv1.3, engineered extracellular vesicles displaying ShK (ShK-EVs), a highly selective Kv1.3‑blocking peptide, were developed. These ShK‑EVs efficiently accumulated at the lesion site and were preferentially internalized by activated microglia. Integrated high‑throughput miRNA sequencing and proteomic profiling indicated that ShK‑EVs possess substantial neurorepair potential. Mechanistically, ShK‑EVs suppressed M1‑type microglial polarization and reduced the secretion of pro‑inflammatory cytokines by modulating the JAK/STAT signaling pathway. This modulation resulted in reduced tissue cavitation and neuronal apoptosis, enhanced neuronal survival and axonal regeneration, and ultimately led to a significant improvement in motor function in SCI mice. Taken together, these findings identify Kv1.3 as a key regulator of microglial activation after SCI and provide a novel, targeted therapeutic strategy using ShK‑EVs, offering new perspectives on immunomodulation of the injury microenvironment and functional neural recovery.

Indexed as

Extracellular VesiclesImmunomodulationMicrogliaSpinal Cord InjuriesAnimalsCytokinesKv1.3 Potassium ChannelMiceMice, Inbred C57BLRecovery of FunctionSignal TransductionCytokinesKv1.3 Potassium ChannelEngineered extracellular vesiclesKv1.3MicrogliaSpinal cord injuryStichodactyla toxin

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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.