Translate this page into:
Development of a multifunctional polymer-based delivery system for anionic dye capture and emodin-mediated anti-inflammatory therapy in ARDS
*Corresponding author: E-mail address: Bsyyxj@163.com (J. Xu)
-
Received: ,
Accepted: ,
Abstract
Acute respiratory distress syndrome (ARDS) remains a critical clinical challenge due to uncontrolled pulmonary inflammation and limited treatment options. To improve the solubility and therapeutic performance of emodin, we constructed a multifunctional porous delivery platform, CMCS-1-TMPSA@CP1@Emo, by integrating polymeric silicate (TMPSA), a coordination polymer (CP1), and carboxymethyl chitosan (CMCS) modified with an emodin derivative. Prior to drug loading, the composite exhibited strong adsorption affinity toward anionic dyes, demonstrating excellent molecular recognition, rapid adsorption kinetics, and high recyclability. Emodin was effectively loaded into the carrier with a capacity of 0.24 g/g, showing stable release behavior and enhanced aqueous dispersibility. In Lipopolysaccharide (LPS)-stimulated alveolar epithelial cells, CMCS-1-TMPSA@CP1@Emo significantly improved cytoprotection, effectively suppressed pro-inflammatory cytokines (TNF-α, IL-6), and upregulated anti-inflammatory IL-10 levels, surpassing the performance of free emodin. These findings highlight CMCS-1-TMPSA@CP1@Emo as a promising nanoplatform for the targeted and sustained delivery of natural therapeutics in Acute Respiratory Distress Syndrome (ARDS) treatment.
Keywords
Acute respiratory distress (ARDS) syndrome
Carboxymethyl chitosan (CMCS)
Emodin (1
3
8-trihydroxy-6-methylanthraquinone)
Thiol-modified polymeric silicate (TMPSA)

1. Introduction
Acute respiratory distress syndrome (ARDS) is a life-threatening pulmonary disorder triggered by systemic inflammatory responses, characterized by increased alveolar permeability, fluid retention, and severe respiratory dysfunction, with a mortality rate ranging from 30% to 50% [1-3]. Although clinical interventions such as mechanical ventilation and corticosteroids are widely employed, their therapeutic efficacy remains limited, particularly in cases of rapid disease progression or concurrent multiple organ failure [4-7]. In recent years, Emodin, a natural anthraquinone compound derived from Rheum species, has attracted increasing attention due to its potent anti-inflammatory, antioxidant, and cytoprotective properties [8-11]. Studies have shown that Emodin can attenuate lung injury by suppressing pro-inflammatory cytokine expression through inhibition of pathways such as NF-κB [12,13]. However, its poor water solubility, low bioavailability, and rapid metabolism severely hinder its pharmacological performance and clinical translation [14,15]. Accordingly, the development of multifunctional delivery systems with high structural stability, responsive behavior, and favorable biocompatibility has emerged as a promising strategy for ARDS therapy.
Porous composite carriers have emerged as promising drug delivery platforms owing to their structural tunability, synthetic flexibility, high specific surface area, and excellent stability [16-18]. Among them, hybrid systems constructed from metal–organic frameworks (MOFs) and the natural polysaccharide chitosan, further reinforced by polymeric silica as a rigid scaffold, offer a unique combination of advantages. Specifically, the porous architecture of MOFs provides abundant drug loading sites [19,20], chitosan imparts biocompatibility and reduces carrier toxicity [21,22], while polymeric silica enhances mechanical strength [23,24]. The synergistic integration of these components can effectively optimize the overall performance of the delivery system. Recent advances have focused on functional modifications to further enhance carrier properties. For example, to enable UV-detectable delivery, the introduction of small organic molecules (e.g., compound 1) onto chitosan chains improves the water solubility of the carrier, facilitating its application in aqueous biological environments. These porous composites, featuring controllable functionalization and cooperative interactions among components, demonstrate considerable potential for improving drug loading efficiency and modulating release kinetics.
Jiang et al. [25] developed a promising therapeutic platform for hepatocellular carcinoma (HCC) intervention by co-encapsulating sorafenib and emodin into PEG-PLGA nanoparticles, which may offer new treatment options for advanced liver cancer. Similarly, Chen et al. [26] constructed emodin-loaded polylactic acid microspheres (ED-PLA-MS) via an organic-phase dispersion–solvent diffusion method, achieving a drug loading content of (19.0 ± 1.8)% and an encapsulation efficiency of (62.2 ± 2.6)%. In vitro studies demonstrated sustained drug release behavior. Upon intravenous injection, the microspheres successfully delivered emodin to the mouse lung tissue. Microscopic examination further revealed mild pulmonary inflammation in ED-PLA-MS–treated animals, with no pathological changes observed in other organs. These findings suggest the potential of ED-PLA-MS for pulmonary disease treatment. However, current emodin delivery systems still face several limitations [27]. Many carriers exhibit non-uniform drug loading and are poorly compatible with the hydrophobic nature of emodin. Others lack functional regulatory sites, making it difficult to balance loading efficiency and controlled release. Moreover, carrier systems that combine delivery performance with traceability or real-time detection capabilities remain scarce, limiting their utility in theranostic applications [28,29].
To address the poor solubility and low bioavailability that hinder the clinical application of emodin, we designed and constructed a novel porous nanocomposite carrier system, denoted as CMCS-1-TMPSA@CP1@Emo. This system employs functionalized polymeric silica (TMPSA) as a rigid framework, which integrates with metal–organic framework coordination polymer (CP1) and carboxymethyl chitosan (CMCS) to form a stable ternary hybrid network, significantly enhancing the structural stability and drug-loading capacity of the carrier. To enable real-time monitoring of the drug release process, a UV-responsive small molecule (compound 1) was conjugated to the chitosan matrix, imparting ultraviolet traceability to the platform. Based on this design, the cellular activity of CMCS-1-TMPSA@CP1@Emo was evaluated in an LPS-induced human alveolar epithelial cell injury model, focusing on its anti-inflammatory efficacy. Compared with free emodin, the nanocarrier exhibited superior therapeutic performance in terms of cell protection and regulation of inflammatory cytokines (TNF-α, IL-6, and IL-10). These results provide preliminary evidence supporting the potential of this degradable porous platform in the treatment of ARDS and other inflammatory pulmonary diseases.
2. Materials and Methods
2.1. Chemicals and measurements
All of the reagents along with chemicals are commercially available and don’t need to be further purified unless otherwise noted. Ultraviolet–visible (UV–vis) absorption spectra were measured using a Shimadzu UV-2600i spectrophotometer. The specific surface area and pore size distribution of the polymeric materials were determined by nitrogen adsorption–desorption measurements at 77 K using a Quantachrome EVO gas sorption analyzer. Prior to analysis, the samples were degassed under vacuum at 100°C for 10 h. Scanning electron microscopy (SEM) was conducted on a ZEISS Gemini 500 instrument to observe surface morphology. X-ray diffraction (XRD) patterns were acquired using a Bruker D8 Advance A25 diffractometer to assess the crystalline structure. Fourier-transform infrared (FT-IR) spectra were collected using a Nicolet IS10 spectrometer to identify characteristic functional groups. Raman spectra were recorded using a Horiba LabRAM HR Evolution spectrometer to probe molecular vibrations. Thermogravimetric analysis (TGA) was carried out on a Netzsch STA 2500 analyzer to evaluate the thermal stability of the materials.
2.2. Synthesis of compound 1 and CP1
The synthesis procedures of compound 1 and CP1 are provided in the Supporting Information. Detailed crystal characterization and descriptions can be found in Table S1 and Figures S1-S2. 1H NMR spectra of compound 1 can be found in Figure S3.
2.3. Synthesis of CMCS-1-TMPSA@CP1@Emo
100 mg of CMCS was dissolved in 10 mL of CH3CH2OH and stirred at 70 °C until fully dissolved. Then, 150 mg of TMPSA and 5 mg of NaH were added, and the reaction was maintained for 8 h. The resulting mixture was dialyzed to remove small molecular impurities and freeze-dried to obtain CMCS-TMPSA. Subsequently, 100 mg of the intermediate was dissolved in 50 mL of ethanol, followed by the addition of 20 mg of compound 1, and the mixture was reacted at 70°C for 6 h to yield a light yellow solid, CMCS-1-TMPSA (Scheme S1). Finally, 50 mg of CMCS-1-TMPSA and 30 mg of CP1 were dispersed in a 1:1 ethanol/water mixture, followed by the addition of 15 mg of Emodin. After stirring in the dark for 24 h, the unbound drug was removed by centrifugation, and the product was freeze-dried to afford the final targeted drug delivery system, CMCS-1-TMPSA@CP1@Emo.
2.4. Determination of emodin loading capacity
A predetermined amount of CSCM-1-TMPSA@CP1 was dispersed in an ethanol solution of Emodin with a fixed initial concentration and stirred for 24 h at room temperature to ensure adsorption equilibrium. Subsequently, the suspension was centrifuged, and the supernatant was collected for analysis. The residual concentration of Emodin in the supernatant was determined by UV–Vis spectroscopy at 254 nm, using a standard calibration curve constructed from reference Emodin solutions. The amount of Emodin encapsulated in the composite was obtained by calculating the difference between the initial and equilibrium concentrations. The drug loading capacity (LC) and encapsulation efficiency (EE) were then evaluated according to the following equations (1, 2):
Where WEmo loaded is the amount of Emodin encapsulated in the composite, Wcarrier+Emo is the total weight of the WEmo loaded carrier, and WEmo initial is the total weight of Emodin added to the solution.
2.5. Cell culture and treatment
Human alveolar epithelial cells (A549, ATCC® CCL-185™) were maintained in DMEM supplemented with 10% FBS and 1% penicillin/streptomycin at 37°C under 5% CO₂. Cells between passages 15–20 were used. For experiments, cells were seeded in 96-well plates (1×10⁴ cells/well for CCK-8) or 24-well plates (2×10⁵ cells/well for ELISA). After 24 h attachment, cells were pretreated for 1 h with: (1) Emo-NPs (50 μg mL-1), (2) blank nanoparticles (50 μg mL-1), or (3) free emodin (10 μg mL-1, equivalent to drug-loading in 50 μg mL-1 Emo-NPs). Lipopolysaccharide (LPS; E. coli O55:B5, Sigma #L2880) was then added at 1 μg mL-1 for 24 h. Experimental groups included: Control (untreated), LPS alone, LPS + Emo-NPs, LPS + blank NPs, and LPS + free emodin.
2.6. Cell viability assay
Cell viability was assessed using CCK-8 kit (Dojindo, Japan). After treatments, 10 μL CCK-8 reagent was added per 100 μL medium and incubated for 2 h at 37°C. Absorbance was measured at 450 nm using a microplate reader (BioTek, USA).
2.7. Cytokine measurement
Supernatants were collected after 24 h of LPS stimulation, centrifuged (1000 ×g, 10 min, 4°C), and analyzed for TNF-α (Cusabio, China), IL-6 (Cusabio, China), and IL-10 (Cusabio, China) according to manufacturer protocols.
3. Results and Discussion
3.1. Synthesis and characterization of CMCS-1-TMPSA@CP1@Emo
To investigate the structural composition and physicochemical properties of the CMCS-1-TMPSA@CP1@Emo nanocomposite, a comprehensive set of characterization techniques was employed (Figures 1a-e) and Figure S4. As shown in the FT-IR spectra (Figure 1a), CMCS-1-TMPSA exhibited characteristic absorption bands near 3410 cm⁻1 (O–H/N–H stretching), 1650 cm⁻1 (amide I, C=O stretching), and 1080 cm⁻1 (Si–O–Si stretching), confirming the successful introduction of the silane coupling agent TMPSA onto the CMCS backbone. After the incorporation of CP1, new absorption peaks appeared at ∼1590 and ∼1410 cm⁻1, corresponding to the symmetric and asymmetric stretching of carboxylate groups coordinated to metal centers, indicating the formation of MOF-like coordination networks in CMCS-1-TMPSA@CP1. Upon further loading of emodin, additional peaks emerged near 1620 cm⁻1 and 1230 cm⁻1, assignable to the C=C and C–O–C vibrations of the anthraquinone structure of emodin, respectively, demonstrating its successful encapsulation into the hybrid framework. The XRD pattern of CMCS-1-TMPSA@CP1@Emo (Figure 1b) revealed a broad diffraction peak centered around 2θ = 20°, indicative of an amorphous or partially disordered structure. The lack of sharp crystalline reflections suggests that the integration of CP1 and Emodin did not induce long-range ordering, which is favorable for forming interconnected porous networks and enhancing drug encapsulation flexibility. TGA analysis (Figure 1c) revealed a multi-step decomposition profile. The first weight loss of 8% occurred below 120°C, which is attributable to the release of physisorbed water and crystallization water molecules in CP1, consistent with its hydration formula. A second major weight loss was observed between 250–380°C, assigned to the decomposition of the organic ligand framework (CSCM-1-TMPSA). This was followed by an additional mass loss in the range of 380–480°C, corresponding mainly to the thermal degradation of the encapsulated emodin. Above 500°C, the mass stabilized gradually, and a final residue of 12% was retained at 700 C, which can be attributed to the thermally robust inorganic components originating from the CP1 coordination nodes. Nitrogen adsorption–desorption isotherms (Figure 1d) of CMCS-1-TMPSA@CP1@Emo displayed a typical type IV curve with a hysteresis loop, characteristic of mesoporous materials. The BET surface area was calculated to be approximately 226 m2 g-1, and the cumulative pore volume reached 0.82 cm3 g-1. These values suggest sufficient pore accessibility and capacity for drug loading. The Barrett–Joyner–Halenda (BJH) pore size distribution (Figure 1e) showed that the majority of the pores were centered in the 3.5–30 nm range, further confirming the mesoporous nature of the carrier. Furthermore, the surface morphology and microstructural features of the composite were examined via SEM, with the corresponding images presented in Figure S5. Collectively, the above characterizations confirm the successful construction of a structurally stable, mesoporous nanocomposite with appropriate chemical functionality, high surface area, and drug-relevant pore dimensions. These features endow CMCS-1-TMPSA@CP1@Emo with significant potential for effective encapsulation and controlled release of emodin, meeting the demanding requirements of ARDS-targeted therapy.

- Structural and physicochemical characterization of CMCS-1-TMPSA@CP1@Emo: (a) FT-IR spectra, (b) XRD pattern, (c) TGA curve, (d) N₂ adsorption–desorption isotherms; (e) BJH pore size distribution.
3.2. Dye adsorption
To comprehensively evaluate the molecular recognition ability of the CMCS-1-TMPSA@CP1 composite prior to drug loading, representative anionic dyes—methyl orange (MO) and sodium fluorescein (FL)—were selected as model molecules to investigate their adsorption behavior systematically. This strategy is based on the fact that the natural product emodin primarily exists in its anionic form under neutral to mildly alkaline conditions, making these dye adsorption studies a relevant mimic for its loading behavior. Benefiting from the introduction of compound 1-modified chitosan and the abundant functional sites on the CP1 framework, the composite material exhibits excellent charge interaction capacity and structural compatibility. It is thus expected to show strong affinity for small anionic species. As shown in Figure 2(a), the UV–vis absorbance of MO decreased rapidly upon contact with CMCS-1-TMPSA@CP1 and reached equilibrium within 10 min, indicating a fast and efficient adsorption process. Specifically, the CP1 framework contains abundant carboxylate (–COO⁻) and hydroxyl (–OH) groups that promote electrostatic attraction and hydrogen bonding with anionic dyes, open metal coordination centers that provide Lewis acid–base binding sites, and π-conjugated aromatic domains that enable π–π stacking with the dye molecules. These synergistic interactions collectively accelerate adsorption and enhance affinity toward MO and FL. The adsorption kinetics (Figure 2b) conformed well to the pseudo-second-order model:qt=k2qe2t/(1+k2qet), with fitted equations qt=42.9190(1−e−0.4409t) (R2 = 0.9952) and qt=24.7986t/(1+0.4687t) (R2 = 0.9980), indicating chemisorption as the dominant mechanism. Recyclability tests (Figure 2c) demonstrated that even after five adsorption–desorption cycles, the removal efficiency of MO remained above 95%, reflecting the excellent structural stability and reusability of the composite. Similarly, FL was used to evaluate the generality of the adsorption behavior. As shown in Figure 2(d), the absorbance of FL decreased significantly within the first 10 min, followed by a plateau. The corresponding kinetics (Figure 2e) also fitted the pseudo-second-order model, with equations qt=0.2193(1−e−0.0302t) (R2=0.9706) and qt=0.0095t/(1+0.0405t) (R2=0.9853), further confirming the chemisorption-driven adsorption process. After five cycles, the removal efficiency of FL was still maintained at approximately 87% (Figure 2f), demonstrating the composite’s robust and repeatable adsorption performance. Building on these findings, we further explored the adsorption isotherms of CMCS-1-TMPSA@CP1 toward different dye types. As shown in Figure 3(a), in the concentration range of 0–200 mg L-1, the composite exhibited remarkable adsorption capacities for the anionic dyes MO (181.8 mg g-1) and FL (86.7 mg g-1), while its adsorption capacity for the cationic dye methylene blue (MB) was negligible (0.6 mg g-1). Notably, although MO and MB share similar molecular sizes, FL is relatively larger, indicating that the mesoporous structure of the composite facilitates the entry and adsorption of small-sized anionic dyes such as MO. Furthermore, the adsorption isotherms for MO and FL (Figures 3b and c) showed excellent agreement with the Langmuir model (R2 > 0.99), indicating that the adsorption process predominantly follows a monolayer mechanism with uniformly distributed adsorption sites and no significant intermolecular interactions. CMCS-1-TMPSA@CP1 demonstrates fast adsorption kinetics, high adsorption capacity, broad applicability toward anionic dyes, and outstanding reusability. These properties not only underscore its strong affinity toward small anionic molecules via charge interactions and site-specific recognition, but also provide a solid theoretical and experimental foundation for its application in the controlled loading and targeted delivery of natural compounds such as emodin.

- Adsorption performance of CMCS-1-TMPSA@CP1 toward anionic dyes: (a) Transient absorption spectra of MO; (b) Kinetic modeling of MO adsorption; (c) Recycling performance for MO; (d) Transient absorption spectra of FL; (e) Kinetic modeling of FL adsorption; (f) Recycling performance for FL (Bars of different colors represent the efficiency at a specific location under varying cycle counts).

- Adsorption isotherm behavior of CMCS-1-TMPSA@CP1: (a) Adsorption capacities toward different dyes; (b) Isotherm model fitting for MO (Langmuir (blue) and Freundlich (yellow) model fittings for MO adsorption); (c) Isotherm model fitting for FL (Langmuir (blue) and Freundlich (yellow) model fittings for FL adsorption).
3.3. Loading of emodin
To evaluate the Emo loading capacity and recycling stability of the CSCM-1-TMPSA@CP1@Emo composite carrier, we conducted a comprehensive study of its adsorption behavior. As shown in Figure 4(a), the amount of Emo adsorbed increased rapidly within the first 100 min and gradually reached equilibrium around 400 min, achieving a maximum loading capacity of 0.24 g g-1. This indicates that the composite carrier possesses favorable drug binding kinetics and excellent loading efficiency. To assess its reusability, five consecutive loading–release cycles were performed (Figure 4b). The results showed that even after multiple cycles, the loading capacity remained above 0.21 g/g with only a slight decline, reflecting the material’s structural stability and regeneration potential. Furthermore, the UV–vis absorption spectra in Figure 4(c) reveal the real-time adsorption of Emo from aqueous solution. The characteristic absorption peaks decreased significantly within just 5 min, further confirming the composite’s rapid and efficient binding affinity for Emo. As illustrated in Figure 4(d), the Emo release performance remained above 85% across five cycles, demonstrating excellent reproducibility and release stability. The CSCM-1-TMPSA@CP1@Emo composite exhibits outstanding adsorption kinetics, high drug loading capacity, and excellent cycling stability during the Emodin loading and release process. These findings highlight its strong potential as a drug delivery platform for the treatment of inflammatory pulmonary diseases such as ARDS.

- (a) Emo adsorption kinetics of CMCS-1-TMPSA@CP1@Emo (Langmuir (blue) and Freundlich (yellow) model fittings for MO adsorption); (b) Emo loading capacity over five adsorption–desorption cycles; (c) UV–vis spectra showing Emo adsorption over time; (d) Emo release efficiency across five cycles (Bars of different colors represent the efficiency at a specific location under varying cycle counts).
3.4. Activity test
LPS stimulation significantly compromised alveolar epithelial cell viability compared to untreated controls, inducing profound cytotoxic damage (p < 0.0001). Intervention with CMCS-1-TMPSA@CP1@Emo (Emo-NPs) completely reversed this pathological effect, restoring cellular homeostasis to levels statistically indistinguishable from healthy controls. This protective outcome significantly surpassed free emodin treatment (p < 0.01), while blank nanoparticles demonstrated no therapeutic benefit (Figure 5a). Analysis of inflammatory mediators revealed Emo-NPs potently suppressed the LPS-induced cytokine storm. Secretion of pro-inflammatory markers TNF-α (Figure 5b) and IL-6 (Figure 5c) was drastically reduced compared to injury models (p < 0.0001). Although free emodin moderately attenuated these cytokines (p < 0.0001 vs. injury group), its efficacy remained substantially inferior to nanoformulated emodin (p < 0.0001). Most notably, Emo-NPs uniquely amplified anti-inflammatory responses, elevating IL-10 production to levels significantly exceeding both injury models and free emodin treatment (p < 0.0001; Figure 5d). The collective findings establish that nano-encapsulation critically enhances emodin’s capacity to simultaneously mitigate cytotoxic damage, suppress pro-inflammatory signaling, and activate endogenous anti-inflammatory mechanisms.

- Therapeutic effects of Emo-NPs on LPS-Injured A549 Cells. (A) Cell viability. (b) TNF-α, (c) IL-6, and (d) IL-10 levels in supernatants (ELISA). **p < 0.01, ***p < 0.001, ****p < 0.0001.
4. Conclusions
In this study, a functional porous carrier system, CMCS-1-TMPSA@CP1, was rationally constructed to enable efficient adsorption and sustained delivery of the natural anti-inflammatory agent Emo. The composite exhibited strong affinity for anionic small molecules, as evidenced by its high adsorption capacity and excellent recyclability toward model dyes. Building upon this, the carrier achieved efficient Emo loading (0.24 g/g) with rapid uptake kinetics and stable release performance over multiple cycles. In cellular models of pulmonary inflammation, the Emo-loaded carrier significantly attenuated lipopolysaccharide-induced damage, outperforming free emodin by more effectively suppressing pro-inflammatory cytokines (TNF-α, IL-6) and simultaneously enhancing anti-inflammatory IL-10 expression. These results highlight the dual advantages of the carrier system: structural compatibility with bioactive molecules and immune-modulatory functionality. Overall, CMCS-1-TMPSA@CP1@Emo offers a promising nanoplatform for the targeted and sustained delivery of emodin in the treatment of acute lung injury and related inflammatory diseases.
Acknowledgment
The research was supported by the (1) National Immunological Laboratory of Traditional Chinese Medicine and (2) Guangxi Engineering Research Center for Biomaterials in Bone and Joint Degenerative Diseases.
CRediT authorship contribution statement
Wen-Hua Huang: Did chemical section experiments; Hai-Xian Qiu: Did biological section experiments; Jing Xu: Wrote the paper.
Declaration of competing interest
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Data availability
The data used to support the findings of this study are available from the corresponding author upon request.
Declaration of generative AI and AI-assisted technologies in the writing process
The authors confirm that there was no use of artificial intelligence (AI)-assisted technology for assisting in the writing or editing of the manuscript and no images were manipulated using AI.
Supplementary data
Supplementary material to this article can be found online at https://dx.doi.org/10.25259/AJC_859_2025
References
- Cell-based therapies for acute respiratory distress syndrome: Where are we now? American Journal of Respiratory and Critical Care Medicine. 2024;209:789-797. https://doi.org/10.1164/rccm.202311-2046CP
- [Google Scholar]
- Lung injury is induced by abrupt increase in respiratory rate but prevented by recruitment maneuver in mild acute respiratory distress syndrome in rats. Anesthesiology. 2023;138:420-435. https://doi.org/10.1097/ALN.0000000000004479
- [Google Scholar]
- Breath metabolomics for diagnosis of acute respiratory distress syndrome. Critical care (London, England). 2024;28:96. https://doi.org/10.1186/s13054-024-04882-7
- [Google Scholar]
- Potential diagnostic biomarkers and Mapk14 protein expression: Autophagy-related genes linking immune infiltration in acute respiratory distress syndrome. International Journal of Biological Macromolecules. 2024;279:135077. https://doi.org/10.1016/j.ijbiomac.2024.135077
- [Google Scholar]
- Inflammatory and tissue injury marker dynamics in pediatric acute respiratory distress syndrome. The Journal of Clinical Investigation. 2024;134:e177896. https://doi.org/10.1172/JCI177896
- [Google Scholar]
- Standardized inhalation capability assessment: A key to optimal inhaler selection for inhalation therapy. Journal of Translational Internal Medicine. 2023;11:26-29. https://doi.org/10.2478/jtim-2022-0073
- [Google Scholar]
- Identification of genetic profile and biomarkers involved in acute respiratory distress syndrome. Intensive Care Medicine. 2024;50:46-55. https://doi.org/10.1007/s00134-023-07248-9
- [Google Scholar]
- Emodin improves alveolar hypercoagulation and inhibits pulmonary inflammation in LPS-provoked ARDS in mice via NF-ĸB inactivation. International Immunopharmacology. 2020;88:107020. https://doi.org/10.1016/j.intimp.2020.107020
- [Google Scholar]
- Effect of emodin on acute lung injury: A meta-analysis of preclinical trials. BMC Pulmonary Medicine. 2024;24:596. https://doi.org/10.1186/s12890-024-03406-x
- [Google Scholar]
- Emodin suppresses LPS-induced inflammation in RAW264.7 cells through a PPAR?-dependent pathway. International Immunopharmacology. 2016;34:16-24. https://doi.org/10.1016/j.intimp.2016.02.014
- [Google Scholar]
- Emodin alleviates LPS-induced inflammatory response in lung injury rat by affecting the function of granulocytes. Journal of Inflammation (London, England). 2020;17:26. https://doi.org/10.1186/s12950-020-00252-6
- [Google Scholar]
- Emodin ameliorates LPS-induced acute lung injury, involving the inactivation of NF-ĸB in Mice. International Journal of Molecular Sciences. 2014;15:19355-19368. https://doi.org/10.3390/ijms151119355
- [Google Scholar]
- Compounded colistimethate as possible cause of fatal acute respiratory distress syndrome. The New England Journal of Medicine. 2007;357:2310-2311. https://doi.org/10.1056/NEJMc071717
- [Google Scholar]
- Inhibition of endotoxin-induced airway epithelial cell injury by a novel family of pyrrol derivates. Laboratory Investigation; A Journal of Technical Methods and Pathology. 2016;96:632-640. https://doi.org/10.1038/labinvest.2016.46
- [Google Scholar]
- Anti-inflammatory activity of a novel family of aryl ureas compounds in an endotoxin-induced airway epithelial cell injury model. PloS One. 2012;7:e48468. https://doi.org/10.1371/journal.pone.0048468
- [Google Scholar]
- Progress in nanoparticle-based regulation of immune cells. Medical Review (2021). 2023;3:152-179. https://doi.org/10.1515/mr-2022-0047
- [Google Scholar]
- A cycloruthenated complex, ruthenium (II) Z (RuZ) overcomes in vitro and in vivo multidrug resistance in cancer cells: A pivotal breakthrough. Journal of Translational Internal Medicine. 2023;11:95-97. https://doi.org/10.2478/jtim-2023-0081
- [Google Scholar]
- Versatile biomimetic nanomedicine for treating cancer and inflammation disease. Medical Review (2021). 2023;3:123-151. https://doi.org/10.1515/mr-2022-0046
- [Google Scholar]
- Ultra-thin metal–organic framework nanosheets for chemo-photodynamic synergistic therapy. Journal of Materials Chemistry B. 2021;9:4143-4153. https://doi.org/10.1039/d1tb00528f
- [Google Scholar]
- Utilizing macrophages missile for sulfate-based nanomedicine delivery in lung cancer therapy. Research (Washington, D.C.). 2024;7:0448. https://doi.org/10.34133/research.0448
- [Google Scholar]
- Drug-loaded chitosan film prepared via facile solution casting and air-drying of plain water-based chitosan solution for ocular drug delivery. Bioactive Materials. 2020;5:577-583. https://doi.org/10.1016/j.bioactmat.2020.04.013
- [Google Scholar]
- Preparation of surface-modified, micrometer-sized carboxymethyl chitosan drug-loaded microspheres. Journal of Applied Polymer Science. 2018;135:45731. https://doi.org/10.1002/app.45731
- [Google Scholar]
- Polymeric nanoparticles for drug delivery. Chemical Reviews. 2024;124:5505-5616. https://doi.org/10.1021/acs.chemrev.3c00705
- [Google Scholar]
- Applications of polymer blends in drug delivery. Future Journal of Pharmaceutical Sciences. 2021;7:18. https://doi.org/10.1186/s43094-020-00167-2
- [Google Scholar]
- Nanoparticles co-loaded with sorafenib and emodin: Preparation and efficacy against liver cancer in vitro and in vivo. Pharmaceutical Development and Technology. 2025;30:450-462. https://doi.org/10.1080/10837450.2025.2489743
- [Google Scholar]
- Preparation of lung-targeting, emodin-loaded polylactic acid microspheres and their properties. International Journal of Molecular Sciences. 2014;15:6241-6251. https://doi.org/10.3390/ijms15046241
- [Google Scholar]
- Improving the controlled release of water-insoluble emodin from amino-functionalized mesoporous silica. Applied Surface Science. 2012;258:6366-6372. https://doi.org/10.1016/j.apsusc.2012.03.041
- [Google Scholar]
- Preparation, characterization, and in vitro release studies of multifunctional nanoformulations designed by functionalized graphene nanosheets with natural compounds. FlatChem. 2025;50:100824. https://doi.org/10.1016/j.flatc.2025.100824
- [Google Scholar]
- Development of phenylboronic acid-functionalized nanoparticles for emodin delivery. Journal of Materials Chemistry. B. 2015;3:3840-3847. https://doi.org/10.1039/C5TB00065C
- [Google Scholar]
