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  • Advanced Science

  • 04 February 2025

  • Resensitizing β-Lactams by Reprogramming Purine Metabolism in Small Colony Variant for Osteomyelitis Treatment

  • Tingwang Shi1,†, Qiong Wu2,†, Zesong Ruan1,†, Zhiyuan Luo1, Wenbo Wang1, Zhao Guo1, Yihong Ma1, Xin Wang1, Guangyu Chu3,4, Han Lin5, Min Ge6,* and Yunfeng Chen1,*

  • 1 Department of Orthopedic Surgery, Shanghai Institute of Microsurgery on Extremities, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, 600 Yishan Road, Shanghai, 200233 China

    2 Department of Laboratory Medicine, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, 600 Yishan Road, Shanghai, 200233 China

    3 Department of Orthopedic Surgery, Spine Lab, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003 China

    4 Joslin-Beth Israel Deaconess Foot Center and The Rongxiang Xu, MD, Center for Regenerative Therapeutics, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 02215 USA

    5 Shanghai Institute of Ceramics Chinese Academy of Sciences, Research Unit of Nanocatalytic Medicine in Specific Therapy for Serious Disease, Chinese Academy of Medical Sciences, Shanghai, 200050 China

    6 Department of Electrical and Electronic Engineering, The University of Hong Kong, Pokfulam Road, Hong Kong, 999077 China

     T.S., Q.W., and Z.R. contributed equally to thismanuscript.

  • 10.1002/advs.202570025

  • The phenotypic instability of small colony variants (SCVs) complicates investigating their role in osteomyelitis. Min Ge, Yunfeng Chen, and co-workers clarified the pathogenic mechanism of clinically isolated SCVs with hpt mutations and proposed a nanomedicine system for co-delivering antibiotics to treat SCV-associated osteomyelitis.

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