Evidence map›Paper›PMID 22396199›Full record

ArticleDiabetes2012

Sustained antidiabetic effects of a berberine-containing Chinese herbal medicine through regulation of hepatic gene expression.

Hai-Lu Zhao, Yi Sui, Chun-Feng Qiao, Kevin Y Yip, Ross K K Leung, Stephen K W Tsui, Heung-Man Lee, Harriet K T Wong, Xun Zhu, Jennifer J Siu and 6 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Diabetes, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06978023 (Clinical Safety, Efficacy and Multiomic Evaluation of a Novel Chinese Medicine Formula in Type 2 Diabetes), which is not on this map. Cited by 52 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 2 pooled it
11.6field-weighted citation impact, top 1% of its field
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.

NCT06978023 phase2not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Clinical Safety, Efficacy and Multiomic Evaluation of a Novel Chinese Medicine Formula in Type 2 Diabetes: Effects on Beta-cell Function and Insulin Resistance

TypeinterventionalSponsorChinese University of Hong KongRan2025 to 2027Enrolled162ConditionsType 2 DiabetesArmsJM-LD, JM-HD, Placebo
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 2 syntheses or guidelines pooled it, 109 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
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  6. Review
  7. Article
  8. Review
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  14. Review
  15. Berberine Ameliorates Hepatic Insulin Resistance by Regulating microRNA-146b/SIRT1 Pathway.Diabetes, metabolic syndrome and obesity : targets and therapy · 2021
    Article
  16. Crystal structure-guided design of berberine-based novel chitinase inhibitors.Journal of enzyme inhibition and medicinal chemistry · 2020
    Article
  17. Article
  18. Article
  19. Article
  20. The Anti-Cancer Mechanisms of Berberine: A Review.Cancer management and research · 2020
    Review
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 at 3 institutions in 2 countries.

Hai-Lu ZhaoDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China. zhaohailu@yahoo.com
Yi Sui
Chun-Feng Qiao
Kevin Y Yip
Ross K K Leung
Stephen K W Tsui
Heung-Man Lee
Harriet K T Wong
Xun Zhu
Jennifer J Siu
Lan He
Jing Guan
Li-Zhong Liu
Hong-Xi Xu
Peter C Y Tong
Juliana C N Chan
Chinese University of Hong Kong · HKHong Kong Jockey Club · CNGuilin Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetes and obesity are complex diseases associated with insulin resistance and fatty liver. The latter is characterized by dysregulation of the Akt, AMP-activated protein kinase (AMPK), and IGF-I pathways and expression of microRNAs (miRNAs). In China, multicomponent traditional Chinese medicine (TCM) has been used to treat diabetes for centuries. In this study, we used a three-herb, berberine-containing TCM to treat male Zucker diabetic fatty rats. TCM showed sustained glucose-lowering effects for 1 week after a single-dose treatment. Two-week treatment attenuated insulin resistance and fatty degeneration, with hepatocyte regeneration lasting for 1 month posttreatment. These beneficial effects persisted for 1 year after 1-month treatment. Two-week treatment with TCM was associated with activation of AMPK, Akt, and insulin-like growth factor-binding protein (IGFBP)1 pathways, with downregulation of miR29-b and expression of a gene network implicated in cell cycle, intermediary, and NADPH metabolism with normalization of CYP7a1 and IGFBP1 expression. These concerted changes in mRNA, miRNA, and proteins may explain the sustained effects of TCM in favor of cell survival, increased glucose uptake, and lipid oxidation/catabolism with improved insulin sensitivity and liver regeneration. These novel findings suggest that multicomponent TCM may be a useful tool to unravel genome regulation and expression in complex diseases.

Indexed as

AnimalsBerberineBlood GlucoseChromatography, High Pressure LiquidDiabetes MellitusDrugs, Chinese HerbalGene Expression RegulationHypoglycemic AgentsKidneyLiverMaleRatsRats, ZuckerReproducibility of ResultsBerberineBlood GlucoseDrugs, Chinese HerbalHypoglycemic Agents

Identifiers

PMID22396199
PMCPMC3314348
OpenAlexW2097434120

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.