Evidence map›Paper›PMID 27277474›Full record

ArticleJournal of translational medicine2016

Guizhi-Shaoyao-Zhimu decoction attenuates rheumatoid arthritis partially by reversing inflammation-immune system imbalance.

Qiuyan Guo, Xia Mao, Yanqiong Zhang, Shuqin Meng, Yue Xi, Yi Ding, Xiaocun Zhang, Yuntao Dai, Xia Liu, Chao Wang and 2 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Journal of translational medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% 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.

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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. Efficacy and tolerability ofPharmaceutical biology · 2020
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  20. Pharmaceutical biology · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Qiuyan GuoInstitute of Chinese Materia Medica, China Academy of Chinese Medical Sciences, Beijing, 100700, China.
Xia MaoInstitute of Chinese Materia Medica, China Academy of Chinese Medical Sciences, Beijing, 100700, China.
Yanqiong ZhangInstitute of Chinese Materia Medica, China Academy of Chinese Medical Sciences, Beijing, 100700, China. yqzhang@icmm.ac.cn.
Shuqin MengDepartment of Pathology, Beijing Jishuitan Hospital, Peking University, Beijing, 100035, China.
Yue XiDepartment of Pathology, Beijing Jishuitan Hospital, Peking University, Beijing, 100035, China.
Yi DingDepartment of Pathology, Beijing Jishuitan Hospital, Peking University, Beijing, 100035, China.
Xiaocun ZhangSchool of Chemistry, Chemical Engineering and Life Science, Wuhan University of Technology, Hubei, 430070, China.
Yuntao DaiInstitute of Chinese Materia Medica, China Academy of Chinese Medical Sciences, Beijing, 100700, China.
Xia LiuSchool of Chemistry, Chemical Engineering and Life Science, Wuhan University of Technology, Hubei, 430070, China.
Chao WangInstitute of Chinese Materia Medica, China Academy of Chinese Medical Sciences, Beijing, 100700, China.
Yuting LiInstitute of Chinese Materia Medica, China Academy of Chinese Medical Sciences, Beijing, 100700, China.
Na LinInstitute of Chinese Materia Medica, China Academy of Chinese Medical Sciences, Beijing, 100700, China. linna888@163.com.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNBeijing Jishuitan Hospital · CNWuhan University of Technology · CNPeking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGuizhi-Shaoyao-Zhimu decoction (GSZD) has been extensively used for rheumatoid arthritis (RA) therapy. Marked therapeutic efficacy of GSZD acting on RA has been demonstrated in several long-term clinical trials without any significant side effects. However, its pharmacological mechanisms remain unclear due to a lack of appropriate scientific methodology.

methodsGSZD's mechanisms of action were investigated using an integrative approach that combined drug target prediction, network analysis, and experimental validation.

resultsA total of 77 putative targets were identified for 165 assessed chemical components of GSZD. After calculating the topological features of the nodes and edges in the created drug-target network, we identified a candidate GSZD-targeted signal axis that contained interactions between two putative GSZD targets [histone deacetylase 1 (HDAC1) and heat shock protein 90 kDa alpha, class A member 1 (HSP90AA1)] and three known RA-related targets [NFKB2; inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase beta (IKBKB); and tumor necrosis factor-alpha (TNF-α)]. This signal axis could connect different functional modules that are significantly associated with various RA-related signaling pathways, including T/B cell receptor, Toll-like receptor, NF-kappa B and TNF pathways, as well as osteoclast differentiation. Furthermore, the therapeutic effects and putative molecular mechanisms of GSZD's actions on RA were experimentally validated in vitro and in vivo.

conclusionsGSZD may partially attenuate RA by reversing inflammation-immune system imbalance and regulating the HDAC1-HSP90AA1-NFKB2-IKBKB-TNF-α signaling axis.

Indexed as

AnimalsArthritis, ExperimentalArthritis, RheumatoidDisease ProgressionDrugs, Chinese HerbalDrug Therapy, CombinationImmune SystemInflammationJointsMaleRats, Inbred LewSeverity of Illness IndexSignal TransductionSynovitisDrugs, Chinese Herbalguizhi-shaoyao-zhimu decoctionExperimental validationGuizhi-Shaoyao-Zhimu decoctionNetwork pharmacologyRheumatoid arthritisTCM herbal formula

Identifiers

PMID27277474
PMCPMC4898408
OpenAlexW2417062988

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.