Evidence map›Paper›PMID 30584275›Full record

ArticleDrug design, development and therapy2018

Ferulic acid attenuates liver fibrosis and hepatic stellate cell activation via inhibition of TGF-β/Smad signaling pathway.

Mao Mu, Shi Zuo, Rong-Min Wu, Kai-Sheng Deng, Shuang Lu, Juan-Juan Zhu, Gao-Liang Zou, Jing Yang, Ming-Liang Cheng, Xue-Ke Zhao

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Drug design, development and therapy, 2018. 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 81 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 2 pooled it
5.5field-weighted citation impact, top 3% 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

81 citing papers in PubMed, 2 syntheses or guidelines pooled it, 178 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Erythropoietin and Ferulic Acid Loaded on FeApplied biochemistry and biotechnology · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Ferulic acid: a liver protector.Frontiers in pharmacology · 2026
    Review
  10. Review
  11. Review
  12. Review
  13. The role of JNK signaling pathway in organ fibrosis.Journal of advanced research · 2025
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Deciphering the Role of Oroxylin A in Liver Fibrosis.Drug design, development and therapy · 2025
    Review
  19. Article
  20. Review

21 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Mao MuDepartment of Infectious Diseases, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China, jingyang_1981@126.com; xueke.zhao@yandex.com.
Shi ZuoDepartment of Hepatobiliary Surgery, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China.
Rong-Min WuDepartment of Ultrasonography, The Maternity Hospital of Guizhou, Guiyang, Guizhou, China.
Kai-Sheng DengDepartment of Infectious Diseases, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China, jingyang_1981@126.com; xueke.zhao@yandex.com.
Shuang LuDepartment of Infectious Diseases, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China, jingyang_1981@126.com; xueke.zhao@yandex.com.
Juan-Juan ZhuDepartment of Infectious Diseases, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China, jingyang_1981@126.com; xueke.zhao@yandex.com.
Gao-Liang ZouDepartment of Infectious Diseases, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China, jingyang_1981@126.com; xueke.zhao@yandex.com.
Jing YangDepartment of Infectious Diseases, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China, jingyang_1981@126.com; xueke.zhao@yandex.com.
Ming-Liang ChengDepartment of Infectious Diseases, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China, jingyang_1981@126.com; xueke.zhao@yandex.com.
Xue-Ke ZhaoDepartment of Infectious Diseases, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China, jingyang_1981@126.com; xueke.zhao@yandex.com.
Affiliated Hospital of Guizhou Medical University · CNGuiyang Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLiver fibrosis is a worldwide health issue. Development of effective new drugs for treatment of this disease is of great importance. This study investigated the therapeutic effects of ferulic acid on liver fibrosis in vitro and in vivo. MATERIALS AND

methodsHuman hepatic stellate cell line (HSC) LX-2 was used for in vitro assays. Transforming growth factor β1 (TGF-β1) was used to induce hepatic fibrosis in LX-2 cells. Western blot was used to detect protein levels of collagen I, fibronectin, α-smooth muscle actin (SMA), p-Smad2, p-Smad3, p-p38, and p-JNK. Gene expression was measured by RT-qPCR. Fluorescence staining was used to determine localization of Smad4. CCl4-induced hepatic fibrosis in SD rats was used as an in vivo model. Histological features were detected by hematoxylin and eosin staining. Levels of alanine aminotransferase (ALT), aspartate aminotransferase (AST), hexadecenoic acid (HA), and hydroxyproline (Hyp) were measured by ELISA.

resultsTGF-β1 treatment significantly increased levels of collagen I, fibronectin, α-SMA, p-Smad2, p-Smad3, and Smad4 in LX-2 cells. Ferulic acid improved TGF-β1-induced hepatic fibrosis via regulation of the TGF-β1/Smad pathway. Consistent with in vitro data, CCl4 caused severe hepatic fibrosis in SD rats, as determined by ALT, AST, HA, and Hyp upregulation. Protein levels of p-Smad2 and p-Smad3 in liver tissues were significantly increased following treatment with CCl4. All CCL4-induced changes were markedly attenuated by ferulic acid treatment.

conclusionFerulic acid potently improved hepatic fibrosis via inhibition of the TGF-β1/Smad pathway in vitro and in vivo. These findings provided evidence for potential use of ferulic acid to treat or prevent liver fibrosis.

Indexed as

ActinsAnimalsCarbon TetrachlorideCell LineChemical and Drug Induced Liver InjuryCollagen Type ICoumaric AcidsCytoprotectionFibronectinsHepatic Stellate CellsHumansLiverLiver Cirrhosis, ExperimentalMalePhosphorylationRats, WistarACTA2 protein, humanActa2 protein, ratActinsCarbon TetrachlorideCollagen Type ICoumaric Acidsferulic acidFibronectinsSmad ProteinsTGFB1 protein, humanTgfb1 protein, ratTransforming Growth Factor beta1CCl4ferulic acidhepatic fibrosisSmad signaling pathwayTGF-β1

Identifiers

PMID30584275
PMCPMC6284527
OpenAlexW2902937135

What OpenQuestion holds

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LicenceCC BY-NC
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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.