Evidence map›Paper›PMID 31178951›Full record

ArticleOxidative medicine and cellular longevity2019

Atractylenolide III Attenuates Muscle Wasting in Chronic Kidney Disease via the Oxidative Stress-Mediated PI3K/AKT/mTOR Pathway.

Mingqing Wang, Rong Hu, Yanjing Wang, Lingyu Liu, Haiyan You, Jiaxing Zhang, Xiaohui Wu, Tingting Pei, Fujing Wang, Lu Lu and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Oxidative medicine and cellular longevity, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 2% 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

60 citing papers in PubMed, 1 synthesis or guideline pooled it, 94 citations in OpenAlex.

  1. Pooled it
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  7. Article
  8. Article
  9. Targeting Sarcopenia in CKD: The Emerging Role of GLP-1 Receptor Agonists.International journal of molecular sciences · 2025
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. The role of PI3K/Akt signaling pathway in chronic kidney disease.International urology and nephrology · 2024
    Review
  18. Article
  19. Review
  20. 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

12 authors at 4 institutions in 1 country.

Mingqing WangShenzhen Hospital, Southern Medical University, Shenzhen 518100, China.ORCID 0000-0003-4482-2009
Rong HuShenzhen Hospital, Southern Medical University, Shenzhen 518100, China.
Yanjing WangZhujiang Hospital of Southern Medical University, Guangzhou 510280, China.
Lingyu LiuShenzhen Hospital, Southern Medical University, Shenzhen 518100, China.
Haiyan YouShenzhen Hospital, Southern Medical University, Shenzhen 518100, China.
Jiaxing ZhangSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou 510515, China.
Xiaohui WuShenzhen Hospital, Southern Medical University, Shenzhen 518100, China.
Tingting PeiSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou 510515, China.
Fujing WangSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou 510515, China.
Lu LuThe First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou 510407, China.ORCID 0000-0002-9457-0164
Wei XiaoSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou 510515, China.ORCID 0000-0002-8426-9060
Lianbo WeiShenzhen Hospital, Southern Medical University, Shenzhen 518100, China.ORCID 0000-0002-1662-6564
Southern Medical University Shenzhen Hospital · CNSouthern Medical University · CNFirst Affiliated Hospital of Guangzhou University of Chinese Medicine · CNZhujiang Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Oxidative stress contributes to muscle wasting in advanced chronic kidney disease (CKD) patients. Atractylenolide III (ATL-III), the major active constituent of Atractylodes rhizome, has been previously reported to function as an antioxidant. This study is aimed at investigating whether ATL-III has protective effects against CKD-induced muscle wasting by alleviating oxidative stress. The results showed that the levels of serum creatinine (SCr), blood urea nitrogen (BUN), and urinary protein significantly decreased in the ATL-III treatment group compared with the 5/6 nephrectomy (5/6 Nx) model group but were higher than those in the sham operation group. Skeletal muscle weight was increased, while inflammation was alleviated in the ATL-III administration group compared with the 5/6 Nx model group. ATL-III-treated rats also showed reduced dilation of the mitochondria, increased CAT, GSH-Px, and SOD activity, and decreased levels of MDA both in skeletal muscles and serum compared with 5/6 Nx model rats, suggesting that ATL-III alleviated mitochondrial damage and increased the activity of antioxidant enzymes, thus reducing the production of ROS. Furthermore, accumulated autophagosomes (APs) and autolysosomes (ALs) were reduced in the gastrocnemius (Gastroc) muscles of ATL-III-treated rats under transmission electron microscopy (TEM) together with the downregulation of LC3-II and upregulation of p62 according to Western blotting. This evidence indicated that ATL-III improved skeletal muscle atrophy and alleviated oxidative stress and autophagy in CKD rats. Furthermore, ATL-III could also increase the protein levels of p-PI3K, p-AKT, and p-mTOR in skeletal muscles in CKD rats. To further reveal the relevant mechanism, the oxidative stress-mediated PI3K/AKT/mTOR pathway was assessed, which showed that a reduced expression of p-PI3K, p-AKT, and p-mTOR in C2C12 myoblast atrophy induced by TNF-

Indexed as

AnimalsCholinergic AntagonistsHumansLactonesMaleOxidative StressPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktRatsRats, Sprague-DawleyRenal Insufficiency, ChronicSesquiterpenesTOR Serine-Threonine Kinasesatractylenolide IIICholinergic AntagonistsLactonesMTOR protein, humanPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktSesquiterpenesTOR Serine-Threonine Kinases

Identifiers

PMID31178951
PMCPMC6501186
OpenAlexW2937748466

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.