Evidence map›Paper›PMID 31185967›Full record

ArticleBMC complementary and alternative medicine2019

Gut microbial modulation in the treatment of chemotherapy-induced diarrhea with Shenzhu Capsule.

Jing Wang, Wuwen Feng, Shiyang Zhang, Lu Chen, Fei Tang, Yongcheng Sheng, Hui Ao, Cheng Peng

Abstract read
In one paragraph

Article in BMC complementary and alternative medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  4. Review
  5. Review
  6. Patterns of self-reported diarrhea in patients with cancer receiving chemotherapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  7. Review
  8. The potential of medicinal food plantFrontiers in pharmacology · 2025
    Review
  9. Article
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  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
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  18. Aging effects on the diurnal patterns of gut microbial composition in male and female mice.The Korean journal of physiology & pharmacology : official journal of the Korean Physiological Society and the Korean Society of Pharmacology · 2021
    Article
  19. Journal of ginseng research · 2021
    Review
  20. Article
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

8 authors.

Jing WangSchool of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, 611137, China.
Wuwen FengSchool of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, 611137, China.
Shiyang ZhangSchool of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, 611137, China.
Lu ChenSchool of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, 611137, China.
Fei TangSchool of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, 611137, China.
Yongcheng ShengSchool of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, 611137, China.
Hui AoSchool of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, 611137, China. aohui2005@126.com.ORCID http://orcid.org/0000-0001-5763-6147
Cheng PengSchool of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, 611137, China. pengchengcxy@126.com.

Funding

Department of Science and Technology of Sichuan Province 2017JY0187Department of Science and Technology of Sichuan Province 2017TD0001National Natural Science Foundation of China 81503272National Natural Science Foundation of China 81630101National Natural Science Foundation of China 81891012
6 · The paper itself

Abstract

backgroundGut microbiota plays a crucial role in the treatment of gastrointestinal (GI) diseases such as chemotherapy-induced diarrhea (CID). Shenzhu Capsule (SZC) is a Chinese herbal formula, which is composed of Renshen (rhizomes of Panax ginseng C. A. Mey.) and Baizhu (rhizomes of Atractylodes macrocephala Koidz.). Many Chinese traditional anti-diarrheal formulae that contain Renshen and Baizhu are capable of effectively alleviating CID. However, the efficacy in vivo and potential mechanism of SZC (the form of compatibility of Renshen and Baizhu) in the treatment of CID had not been elucidated. Here, this study aimed to investigate whether SZC exhibited the anti-diarrheal activity, and whether gut microbiota was involved in the therapeutic effect of SZC on CID.

methodsHigh performance liquid chromatography (HPLC), gas chromatography-mass spectrometer (GC-MS) and infrared spectroscopy (IR) analyses were used to characterize the extracted components in SZC. The mice were orally administrated with SZC in a preventive mode on the first 2 days of this experiment, and then intraperitoneally injected with 5-FU (40 mg/kg/d) for 6 days. SZC treatment lasted until the 3rd day after the end of 5-FU chemotherapy. We investigated the effects of SZC on body weights, diarrhea, thymus/spleen indexes, colonic tissues, and gut microbiota. Colonic histology was examined by hematoxylin-eosin (HE) staining. 16S rDNA Amplicon Sequencing was used to analyze the gut microbial structure from fecal samples.

resultsSZC significantly increased the body weights and thymus/spleen indexes, alleviated diarrhea, and reversed histopathological changes of colons. In addition, gut microbiota analysis revealed that the overall structure of gut microbiota in CID mice was disturbed, but reversed to the normal state after SZC treatment. At genus level, SZC significantly inhibited the growth of some potential pathogens associated with diarrhea, such as Clostridiumm, Bacteroides, Parabacteroides, Alloprevotella, Acinetobacter and Pseudomonas.

conclusionsIn our study, these data illustrated that SZC inhibited the growth of many potential pathogens during the alleviation of CID. Gut microbial modulation was associated with the anti-diarrheal activity of SZC.

Indexed as

AnimalsAntimetabolites, AntineoplasticAtractylodesDiarrheaDrug Evaluation, PreclinicalDrugs, Chinese HerbalFemaleFluorouracilGastrointestinal MicrobiomeMaleMicePanaxPhytotherapyRandom AllocationSpleenThymus GlandAntimetabolites, AntineoplasticDrugs, Chinese HerbalFluorouracil5-fluorouracilChemotherapy-induced diarrheaGut microbiotaHerbal medicine

Identifiers

PMID31185967
PMCPMC6560905

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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.