Evidence map›Paper›PMID 31541307›Full record

ArticleMetabolomics : Official journal of the Metabolomic Society2019

Compound danshen dripping pills normalize a reprogrammed metabolism of myocardial ischemia rats to interpret its time-dependent efficacy in clinic trials: a metabolomic study.

Nan Aa, Jia-Hua Guo, Bei Cao, Run-Bin Sun, Xiao-Hui Ma, Yang Chu, Shui-Ping Zhou, Ji-Ye Aa, Zhi-Jian Yang, He Sun and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Metabolomics : Official journal of the Metabolomic Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 22 citations in OpenAlex.

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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

11 authors at 3 institutions in 1 country.

Nan AaDepartment of Cardiology, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Avenue, Nanjing, 210029, China.
Jia-Hua GuoJiangsu Province Key Laboratory of Drug Metabolism and Pharmacokinetics, State Key Laboratory of Natural Medicines, China Pharmaceutical University, 24 Tongjia Xiang, Nanjing, 210009, China.
Bei CaoJiangsu Province Key Laboratory of Drug Metabolism and Pharmacokinetics, State Key Laboratory of Natural Medicines, China Pharmaceutical University, 24 Tongjia Xiang, Nanjing, 210009, China.
Run-Bin SunJiangsu Province Key Laboratory of Drug Metabolism and Pharmacokinetics, State Key Laboratory of Natural Medicines, China Pharmaceutical University, 24 Tongjia Xiang, Nanjing, 210009, China.
Xiao-Hui MaTasly R&D Institute, Tianjin Tasly Group Co., Ltd., Pujihe East Road, Tianjin, 300410, China.
Yang ChuTasly R&D Institute, Tianjin Tasly Group Co., Ltd., Pujihe East Road, Tianjin, 300410, China.
Shui-Ping ZhouTasly R&D Institute, Tianjin Tasly Group Co., Ltd., Pujihe East Road, Tianjin, 300410, China.
Ji-Ye AaJiangsu Province Key Laboratory of Drug Metabolism and Pharmacokinetics, State Key Laboratory of Natural Medicines, China Pharmaceutical University, 24 Tongjia Xiang, Nanjing, 210009, China.
Zhi-Jian YangDepartment of Cardiology, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Avenue, Nanjing, 210029, China. zhijianyangnj@njmu.edu.cn.
He SunTasly R&D Institute, Tianjin Tasly Group Co., Ltd., Pujihe East Road, Tianjin, 300410, China.
Guang-Ji WangJiangsu Province Key Laboratory of Drug Metabolism and Pharmacokinetics, State Key Laboratory of Natural Medicines, China Pharmaceutical University, 24 Tongjia Xiang, Nanjing, 210009, China. guangjiwang@hotmail.com.ORCID 0000-0002-8297-1921
China Pharmaceutical University · CNTasly Holding Group (China) · CNJiangsu Province Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionClinical trials of Compound danshen dripping pills (CDDP) indicated distinct improvement in patients with chronic stable angina. Daily fluctuation of therapeutic effect agreed with a peak-valley PK profile during a 4-week CDDP regimen, but stabilized after 8-week treatment.

objectivesThis article aims to explore the underlying mechanism for the time-dependent drug efficacy of the up-down fluctuation or stabilization in clinic trials.

methodsA rat model of myocardial ischemia was established via isoproterenol induction. Metabolomics was employed to analyze the energy-related substances both in circulatory system and myocardium in the myocardial ischemia model.

resultsCDDP treatment ameliorated myocardial ischemia, reversed the reprogramming of the metabolism induced by ISO and normalized the level of most myocardial substrates and the genes/enzymes associated with those metabolic changes. After 1- or 2-week treatment, CDDP regulated plasma and myocardial metabolome in an analogous, time-dependent way, and modulated metabolic patterns of ischemic rats that perfectly matched with the fluctuated or stabilized effects observed in clinical trials with 4 or 8-week treatment, respectively.

conclusionMetabolic modulation by CDDP contributes to the fluctuated or stabilized therapeutic outcome, and is a potential therapeutic approach for myocardial ischemia diseases.

Indexed as

MetabolomicsAnimalsCamphanesCohort StudiesDisease Models, AnimalDrugs, Chinese HerbalFemaleIsoproterenolMaleMyocardial IschemiaPanax notoginsengRatsRats, Sprague-DawleySalvia miltiorrhizaTime FactorsCamphanesdanshen dripping pillDrugs, Chinese HerbalIsoproterenolCompound danshen dripping pillsMetabolomicsMyocardial ischemia

Identifiers

PMID31541307
PMCPMC6754357
OpenAlexW2973938592

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.