Evidence map›Paper›PMID 31900718›Full record

ArticleDigestive diseases and sciences2020

Astragaloside IV Synergizes with Ferulic Acid to Alleviate Hepatic Fibrosis in Bile Duct-Ligated Cirrhotic Rats.

Xue-Mei Zhao, Jing Zhang, Yi-Ni Liang, Ying-Cai Niu

Abstract read
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In one paragraph

Article in Digestive diseases and sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Erythropoietin and Ferulic Acid Loaded on FeApplied biochemistry and biotechnology · 2026
    Article
  4. Review
  5. Ferulic acid: a liver protector.Frontiers in pharmacology · 2026
    Review
  6. Article
  7. Review
  8. Review
  9. [Analysis of core functional components inNan fang yi ke da xue xue bao = Journal of Southern Medical University · 2024
    Article
  10. Article
  11. Article
  12. Pharmacological Effects of Astragaloside IV: A Review.Molecules (Basel, Switzerland) · 2023
    Review
  13. Review
  14. Astragaloside IV alleviates lung inflammation in Klebsiella pneumonia rats by suppressing TGF-β1/Smad pathway.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2023
    Article
  15. Review
  16. Frontiers in pharmacology · 2022
    Review
  17. Article
  18. 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

4 authors at 2 institutions in 1 country.

Xue-Mei ZhaoThe Institute of Medicine, Qiqihar Medical University, 333 BuKui Street, JianHua District, Qiqihar, 161006, Heilongjiang, People's Republic of China.
Jing ZhangDepartment of Hematology, The First Affiliated Hospital, Harbin Medical University, Harbin, 150001, Heilongjiang, People's Republic of China.
Yi-Ni LiangThe Institute of Medicine, Qiqihar Medical University, 333 BuKui Street, JianHua District, Qiqihar, 161006, Heilongjiang, People's Republic of China.
Ying-Cai NiuThe Institute of Medicine, Qiqihar Medical University, 333 BuKui Street, JianHua District, Qiqihar, 161006, Heilongjiang, People's Republic of China. nyc1968@126.com.ORCID 0000-0001-5543-3354
Qiqihar Medical University · CNHarbin Medical University · CN

Funding

National Natural Science Foundation of China 81473407
6 · The paper itself

Abstract

backgroundDue to the multi-factorial etiology of hepatic fibrosis, multi-target therapeutics based on combinatory drugs is known to be a promising strategy for the disease.

aimsThe present study attempted to test the hypothesis that astragaloside IV combined with ferulic acid synergistically inhibits activation of hepatic stellate cells in vivo.

methodsBile duct-ligated rats were treated with astragaloside IV or/and ferulic acid for 28 days. Liver fibrosis was measured by histological examination. The oxidative stress-related biomarkers were measured with spectrophotometry. Expressions of mRNA and protein were measured by real-time PCR and Western blotting.

resultsBile duct-ligated rat treatment with astragaloside IV and ferulic acid in combination resulted in synergistic alleviation of hepatic fibrosis. Simultaneously, activation of hepatic stellate cells was significantly inhibited by the combination therapy when compared with astragaloside IV or ferulic acid alone. Interestingly, astragaloside IV, but not ferulic acid, induced accumulation of Nrf2 in the nucleus, synthesized antioxidant enzymes through negative regulation of glycogen synthase kinase-3β, scavenged reactive oxygen species, and, in turn, suppressed hepatic stellate cells activation in bile duct-ligated rats. Conversely, ferulic acid, but not astragaloside IV, suppressed TGF-β1 and its receptors expression, which resulted in downregulation of Smad3 and Smad4.

conclusionsThese findings suggest that the combination of astragaloside IV and ferulic acid synergistically induces deactivation of hepatic stellate cells through inhibition of the TGF-β pathway and activation of the Nrf2 pathway, and suggest that combination of astragaloside IV and ferulic acid is a promising candidate for the treatment of hepatic fibrosis.

Indexed as

AnimalsCholestasisCommon Bile DuctCoumaric AcidsDisease Models, AnimalDrug SynergismDrug Therapy, CombinationHepatic Stellate CellsLigationLiverLiver Cirrhosis, BiliaryMaleNF-E2-Related Factor 2Oxidative StressRats, WistarReceptors, Transforming Growth Factor betaastragaloside ACoumaric Acidsferulic acidNfe2l2 protein, ratNF-E2-Related Factor 2Receptors, Transforming Growth Factor betaSaponinsSmad3 ProteinSmad3 protein, ratSmad4 ProteinSmad4 protein, ratTgfb1 protein, ratTransforming Growth Factor beta1TriterpenesAstragaloside IVFerulic acidHepatic fibrosisHepatic stellate cellsSynergism

Identifiers

PMID31900718
OpenAlexW2997285787

What OpenQuestion holds

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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.