Evidence map›Paper›PMID 32335896›Full record

ArticleBritish journal of pharmacology2020

Restoration of HDAC2 and Nrf2 by andrographolide overcomes corticosteroid resistance in chronic obstructive pulmonary disease.

Wupeng Liao, Albert Y H Lim, W S Daniel Tan, John Abisheganaden, W S Fred Wong

Open access · greenAbstract read
In one paragraph

Article in British journal of pharmacology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
6.9field-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

29 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
  2. Review
  3. The role and mechanism of histone deacetylase in COPD.Molecular and cellular biochemistry · 2026
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. [Therapeutic effects of natural products on animal models of chronic obstructive pulmonary disease].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
    Review
  11. Natural Products for the Management of Asthma and COPD.Handbook of experimental pharmacology · 2025
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Critical Functions of Histone Deacetylases (HDACs) in Modulating Inflammation Associated with Cardiovascular Diseases.Pathophysiology : the official journal of the International Society for Pathophysiology · 2022
    Review
  17. Review
  18. Article
  19. Article
  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

5 authors at 3 institutions in 1 country.

Wupeng LiaoDepartment of Pharmacology, Yong Loo Lin School of Medicine, National University Health System, Singapore.ORCID 0000-0003-2291-6063
Albert Y H LimDepartment of Respiratory and Critical Care Medicine, Tan Tock Seng Hospital, Singapore.
W S Daniel TanDepartment of Pharmacology, Yong Loo Lin School of Medicine, National University Health System, Singapore.
John AbisheganadenDepartment of Respiratory and Critical Care Medicine, Tan Tock Seng Hospital, Singapore.
W S Fred WongDepartment of Pharmacology, Yong Loo Lin School of Medicine, National University Health System, Singapore.ORCID 0000-0001-7010-3759
National University Health System · SGTan Tock Seng Hospital · SGNational University of Singapore · SG

Funding

National Research Foundation of Singapore R-184-000-269-592NUHS R-184-000-267-733
6 · The paper itself

Abstract

background and purposeCorticosteroid resistance poses a major barrier to an effective anti-inflammatory therapy for chronic obstructive pulmonary disease (COPD). The present study aimed to investigate potential corticosteroid re-sensitization actions of andrographolide, a bioactive molecule from the herb Andrographis paniculata, in COPD models, particularly in peripheral blood mononuclear cells (PBMCs) from COPD patients. EXPERIMENTAL APPROACH: Corticosteroid sensitivity in PBMCs collected from COPD patients, or in human monocytic U937 cells exposed to cigarette smoke extract (CSE), was determined by measuring LPS-induced IL-8 production, in the presence and absence of andrographolide. The mechanisms of corticosteroid re-sensitization action of andrographolide were evaluated in a mouse cigarette smoke (CS)-induced acute lung injury model. KEY

resultsImpaired inhibition of IL-8 production by dexamethasone was detected in PBMCs from COPD patients and in CSE-exposed U937 cells, together with reduced levels of nuclear factor erythroid 2-related factor 2 (Nrf2) and histone deacetylase-2 (HDAC2). In both PBMCs and CSE-exposed U937 cells, andrographolide restored dexamethasone inhibition of IL-8 production, accompanied by the up-regulation of Nrf2 and HDAC2 levels. In the U937 cells, andrographolide was able to block CSE-induced Akt and reduce the level of c-Jun. Besides, andrographolide also augmented dexamethasone actions on lowering total and neutrophil counts, cytokine levels, and oxidative damage markers in bronchoalveolar lavage fluid from CS-exposed mice. CONCLUSION AND IMPLICATIONS: We report here for the first time a novel corticosteroid re-sensitization property of andrographolide in human PBMCs and provide mechanistic evidence to support clinical evaluation of andrographolide in reversing steroid resistance in COPD.

Indexed as

NF-E2-Related Factor 2Pulmonary Disease, Chronic ObstructiveAdrenal Cortex HormonesAnimalsDiterpenesHistone Deacetylase 2HumansLeukocytes, MononuclearMiceAdrenal Cortex HormonesandrographolideDiterpenesHDAC2 protein, humanHdac2 protein, mouseHistone Deacetylase 2NF-E2-Related Factor 2

Identifiers

PMID32335896
PMCPMC7393195
OpenAlexW3018858179

What OpenQuestion holds

Textmetadata
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.