Evidence map›Paper›PMID 34010580›Full record

ArticlePharmaceutical biology2021

Xinmai 'an extract enhances the efficacy of sildenafil in the treatment of pulmonary arterial hypertension via inhibiting MAPK signalling pathway.

Yaolu Zhu, Yabin Sun, Shichang Zhang, Chuyuan Li, Yiwei Zhao, Boxin Zhao, Guofeng Li

Abstract read
In one paragraph

Article in Pharmaceutical biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Fisetin alleviates pulmonary arterial hypertension by inhibiting the TGF-β1/Smad 2/3 signaling pathway.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2026
    Article
  2. Review
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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

7 authors.

Yaolu ZhuDepartment of Pharmacy, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yabin SunModern Chinese Medicine Institute, Hutchison Whampoa Guangzhou Baiyunshan Chinese Medicine Company Limited, Guangzhou, China.
Shichang ZhangDepartment of Pharmacy, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Chuyuan LiOffice of the General Manager, Hutchison Whampoa Guangzhou Baiyunshan Chinese Medicine Company Limited, Guangzhou, China.
Yiwei ZhaoDepartment of Pharmacy, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Boxin ZhaoDepartment of Pharmacy, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Guofeng LiDepartment of Pharmacy, Nanfang Hospital, Southern Medical University, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextXinmai 'an tablet has been used to improve myocardial blood supply. Recently, some compounds from its formula have shown that they can treat pulmonary arterial hypertension (PAH).

objectiveThis study investigates the effects of Xinmai 'an extract (XMA) on PAH and further tests the co-therapeutic enhancement with sildenafil (SIL). MATERIALS AND

methodsPulmonary artery smooth muscle cells were subjected to stimulation with SIL (12.5 μM) and XMA (250 μg/mL) for 48 h. Sprague-Dawley rats were randomly grouped into eight groups (

resultsXMA could improve SIL's efficacy in the treatment of PAH by decreasing cell viability more effectively at non-cytotoxic concentrations (250 μg/mL) and reducing Right Ventricular Systolic Pressure (RVSP) in PAH rat. Potential mechanisms might at least in part be through activating the MAPK signalling pathway. DISCUSSION AND

conclusionsThe combination of XMA and SIL can improve the efficacy of pulmonary hypertension and reduce the dosage of SIL.

Indexed as

AnimalsCells, CulturedDose-Response Relationship, DrugDrugs, Chinese HerbalDrug SynergismEnzyme InhibitorsMaleMAP Kinase Signaling SystemMyocytes, Smooth MusclePlant ExtractsPulmonary Arterial HypertensionRatsRats, Sprague-DawleySildenafil CitrateTreatment OutcomeVasodilator AgentsDrugs, Chinese HerbalEnzyme InhibitorsPlant ExtractsSildenafil CitrateVasodilator Agentscombination treatmentinflammationoxidative stressPulmonary artery pressure

Identifiers

PMID34010580
PMCPMC8143608

What OpenQuestion holds

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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.