Evidence map›Paper›PMID 34485118›Full record

ArticleFrontiers in oncology2021

Sanhuang Decoction Controls Tumor Microenvironment by Ameliorating Chronic Stress in Breast Cancer: A Report of Ninety Cases.

Ming Feng, Huanhuan Wang, Zhiyuan Zhu, Bowen Yao, Yongfei Li, Jingxian Xue, Sihan Cao, Xinyi Shao, Yanlei Xu, Ki Cheul Sohn and 2 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Gut Microbiota-Driven Pathways Linking Chronic Stress to Tumor Progression.International journal of biological sciences · 2026
    Review
  2. Article
  3. Review
  4. Article
  5. Traditional Chinese Medicine for Breast Cancer: A Review.Breast cancer (Dove Medical Press) · 2023
    Review
  6. 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

12 authors at 3 institutions in 3 countries.

Ming FengThe First Clinical college, Nanjing University of Chinese Medicine, Nanjing, China.
Huanhuan WangThe First Clinical college, Nanjing University of Chinese Medicine, Nanjing, China.
Zhiyuan ZhuThe First Clinical college, Nanjing University of Chinese Medicine, Nanjing, China.
Bowen YaoSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, United States.
Yongfei LiDepartment of Breast Disease, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Jingxian XueDepartment of Breast Disease, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Sihan CaoThe First Clinical college, Nanjing University of Chinese Medicine, Nanjing, China.
Xinyi ShaoThe First Clinical college, Nanjing University of Chinese Medicine, Nanjing, China.
Yanlei XuDepartment of Breast Disease, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Ki Cheul SohnSchool of Medicine, Catholic University of Daegu, Gyeongsan, South Korea.
Im Hee ShinSchool of Medicine, Catholic University of Daegu, Gyeongsan, South Korea.
Chang YaoDepartment of Breast Disease, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Nanjing University of Chinese Medicine · CNCatholic University of Daegu · KRThomas Jefferson University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Long-term endocrine treatment which results in estrogen deprivation causes chronic stress associated with a series of uncomfortable symptoms leading not only to a decrease in quality of life but also to cancer recurrence, which may be mediated primarily through the enhanced expression of angiogenic factors, as well as a series of inflammatory microenvironmental changes that favor tumor progression. In this study, we designed a clinical trial and aimed to explore the effects of Sanhuang Decoction (SHD) treatment on chronic stress, inflammatory factors, and breast cancer recovery. A total of 90 patients with breast cancer who met the inclusion/exclusion criteria were randomly allocated to a treatment or control group. The treatment group received the standard endocrine treatment and the traditional Chinese medicine decoction known as SHD. The control group received the standard endocrine treatment only. The treatment period was 6 months. The modified Kupperman Menopausal Index, the self-rating anxiety scale, and the self-rating depression scale were evaluated once per month. The body microenvironment plasma indices related to chronic stress, such as oxidative and antioxidative stress markers, inflammatory factors, hemorheology, coagulation, lipid and D-dimer, immunologic functions, tumor biomarkers, and angiogenic factors of the vascular endothelial growth factor (VEGF) were measured before and after 6 months of treatment. After treatment for 5 months, the scores in the treatment group decreased to nearly normal levels and the control group showed no significant improvement. After treatment for 6 months, all indices related to the body microenvironment, as well as the tumor biomarkers and carcinoembryonic antigen, carbohydrate antigen 153, and angiogenic factor VEGF levels improved significantly to normal levels in the treatment group. Our primary research showed that treatment with SHD effectively improved the quality of life of breast cancer patients by facilitating a change in the body microenvironment that controlled tumor growth and prevented drug resistance. CLINICAL

trial registrationChinese Clinical Trial Registry, identifier ChiCTR-IIR-2000041413. Date of registration: 2017-06-07 (retrospective registration).

Indexed as

body microenvironmentbreast cancerchronic stressendocrine treatmentSanhuang decoctionSHD

Identifiers

PMID34485118
PMCPMC8416106
OpenAlexW3195648330

What OpenQuestion holds

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LicenceCC BY
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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.