Evidence map›Paper›PMID 39808382›Full record

ArticleCardiovascular drugs and therapy2026

Novel Protective Role for Gut Microbiota-derived Metabolite PAGln in Doxorubicin-induced Cardiotoxicity.

Jie Huang, Xingyuan Hou, Ni Zhou, Nan Su, Shanshan Wei, Yuanying Yang, Taoli Sun, Guangdi Li, Wenqun Li, Bikui Zhang

Abstract read
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Article in Cardiovascular drugs and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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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

3 citing papers in PubMed.

  1. 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

10 authors.

Jie Huang *Department of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.
Xingyuan Hou *Department of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.
Ni ZhouDepartment of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.
Nan SuDepartment of Ophthalmology, the First People's Hospital of Lanzhou City, Lanzhou, 730050, Gansu, China.
Shanshan WeiDepartment of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.
Yuanying YangDepartment of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.
Taoli SunSchool of Pharmacy, Hunan University of Chinese Medicine, Changsha, 410208, Hunan, China.
Guangdi LiHunan Provincial Key Laboratory of Clinical Epidemiology, Xiangya School of Public Health, Central South University, Changsha, 410013, Hunan, China.
Wenqun LiDepartment of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China. liwq1204@csu.edu.cn.ORCID 0000-0003-2939-7710
Bikui ZhangDepartment of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China. 505995@csu.edu.cn.

Funding

Fundamental Research Funds for the Central Universities of Central South University 2022ZZTS0243Fundamental Research Funds for the Central Universities of Central South University 2023ZZTS0904Hunan Provincial Innovation Foundation for Postgraduate CX20220326Hunan Provincial Natural Scientific Foundation 2023JJ30761Hunan Provincial Natural Scientific Foundation 2023JJ30802Hunan Provincial Natural Scientific Foundation 2024JJ2069Research Project established by Chinese Pharmaceutical Association Hospital Pharmacy department CPA-Z05-ZC-2021-002Scientific Research Project of Hunan Provincial Health and Family Planning Commission No. 202113050843the National Natural Scientific Foundation of China 81973406the National Natural Scientific Foundation of China 82173911the National Natural Scientific Foundation of China 92269112
6 · The paper itself

Abstract

purposeDoxorubicin (Dox) is a classic anthracycline chemotherapy drug with cause cumulative and dose-dependent cardiotoxicity. This study aimed to investigate the potential role and molecular mechanism of phenylacetylglutamine (PAGln), a novel gut microbiota metabolite, in Dox-induced cardiotoxicity (DIC).

methodsDIC models were established in vivo and in vitro, and a series of experiments were performed to verify the cardioprotective effect of PAGln. RNA sequencing (RNA-seq) was employed to explore the mechanism of PAGln in DIC. Subsequently, the differentially expressed genes (DEGs) were subjected to comprehensive analysis using diverse public databases, and RT-PCR was used to confirm the expression levels of the candidate genes. Finally, molecular docking techniques were used for validation.

resultsPAGln effectively prevented both in vivo and in vitro Dox-induced myocardial injury and cell apoptosis. RNA-seq results showed that 40 genes were up-regulated and 54 down-regulated in the Dox group compared to the Con group, displaying opposite changes in the Dox + PAGln group. Enrichment analysis highlighted several mechanisms by which PAGln alleviated Dox-induced cardiotoxicity, including the lipid metabolic process, calcium-mediated signaling, positive regulation of store-operated calcium channel activity, and hypertrophic cardiomyopathy. In vitro and in vivo experiments confirmed that PAGln treatment could reverse the changes in the expression levels of Klb, Ece2, Nmnat2, Casq1, Pak1, and Apob in Dox. Molecular docking results showed that these genes had good binding activity with PAGln.

conclusionsPAGln shows potential in alleviating Dox-induced cardiotoxicity, with Ece2 identified as key regulatory molecules related to endothelial dysfunction.

Indexed as

DoxorubicinGastrointestinal MicrobiomeMyocytes, CardiacAnimalsAntibiotics, AntineoplasticApoptosisCardiotoxicityDisease Models, AnimalHumansMaleMiceMolecular Docking SimulationAntibiotics, AntineoplasticDoxorubicinCardiotoxicityDoxorubicinGut microbiota metabolitePhenylacetylglutamineRNA sequencing

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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.