Evidence map›Paper›PMID 39950759›Full record

ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2025

Honokiol-Magnolol-Baicalin Possesses Synergistic Anticancer Potential and Enhances the Efficacy of Anti-PD-1 Immunotherapy in Colorectal Cancer by Triggering GSDME-Dependent Pyroptosis.

Quan Gao, Qinsong Sheng, Zijing Yang, ZhiYu Zhu, Lin Li, Lihui Xu, Jing Xia, Yunhao Qiao, Jie Gu, Xiaolong Zhu and 2 more

Abstract read
In one paragraph

Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing 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

31 citing papers in PubMed.

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  13. Autophagy regulation of pyroptosis and ferroptosis: a new strategy for colorectal cancer treatment.Apoptosis : an international journal on programmed cell death · 2026
    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

12 authors.

Quan GaoSchool of Pharmacy, Hangzhou Normal University, Hangzhou, Zhejiang, 311121, China.
Qinsong ShengDepartment of Colorectal Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, 310058, China.
Zijing YangSchool of Pharmacy, Hangzhou Normal University, Hangzhou, Zhejiang, 311121, China.
ZhiYu ZhuSchool of Pharmacy, Hangzhou Normal University, Hangzhou, Zhejiang, 311121, China.
Lin LiSchool of Pharmacy, Hangzhou Normal University, Hangzhou, Zhejiang, 311121, China.
Lihui XuSchool of Pharmacy, Hangzhou Normal University, Hangzhou, Zhejiang, 311121, China.
Jing XiaSchool of Pharmacy, Hangzhou Normal University, Hangzhou, Zhejiang, 311121, China.
Yunhao QiaoSchool of Pharmacy, Hangzhou Normal University, Hangzhou, Zhejiang, 311121, China.
Jie GuSchool of Pharmacy, Hangzhou Normal University, Hangzhou, Zhejiang, 311121, China.
Xiaolong ZhuSchool of Pharmacy, Hangzhou Normal University, Hangzhou, Zhejiang, 311121, China.
Tian XieSchool of Pharmacy, Hangzhou Normal University, Hangzhou, Zhejiang, 311121, China.
Xinbing SuiSchool of Pharmacy, Hangzhou Normal University, Hangzhou, Zhejiang, 311121, China.ORCID https://orcid.org/0000-0001-7330-0467

Funding

National Natural Science Foundation of China U23A20518
6 · The paper itself

Abstract

Significant progress is made in the treatment of metastatic colorectal cancer (mCRC) patients, however, therapeutic options remain limited for patients with mCRC. In recent years, traditional Chinese medicine (TCM) has gained significant attention. Among these, Huangqin Houpo decoction has demonstrated efficacy in mCRC treatment. Despite its promise, the active ingredients and mechanisms underlying its anticancer effects remain unclear. Using integrative pharmacological approaches, six compounds are identified as the primary active ingredients in Huangqin Houpo decoction. Among them, honokiol (H), magnolol (M), and baicalin (B) are found to exhibit a synergistic anticancer effect on CRC. The HMB combination significantly outperforms mono- or bi-agent treatments in reducing tumor growth. Furthermore, the anticancer efficacy of the HMB combination surpasses that of medium- and high-dose Huangqin Houpo decoction and the FOLFOX regimen. Notably, HMB is comparable in efficacy to the FOLFIRI regimen. Most importantly, HMB is shown to enhance the sensitivity of CRC cells to anti-PD-1 immunotherapy in vivo. Mechanistic studies reveal that the HMB combination exerts its synergistic anticancer effects and enhances anti-PD-1 immunotherapy by inducing GSDME-dependent pyroptosis. Our study will hopefully provide a potential therapeutic strategy for mCRC patients in the future. [Correction added on 25 February 2025, after first online publication: FOLFOIRI is changed to FOLFIRI.].

Indexed as

Biphenyl CompoundsColorectal NeoplasmsFlavonoidsLignansPyroptosisAllyl CompoundsAnimalsAntineoplastic Combined Chemotherapy ProtocolsCell Line, TumorDrug SynergismHumansImmunotherapyMiceMice, Inbred BALB CPhenolsProgrammed Cell Death 1 ReceptorAllyl CompoundsBiphenyl CompoundsFlavonoidshonokiolLignansmagnololPhenolsProgrammed Cell Death 1 Receptorcombination therapiesGSDMEHuangqin Houpo decoctionmetastatic colorectal cancerpyroptosis

Identifiers

PMID39950759
PMCPMC11967828

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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.