Evidence map›Paper›PMID 40321675›Full record

ArticleDiabetes, metabolic syndrome and obesity : targets and therapy2025

Combining Network Pharmacological Analysis and Animal Experiments to Explore the Pharmacological Mechanism of Zhangyanming Tablets in Diabetic Retinopathy.

Mengmeng Yang, Hualin Liu, Jiewen Zhou, Kewei Wang, Yujing Sun, Na Ning, Qiuling Huang, Jiajia Hu, Jidong Liu, Fei Yan and 4 more

Abstract read
In one paragraph

Article in Diabetes, metabolic syndrome and obesity : targets and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

14 authors.

Mengmeng Yang *Department of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong, 250000, People's Republic of China.
Hualin Liu *Department of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong, 250000, People's Republic of China.
Jiewen Zhou *The First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, 510000, People's Republic of China.
Kewei WangDepartment of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong, 250000, People's Republic of China.ORCID 0000-0001-6504-5750
Yujing SunDepartment of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong, 250000, People's Republic of China.
Na NingGuangzhou Baiyunshan Zhongyi Pharmaceutical Co., Ltd, Guangzhou, Guangdong, 510000, People's Republic of China.
Qiuling HuangGuangzhou Baiyunshan Zhongyi Pharmaceutical Co., Ltd, Guangzhou, Guangdong, 510000, People's Republic of China.
Jiajia HuGuangzhou Baiyunshan Zhongyi Pharmaceutical Co., Ltd, Guangzhou, Guangdong, 510000, People's Republic of China.
Jidong LiuDepartment of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong, 250000, People's Republic of China.
Fei YanDepartment of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong, 250000, People's Republic of China.
Xinguo HouDepartment of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong, 250000, People's Republic of China.ORCID 0000-0003-2045-1290
Li ChenDepartment of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong, 250000, People's Republic of China.ORCID 0000-0001-7670-8062
Lingshu WangDepartment of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong, 250000, People's Republic of China.
Fuqiang LiuDepartment of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong, 250000, People's Republic of China.ORCID 0000-0002-2792-5404

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Zhangyanming Tablets (ZYMT) is a proprietary Chinese medicine containing a variety of traditional Chinese medicines, which can be used to treat a wide range of eye diseases, but its exact effect on diabetic retinopathy (DR) and the specific mechanism are still unclear. This study aims to investigate the ameliorative effects and specific mechanisms of ZYMT on DR. Methods: Key regulatory genes and potential therapeutic targets of ZYMT for DR were evaluated using network pharmacological analysis. Diabetic db/db mice were given low-dose ZYMT (330 mg/kg) and high-dose ZYMT (660 mg/kg), and relevant metabolic indices were tested. Histochemical staining and optical coherence tomography angiography (OCTA) were used to evaluate the histopathological structure of mice retina, RT-qPCR, TUNEL staining and immunofluorescence staining were used to evaluate the anti-apoptosis and anti-angiogenesis effect of ZYMT on DR. Results: The results of network topology analysis showed that the top 10 Traditional Chinese Medicine (TCM) ingredients of ZYMT were quercetin, luteolin, kaempferol, wogonin, naringenin, β-sitosterol, baicalein, isorhamnetin, acacetin, and stigmasterol. ZYMT treats DR through key nodes such as AKT1, TNF, MAPK8, RELA, VEGFA, HIF1A, IL6, CASP3, BCL2, STAT3, and ICAM1. ZYMT has a direct effect on DR rather than secondary improvement of metabolic indices. Tissue staining demonstrated that ZYMT improved retinal vascular morphology and delayed retinal thinning in db/db mice. The OCTA imaging also showed that ZYMT increased blood flow density in db/db mice. TUNEL staining and RT-qPCR results showed that ZYMT could reduce the apoptosis of retinal cells in db/db mice, and RT-qPCR and immunofluorescence staining showed that ZYMT could inhibit retinal neovascularization. Conclusion: This study found the potential target of ZYMT to ameliorate DR through network pharmacological analysis, and verified that ZYMT can improve DR by exerting anti-apoptosis and anti-neovascularization.

Indexed as

apoptosisdiabetic retinopathyneovascularizationnetwork pharmacological analysiszhangyanming tablets

Identifiers

PMID40321675
PMCPMC12047248

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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.