Evidence map›Paper›PMID 40443981›Full record

ArticleDrug design, development and therapy2025

Mechanism of Action and Efficacy of Wu-Hua-Yan-Xiao in the Treatment of Pediatric Acute Pharyngitis Based on Network Pharmacology and Experimental Validation.

Xinyun Zhang, Zengyu Zhang, Yingzi Xu, Jiawei Luo, Zihao Shen, Hao Liang, Yidi Zeng, Wanghua Liu, Caixing Zheng, Jinxia Li

Abstract read
In one paragraph

Article in Drug design, development and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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

10 authors.

Xinyun Zhang *Hunan University of Chinese Medicine, Changsha, 410208, People's Republic of China.
Zengyu Zhang *Research Center for Clinical Medicine, Jinshan Hospital Affiliated to Fudan University, Shanghai, 20000, People's Republic of China.
Yingzi XuHunan University of Chinese Medicine, Changsha, 410208, People's Republic of China.
Jiawei LuoHunan University of Chinese Medicine, Changsha, 410208, People's Republic of China.
Zihao ShenXiangxing College, Hunan University of Chinese Medicine, Changsha, 410208, People's Republic of China.
Hao LiangHunan University of Chinese Medicine, Changsha, 410208, People's Republic of China.
Yidi ZengHunan University of Chinese Medicine, Changsha, 410208, People's Republic of China.
Wanghua LiuHunan University of Chinese Medicine, Changsha, 410208, People's Republic of China.ORCID 0009-0001-4877-7930
Caixing ZhengHunan University of Chinese Medicine, Changsha, 410208, People's Republic of China.ORCID 0009-0008-3990-3318
Jinxia LiHunan University of Chinese Medicine, Changsha, 410208, People's Republic of China.ORCID 0000-0002-0949-8365

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ethnopharmacological Relevance: Wu-Hua-Yan-Xiao (WHYX) is an innovative volatile oil formulation derived from the traditional Yinqiao-Mabo decoction, developed for the treatment of pediatric acute pharyngitis. Materials and Methods: Network pharmacology was utilized to identify active components and potential therapeutic targets of WHYX in acute pharyngitis. Compounds in WHYX were characterized using UHPLC-QE-MS. A pediatric acute pharyngitis rat model was established by administering 25% ammonia to the pharyngeal mucosa of young rats. WHYX was delivered via aerosol inhalation at gradient concentrations. Histopathological changes in pharyngeal tissues were evaluated by H&E staining. Serum levels of IL-6, IL-1β, TNF-α, and PGE2 were quantified by ELISA. Expression levels of TNF-α, TP53, IL17A, IL6, and Bcl-2 were assessed by qRT-PCR and Western blotting. Apoptosis was analyzed through immunofluorescence staining for Caspase-3 and TUNEL. Results: Network pharmacology identified 130 active compounds and 600 gene targets, with 194 overlapping drug-disease targets. TP53 signaling emerged as a central regulatory pathway. Compared with the model group, the high-dose WHYX volatile oil group showed marked improvements in pharyngeal pathology, significant reductions in inflammatory cytokines, downregulation of TNF-α, TP53, IL17A, IL6, and Bcl-2 expression, and suppressed apoptosis Conclusion: The WHYX formula alleviates inflammation, reduces apoptosis, and protects pharyngeal tissue in young rats with acute pharyngitis. Aerosol inhalation of WHYX presents a direct, effective, and non-invasive strategy for pediatric acute pharyngitis management.

Indexed as

Drugs, Chinese HerbalNetwork PharmacologyOils, VolatilePharyngitisAcute DiseaseAnimalsChildDisease Models, AnimalDose-Response Relationship, DrugHumansMaleRatsRats, Sprague-DawleyDrugs, Chinese HerbalOils, Volatileanti-inflammatory effectsatomization inhalationcell apoptosisnetwork pharmacologypediatric acute pharyngitistraditional Chinese medicine volatile oil

Identifiers

PMID40443981
PMCPMC12120256

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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.