Evidence map›Paper›PMID 40468933›Full record

ArticleCurrent pharmaceutical design2025

Astragalus Injection Modulates the Pharmacokinetics of Doxorubicin and CYP450 Enzymes.

Wenjun Shi, Tian Liu, Kaihe Wang, Leixin Mu, Li Ji, Yanling Li, Yi Zhang, Qun Ma

Abstract read
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Article in Current pharmaceutical design, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Beyond Traditional Use: The Scientific Evidence for the Role ofPharmaceuticals (Basel, Switzerland) · 2025
    Review
  2. The therapeutic potential ofFrontiers in pharmacology · 2025
    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

8 authors.

Wenjun ShiSchool of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing, 102488, China.
Tian LiuSchool of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing, 102488, China.
Kaihe WangSchool of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing, 102488, China.
Leixin MuSchool of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing, 102488, China.
Li JiSchool of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing, 102488, China.
Yanling LiSchool of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing, 102488, China.
Yi ZhangThird Affiliated Hospital, Beijing University of Chinese Medicine, Beijing, 100029, China.
Qun MaSchool of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing, 102488, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDoxorubicin (DOX) is a widely used anthracycline antibiotic for the treatment of breast cancer, liver cancer, lymphoma, and other malignant tumors. However, its clinical application is limited by the side effects and drug resistance. Astragalus injection has been combined with DOX in the treatment of cancer, which improves the curative effect and reduces drug resistance. This study investigated the interaction between DOX and Astragalus injection and elucidated the potential mechanism.

methodsThe pharmacokinetics of DOX injection (7 mg/kg, intraperitoneal injection) with or without Astragalus injection (4.25 mL/kg/day for 14 days, intraperitoneal injection) were investigated in plasma from male Sprague-Dawley rats (n = 6) by UPLC-MS/MS. The group without the Astragalus injection was set as the control group. Additionally, the effects of Astragalus injection on CYP450 enzyme activities were assessed using a rat liver microsome incubation system with cocktail probe drugs.

resultsAstragalus injection significantly increased the C

conclusionThe co-administration of DOX and Astragalus injection alters the systemic exposure of DOX by affecting the metabolism of DOX and the activity of CYP450 enzymes. These findings highlight the importance of drug-drug interactions when combining Astragalus injection with DOX and provide a basis for optimizing combination therapies to address DOX resistance and toxicity.

Indexed as

Antibiotics, AntineoplasticAstragalus PlantCytochrome P-450 Enzyme SystemDoxorubicinAnimalsDrug InteractionsHerb-Drug InteractionsInjections, IntraperitonealMaleMicrosomes, LiverRatsRats, Sprague-DawleyAntibiotics, AntineoplasticCytochrome P-450 Enzyme SystemDoxorubicinAstragali radixCYP1A2CYP3A4.Drug-drug interactiondrug resistancemetabolism

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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.