Evidence map›Paper›PMID 40525842›Full record

ArticleMicrobiology spectrum2025

Berberine alleviates respiratory syncytial virus (RSV)-induced pediatric bronchiolitis and fibrosis via suppressing the HMGB1/TLR4/NF-κB pathway.

Yang Jiao, Rui Yang

Abstract read
In one paragraph

Article in Microbiology spectrum, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Programmed cell death in human respiratory syncytial virus infection.Frontiers in cellular and infection microbiology · 2025
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Involvement of the pyroptosis-HMGB1 axis in systemic diseases.Frontiers in cell and developmental biology · 2026
    Review
  6. Review
  7. 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

2 authors.

Yang JiaoDepartment of Pediatrics, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.ORCID 0009-0001-9574-7291
Rui YangDepartment of Pediatrics, Hebei Reproductive Health Hospital, Hebei Women and Children's Health Hospital, Shijiazhuang, Hebei, China.ORCID 0009-0001-3350-7444

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Berberine exhibits antitumor, antibacterial, and antiviral properties. This study explored its therapeutic potential and molecular mechanism in respiratory syncytial virus (RSV)-induced pediatric bronchiolitis (PB). BEAS-2B cells were infected with RSV (multiplicity of infection = 0.5, 1.0, or 5.0) to establish a PB cell model. Quantitative reverse transcription PCR (qRT-PCR) quantified RSV, HMGB1, and fibrosis-related genes. MTT assay assessed cell viability, and plaque assay measured RSV titers. Western blot, immunohistochemistry (IHC), immunofluorescence, and enzyme-linked immunosorbent assay (ELISA) evaluated HMGB1 and key markers of inflammation, pyroptosis, epithelial-mesenchymal transition (EMT), and fibrosis. Flow cytometry analyzed apoptosis, while electron microscopy visualized RSV-induced pyroptotic and apoptotic changes. A PB mouse model was established by administering RSV (6.8 × 10⁶ PFU) via nasal drip in BALB/c mice. Mice were divided into six groups ( IMPORTANCE: Pediatric bronchiolitis caused by RSV remains a major global health challenge with limited treatment options. This study highlights berberine as a promising therapeutic agent capable of reducing RSV replication and associated lung injury. By targeting the HMGB1/TLR4/NF-κB pathway, berberine effectively attenuates inflammation, pyroptosis, EMT, and fibrosis. These findings provide a novel mechanistic insight and offer potential for the development of targeted therapies against RSV-induced bronchiolitis.

Indexed as

BerberineBronchiolitisHMGB1 ProteinNF-kappa BRespiratory Syncytial VirusesRespiratory Syncytial Virus InfectionsToll-Like Receptor 4AnimalsCell LineDisease Models, AnimalEpithelial-Mesenchymal TransitionFemaleFibrosisHumansMiceMice, Inbred BALB CBerberineHMGB1 ProteinHMGB1 protein, humanNF-kappa BTLR4 protein, humanToll-Like Receptor 4berberineepithelial-mesenchymal transformationinflammationpediatric bronchiolitisrespiratory syncytial virus

Identifiers

PMID40525842
PMCPMC12323357

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.