Evidence map›Paper›PMID 40551496›Full record

SynthesisJournal of biochemical and molecular toxicology2025

Exploring Astragaloside IV in Ischemic Heart Disease: A Comprehensive Systematic Review and Meta-Analysis of Preclinical Cardiotoxicity Models.

Alosh Greeny, Gollapalle Lakshminarayanashastry Viswanatha, Rekha Raghuveer Shenoy, Shylaja Hanumanthappa, Dinesh Kumar Chellappan, Jagnoor Singh Sandhu, Saumya Khanna, Nandakumar Krishnadas

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of biochemical and molecular toxicology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Alosh GreenyDepartment of Pharmacology, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.ORCID https://orcid.org/0000-0003-2673-8022
Gollapalle Lakshminarayanashastry ViswanathaDepartment of Pharmacology, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.ORCID https://orcid.org/0000-0002-9944-4888
Rekha Raghuveer ShenoyDepartment of Pharmacology, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
Shylaja HanumanthappaIndependent Researcher, Bangalore, Karnataka, India.ORCID https://orcid.org/0009-0009-9368-2672
Dinesh Kumar ChellappanDepartment of Life Sciences, School of Pharmacy, IMU University, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0001-5567-6663
Jagnoor Singh SandhuCentral Animal Research Facility, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID https://orcid.org/0009-0004-7812-9928
Saumya KhannaDepartment of Pharmacology, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
Nandakumar KrishnadasDepartment of Pharmacology, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

This systematic review and meta-analysis were conducted to evaluate the therapeutic efficacy of Astragaloside IV (As-IV) in ischemic heart disease based on the preclinical evidence and to correlate the cardioprotective effect with various available mechanisms. This systematic review and meta-analysis were conducted based on the results of a thorough literature search in databases of published papers, such as PubMed, Embase, and Google Scholar. A total of 18 studies that met the inclusion/exclusion criteria were included. The meta-analysis has shown the significant therapeutic efficacy of As-IV on ischemic heart disease. As-IV has decreased the myocardial infarction size, the left ventricular weight indices, the left ventricular internal diameter in systole, and the left ventricular internal diameter in diastole. As-IV has decreased the level of the third type of collagen and the decreased activity of creatine kinase and lactate dehydrogenase. Also, As-IV has markedly decreased the rate of apoptosis and the expression of the proapoptotic markers such as caspase-3 and Bax. The left ventricular systolic pressure, as well as the arterial shortening edge and the ejection fraction, has increased. The levels of the antiapoptotic protein Bcl-2 increased. In addition, As-IV has a powerful anti-inflammatory influence by inhibiting the main markers of inflammation, such as TLR4, IL-1, TNF-α, and TGF-β. As-IV has also caused an effect on angiogenesis by increasing the VEGF level. The results have revealed the As-IV, as a decent universal medicine for ischemic heart disease because of its variety of actions and effectiveness.

Indexed as

Cardiotonic AgentsMyocardial IschemiaSaponinsTriterpenesAnimalsApoptosisDisease Models, AnimalHumansastragaloside ACardiotonic AgentsSaponinsTriterpenesantiapoptosisanti‐inflammatoryAstragaloside IVcardioprotectionischemic heart disease

Identifiers

PMID40551496
PMCPMC12186012

What OpenQuestion holds

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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.