Evidence map›Paper›PMID 40586853›Full record

ArticleJournal of cellular and molecular medicine2025

Modified Qianghuo Shengshi Decoction Ameliorates Osteoarthritis via Inhibiting PI3K/Akt Pathway-Related Ferroptosis.

Chen Zhuang, Enli Li, Wen-Kai Li, Xiaojuan Geng, Chenxuan Hong, Yu Pan, Lei Yang

Abstract read
In one paragraph

Article in Journal of cellular and molecular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

7 authors.

Chen ZhuangAlberta Institute, Wenzhou Medical University, Zhejiang, China.
Enli LiDepartment of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Wen-Kai LiThe First School of Clinical Medicine, Zhejiang Chinese Medical University, Zhejiang, Hangzhou, China.
Xiaojuan GengSchool of Pharmacy, Zhejiang Chinese Medical University, Zhejiang, Hangzhou, China.
Chenxuan HongQuzhou TCM Hospital, Junction of Four Provinces, Affiliated to Zhejiang Chinese Medical University, Zhejiang, China.
Yu PanQuzhou TCM Hospital, Junction of Four Provinces, Affiliated to Zhejiang Chinese Medical University, Zhejiang, China.
Lei YangDepartment of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.ORCID 0009-0009-4294-7968

Funding

Science and Technology Program Project of Quzhou Science and Technology Bureau 2022K118Science and Technology Program Project of Quzhou Science and Technology Bureau 2023K161Zhejiang Chinese Medicine University School-level Research Project Affiliated Hospitals Scientific Research Program 2022FSYYZY40
6 · The paper itself

Abstract

Modified Qianghuo Shengshi decoction (MQSD), a TCM formula, is clinically used for osteoarthritis (OA) symptom relief. Its exact molecular actions, however, are not fully understood. This investigation seeks to elucidate the molecular mechanisms by which MQSD impedes OA progression. High performance liquid chromatography (HPLC) was employed to delineate MQSD's chemical profile. The CCK-8 assay determined MQSD's impact on chondrocyte viability in the presence or absence of IL-1β. EDU and Annexin V-FITC assays evaluated chondrocyte proliferation and apoptosis, respectively. Alcian Blue staining probed extracellular matrix (ECM) secretion by chondrocytes. Network pharmacology was utilised to pinpoint disease targets, while various assays assessed ferroptosis-related chondrocyte phenotypes under Erastin or Ferrostatin-1 treatments. IHC, qRT-PCR and western blot analyses were conducted to ascertain MQSD's cellular effects. Micro-CT and Safranin O Fast Green staining provided insights into knee joint morphology and cartilage integrity. Molecular docking assessed the binding affinity of MQSD's active compounds to PI3K/Akt/GPX4. MQSD promotes chondrocyte proliferation, prevents apoptosis, and enhances viability. It further modulates the ECM output and the anabolic-to-catabolic ratio within chondrocytes. Through network pharmacology, ferroptosis linked to the PI3K/Akt pathway is identified as crucial. Pre-application of MQSD elevates the GSH/GSSG ratio and mitochondrial density, while it reduces Fe

Indexed as

Drugs, Chinese HerbalFerroptosisOsteoarthritisPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktSignal TransductionAnimalsApoptosisCell ProliferationCell SurvivalChondrocytesHumansMolecular Docking SimulationDrugs, Chinese HerbalPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktferroptosismodified qianghuo shengshi decoctionosteoarthritisPI3K/AktTCM

Identifiers

PMID40586853
PMCPMC12207989

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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.