Evidence map›Paper›PMID 40634970›Full record

ArticleVirology journal2025

Mechanism research of Punicalagin in treating representative strains of enterovirus A and B types based on systems pharmacology and experimental validation.

Yuwei Liu, Jing Chen, Nana Du, Min Zhao, Yi Zhao, Ping Wu, Likai Ji, Shixing Yang, Xiaochun Wang, Quan Shen and 4 more

Abstract read
In one paragraph

Article in Virology journal, 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. Article
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

14 authors.

Yuwei Liu *Institute of Critical Care Medicine, The Affiliated People's Hospital, Jiangsu University, 8 Dianli Road, Zhenjiang, 212002, China.ORCID 0000-0002-5495-2926
Jing Chen *Department of Bioinformatics and Intelligent Diagnosis, School of Medicine, Jiangsu University, 301 Xuefu Road, Zhenjiang, Jiangsu, 212003, China.
Nana Du *Department of Bioinformatics and Intelligent Diagnosis, School of Medicine, Jiangsu University, 301 Xuefu Road, Zhenjiang, Jiangsu, 212003, China.
Min ZhaoDepartment of Bioinformatics and Intelligent Diagnosis, School of Medicine, Jiangsu University, 301 Xuefu Road, Zhenjiang, Jiangsu, 212003, China.
Yi ZhaoDepartment of Bioinformatics and Intelligent Diagnosis, School of Medicine, Jiangsu University, 301 Xuefu Road, Zhenjiang, Jiangsu, 212003, China.
Ping WuDepartment of Bioinformatics and Intelligent Diagnosis, School of Medicine, Jiangsu University, 301 Xuefu Road, Zhenjiang, Jiangsu, 212003, China.
Likai JiDepartment of Bioinformatics and Intelligent Diagnosis, School of Medicine, Jiangsu University, 301 Xuefu Road, Zhenjiang, Jiangsu, 212003, China.
Shixing YangDepartment of Bioinformatics and Intelligent Diagnosis, School of Medicine, Jiangsu University, 301 Xuefu Road, Zhenjiang, Jiangsu, 212003, China.
Xiaochun WangDepartment of Bioinformatics and Intelligent Diagnosis, School of Medicine, Jiangsu University, 301 Xuefu Road, Zhenjiang, Jiangsu, 212003, China.
Quan ShenDepartment of Bioinformatics and Intelligent Diagnosis, School of Medicine, Jiangsu University, 301 Xuefu Road, Zhenjiang, Jiangsu, 212003, China.
Xiaodan ZhangDepartment of Clinical Laboratory, Zhenjiang Center for Disease Prevention and Control, Zhenjiang, 212002, China.
Songyi NingDepartment of Bioinformatics and Intelligent Diagnosis, School of Medicine, Jiangsu University, 301 Xuefu Road, Zhenjiang, Jiangsu, 212003, China.
Hongfeng YangInstitute of Critical Care Medicine, The Affiliated People's Hospital, Jiangsu University, 8 Dianli Road, Zhenjiang, 212002, China. feng102220@163.com.
Wen ZhangInstitute of Critical Care Medicine, The Affiliated People's Hospital, Jiangsu University, 8 Dianli Road, Zhenjiang, 212002, China. z0216wen@yahoo.com.ORCID 0000-0002-9352-6153

Funding

National Natural Science Foundation of China 82101630
6 · The paper itself

Abstract

backgroundEnteroviruses (EVs), particularly types A (e.g., EV-A71) and B (e.g., CVB3), cause severe complications in vulnerable populations. Limited vaccines and no antivirals underscore the need for broad-spectrum therapies. Punicalagin, a natural anti-inflammatory compound, was investigated for its pan-enteroviral therapeutic potential.

objectiveTo evaluate punicalagin's efficacy and mechanisms against multiple EV serotypes via integrated systems pharmacology and experimental validation.

methodsNetwork pharmacology identified punicalagin's targets and pathways. In vitro antiviral activity was assessed in Vero/A549 cells infected with EV-A71/CVB3. Neonatal mice were intraperitoneally inoculated with these viruses to test in vivo efficacy. Molecular docking, apoptosis assays, and inflammatory factor analyses elucidated mechanisms.

resultsPunicalagin inhibited EV-A71 and CVB3 replication in vitro and improved survival in infected mice. Systems pharmacology linked its effects to anti-apoptotic and anti-inflammatory pathways. Molecular docking confirmed interactions with apoptosis/inflammation regulators (e.g., CASP3, TNF-α). Experimental validation demonstrated reduced viral-induced apoptosis and suppressed IL-6/TNF-α levels.

conclusionPunicalagin exhibits broad-spectrum anti-enteroviral activity through dual inhibition of apoptosis and inflammation, validated across in vitro, in vivo, and computational models. This study provides a systems-level framework for repurposing natural compounds against phylogenetically diverse EVs, addressing critical therapeutic gaps for high-risk populations.

Indexed as

Antiviral AgentsEnterovirus A, HumanEnterovirus B, HumanEnterovirus InfectionsHydrolyzable TanninsA549 CellsAnimalsApoptosisChlorocebus aethiopsDisease Models, AnimalHumansMiceMolecular Docking SimulationNetwork PharmacologyVero CellsVirus ReplicationAntiviral AgentsHydrolyzable TanninspunicalaginAnti-apoptosisAnti-inflammationCo-treatment of different diseasesEnterovirusPunicalagin

Identifiers

PMID40634970
PMCPMC12239398

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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.