Evidence map›Paper›PMID 40684152›Full record

ArticleBMC pulmonary medicine2025

Tetrandrine slows disease progression on high-resolution computed tomography and lung function decline in artificial stone-associated silicosis: a retrospective cohort study.

Shaowei Zhou, Jin Shi, Zidan Chen, Luqin Bian, Limin Huang, Ling Mao

Abstract read
In one paragraph

Article in BMC pulmonary medicine, 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

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Shaowei ZhouDepartment of Pneumoconiosis, Shanghai Pulmonary Hospital, Tongji University, Shanghai, 200433, China.
Jin ShiDepartment of Pneumoconiosis, Shanghai Pulmonary Hospital, Tongji University, Shanghai, 200433, China.
Zidan ChenDepartment of Pneumoconiosis, Shanghai Pulmonary Hospital, Tongji University, Shanghai, 200433, China.
Luqin BianDepartment of Pneumoconiosis, Shanghai Pulmonary Hospital, Tongji University, Shanghai, 200433, China.
Limin HuangDepartment of Pneumoconiosis, Shanghai Pulmonary Hospital, Tongji University, Shanghai, 200433, China.
Ling MaoDepartment of Pneumoconiosis, Shanghai Pulmonary Hospital, Tongji University, Shanghai, 200433, China. maoling113@sina.com.

Funding

Key Laboratory of Pneumoconiosis of the National Health Commission NHC202308
6 · The paper itself

Abstract

backgroundSilicosis, a progressive fibrotic lung disease caused by silica dust inhalation, is a significant occupational health concern, particularly among artificial quartz stone workers. Tetrandrine, a bisbenzylisoquinoline alkaloid, is the only plant-derived drug approved for the treatment of silicosis in China. The present study aimed to evaluate the efficacy of tetrandrine in slowing the progression of artificial stone-associated silicosis.

methodsIn this retrospective cohort study, patients were divided into an observation group (n = 53), which received tetrandrine (60 mg, 3 times daily for 6 consecutive days, followed by a 1-day break, with each cycle lasting 3 months), and a control group (n = 26), which received only symptomatic treatment. High-resolution computed tomography (HRCT) and pulmonary function tests (PFTs) were performed at baseline and after 12 months of treatment. Progression, stability, or improvement in HRCT findings and changes in PFT parameters were analyzed. Continuous variables and categorical variables were analyzed using the t-test and chi-square test, respectively, for statistical comparisons.

resultsAfter 12 months, 49.1% of patients in the observation group exhibited improvement in HRCT findings, compared to none in the control group, in which 84.6% of individuals exhibited progression. PFT findings improved in the observation group, whereas they significantly declined in the control group (p < 0.001). Patients treated with tetrandrine for more than 6 months experienced greater improvements in HRCT findings and pulmonary function than those in the control group. Adverse reactions to tetrandrine, including facial pigmentation and liver function abnormalities, were mild.

conclusionsTetrandrine significantly mitigated HRCT-detected disease progression and lung function decline in patients with artificial stone-associated silicosis, particularly after prolonged treatment. These findings suggest that tetrandrine may serve as a viable therapeutic option for managing artificial stone-associated silicosis.

Indexed as

BenzylisoquinolinesLungSilicosisAdultAgedChinaDisease ProgressionFemaleHumansMaleMiddle AgedRespiratory Function TestsRetrospective StudiesTomography, X-Ray ComputedBenzylisoquinolinestetrandrineAntifibrotic agentsBenzylisoquinolinesComputed tomographyPulmonary function testsSilicosis

Identifiers

PMID40684152
PMCPMC12276650

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