Evidence map›Paper›PMID 41252114›Full record

ArticleChinese journal of integrative medicine2026

Prevention and Treatment of Doxorubicin and Trastuzumab-Induced Cardiotoxicity with Compound Danshen Dripping Pill.

Nuo-Xian Yu, Meng-Meng Lin, Jing Xu, Bo Cao, Jia-Hui Yang, Rui-Sheng Li, Guo-Hui Li, Chun-Yu Li

Abstract read
PubMed Publisher
In one paragraph

Article in Chinese journal of integrative medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Nuo-Xian YuDepartment of Pharmacy, the First Affiliated Hospital of China Medical University, Shenyang, 110001, China.
Meng-Meng LinDepartment of Clinical Pharmacy, Key Laboratory of Clinical Cancer Pharmacology and Toxicology Research of Zhejiang Province, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, 310006, China.
Jing XuNational Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.
Bo CaoNational Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.
Jia-Hui YangNational Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.
Rui-Sheng LiResearch Center for Clinical and Translational Medicine, the Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Guo-Hui LiNational Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.
Chun-Yu LiDepartment of Pharmacy, the First Affiliated Hospital of China Medical University, Shenyang, 110001, China. licy@cicams.ac.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo elucidate the therapeutic effect and mechanism of Compound Danshen Dripping Pill (CDDP) on cardiotoxicity caused by doxorubicin (DOX) and trastuzumab (TRZ)

methodsEighteen Sprague-Dawley (SD) rats were randomly divided into the normal group (normal saline), the model group (DOX/TRZ), and CDDP administration group (DOX/TRZ+CDDP), by a random number table, with 6 rats in each group. Rats' were administered either DOX or saline via tail vein injection 6 times over an 11-day period. One week later, they received either TRZ or saline via intraperitoneal injection 6 times over another 11-day period. All rats received CDDP or saline via oral gavage continuously for 36 days. Then, echocardiography was performed on the rats, and biochemical parameters of blood and heart samples were determined. Rats' feces were taken for intestinal flora testing and plasma metabolites were analyzed using untargeted metabolomics.

resultsEchocardiographic assessment in rats demonstrated that DOX/TRZ induced cardiac dysfunction, whereas CDDP significantly ameliorated this impairment (P<0.05 or P<0.01). Furthermore, results revealed that DOX/TRZ elevated cardiac injury indicators (left ventricular ejection fraction, fractional shortening, cardiac troponin I, creatine kinase, creatine kinase-MB), while CDDP treatment significantly reduced these levels (P<0.05 or P<0.01). Plasma metabolite analysis revealed enrichment in tryptophan metabolism, tricarboxylic acid cycle, and phenylalanine metabolism. Intestinal microbiota analysis showed increased richness and altered abundance of certain bacteria (Clostridia_UCG-014 and Lactobacillus) with CDDP treatment.

conclusionsCDDP can prevent and protect against DOX/TRZ-induced cardiac injury. It influences tryptophan metabolism by modulating Clostridia_UCG-014 abundance, inhibits indole-3-carboxylic acid levels, increases kynurenine levels, thereby exerting anti-cardiotoxic effects.

Indexed as

CardiotoxicityDoxorubicinDrugs, Chinese HerbalTrastuzumabAnimalsCamphanesEchocardiographyGastrointestinal MicrobiomeMalePanax notoginsengRatsRats, Sprague-DawleySalvia miltiorrhizaCamphanesdanshen dripping pillDoxorubicinDrugs, Chinese HerbalTrastuzumabcardiotoxicityChinese medicineCompound Danshen Dripping Pilldoxorubicinmulti-omics analysistrastuzumab

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.