Evidence map›Paper›PMID 41274919›Full record

ArticleScientific reports2025

Total flavonoids of Dracocephalum heterophyllum Benth protects against coronary microvascular dysfunction by mitigating different patterns of cell death.

Wenjing Yang, Wen He, Sijing Liu, Lin Liu, Nian Tang, Zhengyue Liao, Yang Li, Peng Wang, Fang Yan, Yongxue Yang and 1 more

Abstract read
In one paragraph

Article in Scientific reports, 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

11 authors.

Wenjing Yang *College of Medical Technology, Chengdu University of Traditional Chinese Medicine, Chengdu, P. R. China.
Wen He *Department of Clinical Trial Center, The Second Clinical Medical College, Geriatric Diseases Institute of Chengdu/Cancer Prevention and Treatment Institute of Chengdu, Chengdu Fifth People's Hospital, Affiliated Fifth People's Hospital of Chengdu University of Traditional Chinese Medicine), Chengdu, P. R. China.
Sijing Liu *College of Medical Technology, Chengdu University of Traditional Chinese Medicine, Chengdu, P. R. China.
Lin LiuCollege of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, P. R. China.
Nian TangDepartment of Clinical Trial Center, The Second Clinical Medical College, Geriatric Diseases Institute of Chengdu/Cancer Prevention and Treatment Institute of Chengdu, Chengdu Fifth People's Hospital, Affiliated Fifth People's Hospital of Chengdu University of Traditional Chinese Medicine), Chengdu, P. R. China.
Zhengyue LiaoCollege of Medical Technology, Chengdu University of Traditional Chinese Medicine, Chengdu, P. R. China.
Yang LiCollege of Public Health, Chengdu University of Traditional Chinese Medicine, Chengdu, P. R. China.
Peng WangDepartment of Clinical Trial Center, The Second Clinical Medical College, Geriatric Diseases Institute of Chengdu/Cancer Prevention and Treatment Institute of Chengdu, Chengdu Fifth People's Hospital, Affiliated Fifth People's Hospital of Chengdu University of Traditional Chinese Medicine), Chengdu, P. R. China.
Fang YanDepartment of Clinical Trial Center, The Second Clinical Medical College, Geriatric Diseases Institute of Chengdu/Cancer Prevention and Treatment Institute of Chengdu, Chengdu Fifth People's Hospital, Affiliated Fifth People's Hospital of Chengdu University of Traditional Chinese Medicine), Chengdu, P. R. China.
Yongxue YangDepartment of Clinical Trial Center, The Second Clinical Medical College, Geriatric Diseases Institute of Chengdu/Cancer Prevention and Treatment Institute of Chengdu, Chengdu Fifth People's Hospital, Affiliated Fifth People's Hospital of Chengdu University of Traditional Chinese Medicine), Chengdu, P. R. China. Yangyongxue@cdutcm.edu.cn.
Jinlin GuoCollege of Medical Technology, Chengdu University of Traditional Chinese Medicine, Chengdu, P. R. China. guo596@cdutcm.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronary microvascular dysfunction (CMD) is a high-risk factor for many cardiovascular events and lacks targeted therapeutic strategies. Dracocephalum heterophyllum Benth (DHB), a traditional herb used in Tibetan and Uighur medicine, is used for managing hypertension-realted conditions. Modern pharmacological studies have confirmed flavonoids as the primary bioactive components of DHB. However, its potential effect on CMD remain unclear. This study aimed to investigate the impact of DHBF (flavonoids of DHB) on hypertension-induced CMD and myocardial damage, as well as the underlying molecular mechanisms. The serum-absorbable components of DHBF were identified via UPLC-Q-TOF-MS. Network pharmacology was employed to predict DHBF's bioactive components and therapeutic pathways in hypertension, CMD, and myocardial injury. A spontaneously hypertensive rat (SHR) model was used to evaluate DHBF's effects, validated by echocardiography, histopathological analysis, and molecular assays, including HE staining, Masson staining, ELISA, and qRT-PCR. Proteomic analysis, Immunofluorescence and Western blot were used to explore the mechanisms. A total of 18 serum-absorbable components of DHBF were identified. Network pharmacology analysis highlighted apoptosis and apoptosis-related pathways as key contributors to DHBF's protective effects against hypertension, CMD and myocardial damage. In SHR models, DHBF treatment was associated with improved CMD symptoms and cardiac function, as validated by myocardial contrast echocardiography (MCE), transthoracic echocardiography, and hemodynamic measurements (P < 0.05). Histopathological evaluation revealed that DHBF-treated rats exhibited reduced myocardial pathological damage and decreased collagen fiber deposition in cardiac tissues (P < 0.05). Serum biomarker analyses showed dose-dependent increases in ANP and BNP levels, accompanied by decreases in LDH and CK concentrations (P < 0.05). Furthermore, DHBF-treated rats displayed attenuated oxidative stress injury and reduced inflammatory cytokines levels (P < 0.05). Proteomic analysis indicated that differentially expressed proteins following DHBF treatment were primarily enriched in apoptosis-related pathways. Mechanistically, DHBF treatment was associated with the reulation of P-STAT3/STAT3 signaling pathway, leading to decreased cardiomyocyte apoptosis, pyroptosis, and necroptosis. This was evidenced by altered expression of Bax, Caspase 3, Bcl2, caspase 1, cleaved caspase 1, NLRP3, ASC, GSDMD, and MLKL, as well as changes in the Bcl2/Bax ratio (P < 0.05). DHBF may represent a promising candidate for hypertension-related cardiovascular complications, via dual regulation of microvascular function and cardiomyocyte survival.

Indexed as

Coronary VesselsFlavonoidsLamiaceaeMicrovesselsPlant ExtractsAnimalsApoptosisCell DeathDisease Models, AnimalHypertensionMaleMyocardiumRatsRats, Inbred SHRFlavonoidsPlant ExtractsCoronary microvascular dysfunctionDracocephalum heterophyllum Benth.FlavonoidsHypertensionMyocardial damage

Identifiers

PMID41274919
PMCPMC12738845

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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.