Evidence map›Paper›PMID 41326623›Full record

ArticleScientific reports2025

Cepharanthine alleviates lipopolysaccharide-induced acute lung injury through modulating macrophage polarization.

Longjiao Dang, Biyao He, Junjie Yang, Jiayu Liu, Yuexia Ding, Wenyu Xin

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. 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

6 authors.

Longjiao DangKey Laboratory of Prescription Effect and Clinical Evaluation of State Administration of Traditional Chinese Medicine of China, School of Pharmacy, Binzhou Medical University, No.346 Guanhai Road, Laishan District, Yantai, 264003, Shandong, China.
Biyao HeKey Laboratory of Prescription Effect and Clinical Evaluation of State Administration of Traditional Chinese Medicine of China, School of Pharmacy, Binzhou Medical University, No.346 Guanhai Road, Laishan District, Yantai, 264003, Shandong, China.
Junjie YangKey Laboratory of Prescription Effect and Clinical Evaluation of State Administration of Traditional Chinese Medicine of China, School of Pharmacy, Binzhou Medical University, No.346 Guanhai Road, Laishan District, Yantai, 264003, Shandong, China.
Jiayu LiuKey Laboratory of Prescription Effect and Clinical Evaluation of State Administration of Traditional Chinese Medicine of China, School of Pharmacy, Binzhou Medical University, No.346 Guanhai Road, Laishan District, Yantai, 264003, Shandong, China.
Yuexia DingDepartment of Pharmacy, the Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong, China. ding1022@163.com.
Wenyu XinKey Laboratory of Prescription Effect and Clinical Evaluation of State Administration of Traditional Chinese Medicine of China, School of Pharmacy, Binzhou Medical University, No.346 Guanhai Road, Laishan District, Yantai, 264003, Shandong, China. xinwenyu1391139@163.com.

Funding

Shandong Province Science and Technology-based Small and Medium-sized Enterprises Innovation Capacity Enhancement Project No. 2023TSGC0870
6 · The paper itself

Abstract

Acute lung injury (ALI) is a common, severe respiratory disorder frequently related to acute lung inflammation. As crucial immunoregulatory cells, macrophages critically influence the pathological trajectory of ALI, with their functional states serving as predictive biomarkers for both lesion severity and patient recovery trajectories. Cepharanthine (CEP), a natural bisbenzylisoquinoline (BBIQ) alkaloid, was shown to have substantial anti-inflammatory properties. However, whether CEP can alleviate ALI by regulating macrophage polarization needs to be clarified. Therefore, the therapeutic effect of CEP in ALI was explored via H&E staining, enzyme-linked immunosorbent assays (ELISAs), immunofluorescence, and western blot. In vivo, experimental data demonstrated that CEP intervention significantly ameliorated mouse pathological alterations. Specifically, the secretion levels of pro-inflammatory cytokines IL-6 and TNF-α were dose-dependently downregulated, while the expression of the anti-inflammatory mediator IL-10 exhibited a significant upregulation trend. Immunofluorescence staining revealed that CEP suppressed lipopolysaccharide (LPS)-induced M1 macrophage polarization and increased M2 macrophage polarization. Moreover, western blot results showed that CEP inhibited TLR4/MAPK signaling pathway activation but increased AMPK phosphorylation and Nrf2/HO-1 expression. Experimental findings from in vitro studies aligned with observations corresponding to in vivo models. In summary, CEP can regulate macrophage polarization to protect against LPS-induced ALI by interfering with TLR4/MAPK signaling and activating the AMPK/Nrf2 pathway.

Indexed as

Acute Lung InjuryAnti-Inflammatory AgentsBenzylisoquinolinesLipopolysaccharidesMacrophagesAnimalsBenzodioxolesCytokinesDisease Models, AnimalMacrophage ActivationMaleMiceMice, Inbred C57BLNF-E2-Related Factor 2Signal TransductionToll-Like Receptor 4Anti-Inflammatory AgentsBenzodioxolesBenzylisoquinolinescepharanthineCytokinesLipopolysaccharidesNfe2l2 protein, mouseNF-E2-Related Factor 2Tlr4 protein, mouseToll-Like Receptor 4Acute lung injuryCepharanthineLipopolysaccharideMacrophage polarization

Identifiers

PMID41326623
PMCPMC12775010

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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.