Evidence map›Paper›PMID 41338386›Full record

ArticleJournal of advanced research2026

Pericyte-myofibroblast transition: a novel mechanism in peritoneal fibrosis and the effect of Asiaticoside.

Jun Shi, Lei Tang, Yongqing You, Manshu Yu, Yun Shan, Xiaolin Zhu, Yawei Zheng, Meixiao Sheng

Abstract read
In one paragraph

Article in Journal of advanced research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

8 authors.

Jun ShiSchool of Chinese Medicine, Nanjing University of Chinese Medicine, Nanjing 210023, China; Traditional Chinese Medicine Cross-Innovation Research Center, Nanjing University of Chinese Medicine, Nanjing 210023, China.
Lei TangSchool of Chinese Medicine, Jiangsu College of Nursing, Huaian 223001, China.
Yongqing YouDepartment of nephrology, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210023, China.
Manshu YuDepartment of nephrology, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210023, China.
Yun ShanDepartment of nephrology, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210023, China.
Xiaolin ZhuDepartment of Nephrology, The Second Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210017, China.
Yawei ZhengSchool of Chinese Medicine, Nanjing University of Chinese Medicine, Nanjing 210023, China; Traditional Chinese Medicine Cross-Innovation Research Center, Nanjing University of Chinese Medicine, Nanjing 210023, China.
Meixiao ShengDepartment of nephrology, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210023, China. Electronic address: yfy0075@njucm.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPeritoneal fibrosis (PF), a major complication of long-term peritoneal dialysis (PD), is characterized by excessive extracellular matrix (ECM) deposition mediated by activated myofibroblasts (MyoFs). While mesenchymal transition of mesothelial cells has been widely studied, the cellular origins of MyoFs remain incompletely defined. Recent evidence suggests pericytes-mural cells surrounding microvessels-may contribute to fibrosis in other organs, but their role in PF pathogenesis is undefined.

objectiveThis study aimed to clarify pericyte-myofibroblast transition (PMT) as a key mechanism of PF, investigate the role of platelet-derived growth factor receptor-β (PDGFRβ) signaling in orchestrating PMT, and evaluate the therapeutic potential of natural triterpenoid asiaticoside (ASI) against PDGFRβ-driven fibrosis. METHODS AND

resultsThrough single-cell RNA sequencing of chlorhexidine gluconate (CG)-induced PF mice, we identified two MyoFs subpopulations (Fibro5 and Fibro7) exhibiting pericyte lineage signatures, with trajectory inference confirming their differentiation from pericytes during fibrosis. Pharmacological and genetic approaches demonstrated that PDGFRβ signaling orchestrates PMT, as evidenced by upregulated α-smooth muscle actin (α-SMA), PDGFRβ, and ECM markers (Collagen I, fibronectin) in PF mice and TGF-β1/PDGF-BB-stimulated mouse peritoneal microvascular pericytes. Remarkably, ASI attenuated PF by suppressing PDGFRβ expression by 50 % and disrupting pericyte-endothelial interactions, which led to a marked reduction in peritoneal thickness (by ∼ 69 %) and collagen deposition (by ∼ 78 %). Proteomics analysis provided a perspective for analyzing the downstream mechanisms. Mechanistically, ASI mimicked PDGFRβ knockout effects, reducing MyoFs accumulation and abrogating PDGFRβ-induced Erk and Pi3k/Akt activation.

conclusionOur findings repositioned pericytes as pivotal contributors to PF and proposed ASI as a therapeutic agent against PDGFRβ-driven PMT, which provided a new perspective for antifibrotic strategies.

Indexed as

MyofibroblastsPericytesPeritoneal FibrosisTriterpenesAnimalsMaleMiceMice, Inbred C57BLReceptor, Platelet-Derived Growth Factor betaSignal TransductionasiaticosideReceptor, Platelet-Derived Growth Factor betaTriterpenesAsiaticosideCell transdifferentiationMyofibroblastsPericytesPeritoneal fibrosisReceptor, platelet-derived growth factor betaSingle-cell gene expression analysis

Identifiers

PMID41338386
PMCPMC13539130

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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.