Evidence map›Paper›PMID 41486262›Full record

ArticleChinese medicine2026

Dunhuang Gancao Fuling Xingren decoction and its components alleviate CPT-11 induced intestinal mucositis by regulating gut microbiota related innate immunity and inflammatory response in Drosophila and mice.

Jinhan Wu, Minghui Xiu, Xiaoqian Wang, Peihao Zhang, Yujie Qin, Jiangnan Li, Xiaolin Jiang, Yaoxing Duan, Yongqi Liu, Jianzheng He

Abstract read
In one paragraph

Article in Chinese 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

10 authors.

Jinhan Wu *Gansu Province Research Center for Basic Disciplines of Dunhuang Medicine, Gansu University of Chinese Medicine, Lanzhou, 730000, China.
Minghui Xiu *College of Public Health, Gansu University of Chinese Medicine, Lanzhou, 730000, China.
Xiaoqian WangGansu Province Research Center for Basic Disciplines of Dunhuang Medicine, Gansu University of Chinese Medicine, Lanzhou, 730000, China.
Peihao ZhangGansu Province Research Center for Basic Disciplines of Dunhuang Medicine, Gansu University of Chinese Medicine, Lanzhou, 730000, China.
Yujie QinCollege of Public Health, Gansu University of Chinese Medicine, Lanzhou, 730000, China.
Jiangnan LiGansu Province Research Center for Basic Disciplines of Dunhuang Medicine, Gansu University of Chinese Medicine, Lanzhou, 730000, China.
Xiaolin JiangGansu Province Research Center for Basic Disciplines of Dunhuang Medicine, Gansu University of Chinese Medicine, Lanzhou, 730000, China.
Yaoxing DuanGansu Provincial Hospital, Lanzhou, 730000, China.
Yongqi LiuGansu Province Research Center for Basic Disciplines of Dunhuang Medicine, Gansu University of Chinese Medicine, Lanzhou, 730000, China. liuyongqi73@163.com.
Jianzheng HeGansu Province Research Center for Basic Disciplines of Dunhuang Medicine, Gansu University of Chinese Medicine, Lanzhou, 730000, China. hejianzheng1006@163.com.

Funding

Foundation from Key Laboratory of Dunhuang Medicine DHYX24-15Gansu Natural Science Foundation 25JRRA303Lanzhou Youth Science and Technology Talent Innovation Project 2024-QN-35Natural Science Foundation of Gansu Province 25JRRA1177
6 · The paper itself

Abstract

backgroundDunhuang Gancao Fuling Xingren decoction (GFXD) is a traditional formulation derived from the Dunhuang Ancient Medical Prescriptions, has been historically utilized for its immunomodulatory and anti-inflammatory properties. However, the protective effect against irinotecan (CPT-11)-induced intestinal mucositis (CIM) remains poorly elucidated. PURPOSE: To investigate the therapeutic efficacy of GFXD in alleviating CIM and elucidate its underlying mechanism and components using Drosophila melanogaster and C57BL/6 J mouse models.

methodsThe therapeutic efficacy of GFXD was assessed in both Drosophila and mouse models by phenotype assay, hematoxylin and eosin (H&E) staining, and Alcian blue-periodic acid schiff (AB-PAS) staining. Transcriptomic profiling combined with 16S rRNA sequencing were employed to identify potential mechanisms of GFXD regulating CPT-11-induced mucositis. Cytokine levels were measured using ELISA, while the expression levels of key signaling pathways, including Toll-Imd and JAK-STAT pathways were analyzed via qRT-PCR, immunofluorescence, fecal microbiota transplantation (FMT) experiment, and antibiotic treatment. Furthermore, functional components of GFXD were characterized via liquid chromatography-mass spectrometry (LC-MS), and their efficacy was validated in CPT-11-treated Drosophila.

resultsGFXD significantly mitigated CPT-11-induced systemic and intestinal damage in Drosophila, evidenced by improved survival rate, restored digestive function, elongated intestinal length, reduced acid-base imbalance, and enhanced epithelial and stem cell proliferation. In mice, GFXD alleviated mucositis symptoms, attenuated histopathological damage, and normalized inflammatory cytokine levels. Mechanistically, GFXD suppressed gut microbiota dysbiosis by enriching probiotics (Lactobacillus, Prevotella) and reducing pathogens (Bacteroides, Enterobacter, Enterococcus and Helicobacter). Transcriptomic and molecular analyses revealed that GFXD inhibited hyperactivation of Toll-Imd pathways and JAK-STAT signaling. Finally, three compounds of GFXD, formononetin, kaempferol, and ergosterol were found to alleviate CPT-11 induced intestinal injury.

conclusionsGFXD alleviates CPT-11-induced intestinal mucositis by modulating gut microbiota composition, suppressing JAK-STAT and Toll-Imd pathways. Thus, this study demonstrates GFXD and its bioactive constituents as novel therapeutic agents to mitigate CIM.

Indexed as

Chemotherapy-induced intestinal mucositisDunhuang Gancao Fuling Xingren decoctionGut microbiota dysbiosisMolecular mechanism

Identifiers

PMID41486262
PMCPMC12766940

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.