Evidence map›Paper›PMID 41599745›Full record

ReviewPharmaceuticals (Basel, Switzerland)2026

Terpenoids: Emerging Natural Modulators for Reversing ABC Transporter-Mediated Multidrug Resistance in Cancer Chemotherapy.

Lanfei Ma, Dina Mahemuti, Yuanhong Lan, Jianxiong Xu, Wenfang Li, Zhengding Su, Jinyao Li, Aytursun Abuduwaili, Ayitila Maimaitijiang

Abstract readReview
In one paragraph

Review in Pharmaceuticals (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Terpenoids as modulators of autophagy-senescence crosstalk in lung cancer.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2026
    Review
  2. Article
  3. Review
  4. 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

9 authors.

Lanfei MaSchool of Pharmaceutical Science, Institute of Materia Medica, College of Life Science and Technology, Xinjiang University, Urumqi 830017, China.
Dina MahemutiSchool of Pharmaceutical Science, Institute of Materia Medica, College of Life Science and Technology, Xinjiang University, Urumqi 830017, China.
Yuanhong LanSchool of Pharmaceutical Science, Institute of Materia Medica, College of Life Science and Technology, Xinjiang University, Urumqi 830017, China.
Jianxiong XuSchool of Pharmaceutical Science, Institute of Materia Medica, College of Life Science and Technology, Xinjiang University, Urumqi 830017, China.ORCID 0009-0002-7572-2991
Wenfang LiSchool of Pharmaceutical Science, Institute of Materia Medica, College of Life Science and Technology, Xinjiang University, Urumqi 830017, China.ORCID 0000-0003-0436-4277
Zhengding SuSchool of Pharmaceutical Science, Institute of Materia Medica, College of Life Science and Technology, Xinjiang University, Urumqi 830017, China.ORCID 0000-0003-3558-001X
Jinyao LiSchool of Pharmaceutical Science, Institute of Materia Medica, College of Life Science and Technology, Xinjiang University, Urumqi 830017, China.ORCID 0000-0002-3295-6096
Aytursun AbuduwailiCollege of Chemistry and Chemical Engineering, Xinjiang Agricultural University, Urumqi 830052, China.ORCID 0000-0002-5626-2216
Ayitila MaimaitijiangSchool of Pharmaceutical Science, Institute of Materia Medica, College of Life Science and Technology, Xinjiang University, Urumqi 830017, China.ORCID 0009-0003-4363-7642

Funding

National Natural Science Foundation of China 32471260Natural Science Foundation Project of Xinjiang Uygur Autonomous Region 2024D01C266
6 · The paper itself

Abstract

Multidrug resistance (MDR) is a central cause of chemotherapy failure and tumor recurrence and metastasis, and its mechanism involves enhanced drug efflux, target mutation, upregulation of DNA repair and remodeling of the tumor microenvironment. ABC transporter protein (P-gp, MRP, and BCRP)-mediated efflux of drugs is the most intensively researched aspect of the study, but the first three generations of small-molecule reversal agents were stopped in the clinic because of toxicity or pharmacokinetic defects. Natural products are considered as the fourth generation of MDR reversal agents due to their structural diversity, multi-targeting and low toxicity. In this paper, we systematically summarize the inhibitory activities of monoterpenes, sesquiterpenes, diterpenes and triterpenes against ABC transporter proteins in in vitro and in vivo models and focus on the new mechanism of reversing drug resistance by blocking efflux pumps, modulating signaling pathways such as PI3K-AKT, Nrf2, NF-

Indexed as

pharmacological activityreversalterpenoidstumor multidrug resistance

Identifiers

PMID41599745
PMCPMC12845493

What OpenQuestion holds

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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.