Evidence map›Paper›PMID 41640032›Full record

ArticleImmunity, inflammation and disease2026

Bufalin Inhibits Cytokine Storm by Regulating TLR4/TLR3 Signaling Pathway.

Xixi Liu, Chencheng Li, Jing Yang, Weiguang Zhang, Zhongxiao Hu, Xiaoli Zhang, Reaila Jianati, Fang Tian, Xingbin Dai, Zuqiong Xu and 2 more

Abstract read
In one paragraph

Article in Immunity, inflammation and disease, 2026. 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. Article
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

12 authors.

Xixi LiuAffiliated Hospital of Nanjing University of Chinese Medicine, First Clinical Medical College of Nanjing University of Chinese Medicine, Nanjing, China.
Chencheng LiAffiliated Hospital of Nanjing University of Chinese Medicine, First Clinical Medical College of Nanjing University of Chinese Medicine, Nanjing, China.
Jing YangAffiliated Hospital of Nanjing University of Chinese Medicine, First Clinical Medical College of Nanjing University of Chinese Medicine, Nanjing, China.
Weiguang ZhangAffiliated Hospital of Nanjing University of Chinese Medicine, First Clinical Medical College of Nanjing University of Chinese Medicine, Nanjing, China.
Zhongxiao HuAffiliated Hospital of Nanjing University of Chinese Medicine, First Clinical Medical College of Nanjing University of Chinese Medicine, Nanjing, China.
Xiaoli ZhangAffiliated Hospital of Nanjing University of Chinese Medicine, First Clinical Medical College of Nanjing University of Chinese Medicine, Nanjing, China.
Reaila JianatiAffiliated Hospital of Nanjing University of Chinese Medicine, First Clinical Medical College of Nanjing University of Chinese Medicine, Nanjing, China.
Fang TianAffiliated Hospital of Nanjing University of Chinese Medicine, First Clinical Medical College of Nanjing University of Chinese Medicine, Nanjing, China.
Xingbin DaiAffiliated Hospital of Nanjing University of Chinese Medicine, First Clinical Medical College of Nanjing University of Chinese Medicine, Nanjing, China.
Zuqiong XuAffiliated Hospital of Nanjing University of Chinese Medicine, First Clinical Medical College of Nanjing University of Chinese Medicine, Nanjing, China.
Biqing ChenAffiliated Hospital of Nanjing University of Chinese Medicine, First Clinical Medical College of Nanjing University of Chinese Medicine, Nanjing, China.
Xuejun ZhuAffiliated Hospital of Nanjing University of Chinese Medicine, First Clinical Medical College of Nanjing University of Chinese Medicine, Nanjing, China.

Funding

Developing Program for High-level Academic Talent in Jiangsu Hospital of Chinese Medicine y2021rc42National Natural Science Foundation of China 81673771Open Project of State Key Laboratory of Medical Immunology NKMI2021K18Postgraduate Research and Practice Innovation Program of Jiangsu Province KYCX23-2122Science and Technology Development Program of Jiangsu Province-Clinical Frontier Technology BE2016809the Science & Technology Program of Jiangsu Commission of Health MQ2024039
6 · The paper itself

Abstract

backgroundBufalin is one main component of the dried venom from Bufo gargarizans Cantor, which has anti-tumor, cardiotonic, anti-inflammatory and other physiological activities. However, in recent years, researchers have mainly paid attention to its anti-tumor effect and neglected its anti-inflammatory effect.

methodsWe used lipopolysaccharide (TLR4 ligand) and poly inosinic acid (TLR3 ligand) to stimulate cultured macrophages to induce inflammatory condition. Transcriptome sequencing and molecular experiments were performed to investigate the underlying mechanism.

resultsBufalin could significantly reduce the production of pro-inflammatory factors (IL-6, TNF-α, IL-1β, IL-8, CXCL10, etc.), through inhibiting the phosphorylation of IKBα and IRF3, and thus down-regulating Toll-like receptor pathway. Molecular docking predicted that one of the molecular targets of bufalin is MD-2 coupled with lipopolysaccharide-activated TLR4.

conclusionThese findings not only support the pharmacological basis of using toad to treat inflammatory diseases in the Chinese medical history, but also provide a promising anti-inflammatory drug candidate for future clinical application.

Indexed as

Anti-Inflammatory AgentsBufanolidesCytokinesSignal TransductionToll-Like Receptor 3Toll-Like Receptor 4AnimalsHumansLipopolysaccharidesMacrophagesMiceMolecular Docking SimulationRAW 264.7 CellsAnti-Inflammatory AgentsbufalinBufanolidesCytokinesLipopolysaccharidesToll-Like Receptor 3Toll-Like Receptor 4bufalincytokine storminflammationTOLL‐like receptors

Identifiers

PMID41640032
PMCPMC12872967

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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.