Evidence map›Paper›PMID 41847305›Full record

ReviewDrug design, development and therapy2026

Exploring Chinese Herbal Medicines for Acute Kidney Injury: Pharmacological Mechanisms and Clinical Potential.

Yuan Zhou, Sijia Li, Minghai Shao, Yiling Qian, Tianying Lan, Dongsheng Yao, Tiantian Zhan, Tingting Li, Ziteng Shao, Chaoyang Ye and 1 more

Abstract readReview
In one paragraph

Review in Drug design, development and therapy, 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. Article
  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

11 authors.

Yuan Zhou *Department of Nephrology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, People's Republic of China.
Sijia Li *Department of Rehabilitation, Zhangjiang Community Health Service Center, Shanghai, 201210, People's Republic of China.
Minghai ShaoDepartment of Nephrology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, People's Republic of China.ORCID 0009-0002-6571-4082
Yiling QianDepartment of Nephrology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, People's Republic of China.
Tianying LanDepartment of Nephrology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, People's Republic of China.
Dongsheng YaoDepartment of Nephrology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, People's Republic of China.
Tiantian ZhanDepartment of Nephrology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, People's Republic of China.
Tingting LiDepartment of Nephrology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, People's Republic of China.
Ziteng ShaoCollege of Traditional Chinese Medicine, Hubei University of Chinese Medicine, Wuhan, Hubei, 430065, People's Republic of China.
Chaoyang YeDepartment of Nephrology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, People's Republic of China.
Shougang ZhuangDepartment of Medicine, Rhode Island Hospital and Alpert Medical School, Brown University, Providence, RI, 02912, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute kidney injury (AKI) is a serious clinical condition marked by a rapid decline in renal function, leading to high morbidity, mortality, and healthcare burden. Despite advances in supportive care, effective pharmacologic therapies remain lacking, prompting interest in alternative approaches, including Chinese herbal medicines (CHMs). Purpose: This review summarizes recent experimental and clinical research on CHMs for AKI, highlighting mechanisms of action, translational challenges, and future directions. Methods: A narrative review was conducted using PubMed, Web of Science, Google Scholar, and ClinicalTrials.gov through May 2025, with search terms including "acute kidney injury", "Chinese herbal medicine", "natural products", and "plant extracts". Both preclinical and clinical studies were included to provide a comprehensive overview. Results: Various CHMs and traditional formulations have demonstrated renal protective effects in AKI through anti-inflammatory, antioxidant, anti-apoptotic, and mitochondrial-protective mechanisms. Key pathways targeted include NF-κB, Nrf2, PI3K/Akt, MAPK, and apoptotic regulators like Bcl-2/Bax and caspases. Notable agents include berberine, baicalin, puerarin, and multi-herb formulas such as QiShenYiQi and Jianpi Yishen Tang, which offer multi-targeted therapeutic potential. Conclusion: CHMs present a promising avenue for AKI treatment by modulating multiple cellular pathways implicated in disease progression. While preclinical studies are encouraging, robust clinical trials and standardization of formulations are critical for validating efficacy and ensuring safety. Integrating CHMs into modern nephrology through evidence-based strategies may enhance therapeutic options for AKI and advance the development of novel, nature-derived treatments.

Indexed as

Acute Kidney InjuryDrugs, Chinese HerbalAnimalsHumansDrugs, Chinese Herbalacute kidney injuryAKIChinese herbal medicineinflammationnatural productsoxidative stressphytotherapyrenal protection

Identifiers

PMID41847305
PMCPMC12989689

What OpenQuestion holds

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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.