Evidence map›Paper›PMID 41851781›Full record

ArticleChinese medicine2026

Zhen-Wu-Tang ameliorates uremic cardiomyopathy via targeting the kidney-heart inflammatory axis and suppressing CCL2/CCR2-mediated macrophage activation.

Yu Xu, Jing Cai, Yuan-Ming Fan, Lian-Wen Qi, Lei Zhang

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.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Yu Xu *Pukou Hospital of Chinese Medicine, China Pharmaceutical University, Nanjing, 211198, China.
Jing Cai *School of Traditional Chinese Pharmacy, China Pharmaceutical University, Nanjing, 211198, China.
Yuan-Ming FanClinical Metabolomics Center, China Pharmaceutical University, Nanjing, 211198, China.
Lian-Wen QiPukou Hospital of Chinese Medicine, China Pharmaceutical University, Nanjing, 211198, China. Qilw@cpu.edu.cn.
Lei ZhangPukou Hospital of Chinese Medicine, China Pharmaceutical University, Nanjing, 211198, China. Zhanglei@cpu.edu.cn.

Funding

Frontier Technologies R&D Program of Jiangsu (BF2024074)National Natural Science Foundation of China 82330123
6 · The paper itself

Abstract

backgroundZhen-Wu-Tang (ZWT), a classic herbal formula from Treatise on Febrile and Miscellaneous Diseases, is commonly used for heart and kidney-related diseases. Despite its widespread application, research on the active components of ZWT and their mechanisms in heart-kidney cross-organ regulation remains underexplored. AIM OF THE STUDY: This study aimed to elucidate the therapeutic mechanisms of ZWT in uremic cardiomyopathy (UC) focusing on its modulation of the heart-kidney inflammatory axis. MATERIALS AND

methodsA UC model was established via 5/6 nephrectomy in mice, followed by 8 weeks of ZWT treatment. Functional assessments included serum creatinine, blood urea nitrogen, cardiac ejection fraction, and left ventricular metrics. Proteomic analysis using Olink technology exerts its therapeutic effects by suppressing systemic inflammation. UHPLC-Q/TOF-MS were employed to identify prototype components and blood-entering components in ZWT. Cellular experiments using a three-step co-culture system were conducted to evaluate the regulatory effects of ZWT active components on HK-2 and AC16 cells and to explore their underlying molecular mechanisms.

resultsZWT significantly improved renal and cardiac functions. Proteomics revealed ZWT suppressed pro-inflammatory cytokines TNFα, IL-6, IL-1β and chemokines. The bioactive constituents of ZWT, including benzoylaconine, paeoniflorin, and atractylenolide III, inhibited NF-κB activation, thereby reducing CCL2 synthesis and subsequent macrophage recruitment via the CCR2 axis. This attenuated systemic inflammation and cardiomyocyte injury.

conclusionsZWT exerts therapeutic effects on UC by targeting the kidney-heart inflammatory axis and suppressing CCL2/CCR2-mediated macrophage activation. This study provides new insights into the molecular mechanisms underlying ZWT's efficacy in treating heart-kidney disorders.

Indexed as

Cardiorenal syndromeInflammationMacrophagesUremic cardiomyopathyZhen-Wu-Tang

Identifiers

PMID41851781
PMCPMC12998038

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