Evidence map›Paper›PMID 42221354›Full record

ReviewDrug design, development and therapy2026

Anti-Cancer Research Progress of Triptolide: Mechanisms of Action, Structural Modifications, Nanodelivery Systems and Clinical Challenges.

Zhong-Xin Li, Lanlan Zang, Yan-Qing Li, Mi Zhang, Dan-Meng Zhao, Xiu-Yuan Han, Ji-Feng Zhao, Chuan-Hua Ding, Wen-Shan Liu

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 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. 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.

Zhong-Xin Li *Department of Pharmacy, Clinical Research Center, Affiliated Hospital of Shandong Second Medical University, Weifang, Shandong, 261041, People's Republic of China.
Lanlan Zang *Pharmaceutical Laboratory, Department of Pharmacy, Linyi People's Hospital, Shandong Second Medical University, Linyi, Shandong, 276000, People's Republic of China.ORCID 0000-0001-7364-4876
Yan-Qing LiDepartment of Pharmacy, Clinical Research Center, Affiliated Hospital of Shandong Second Medical University, Weifang, Shandong, 261041, People's Republic of China.
Mi ZhangSchool of Pharmacy, Shandong Second Medical University, Weifang, Shandong, 261053, People's Republic of China.
Dan-Meng ZhaoSchool of Pharmacy, Shandong Second Medical University, Weifang, Shandong, 261053, People's Republic of China.
Xiu-Yuan HanDepartment of Pharmacy, Clinical Research Center, Affiliated Hospital of Shandong Second Medical University, Weifang, Shandong, 261041, People's Republic of China.
Ji-Feng ZhaoDepartment of Pharmacy, Clinical Research Center, Affiliated Hospital of Shandong Second Medical University, Weifang, Shandong, 261041, People's Republic of China.
Chuan-Hua DingDepartment of Pharmacy, Clinical Research Center, Affiliated Hospital of Shandong Second Medical University, Weifang, Shandong, 261041, People's Republic of China.
Wen-Shan LiuDepartment of Pharmacy, Clinical Research Center, Affiliated Hospital of Shandong Second Medical University, Weifang, Shandong, 261041, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Triptolide is a bioactive diterpenoid lactone from traditional Chinese medicine with notable anti-tumor, immunosuppressive, and anti-inflammatory properties. However, its clinical utility is hampered by poor solubility, a narrow therapeutic index, and multi-organ toxicity. In response, extensive efforts have been made to improve its efficacy and safety profile. This review critically examines recent progress in Triptolide research, covering its mechanisms of action, derivative design, drug delivery systems, and cancer-specific applications. It also evaluates its clinical potential against pancreatic, breast, and ovarian cancers, addresses ongoing challenges, and suggests future research paths to accelerate clinical translation. This article presents a narrative review summarizing the research progress on the pharmacological activities, structural modifications, and nanodelivery systems of Triptolide. Literature searches were conducted in PubMed and Web of Science using keywords including "Triptolide", "pharmacological activity", "structural modification", and "nanodelivery", combined with Boolean operators. The search timeframe was from database inception to March 2026. Inclusion criteria were: original research articles related to the pharmacological activities, structural modifications or nanodelivery systems of Triptolide, peer-reviewed journal articles published in English or Chinese. Exclusion criteria were: duplicate publications, conference abstracts, dissertations, and preprints, articles irrelevant to the topic. Study selection was performed independently by two reviewers, with disagreements resolved through discussion or consultation with a third reviewer. A total of 158 articles were included in this review.

Indexed as

Antineoplastic AgentsDiterpenesNanoparticle Drug Delivery SystemNeoplasmsPhenanthrenesAnimalsDrug Delivery SystemsEpoxy CompoundsHumansAntineoplastic AgentsDiterpenesEpoxy CompoundsNanoparticle Drug Delivery SystemPhenanthrenestriptolideanalogs of triptolideanticancer activitynano/micro-formulationstructure-activity relationshiptriptolide

Identifiers

PMID42221354
PMCPMC13222053

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.