Evidence map›Paper›PMID 42243345›Full record

ArticleScientific reports2026

Lappaconitine protects SH-SY5Y cells from TNF-α-induced mitochondrial apoptosis by blocking the Bax-dependent Caspase-3 signaling pathway.

Xu Yang, Jingjing Zhao, Yanxin Cheng, Chenshuo Jia, Jia Li, Xiaohui Li, Senming Zhao

Abstract read
In one paragraph

Article in Scientific reports, 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

7 authors.

Xu Yang *Department of Painology, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
Jingjing Zhao *Pharmacology Department, Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
Yanxin ChengDeparment of Painology, the First Hospital of Qinhuangdao, Qinhuangdao, Hebei, People's Republic of China.
Chenshuo JiaDepartment of Pharmaceutical Analysis, Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
Jia LiOutpatient Department, Medical Service Center, Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
Xiaohui LiDeparment of Painology, the First Hospital of Qinhuangdao, Qinhuangdao, Hebei, People's Republic of China.
Senming ZhaoDepartment of Painology, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China. 36300603@Hebmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lappaconitine (LA) is a diterpene alkaloid isolated from Aconitum species and has been used in traditional Chinese medicine as an analgesic. Previous studies have also suggested that LA exerts anti-inflammatory and immunomodulatory effects. Neuroinflammation and oxidative stress, both of which are associated with mitochondrial dysfunction and apoptosis, contribute to the development and maintenance of neuropathic pain. We hypothesized that LA may protect SH-SY5Y cells against inflammation- and apoptosis-associated injury. To investigate whether LA attenuates TNF-α-induced inflammatory injury and apoptosis in SH-SY5Y cells and to explore the potential mechanisms involved. SH-SY5Y cells were pretreated with LA (0.1 or 1 μM) for 24 h and subsequently exposed to TNF-α (10 ng/mL) for 12 h. Apoptosis, mitochondrial function, inflammatory cytokine production, and the expression of mitophagy-related proteins were assessed in LA-pretreated and non-pretreated cells. LA pretreatment (0.1 or 1 μM) reduced apoptosis in TNF-α-exposed SH-SY5Y cells, increased Bcl-2 expression, and decreased the expression of Bax, Caspase-3, and Caspase-9. LA pretreatment also suppressed NF-κB activation and reduced IL-1β and IL-6 production. In addition, LA preserved mitochondrial integrity, as indicated by maintenance of mitochondrial membrane potential, reduced cytochrome c release, and decreased ROS accumulation. The expression of the mitophagy-related proteins PINK1 and Parkin was also increased following LA pretreatment. LA attenuated TNF-α-induced inflammatory injury and apoptosis in SH-SY5Y cells. These protective effects were associated with modulation of apoptosis-related signaling, suppression of inflammatory responses, preservation of mitochondrial function, and increased expression of PINK1/Parkin-related proteins. These findings suggest that LA may exert neuroprotective effects under inflammatory conditions.

Indexed as

AconitineApoptosisbcl-2-Associated X ProteinCaspase 3MitochondriaSignal TransductionTumor Necrosis Factor-alphaCell Line, TumorHumansMembrane Potential, MitochondrialAconitineBAX protein, humanbcl-2-Associated X ProteinCaspase 3lappaconitineTumor Necrosis Factor-alphaApoptosisLappaconitineMitochondrial dysfunctionNeuroinflammationNeuropathic painTNF-α

Identifiers

PMID42243345
PMCPMC13478273

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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.