Evidence map›Paper›PMID 42635118›Full record

ArticleJournal of medical virology2026

Tripterygium Glycosides Alleviates Hemophagocytic Lymphohistiocytosis Accompanied With Aggressive NK Cell Leukemia and Epstein-Barr Virus Infection.

Biqing Chen, Zuqiong Xu, Xingbin Dai, Pengjun Jiang, Fang Tian, Xuejun Zhu

Abstract readCase Reports
In one paragraph

Article in Journal of medical virology, 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

6 authors.

Biqing ChenCentral Laboratory, The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Zuqiong XuDepartment of Hematology, The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Xingbin DaiDepartment of Hematology, The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Pengjun JiangDepartment of Hematology, The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Fang TianCentral Laboratory, The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Xuejun ZhuDepartment of Hematology, The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.

Funding

Developing Program for High-level Academic Talent in Jiangsu Hospital of Chinese Medicine y2026rc01Developing Program for High-level Academic Talent in Jiangsu Hospital of Chinese Medicine y2026rc55Foundation of Jiangsu Hospital of Chinese Medicine Y19066National Natural Science Foundation of China 82001206National Natural Science Foundation of China 82575012the Science & Technology Program of Jiangsu Commission of Health MQ2024039
6 · The paper itself

Abstract

Hemophagocytic lymphohistiocytosis (HLH) is a group of hyperinflammatory disorders with a mortality rate exceeding 50%. We report a case of a female Asian patient who developed secondary HLH accompanied by aggressive natural killer cell leukemia and Epstein-Barr virus (EBV) infection, and was treated with tripterygium glycosides (TG), a Chinese patent medicine. Within 3 weeks of oral administration, the patient's recurrent high fever resolved, abdominal distension and splenomegaly improved, ascites diminished, serum soluble CD25 levels decreased, and hematopoietic and coagulation functions recovered. Triptolide, a major component of TG, exhibited cytotoxicity against the patient's ascitic cells and induced apoptosis in a dose-dependent manner ex vivo. Whole-genome and transcriptome sequencing of the patient's tumor cells revealed that TG regulated EBV-associated mutated genes such as PSMD7 and modulated inflammation-related pathways. Molecular docking further suggested direct targeting of PSMD7 by triptolide. Tripterygium glycosides quickly mitigated cytokine storm, alleviated symptoms of HLH, and showed no observed adverse effects with a good cost-benefit profile, thereby offering a potential bridge for follow-up hematopoietic stem cell transplantation.

Indexed as

Epstein-Barr Virus InfectionsGlycosidesLymphohistiocytosis, HemophagocyticTripterygiumAdultDiterpenesEpoxy CompoundsFemaleHerpesvirus 4, HumanHumansPhenanthrenesTreatment OutcomeDiterpenesEpoxy CompoundsGlycosidesPhenanthrenestriptolideANKLEBVHLHinflammationtripterygium glycosides

Identifiers

PMID42635118
PMCPMC13501426

What OpenQuestion holds

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Registered trials

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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.