Evidence map›Paper›PMID 42995304›Full record

ArticleChinese journal of integrative medicine2026

Jinshui Huanxian Formula Combined with Exercise Rehabilitation Improves Skeletal Muscle Mitochondrial Damage in Treatment of Pulmonary Fibrosis by AMPK/mTOR/HIF-1 Pathway.

Hui-Meng Tang, Shu-Guang Yang, Jia-Min Cao, Qing-Hua Song, Yun-Qi Zhao, Yang Liu, Zi-Ru Ma, Yan-Ge Tian, Jian-Sheng Li, Xue-Qing Yu

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Article in Chinese journal of integrative 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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5 · Who and what money

Authors and funding

10 authors.

Hui-Meng TangDepartment of Respiratory Diseases, the First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, 450000, China.
Shu-Guang YangDepartment of Respiratory Diseases, the First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, 450000, China.
Jia-Min CaoDepartment of Respiratory Diseases, the First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, 450000, China.
Qing-Hua SongCollaborative Innovation Center for Chinese Medicine and Respiratory Diseases Co-constructed by Henan Province & Education Ministry of China, Henan University of Chinese Medicine, Zhengzhou, 450046, China.
Yun-Qi ZhaoCollaborative Innovation Center for Chinese Medicine and Respiratory Diseases Co-constructed by Henan Province & Education Ministry of China, Henan University of Chinese Medicine, Zhengzhou, 450046, China.
Yang LiuDepartment of Respiratory Diseases, the First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, 450000, China.
Zi-Ru MaDepartment of Respiratory Diseases, the First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, 450000, China.
Yan-Ge TianCollaborative Innovation Center for Chinese Medicine and Respiratory Diseases Co-constructed by Henan Province & Education Ministry of China, Henan University of Chinese Medicine, Zhengzhou, 450046, China.
Jian-Sheng LiCollaborative Innovation Center for Chinese Medicine and Respiratory Diseases Co-constructed by Henan Province & Education Ministry of China, Henan University of Chinese Medicine, Zhengzhou, 450046, China.
Xue-Qing YuDepartment of Respiratory Diseases, the First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, 450000, China. yxqshi@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify the effects and possible mechanism of Jinshui Huanxian Formula (JHF) combined with exercise rehabilitation (ER) in treatment of pulmonary fibrosis (PF).

methodsSixty male Sprague-Dawley rats were divided into 6 groups using a random number table, including control, model, pirfenidone [PFD, 54 mg/(kg•d)], ER, JHF [3.12 g/(kg•d)], and JHF combined with ER (JHF-ER) groups (n=10 per group). PF model was established by intratracheal instillation of bleomycin (5 mg/kg). Interventions were initiated on day 14 post-modeling and continued for 28 consecutive days. Pulmonary function, lung histopathology, and hydroxyproline (HYP) content were measured to evaluate anti-fibrotic effects. Hindlimb grip strength (HGS), exhaustive exercise time (ET), and skeletal muscle histopathology were assessed to determine skeletal muscle dysfunction improvement. The comprehensive R-value analysis was performed to compare the overall efficacy of different interventions. Mitochondrial function, transcriptomic profiling, and immunohistochemical staining were further conducted to elucidate the molecular mechanism of JHF-ER.

resultsInterventions with PFD, ER, JHF, and JHF-ER all ameliorated PF and skeletal muscle dysfunction to varying degrees (P<0.05 or P<0.01). Comprehensive R-value analysis revealed that JHF-ER exhibited superior overall therapeutic efficacy than PFD, ER and JHF mono-therapies (P<0.01). JHF-ER restored skeletal muscle mitochondrial function by inhibiting abnormal mitochondrial permeability transition pore opening and up-regulating adenosine triphosphate content and mitochondrial respiratory chain complexes I-IV activity (P<0.05 or P<0.01). Transcriptomic and experimental validation revealed that JHF-ER exerted these effects by inhibiting the AMP-activated protein kinase/mammalian target of rapamycin/hypoxia-inducible factor-1 (AMPK/mTOR/HIF-1) signaling pathway and suppressing excessive skeletal muscle mitophagy.

conclusionJHF-ER exhibited the potential to improve PF, enhance exercise tolerance, alleviate mitochondrial damage of skeletal muscle, which may be achieved by inhibiting the AMPK/mTOR/HIF-1 signaling pathway to inhibit mitophagy in skeletal muscle.

Indexed as

Chinese medicineexercise rehabilitationidiopathic pulmonary fibrosisJinshui Huanxian Formulamitochondria damagemitophagy

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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.