Evidence map›Paper›PMID 37464262›Full record

ArticleJournal of orthopaedic surgery and research2023

Exploring the role and mechanism of Fuzi decoction in the treatment of osteoporosis by integrating network pharmacology and experimental verification.

Fudong Li, Chuan Guo, Shikai Zhang, Bing Zheng, Kaiqiang Sun, Jiangang Shi

Open access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
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

7 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
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  4. Frontiers in pharmacology · 2026
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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 at 2 institutions in 1 country.

Fudong Li *Department of Orthopaedic Surgery, Spine Center, Shanghai Changzheng Hospital, Naval Medical University, Shanghai, 200003, China.
Chuan Guo *Orthopedic Research Institute, Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, 610065, China.
Shikai ZhangDepartment of Orthopaedic Surgery, Shanghai Kaiyuan Orthopaedic Hospital, Shanghai, 200129, China.
Bing ZhengDepartment of Orthopaedic Surgery, Spine Center, Shanghai Changzheng Hospital, Naval Medical University, Shanghai, 200003, China. 546552786@qq.com.
Kaiqiang SunDepartment of Orthopaedic Surgery, Spine Center, Shanghai Changzheng Hospital, Naval Medical University, Shanghai, 200003, China. 15721570551@163.com.
Jiangang ShiDepartment of Orthopaedic Surgery, Spine Center, Shanghai Changzheng Hospital, Naval Medical University, Shanghai, 200003, China. jiangangshispine@126.com.
Shanghai Changzheng Hospital · CNSichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFuzi decoction (FZD), a traditional Chinese medicine formula, was used to treat musculoskeletal diseases by warming channels, strengthening yang and dispelling pathogenic cold and dampness. In clinical practice, FZD has been used to treat rheumatoid arthritis and osteoarthritis. It alleviated osteoarticular disorders through ameliorating the degradation of cartilage and improving meniscal damage in osteoarthritis, while its roles and mechanisms in the treatment of bone loss diseases remain unclear. This study aims to investigate the underlying mechanisms of FZD in treating osteoporosis using an integrative method of network pharmacology and experimental study.

methodsIn this study, network pharmacology was used to predict the core targets and potential pathways of the bioactive ingredients of FZD to attenuate osteoporosis. Molecular docking was performed to evaluate the interactions between core compounds and key targets. In addition, both cell and animal experiments were carried out to validate the role and potential mechanism in treating osteoporosis.

resultsIn the present study, data revealed that kaempferol, beta-sitosterol, stigmasterol, fumarine, and (+)-catechin may be the primary bioactive ingredients of FZD in the treatment of osteoporosis, which were closely associated with the osteoporosis-related targets. And the KEGG results indicated that the NF-κB pathway was closely associated with the function of FZD in treating osteoporosis. In addition, in vivo demonstrated that FZD ameliorated osteoporosis. In vitro experiments showed that the pro-apoptotic factors indicators including CASP3 and BAX were decreased by FZD and the anti-apoptotic factor BCL2 was increased by FZD. In addition, FZD significantly suppressed the osteoclast differentiation in culture and the expression levels of osteoclast-related genes including TRAF6, CTSK, and MMP9. And the NF-κB pathway was confirmed, via in vitro experiment, to be involved in osteoclast differentiation.

conclusionsThis study demonstrated that FZD played a pivotal role in suppressing the osteoclast differentiation via regulating the NF-κB pathway, indicating that FZD could be a promising antiosteoporosis drug and deserve further investigation.

Indexed as

Bone Diseases, MetabolicDrugs, Chinese HerbalOsteoporosisAnimalsDiterpenesMolecular Docking SimulationNetwork PharmacologyNF-kappa BDiterpenesDrugs, Chinese Herbalfuzi drug herbalNF-kappa BFuzi decoctionNetwork pharmacologyNF-κB pathwayOsteoclastOsteoporosis

Identifiers

PMID37464262
PMCPMC10354906
OpenAlexW4384663821

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.