Evidence map›Paper›PMID 39421672›Full record

ReviewFrontiers in pharmacology2024

Salvia miltiorrhiza in osteoporosis: a review of its phytochemistry, traditional clinical uses and preclinical studies (2014-2024).

Lili Wang, Shan Wang, Xuan Dai, Gaiyue Yue, Jiyuan Yin, Tianshu Xu, Hanfen Shi, Tianyuan Liu, Zhanhong Jia, Dieter Brömme and 2 more

Abstract readReview
In one paragraph

Review in Frontiers in pharmacology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pharmacological effects ofFrontiers in pharmacology · 2026
    Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
  6. 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

12 authors.

Lili Wang *Department of TCM Pharmacology, Chinese Material Medica School, Beijing University of Chinese Medicine, Beijing, China.
Shan Wang *Diabetes Research Center, School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Xuan DaiDiabetes Research Center, School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Gaiyue YueDiabetes Research Center, School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Jiyuan YinDiabetes Research Center, School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Tianshu XuDiabetes Research Center, School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Hanfen ShiDiabetes Research Center, School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Tianyuan LiuDiabetes Research Center, School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Zhanhong JiaDepartment of TCM Pharmacology, Chinese Material Medica School, Beijing University of Chinese Medicine, Beijing, China.
Dieter BrömmeDepartment of Oral Biological and Medical Sciences, Faculty of Dentistry, The University of British Columbia, Vancouver, Canada.
Shuofeng ZhangDepartment of TCM Pharmacology, Chinese Material Medica School, Beijing University of Chinese Medicine, Beijing, China.
Dongwei ZhangDiabetes Research Center, School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Osteoporosis becomes a global public health concern due to its rising prevalence and substantial impact on life quality. Salvia miltiorrhiza Bunge (Salviae Miltiorrhizae Radix et Rhizoma, SM) has been firstly recorded in Shen Nong's Herbal Classic, and is frequently prescribed in conjunction with other herbs for the management of osteoporosis. This systematic review aims to comprehensively analyze the recent advances of SM on osteoporosis in traditional Chinese clinical uses and preclinical investigations. Literature encompassing pertinent studies were systematically retrieved across multiple databases, including the PubMed, Web of Science, Chinese National Knowledge Infrastructure, Chinese VIP Database, and Chinese Biomedical Literature Database. Original investigations spanning from February 2014 to March 2024, including traditional Chinese medicine (TCM) clinical trials and preclinical studies, were employed to analyze the effects and actions of SM on osteoporosis. Thirty-eight TCM clinical trials were identified to employ SM in combination with other herbs for the management of primary and secondary osteoporosis. The overall efficacy was between 77% and 96.67%. Forty preclinical studies were identified to investigate the effects and actions of SM and/or its ingredients on osteoporosis. The anti-osteoporosis actions of this herb may be attributed to inhibit osteoclastogenesis/bone resorption and promote osteoblastogenesis/osteogenesis. The ethanol extracts and its ingredients (tanshinones) inhibit osteoclastogenesis/bone resorption by inhibiting the MAPK/NF-κB/NFATc1 signaling pathway and cathepsin K-induced collagen degradation. Both ethanol extracts (tanshinones) and water extracts (Sal B and tanshinol) contribute to osteoblastogenesis by promoting osteogenesis and angiogenesis via activation of the Wnt/β-catenin/VEGF and ERK/TAZ pathways, and eliminating ROS production targeting Nrf2/ARE/HO-1 pathway. In conclusions, SM may offer a novel strategy for osteoporosis management. Well-designed clinical trials are still needed to evaluate the actions of this herb and its ingredients on bone remodeling.

Indexed as

OsteoblastOsteoclastosteoporosispreclinical investigationsSalvia MiltiorrhizaTCM clinical trials

Identifiers

PMID39421672
PMCPMC11484006

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.