Evidence mapPaperPMID 40167639Full record

ArticleActa diabetologica2025

FTZ alleviates lipid deposition in diabetic kidney disease by AMPK/ACC/SREBP signaling pathway.

Jie Tao, Xiao-Yu Zhang, Hai-Bo Tan, Min-Yi Huang, Yi-Qi Yang, Jiao Guo

Abstract read
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In one paragraph

Article in Acta diabetologica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Review
  3. Review
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.

Jie TaoKey Laboratory of Glucolipid Metabolic Diseases of the Ministry of Education, Guangdong Metabolic Diseases Research Center of Integrated Chinese and Western Medicine, The Institute of Chinese Medicinal Sciences, Guangdong Pharmaceutical University, Guangzhou, 510006, People's Republic of China.
Xiao-Yu ZhangKey Laboratory of Glucolipid Metabolic Diseases of the Ministry of Education, Guangdong Metabolic Diseases Research Center of Integrated Chinese and Western Medicine, The Institute of Chinese Medicinal Sciences, Guangdong Pharmaceutical University, Guangzhou, 510006, People's Republic of China.
Hai-Bo TanKey Laboratory of Glucolipid Metabolic Diseases of the Ministry of Education, Guangdong Metabolic Diseases Research Center of Integrated Chinese and Western Medicine, The Institute of Chinese Medicinal Sciences, Guangdong Pharmaceutical University, Guangzhou, 510006, People's Republic of China.
Min-Yi HuangKey Laboratory of Glucolipid Metabolic Diseases of the Ministry of Education, Guangdong Metabolic Diseases Research Center of Integrated Chinese and Western Medicine, The Institute of Chinese Medicinal Sciences, Guangdong Pharmaceutical University, Guangzhou, 510006, People's Republic of China.
Yi-Qi YangKey Laboratory of Glucolipid Metabolic Diseases of the Ministry of Education, Guangdong Metabolic Diseases Research Center of Integrated Chinese and Western Medicine, The Institute of Chinese Medicinal Sciences, Guangdong Pharmaceutical University, Guangzhou, 510006, People's Republic of China. yangyiqi2011@163.com.ORCID http://orcid.org/0000-0002-0116-3827
Jiao GuoKey Laboratory of Glucolipid Metabolic Diseases of the Ministry of Education, Guangdong Metabolic Diseases Research Center of Integrated Chinese and Western Medicine, The Institute of Chinese Medicinal Sciences, Guangdong Pharmaceutical University, Guangzhou, 510006, People's Republic of China. gyguoyz@163.com.

Funding

Basic and Applied Basic Research Foundation of Guangdong Province 2019B030302005Basic and Applied Basic Research Foundation of Guangdong Province 2024A1515010480National Natural Science Foundation of China 82204704
6 · The paper itself

Abstract

Fufang Zhenzhu Tiaozhi capsule (FTZ) is a patented traditional Chinese medicine preparation that has been used clinically for nearly 10 years to treat hyperglycemia, hyperlipidemia, and other glucolipid metabolic diseases. Previous studies have shown that FTZ can improve diabetic kidney disease (DKD). However, the role and mechanism of FTZ in reducing renal lipid accumulation in DKD remain unclear. Phosphorylation of Adenosine 5'-Monophosphate-Activated Protein Kinase (AMPK), a key regulator of energy homeostasis, inhibits Acetyl-CoA Carboxylase (ACC) signaling, thereby reducing fatty acid synthesis and promoting fatty acid oxidation via carnitine palmitoyltransferase-1 (CPT-1). Sterol regulatory element-binding protein 1 (SREBP-1), a transcription factor, regulates lipid metabolism through fatty acid synthesis. This study investigated the anti-lipid accumulation effect and mechanism of FTZ in vitro and in vivo. Streptozotocin (40 mg/kg/d, i.p. for 5 days, consecutively) combined with a high-fat diet (HFD) were used to induce a DKD model in C57BL/6J mice, followed by FTZ (1, 2 g/kg/d, i.g.) or Losartan (30 mg/kg/d, i.g.) treatments for 12 weeks. High glucose (HG, 30 mM) combined with palmitic-acid (PA, 250 µM) were used to induce HK-2 cells injury, followed by FTZ (25, 50, or 100 µg/ml) or Compound C (an AMPK inhibitor, 10 µM) treatments for 24 h. Results showed that FTZ reduced blood lipids and improved renal function in DKD mice. In addition, compared with the control group, DKD mice and cells exhibited significantly increased lipid deposition. However, the effect of FTZ in alleviating lipid accumulation was reversed by Compound C. Furthermore, FTZ increased p-AMPK, p-ACC and CPT-1 protein expression while decreasing SREBP-1. These results indicate that FTZ effectively protects against lipid accumulation in DKD by regulating the AMPK/ACC/SREBP pathway, inhibiting de novo lipogenesis, providing a novel therapeutic strategy for DKD.

Indexed as

Acetyl-CoA CarboxylaseAMP-Activated Protein KinasesDiabetic NephropathiesDrugs, Chinese HerbalLipid MetabolismSterol Regulatory Element Binding Protein 1AnimalsDiabetes Mellitus, ExperimentalDiet, High-FatHumansMaleMiceMice, Inbred C57BLSignal TransductionAcetyl-CoA CarboxylaseAMP-Activated Protein KinasesDrugs, Chinese HerbalSterol Regulatory Element Binding Protein 1AMPKDiabetic kidney diseaseFufang Zhenzhu Tiaozhi capsuleLipid deposition

Identifiers

What Socratic holds

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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.