Evidence map›Paper›PMID 40263540›Full record

ArticleScientific reports2025

Exploring the mechanisms of Chaige Kangyi Recipe in treating recurrent pregnancy loss with insulin resistance.

Jianlan Wu, Yunyan Pan, Yingyu Lu, Jing Qian, Jiaying Zhang, Yuanyuan Xue, Chenxi Xiao, Yuhan Qiu, Mengxin Xie, Shuping Li

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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

3 citing papers in PubMed.

  1. Article
  2. Article
  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

10 authors.

Jianlan WuChangzhou Hospital Affiliated to Nanjing University of Chinese Medicine, No. 25, Heping North Road, Tianning District, Changzhou, 213000, China.
Yunyan PanChangzhou Hospital Affiliated to Nanjing University of Chinese Medicine, No. 25, Heping North Road, Tianning District, Changzhou, 213000, China.
Yingyu LuChangzhou Hospital Affiliated to Nanjing University of Chinese Medicine, No. 25, Heping North Road, Tianning District, Changzhou, 213000, China.
Jing QianChangzhou Hospital Affiliated to Nanjing University of Chinese Medicine, No. 25, Heping North Road, Tianning District, Changzhou, 213000, China.
Jiaying ZhangChangzhou Hospital Affiliated to Nanjing University of Chinese Medicine, No. 25, Heping North Road, Tianning District, Changzhou, 213000, China.
Yuanyuan XueChangzhou Hospital Affiliated to Nanjing University of Chinese Medicine, No. 25, Heping North Road, Tianning District, Changzhou, 213000, China.
Chenxi XiaoChangzhou Hospital Affiliated to Nanjing University of Chinese Medicine, No. 25, Heping North Road, Tianning District, Changzhou, 213000, China.
Yuhan QiuChangzhou Hospital Affiliated to Nanjing University of Chinese Medicine, No. 25, Heping North Road, Tianning District, Changzhou, 213000, China.
Mengxin XieChangzhou Hospital Affiliated to Nanjing University of Chinese Medicine, No. 25, Heping North Road, Tianning District, Changzhou, 213000, China.
Shuping LiChangzhou Hospital Affiliated to Nanjing University of Chinese Medicine, No. 25, Heping North Road, Tianning District, Changzhou, 213000, China. lishupingonline@163.com.

Funding

Fund Project of Jiangsu Provincial Administration of Traditional Chinese Medicine CJ20230079
6 · The paper itself

Abstract

Chinese herbal medicine effectively treats recurrent pregnancy loss, though its mechanism is unclear. This study used RStudio 4.3.0 to collect successful cases for cluster analysis, identifying medication patterns and core formulas, and further researching key prescriptions. The prescription is frequently used for recurrent abortion patients with insulin resistance. UPLC-QTOF-MS identified components, and network pharmacology explored key prescription targets in recurrent abortion with insulin resistance, validated by molecular docking and in vitro experiments. Traditional Chinese medicine treatment for 177 recurrent abortion cases and 640 prescriptions was analysed using RStudio 4.3.0 to identify medication patterns. Chaige Kangyi Recipe (CGKYR) active components and targets were obtained from TCMNPAS, and a herb-ingredient-target gene network was constructed using Cytoscape 3.7.2. GeneCards provided RSA target genes, and Cytoscape visualised a drug-disease target PPI network. Metascape software performed GO and KEGG enrichment analyses. UHPLC-MS/MS identified active compounds in core prescriptions, and molecular docking evaluated the therapeutic effects and mechanisms of major chemical components on key targets. Key prescriptions were derived from RStudio 4.3.0 cluster analysis of the Chaige Kangyi Recipe (CGKYR), commonly used for recurrent miscarriages with insulin resistance. Sixty-seven active ingredients were identified via UPLC-QTOF-MS. Network pharmacology revealed 179 target genes related to CGKYR's effects on recurrent miscarriage with insulin resistance. PPI analysis indicated IL-6, AKT1, STAT3, and INS as potential targets. Molecular docking demonstrated strong binding activity of four compounds with IL-6.CCK-8 assays showed CGKYR promoted HDSC proliferation dose-dependently. In vitro experiments indicated CGKYR increased IL-6 mRNA expression in human decidual stromal cells. CGKYR employs a multifaceted therapy for RPL complicated by insulin resistance, enhancing endometrial receptivity and stimulating HDSC proliferation by upregulating IL-6 mRNA expression in human decidual stromal cells.

Indexed as

Abortion, HabitualDrugs, Chinese HerbalInsulin ResistanceAdultFemaleHumansInterleukin-6Medicine, Chinese TraditionalMolecular Docking SimulationPregnancyDrugs, Chinese HerbalInterleukin-6Chaige Kangyi RecipeDate miningIL-6IRNetwork pharmacologyRSA

Identifiers

PMID40263540
PMCPMC12015438

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.