Evidence mapPaperPMID 41701421Full record

ReviewInflammopharmacology2026

Pharmacological properties, safety, pharmacokinetic and clinical trials of kukoamine A and B.

Ibrahim Mssillou, Youness El Abdali, Olja Šovljanski, Meryem Bakour, Hassan Laaroussi, Youssra Aghoutane, Edward J Calabrese, Asaad Khalid, Samah H O Zarroug, Boutaina Louafi and 1 more

Abstract readReview
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In one paragraph

Review in Inflammopharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Ibrahim MssillouSidi Mohamed Ben Abdellah University, 30000, Fez, Morocco. mssillouibrahim@gmail.com.
Youness El AbdaliLaboratory of Biotechnology, Health, Agrofood and Environment (LBEAS), Faculty of Sciences Dhar El Mahraz, Sidi Mohamed Ben Abdellah University, 30000, Fez, Morocco.
Olja ŠovljanskiDepartment of Biotechnology, Faculty of Technology Novi Sad, University of Novi Sad, Bulevar cara Lazara 1, Novi Sad, 21 000, Serbia.
Meryem BakourThe Higher Institute of Nursing Professions and Health Techniques (ISPITS), 30000, Fez, Morocco.
Hassan LaaroussiLaboratory of Biotechnology, Conservation and Valorization of Bioresources (BCVB), Research unit: Api-Phytotherapy, physiology, environment and health, Department of Biology, Faculty of Sciences, Sidi Mohamed Ben Abdellah University, Dhar Mehraz, 30000, Fez, Morocco.
Youssra AghoutaneThe Higher Institute of Nursing Professions and Health Techniques (ISPITS), 30000, Fez, Morocco.
Edward J CalabreseDepartment of Environmental Health, School of Public Health and Health Sciences, University of Massachusetts, Morrill I‑N344, Amherst, MA, 01003, USA.
Asaad KhalidHealth Research Center, Jazan University, P.O. Box: 114, 45142, Jazan, Saudi Arabia. akahmed@jazanu.edu.sa.
Samah H O ZarrougDepartment of Pharmacology and Therapeutics, College of Medicine, Alfaisal University, Takassusy Road, Riyadh, Saudi Arabia.
Boutaina LouafiLaboratory of Functional Ecology and Environmental Engineering, Faculty of Sciences and Technology, Sidi Mohamed Ben Abdellah University, Fez, Morocco.
Dalila BoustaNational Agency of Medicinal and Aromatic Plants, BP 159, 34000, Principal, Taounate, Morocco.

Funding

Jazan University JU-202505361-DGSSR-ORA-2025
6 · The paper itself

Abstract

Kukoamine A (KuA) and kukoamine B (KuB) are spermine alkaloids characterized by polyamine backbones conjugated with phenolic moieties, primarily isolated from Lycium chinense root bark (Lycii Cortex). This review comprehensively analyses their pharmacological properties, mechanistic pathways, safety profiles, and clinical potential. KuA and KuB exhibit potent antioxidant activity by scavenging reactive oxygen species, enhancing superoxide dismutase and catalase activity, and chelating Fe2+. Their anti-inflammatory effects involve neutralizing pathogen-associated molecular patterns (e.g., LPS, CpG-DNA), suppressing TLR4/9-MyD88-NF-κB signaling, and reducing pro-inflammatory cytokines (TNF-α, IL-6, and IL-1β). Both compounds demonstrate antimicrobial efficacy against sepsis triggers (e.g., E. coli) by inhibiting bacterial toxin-induced inflammation. Additionally, KuA and KuB significantly improve antidiabetic outcomes by activating the AKT/GSK-3β pathway, thereby enhancing insulin sensitivity, inhibiting DPP-4 and amyloid aggregation, and ameliorating metabolic disorders. Neuroprotective roles include mitigating oxidative stress, inhibiting neuronal apoptosis (via modulation of Bax/Bcl-2 and caspase-3), and attenuating the pathology of Parkinson’s and Alzheimer’s diseases by regulating α-synuclein and iron homeostasis. Additional benefits encompass anti-osteoporotic effects through osteoblast differentiation promotion and bone mineral density preservation. Moreover, pharmacokinetic studies indicate rapid plasma distribution and urinary excretion of KuB, with Phase I/II trials confirming tolerability in healthy and septic subjects (0.06–0.24 mg/kg doses). Safety assessments reveal mild adverse events (e.g., transient headaches). Despite promising preclinical data, clinical validation remains limited. Future research should prioritize mechanistic depth, large-scale trials, and therapeutic applications for neurodegenerative, metabolic, and inflammatory diseases.

Indexed as

SpermineAnimalsAnti-Inflammatory AgentsAntioxidantsCaffeic AcidsClinical Trials as TopicHumansInflammationNeuroprotective AgentsAnti-Inflammatory AgentsAntioxidantsCaffeic Acidskukoamine Akukoamine BNeuroprotective AgentsSpermineAnti-inflammatoryKukoamine A and BLyciumNeuroprotectionPharmacokineticsSpermine alkaloids

Identifiers

PMID41701421

What Socratic holds

Textmetadata
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.