Evidence mapPaperPMID 41799384Full record

ReviewFrontiers in pharmacology2025

Pharmacological advances in multi-targeted strategies for type 2 diabetes mellitus: a systematic perspective based on traditional Chinese medicine.

Yan-Li Zhao, Jia-Bao Liao, Pan-Pan Pang, Jing-Yuan Li, Suo-Cai Su, Meng-Qiu Shao, Wei-Bo Wen, Fu-Rong Xu

Abstract readReview
In one paragraph

Review in Frontiers in pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Yan-Li Zhao *School of the First Clinical Medical College, Yunnan University of Chinese Medicine, Kunming, Yunnan, China.
Jia-Bao Liao *School of the First Clinical Medical College, Yunnan University of Chinese Medicine, Kunming, Yunnan, China.
Pan-Pan PangSchool of Pharmaceutical Science and Yunnan Key Laboratory of Pharmacology for Natural Products, Kunming Medical University, Kunming, China.
Jing-Yuan LiSchool of Chinese Medicine, Yunnan University of Chinese Medicine, Kunming, Yunnan, China.
Suo-Cai SuSchool of Chinese Medicine, Yunnan University of Chinese Medicine, Kunming, Yunnan, China.
Meng-Qiu ShaoSchool of the First Clinical Medical College, Yunnan University of Chinese Medicine, Kunming, Yunnan, China.
Wei-Bo WenSchool of the First Clinical Medical College, Yunnan University of Chinese Medicine, Kunming, Yunnan, China.
Fu-Rong XuSchool of the First Clinical Medical College, Yunnan University of Chinese Medicine, Kunming, Yunnan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Type 2 diabetes mellitus (T2DM) is a complex systemic metabolic disease driven by insulin resistance, β-cell dysfunction, chronic low-grade inflammation, oxidative stress, and neuro-immune dysregulation. It frequently progresses to multi-organ complications affecting the kidneys, retina, heart, and central nervous system. This review synthesizes mechanistic and translational evidence on Traditional Chinese Medicine (TCM)-related botanical drugs and botanical preparations (formula-based interventions), along with representative plant metabolites that are frequently investigated in the TCM research context (e.g., berberine, baicalin, and tanshinone IIA, which are not unique to TCM). For formula-based preparations, we extracted and reported intervention identity elements (dosage form, complete composition, and processing/standardization as described in primary studies); missing identity items were recorded as not reported (NR) and not inferred. We organized findings across shared T2DM-relevant pathogenic modules, including PI3K/Akt and AMPK signaling, inflammatory outputs (NF-κB/NLRP3), redox regulation (NRF2/ROS), angiogenic signaling (VEGF), and gut-liver-brain-immune network interactions, emphasizing studies in which pathway modulation is accompanied by metabolic or complication-relevant endpoints. To strengthen interpretability and reproducibility, we conducted a structured literature search (2000-2025) and applied evidence grading (human/RCT vs. animal vs. in vitro/in silico), and we critically appraised reporting quality using the GA-online Best Practice in Research - ConPhyMP tool. All source organisms were taxonomically validated using authoritative resources, and full scientific names (including author citation and family) were standardized. We caution that compound-target links, particularly those derived from in silico predictions or single-assay readouts, may be vulnerable to assay interference liabilities (including PAINS) and should be supported by orthogonal validation and outcome-linked readouts before strong mechanistic claims are made. Finally, we outline translational priorities, including rigorous standardization and quality control (distinguishing analytical marker metabolites from bioactive metabolites), improved study design and controls, and well-designed randomized, pragmatic, and real-world evaluations with clinically meaningful endpoints (e.g., HbA1c, complication progression, and safety).

Indexed as

botanical drugsbotanical preparationsdiabetic complicationsevidence gradingmulti-omicsnetwork pharmacologyplant metabolitessystems pharmacology

Identifiers

PMID41799384
PMCPMC12963220

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.