Evidence map›Paper›PMID 41810899›Full record

ArticleAnalytical cellular pathology (Amsterdam)2026

Xinlikang Capsule Alleviates Chemotherapy-Induced Fatigue by Inhibiting the PI3K/AKT-mTOR-FoxO Pathway.

Suzhou Huang, Yiheng Zhang, Tianle Ma, Lu Zhang, Xingxing Lu, Huihua Fang, Gaohong Lv, Zhipeng Chen, Xin Liu, Lina Zhang and 1 more

Abstract read
In one paragraph

Article in Analytical cellular pathology (Amsterdam), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Suzhou HuangJiangsu Key Laboratory for Pharmacology and Safety Research of Chinese Materia Medica, School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing, China, njucm.edu.cn.ORCID https://orcid.org/0009-0001-2224-8061
Yiheng ZhangJiangsu Key Laboratory for Pharmacology and Safety Research of Chinese Materia Medica, School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing, China, njucm.edu.cn.
Tianle MaJiangsu Key Laboratory for Pharmacology and Safety Research of Chinese Materia Medica, School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing, China, njucm.edu.cn.ORCID https://orcid.org/0009-0008-7970-6781
Lu ZhangThe Second Medical Department, Shanghai Haitian Pharmaceutical Technology Development Co., Ltd., Shanghai, China.ORCID https://orcid.org/0000-0002-7679-835X
Xingxing LuJiangsu Key Laboratory for Pharmacology and Safety Research of Chinese Materia Medica, School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing, China, njucm.edu.cn.
Huihua FangJiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China, njucm.edu.cn.
Gaohong LvJiangsu Key Laboratory for Pharmacology and Safety Research of Chinese Materia Medica, School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing, China, njucm.edu.cn.
Zhipeng ChenJiangsu Key Laboratory for Pharmacology and Safety Research of Chinese Materia Medica, School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing, China, njucm.edu.cn.
Xin LiuDepartment of Pharmacy, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, China, njmu.edu.cn.ORCID https://orcid.org/0009-0004-1503-1384
Lina ZhangThe Second Medical Department, Shanghai Haitian Pharmaceutical Technology Development Co., Ltd., Shanghai, China.ORCID https://orcid.org/0009-0004-4901-1920
Li WuJiangsu Key Laboratory for Pharmacology and Safety Research of Chinese Materia Medica, School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing, China, njucm.edu.cn.ORCID https://orcid.org/0000-0001-9380-8620

Funding

2024 Jiangsu Pharmaceutical Association 'Medicine' Research New Sound Pharmaceutical Research Project 202495083Nanjing University of Chinese Medicine 012009240034
6 · The paper itself

Abstract

objectiveChemotherapy-induced fatigue (CIF) remains a clinically challenging condition with limited therapeutic options. This study aimed to elucidate the therapeutic potential and underlying mechanisms of the multiherbal Xinlikang (XLK) capsule against CIF using an integrated strategy that combined network pharmacology prediction with experimental validation.

methodsA murine CIF model was established using 5-fluorouracil (5-FU). XLK was administered at various doses to evaluate its efficacy through comprehensive assessments, including behavioral tests (weight-bearing swimming, tail suspension, and grip strength), histopathology (hematoxylin-eosin [H&E] and periodic acid-Schiff [PAS] staining), and metabolic indices (lactate and ATP levels). To investigate the mechanisms, an integrated network pharmacology approach was employed to identify bioactive components of XLK, predict their potential targets, and construct a "component-target-pathway" network. Core signaling pathways implicated in CIF were prioritized via protein-protein interaction (PPI) and KEGG enrichment analyses. Key predictions were subsequently verified by Western blot analysis.

resultsXLK treatment significantly ameliorated fatigue-like behaviors, improved muscle glycogen storage, and restored lactate and ATP homeostasis in CIF mice (all p  < 0.05). Network pharmacology predicted that the anti-CIF effect of XLK was closely associated with the regulation of energy metabolism-related pathways, particularly the PI3K/AKT-mTOR-FoxO signaling axis. Experimental validation confirmed that XLK significantly modulated the expression and phosphorylation levels of key proteins (e.g., p-PI3K, p-AKT, and p-mTOR) within this pathway in the skeletal muscle or relevant tissues of CIF model mice (all p  < 0.05).

conclusionXLK enhances cellular energy homeostasis by regulating the PI3K/AKT-mTOR-FoxO signaling axis, thereby alleviating CIF. These findings provide a mechanistic rationale for the clinical application of XLK against CIF.

Indexed as

Drugs, Chinese HerbalFatigueForkhead Transcription FactorsPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktSignal TransductionTOR Serine-Threonine KinasesAnimalsCapsulesMaleMiceNetwork PharmacologyCapsulesDrugs, Chinese HerbalForkhead Transcription FactorsmTOR protein, mousePhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktTOR Serine-Threonine Kinaseschemotherapy-induced fatigue (CIF)glycogen storagelactate metabolismnetwork pharmacologyPI3K/AKT-mTOR-FoxO pathwayXinlikang (XLK) capsule

Identifiers

PMID41810899
PMCPMC13580801

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.