Evidence mapPaperPMID 42014593Full record

ArticleJournal of natural medicines2026

Processed phellodendri Chinensis cortex attenuates diabetic nephropathy via ferroptosis inhibition through GPX4/SLC7A11/Nrf2/HO-1 signaling pathway.

Yue Zhou, Gui Xu, Wenjing Ren, Yang Chen, Shiru Jiang, Shuo Zhang, Xiutong Ge, Hui Gao, Fan Zhang

Abstract read
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In one paragraph

Article in Journal of natural medicines, 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

9 authors.

Yue Zhou *Key Laboratory of Ministry of Education for TCM Viscera-State Theory and Applications, Liaoning University of Traditional Chinese Medicine, Shenyang, China.ORCID http://orcid.org/0009-0004-7191-6419
Gui Xu *School of Pharmacy, Liaoning University of Traditional Chinese Medicine, Liaoning Province, 116600, Dalian, PR China.ORCID http://orcid.org/0009-0009-1225-8010
Wenjing RenSchool of Pharmacy, Liaoning University of Traditional Chinese Medicine, Liaoning Province, 116600, Dalian, PR China.ORCID http://orcid.org/0009-0000-9778-1891
Yang ChenSchool of Pharmacy, Liaoning University of Traditional Chinese Medicine, Liaoning Province, 116600, Dalian, PR China.ORCID http://orcid.org/0009-0003-9509-7393
Shiru JiangSchool of Pharmacy, Liaoning University of Traditional Chinese Medicine, Liaoning Province, 116600, Dalian, PR China.ORCID http://orcid.org/0009-0003-7116-3501
Shuo ZhangSchool of Pharmacy, Liaoning University of Traditional Chinese Medicine, Liaoning Province, 116600, Dalian, PR China.ORCID http://orcid.org/0009-0006-4182-2918
Xiutong GeSchool of Pharmacy, Liaoning University of Traditional Chinese Medicine, Liaoning Province, 116600, Dalian, PR China.ORCID http://orcid.org/0009-0008-3091-0650
Hui GaoSchool of Pharmacy, Liaoning University of Traditional Chinese Medicine, Liaoning Province, 116600, Dalian, PR China.ORCID http://orcid.org/0000-0002-3770-7638
Fan ZhangSchool of Pharmacy, Liaoning University of Traditional Chinese Medicine, Liaoning Province, 116600, Dalian, PR China. zhangfan11123@gmail.com.ORCID http://orcid.org/0000-0003-2182-7018

Funding

Basic Scientific Research Project of the Education Department of Liaoning Province LJ212410162059Liaoning Provincial Science and Technology Project Joint Plan 2024-MSLH-284National Administration of Traditional Chinese Medicine for the Project on the Inheritance and Innovation of Traditional Chinese Medicine Processing GZY-KJS-2022-049National Natural Science Foundation of China for Youth 81903801Open fund of Key Laboratory of Ministry of Education for TCM Viscera-State Theory and Applications, Liaoning University of Traditional Chinese Medicine zyzx2507
6 · The paper itself

Abstract

Diabetic nephropathy (DN) is a common complication of diabetes, increasingly linked to ferroptosis as an important underlying mechanism. While Phellodendri chinensis Cortex (PC) has shown renoprotective promise, the therapeutic value of its processed products remains unclear. We therefore compared raw PC (RPC) with three processed derivatives—salt-processed PC (SPC), salt praeparatum-processed PC (SP-PC), and depositum urinae praeparatum-processed PC (DUP-PC)—to evaluate whether processing enhances anti-ferroptotic activity and DN protection. UPLC-Q-TOF-MS profiling identified 51 chemical constituents, dominated by alkaloids in positive-ion mode and phenolic acids in negative-ion mode. In high-glucose-challenged HK-2 cells, SP-PC and SPC significantly outperformed RPC, demonstrating markedly enhanced inhibition of ferroptosis by lowering malondialdehyde (MDA), Fe²⁺, and reactive oxygen species (ROS) while restoring glutathione (GSH) and up-regulating key pathway components GPX4, SLC7A11, Nrf2, and HO-1. These findings were mirrored in streptozotocin (STZ)-plus-high-fat-diet DN rats, where SP-PC and SPC more effectively reduced serum creatinine (S-Cr), blood urea nitrogen (BUN), microalbumin-to-albumin ratio (MAU/ALB) and attenuated renal ferroptosis markers. Critically, both cellular and animal experiments consistently revealed that processing significantly enhances the anti-ferroptotic activity of PC. Thus, processed PC products—especially SP-PC and SPC—confer superior protection against DN by more effectively inhibiting ferroptosis via the GPX4/SLC7A11/Nrf2/HO-1 axis, highlighting processing as a key strategy to boost anti-ferroptotic efficacy in renal protection.

Indexed as

Diabetic NephropathiesDrugs, Chinese HerbalFerroptosisPhellodendronAmino Acid Transport System y+AnimalsCell LineDiabetes Mellitus, ExperimentalHeme Oxygenase-1HumansMaleNF-E2-Related Factor 2Phospholipid Hydroperoxide Glutathione PeroxidaseRatsRats, Sprague-DawleyReactive Oxygen SpeciesAmino Acid Transport System y+Drugs, Chinese HerbalHeme Oxygenase-1Nfe2l2 protein, ratNF-E2-Related Factor 2Phospholipid Hydroperoxide Glutathione PeroxidaseReactive Oxygen SpeciesChinese meteria medica processingDiabetic nephropathyFerroptosisGPX4/SLC7A11/Nrf2/HO-1 signaling pathwayPhellodendri Chinensis Cortex

Identifiers

PMID42014593

What Socratic holds

Textmetadata
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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.