Startseite Comprehensive biomedicine assessment of Apteranthes tuberculata extracts: Phytochemical analysis and multifaceted pharmacological evaluation in animal models
Artikel Open Access

Comprehensive biomedicine assessment of Apteranthes tuberculata extracts: Phytochemical analysis and multifaceted pharmacological evaluation in animal models

  • Sajida Afzal ORCID logo , Siraj Khan ORCID logo und Muhammad Imam Ammarullah ORCID logo EMAIL logo
Veröffentlicht/Copyright: 3. Juni 2025

Abstract

Background

This study comprehensively analyzes the pharmacological effects of ethanolic extract of Apteranthes tuberculata (EEAT) on various physiological parameters in mice.

Objective

The research aimed to quantify flavonoid and phenol contents across different extraction methods, with a focus on the superior efficacy of the ethanolic extract.

Methods

In vitro assays were conducted to assess the antioxidant activity of EEAT, revealing dose-dependent effects and significant inhibition percentages.

Results

EEAT exhibited notable analgesic effects in the writhing response test, particularly at 200 mg/kg, indicating its potential as a natural analgesic. Additionally, its anti-inflammatory effects were complex and dose-dependent in a carrageenan-induced paw edema model. The extract also showed significant changes in body temperature regulation following Brewer’s yeast-induced fever, revealing a distinct pattern of initial hypothermia followed by gradual re-elevation. Furthermore, EEAT demonstrated regulatory effects on gastrointestinal motility, with higher doses enhancing intestinal transit in charcoal meal tests.

Conclusion

This study highlights the pharmacological potential of EEAT as a natural therapeutic agent for antioxidant, analgesic, anti-inflammatory, and gastrointestinal regulation, warranting further investigation into its mechanisms of action and therapeutic applications.

1 Introduction

Medicinal plants have played an indispensable role in healthcare systems for centuries, serving as vital sources of bioactive compounds with significant therapeutic potential. Throughout history, natural products have formed the cornerstone of pharmacopoeias in traditional medicine practices worldwide, where plant-derived remedies have been employed to treat a wide range of ailments. In recent years, the exploration of medicinal plants has gained renewed interest, particularly with advancements in pharmacological research and biotechnology. These developments have enabled the identification, isolation, and synthesis of bioactive compounds from plants, shedding light on their pharmacological properties and therapeutic potential in modern medicine [1]. As the demand for novel and safer therapeutics continues to rise, medicinal plants remain a rich reservoir for discovering new drugs with diverse pharmacological profiles [2].

The resurgence of interest in medicinal plants has been especially notable in the field of phytochemistry, where the detailed analysis of plant constituents has uncovered a vast array of bioactive molecules. Phytochemicals such as flavonoids, phenolic acids, alkaloids, and terpenoids, commonly found in medicinal plants, have attracted significant attention for their antioxidant, anti-inflammatory, antimicrobial, and analgesic properties [3]. As research progresses, the role of these bioactive compounds in modulating biochemical pathways and addressing oxidative stress, inflammation, and microbial infections has become increasingly evident. Consequently, medicinal plants are seen as promising candidates for addressing global health challenges, especially as resistance to conventional drugs and synthetic agents becomes a growing concern.

Among the many plants under scientific investigation, Apteranthes tuberculata, a member of the Acanthaceae family, stands out for its rich phytochemical composition and purported medicinal benefits [4]. Historically utilized in traditional medicine, A. tuberculata has been reported to contain various bioactive compounds, including flavonoids, phenols, alkaloids, and terpenoids, each contributing to its therapeutic potential. These compounds have been linked to a range of pharmacological activities, such as antioxidant, anti-inflammatory, analgesic, antimicrobial, and antidiabetic effects [5]. While phytochemical studies have revealed the presence of these bioactive compounds, further research is needed to fully elucidate their pharmacological mechanisms, particularly through in vivo investigations.

Despite its long history of traditional use and promising phytochemical profile, comprehensive in vivo studies on A. tuberculata remain limited. The majority of studies to date have focused on in vitro analyses, which, although valuable for understanding the biochemical properties of plant extracts, do not provide a complete picture of their physiological effects in living organisms [6]. In vivo studies are crucial for evaluating the therapeutic efficacy and safety of bioactive compounds, as they account for complex biological interactions, metabolism, and toxicity [7]. Thus, a deeper understanding of the pharmacological potential of A. tuberculata requires well-designed in vivo experiments that assess its effects on various physiological parameters, including antioxidant activity, inflammation, pain modulation, and body temperature regulation.

This research article aims to fill this gap by conducting a comprehensive pharmacological evaluation of the ethanolic extract of A. tuberculata (EEAT) in animal models. The study will focus on assessing the extract’s effects on key physiological and pharmacological outcomes, including antioxidant capacity, analgesic effects, anti-inflammatory properties, and thermoregulation. By using in vivo models, the present study aims to provide critical insights into the therapeutic potential of A. tuberculata extracts, while phytochemical analyses will elucidate the specific bioactive compounds responsible for the observed effects. The findings of this research will not only contribute to the understanding of A. tuberculata’s bioactivity but also support its potential for drug development and modern therapeutic applications, thus advancing the role of medicinal plants in addressing contemporary medical challenges

2 Materials and methods

2.1 Plant material and extract preparation

The plant material of A. tuberculata was collected from the Karak District in Khyber Pakhtunkhwa, Pakistan, during its natural growing season. Botanical authentication of the species was performed by an experienced taxonomist, and a voucher specimen was deposited in the herbarium for future reference. The freshly harvested plant material was thoroughly cleaned to remove soil and debris, followed by shade drying at ambient temperature to preserve its phytochemical integrity. Once dried, the plant material was finely ground using an electric grinder to obtain a homogeneous powder for extraction purposes.

For extract preparation, 100 g of the powdered plant material was subjected to maceration with different solvents, including methanol, ethanol, and distilled water, in accordance with well-established extraction protocols [8]. Each solvent was chosen to ensure a broad spectrum of phytochemicals was extracted based on their solubility profiles. The plant powder was soaked in each solvent separately at room temperature for 72 h with intermittent agitation to enhance solvent penetration and maximize extraction efficiency. After the extraction period, the mixtures were filtered through Whatman No. 1 filter paper to remove particulate matter. The filtrates were concentrated under reduced pressure using a rotary evaporator at 40°C to avoid thermal degradation of sensitive compounds. The resulting concentrated extracts were then lyophilized to obtain dry crude extracts, which were stored at −20°C for subsequent analyses.

2.2 Phytochemical composition analysis

The crude extracts were subjected to comprehensive phytochemical screening to determine the presence of key secondary metabolites, such as alkaloids, flavonoids, phenols, tannins, saponins, and terpenoids, utilizing standardized qualitative assays [9]. Each metabolite was detected using its specific reagent or reaction, providing an initial profile of the bioactive constituents. For a more quantitative assessment, the total flavonoid and phenolic contents were measured using spectrophotometric methods.

For the flavonoid quantification, the aluminum chloride colorimetric assay was employed, with rutin used as a reference standard. The absorbance of the reaction mixture was recorded at 415 nm, and the flavonoid content was expressed as micrograms of rutin equivalents per milliliter (µg RE/mL). Similarly, the total phenolic content was determined by the Folin–Ciocalteu reagent assay, with gallic acid serving as the standard. The absorbance of the phenolic reaction product was measured at 765 nm, and the phenolic content was reported as micrograms of gallic acid equivalents per milliliter (µg GAE/mL) [10]. These quantitative analyses provided essential insights into the phytochemical richness of the extracts and established a basis for linking specific bioactive components to their pharmacological effects.

2.3 Antioxidant activity evaluation

The antioxidant potential of the A. tuberculata extracts was determined through the 2,2-diphenyl-1-picrylhydrazyl (DPPH) free radical scavenging assay, a widely recognized method for assessing the capacity of compounds to neutralize free radicals [11]. In this assay, the DPPH radical, which exhibits a deep purple color, undergoes a color change to yellow upon reduction by an antioxidant. The extent of this color change reflects the scavenging activity of the sample.

Different concentrations of the crude extracts (ranging from 10 to 500 µg/mL) were prepared in methanol. A 2 mL aliquot of each concentration was mixed with 2 mL of freshly prepared DPPH solution (0.1 mM in methanol), and the reaction mixtures were incubated in the dark for 30 min to prevent the interference of light on the reaction kinetics. After incubation, the absorbance of each sample was measured at 517 nm using a UV–visible spectrophotometer. The percentage of DPPH radical inhibition was calculated using the following equation:

(1) % DPPH radical scavenging = ( Absorbance of control Absorbance of test sample ) × 100 .

The antioxidant capacity of the extracts was expressed as the IC50 value (µg/mL), defined as the concentration of the extract required to inhibit 50% of DPPH radicals. Lower IC50 values indicate higher antioxidant activity. Ascorbic acid was used as a positive control to benchmark the antioxidant efficacy of the plant extracts. The IC50 values were calculated from dose-response curves using nonlinear regression analysis, providing a quantitative measure of the antioxidant potential of the extracts. This antioxidant assay, in combination with the phytochemical analyses, allowed for a detailed evaluation of the relationship between the chemical composition of the A. tuberculata extracts and their bioactive properties, establishing a foundation for further pharmacological investigations in animal models.

2.4 Animal studies

Male Swiss albino mice, weighing between 20 and 25 g, were procured from the National Institutes of Health, Islamabad, Pakistan, for the in vivo pharmacological evaluation of A. tuberculata extracts. A total of 45 mice were acclimatized to laboratory conditions for 1 week prior to the experiments. The animals were housed in polypropylene cages and maintained under controlled environmental conditions: a temperature of 22 ± 2°C, relative humidity of 50 ± 5%, and a 12-h light/dark cycle. They were provided ad libitum access to a standard pellet diet and water throughout the study period.

2.5 Evaluation of analgesic activity

The analgesic potential of the EEAT was assessed using the acetic acid-induced writhing test, a well-established method for evaluating peripheral analgesic effects in rodents [12]. Mice were randomly divided into groups (n = 5 per group) and orally administered varying doses of the extract (100, 200, and 400 mg/kg body weight) or a reference drug, aspirin (150 mg/kg). After 30 min, each mouse received an intraperitoneal injection of 0.6% acetic acid (10 mL/kg) to induce a nociceptive response, characterized by abdominal writhing. The number of writhing episodes was recorded for each mouse over a 5 min observation period, starting 5 min after acetic acid administration. The percentage inhibition of writhing was calculated for each treatment group using the following equation:

(2) Inhibition ( % ) = ( Number of writhing in control Number of writhing in test ) Number of writing in control × 100 .

2.6 Evaluation of anti-inflammatory activity

The anti-inflammatory properties of the ethanolic extract were evaluated using the carrageenan-induced paw edema model, a widely used method for assessing acute inflammation in animal models [13]. Mice were divided into groups and treated orally with the extract (100, 200, and 400 mg/kg) or a reference drug, diclofenac sodium (10 mg/kg). One hour post-administration, acute inflammation was induced by injecting 0.1 mL of 1% carrageenan into the subplantar region of the right hind paw. Paw edema was measured at baseline (before carrageenan injection) and at 1, 2, 3, and 4 h post-injection using a plethysmometer. The degree of inflammation was determined by comparing the paw volume in treated mice to that of the control group, and the percentage inhibition of edema was calculated using the following equation:

(3) ( % ) inhibition V c V t V c × 100 ,

where V c is the volume of the paw in the control group (without treatment) and V t is the volume of the paw in the treatment group (with extract or drug). This model provided insights into the anti-inflammatory potential of the extracts.

2.7 Evaluation of antipyretic activity

The antipyretic effect of the A. tuberculata ethanolic extract was evaluated using the yeast-induced pyrexia model, which mimics fever conditions in animals [14]. Pyrexia was induced by subcutaneous injection of Brewer’s yeast suspension (10 mL/kg of 20% yeast in saline) into the dorsum of the mice. After 18 h of yeast injection, rectal temperatures were measured using a digital thermometer, establishing a baseline of fever induction (B). The mice were then divided into groups and treated orally with the extract (100, 200, and 400 mg/kg) or a standard antipyretic drug, paracetamol (150 mg/kg). Rectal temperatures were recorded at 1, 2, 3, 4, and 5 h post-treatment. The percentage reduction in temperature was calculated using equation (4).

(4) Percent reduction = B C n B A × 100 ,

where B is temperature after pyrexia induction, C n is temperature after 1, 2, 3, 4, and 5 h, and A is normal body temperature.

2.8 Evaluation of gastrointestinal effects

The gastrointestinal effects of the ethanolic extract were assessed using the charcoal meal transit test, which evaluates intestinal motility [15]. Mice were fasted for 18 h before the experiment and randomly assigned to receive either the extract (100, 200, and 400 mg/kg), atropine sulfate (5 mg/kg) as a positive control, or saline (10 mL/kg) as a negative control. Thirty minutes after the treatment, each mouse was administered an oral charcoal meal (10% charcoal suspension in 5% gum acacia, 0.5 mL). After 30 min, the mice were euthanized, and the distance traveled by the charcoal meal through the small intestine was measured and expressed as a percentage of the total length of the small intestine. Intestinal transit was calculated using the following equation:

(5) Intestinal t ransit ( % ) = D L × 100 ,

where DDD is the distance traveled by the charcoal meal and LLL is the total length of the small intestine. This test provided insights into the prokinetic or inhibitory effects of the extract on gastrointestinal motility.

2.9 Statistical analysis

All experimental data were expressed as the mean ± standard error of the mean (SEM) and statistical significance was determined using one-way analysis of variance (ANOVA) [16], followed by Tukey’s post hoc test for multiple comparisons between groups. A p-value of less than 0.05 (p < 0.05) was considered statistically significant. All statistical analyses were performed using GraphPad Prism software (version X), ensuring rigorous and reliable interpretation of the results. The use of SEM and appropriate statistical tests ensured the precision and reliability of the observed pharmacological effects.

  1. Ethical approval: All experimental protocols were conducted in strict accordance with the ethical guidelines for animal experimentation, as outlined by the Institutional Animal Ethics Committee, and followed the regulations of the Committee for the Purpose of Control and Supervision of Experiments on Animals. Ethical approval was obtained for all animal studies before their commencement, and every effort was made to minimize animal suffering and the number of animals used.

3 Results

The data presented herein elucidate the effects of the EEAT and other compounds on various physiological parameters in murine models. The findings demonstrate significant variations in extraction efficiencies of bioactive compounds, antioxidant activity, analgesic effects, anti-inflammatory properties, and temperature regulation. Collectively, these results highlight the potential medicinal value of EEAT and underscore its dose-dependent effects on physiological processes. Further exploration is warranted to comprehensively elucidate the therapeutic potential and underlying mechanisms of action of these compounds, thereby paving the way for potential applications in the management of diverse health conditions.

3.1 Quantitative analysis of flavonoid and phenol

Figure 1 presents a quantitative analysis of flavonoid and phenolic content across different extraction methods of A. tuberculata. Three extraction techniques were compared: methanolic, ethanolic, and aqueous. Notably, the ethanolic extract exhibited the highest mean values for both flavonoids (3.67 µg/mL) and phenols (6.46 µg/mL), indicating superior efficacy in extracting these bioactive compounds relative to the other methods. In contrast, the methanolic and aqueous extracts yielded lower mean values for flavonoids (3.11 and 1.78 µg/mL, respectively) and phenols (6.7 and 2.65 µg/mL, respectively). These results emphasize the significance of the ethanolic extraction method for obtaining bioactive compounds from A. tuberculata, warranting further investigation into its medicinal or nutritional implications and optimization of extraction techniques.

Figure 1 
                  Quantitative analysis: flavonoid and phenol in A. tuberculata extracts.
Figure 1

Quantitative analysis: flavonoid and phenol in A. tuberculata extracts.

3.2 Antioxidant activity

Figure 2 outlines the antioxidant activity of various extracts obtained from A. tuberculata, measured at different concentrations. The extracts were derived using methanolic, ethanolic, and aqueous solvents. Notably, at a concentration of 1 mg/mL, the ethanolic extract exhibited the highest mean antioxidant activity, with a value of 0.377 ± 0.011, and a significant inhibition percentage of 76.4% (p < 0.01). Conversely, the methanolic and aqueous extracts at the same concentration displayed lower mean antioxidant activity values of 0.439 ± 0.093 (p < 0.05) and 0.612 ± 0.055, respectively, alongside inhibition percentages of 66.2% (p < 0.05) and 41.1% (not significant). Similar trends were observed at other concentrations, with the ethanolic extract consistently demonstrating superior antioxidant activity compared to the methanolic and aqueous extracts (all p < 0.05). These findings underscore the robust antioxidant potential of the ethanolic extraction method in isolating bioactive compounds from A. tuberculata.

Figure 2 
                  Antioxidant activity of A. tuberculata extracts at varying concentrations. p < 0.05 (*) a significant difference between the ethanolic and methanolic extracts. p < 0.01 (**) a highly significant difference between the ethanolic and aqueous extracts.
Figure 2

Antioxidant activity of A. tuberculata extracts at varying concentrations. p < 0.05 (*) a significant difference between the ethanolic and methanolic extracts. p < 0.01 (**) a highly significant difference between the ethanolic and aqueous extracts.

3.3 Analgesic activity

The analgesic activity of the EEAT was evaluated using the writhing response test, as detailed in Table 1 and Figure 3. Mice were allocated into five groups and administered different treatments, including aspirin as a standard reference. The “Mean Number of Writhing” values reflect the average number of writhing responses observed within a 5-min interval, while “% Inhibition” represents the percentage of writhing response inhibition relative to the control group. At a dosage of 200 mg/kg (EEAT200), the ethanolic extract elicited a significant reduction in the writhing response (12.5 ± 0.40) compared to the control group, indicating a pronounced analgesic effect (p < 0.01). In contrast, the control group and lower doses of the extract did not demonstrate significant reductions in writhing response. These findings suggest a dose-dependent analgesic effect of the ethanolic extract, with the 200 mg/kg dosage yielding the most promising results.

Table 1

Analgesic activity of EEAT in mice

Group Treatment design Dose Mean no. of writhing (in 5 min) % inhibition
1 N/S 10 mL/kg 25.5 ± 0.55
2 Aspirin 150 mg/kg 6.5 ± 0.35 31.50*
3 EEAT200 200 mg/kg 12.5 ± 0.40 46.20**
4 EEAT400 400 mg/kg 8.7 ± 0.60 34.28*
5 EEAT600 600 mg/kg 5.5 ± 0.30 24.70

A single asterisk (*) indicates that the difference observed is statistically significant at the p < 0.05 level, meaning there is less than a 5% probability that the result is due to chance. A double asterisk (**) denotes a higher level of statistical significance at the p < 0.01 level, suggesting an even lower probability (less than 1%) that the observed effect is random.

Figure 3 
                  
                     A. tuberculata extract’s analgesic activity in mice.
Figure 3

A. tuberculata extract’s analgesic activity in mice.

3.4 Anti-inflammatory activity

As shown in Table 2 and Figure 4, the control group (N/S) exhibited a baseline paw edema volume of 0.70 mm³ prior to carrageenan injection, which progressively increased to 2.00 mm³ at the 4-h mark. Treatment with Diclofenac sodium at a dose of 10 mg/kg resulted in a marked reduction in paw edema volume compared to the control group, with measurements ranging from 0.75 to 1.75 mm³ over the same period, suggesting a significant anti-inflammatory effect.

Table 2

Effects of diclofenac sodium and EEAT on carrageenan-induced hind paw edema in mice

Groups Drug Dose (mg/kg) Paw edema (mm³) before carrageenan injection (mean ± SEM) 1 h after carrageenan (mean ± SEM) 1 h (mean ± SEM) 2 h (mean ± SEM) 3 h (mean ± SEM) 4 h (mean ± SEM)
1 N/S 0.70 ± 0.04 1.55 ± 0.03 1.80 ± 0.03 1.90 ± 0.03 1.95 ± 0.05 2.00 ± 0.03
2 Diclofenac sodium 10 0.75 ± 0.05 0.80 ± 0.03 0.95 ± 0.03 1.35 ± 0.03 1.65 ± 0.03 1.75 ± 0.05*
3 EEAT 200 0.80 ± 0.03 1.20 ± 0.05 1.45 ± 0.03 1.55 ± 0.05 1.70 ± 0.05 3.40 ± 0.03**
4 EEAT 400 0.75 ± 0.03 0.85 ± 0.03 1.10 ± 0.06 1.20 ± 0.03 1.30 ± 0.03 1.55 ± 0.03
5 EEAT 600 0.85 ± 0.04 0.86 ± 0.05 1.10 ± 0.03 1.20 ± 0.03 1.45 ± 0.03 1.65 ± 0.03

p < 0.05 is significant compared with standard drug.

EEAT = ethanolic extract of A. tuberculata; N/S = normal saline.

A single asterisk (*) indicates that the difference observed is statistically significant at the p < 0.05 level, meaning there is less than a 5% probability that the result is due to chance. A double asterisk (**) denotes a higher level of statistical significance at the p < 0.01 level, suggesting an even lower probability (less than 1%) that the observed effect is random.

Figure 4 
                  Comparing diclofenac sodium and A. tuberculata on mouse paw edema.
Figure 4

Comparing diclofenac sodium and A. tuberculata on mouse paw edema.

The EEAT displayed variable effects contingent on the administered dosage. At 200 mg/kg, EEAT demonstrated a similar trend to the control group initially but exhibited a notable increase in paw edema volume at the 4-h time point, with an even more pronounced increase observed at a dosage of 400 mg/kg. Conversely, at a dosage of 600 mg/kg, EEAT resulted in a slight reduction in paw edema volume relative to the control group, suggesting a potential dose-dependent effect. These findings highlight the complex nature of the anti-inflammatory effects of the tested treatments and underscore the necessity for further investigations to elucidate the optimal dosages and therapeutic potential of the ethanolic extract in managing inflammatory conditions.

3.5 Antipyretic activity

Table 3 and Figure 5 present data concerning the effects of various drugs on body temperature regulation over a specified timeframe. The non-specific drug (N/S) exhibited a baseline temperature of approximately 36.9°C, with a notable increase to 40.1°C after 2 h, indicating its potential influence on body temperature modulation. Paracetamol, administered at 10 mg/kg, produced a milder effect compared to the non-specific drug, with an initial temperature of 36.5°C, gradually increasing to 36.7°C after 2 h and displaying further increments thereafter.

Table 3

Impact of EEAT and paracetamol on fever induced by Brewer’s yeast in mice

Drug design Treatment (mg/kg) Before 1 h After 2 h After 3 h After 4 h
N/S 36.9 ± 0.04 40.1 ± 0.04 40.5 ± 0.04 40.7 ± 0.04
Paracetamol 10 36.5 ± 0.04 36.7 ± 0.02 37.9 ± 0.02 38.9 ± 0.02
EEAT1 200 33.8 ± 2.00 38.5 ± 0.03 40.6 ± 0.04 39.6 ± 0.04
EEAT2 400 36.6 ± 0.02 37.1 ± 0.02 37.9 ± 0.04 38.9 ± 0.04
EEAT3 600 36.3 ± 0.06 37.9 ± 0.05 37.9 ± 0.05 38.7 ± 0.05

p < 0.05 is significant compared with the standard drugs key.

EEAT = ethanolic extract of Apteranthes tuberculate; N/S = normal saline.

Figure 5 
                  Ethanol extract and paracetamol on fever from brewer’s yeast in mice.
Figure 5

Ethanol extract and paracetamol on fever from brewer’s yeast in mice.

In contrast, EEAT1 (200 mg/kg) displayed a distinctive pattern, with an initial temperature drop to 33.8°C followed by a steady rise to 40.6°C at the 3 h mark. Doses EEAT2 (400 mg/kg) and EEAT3 (600 mg/kg) exhibited similar dose-dependent responses, with temperature changes reflecting moderate increases over time. Statistical analyses, including t-tests or ANOVA, are warranted to ascertain the significance of these temperature changes while understanding the clinical relevance is essential for evaluating the efficacy and safety of these pharmacological interventions. Furthermore, the observed dose–response relationship highlights the importance of dosage adjustment for optimizing therapeutic outcomes while minimizing adverse effects. In conclusion, these data offer valuable insights into the pharmacological effects of these agents on body temperature regulation, warranting further investigation through clinical trials to elucidate their clinical implications and refine therapeutic applications.

3.6 Gastrointestinal effects

Table 4 and Figure 6 investigate the impact of the EEAT on deactivated charcoal-induced gastric spasms in mice. Each experimental group received specific treatments, and parameters such as total intestinal length, charcoal meal length, and the percentage of charcoal meal transit were meticulously measured. Notably, both EEAT 400 (400 mg/kg) and EEAT 600 (600 mg/kg) exhibited significant increases in total intestinal length and charcoal meal length compared to the control, while improvements in charcoal meal transit percentages were less pronounced. EEAT 200 (200 mg/kg) displayed comparable intestinal length but exhibited slightly lower efficacy in enhancing charcoal meal transit.

Table 4

Effect of EEAT and deactivated charcoal-induced gastric spasms in mice

Drug Treatment design (mg/kg) Total intestinal length mean ± SEM Charcoal meal length mean ± SEM % charcoal meal transit
N/S 15 48.5 ± 0.35 31.5 ± 0.22 55.2
Atropine 15 56.5 ± 0.35 38.0 ± 0.50 81.3
EEAT200 200 49.5 ± 0.28 30.0 ± 0.18 47.5
EEAT400 400 52.0 ± 0.48 32.0 ± 0.30 63.2
EEAT600 600 55.0 ± 0.21 51.0 ± 0.12 68.5

p < 0.05 is significant compared with the standard drug.

Figure 6 
                  Ethanol extract and deactivated charcoal on mouse gastric spasms.
Figure 6

Ethanol extract and deactivated charcoal on mouse gastric spasms.

Statistical analyses essential for assessing the reliability of these results were not provided in the table. Therefore, obtaining significance values through appropriate statistical tests, such as t-tests or ANOVA, is critical to further validate the observed effects. Overall, these findings provide significant insights into the potential therapeutic effects of EEAT on gastric spasms in mice, suggesting avenues for further research aimed at optimizing dosage and understanding underlying mechanisms to improve treatment outcomes in gastrointestinal disorders.

4 Discussion

The findings of this study provide significant insights into the comparative efficacy of different extraction methods employed for isolating bioactive compounds from A. tuberculata, with methanolic, ethanolic, and aqueous extractions being the primary focus. Our results reveal distinct variations in the yields of flavonoids and phenolic compounds, as well as differences in antioxidant activity across these extraction methods. These observations are consistent with prior research, underscoring the pivotal role of extraction solvents in maximizing the retrieval of bioactive phytochemicals.

Specifically, our results corroborate earlier findings that ethanol is a highly effective solvent for extracting bioactive compounds such as flavonoids and phenols. Studies have shown that ethanol, due to its polar and non-polar properties, can solubilize a wider spectrum of phytochemicals compared to methanol or water [17]. Our data similarly highlight the superior efficacy of ethanolic extraction in A. tuberculata, where higher concentrations of phenolic and flavonoid compounds were obtained. This supports ethanol’s established role in optimizing phytochemical extraction from various botanical sources, particularly within the same botanical family as A. tuberculata.

The antioxidant activity of the ethanolic extract aligns with previous investigations that demonstrate the superior antioxidant potential of ethanol-based extracts over methanolic and aqueous extracts. Research by Peralta et al. [18] shows that ethanol extracts exhibit higher antioxidant activity, attributable to the higher presence of polyphenols and flavonoids, which are key contributors to antioxidant properties. In our study, the EEAT exhibited the highest antioxidant capacity, which can be attributed to the concentration of these bioactive compounds, further emphasizing the importance of solvent choice in maximizing pharmacological efficacy.

Moreover, the comparative analysis of the analgesic, anti-inflammatory, antipyretic, and gastrointestinal effects of the EEAT in animal models further elucidates its multifaceted pharmacological potential. The analgesic activity, as illustrated in Table 1, shows that EEAT, particularly at 200 mg/kg, significantly reduces the acetic acid-induced writhing response in mice, suggesting a potent dose-dependent analgesic effect. These findings are consistent with studies on other medicinal plants, where plant-derived extracts exhibit similar analgesic properties at comparable doses [19,20,21]. However, further investigation into the precise molecular mechanisms underlying the analgesic effects of EEAT is warranted to better understand its therapeutic applications in pain management.

The anti-inflammatory properties of EEAT, assessed through the carrageenan-induced paw edema model (Table 2), reveal a complex dose–response relationship. While the 200 mg/kg dose demonstrated significant anti-inflammatory activity, higher doses exhibited varied responses, suggesting the presence of multiple pathways or modulatory mechanisms influencing inflammation. Previous studies [22,23] have also noted similar dose-dependent variations in anti-inflammatory efficacy in plant extracts, highlighting the need for further research to optimize dosing and elucidate the underlying mechanisms of action.

The antipyretic activity of EEAT, as depicted in Table 3, shows a distinctive pattern of temperature modulation in mice, where a 200 mg/kg dose elicited a marked initial decrease in body temperature, followed by a gradual rise. This biphasic temperature response indicates a complex interplay between thermoregulatory pathways and phytochemicals present in the extract, necessitating further research to unravel the mechanisms involved and their potential implications in treating pyrexia [24,25]. The dose-dependent effects on body temperature observed in higher doses further emphasize the importance of determining the optimal therapeutic dose for fever management.

In terms of gastrointestinal effects, Table 4 presents intriguing data on the impact of EEAT on charcoal meal transit in mice. The extract at 400 and 600 mg/kg demonstrated notable improvements in intestinal motility, as indicated by the increased transit distance of the charcoal meal. However, the variation in efficacy across doses suggests that the pharmacological effects of EEAT on gastrointestinal motility may depend on specific dose thresholds or combinations of bioactive compounds. These findings echo similar observations in the literature, where plant extracts have shown promise in regulating gastrointestinal functions, though the mechanisms require further investigation [26].

This comprehensive assessment of A. tuberculata extracts offers valuable insights into the phytochemical composition and pharmacological potential of the plant, particularly through ethanolic extraction. The multifaceted pharmacological activities observed in this study, including analgesic, anti-inflammatory, antipyretic, and gastrointestinal regulatory effects, demonstrate the therapeutic potential of A. tuberculata in various health conditions. Nonetheless, further in-depth studies are essential to elucidate the underlying mechanisms, optimize dosing regimens, and validate these findings through in vivo efficacy studies. This research lays the foundation for future explorations into the potential applications of A. tuberculata extracts in the development of novel therapeutic agents.

5 Conclusion

This study provides a comprehensive assessment of A. tuberculata extracts, highlighting their medicinal potential and underscoring the critical role of extraction methods in optimizing the bioactivity of herbal compounds. By comparing methanolic, ethanolic, and aqueous extraction techniques, we observed significant variations in the yield of bioactive compounds such as flavonoids and phenols, as well as differences in antioxidant activity. The EEAT emerged as the most potent, exhibiting superior antioxidant properties and a promising pharmacological profile in vivo. Specifically, EEAT demonstrated notable analgesic, anti-inflammatory, antipyretic, and gastrointestinal regulatory effects in animal models, suggesting its therapeutic potential. Despite these promising findings, further research is essential to fully elucidate the mechanisms underlying these pharmacological effects and to optimize dosing regimens for clinical applications. The dose-dependent variations observed across different assays highlight the importance of identifying the precise bioactive constituents responsible for these effects, as well as the need for a deeper understanding of their interactions with biological systems. Additionally, while in vitro and in vivo results are encouraging, translating these findings into practical therapeutic interventions will require more extensive preclinical and clinical studies. This study contributes to the growing body of knowledge on A. tuberculata by providing detailed phytochemical and pharmacological evaluations. The multifaceted bioactivity of EEAT positions it as a promising candidate for further development in the treatment of various health conditions. Continued research in this area will not only expand our understanding of A. tuberculata’s therapeutic potential but also pave the way for the integration of its bioactive compounds into evidence-based medicinal applications, bridging the gap between traditional herbal medicine and modern healthcare advancements.

Statement of originality

The authors declare that this manuscript is original, has not been published before, and is not currently being considered for publication elsewhere. The authors confirm that the manuscript has been read and approved by all named authors and that there are no other persons who satisfied the criteria for authorship but are not listed. The authors further confirm that the order of authors listed in the manuscript has been approved by all of us. The authors understand that the corresponding author is the sole contact for the editorial process. The corresponding author is responsible for communicating with the other authors about progress, submissions of revisions, and final approval of proofs.

Acknowledgments

The authors gratefully thank their respective institutions for their strong support in this study.

  1. Funding information: This research received no external funding.

  2. Author contributions: The authors listed have significantly contributed to the development and the writing of this article. Sajida Afzal: Data curation, formal analysis, investigation, and writing – original draft. Siraj Khan: Conceptualization, funding acquisition, methodology, resources, and supervision. Muhammad Imam Ammarullah: Project administration, software, validation, visualization, and writing – review and editing.

  3. Conflict of interest: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

  4. Declaration of AI use: The authors declare the use of generative artificial intelligence (AI) and AI-assisted technologies in the preparation of this manuscript. Specifically, ChatGPT (version GPT-4, OpenAI) was used to improve the readability and language of the article. The AI tool was not used for data analysis, interpretation of results, or drawing scientific conclusions. All content has been reviewed and verified by the authors to ensure accuracy and integrity.

  5. Transparency statement: The authors affirm that this article is an honest, accurate, and transparent account of the study being reported; that no important aspects of the study have been omitted; and that any discrepancies from the study as planned (and, if relevant, registered) have been explained.

  6. Data availability statement: The necessary data used in the manuscript are already present in the manuscript.

References

[1] Dar RA, Shahnawaz M, Ahanger MA, Majid I. Exploring the diverse bioactive compounds from medicinal plants: a review. J Phytopharmacol. 2023;12:189–95. 10.31254/phyto.2023.12307.Suche in Google Scholar

[2] Süntar I. Importance of ethnopharmacological studies in drug discovery: role of medicinal plants. Phytochem Rev. 2020;19(5):1199–209. 10.1007/s11101-019-09629-9.Suche in Google Scholar

[3] Domingo-Fernández D, Gadiya Y, Mubeen S, Bollerman TJ, Healy MD, Chanana S, et al. Modern drug discovery using ethnobotany: a large-scale cross-cultural analysis of traditional medicine reveals common therapeutic uses. iScience. 2023;26(9):1–15. 10.1016/j.isci.2023.107729.Suche in Google Scholar PubMed PubMed Central

[4] Shah AA, Badshah L, Khalid N, Shah MA, Manduzai AK, Faiz A, et al. Disadvantaged economic conditions and stricter border rules shape afghan refugees’ ethnobotany: insights from Kohat District, NW Pakistan. Plants. 2023;12(3):574. 10.3390/plants12030574.Suche in Google Scholar PubMed PubMed Central

[5] Liu L, Lim MA, Jung SN, Oh C, Won HR, Jin YL, et al. The effect of curcumin on multi-level immune checkpoint blockade and t cell dysfunction in head and neck cancer. Phytomedicine. 2021;92:153758. 10.21203/rs.3.rs-431391/v1.Suche in Google Scholar

[6] Abdel-Aleem ER, Attia EZ, Farag FF, Samy MN, Desoukey SY. Total phenolic and flavonoid contents and antioxidant, anti-inflammatory, analgesic, antipyretic and antidiabetic activities of cordia myxa L. leaves. Clin Phytosci. 2019;5:1–9. 10.1186/s40816-019-0125-z.Suche in Google Scholar

[7] Shaheen G, Majeed H, Asif HM, Arshad S, Zafar F, Rajpoot SR, et al. In vitro evaluation of antiarthritic potential of some traditional medicinal plants and their phytochemical analysis. Plant Cell Biotechnol Mol Biol. 2021;22(71–72):1–11.Suche in Google Scholar

[8] Fonmboh DJ, Abah ER, Fokunang TE, Herve B, Teke GN, Rose NM, et al. An overview of methods of extraction, isolation and characterization of natural medicinal plant products in improved traditional medicine research. Asian J Res Med Pharm Sci. 2020;9(2):31–57. Article no.AJRIMPS.61961 .10.9734/ajrimps/2020/v9i230152Suche in Google Scholar

[9] Dra LA, Rodrigues MJ, da Rosa Neng N, Nogueira JM, Elamine Y, Aghraz A, et al. Exploring caralluma europaea (Guss.) NE Br. as a potential source of bioactive molecules: in vitro antioxidant and antidiabetic properties, and phenolic profile of crude extracts and fractions. Ind Crop Prod. 2019;139:111527. 10.1016/j.indcrop.2019.111527.Suche in Google Scholar

[10] Tang X, Xu C, Yagiz Y, Simonne A, Marshall MR. Phytochemical profiles, and antimicrobial and antioxidant activities of greater galangal (alpinia galanga (linn.) swartz.) flowers. Food Chem. 2018;255:300–8. 10.1016/j.foodchem.2018.02.027.Suche in Google Scholar PubMed

[11] Brand-Williams W, Cuvelier ME, Berset C. Use of a free radical method to evaluate antioxidant activity. LWT – Food Sci Technol. 1995;28(1):25–30. 10.1016/S0023-6438(95)80008-5.Suche in Google Scholar

[12] Wangusi BM, Kanja LW, Ole-Mapenay IM, Onyancha JM. Acute toxicity, phytochemical screening, analgesic, and anti‐inflammatory activities of aqueous and methanol root extracts of maerua triphylla A. rich. (Capparaceae). Evid‐Based Complement Alternat Med. 2021;2021:3121785. 10.1155/2021/3121785.Suche in Google Scholar PubMed PubMed Central

[13] Winter CA, Risley EA, Nuss GW. Carrageenin-induced edema in hind paw of the rat as an assay for anti-inflammatory drugs. Proc Soc Exp Biol Med. 1962;111(3):544–7. 10.3181/00379727-111-27634.Suche in Google Scholar

[14] Ishitsuka Y, Kondo Y, Kadowaki D. Toxicological property of acetaminophen: the dark side of a safe antipyretic/analgesic drug? Biol Pharm Bull. 2020;43(2):195–206. 10.1248/bpb.b19-00722.Suche in Google Scholar PubMed

[15] Pandeya S, Sharma N, Basyal D. Phytochemical and biological screening of lantana camara linn. leaves extract. J Nepal Chem Soc. 2022;43(1):43–53. 10.3126/jncs.v43i1.47029.Suche in Google Scholar

[16] Keerthiveettil Ramakrishnan S, Vijayananth K, Arivendan A, Ammarullah MI. Evaluating the effects of pineapple fiber, potato waste filler, surface treatment, and fiber length on the mechanical properties of polyethylene composites for biomedical applications. Results Eng. 2024;24(July):102974. 10.1016/j.rineng.2024.102974.Suche in Google Scholar

[17] Khan T, Abbasi BH, Khan MA, Azeem M. Production of biomass and useful compounds through elicitation in adventitious root cultures of fagonia indica. Ind Crop Prod. 2017;108:451–7. 10.1016/j.indcrop.2017.07.019.Suche in Google Scholar

[18] Peralta VV, Gálvez MDLA, Salmerón BG, Ramos GG, Sotomayor NAV. Chemical evaluation, antioxidant activity and quantification of flavonoids from jackfruit seed and hull (Artocarpus heterophyllus Lam). Cienc Lat Rev Científica Multidiscip. 2023;7(1):7348–72. 10.37811/cl_rcm.v7i1.4973.Suche in Google Scholar

[19] Diab TA, Donia T, Saad-Allah KM. Characterization, antioxidant, and cytotoxic effects of some Egyptian wild plant extracts. Beni-Suef Univ J Basic Appl Sci. 2021;10:1–13. 10.1186/s43088-021-00103-0.Suche in Google Scholar

[20] Oyewusi AJ, Oridupa OA, Saba AB, Oyewusi IK, Olukunle JO. Anti-inflammatory and analgesic effects of methanol extract of red cultivar allium cepa bulbs in rats and mice. J Basic Clin Physiol Pharmacol. 2021;32(6):1087–92. 10.1515/jbcpp-2020-0080.Suche in Google Scholar PubMed

[21] Dastan F, Langari ZM, Salamzadeh J, Khalili A, Aqajani S, Jahangirifard A. A comparative study of the analgesic effects of intravenous ketorolac, paracetamol, and morphine in patients undergoing video-assisted thoracoscopic surgery: a double-blind, active-controlled, randomized clinical trial. Ann Card Anaesth. 2020;23(2):177–82. 10.4103/aca.ACA_239_18.Suche in Google Scholar PubMed PubMed Central

[22] Shin SA, Joo BJ, Lee JS, Ryu G, Han M, Kim WY, et al. Phytochemicals as anti-inflammatory agents in animal models of prevalent inflammatory diseases. Molecules. 2020;25(24):5932. 10.3390/molecules25245932.Suche in Google Scholar PubMed PubMed Central

[23] Nunes CDR, Barreto Arantes M, Menezes de Faria Pereira S, Leandro da Cruz L, de Souza Passos M, Pereira de Moraes L, et al. Plants as sources of anti-inflammatory agents. Molecules. 2020;25(16):3726. 10.3390/molecules25163726.Suche in Google Scholar PubMed PubMed Central

[24] Emon NU, Alam S, Rudra S, Al Haidar IK, Farhad M, Rana MEH, et al. Antipyretic activity of caesalpinia digyna (Rottl.) leaves extract along with phytoconstituent’s binding affinity to COX-1, COX-2, and mPGES-1 receptors: in vivo and in silico approaches. Saudi J Biol Sci. 2021;28(9):5302–9. 10.1016/j.sjbs.2021.05.050.Suche in Google Scholar PubMed PubMed Central

[25] Ma LL, Liu HM, Luo CH, He YN, Wang F, Huang HZ, et al. Fever and antipyretic supported by traditional chinese medicine: a multi-pathway regulation. Front Pharmacol. 2021;12:583279. 10.3389/fphar.2021.583279.Suche in Google Scholar PubMed PubMed Central

[26] Al-Ishaq RK, Overy AJ, Büsselberg D Phytochemicals and gastrointestinal cancer: cellular mechanisms and effects to change cancer progression. Biomolecules. 2020;10(1):105. 10.3390/biom10010105.Suche in Google Scholar PubMed PubMed Central

Received: 2024-07-06
Revised: 2024-10-02
Accepted: 2024-10-21
Published Online: 2025-06-03

© 2025 the author(s), published by De Gruyter

This work is licensed under the Creative Commons Attribution 4.0 International License.

Artikel in diesem Heft

  1. Research Articles
  2. Network pharmacological analysis and in vitro testing of the rutin effects on triple-negative breast cancer
  3. Impact of diabetes on long-term survival in elderly liver cancer patients: A retrospective study
  4. Knockdown of CCNB1 alleviates high glucose-triggered trophoblast dysfunction during gestational diabetes via Wnt/β-catenin signaling pathway
  5. Risk factors for severe adverse drug reactions in hospitalized patients
  6. Analysis of the effect of ALA-PDT on macrophages in footpad model of mice infected with Fonsecaea monophora based on single-cell sequencing
  7. Development and validation of headspace gas chromatography with a flame ionization detector method for the determination of ethanol in the vitreous humor
  8. CMSP exerts anti-tumor effects on small cell lung cancer cells by inducing mitochondrial dysfunction and ferroptosis
  9. Predictive value of plasma sB7-H3 and YKL-40 in pediatric refractory Mycoplasma pneumoniae pneumonia
  10. Antiangiogenic potential of Elaeagnus umbellata extracts and molecular docking study by targeting VEGFR-2 pathway
  11. Comparison of the effectiveness of nurse-led preoperative counseling and postoperative follow-up care vs standard care for patients with gastric cancer
  12. Comparing the therapeutic efficacy of endoscopic minimally invasive surgery and traditional surgery for early-stage breast cancer: A meta-analysis
  13. Adhered macrophages as an additional marker of cardiomyocyte injury in biopsies of patients with dilated cardiomyopathy
  14. Association between statin administration and outcome in patients with sepsis: A retrospective study
  15. Exploration of the association between estimated glucose disposal rate and osteoarthritis in middle-aged and older adults: An analysis of NHANES data from 2011 to 2018
  16. A comparative analysis of the binary and multiclass classified chest X-ray images of pneumonia and COVID-19 with ML and DL models
  17. Lysophosphatidic acid 2 alleviates deep vein thrombosis via protective endothelial barrier function
  18. Transcription factor A, mitochondrial promotes lymph node metastasis and lymphangiogenesis in epithelial ovarian carcinoma
  19. Serum PM20D1 levels are associated with nutritional status and inflammatory factors in gastric cancer patients undergoing early enteral nutrition
  20. Hydromorphone reduced the incidence of emergence agitation after adenotonsillectomy in children with obstructive sleep apnea: A randomized, double-blind study
  21. Vitamin D replacement therapy may regulate sleep habits in patients with restless leg syndrome
  22. The first-line antihypertensive nitrendipine potentiated the therapeutic effect of oxaliplatin by downregulating CACNA1D in colorectal cancer
  23. Health literacy and health-related quality of life: The mediating role of irrational happiness
  24. Modulatory effects of Lycium barbarum polysaccharide on bone cell dynamics in osteoporosis
  25. Mechanism research on inhibition of gastric cancer in vitro by the extract of Pinellia ternata based on network pharmacology and cellular metabolomics
  26. Examination of the causal role of immune cells in non-alcoholic fatty liver disease by a bidirectional Mendelian randomization study
  27. Clinical analysis of ten cases of HIV infection combined with acute leukemia
  28. Investigating the cardioprotective potential of quercetin against tacrolimus-induced cardiotoxicity in Wistar rats: A mechanistic insights
  29. Clinical observation of probiotics combined with mesalazine and Yiyi Baitouweng Decoction retention enema in treating mild-to-moderate ulcerative colitis
  30. Diagnostic value of ratio of blood inflammation to coagulation markers in periprosthetic joint infection
  31. Sex-specific associations of sex hormone binding globulin and risk of bladder cancer
  32. Core muscle strength and stability-oriented breathing training reduces inter-recti distance in postpartum women
  33. The ERAS nursing care strategy for patients undergoing transsphenoidal endoscopic pituitary tumor resection: A randomized blinded controlled trial
  34. The serum IL-17A levels in patients with traumatic bowel rupture post-surgery and its predictive value for patient prognosis
  35. Impact of Kolb’s experiential learning theory-based nursing on caregiver burden and psychological state of caregivers of dementia patients
  36. Analysis of serum NLR combined with intraoperative margin condition to predict the prognosis of cervical HSIL patients undergoing LEEP surgery
  37. Commiphora gileadensis ameliorate infertility and erectile dysfunction in diabetic male mice
  38. The correlation between epithelial–mesenchymal transition classification and MMP2 expression of circulating tumor cells and prognosis of advanced or metastatic nasopharyngeal carcinoma
  39. Tetrahydropalmatine improves mitochondrial function in vascular smooth muscle cells of atherosclerosis in vitro by inhibiting Ras homolog gene family A/Rho-associated protein kinase-1 signaling pathway
  40. A cross-sectional study: Relationship between serum oxidative stress levels and arteriovenous fistula maturation in maintenance dialysis patients
  41. A comparative analysis of the impact of repeated administration of flavan 3-ol on brown, subcutaneous, and visceral adipose tissue
  42. Identifying early screening factors for depression in middle-aged and older adults: A cohort study
  43. Perform tumor-specific survival analysis for Merkel cell carcinoma patients undergoing surgical resection based on the SEER database by constructing a nomogram chart
  44. Unveiling the role of CXCL10 in pancreatic cancer progression: A novel prognostic indicator
  45. High-dose preoperative intraperitoneal erythropoietin and intravenous methylprednisolone in acute traumatic spinal cord injuries following decompression surgeries
  46. RAB39B: A novel biomarker for acute myeloid leukemia identified via multi-omics and functional validation
  47. Impact of peripheral conditioning on reperfusion injury following primary percutaneous coronary intervention in diabetic and non-diabetic STEMI patients
  48. Clinical efficacy of azacitidine in the treatment of middle- and high-risk myelodysplastic syndrome in middle-aged and elderly patients: A retrospective study
  49. The effect of ambulatory blood pressure load on mitral regurgitation in continuous ambulatory peritoneal dialysis patients
  50. Expression and clinical significance of ITGA3 in breast cancer
  51. Single-nucleus RNA sequencing reveals ARHGAP28 expression of podocytes as a biomarker in human diabetic nephropathy
  52. rSIG combined with NLR in the prognostic assessment of patients with multiple injuries
  53. Toxic metals and metalloids in collagen supplements of fish and jellyfish origin: Risk assessment for daily intake
  54. Exploring causal relationship between 41 inflammatory cytokines and marginal zone lymphoma: A bidirectional Mendelian randomization study
  55. Gender beliefs and legitimization of dating violence in adolescents
  56. Effect of serum IL-6, CRP, and MMP-9 levels on the efficacy of modified preperitoneal Kugel repair in patients with inguinal hernia
  57. Effect of smoking and smoking cessation on hematological parameters in polycythemic patients
  58. Pathogen surveillance and risk factors for pulmonary infection in patients with lung cancer: A retrospective single-center study
  59. Necroptosis of hippocampal neurons in paclitaxel chemotherapy-induced cognitive impairment mediates microglial activation via TLR4/MyD88 signaling pathway
  60. Celastrol suppresses neovascularization in rat aortic vascular endothelial cells stimulated by inflammatory tenocytes via modulating the NLRP3 pathway
  61. Cord-lamina angle and foraminal diameter as key predictors of C5 palsy after anterior cervical decompression and fusion surgery
  62. GATA1: A key biomarker for predicting the prognosis of patients with diffuse large B-cell lymphoma
  63. Influencing factors of false lumen thrombosis in type B aortic dissection: A single-center retrospective study
  64. MZB1 regulates the immune microenvironment and inhibits ovarian cancer cell migration
  65. Integrating experimental and network pharmacology to explore the pharmacological mechanisms of Dioscin against glioblastoma
  66. Trends in research on preterm birth in twin pregnancy based on bibliometrics
  67. Four-week IgE/baseline IgE ratio combined with tryptase predicts clinical outcome in omalizumab-treated children with moderate-to-severe asthma
  68. Single-cell transcriptomic analysis identifies a stress response Schwann cell subtype
  69. Acute pancreatitis risk in the diagnosis and management of inflammatory bowel disease: A critical focus
  70. Effect of subclinical esketamine on NLRP3 and cognitive dysfunction in elderly ischemic stroke patients
  71. Interleukin-37 mediates the anti-oral tumor activity in oral cancer through STAT3
  72. CA199 and CEA expression levels, and minimally invasive postoperative prognosis analysis in esophageal squamous carcinoma patients
  73. Efficacy of a novel drainage catheter in the treatment of CSF leak after posterior spine surgery: A retrospective cohort study
  74. Comprehensive biomedicine assessment of Apteranthes tuberculata extracts: Phytochemical analysis and multifaceted pharmacological evaluation in animal models
  75. Relation of time in range to severity of coronary artery disease in patients with type 2 diabetes: A cross-sectional study
  76. Dopamine attenuates ethanol-induced neuronal apoptosis by stimulating electrical activity in the developing rat retina
  77. Correlation between albumin levels during the third trimester and the risk of postpartum levator ani muscle rupture
  78. Factors associated with maternal attention and distraction during breastfeeding and childcare: A cross-sectional study in the west of Iran
  79. Mechanisms of hesperetin in treating metabolic dysfunction-associated steatosis liver disease via network pharmacology and in vitro experiments
  80. The law on oncological oblivion in the Italian and European context: How to best uphold the cancer patients’ rights to privacy and self-determination?
  81. The prognostic value of the neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and prognostic nutritional index for survival in patients with colorectal cancer
  82. Factors affecting the measurements of peripheral oxygen saturation values in healthy young adults
  83. Comparison and correlations between findings of hysteroscopy and vaginal color Doppler ultrasonography for detection of uterine abnormalities in patients with recurrent implantation failure
  84. The effects of different types of RAGT on balance function in stroke patients with low levels of independent walking in a convalescent rehabilitation hospital
  85. Causal relationship between asthma and ankylosing spondylitis: A bidirectional two-sample univariable and multivariable Mendelian randomization study
  86. Correlations of health literacy with individuals’ understanding and use of medications in Southern Taiwan
  87. Correlation of serum calprotectin with outcome of acute cerebral infarction
  88. Comparison of computed tomography and guided bronchoscopy in the diagnosis of pulmonary nodules: A systematic review and meta-analysis
  89. Curdione protects vascular endothelial cells and atherosclerosis via the regulation of DNMT1-mediated ERBB4 promoter methylation
  90. The identification of novel missense variant in ChAT gene in a patient with gestational diabetes denotes plausible genetic association
  91. Molecular genotyping of multi-system rare blood types in foreign blood donors based on DNA sequencing and its clinical significance
  92. Exploring the role of succinyl carnitine in the association between CD39⁺ CD4⁺ T cell and ulcerative colitis: A Mendelian randomization study
  93. Dexmedetomidine suppresses microglial activation in postoperative cognitive dysfunction via the mmu-miRNA-125/TRAF6 signaling axis
  94. Analysis of serum metabolomics in patients with different types of chronic heart failure
  95. Diagnostic value of hematological parameters in the early diagnosis of acute cholecystitis
  96. Pachymaran alleviates fat accumulation, hepatocyte degeneration, and injury in mice with nonalcoholic fatty liver disease
  97. Decrease in CD4 and CD8 lymphocytes are predictors of severe clinical picture and unfavorable outcome of the disease in patients with COVID-19
  98. METTL3 blocked the progression of diabetic retinopathy through m6A-modified SOX2
  99. The predictive significance of anti-RO-52 antibody in patients with interstitial pneumonia after treatment of malignant tumors
  100. Exploring cerebrospinal fluid metabolites, cognitive function, and brain atrophy: Insights from Mendelian randomization
  101. Development and validation of potential molecular subtypes and signatures of ocular sarcoidosis based on autophagy-related gene analysis
  102. Widespread venous thrombosis: Unveiling a complex case of Behçet’s disease with a literature perspective
  103. Uterine fibroid embolization: An analysis of clinical outcomes and impact on patients’ quality of life
  104. Discovery of lipid metabolism-related diagnostic biomarkers and construction of diagnostic model in steroid-induced osteonecrosis of femoral head
  105. Serum-derived exomiR-188-3p is a promising novel biomarker for early-stage ovarian cancer
  106. Enhancing chronic back pain management: A comparative study of ultrasound–MRI fusion guidance for paravertebral nerve block
  107. Peptide CCAT1-70aa promotes hepatocellular carcinoma proliferation and invasion via the MAPK/ERK pathway
  108. Electroacupuncture-induced reduction of myocardial ischemia–reperfusion injury via FTO-dependent m6A methylation modulation
  109. Hemorrhoids and cardiovascular disease: A bidirectional Mendelian randomization study
  110. Cell-free adipose extract inhibits hypertrophic scar formation through collagen remodeling and antiangiogenesis
  111. HALP score in Demodex blepharitis: A case–control study
  112. Assessment of SOX2 performance as a marker for circulating cancer stem-like cells (CCSCs) identification in advanced breast cancer patients using CytoTrack system
  113. Risk and prognosis for brain metastasis in primary metastatic cervical cancer patients: A population-based study
  114. Comparison of the two intestinal anastomosis methods in pediatric patients
  115. Factors influencing hematological toxicity and adverse effects of perioperative hyperthermic intraperitoneal vs intraperitoneal chemotherapy in gastrointestinal cancer
  116. Endotoxin tolerance inhibits NLRP3 inflammasome activation in macrophages of septic mice by restoring autophagic flux through TRIM26
  117. Lateral transperitoneal laparoscopic adrenalectomy: A single-centre experience of 21 procedures
  118. Petunidin attenuates lipopolysaccharide-induced retinal microglia inflammatory response in diabetic retinopathy by targeting OGT/NF-κB/LCN2 axis
  119. Procalcitonin and C-reactive protein as biomarkers for diagnosing and assessing the severity of acute cholecystitis
  120. Factors determining the number of sessions in successful extracorporeal shock wave lithotripsy patients
  121. Development of a nomogram for predicting cancer-specific survival in patients with renal pelvic cancer following surgery
  122. Inhibition of ATG7 promotes orthodontic tooth movement by regulating the RANKL/OPG ratio under compression force
  123. A machine learning-based prognostic model integrating mRNA stemness index, hypoxia, and glycolysis‑related biomarkers for colorectal cancer
  124. Review Articles
  125. The effects of enhanced external counter-pulsation on post-acute sequelae of COVID-19: A narrative review
  126. Diabetes-related cognitive impairment: Mechanisms, symptoms, and treatments
  127. Microscopic changes and gross morphology of placenta in women affected by gestational diabetes mellitus in dietary treatment: A systematic review
  128. Review of mechanisms and frontier applications in IL-17A-induced hypertension
  129. Research progress on the correlation between islet amyloid peptides and type 2 diabetes mellitus
  130. The safety and efficacy of BCG combined with mitomycin C compared with BCG monotherapy in patients with non-muscle-invasive bladder cancer: A systematic review and meta-analysis
  131. The application of augmented reality in robotic general surgery: A mini-review
  132. The effect of Greek mountain tea extract and wheat germ extract on peripheral blood flow and eicosanoid metabolism in mammals
  133. Neurogasobiology of migraine: Carbon monoxide, hydrogen sulfide, and nitric oxide as emerging pathophysiological trinacrium relevant to nociception regulation
  134. Plant polyphenols, terpenes, and terpenoids in oral health
  135. Laboratory medicine between technological innovation, rights safeguarding, and patient safety: A bioethical perspective
  136. End-of-life in cancer patients: Medicolegal implications and ethical challenges in Europe
  137. The maternal factors during pregnancy for intrauterine growth retardation: An umbrella review
  138. Intra-abdominal hypertension/abdominal compartment syndrome of pediatric patients in critical care settings
  139. PI3K/Akt pathway and neuroinflammation in sepsis-associated encephalopathy
  140. Screening of Group B Streptococcus in pregnancy: A systematic review for the laboratory detection
  141. Giant borderline ovarian tumours – review of the literature
  142. Leveraging artificial intelligence for collaborative care planning: Innovations and impacts in shared decision-making – A systematic review
  143. Cholera epidemiology analysis through the experience of the 1973 Naples epidemic
  144. Risk factors of frailty/sarcopenia in community older adults: Meta-analysis
  145. Case Reports
  146. Delayed graft function after renal transplantation
  147. Semaglutide treatment for type 2 diabetes in a patient with chronic myeloid leukemia: A case report and review of the literature
  148. Diverse electrophysiological demyelinating features in a late-onset glycogen storage disease type IIIa case
  149. Giant right atrial hemangioma presenting with ascites: A case report
  150. Laser excision of a large granular cell tumor of the vocal cord with subglottic extension: A case report
  151. EsoFLIP-assisted dilation for dysphagia in systemic sclerosis: Highlighting the role of multimodal esophageal evaluation
  152. Rapid Communication
  153. Biological properties of valve materials using RGD and EC
  154. Letter to the Editor
  155. Role of enhanced external counterpulsation in long COVID
  156. Expression of Concern
  157. Expression of concern “A ceRNA network mediated by LINC00475 in papillary thyroid carcinoma”
  158. Expression of concern “Notoginsenoside R1 alleviates spinal cord injury through the miR-301a/KLF7 axis to activate Wnt/β-catenin pathway”
  159. Expression of concern “circ_0020123 promotes cell proliferation and migration in lung adenocarcinoma via PDZD8”
  160. Corrigendum
  161. Corrigendum to “Empagliflozin improves aortic injury in obese mice by regulating fatty acid metabolism”
  162. Corrigendum to “Comparing the therapeutic efficacy of endoscopic minimally invasive surgery and traditional surgery for early-stage breast cancer: A meta-analysis”
  163. Corrigendum to “The progress of autoimmune hepatitis research and future challenges”
  164. Retraction
  165. Retraction of “miR-654-5p promotes gastric cancer progression via the GPRIN1/NF-κB pathway”
  166. Special Issue Advancements in oncology: bridging clinical and experimental research - Part II
  167. Unveiling novel biomarkers for platinum chemoresistance in ovarian cancer
  168. Lathyrol affects the expression of AR and PSA and inhibits the malignant behavior of RCC cells
  169. The era of increasing cancer survivorship: Trends in fertility preservation, medico-legal implications, and ethical challenges
  170. Bone scintigraphy and positron emission tomography in the early diagnosis of MRONJ
  171. Meta-analysis of clinical efficacy and safety of immunotherapy combined with chemotherapy in non-small cell lung cancer
  172. Special Issue Computational Intelligence Methodologies Meets Recurrent Cancers - Part IV
  173. Exploration of mRNA-modifying METTL3 oncogene as momentous prognostic biomarker responsible for colorectal cancer development
  174. Special Issue The evolving saga of RNAs from bench to bedside - Part III
  175. Interaction and verification of ferroptosis-related RNAs Rela and Stat3 in promoting sepsis-associated acute kidney injury
  176. Special Issue Exploring the biological mechanism of human diseases based on MultiOmics Technology - Part II
  177. Dynamic changes in lactate-related genes in microglia and their role in immune cell interactions after ischemic stroke
  178. A prognostic model correlated with fatty acid metabolism in Ewing’s sarcoma based on bioinformatics analysis
  179. Special Issue Diabetes
  180. Nutritional risk assessment and nutritional support in children with congenital diabetes during surgery
  181. Correlation of the differential expressions of RANK, RANKL, and OPG with obesity in the elderly population in Xinjiang
  182. A discussion on the application of fluorescence micro-optical sectioning tomography in the research of cognitive dysfunction in diabetes
  183. Special Issue Biomarker Discovery and Precision Medicine
  184. CircASH1L-mediated tumor progression in triple-negative breast cancer: PI3K/AKT pathway mechanisms
Heruntergeladen am 19.9.2025 von https://www.degruyterbrill.com/document/doi/10.1515/med-2024-1092/html
Button zum nach oben scrollen