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International Journal of Molecular Medicine
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Print ISSN: 1107-3756 Online ISSN: 1791-244X
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December-2026 Volume 58 Issue 6

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Review Open Access

Multi‑target mechanisms of paeoniflorin in inflammatory regulation: A network pharmacology (Review)

  • Authors:
    • Jin Zhang
    • Junjie Ye
    • Kun Jin
    • Xuan Sun
    • Xinyu Yu
    • Yuan Zhao
    • Ni Zhu
  • View Affiliations / Copyright

    Affiliations: School of Stomatology and Ophthalmology, Xianning Medical College, Hubei University of Science and Technology, Xianning, Hubei 437100, P.R. China, Hubei Key Laboratory of Environmental Risks and Related Diseases Precision Control, School of Basic Medicine Sciences, Hubei University of Science and Technology, Xianning, Hubei 437100, P.R. China, School of Biomedical Engineering, Xianning Medical College, Hubei University of Science and Technology, Xianning, Hubei 437100, P.R. China
    Copyright: © Zhang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 339
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    Published online on: October 9, 2026
       https://doi.org/10.3892/ijmm.2026.6010
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Abstract

Paeoniflorin (PF), a monoterpene glycoside from Paeonia roots, shows low toxicity and broad anti‑inflammatory activity. A systematic review (PubMed, through 2025) with network pharmacology indicates that PF restores mitochondrial function, raises anti‑inflammatory mediators (IL‑10 and arginase‑1), reduces TNF‑α, IL‑1β and IL‑6, and eases oxidative stress. Its effects hinge on intertwined routes, dampening TLR4/MyD88, blocking NF‑κB nuclear entry, lowering MAPK phosphorylation, reshaping JAK‑STAT, and disrupting NLRP3 inflammasome assembly. Network mapping singles out a conserved core module (MAPK1, MAPK3, HSP90AA1, TP53, ESR1, BCL2, HIF1A, IL6, IL10 and FGF2), with HSP90AA1 and ESR1 as disease‑tailored effectors in rheumatoid arthritis and osteoarthritis (OA). PF absorbs fast and gathers in the liver with minimal toxicity, yet oral availability stays poor. Preclinical promise spans OA, colitis, and atherosclerosis, while clinical data remain thin. Synergistic pairing with other agents and structural refinement of PF broaden its reach, though such computational leads need experimental corroboration. Future efforts should improve its bioavailability, develop targeted delivery systems, and conduct rigorous clinical trials to move PF from tradition to evidence‑based medicine.

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Copy and paste a formatted citation
Spandidos Publications style
Zhang J, Ye J, Jin K, Sun X, Yu X, Zhao Y and Zhu N: Multi‑target mechanisms of paeoniflorin in inflammatory regulation: A network pharmacology (Review). Int J Mol Med 58: 339, 2026.
APA
Zhang, J., Ye, J., Jin, K., Sun, X., Yu, X., Zhao, Y., & Zhu, N. (2026). Multi‑target mechanisms of paeoniflorin in inflammatory regulation: A network pharmacology (Review). International Journal of Molecular Medicine, 58, 339. https://doi.org/10.3892/ijmm.2026.6010
MLA
Zhang, J., Ye, J., Jin, K., Sun, X., Yu, X., Zhao, Y., Zhu, N."Multi‑target mechanisms of paeoniflorin in inflammatory regulation: A network pharmacology (Review)". International Journal of Molecular Medicine 58.6 (2026): 339.
Chicago
Zhang, J., Ye, J., Jin, K., Sun, X., Yu, X., Zhao, Y., Zhu, N."Multi‑target mechanisms of paeoniflorin in inflammatory regulation: A network pharmacology (Review)". International Journal of Molecular Medicine 58, no. 6 (2026): 339. https://doi.org/10.3892/ijmm.2026.6010
Copy and paste a formatted citation
x
Spandidos Publications style
Zhang J, Ye J, Jin K, Sun X, Yu X, Zhao Y and Zhu N: Multi‑target mechanisms of paeoniflorin in inflammatory regulation: A network pharmacology (Review). Int J Mol Med 58: 339, 2026.
APA
Zhang, J., Ye, J., Jin, K., Sun, X., Yu, X., Zhao, Y., & Zhu, N. (2026). Multi‑target mechanisms of paeoniflorin in inflammatory regulation: A network pharmacology (Review). International Journal of Molecular Medicine, 58, 339. https://doi.org/10.3892/ijmm.2026.6010
MLA
Zhang, J., Ye, J., Jin, K., Sun, X., Yu, X., Zhao, Y., Zhu, N."Multi‑target mechanisms of paeoniflorin in inflammatory regulation: A network pharmacology (Review)". International Journal of Molecular Medicine 58.6 (2026): 339.
Chicago
Zhang, J., Ye, J., Jin, K., Sun, X., Yu, X., Zhao, Y., Zhu, N."Multi‑target mechanisms of paeoniflorin in inflammatory regulation: A network pharmacology (Review)". International Journal of Molecular Medicine 58, no. 6 (2026): 339. https://doi.org/10.3892/ijmm.2026.6010
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