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  • Si-jia WANG, Kang-ru QI, Zhi-qiang ZHAO, Qing-ying FANG, Han-wen YU, Juan LIANG, Liang-ping ZHA
    Acta Pharmaceutica Sinica. 2026, 61(8): 3207-3216.

    The traditional Chinese medicinal material Mugua is derived from the dried fruit of Chaenomeles speciosa (Sweet) Nakai (Rosaceae). The material produced in Xuancheng, Anhui Province, is regarded as a geo-authentic medicinal material and is commonly referred to as "Xuan Mugua". C. speciosa is a medicinal and edible plant with a long history of use in traditional Chinese medicine. In this study, we sequenced and assembled the complete chloroplast genome of C. speciosa using the Illumina platform and performed comprehensive genome annotation. Repetitive sequences were analyzed with REPuter and MISA, codon usage bias was evaluated via relative synonymous codon usage (RSCU), and comparative analyses of inverted repeat (IR) boundaries and phylogenetic relationships were conducted among closely related Chaenomeles species. The chloroplast genome is 159 991 bp in length, exhibiting a typical quadripartite structure with a GC content of 36.5%, and encodes 126 genes, including 83 protein-coding genes, 35 tRNAs, and 8 rRNAs. Seventy-six simple sequence repeats (SSRs) and 55 long repeat sequences were identified, with SSRs primarily consisting of A/T mononucleotides and predominantly located in the large single copy (LSC) and intergenic regions. Codon usage analysis showed that 30 codons have a preference (RSCU > 1), mostly ending with A/U. Comparative analysis of IR boundaries indicated high conservation within the genus. Genome variation analysis revealed four highly variable regions in the LSC (trnR-atpA, petN-psbM, trnT-GGU-psbD, trnV-M). Phylogenetic analysis confirmed that Chaenomeles is monophyletic, with C. speciosa closely related to C. japonica and C. tibetica. This work provides the first detailed characterization of the C. speciosa chloroplast genome and phylogeny, and the identified SSRs and highly variable regions represent valuable resources for germplasm identification and evolutionary studies in Chaenomeles.

  • Lei WANG, Qi-dong YOU
    Acta Pharmaceutica Sinica. 2026, 61(7): 2377-2387.

    In 2025, innovation in drug development remained stable, with the proportion of first-in-class drugs continuing to increase. The Center for Drug Evaluation and Research (CDER) of the US Food and Drug Administration (FDA) approved a total of 46 new drugs in the past year, including 34 new molecular entities (NMEs) and 12 biologics license applications (BLAs). The number of approvals slightly decreased compared to the previous three years. This year, 31 small molecule drugs were approved, accounting for 67% of the total, among which 13 were first in class small molecule drugs. The treatment areas covered rare diseases, oncology, autoimmune diseases, respiratory diseases, and more. Several first in class small molecule drugs have breakthrough clinical value, such as the world's first non-opioid analgesic drug, NaV1.8 inhibitor suzetrigine, the first approved local TRPM8 receptor agonist acoltremon for dry eye disease, the first targeted mitochondrial inner membrane cardiolipin elamipretide, the first approved selective phosphodiesterase 4B (PDE4B) inhibitor nerandomilast for idiopathic pulmonary fibrosis (IPF), and the first selective oral Menin-MLL inhibitor iftomenib. First in class drugs have significant clinical, academic, and commercial value and have attracted extensive attention from patients, researchers and enterprises. This article briefly analyzes the research background, process and therapeutic applications of three representative first in class small molecule drugs from the perspective of medicinal chemistry, with the aim of providing more research directions and methods for the development of first in class drugs.

  • Rong CONG, Hao LIU, Jun WANG
    Acta Pharmaceutica Sinica. 2026, 61(7): 2388-2397.

    The 2025 edition of the Chinese Pharmacopoeia defines films as film-like preparations made by processing active pharmaceutical ingredients with suitable polymers, intended for oral or mucosal use. Among these, orodispersible films (ODFs) are specifically defined as films that rapidly dissolve in the oral cavity to exert systemic or local effects. ODFs circumvent the drawbacks associated with orally disintegrating tablets, such as fragility and the potential risk of choking. This dosage form has aroused significant interest among both academic world and the pharmaceutical industry due to its accurate dosing, portability, and suitability for elderly and pediatric patients or those with swallowing difficulties. This review summarizes the advantages and limitations of ODFs, their listing status, suitable active pharmaceutical ingredients, commonly used excipients, preparation techniques, and emerging nanoparticle technologies. Additionally, it emphasizes quality evaluation requirements—such as dissolution, disintegration time, and mechanical properties—tailored to the characteristics of this dosage form. The aim is to provide readers and researchers with a comprehensive understanding of the development and evaluation of ODFs.

  • Pei-pei KONG, Chi-jing ZUO, Wen-hui LUO, Jing ZHANG, Huan-huan LIU, Can PENG
    Acta Pharmaceutica Sinica. 2026, 61(7): 2398-2406.

    This study focuses on the innovative applications of microneedles in transdermal drug delivery, aiming to explore their underlying mechanisms for overcoming skin barrier limitations and summarise cutting-edge advances. Recent transdermal delivery research has increasingly emphasised mechanism optimisation and material innovation for microneedles. This review analyses five delivery mechanisms — including "poke and patch" and "coat and poke" — clarifying their principles, advantages, and existing challenges. By examining application cases across ophthalmic disorders, dermatology, oncology, autoimmune diseases, and chronic metabolic conditions, it demonstrates broad prospects for drug delivery efficiency and health monitoring. Future efforts must address critical challenges including scalable production, long-term safety validation, and personalised treatment approaches to accelerate clinical translation.

  • Shi-cong WANG, Shu-yan CHEN, Lu-ye LIN, Fang WU
    Acta Pharmaceutica Sinica. 2026, 61(7): 2407-2416.

    Bile acids (BAs) have evolved from their traditional role as auxiliary molecules in lipid digestion to critical signaling molecules regulating host metabolism. In recent years, the role of microbiota-derived bile acid-modifying enzymes and their mediated novel bile acid metabolic pathways in the pathogenesis and progression of metabolic diseases has become increasingly prominent. These microbial enzymes fine-tune glucose and lipid metabolism, energy homeostasis, and inflammatory responses by modulating the composition and proportion of the bile acid pool, thereby influencing the activity of key receptors such as the farnesoid X receptor (FXR) and the G protein-coupled bile acid receptor (TGR5). The theory of "harmonizing the liver and spleen" in traditional Chinese medicine (TCM) is closely related to the maintenance of homeostasis of the liver-spleen axis. TCM posits that "liver Qi failing to ensure free flow" (liver dysfunction) and "spleen failing to transport and transform" (spleen dysfunction) are the core pathogenesis of metabolic diseases, while modern research has confirmed their intrinsic pathophysiological links to bile acid metabolic disorders and gut microbiota dysbiosis. Studies have shown that TCM formulations and active ingredients based on the "harmonizing the liver and spleen" principle can effectively ameliorate metabolic disorders such as insulin resistance and lipid accumulation by targeted intervention of microbiota-derived bile acid-modifying enzymes, regulating downstream receptor signaling pathways like FXR and TGR5, consequently correcting bile acid metabolic abnormalities and remodeling the gut microbiota structure. This review systematically summarizes the key targets of the microbiota-derived bile acid-receptor axis in metabolic diseases and delves into the intervention mechanisms of "harmonizing the liver and spleen" TCM strategies based on this axis, aiming to provide a new scientific explanation and potential therapeutic strategies for the prevention and treatment of metabolic diseases with TCM.

  • Zi-xuan FAN, Song LI, Yang LIU, Wu ZHONG
    Acta Pharmaceutica Sinica. 2026, 61(7): 2417-2427.

    Microreactors and related technologies, as key components of continuous manufacturing, offer significant advantages in pharmaceutical production, including enhanced manufacturing flexibility, substantial cost reduction, shortened reaction times, improved production efficiency, environmental sustainability, and strengthened supply chain resilience. They are widely regarded as a core enabling technology for realizing continuous pharmaceutical manufacturing and driving the transformation and upgrading of the pharmaceutical industry. In particular, the integration of microreactors with artificial intelligence and automation technologies has reshaped the traditional large-scale production paradigm of "reactor-production line-manufacturing plant", giving rise to new characteristics such as intelligent controllability, operational flexibility, and mobility, as well as modular and stepwise integration, and on-demand production. This paper systematically reviews the performance characteristics of various types of microreactors in pharmaceutical synthesis and their potential applications in intelligent, continuous pharmaceutical manufacturing. Furthermore, it analyzes the development of intelligent and distributed pharmaceutical synthesis systems enabled by the deep integration of artificial intelligence and chip-based microreactors, aiming to achieve continuous, precise, and emergency-responsive drug production, thereby providing important support for the digitalization and intelligent transformation of pharmaceutical manufacturing.

  • Jia-jie LI, Jia-qi WANG, Ya-ping WANG, Gui-rong ZHANG, Jin-xing LIU, Ze ZHOU, Cheng LUO, Jia-bao LIAO, He-guo YAN, Qin LI, Huan-tian CUI, Wei-bo WEN
    Acta Pharmaceutica Sinica. 2026, 61(7): 2428-2446.

    Diabetic kidney disease (DKD) is a progressive renal complication for which effective reversal strategies remain elusive. Traditional Chinese medicine (TCM), based on the principle of "strengthening the body's defenses and expelling pathogens" demonstrates advantages in multi-targeted, holistic regulation for controlling blood glucose and improving renal function. Astragalus membranaceus, a key Qi-tonifying herb, excels at replenishing Qi, elevating Yang, promoting diuresis, and reducing edema. Its properties align closely with the core pathogenesis of DKD—Qi deficiency with retention of turbidity—making it a frequently used clinical agent for preventing and treating DKD. This systematic review of relevant literature reveals that Astragalus membranaceus, through its active components (e.g., astragaloside Ⅳ, astragalus polysaccharide, and calycosin), synergistic combinations (e.g., Astragalus membranaceus-Dioscorea opposita, Astragalus membranaceus-Cornus officinalis, Astragalus membranaceus-Caragana sinica), and formulae (e.g., Shenqi Dihuang Decoction, Yuye Decoction, Huangqi Gegen Decoction, Huangqi Liuyi Decoction, Huangqi Decoction), and related proprietary Chinese medicines like Keluxin Capsule, Shenqi Jiangtang Capsule, and Niaoduqing Granule demonstrate promising potential in DKD prevention and treatment. Its mechanisms involve regulating glucose and lipid metabolism, inhibiting oxidative stress and inflammatory responses, improving insulin resistance, and modulating multiple pathways of programmed cell death (pyroptosis/apoptosis/ferroptosis/autophagy), counteracting renal fibrosis, and alleviating endoplasmic reticulum stress. This review systematically summarizes research progress on Astragalus membranaceus and its formula combinations in intervening DKD, aiming to preliminarily elucidate the modern scientific implications of Astragalus membranaceus's "Qi-tonifying and water-draining" efficacy, providing reference for its clinical application and further investigation.

  • Tian-shun TANG, Tao MA
    Acta Pharmaceutica Sinica. 2026, 61(7): 2447-2456.

    Schisandra chinensis, a traditional Chinese materia medica, possesses unique pharmacological activities and extensive clinical application value. Its processing techniques have evolved and improved over thousands of years. In the traditional Chinese medicine system, the processing of Schisandra chinensis directly affects its efficacy and is closely related to quality control and medication safety. Currently, there are still deficiencies in the standardization of processing techniques, quality control of active components, and research on the component-efficacy relationship. This review summarizes the historical evolution and modern technological advancements in the processing of Schisandra chinensis. Integrating contemporary analytical techniques and pharmacological studies, it discusses the quality control methods for its main active components, the mechanisms by which different processing methods influence these components and their efficacy, as well as its applications in metabolic diseases, liver diseases, respiratory diseases, and neurological disorders. This paper aims to provide a reference for the standardization of processing techniques, the precision of quality control, and the modernization of clinical applications of Schisandra chinensis.

  • Shu LIU, Ai-ting WANG, Jiang-lan LONG, Juan-juan LIU, Ke-jun DENG, Hao LIN, Ying ZHANG, Dan YAN
    Acta Pharmaceutica Sinica. 2026, 61(7): 2457-2463.

    Deciphering the "multi-component, multi-target" synergistic regulation of traditional Chinese medicine (TCM) is a pivotal scientific challenge, particularly given ongoing debates over its relevance to holistic therapeutic outcomes and disease prognosis. Building on the framework of Molecular Holistic State Medicine and the concept that mesoscale key functional modules, termed functional assemblies, serve as the structural basis for TCM's holistic efficacy, this study employs "Xiaoke", a condition where TCM demonstrates recognized therapeutic advantages, and the classical formula Xiaoke Prescription as a proof-of-concept model. Guided by the translational principle of "from clinical observation, through experimental validation, back to clinical confirmation", the investigation starts with a retrospective matched clinical cohort to characterize the molecular holistic profile of diabetes and its evolution under Xiaoke Prescription treatment. These clinical findings are then integrated with mechanistic studies to identify the mesoscale key functional modules responsible for Xiaoke Prescription's antidiabetic effects and to reveal the nonlinear regulatory dynamics through which multiple bioactive components modulate multiple targets within these modules. Finally, prospective clinical trials are conducted to verify the synergistic antidiabetic mechanisms of Xiaoke Prescription through the holistic response of the identified mesoscale modules. By shifting mechanistic interpretation from "macroscopic phenotypes" and "microscopic molecules" to "systems-level integration", this study proposes a novel paradigm and technical platform for unraveling the "multi-component, multi-target" synergistic mechanisms underlying TCM interventions.

  • Han ZHENG, Lu FU, Yu-te ZHONG, Wei-jie LI, Jian-li GUAN, Dan WU, Ping WANG, Hai-yu XU
    Acta Pharmaceutica Sinica. 2026, 61(7): 2464-2478.

    This study systematically characterized the chemical composition of Yuanhu Zhitong Oral Liquid (YZOL) and elucidated its therapeutic mechanism in primary dysmenorrhea (PD). Using UPLC-Q-TOF-MS/MS, a total of 100 constituents were preliminarily identified in YZOL, predominantly isoquinoline alkaloids and coumarins. A rat model of PD was established by combined administration of estradiol benzoate and oxytocin, and the pharmacological effects of YZOL were comprehensively evaluated through behavioral assessment, quantification of dysmenorrhea-related mediators, and histopathological examination. The results demonstrated that YZOL significantly reduced writhing frequency and prolonged writhing latency in PD rats (P < 0.05). Specifically, medium- and high-dose YZOL markedly decreased the PGF2α/PGE2 ratio (P < 0.05), while all dose groups significantly reduced the TXB2/6-keto-PGF1α ratio (P < 0.05). Consistently, YZOL treatment markedly ameliorated uterine histopathological damage, with the high-dose group exhibiting tissue morphology closest to normal. Transcriptomic profiling of uterine tissues identified 403 genes reversed by YZOL treatment, including 280 upregulated and 123 downregulated genes in the YZOL-H versus PD comparison. KEGG pathway enrichment analysis indicated that these reversed genes were primarily involved in the TGF-β, Rap1, PI3K-Akt, and MAPK signaling pathways, as well as ovarian steroidogenesis. Functional annotation further revealed that these pathways are closely associated with nociceptive signaling, inflammatory responses, synaptic activity, and hormone biosynthesis, and that their aberrant activation contributes to pain sensitization, inflammatory mediator release, and excessive uterine smooth muscle contraction during PD progression. Integrative analysis combining transcriptomics and network pharmacology identified seven core targets associated with key pathological processes, including pain transmission, inflammatory regulation, and uterine smooth muscle contraction. Molecular docking analysis using AutoDock Vina demonstrated that berberine, peucedanoside, bakuchiol alcohol, and other constituents exhibited strong binding affinities toward these targets, with binding energies comparable to or exceeding those of positive control compounds. In addition, several compounds showed favorable oral bioavailability, suggesting their potential contribution to the in vivo efficacy of YZOL. Based on bioinformatics analysis and batch molecular docking, a multidimensional "active component-key target-biological effect" network was constructed to systematically illustrate the therapeutic mechanism of YZOL against PD. Collectively, these findings indicate that YZOL exerts anti-dysmenorrheic effects through a multi-component, multi-target, and multi-pathway mode of action, in which key constituents including berberine, peucedanoside, bakuchiol alcohol, dihydrochelerythrine, and imperatorin may act on targets such as IL1B, PRKCG, TRPV1, and PTGER2 to coordinately modulate pain signaling, inflammatory responses, and uterine smooth muscle contraction. The experiment was approved by the Laboratory Animal Ethics Committee of the Institute of Chinese Materia Medica, China Academy of Chinese Medical Sciences (approval No. 2021B020).