Type II diabetes mellitus (T2DM) is a chronic metabolic disease characterized by prolonged hyperglycemia and insulin resistance (IR). Its incidence is increasing annually, posing a significant threat to human life and health. Consequently, there is an urgent requirement to discover effective drugs and investigate the pathogenesis of T2DM. Autophagy plays a crucial role in maintaining normal islet structure. However, in a state of high glucose, autophagy is inhibited, resulting in impaired islet function, insulin resistance, and complications. Studies have shown that modulating autophagy through activation or inhibition can have a positive impact on the treatment of T2DM and its complications. However, it is important to note that the specific regulatory mechanisms vary depending on the target organ. This review explores the role of autophagy in the pathogenesis of T2DM, taking into account both genetic and external factors. It also provides a summary of reported chemical drugs and traditional Chinese medicine that target the autophagic pathway for the treatment of T2DM and its complications.

According to traditional Chinese medicine, Scutellaria baicalensis Georgi possesses the therapeutic properties of heat-clearing, dampness-drying, diarrhea alleviation, and detoxification, making it a clinically used remedy for respiratory infections. The objective of this study was to investigate the changes in constituent content, pharmacodynamic effects, and material basis of Scutellaria baicalensis Georgi in the plasma of mice infected with respiratory syncytial virus (RSV). The results showed that a sensitive and efficient high-performance liquid chromatography with tandem mass spectrometry (HPLC-MS/MS) method was established in this study. Multiple quantitative analyses of Baicalein, Apigenin-7-glucuronide, Baicalin, Oroxylin A 7-O-beta-d-glucuronide, Wogonoside, Norwogonin, Wogonin, Chrysin, and Oroxylin A in mouse plasma revealed a bimodal absorption phenomenon within the time frame of 0.167 h to 6 h post-administration, with the exception of chrysin. Following 6 h of administration, the concentrations of 9 components continued to decrease until they became undetectable. In comparison to the model group, all administered groups exhibited significant reductions in lung index and viral load, with their lung index repair rate and viral suppression rate aligning with the blood concentration-time curve. Finally, through the application of the gray correlation analysis method, we identified Baicalein, Baicalin, Oroxylin A 7-O-beta-d-glucuronide, Wogonoside, Norwogonin, and Wogonin as potential pharmacodynamic material bases of Scutellaria baicalensis Georgi against RSV infection.

Ginseng Radix et Rhizoma Rubra (Panax ginseng C.A. Mey, Hongshen, in Chinese) and Ophiopogonis Radix (Ophiopogon japonicus (L.f) Ker-Gawl., Maidong, in Chinese) are traditional Chinese herbal pairs, which were clinically employed to enhance the immune system of cancer patients. This study employed the pharmacokinetic and pharmacodynamic (PK–PD) spectrum-effect association model to investigate the antitumor active substances of P. ginseng and O. japonicus (PG–OJ). The metabolic processes of 20 major bioactive components were analyzed using Ultra-Performance Liquid Chromatography–Mass Spectrometry/Mass Spectrometry (UPLC–MS/MS) in the lung tissue of tumor-bearing mice treated with PG–OJ. The ELISA method was employed to detect the levels of TGF-β1, TNF-α, and IFN-γ in the lung tissue of mice at various time points, and to analyze their changes after drug administration. The results showed that all components presented a multiple peaks absorption pattern within 0.083 to 24 h post-drug administration. The tumor inhibition rate of tumor and repair rate of IFN-γ, TNF-α, and TGF-β1 all increased, indicating a positive therapeutic effect of PG–OJ on A549 tumor-bearing mice. Finally, a PK–PD model based on the GBDT algorithm was developed for the first time to speculate that Methylophiopogonanone A, Methylophiopogonanone B, Ginsenoside Rb₁, and Notoginsenoside R1 are the main active components in PG–OJ for lung cancer treatment.

Ginsenosides, the main active compounds in American ginseng, have notable pharmacological effects, with rare ginsenosides offering higher bioavailability and bioactivity despite low abundance. Cordyceps militaris, an edible fungus, produces cordycepin and secretes enzymes like β-glucosidase that convert and enhance ginsenoside content. This study employed solid-state fermentation of American ginseng with C. militaris to investigate ginsenoside conversion and enrichment, alongside analyzing changes in cordycepin, gene expression, and metabolites during fermentation. In this study, 30 % powdered ginseng was added to the C. militaris culture medium, with samples collected on different days for HPLC analysis of ginsenosides and cordycepin. Transcriptome sequencing and metabolomics analysis of C. militaris was performed on day 40 to investigate the pathways and mechanisms involved in the transformation and enrichment of these components. HPLC analysis revealed that cordycepin levels in C. militaris cultured with American ginseng increased over time. Rare ginsenoside CK rose from undetectable to 11.81 mg, alongside significant increases in other rare ginsenosides. Mass spectrometry suggests ginsenoside CK is biosynthesized from Rb1 through intermediates Rd and F2. Transcriptome sequencing and metabolomics analysis revealed elevated expression of β-glucosidase and cordycepin synthesis genes. β-glucosidase is involved in carbohydrate and amino acid metabolism pathways, promoting substrate accumulation and providing energy for cordycepin synthesis. This study demonstrates that co-culture of American ginseng with C. militaris enables bidirectional biotransformation: fungal enzymes convert ginsenosides into rare ginsenosides, while ginseng nutrients upregulate cordycepin biosynthesis. It offers a novel, eco-friendly approach for targeted transformation and enrichment of active ingredients.

Objectives: This study aimed to investigate the therapeutic effects and potential mechanisms of Lonicerae japonicae Flos (Jinyinhua, JYH) against respiratory syncytial virus (RSV)-induced pneumonia by integrating lung tissue metabolomics with gut microbiota analysis. Methods: An RSV-infected mouse model was established through intranasal inoculation. Lung pathological changes, viral RNA levels, lung index, and inflammatory cytokine levels were evaluated. Untargeted metabolomics and 16S rRNA gene amplicon sequencing were performed to characterize JYH-mediated alterations in pulmonary metabolites and the gut microbiota. Spearman correlation analysis was conducted to assess associations between differentially abundant bacterial genera and significantly altered metabolites. Results: JYH alleviated RSV-induced pulmonary histopathological injury, reduced viral RNA levels, decreased lung index and interleukin-6 (IL-6) levels, and increased interferon-γ (IFN-γ) levels. Metabolomic profiling identified 46 differential metabolites, among which 26 showed a reversal trend following JYH administration. These metabolites were mainly enriched in pathways associated with the synaptic vesicle cycle, lysosomal function, and Forkhead box O (FoxO) signaling. Gut microbiota analysis showed that JYH increased microbial richness and diversity, whereas KEGG-based functional prediction indicated that the differentially abundant taxa were primarily involved in amino acid, carbohydrate, and nucleotide metabolism. Moreover, correlation analysis revealed significant associations between key bacterial genera, including Gemella, Sutterella, and CC_115, and differential metabolites such as pyridoxamine, uridine monophosphate (UMP), and argininosuccinic acid. Conclusions: JYH may protect against RSV-induced pneumonia by restoring pulmonary metabolic homeostasis and modulating gut microbiota composition. These findings provide new insights into metabolite–microbiota interactions underlying the anti-RSV activity of JYH.

Lonicerae japonicae Flos (LJF) is a medicinal and edible herbal material whose chemical characteristics and biological activity may vary with geographical origin. In this study, 27 LJF batches from Shandong, Henan, and Hebei Provinces were evaluated using headspace gas chromatography–ion mobility spectrometry (HS–GC–IMS), multivariate analysis, and a mouse model of Staphylococcus aureus superinfection following influenza A (H1N1) virus infection. HS–GC–IMS detected 62 volatile ion signals; 49 were tentatively assigned to 36 unique volatile organic compounds (VOCs), while 13 remained unidentified. Fingerprint analysis revealed distinct origin-associated differences in volatile profiles, and OPLS–DA showed the clearest separation of Shandong samples from those from Henan and Hebei (R²Y = 0.898; Q² = 0.844). Thirty-two VIP-ranked signals were identified as candidate discriminant variables. In vivo, LJF aqueous extracts reduced the lung index, pulmonary bacterial burden, and relative NP RNA expression. Samples from Shandong and Henan generally showed greater improvements than those from Hebei across the evaluated endpoints. Overall, both the chemical and pharmacodynamic datasets indicated origin-associated variation in LJF. Direct relationships between specific volatile constituents and pharmacodynamic effects, however, were not established. These findings support the integration of HS–GC–IMS profiling with pharmacodynamic assessment as a practical framework for origin-related quality evaluation of LJF, while targeted confirmation of key discriminatory VOCs and further chemical–efficacy analyses remain warranted.