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Peer-reviewedCC BYJournal of traditional and complementary medicine

Qianjin Baoyun Wan reduces spontaneous abortion and the prothrombotic state in pregnant rats

  1. 1Department of Neurology, The Affiliated Hospital of Guizhou Medical University, Guizhou, China
  2. 2Guangzhou Pharmaceutical Co. Ltd., Guangzhou, 510130, China
  3. 3Guangzhou Baiyunshan Chenliji Pharmaceutical Factory Co., Ltd., Guangzhou, 510288, China

Abstract

Background and aim: Recurrent spontaneous abortion (RSA) is closely associated with a prothrombotic state (PTS) in the first trimester of pregnancy. Qianjin Baoyun Wan (QBW), a traditional Chinese medicine formula, has historically been prescribed to prevent threatened miscarriage and pregnancy-related lumbago, while its efficacy and underlying mechanisms in RSA complicated by PTS remain to be elucidated. This study aimed to investigate the therapeutic effects and potential pharmacological mechanisms of QBW in a rat model of RSA with PTS.

Experimental procedure: Spontaneous abortion was induced in pregnant rats by mifepristone, and PTS was established via epinephrine administration. The therapeutic effects of QBW were assessed by measuring miscarriage rate, uterine contractility, and uterine microcirculation morphology. Coagulation-related parameters (APTT, TT, PT, fibrinogen) were evaluated. Thrombosis-related and pregnancy-related biomarkers were quantified by ELISA. In addition, network pharmacology and network toxicology were employed to predict the potential pharmacodynamic targets and toxicological profiles of QBW.

Results and conclusion: QBW reduced miscarriage rates and uterine contractility while improving pregnancy-related biomarkers. It restored uterine microcirculation (capillary density and diameter), prolonged coagulation time, lowered fibrinogen, and restored the balance between antithrombotic factors (e.g., AT-III, 6-keto-PGF1α) and prothrombotic factors (e.g., D-dimer, TXB2). Network pharmacology predicted immunoregulatory, anti-inflammatory, and antioxidant mechanisms underlying its effects against RSA with PTS, though potential signals of hepatic and reproductive organ effects were noted. These findings suggest that QBW may have therapeutic potential for RSA with PTS, although further preclinical and clinical validation is required.

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BibTeX
@article{zeng2026qianjin,
  title = {{Qianjin Baoyun Wan reduces spontaneous abortion and the prothrombotic state in pregnant rats}},
  author = {Hekun Zeng and Hui Ding and Tingting Wang and Mengqin Yi and Anzidine Mohamed and Jiaqin Pan and Mingyao You and Qunqun Du and Anqi Luo and Renan Qin and Hong Nie},
  journal = {Journal of traditional and complementary medicine},
  year = {2026},
  month = sep,
  doi = {10.1016/j.jtcme.2026.09.006},
  url = {https://europepmc.org/article/PMC/PMC13729029},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Qianjin Baoyun Wan reduces spontaneous abortion and the prothrombotic state in pregnant rats
AU  - Hekun Zeng
AU  - Hui Ding
AU  - Tingting Wang
AU  - Mengqin Yi
AU  - Anzidine Mohamed
AU  - Jiaqin Pan
AU  - Mingyao You
AU  - Qunqun Du
AU  - Anqi Luo
AU  - Renan Qin
AU  - Hong Nie
PY  - 2026
DA  - 2026/09/23
JO  - Journal of traditional and complementary medicine
DO  - 10.1016/j.jtcme.2026.09.006
UR  - https://europepmc.org/article/PMC/PMC13729029
AB  - Background and aim: Recurrent spontaneous abortion (RSA) is closely associated with a prothrombotic state (PTS) in the first trimester of pregnancy. Qianjin Baoyun Wan (QBW), a traditional Chinese medicine formula, has historically been prescribed to prevent threatened miscarriage and pregnancy-related lumbago, while its efficacy and underlying mechanisms in RSA complicated by PTS remain to be elucidated. This study aimed to investigate the therapeutic effects and potential pharmacological mechanisms of QBW in a rat model of RSA with PTS.  Experimental procedure: Spontaneous abortion was induced in pregnant rats by mifepristone, and PTS was established via epinephrine administration. The therapeutic effects of QBW were assessed by measuring miscarriage rate, uterine contractility, and uterine microcirculation morphology. Coagulation-related parameters (APTT, TT, PT, fibrinogen) were evaluated. Thrombosis-related and pregnancy-related biomarkers were quantified by ELISA. In addition, network pharmacology and network toxicology were employed to predict the potential pharmacodynamic targets and toxicological profiles of QBW.  Results and conclusion: QBW reduced miscarriage rates and uterine contractility while improving pregnancy-related biomarkers. It restored uterine microcirculation (capillary density and diameter), prolonged coagulation time, lowered fibrinogen, and restored the balance between antithrombotic factors (e.g., AT-III, 6-keto-PGF1α) and prothrombotic factors (e.g., D-dimer, TXB2). Network pharmacology predicted immunoregulatory, anti-inflammatory, and antioxidant mechanisms underlying its effects against RSA with PTS, though potential signals of hepatic and reproductive organ effects were noted. These findings suggest that QBW may have therapeutic potential for RSA with PTS, although further preclinical and clinical validation is required.
SN  - 2225-4110
ER  -