[1] Humbert M, Kovacs G, Hoeper MM, et al. 2022 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension[J]. Eur Respir J, 2023, 61: 2200879. doi:10.1183/13993003.00879-2022. [2] Mocumbi A, Humbert M, Saxena A, et al. Pulmonary hypertension[J]. Nat Rev Dis Primers, 2024, 10: 1. doi:10.1038/s41572-023-00486-7. [3] Maron BA. Sotatercept and the clinical transformation of pulmonary arterial hypertension[J]. N Engl J Med, 2025, 392: 2059-2061. [4] Yang X, Yang Y, Liu K, et al. Traditional Chinese medicine monomers: Targeting pulmonary artery smooth muscle cells proliferation to treat pulmonary hypertension[J]. Heliyon, 2023, 9: e14916. doi:10.1016/j.heliyon.2023.e14916. [5] Wang X, Deng T, Zhu H, et al. Chinese herbal medicine in hypoxic pulmonary hypertension treatment: mechanisms, progress, and future directions[J]. Drug Des Devel Ther, 2025, 19: 8265-8294. [6] Cuthbertson I, Morrell NW, Caruso P. BMPR2 mutation and metabolic reprogramming in pulmonary arterial hypertension[J]. Circ Res, 2023, 132: 109-126. [7] Zhang JR, Ouyang X, Hou C, et al. Natural ingredients from Chinese materia medica for pulmonary hypertension[J]. Chin J Nat Med, 2021, 19: 801-814. [8] Sun ZY, Lu GQ, Sun HY, et al. Salidroside amelio-rates hypoxic pulmonary hypertension by regulating the two-pore domain potassium TASK-1 channel[J]. Phytomedicine, 2024, 135: 156206. doi:10.1016/j.phymed.2024.156206. [9] Li J, Zhang Z, Zhu C, et al. Salidroside enhances NO bioavailability and modulates arginine metabolism to alleviate pulmonary arterial hypertension[J]. Eur J Med Res, 2024, 29: 423. doi:10.1186/s40001-024-02016-x. [10] Provencher S, Archer SL, Ramirez FD, et al. Standards and methodological rigor in pulmonary arterial hypertension preclinical and translational research[J]. Circ Res, 2018, 122: 1021-1032. [11] Niu Z, Fu M, Li Y, et al. Osthole alleviates pulmonary vascular remodeling by modulating microRNA-22-3p mediated lipid metabolic reprogramming[J]. Phytomedicine, 2022, 96: 153840. doi:10.1016/j.phymed.2021.153840. [12] Tang BL, Liu Y, Zhang JL, et al. Ginsenoside Rg1 ameliorates hypoxia-induced pulmonary arterial hypertension by inhibiting endothelial-to-mesenchymal transition and inflammation by regulating CCN1[J]. Biomed Pharmacother, 2023, 164: 114920. doi:10.1016/j.biopha.2023.114920. [13] Li M, Ying M, Gu S, et al. Matrine alleviates hypoxia-induced inflammation and pulmonary vascular remodelling via RPS5/NF-κB signalling pathway[J]. J Biochem Mol Toxicol, 2024, 38: e23583. doi:10.1002/jbt.23583. [14] Lei W, Chen MH, Huang ZF, et al. Salidroside protects pulmonary artery endothelial cells against hypoxia-induced apoptosis via the AhR/NF-κB and Nrf2/HO-1 pathways[J]. Phytomedicine, 2024, 128: 155376. doi:10.1016/j.phymed.2024.155376. [15] Li W, Chen W, Peng H, et al. Shikonin improves pulmonary vascular remodeling in monocrotaline-induced pulmonary arterial hypertension via regulation of PKM2[J]. Mol Med Rep, 2023, 27: 60. doi:10.3892/mmr.2023.12947. [16] Xi J, Ma Y, Liu D, et al. Astragaloside Ⅳ restrains pyroptosis and fibrotic development of pulmonary artery smooth muscle cells to ameliorate pulmonary artery hypertension through the PHD2/HIF1α signaling pathway[J]. BMC Pulm Med, 2023, 23: 386. doi:10.1186/s12890-023-02660-9. [17] Tabana Y, Babu D, Fahlman R, et al. Target identifica-tion of small molecules: an overview of the current applications in drug discovery[J]. BMC Biotechnol, 2023, 23: 44. doi:10.1186/s12896-023-00815-4. [18] Boucherat O, Agrawal V, Lawrie A, et al. The latest in animal models of pulmonary hypertension and right ventricular failure[J]. Circ Res, 2022, 130: 1466-1486. [19] Lemay SE, Montesinos MS, Grobs Y, et al. Exploring integrin α5β1 as a potential therapeutic target for pulmonary arterial hypertension: insights from comprehensive multicenter preclinical studies[J]. Circulation, 2025, 151: 1162-1183. [20] Asano T. Investigating the pharmacokinetics of natural products: Challenges and advances in bioavailability[J]. J Pharmacogn Nat Prod, 2024, 10: 326. [21] Yang DP, Dong WP, Yang YC, et al. Tetramethylpyra-zine improves monocrotaline-induced pulmonary hypertension through the ROS/iNOS/PKG-1 axis[J]. J Healthc Eng, 2022, 2022: 1890892. doi:10.1155/2022/1890892. [22] Chen Y, Lu W, Yang K, et al. Tetramethylpyrazine: A promising drug for the treatment of pulmonary hypertension[J]. Br J Pharmacol, 2020, 177: 2743-2764. [23] Balkrishna A, Sharma N, Srivastava D, et al. Exploring the safety, efficacy, and bioactivity of herbal medicines: bridging traditional wisdom and modern science in healthcare[J]. Future Integr Med, 2024, 3: 35-49. [24] Jyothi MV, Vl AB, Wagh VD, et al. Herbal interactions with cardiac medications: a comprehensive review of potential interactions between herbal drugs and commonly prescribed cardiac medications[J]. Curr Drug Saf, 2025, 20: 94-119. [25] Park JS, Choi YH, Min JY, et al. Fundamental and targeted approaches in pulmonary arterial hypertension treatment[J]. Pharmaceutics, 2025, 17: 224. doi:10.3390/pharmaceutics17020224. |