Polygoni multiflori radix exacerbates idiosyncratic inflammatory liver injury through the FXR-SHP pathway and altered

Guoqin Zhang1, Jianhua Sun2, Meiqi Liu3

  • 1School of Chinese Materia Medica, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China; State Key Laboratory of Component-based Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China.

Insights

Polygoni multiflori radix (PM) may cause liver injury due to increased absorption and slowed metabolism of toxic components during inflammation. This herb induces liver damage through the FXR-SHP pathway.

Area of Science:

  • Pharmacology
  • Hepatology
  • Toxicology

Background:

  • Polygoni multiflori radix (PM) is a traditional tonic herb.
  • PM has been linked to idiosyncratic inflammatory liver injury in susceptible individuals.

Purpose of the Study:

  • To elucidate the mechanism of PM-induced idiosyncratic liver injury.
  • Investigate the role of pharmacodynamics and pharmacokinetics in PM-induced liver damage.

Main Methods:

  • Established idiosyncratic inflammation models in zebrafish and rats.
  • Administered PM extract (PME), emodin (EMO), and TSG.
  • Utilized LC-MS/MS for pharmacokinetic analysis and RT-PCR for gene expression.

Main Results:

  • PME, EMO, and TSG altered liver morphology and increased immune cell infiltration in zebrafish.
  • PME induced hepatocyte damage, mitochondrial/ER stress, and elevated liver enzymes (AST, ALT).
  • PM components altered inflammatory cytokine expression (IL-6, IL-1β, INF-γ) and downregulated FXR/SHP in zebrafish; rats showed increased liver enzymes and damage.

Conclusions:

  • Inflammatory stress increases absorption and slows metabolism of PM's toxic components.
  • PM induces idiosyncratic liver injury via the FXR-SHP signaling pathway.

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