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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.
Abstract:
Polygoni multiflori radix (PM) is a well-known tonic herb. It has been reported that PM could cause idiosyncratic inflammatory liver injury in some individuals. In this study, we investigated the mechanism of PM-induced idiosyncratic inflammatory liver injury in zebrafish and rat models based on pharmacodynamics and pharmacokinetics. The zebrafish were administered with polygoni multiflori radix extract (PME), emodin (EMO), and 2,3,5,4'-tetrahydroxystilbene-2-Ο-β-D-glucoside (TSG) after lipopolysaccharide (LPS) treatment, to establish an idiosyncratic inflammation model. In zebrafish with idiosyncratic inflammation, PME, EMO, and TSG decreased liver area and brightness and increased the number of immune cells around the colliculi. PME+LPS produced hepatocyte damage, aggravated mitochondrial and endoplasmic reticulum damage, and increased AST and ALT activity. RT-PCR showed that PME and EMO up-regulated the expression of IL-6, IL-1β, and INF-γ, and PME down-regulated expression of FXR and SHP. In rats with idiosyncratic inflammation, AST and ALT activities increased significantly, and liver tissues showed pathological damage. An efficient and sensitive LC-MS/MS method was established for the pharmacokinetic study of EMO and TSG in rats with idiosyncratic inflammation. The AUC0-t was higher for EMO and TSG in the model group compared with the normal group. The MRT0-t was significantly prolonged in EMO, while CLz/F was significantly reduced. The present results suggested that the absorption of potentially toxic components of PM increased and metabolism slowed down under inflammatory stress, and PM induced idiosyncratic liver injury via the FXR-SHP axis.
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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