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Related Concept Videos

Effect of Hepatic Disease on Pharmacokinetics: Pathophysiologic Assessment and Liver Function Test01:22

Effect of Hepatic Disease on Pharmacokinetics: Pathophysiologic Assessment and Liver Function Test

In clinical practice, the direct measurement of hepatic blood flow to evaluate liver function presents significant challenges due to the intricate and specialized nature of the necessary techniques. Consequently, healthcare professionals often rely on empirical estimates derived from thorough patient examinations and liver function tests to gauge liver health. Among the tools at their disposal, the Child–Pugh and MELD scoring systems stand out for their ability to categorize and assess the...

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Human Liver Microphysiological System for Assessing Drug-Induced Liver Toxicity In Vitro
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Tripterygium Glycosides Extract-Induced Hepatic Cholestasis: A Mechanistic Study Using a Microfluidic Liver-on-a-Chip

Yifei Yang1, Ya Zhang1, Yun Yang1

  • 1Institute of Chinese Materia Medica, China Academy of Chinese Medical Sciences, State Key Laboratory for Quality Ensurance and Sustainable Use of Dao-di Herbs, Beijing 100700, China.

International Journal of Molecular Sciences
|May 13, 2026
PubMed
Summary

Tripterygium glycosides extract (TGE) causes cholestatic liver injury by triggering oxidative stress and inflammation, which suppresses bile acid transport. This study used a liver-on-a-chip model to reveal TGE

Keywords:
bile acid transportersdrug-induced liver injuryfarnesoid X receptoroxidative stressprecision-cut liver slices

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Area of Science:

  • Hepatology
  • Toxicology
  • Biomaterials

Background:

  • Tripterygium glycosides extract (TGE) is used for immune disorders but linked to cholestatic liver injury.
  • Traditional models struggle to replicate complex Chinese medicine toxicity mechanisms.

Purpose of the Study:

  • To elucidate the mechanisms of TGE-induced cholestatic liver injury.
  • To utilize a biomimetic microfluidic liver-on-a-chip platform for studying TGE toxicity.

Main Methods:

  • A liver-on-a-chip platform integrating rat precision-cut liver slices and human endothelial cells was developed.
  • Exposure to TGE at varying concentrations and durations (15-135 μg/mL for 12 and 24 h).
  • Assessment of liver injury markers, oxidative stress, inflammatory cytokines, and bile acid transporter expression.

Main Results:

  • TGE exposure significantly increased liver injury markers (ALT, AST, TBA, DBIL) and histopathological damage in a dose- and time-dependent manner.
  • TGE induced oxidative stress (decreased SOD/GSH/GSH-Px, increased MDA) and upregulated pro-inflammatory cytokines (IL-4, IL-1β).
  • Expression of the bile acid receptor FXR and transporters (BSEP, MRP2) was significantly downregulated.

Conclusions:

  • TGE induces cholestatic liver injury through a pathway involving oxidative stress, inflammation, and suppression of the FXR/BSEP/MRP2 axis.
  • The liver-on-a-chip model effectively simulates TGE-induced hepatotoxicity.
  • Further development with humanized systems is recommended for enhanced clinical relevance.