Oxidative Stress in Biotoxin-Induced Liver Injury: From ROS Generation to Cell Death and Therapeutic Intervention

Ming-Ye Hu1,2, Xiang-Yu Hou2, Xiao Huang2

  • 1College of Pharmacy, Bengbu Medical University, Bengbu 233030, China.

Toxics
|July 28, 2026
PubMed

Insights

Naturally occurring biotoxins threaten public health, causing liver injury through diverse oxidative stress mechanisms. This review highlights oxidative stress as a central pathway in biotoxin-induced liver damage, informing new therapeutic strategies.

Area of Science:

  • Hepatology
  • Toxicology
  • Molecular Biology

Background:

  • Biotoxins from fungi, plants, and algae pose significant global health risks.
  • The liver is a primary target for biotoxin accumulation and injury due to its metabolic role.
  • Mechanisms of oxidative stress in various liver injury phenotypes (necrosis, steatosis, fibrosis) are not fully understood.

Purpose of the Study:

  • To establish oxidative stress as a unifying mechanism in biotoxin-induced liver injury.
  • To explore the role of oxidative stress in different injury phenotypes and their molecular underpinnings.
  • To summarize therapeutic strategies targeting oxidative stress for liver injury.

Main Methods:

  • Systematic review of biotoxin-induced liver injury.
  • Comparative analysis of representative toxins and their oxidative stress pathways.
  • Examination of signaling cascades (Nrf2, NF-κB, MAPK) and cell death modes (apoptosis, ferroptosis, necroptosis).

Main Results:

  • Oxidative stress is identified as a convergent mechanism in biotoxin-induced liver injury.
  • Specific toxins activate distinct oxidative stress pathways leading to varied hepatic injury phenotypes.
  • Signaling pathways like Nrf2, NF-κB, and MAPK are crucial in regulating cell death.

Conclusions:

  • Oxidative stress is central to biotoxin-induced liver injury, irrespective of the toxin source.
  • Understanding these pathways offers potential for broad-spectrum, redox-targeted therapies.
  • Targeting oxidative stress pathways presents a promising strategy for treating biotoxin-induced liver damage.

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