Polygonum multiflorum-Induced Liver Injury: Clinical Characteristics, Risk Factors, Material Basis, Action Mechanism and Current Challenges
Polygonum multiflorum Thunb. (PM), called Heshouwu in China, is a popular Chinese medicine in clinical practice. Several clinical studies have been conducted to evaluate the traditional therapeutic claims and to study the potential therapeutic activity of PM in dyslipidemia and neurodegenerative dis...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2019-12-01
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| Series: | Frontiers in Pharmacology |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fphar.2019.01467/full |
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| author | Yi Liu Wenping Wang Mingyi Sun Baorui Ma Linnuo Pang Yuanyuan Du Xiaoxv Dong Xingbin Yin Jian Ni |
| author_facet | Yi Liu Wenping Wang Mingyi Sun Baorui Ma Linnuo Pang Yuanyuan Du Xiaoxv Dong Xingbin Yin Jian Ni |
| author_sort | Yi Liu |
| collection | DOAJ |
| description | Polygonum multiflorum Thunb. (PM), called Heshouwu in China, is a popular Chinese medicine in clinical practice. Several clinical studies have been conducted to evaluate the traditional therapeutic claims and to study the potential therapeutic activity of PM in dyslipidemia and neurodegenerative diseases, highlighting available clinical evidence. In recent years, reports on clinical adverse reactions of Raw Radix P. multiflorum (RPM) and P. multiflorum Praeparata (PMP) have been on the increase, especially with respect to liver injury. Most liver injury cases had been assessed for causality using RUCAM (Roussel Uclaf Causality Assessment Method) in this paper. However, the components of PM responsible for the reported hepatotoxic effects have not yet been identified. Moreover, many of the reports are contradictory, while studies on the mechanism involved in PM-induced liver damage are not comprehensive. This study was aimed at reviewing the status of research on liver injury due to PM, including clinical characteristics, risk factors, material basis research and mechanism of action, with a view to understanding PM-induced hepatotoxicity, and taking reasonable and effective measures to prevent it. In short, quality control is still one of the major safety problems in TCM drug safety concerns. The model of safety monitoring and risk management of PM drugs is not yet developed. Indeed, the characteristics and risk factors associated with PM require both proper understanding and control of the risk by strengthening standardization of clinical applications, basic science research, quality control in manufacturing, active monitoring methodology and enhancement of international communication and cooperation. Measures should also be encouraged and implemented to promote healthy development of the TCM industry. |
| first_indexed | 2024-12-12T01:02:28Z |
| format | Article |
| id | doaj.art-2adbc8f37a4a4cab88a1680bb2905d22 |
| institution | Directory Open Access Journal |
| issn | 1663-9812 |
| language | English |
| last_indexed | 2024-12-12T01:02:28Z |
| publishDate | 2019-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pharmacology |
| spelling | doaj.art-2adbc8f37a4a4cab88a1680bb2905d222022-12-22T00:43:40ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122019-12-011010.3389/fphar.2019.01467484074Polygonum multiflorum-Induced Liver Injury: Clinical Characteristics, Risk Factors, Material Basis, Action Mechanism and Current ChallengesYi Liu0Wenping Wang1Mingyi Sun2Baorui Ma3Linnuo Pang4Yuanyuan Du5Xiaoxv Dong6Xingbin Yin7Jian Ni8School of Chinese Materia Medica, Beijing University of Traditional Chinese Medicine, Beijing, ChinaSchool of Chinese Materia Medica, Beijing University of Traditional Chinese Medicine, Beijing, ChinaSchool of Chinese Materia Medica, Beijing University of Traditional Chinese Medicine, Beijing, ChinaSchool of Chinese Materia Medica, Beijing University of Traditional Chinese Medicine, Beijing, ChinaSchool of Chinese Materia Medica, Beijing University of Traditional Chinese Medicine, Beijing, ChinaSchool of Chinese Materia Medica, Beijing University of Traditional Chinese Medicine, Beijing, ChinaSchool of Chinese Materia Medica, Beijing University of Traditional Chinese Medicine, Beijing, ChinaSchool of Chinese Materia Medica, Beijing University of Traditional Chinese Medicine, Beijing, ChinaResearch Institute of Chinese Medicine, Beijing University of Traditional Chinese Medicine, Beijing, ChinaPolygonum multiflorum Thunb. (PM), called Heshouwu in China, is a popular Chinese medicine in clinical practice. Several clinical studies have been conducted to evaluate the traditional therapeutic claims and to study the potential therapeutic activity of PM in dyslipidemia and neurodegenerative diseases, highlighting available clinical evidence. In recent years, reports on clinical adverse reactions of Raw Radix P. multiflorum (RPM) and P. multiflorum Praeparata (PMP) have been on the increase, especially with respect to liver injury. Most liver injury cases had been assessed for causality using RUCAM (Roussel Uclaf Causality Assessment Method) in this paper. However, the components of PM responsible for the reported hepatotoxic effects have not yet been identified. Moreover, many of the reports are contradictory, while studies on the mechanism involved in PM-induced liver damage are not comprehensive. This study was aimed at reviewing the status of research on liver injury due to PM, including clinical characteristics, risk factors, material basis research and mechanism of action, with a view to understanding PM-induced hepatotoxicity, and taking reasonable and effective measures to prevent it. In short, quality control is still one of the major safety problems in TCM drug safety concerns. The model of safety monitoring and risk management of PM drugs is not yet developed. Indeed, the characteristics and risk factors associated with PM require both proper understanding and control of the risk by strengthening standardization of clinical applications, basic science research, quality control in manufacturing, active monitoring methodology and enhancement of international communication and cooperation. Measures should also be encouraged and implemented to promote healthy development of the TCM industry.https://www.frontiersin.org/article/10.3389/fphar.2019.01467/fullPolygonum multiflorum Thunb.liver injurysafety evaluationclinical characteristicsmaterial basisaction mechanism |
| spellingShingle | Yi Liu Wenping Wang Mingyi Sun Baorui Ma Linnuo Pang Yuanyuan Du Xiaoxv Dong Xingbin Yin Jian Ni Polygonum multiflorum-Induced Liver Injury: Clinical Characteristics, Risk Factors, Material Basis, Action Mechanism and Current Challenges Frontiers in Pharmacology Polygonum multiflorum Thunb. liver injury safety evaluation clinical characteristics material basis action mechanism |
| title | Polygonum multiflorum-Induced Liver Injury: Clinical Characteristics, Risk Factors, Material Basis, Action Mechanism and Current Challenges |
| title_full | Polygonum multiflorum-Induced Liver Injury: Clinical Characteristics, Risk Factors, Material Basis, Action Mechanism and Current Challenges |
| title_fullStr | Polygonum multiflorum-Induced Liver Injury: Clinical Characteristics, Risk Factors, Material Basis, Action Mechanism and Current Challenges |
| title_full_unstemmed | Polygonum multiflorum-Induced Liver Injury: Clinical Characteristics, Risk Factors, Material Basis, Action Mechanism and Current Challenges |
| title_short | Polygonum multiflorum-Induced Liver Injury: Clinical Characteristics, Risk Factors, Material Basis, Action Mechanism and Current Challenges |
| title_sort | polygonum multiflorum induced liver injury clinical characteristics risk factors material basis action mechanism and current challenges |
| topic | Polygonum multiflorum Thunb. liver injury safety evaluation clinical characteristics material basis action mechanism |
| url | https://www.frontiersin.org/article/10.3389/fphar.2019.01467/full |
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