The molecular pathogenesis of triptolide-induced hepatotoxicity

Triptolide (TP) is the major pharmacologically active ingredient and toxic component of Tripterygium wilfordii Hook. f. However, its clinical potential is limited by a narrow therapeutic window and multiple organ toxicity, especially hepatotoxicity. Furthermore, TP-induced hepatotoxicity shows signi...

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Main Authors: Yeqing Hu, Qiguo Wu, Yulin Wang, Haibo Zhang, Xueying Liu, Hua Zhou, Tao Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2022.979307/full
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author Yeqing Hu
Yeqing Hu
Yeqing Hu
Qiguo Wu
Yulin Wang
Yulin Wang
Yulin Wang
Haibo Zhang
Haibo Zhang
Haibo Zhang
Xueying Liu
Xueying Liu
Xueying Liu
Hua Zhou
Hua Zhou
Hua Zhou
Tao Yang
Tao Yang
Tao Yang
Tao Yang
author_facet Yeqing Hu
Yeqing Hu
Yeqing Hu
Qiguo Wu
Yulin Wang
Yulin Wang
Yulin Wang
Haibo Zhang
Haibo Zhang
Haibo Zhang
Xueying Liu
Xueying Liu
Xueying Liu
Hua Zhou
Hua Zhou
Hua Zhou
Tao Yang
Tao Yang
Tao Yang
Tao Yang
author_sort Yeqing Hu
collection DOAJ
description Triptolide (TP) is the major pharmacologically active ingredient and toxic component of Tripterygium wilfordii Hook. f. However, its clinical potential is limited by a narrow therapeutic window and multiple organ toxicity, especially hepatotoxicity. Furthermore, TP-induced hepatotoxicity shows significant inter-individual variability. Over the past few decades, research has been devoted to the study of TP-induced hepatotoxicity and its mechanism. In this review, we summarized the mechanism of TP-induced hepatotoxicity. Studies have demonstrated that TP-induced hepatotoxicity is associated with CYP450s, P-glycoprotein (P-gp), oxidative stress, excessive autophagy, apoptosis, metabolic disorders, immunity, and the gut microbiota. These new findings provide a comprehensive understanding of TP-induced hepatotoxicity and detoxification.
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spelling doaj.art-7cea825fdc224a569fed9b7770b6ebb42022-12-22T04:02:37ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122022-08-011310.3389/fphar.2022.979307979307The molecular pathogenesis of triptolide-induced hepatotoxicityYeqing Hu0Yeqing Hu1Yeqing Hu2Qiguo Wu3Yulin Wang4Yulin Wang5Yulin Wang6Haibo Zhang7Haibo Zhang8Haibo Zhang9Xueying Liu10Xueying Liu11Xueying Liu12Hua Zhou13Hua Zhou14Hua Zhou15Tao Yang16Tao Yang17Tao Yang18Tao Yang19Institute of Cardiovascular Disease, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaInstitute of Cardiovascular Disease of Integrated Traditional Chinese Medicine and Western Medicine, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaShuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Branch of National Clinical Research Center for Chinese Medicine Cardiology, Shanghai, ChinaDepartment of Pharmacy, Anqing Medical College, Anqing, ChinaInstitute of Cardiovascular Disease, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaInstitute of Cardiovascular Disease of Integrated Traditional Chinese Medicine and Western Medicine, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaShuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Branch of National Clinical Research Center for Chinese Medicine Cardiology, Shanghai, ChinaInstitute of Cardiovascular Disease, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaInstitute of Cardiovascular Disease of Integrated Traditional Chinese Medicine and Western Medicine, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaShuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Branch of National Clinical Research Center for Chinese Medicine Cardiology, Shanghai, ChinaInstitute of Cardiovascular Disease, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaInstitute of Cardiovascular Disease of Integrated Traditional Chinese Medicine and Western Medicine, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaShuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Branch of National Clinical Research Center for Chinese Medicine Cardiology, Shanghai, ChinaInstitute of Cardiovascular Disease, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaInstitute of Cardiovascular Disease of Integrated Traditional Chinese Medicine and Western Medicine, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaShuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Branch of National Clinical Research Center for Chinese Medicine Cardiology, Shanghai, ChinaInstitute of Cardiovascular Disease, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaInstitute of Cardiovascular Disease of Integrated Traditional Chinese Medicine and Western Medicine, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaShuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Branch of National Clinical Research Center for Chinese Medicine Cardiology, Shanghai, ChinaShanghai Key Laboratory of Traditional Chinese Clinical Medicine, Shanghai, ChinaTriptolide (TP) is the major pharmacologically active ingredient and toxic component of Tripterygium wilfordii Hook. f. However, its clinical potential is limited by a narrow therapeutic window and multiple organ toxicity, especially hepatotoxicity. Furthermore, TP-induced hepatotoxicity shows significant inter-individual variability. Over the past few decades, research has been devoted to the study of TP-induced hepatotoxicity and its mechanism. In this review, we summarized the mechanism of TP-induced hepatotoxicity. Studies have demonstrated that TP-induced hepatotoxicity is associated with CYP450s, P-glycoprotein (P-gp), oxidative stress, excessive autophagy, apoptosis, metabolic disorders, immunity, and the gut microbiota. These new findings provide a comprehensive understanding of TP-induced hepatotoxicity and detoxification.https://www.frontiersin.org/articles/10.3389/fphar.2022.979307/fulltriptolidehepatotoxicityCYP450soxidative stressimmunity
spellingShingle Yeqing Hu
Yeqing Hu
Yeqing Hu
Qiguo Wu
Yulin Wang
Yulin Wang
Yulin Wang
Haibo Zhang
Haibo Zhang
Haibo Zhang
Xueying Liu
Xueying Liu
Xueying Liu
Hua Zhou
Hua Zhou
Hua Zhou
Tao Yang
Tao Yang
Tao Yang
Tao Yang
The molecular pathogenesis of triptolide-induced hepatotoxicity
Frontiers in Pharmacology
triptolide
hepatotoxicity
CYP450s
oxidative stress
immunity
title The molecular pathogenesis of triptolide-induced hepatotoxicity
title_full The molecular pathogenesis of triptolide-induced hepatotoxicity
title_fullStr The molecular pathogenesis of triptolide-induced hepatotoxicity
title_full_unstemmed The molecular pathogenesis of triptolide-induced hepatotoxicity
title_short The molecular pathogenesis of triptolide-induced hepatotoxicity
title_sort molecular pathogenesis of triptolide induced hepatotoxicity
topic triptolide
hepatotoxicity
CYP450s
oxidative stress
immunity
url https://www.frontiersin.org/articles/10.3389/fphar.2022.979307/full
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