The key role of gut–liver axis in pyrrolizidine alkaloid-induced hepatotoxicity and enterotoxicity

Pyrrolizidine alkaloids (PAs) are the most common phytotoxins with documented human hepatotoxicity. PAs require metabolic activation by cytochromes P450 to generate toxic intermediates which bind to proteins and form protein adducts, thereby causing cytotoxicity. This study investigated the role of...

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Main Authors: Yisheng He, Jiang Ma, Xiaoyu Fan, Liang Ding, Xinxin Ding, Qing-Yu Zhang, Ge Lin
Format: Article
Language:English
Published: Elsevier 2021-12-01
Series:Acta Pharmaceutica Sinica B
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211383521002628
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author Yisheng He
Jiang Ma
Xiaoyu Fan
Liang Ding
Xinxin Ding
Qing-Yu Zhang
Ge Lin
author_facet Yisheng He
Jiang Ma
Xiaoyu Fan
Liang Ding
Xinxin Ding
Qing-Yu Zhang
Ge Lin
author_sort Yisheng He
collection DOAJ
description Pyrrolizidine alkaloids (PAs) are the most common phytotoxins with documented human hepatotoxicity. PAs require metabolic activation by cytochromes P450 to generate toxic intermediates which bind to proteins and form protein adducts, thereby causing cytotoxicity. This study investigated the role of the gut–liver axis in PA intoxication and the underlying mechanisms. We exposed mice to retrorsine (RTS), a representative PA, and for the first time found RTS-induced intestinal epithelium damage and disruption to intestinal barrier function. Using mice with tissue-selective ablation of P450 activity, we found that hepatic P450s, but not intestinal P450s, were essential for PA bioactivation. Besides, in RTS-exposed, bile duct-cannulated rats, we found the liver-derived reactive PA metabolites were transported by bile into the intestine to exert enterotoxicity. The impact of gut-derived pathogenic factors in RTS-induced hepatotoxicity was further studied in mice with dextran sulfate sodium (DSS)-induced chronic colitis. DSS treatment increased the hepatic endotoxin level and depleted hepatic reduced glutathione, thereby suppressing the PA detoxification pathway. Compared to RTS-exposed normal mice, the colitic mice displayed more severe RTS-induced hepatic vasculature damage, fibrosis, and steatosis. Overall, our findings provide the first mode-of-action evidence of PA-induced enterotoxicity and highlight the importance of gut barrier function in PA-induced liver injury.
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spelling doaj.art-8ec1c36ad15b4605abe5aba153fe290d2022-12-21T17:49:15ZengElsevierActa Pharmaceutica Sinica B2211-38352021-12-01111238203835The key role of gut–liver axis in pyrrolizidine alkaloid-induced hepatotoxicity and enterotoxicityYisheng He0Jiang Ma1Xiaoyu Fan2Liang Ding3Xinxin Ding4Qing-Yu Zhang5Ge Lin6School of Biomedical Sciences, Faculty of Medicine, the Chinese University of Hong Kong, Hong Kong SAR 999077, ChinaSchool of Biomedical Sciences, Faculty of Medicine, the Chinese University of Hong Kong, Hong Kong SAR 999077, ChinaDepartment of Pharmacology & Toxicology, College of Pharmacy, University of Arizona, Tucson, AZ 85721, USADepartment of Pharmacology & Toxicology, College of Pharmacy, University of Arizona, Tucson, AZ 85721, USADepartment of Pharmacology & Toxicology, College of Pharmacy, University of Arizona, Tucson, AZ 85721, USADepartment of Pharmacology & Toxicology, College of Pharmacy, University of Arizona, Tucson, AZ 85721, USA; Corresponding authors. Tel.: +852 39436824, fax: +852 26035123 (Ge Lin); Tel.: +1 520 6213667; fax: +1 520 6262466 (Qing-Yu Zhang).School of Biomedical Sciences, Faculty of Medicine, the Chinese University of Hong Kong, Hong Kong SAR 999077, China; Corresponding authors. Tel.: +852 39436824, fax: +852 26035123 (Ge Lin); Tel.: +1 520 6213667; fax: +1 520 6262466 (Qing-Yu Zhang).Pyrrolizidine alkaloids (PAs) are the most common phytotoxins with documented human hepatotoxicity. PAs require metabolic activation by cytochromes P450 to generate toxic intermediates which bind to proteins and form protein adducts, thereby causing cytotoxicity. This study investigated the role of the gut–liver axis in PA intoxication and the underlying mechanisms. We exposed mice to retrorsine (RTS), a representative PA, and for the first time found RTS-induced intestinal epithelium damage and disruption to intestinal barrier function. Using mice with tissue-selective ablation of P450 activity, we found that hepatic P450s, but not intestinal P450s, were essential for PA bioactivation. Besides, in RTS-exposed, bile duct-cannulated rats, we found the liver-derived reactive PA metabolites were transported by bile into the intestine to exert enterotoxicity. The impact of gut-derived pathogenic factors in RTS-induced hepatotoxicity was further studied in mice with dextran sulfate sodium (DSS)-induced chronic colitis. DSS treatment increased the hepatic endotoxin level and depleted hepatic reduced glutathione, thereby suppressing the PA detoxification pathway. Compared to RTS-exposed normal mice, the colitic mice displayed more severe RTS-induced hepatic vasculature damage, fibrosis, and steatosis. Overall, our findings provide the first mode-of-action evidence of PA-induced enterotoxicity and highlight the importance of gut barrier function in PA-induced liver injury.http://www.sciencedirect.com/science/article/pii/S2211383521002628Pyrrolizidine alkaloidCytochrome P450Inflammatory bowel diseaseIntestinal injuryLiver injuryGut–liver axis
spellingShingle Yisheng He
Jiang Ma
Xiaoyu Fan
Liang Ding
Xinxin Ding
Qing-Yu Zhang
Ge Lin
The key role of gut–liver axis in pyrrolizidine alkaloid-induced hepatotoxicity and enterotoxicity
Acta Pharmaceutica Sinica B
Pyrrolizidine alkaloid
Cytochrome P450
Inflammatory bowel disease
Intestinal injury
Liver injury
Gut–liver axis
title The key role of gut–liver axis in pyrrolizidine alkaloid-induced hepatotoxicity and enterotoxicity
title_full The key role of gut–liver axis in pyrrolizidine alkaloid-induced hepatotoxicity and enterotoxicity
title_fullStr The key role of gut–liver axis in pyrrolizidine alkaloid-induced hepatotoxicity and enterotoxicity
title_full_unstemmed The key role of gut–liver axis in pyrrolizidine alkaloid-induced hepatotoxicity and enterotoxicity
title_short The key role of gut–liver axis in pyrrolizidine alkaloid-induced hepatotoxicity and enterotoxicity
title_sort key role of gut liver axis in pyrrolizidine alkaloid induced hepatotoxicity and enterotoxicity
topic Pyrrolizidine alkaloid
Cytochrome P450
Inflammatory bowel disease
Intestinal injury
Liver injury
Gut–liver axis
url http://www.sciencedirect.com/science/article/pii/S2211383521002628
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