Wuya College of Innovation, Shenyang Pharmaceutical University, No. 103, Wenhua Roa, Shenyang, Liaoning 110016, PR China.
College of Pharmacy, Liaoning University of Traditional Chinese Medicine, Dalian, Liaoning 116600, PR China.
Phytomedicine. 2023 Jun;114:154750. doi: 10.1016/j.phymed.2023.154750. Epub 2023 Mar 11.
The occurrence of severe liver injury by the herbal medicine Polygoni Multiflori Radix (PMR) has drawn significant attention. The fact that processing attenuates PMR-induced hepatotoxicity has been well accepted, but the mechanisms are still ambiguous.
This study aimed to illuminate the mechanism of processing-based attenuation of PMR hepatotoxicity.
The contents of emodin-8-O-β-d-glucoside (EG) and emodin (EMD) in raw and processed PMR were quantified. The difference in toxicokinetic behaviors of EG and EMD was determined in vivo, and the disposition properties of EG were investigated in vitro and in vivo.
Decreased EG content was found in processed (black bean) PMR. Processed PMR showed reduced adverse effects relative to raw PMR. In addition, less hepatic protein adduction derived from EMD was produced in mice after exposure to processed PMR than that in animals receiving raw PMR. Glucose transporters SGLT1 and GLUT2 participated in the absorption of EG, and effective hydrolysis of EG to EMD took place in the intestinal epithelial cells during the process of absorption. Cytosolic broad-specificity β-glucosidase and lactase phlorizin hydrolase, as well as intestinal flora, participated in the hydrolysis of EG. The circulated EMD resulting from the deglycosylation of EG executed the hepatotoxic action.
EG is a pre-toxin and can be metabolically activated to EMD participating in the hepatotoxic event. The reduction of EG content due to processing is a key mechanistic factor that initiates the detoxification of PMR.
草药何首乌(PMR)引起严重肝损伤的情况引起了广泛关注。已公认炮制可减轻 PMR 所致肝毒性,但机制尚不清楚。
本研究旨在阐明炮制减轻 PMR 肝毒性的机制。
定量测定生品和炮制品 PMR 中大黄素-8-O-β-D-葡萄糖苷(EG)和大黄素(EMD)的含量。在体内测定 EG 和 EMD 的毒代动力学行为差异,并在体外和体内研究 EG 的处置特性。
炮制(黑豆)PMR 中 EG 含量降低。炮制 PMR 相对于生品 PMR 显示出较低的不良反应。此外,与接受生品 PMR 的动物相比,接受炮制 PMR 的小鼠中源自 EMD 的肝蛋白加合物生成减少。葡萄糖转运蛋白 SGLT1 和 GLUT2 参与 EG 的吸收,而 EG 在吸收过程中的肠上皮细胞中有效水解为 EMD。胞质广谱β-葡萄糖苷酶和乳糖酶 Phyllizin 水解酶以及肠道菌群参与 EG 的水解。源自 EG 去糖基化的循环 EMD 执行肝毒性作用。
EG 是前毒素,可代谢激活为参与肝毒性事件的 EMD。炮制导致 EG 含量降低是启动 PMR 解毒的关键机制因素。