Immunological synergistic mechanisms of trans-/cis-stilbene glycosides in Heshouwu-related idiosyncratic liver injury
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摘要:
Heshouwu is a traditional non-toxic Chinese medicine commonly used in the clinical setting;however,clinical cases of Heshouwu-induced hepatotoxicity have been frequently reported [1].Pharmacoepidemiological studies have found that Heshouwu-induced liver injury occurs only in a small fraction of individuals taking the drug;these patients presented with the typical characteristics of idiosyncratic drug-induced liver injury (IDILI).Human IDILI can be reproduced in animals by drug coexposure to appropriate doses of lipopolysaccharide (LPS),which evokes modest inflammatory stress [2].Many drugs that cause human IDILI,including ranitidine [3] and trovafloxacin [4],can also cause liver injury with a non-hepatotoxic dose in the LPS model.