Ethnopharmacological
relevance
The
Sang
Yu
granule
(SY),
a
traditional
Chinese
medicine
prescription
of
Xijing
Hospital,
was
developed
based
on
the
Guanyin
powder
in
classical
"Hong's
Collection
Proven
Prescriptions"
and
new
theory
modern
medicine.
It
has
been
proved
to
have
certain
therapeutic
effect
drug-induced
liver
injury
(DILI),
but
specific
mechanism
action
is
still
unclear.Aim
study
Aim
explore
SangYu
treating
mice.Materials
methods
chemical
composition
SY,
serum,
tissue
analyzed
using
ultrahigh-performance
liquid
chromatography
quadrupole
time-of-flight
mass
spectrometry.
Kits
were
utilized
measure
levels
total
bile
acids,
as
well
activity
serum
AST,
ALT,
ALP.
ELISA
kits
employed
determine
concentrations
IL-1β
TNF-α
content
FGF-15
FGF-19
ileal
tissue.
To
assess
variance
gene
expression
diversity
fecal
microbiota
among
different
groups,
we
conducted
Transcriptome
Sequencing
Analysis
2bRAD-M
microbial
analysis,
respectively.
Western
blotting
performed
observe
differences
activation
FXR,
SHP,
CYP7A1,
PPARα
genes
proteins
mice.
Additionally,
transplantation
(FMT)
experiments
investigate
potential
administering
intestinal
suspension
from
mice
treated
with
SY
injury.Results
treatment
significantly
relieved
mice,
effectively
regulating
flora
disorders
injury.
Furthermore,
administration
demonstrated
reduction
concentration
acids
an
upregulation
protein
FGF-15,
FGF-19.
However,
no
notable
impact
observed.
findings
FMT
revealed
that
obtained
after
did
not
exhibit
any
injury.Conclusion
Based
aforementioned
findings,
it
can
be
inferred
ameliorates
by
modulating
associated
acid
secretion
ensuring
maintenance
hepatoenteric
circulation
homeostasis.
Current Issues in Molecular Biology,
Journal Year:
2024,
Volume and Issue:
46(2), P. 1219 - 1236
Published: Feb. 1, 2024
Drug-induced
liver
injury
(DILI)
is
a
disease
that
remains
difficult
to
predict
and
diagnose,
the
underlying
mechanisms
are
yet
be
fully
clarified.
The
gut–liver
axis
refers
reciprocal
interactions
between
gut
liver,
its
homeostasis
plays
prominent
role
in
maintaining
health.
It
has
been
recently
reported
patients
animals
with
DILI
have
disrupted
axis,
involving
altered
microbiota
composition,
increased
intestinal
permeability
lipopolysaccharide
translocation,
decreased
short-chain
fatty
acids
production,
impaired
bile
acid
metabolism
homeostasis.
present
review
will
summarize
evidence
from
both
clinical
preclinical
studies
about
of
pathogenesis
DILI.
Moreover,
we
focus
attention
on
potential
therapeutic
strategies
for
based
improving
function,
including
herbs
phytochemicals,
probiotics,
fecal
microbial
transplantation,
postbiotics,
acids,
Farnesoid
X
receptor
agonists.
The FASEB Journal,
Journal Year:
2023,
Volume and Issue:
37(12)
Published: Nov. 11, 2023
Drug-induced
liver
injury
(DILI)
is
frequently
induced
by
high
dose
of
acetaminophen
(APAP)
and
concomitant
with
disturbances
gut
flora.
Akkermansia
muciniphila
beneficial
for
the
repair
injury.
Lycium
barbarum
polysaccharide,
yam
chrysanthemum
polysaccharide
all
have
anti-inflammatory
antioxidation
effects.
The
objective
this
study
to
investigate
potential
lycium
(LYC)
in
improving
DILI
increasing
abundance
A.
muciniphila.
Initially,
screening
optimal
concentrations
wolfberry,
yam,
(WYC)
or
LYC
promote
proliferation
vitro
validated
antibiotic
(ATB)-treated
KM
mice.
Subsequently,
APAP-induced
model
BALB/c
mice
were
constructed
examine
treatment
effects
LYC.
Our
findings
indicate
that
concentration
ratio
WYC
was
2:3:2,
1:1:1.
increased
ATB-treated
under
ratio.
Meanwhile,
combination
promoted
overdose
APAP
resulted
impairment
intestinal
barrier
function
subsequent
leakage
lipopolysaccharide
(LPS).
Moreover,
abundance,
reduced
inflammation
permeability,
upregulated
expression
tight
junction
protein
zonula
occludens
1
(ZO-1)
occludin
contents
gut.
Lastly,
inhibited
LPS
hepatic
YAP1
expression,
ultimately
leading
DILI.
Cellular and Molecular Gastroenterology and Hepatology,
Journal Year:
2024,
Volume and Issue:
18(3), P. 101355 - 101355
Published: Jan. 1, 2024
Recent
research
has
revealed
a
close
association
between
drug-induced
liver
injury
and
gut
microbiota.However,
the
specific
mechanism
of
microbiota
involvement
in
remains
unclear.This
review
examines
how
interacts
with
common
hepatotoxic
drugs
its
potential
role
pathogenesis,
offering
more
comprehensive
reference
for
interplay
microbiota.
Frontiers in Pharmacology,
Journal Year:
2025,
Volume and Issue:
16
Published: March 10, 2025
Background
This
study
aimed
to
explore
the
distinct
characteristics
of
gut
microbiota
in
tuberculosis
(TB)
patients
who
experienced
liver
injury
following
anti-TB
treatment
compared
with
those
did
not.
Method
We
employed
a
nested
case-control
design,
recruiting
newly
diagnosed
pulmonary
TB
at
Tangshan
Infectious
Disease
Hospital.
Participants
were
categorized
into
Antituberculosis
Drug-Induced
Liver
Injury
(ADLI)
group
and
Non-ADLI
based
on
occurrence
after
treatment.
Both
groups
received
identical
regimens.
Stool
samples
collected
from
developed
within
2–3
weeks
starting
treatment,
alongside
matched
controls
during
same
timeframe.
The
underwent
16S
rDNA
sequencing,
clinical
data
blood
also
for
further
analysis.
At
time,
we
constructed
mouse
models
effects
different
anti-tuberculosis
drugs
microbiota.
Results
Following
observed
decrease
microbial
diversity
significant
structural
changes
(P
<
0.05).
T1,
Non_ADLI_T1
presented
relatively
high
levels
Phascolarctobacterium
,
Anaerofustis
Mailhella
.
In
contrast,
ADLI_
T1
elevated
Bacteroides
Veillonella
Clavibacter
Corynebacterium
Anaerococcus
Gardnerella
Peptostreptococcus
Lautropia
T2,
ADLI_T2
increased
Enterococcus
Faecalibacterium
unclassified_f__Burkholderiaceae
Cardiobacterium
Ruminococcus_gnavus_group
Tyzzerella_4
than
Non_ADLI_T2
group.
Additionally,
decreased
Prevotella_9
Akkermansia
Erysipelotrichaceae_UCG-003,
Rubrobacter
norank_f__Desulfovibrionaceae
animal
experiments,
similar
human
population
model
control
Any
single
drug
or
two-drug
combination
three-drug
can
cause
dysbiosis
signature
genera
between
are
related
type
drug.
Conclusion
Anti-tuberculosis
induces
patients.
Notably,
there
differences
without
both
onset
There
some
bacterial
flora
caused
by
drugs.
Future Journal of Pharmaceutical Sciences,
Journal Year:
2025,
Volume and Issue:
11(1)
Published: March 28, 2025
Abstract
Background
Drug-induced
liver
injury
(DILI)
is
a
significant
adverse
drug
reaction,
manifesting
through
range
of
clinical
presentations
from
mild
enzyme
to
acute
failure.
Main
text
This
review
provides
comprehensive
overview
DILI,
emphasizing
the
differences
between
intrinsic
and
idiosyncratic
DILI.
The
underlying
molecular
mechanisms,
like
mitochondrial
dysfunction,
oxidative
stress,
immune-mediated
responses,
are
discussed
in
detail.
epidemiology
DILI
explored
various
retrospective
prospective
studies,
highlighting
role
specific
medications
individual
susceptibility
factors.
also
addresses
challenges
diagnosing
impact
on
development
practice.
Conclusion
poses
threat
due
its
potential
for
causing
failure
associated
mortality.
To
improve
patient
outcomes,
further
research
crucial
identify
effective
therapeutic
interventions.
Livers,
Journal Year:
2024,
Volume and Issue:
4(1), P. 94 - 118
Published: Feb. 13, 2024
Herbal-induced
liver
injury
(HILI)
continues
to
increase
in
prevalence
each
year
due
the
ongoing
popularity
of
herbal
supplements
and
complementary
alternative
medicines.
A
detailed
literature
review
case
reports
clinical
studies
published
from
March
2021
2023
was
performed.
We
discuss
epidemiology
diagnosis
HILI
as
well
current
proposed
laws
regulations.
The
ACG
guidelines
2022
AASLD
practice
for
management
drug
herbal-induced
are
discussed.
describe
updates
previously
reported
etiologies
such
ayurveda,
ashwagandha,
turmeric,
kratom,
green
tea
extract,
garcinia
cambogia.
Newly
described
resulting
HILI,
tinospora
cordifolia,
horse
chestnut,
alkaline
water,
more,
described.
newly
identified
hepatoprotective
they
have
been
study
animal
models
human
cells.
This
suggests
need
research
on
causes
mechanisms
ensure
its
proper
diagnosis,
prevention,
treatment
future.
goal
this
is
provide
novice
expert
readers
with
knowledge
regarding
possible
a
general
overview.