Evidence map›Paper›PMID 26557087›Full record

ArticleFrontiers in pharmacology2015

Inflammatory stress potentiates emodin-induced liver injury in rats.

Can Tu, Dan Gao, Xiao-Fei Li, Chun-Yu Li, Rui-Sheng Li, Yan-Ling Zhao, Na Li, Ge-Liu-Chang Jia, Jing-Yao Pang, He-Rong Cui and 3 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Frontiers in pharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
6.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Review
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  16. Hepatoprotective Effect of the Ethanol Extract ofAntioxidants (Basel, Switzerland) · 2019
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  18. Frontiers in pharmacology · 2019
    Review
  19. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 2 countries.

Can TuChina Military Institute of Chinese Medicine, 302 Military Hospital , Beijing, China.
Dan GaoChina Military Institute of Chinese Medicine, 302 Military Hospital , Beijing, China ; Institute of Medicinal Plant Development, Chinese Academy of Medical Sciences , Beijing, China.
Xiao-Fei LiChina Military Institute of Chinese Medicine, 302 Military Hospital , Beijing, China ; School of Pharmacy, Shandong University of Traditional Chinese Medicine , Jinan, China.
Chun-Yu LiChina Military Institute of Chinese Medicine, 302 Military Hospital , Beijing, China ; School of Pharmacy, Chengdu University of Traditional Chinese Medicine , Chengdu, China.
Rui-Sheng LiChina Military Institute of Chinese Medicine, 302 Military Hospital , Beijing, China.
Yan-Ling ZhaoChina Military Institute of Chinese Medicine, 302 Military Hospital , Beijing, China.
Na LiChina Military Institute of Chinese Medicine, 302 Military Hospital , Beijing, China.
Ge-Liu-Chang JiaChina Military Institute of Chinese Medicine, 302 Military Hospital , Beijing, China ; Department of Traditional Chinese Medicine, Beijing Friendship Hospital of Capital Medical University , Beijing, China.
Jing-Yao PangChina Military Institute of Chinese Medicine, 302 Military Hospital , Beijing, China ; Department of Traditional Chinese Medicine, Beijing Friendship Hospital of Capital Medical University , Beijing, China.
He-Rong CuiChina Military Institute of Chinese Medicine, 302 Military Hospital , Beijing, China.
Zhi-Jie MaDepartment of Traditional Chinese Medicine, Beijing Friendship Hospital of Capital Medical University , Beijing, China.
Xiao-He XiaoChina Military Institute of Chinese Medicine, 302 Military Hospital , Beijing, China.
Jia-Bo WangChina Military Institute of Chinese Medicine, 302 Military Hospital , Beijing, China.
302 Military Hospital of China · CNAcademy of Medical Sciences · GBCapital Medical University · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNChinese People's Liberation Army · CNShandong University of Traditional Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Herbal medicines containing emodin, widely used for the treatment of hepatitis in clinic, have been reported with hepatotoxicity in individuals. A modest inflammatory stress potentiating liver injury has been linked to the idiosyncratic drug-induced liver injury (IDILI). In this study, we investigated the hypothesis that lipopolysaccharide (LPS) interacts with emodin could synergize to cause liver injury in rats. Emodin (ranging from 20, 40, to 80 mg/kg), which is in the range of liver protection, was administered to rats, before LPS (2.8 mg/kg) or saline vehicle treatment. The biochemical tests showed that non-toxic dosage of LPS coupled with emodin caused significant increases of plasma ALT and AST activities as compared to emodin alone treated groups (P < 0.05). In addition, with LPS or emodin alone could not induce any changes in ALT and AST activity, as compared with the control group (0.5% CMC-Na treatment). Meanwhile, the plasma proinflammatory cytokines, TNF-α, IL-1β, and IL-6 increased significantly in the emodin/LPS groups compared to either emodin groups or the LPS (P < 0.05). Histological analysis showed that liver damage was only found in emodin/LPS cotreatmented rat livers samples. These results indicate that non-toxic dosage of LPS potentiates the hepatotoxicity of emodin. This discovery raises the possibility that emodin and herbal medicines containing it may induce liver injury in the inflammatory stress even in their therapeutic dosages.

Indexed as

emodinhepatotoxicityidiosyncratic drug-induced liver injurylipopolysaccharideproinflammatory mediatorstherapeutic dosages

Identifiers

PMID26557087
PMCPMC4615941
OpenAlexW2236328478

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.