Evidence map›Paper›PMID 27624558›Full record

ArticleScientific reports2016

The enhanced atorvastatin hepatotoxicity in diabetic rats was partly attributed to the upregulated hepatic Cyp3a and SLCO1B1.

Nan Shu, Mengyue Hu, Zhaoli Ling, Peihua Liu, Fan Wang, Ping Xu, Zeyu Zhong, Binbin Sun, Mian Zhang, Feng Li and 3 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.7field-weighted citation impact, top 5% 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

18 citing papers in PubMed, 35 citations in OpenAlex.

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  15. Effects ofPharmaceutical biology · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Nan ShuCenter of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Nanjing, China.
Mengyue HuCenter of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Nanjing, China.
Zhaoli LingCenter of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Nanjing, China.
Peihua LiuCenter of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Nanjing, China.
Fan WangCenter of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Nanjing, China.
Ping XuCenter of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Nanjing, China.
Zeyu ZhongCenter of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Nanjing, China.
Binbin SunCenter of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Nanjing, China.
Mian ZhangCenter of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Nanjing, China.
Feng LiCenter of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Nanjing, China.
Qiushi XieCenter of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Nanjing, China.
Xiaodong LiuCenter of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Nanjing, China.
Li LiuCenter of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Nanjing, China.
China Pharmaceutical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Liver injury is a common adverse effect of atorvastatin. This study aimed to investigate atorvastatin-induced hepatotoxicity in diabetic rats induced by high-fat diet combined with streptozotocin. The results showed that 40 mg/kg atorvastatin was lethal to diabetic rats, whose mean survival time was 6.2 days. Severe liver injury also occurred in diabetic rats treated with 10 mg/kg and 20 mg/kg atorvastatin. The in vitro results indicated that atorvastatin cytotoxicity in hepatocytes of diabetic rats was more severe than normal and high-fat diet feeding rats. Expressions and activities of hepatic Cyp3a and SLCO1B1 were increased in diabetic rats, which were highly correlated with hepatotoxicity. Antioxidants (glutathione and N-Acetylcysteine), Cyp3a inhibitor ketoconazole and SLCO1B1 inhibitor gemfibrozil suppressed cytotoxicity and ROS formation in primary hepatocytes of diabetic rats. In HepG2 cells, up-regulations of CYP3A4 and SLCO1B1 potentiated hepatotoxicity and ROS generation, whereas knockdowns of CYP3A4 and SLCO1B1 as well as CYP3A4/SLCO1B1 inhibitions showed the opposite effects. Phenobarbital pretreatment was used to induce hepatic Cyp3a and SLCO1B1 in rats. Phenobarbital aggravated atorvastatin-induced hepatotoxicity, while decreased plasma exposure of atorvastatin. All these findings demonstrated that the upregulations of hepatic Cyp3a and SLCO1B1 in diabetic rats potentiated atorvastatin-induced hepatotoxicity via increasing ROS formation.

Indexed as

Chemical and Drug Induced Liver InjuryDiabetes Mellitus, ExperimentalAnimalsAtorvastatinCytochrome P-450 CYP3AHepatocytesLiver-Specific Organic Anion Transporter 1MaleRatsRats, Sprague-DawleyReactive Oxygen SpeciesUp-RegulationAtorvastatinCyp3a2 protein, ratCytochrome P-450 CYP3ALiver-Specific Organic Anion Transporter 1Reactive Oxygen Species

Identifiers

PMID27624558
PMCPMC5021965
OpenAlexW2519543062

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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.