Evidence map›Paper›PMID 33573688›Full record

ArticleCell communication and signaling : CCS2021

Icariside I specifically facilitates ATP or nigericin-induced NLRP3 inflammasome activation and causes idiosyncratic hepatotoxicity.

Yuan Gao, Guang Xu, Li Ma, Wei Shi, Zhilei Wang, Xiaoyan Zhan, Nan Qin, Tingting He, Yuming Guo, Ming Niu and 3 more

Open access · goldAbstract read
In one paragraph

Article in Cell communication and signaling : CCS, 2021. 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
4.8field-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

18 citing papers in PubMed, 41 citations in OpenAlex.

  1. Valorization of icariinRSC advances · 2026
    Article
  2. Review
  3. Article
  4. Journal of pharmaceutical analysis · 2025
    Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. New Insights into Herb-Induced Liver Injury.Antioxidants & redox signaling · 2023
    Review
  10. Polyphenols, flavonoids and inflammasomes: the role of cigarette smoke in COPD.European respiratory review : an official journal of the European Respiratory Society · 2022
    Review
  11. Article
  12. Article
  13. Frontiers in pharmacology · 2022
    Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Article
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 3 institutions in 1 country.

Yuan Gao *School of Traditional Chinese Medicine, Capital Medical University, Beijing, 100069, China.
Guang Xu *China Military Institute of Chinese Materia, the Fifth Medical Centre, Chinese PLA General Hospital, No. 100 Xisihuan, Beijing, 100039, China.
Li Ma *School of Traditional Chinese Medicine, Capital Medical University, Beijing, 100069, China.
Wei Shi *China Military Institute of Chinese Materia, the Fifth Medical Centre, Chinese PLA General Hospital, No. 100 Xisihuan, Beijing, 100039, China.
Zhilei WangChina Military Institute of Chinese Materia, the Fifth Medical Centre, Chinese PLA General Hospital, No. 100 Xisihuan, Beijing, 100039, China.
Xiaoyan ZhanChina Military Institute of Chinese Materia, the Fifth Medical Centre, Chinese PLA General Hospital, No. 100 Xisihuan, Beijing, 100039, China.
Nan QinChina Military Institute of Chinese Materia, the Fifth Medical Centre, Chinese PLA General Hospital, No. 100 Xisihuan, Beijing, 100039, China.
Tingting HeIntegrative Medical Center, the Fifth Medical Centre, Chinese PLA General Hospital, Beijing, 100039, China.
Yuming GuoChina Military Institute of Chinese Materia, the Fifth Medical Centre, Chinese PLA General Hospital, No. 100 Xisihuan, Beijing, 100039, China.
Ming NiuChina Military Institute of Chinese Materia, the Fifth Medical Centre, Chinese PLA General Hospital, No. 100 Xisihuan, Beijing, 100039, China.
Jiabo WangChina Military Institute of Chinese Materia, the Fifth Medical Centre, Chinese PLA General Hospital, No. 100 Xisihuan, Beijing, 100039, China.
Zhaofang BaiChina Military Institute of Chinese Materia, the Fifth Medical Centre, Chinese PLA General Hospital, No. 100 Xisihuan, Beijing, 100039, China. baizf2008@hotmail.com.
Xiaohe XiaoChina Military Institute of Chinese Materia, the Fifth Medical Centre, Chinese PLA General Hospital, No. 100 Xisihuan, Beijing, 100039, China. pharmacy_302@126.com.
Chinese PLA General Hospital · CNChinese People's Liberation Army · CNCapital Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEpimedii Folium (EF) is commonly used for treating bone fractures and joint diseases, but the potential hepatotoxicity of EF limits its clinical application. Our previous study confirms that EF could lead to idiosyncratic drug-induced liver injury (IDILI) and hepatocyte apoptosis, but the mechanism remains unknown. Studies have shown that NLRP3 inflammasome plays an important role in the development of various inflammatory diseases such as IDILI. Specific stimulus-induced NLRP3 inflammasome activation may has been a key strategy for lead to liver injury. Therefore, main compounds derived from EF were chosen to test whether the ingredients in EF could activate the NLRP3 inflammasome and to induce IDILI.

methodsBone-marrow-derived macrophages (BMDMs) were treated with Icariside I, and then stimulated with inflammasome stimuli and assayed for the production of caspase-1 and interleukin 1β (IL-1β) and the release of lactate dehydrogenase (LDH). Determination of intracellular potassium, ASC oligomerization as well as reactive oxygen species (ROS) production were used to evaluate the stimulative mechanism of Icariside I on inflammasome activation. Mouse models of NLRP3 diseases were used to test whether Icariside I has hepatocyte apoptosis effects and promoted NLRP3 inflammasome activation in vivo.

resultsIcariside I specifically enhances NLRP3 inflammasome activation triggered by ATP or nigericin but not SiO2, poly(I:C) or cytosolic LPS. Additionally, Icariside I does not alter the activation of NLRC4 and AIM2 inflammasomes. Mechanically, Icariside I alone does not induce mitochondrial reactive oxygen species (mtROS), which is one of the critical upstream events of NLRP3 inflammasome activation; however, Icariside I increases mtROS production induced by ATP or nigericin but not SiO2. Importantly, Icariside I leads to liver injury and NLRP3 inflammasome activation in an LPS-mediated susceptibility mouse model of IDILI, but the effect of Icariside I is absent in the LPS-mediated mouse model pretreated with MCC950, which is used to mimic knockdown of NLRP3 inflammasome activation.

conclusionsOur study reveals that Icariside I specifically facilitates ATP or nigericin-induced NLRP3 inflammasome activation and causes idiosyncratic hepatotoxicity. The findings suggest that Icariside I or EF should be avoided in patients with diseases related to ATP or nigericin-induced NLRP3 inflammasome activation, which may be risk factors for IDILI. Video abstract.

Indexed as

Adenosine TriphosphateChemical and Drug Induced Liver InjuryNigericinAlanine TransaminaseAnimalsAspartate AminotransferasesCaspase 1FemaleFlavonesFuransIndenesInflammasomesInterleukin-1betaLipopolysaccharidesL-Lactate DehydrogenaseMacrophagesAdenosine TriphosphateAlanine TransaminaseAspartate AminotransferasesCasp1 protein, mouseCaspase 1FlavonesFuransicariside IIL1B protein, mouseIndenesInflammasomesInterleukin-1betaLipopolysaccharidesL-Lactate DehydrogenaseN-(1,2,3,5,6,7-hexahydro-S-indacen-4-ylcarbamoyl)-4-(2-hydroxy-2-propanyl)-2-furansulfonamideNigericinNLR Family, Pyrin Domain-Containing 3 ProteinReactive Oxygen SpeciesSulfonamidesTnf protein, mouseTumor Necrosis Factor-alphaUmbelliferonesEpimedii foliumIcariside IIdiosyncratic drug-induced liver injuryNLRP3 inflammasome

Identifiers

PMID33573688
PMCPMC7879676
OpenAlexW3118642093

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.