Evidence map›Paper›PMID 38904414›Full record

ReviewJournal of environmental science and health. Part C, Toxicology and carcinogenesis2025

Hepatotoxicity of usnic acid and underlying mechanisms.

Si Chen, Zhen Ren, Lei Guo

Abstract readReview
In one paragraph

Review in Journal of environmental science and health. Part C, Toxicology and carcinogenesis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Usnic Acid and Its Topical Use-A Concise Review.Molecules (Basel, Switzerland) · 2026
    Review
  2. Review of black cohosh-induced toxicity and adverse clinical effects.Journal of environmental science and health. Part C, Toxicology and carcinogenesis · 2025
    Review
  3. Potential anticancer effects and toxicity of flavones luteolin and apigeninJournal of environmental science and health. Part C, Toxicology and carcinogenesis · 2025
    Review
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

3 authors.

Si ChenDivision of Biochemical Toxicology, National Center for Toxicological Research (NCTR)/U.S. FDA, Jefferson, Arkansas, USA.
Zhen RenDivision of Biochemical Toxicology, National Center for Toxicological Research (NCTR)/U.S. FDA, Jefferson, Arkansas, USA.
Lei GuoDivision of Biochemical Toxicology, National Center for Toxicological Research (NCTR)/U.S. FDA, Jefferson, Arkansas, USA.ORCID 0000-0002-0402-4152

Funding

Intramural FDA HHS FD999999
6 · The paper itself

Abstract

Since usnic acid was first isolated in 1844 as a prominent secondary lichen metabolite, it has been used for various purposes worldwide. Usnic acid has been claimed to possess numerous therapeutic properties, including antimicrobial, anti-inflammatory, antiviral, anti-proliferative, and antipyretic activities. Approximately two decades ago, crude extracts of usnic acid or pure usnic acid were marketed in the United States as dietary supplements for aiding in weight loss as a "fat-burner" and gained popularity in the bodybuilding community; however, hepatotoxicity was documented for some usnic acid containing products. The US Food and Drug Administration (FDA) received numerous reports of liver toxicity associated with the use of dietary supplements containing usnic acid, leading the FDA to issue a warning letter in 2001 on a product, LipoKinetix. The FDA also sent a recommendation letter to the manufacturer of LipoKinetix, resulting in the withdrawal of LipoKinetix from the market. These events triggered investigations into the hepatotoxicity of usnic acid and its mechanisms. In 2008, we published a review article titled "Usnic Acid and Usnea Barbata Toxicity". This review is an updated version of our previous review article and incorporates additional data published since 2008. The purpose of this review is to provide a comprehensive summary of the understanding of the liver toxicity associated with usnic acid, with a particular focus on the current understanding of the putative mechanisms of usnic acid-related hepatotoxicity.

Indexed as

BenzofuransChemical and Drug Induced Liver InjuryLiverAnimalsDietary SupplementsHumansUnited StatesUnited States Food and Drug AdministrationBenzofuransusnic aciddietary supplementliver injuryliver toxicitymechanismusnic acidweight-loss agent

Identifiers

PMID38904414
PMCPMC12366448

What OpenQuestion holds

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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.