Hepatotoxic effects of aristolochic acid: mechanisms and implications

Herbal plants that contain aristolochic acids (AAs) have been widely used for medicinal purposes for centuries. However, human exposure to AAs via herbal or dietary intake is thought to be a causative factor for aristolochic acid nephropathy (AAN), hepatotoxic effects, and carcinomas. At present, th...

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Main Authors: Qian Zhang, Jiayun Chen, Hengkai He, Wentong Zhao, Yinkwan Wong, Wenhui Li, Sha Feng, Bin Liu, Jigang Wang, Piao Luo
Format: Article
Language:English
Published: Compuscript Ltd 2024-08-01
Series:Acta Materia Medica
Online Access:https://www.scienceopen.com/hosted-document?doi=10.15212/AMM-2024-0023
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author Qian Zhang
Jiayun Chen
Hengkai He
Wentong Zhao
Yinkwan Wong
Wenhui Li
Sha Feng
Bin Liu
Jigang Wang
Piao Luo
author_facet Qian Zhang
Jiayun Chen
Hengkai He
Wentong Zhao
Yinkwan Wong
Wenhui Li
Sha Feng
Bin Liu
Jigang Wang
Piao Luo
author_sort Qian Zhang
collection DOAJ
description Herbal plants that contain aristolochic acids (AAs) have been widely used for medicinal purposes for centuries. However, human exposure to AAs via herbal or dietary intake is thought to be a causative factor for aristolochic acid nephropathy (AAN), hepatotoxic effects, and carcinomas. At present, the molecular mechanisms underlying AA-induced hepatotoxicity and carcinogenesis and the corresponding detoxification strategies are unclear. This review summarizes the exposure, absorption, distribution, metabolism, and excretion (ADME) process of AAs. Importantly, to more objectively determine the emerging correlation between AAs and liver cancer, this review summarizes the possible direct and indirect connections between AAs and liver cancer. In brief, this review comprehensively summarizes and analyzes the molecular mechanisms underlying AA-induced hepatotoxicity and carcinogenesis, as well as an assessment of current detoxification strategies. At the same time, a new view on the prevention and detoxification of AA-induced hepatotoxicity is proposed. Chinese medicines that contain AAs might induce liver cancer but this is a controversial notion. This review summarizes relevant views from the past and provides novel insight into AA-induced liver injury or cancer to lay the foundation for AA detoxification.
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spelling doaj-art-fd51b08387d2472db45d24c63f09716f2025-07-05T16:00:06ZengCompuscript LtdActa Materia Medica2737-79462024-08-013334936210.15212/AMM-2024-0023Hepatotoxic effects of aristolochic acid: mechanisms and implicationsQian ZhangJiayun ChenHengkai HeWentong ZhaoYinkwan WongWenhui LiSha FengBin LiuJigang WangPiao LuoHerbal plants that contain aristolochic acids (AAs) have been widely used for medicinal purposes for centuries. However, human exposure to AAs via herbal or dietary intake is thought to be a causative factor for aristolochic acid nephropathy (AAN), hepatotoxic effects, and carcinomas. At present, the molecular mechanisms underlying AA-induced hepatotoxicity and carcinogenesis and the corresponding detoxification strategies are unclear. This review summarizes the exposure, absorption, distribution, metabolism, and excretion (ADME) process of AAs. Importantly, to more objectively determine the emerging correlation between AAs and liver cancer, this review summarizes the possible direct and indirect connections between AAs and liver cancer. In brief, this review comprehensively summarizes and analyzes the molecular mechanisms underlying AA-induced hepatotoxicity and carcinogenesis, as well as an assessment of current detoxification strategies. At the same time, a new view on the prevention and detoxification of AA-induced hepatotoxicity is proposed. Chinese medicines that contain AAs might induce liver cancer but this is a controversial notion. This review summarizes relevant views from the past and provides novel insight into AA-induced liver injury or cancer to lay the foundation for AA detoxification.https://www.scienceopen.com/hosted-document?doi=10.15212/AMM-2024-0023
spellingShingle Qian Zhang
Jiayun Chen
Hengkai He
Wentong Zhao
Yinkwan Wong
Wenhui Li
Sha Feng
Bin Liu
Jigang Wang
Piao Luo
Hepatotoxic effects of aristolochic acid: mechanisms and implications
Acta Materia Medica
title Hepatotoxic effects of aristolochic acid: mechanisms and implications
title_full Hepatotoxic effects of aristolochic acid: mechanisms and implications
title_fullStr Hepatotoxic effects of aristolochic acid: mechanisms and implications
title_full_unstemmed Hepatotoxic effects of aristolochic acid: mechanisms and implications
title_short Hepatotoxic effects of aristolochic acid: mechanisms and implications
title_sort hepatotoxic effects of aristolochic acid mechanisms and implications
url https://www.scienceopen.com/hosted-document?doi=10.15212/AMM-2024-0023
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