Critical Reviews in Toxicology最新文献

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A screening-level human health risk assessment of dietary intake of pesticide residues in produce as compared to consumer guide recommendations 对照消费者指南建议,对农产品中农药残留的膳食摄入量进行筛选级人类健康风险评估
IF 5.9 2区 医学
Critical Reviews in Toxicology Pub Date : 2024-04-16 DOI: 10.1080/10408444.2024.2316136
Neva Jacobs, Daniel G. Kougias, Fian Louie, Benjamin Roberts
{"title":"A screening-level human health risk assessment of dietary intake of pesticide residues in produce as compared to consumer guide recommendations","authors":"Neva Jacobs, Daniel G. Kougias, Fian Louie, Benjamin Roberts","doi":"10.1080/10408444.2024.2316136","DOIUrl":"https://doi.org/10.1080/10408444.2024.2316136","url":null,"abstract":"Consumers are confronted with conflicting information regarding the safety of specific foods. For example, the Environmental Working Group (EWG) publishes an annual consumer guide in which they ran...","PeriodicalId":10869,"journal":{"name":"Critical Reviews in Toxicology","volume":"3 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140613526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interventional probability of causation (IPoC) with epidemiological and partial mechanistic evidence: benzene vs. formaldehyde and acute myeloid leukemia (AML). 具有流行病学和部分机理证据的干预性因果关系概率 (IpoC):苯与甲醛和急性髓性白血病 (AML)。
IF 5.9 2区 医学
Critical Reviews in Toxicology Pub Date : 2024-04-01 Epub Date: 2024-05-16 DOI: 10.1080/10408444.2024.2337435
Louis A Cox, William J Thompson, Kenneth A Mundt
{"title":"Interventional probability of causation (IPoC) with epidemiological and partial mechanistic evidence: benzene vs. formaldehyde and acute myeloid leukemia (AML).","authors":"Louis A Cox, William J Thompson, Kenneth A Mundt","doi":"10.1080/10408444.2024.2337435","DOIUrl":"10.1080/10408444.2024.2337435","url":null,"abstract":"<p><strong>Introduction: </strong>Causal epidemiology for regulatory risk analysis seeks to evaluate how removing or reducing exposures would change disease occurrence rates. We define <i>interventional probability of causation</i> (IPoC) as the change in probability of a disease (or other harm) occurring over a lifetime or other specified time interval that would be caused by a specified change in exposure, as predicted by a fully specified causal model. We define the closely related concept of <i>causal assigned share</i> (CAS) as the predicted fraction of disease risk that would be removed or prevented by a specified reduction in exposure, holding other variables fixed. Traditional approaches used to evaluate the preventable risk implications of epidemiological associations, including population attributable fraction (PAF) and the Bradford Hill considerations, cannot reveal whether removing a risk factor would reduce disease incidence. We argue that modern formal causal models coupled with causal artificial intelligence (CAI) and realistically partial and imperfect knowledge of underlying disease mechanisms, show great promise for determining and quantifying IPoC and CAS for exposures and diseases of practical interest.</p><p><strong>Methods: </strong>We briefly review key CAI concepts and terms and then apply them to define IPoC and CAS. We present steps to quantify IPoC using a fully specified causal Bayesian network (BN) model. Useful bounds for quantitative IPoC and CAS calculations are derived for a two-stage clonal expansion (TSCE) model for carcinogenesis and illustrated by applying them to benzene and formaldehyde based on available epidemiological and partial mechanistic evidence.</p><p><strong>Results: </strong>Causal BN models for benzene and risk of acute myeloid leukemia (AML) incorporating mechanistic, toxicological and epidemiological findings show that prolonged high-intensity exposure to benzene can increase risk of AML (IPoC of up to 7e-5, CAS of up to 54%). By contrast, no causal pathway leading from formaldehyde exposure to increased risk of AML was identified, consistent with much previous mechanistic, toxicological and epidemiological evidence; therefore, the IPoC and CAS for formaldehyde-induced AML are likely to be zero.</p><p><strong>Conclusion: </strong>We conclude that the IPoC approach can differentiate between likely and unlikely causal factors and can provide useful upper bounds for IPoC and CAS for some exposures and diseases of practical importance. For causal factors, IPoC can help to estimate the quantitative impacts on health risks of reducing exposures, even in situations where mechanistic evidence is realistically incomplete and individual-level exposure-response parameters are uncertain. This illustrates the strength that can be gained for causal inference by using causal models to generate testable hypotheses and then obtaining toxicological data to test the hypotheses implied by the models-and, where nec","PeriodicalId":10869,"journal":{"name":"Critical Reviews in Toxicology","volume":" ","pages":"252-289"},"PeriodicalIF":5.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140956455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Systematic review of studies on exposure to arsenic in drinking water and cognitive and neurobehavioral effects. 关于接触饮用水中的砷及其对认知和神经行为影响的研究的系统回顾。
IF 5.7 2区 医学
Critical Reviews in Toxicology Pub Date : 2024-03-01 Epub Date: 2024-03-27 DOI: 10.1080/10408444.2023.2297751
Paolo Boffetta, Luisa Sambati, Michele Sassano
{"title":"Systematic review of studies on exposure to arsenic in drinking water and cognitive and neurobehavioral effects.","authors":"Paolo Boffetta, Luisa Sambati, Michele Sassano","doi":"10.1080/10408444.2023.2297751","DOIUrl":"10.1080/10408444.2023.2297751","url":null,"abstract":"<p><p>An association between exposure to arsenic (As) and neurologic and behavioral effects has been reported in some studies, but no systematic review is available of the evidence linking As in drinking water and neurobehavioral effects after consideration of study quality and potential confounding, with focus on low-level circumstances of exposure. We conducted a systematic review and reported it in compliance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines, through a search of the databases PubMed, Web of Science, Scopus, and Embase. We included in the review the studies reporting results based on exposure from drinking water in humans. Endpoints were heterogeneous across studies, so we classified them into eight broad domains and developed an ad-hoc system to evaluate their methodological quality, based on three tiers. It was not possible to conduct meta-analysis because of the heterogeneity in exposure assessment and in the definition and assessment of outcomes. The search identified 18,518 articles. After elimination of duplicates and irrelevant articles, we retained 106 articles which reported results on As exposure and neurobehavioral effects, of which 22 reported risk estimates from exposure in drinking water (six among adults and 16 among children). None of the studies was conducted blindly. Among the studies in adults, two, which were conducted in highly exposed populations, were classified as high quality. These two studies were broadly consistent in reporting an association between exposure to As and decline in cognitive function; however, they provide no evidence of an association for exposure below 75 μg/L. The four lower-quality studies were based on populations with low exposure; these studies reported associations with inconsistent outcomes, few of which remained statistically significant after adjustment for multiple comparisons. Among the five high-quality studies of children, one reported an association between As in drinking water and intellectual function, whereas none of the other studies reported an association with different neurobehavioral indicators, after adjusting for potential confounders and multiple comparisons. Out of seven intermediate-quality studies, three reported an association with cognitive function or other outcomes; but sources of bias were not adequately controlled. The remaining studies were negative. The four low-quality studies did not contribute to the overall evidence because of methodological limitations. Our assessment of the available literature showed a lack of evidence for a causal association between exposure to As in drinking water and neurobehavioral effects. To clarify whether such an association exists, further studies prospectively evaluating changes in both the concentration of As in drinking water during the life course, and neurobehavioral outcomes, as well as appropriately controlling for potential confounders, are needed.</p>","PeriodicalId":10869,"journal":{"name":"Critical Reviews in Toxicology","volume":" ","pages":"174-193"},"PeriodicalIF":5.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140293075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Consideration of the variability in control tumor incidence data at the Ramazzini Institute in evaluating treatment-related effects following chemical exposure. 在评估接触化学品后与治疗相关的影响时,考虑拉马齐尼研究所对照肿瘤发病率数据的可变性。
IF 5.9 2区 医学
Critical Reviews in Toxicology Pub Date : 2024-03-01 Epub Date: 2024-03-12 DOI: 10.1080/10408444.2024.2314056
Robinan Gentry, Tracy Greene, Holly Bartow, Cynthia Van Landingham, Joseph Rodricks, Harvey Clewell
{"title":"Consideration of the variability in control tumor incidence data at the Ramazzini Institute in evaluating treatment-related effects following chemical exposure.","authors":"Robinan Gentry, Tracy Greene, Holly Bartow, Cynthia Van Landingham, Joseph Rodricks, Harvey Clewell","doi":"10.1080/10408444.2024.2314056","DOIUrl":"10.1080/10408444.2024.2314056","url":null,"abstract":"<p><p>The Ramazzini Institute (RI) has been conducting animal carcinogenicity studies for decades, many of which have been considered by authoritative bodies to determine potential carcinogenicity in humans. Unlike other laboratories, such as the U.S. National Toxicology Program (NTP), the RI does not provide a report or record of historical control data. Transparently documenting historical control data is critical in the interpretation of individual study results within the same laboratory. Historical control data allow an assessment of significant trends, either increasing or decreasing, resulting from changes in laboratory methods or genetic drift. In this investigation: (1) we compiled a dataset of the tumors reported in control groups of Sprague-Dawley rats and Swiss mice based on data included in published RI studies on specific substances, and (2) conducted case studies to compare data from this RI control dataset to the findings from multiple RI studies on sweeteners and corresponding breakdown products. We found considerable variability in the tumor incidence across multiple tumor types when comparing across control groups from RI studies. When compared to the tumor incidence in treated groups from multiple studies, the incidence of some tumors considered to be treatment-related fell within the variability of background incidence from the RI control dataset.</p>","PeriodicalId":10869,"journal":{"name":"Critical Reviews in Toxicology","volume":" ","pages":"153-173"},"PeriodicalIF":5.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140101209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Non-acute exposure of neonicotinoids, health risk assessment, and evidence integration: a systematic review. 新烟碱类药物的非急性接触、健康风险评估和证据整合:系统综述。
IF 5.7 2区 医学
Critical Reviews in Toxicology Pub Date : 2024-03-01 Epub Date: 2024-03-12 DOI: 10.1080/10408444.2024.2310593
Imen Benchikh, Kaddour Ziani, Antonio Gonzalez Mateos, Boumediène Méghit Khaled
{"title":"Non-acute exposure of neonicotinoids, health risk assessment, and evidence integration: a systematic review.","authors":"Imen Benchikh, Kaddour Ziani, Antonio Gonzalez Mateos, Boumediène Méghit Khaled","doi":"10.1080/10408444.2024.2310593","DOIUrl":"10.1080/10408444.2024.2310593","url":null,"abstract":"<p><p>Neonicotinoid pesticides are utilized against an extensive range of insects. A growing body of evidence supports that these neuro-active insecticides are classified as toxicants in invertebrates. However, there is limited published data regarding their toxicity in vertebrates and mammals. the current systematic review is focused on the up-to-date knowledge available for several neonicotinoid pesticides and their non-acute toxicity on rodents and human physiology. Oral lethal dose 50 (LD<sub>50</sub>) of seven neonicotinoids (i.e. imidacloprid, acetamiprid, clothianidin, dinotefuran, thiamethoxam, thiacloprid, and nitenpyram) was initially identified. Subsequently, a screening of the literature was conducted to collect information about non-acute exposure to these insecticides. 99 studies were included and assessed for their risk of bias and level of evidence according to the Office of Health and Translation (OHAT) framework. All the 99 included papers indicate evidence of reproductive toxicity, hepatotoxicity, nephrotoxicity, neurotoxicity, immunotoxicity, and oxidative stress induction with a high level of evidence in the health effect of rodents and a moderate level of evidence for human health. The most studied type of these insecticides among 99 papers was imidacloprid (55 papers), followed by acetamiprid (22 papers), clothianidin (21 papers), and thiacloprid (11 papers). While 10 of 99 papers assessed the relationship between clothianidin, thiamethoxam, dinotefuran, and nitenpyram, showing evidence of liver injury, dysfunctions of oxidative stress markers in the reproductive system, and intestinal toxicity. This systematic review provides a comprehensive overview of the potential risks caused by neonicotinoid insecticides to humans and rodents with salient health effects. However, further research is needed to better emphasize and understand the patho-physiological mechanisms of these insecticides, taking into account various factors that can influence their toxicity.</p>","PeriodicalId":10869,"journal":{"name":"Critical Reviews in Toxicology","volume":" ","pages":"194-213"},"PeriodicalIF":5.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140101235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The skin sensitization adverse outcome pathway: exploring the role of mechanistic understanding for higher tier risk assessment 皮肤过敏不良后果途径:探索机理认识对更高层次风险评估的作用
IF 5.9 2区 医学
Critical Reviews in Toxicology Pub Date : 2024-02-22 DOI: 10.1080/10408444.2024.2308816
Maja Aleksic, Ramya Rajagopal, Renato de-Ávila, Sandrine Spriggs, Nicola Gilmour
{"title":"The skin sensitization adverse outcome pathway: exploring the role of mechanistic understanding for higher tier risk assessment","authors":"Maja Aleksic, Ramya Rajagopal, Renato de-Ávila, Sandrine Spriggs, Nicola Gilmour","doi":"10.1080/10408444.2024.2308816","DOIUrl":"https://doi.org/10.1080/10408444.2024.2308816","url":null,"abstract":"For over a decade, the skin sensitization Adverse Outcome Pathway (AOP) has served as a useful framework for development of novel in chemico and in vitro assays for use in skin sensitization hazard...","PeriodicalId":10869,"journal":{"name":"Critical Reviews in Toxicology","volume":"35 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139925359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Thank you to authors and reviewers of papers in Critical Reviews in Toxicology (CRT) volume 53, 2023 感谢《毒理学关键评论》(CRT)第 53 卷第 2023 期的论文作者和审稿人
IF 5.9 2区 医学
Critical Reviews in Toxicology Pub Date : 2024-02-15 DOI: 10.1080/10408444.2024.2310971
Roger O. McClellan
{"title":"Thank you to authors and reviewers of papers in Critical Reviews in Toxicology (CRT) volume 53, 2023","authors":"Roger O. McClellan","doi":"10.1080/10408444.2024.2310971","DOIUrl":"https://doi.org/10.1080/10408444.2024.2310971","url":null,"abstract":"Published in Critical Reviews in Toxicology (Vol. 54, No. 1, 2024)","PeriodicalId":10869,"journal":{"name":"Critical Reviews in Toxicology","volume":"95 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139764972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Complex roles for sulfation in the toxicities of polychlorinated biphenyls. 硫化作用在多氯联苯毒性中的复杂作用。
IF 5.9 2区 医学
Critical Reviews in Toxicology Pub Date : 2024-02-01 Epub Date: 2024-02-16 DOI: 10.1080/10408444.2024.2311270
Michael W Duffel, Hans-Joachim Lehmler
{"title":"Complex roles for sulfation in the toxicities of polychlorinated biphenyls.","authors":"Michael W Duffel, Hans-Joachim Lehmler","doi":"10.1080/10408444.2024.2311270","DOIUrl":"10.1080/10408444.2024.2311270","url":null,"abstract":"<p><p>Polychlorinated biphenyls (PCBs) are persistent organic toxicants derived from legacy pollution sources and their formation as inadvertent byproducts of some current manufacturing processes. Metabolism of PCBs is often a critical component in their toxicity, and relevant metabolic pathways usually include their initial oxidation to form hydroxylated polychlorinated biphenyls (OH-PCBs). Subsequent sulfation of OH-PCBs was originally thought to be primarily a means of detoxication; however, there is strong evidence that it may also contribute to toxicities associated with PCBs and OH-PCBs. These contributions include either the direct interaction of PCB sulfates with receptors or their serving as a localized precursor for OH-PCBs. The formation of PCB sulfates is catalyzed by cytosolic sulfotransferases, and, when transported into the serum, these metabolites may be retained, taken up by other tissues, and subjected to hydrolysis catalyzed by intracellular sulfatase(s) to regenerate OH-PCBs. Dynamic cycling between PCB sulfates and OH-PCBs may lead to further metabolic activation of the resulting OH-PCBs. Ultimate toxic endpoints of such processes may include endocrine disruption, neurotoxicities, and many others that are associated with exposures to PCBs and OH-PCBs. This review highlights the current understanding of the complex roles that PCB sulfates can have in the toxicities of PCBs and OH-PCBs and research on the varied mechanisms that control these roles.</p>","PeriodicalId":10869,"journal":{"name":"Critical Reviews in Toxicology","volume":" ","pages":"92-122"},"PeriodicalIF":5.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11067068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139740666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Procedural application of mode-of-action and human relevance analysis: styrene-induced lung tumors in mice. 作用模式和人体相关性分析的程序应用:苯乙烯诱导的小鼠肺肿瘤。
IF 5.9 2区 医学
Critical Reviews in Toxicology Pub Date : 2024-02-01 Epub Date: 2024-03-05 DOI: 10.1080/10408444.2024.2310600
Evan A Frank, M E Bette Meek
{"title":"Procedural application of mode-of-action and human relevance analysis: styrene-induced lung tumors in mice.","authors":"Evan A Frank, M E Bette Meek","doi":"10.1080/10408444.2024.2310600","DOIUrl":"10.1080/10408444.2024.2310600","url":null,"abstract":"<p><p>Risk assessment of human health hazards has traditionally relied on experiments that use animal models. Although exposure studies in rats and mice are a major basis for determining risk in many cases, observations made in animals do not always reflect health hazards in humans due to differences in biology. In this critical review, we use the mode-of-action (MOA) human relevance framework to assess the likelihood that bronchiolar lung tumors observed in mice chronically exposed to styrene represent a plausible tumor risk in humans. Using available datasets, we analyze the weight-of-evidence 1) that styrene-induced tumors in mice occur through a MOA based on metabolism of styrene by Cyp2F2; and 2) whether the hypothesized key event relationships are likely to occur in humans. This assessment describes how the five modified Hill causality considerations support that a Cyp2F2-dependent MOA causing lung tumors is active in mice, but only results in tumorigenicity in susceptible strains. Comparison of the key event relationships assessed in the mouse was compared to an analogous MOA hypothesis staged in the human lung. While some biological concordance was recognized between key events in mice and humans, the MOA as hypothesized in the mouse appears unlikely in humans due to quantitative differences in the metabolic capacity of the airways and qualitative uncertainties in the toxicological and prognostic concordance of pre-neoplastic and neoplastic lesions arising in either species. This analysis serves as a rigorous demonstration of the framework's utility in increasing transparency and consistency in evidence-based assessment of MOA hypotheses in toxicological models and determining relevance to human health.</p>","PeriodicalId":10869,"journal":{"name":"Critical Reviews in Toxicology","volume":" ","pages":"134-151"},"PeriodicalIF":5.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140027612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diagnosis, toxicological mechanism, and detoxification for hepatotoxicity induced by pyrrolizidine alkaloids from herbal medicines or other plants. 中药或其他植物中的吡咯烷生物碱引起的肝中毒的诊断、毒理机制和解毒方法。
IF 5.9 2区 医学
Critical Reviews in Toxicology Pub Date : 2024-02-01 Epub Date: 2024-02-27 DOI: 10.1080/10408444.2024.2310597
Zhenlin Huang, Zeqi Wu, Xinnan Gu, Lili Ji
{"title":"Diagnosis, toxicological mechanism, and detoxification for hepatotoxicity induced by pyrrolizidine alkaloids from herbal medicines or other plants.","authors":"Zhenlin Huang, Zeqi Wu, Xinnan Gu, Lili Ji","doi":"10.1080/10408444.2024.2310597","DOIUrl":"10.1080/10408444.2024.2310597","url":null,"abstract":"<p><p>Pyrrolizidine alkaloids (PAs) are one type of phytotoxins distributed in various plants, including many medicinal herbs. Many organs might suffer injuries from the intake of PAs, and the liver is the most susceptible one. The diagnosis, toxicological mechanism, and detoxification of PAs-induced hepatotoxicity have been studied for several decades, which is of great significance for its prevention, diagnosis, and therapy. When the liver was exposed to PAs, liver sinusoidal endothelial cells (LSECs) loss, hemorrhage, liver parenchymal cells death, nodular regeneration, Kupffer cells activation, and fibrogenesis occurred. These pathological changes classified the PAs-induced liver injury as acute, sub-acute, and chronic type. PAs metabolic activation, mitochondria injury, glutathione (GSH) depletion, inflammation, and LSECs damage-induced activation of the coagulation system were well recognized to play critical roles in the pathological process of PAs-induced hepatotoxicity. A lot of natural compounds like glycyrrhizic acid, (-)-epicatechin, quercetin, baicalein, chlorogenic acid, and so on were demonstrated to be effective in alleviating PAs-induced liver injury, which rendered them huge potential to be developed into therapeutic drugs for PAs poisoning in clinics. This review presents updated information about the diagnosis, toxicological mechanism, and detoxification studies on PAs-induced hepatotoxicity.</p>","PeriodicalId":10869,"journal":{"name":"Critical Reviews in Toxicology","volume":" ","pages":"123-133"},"PeriodicalIF":5.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139971295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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