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Advances on botanicals targeting programmed cell death in acetaminophen-induced liver injury - PubMed

3 days ago
  • #Liver Injury
  • #Acetaminophen
  • #Phytochemicals
  • Acetaminophen (APAP) overdose can cause hepatotoxicity, with limited treatment options available.
  • N-acetylcysteine (NAC) is the first-line treatment but has a narrow therapeutic window and adverse effects.
  • Chinese herbal medicines and their extracts show promise in preventing and treating APAP-induced liver injury (AILI).
  • Programmed cell death (PCD) plays a significant role in the pathogenesis of AILI.
  • Over 160 studies were reviewed, identifying plant extracts with anti-AILI properties categorized into nine classes.
  • Natural compounds like sinomenine, dihydromyricetin, tannic acid, and pterostilbene show potential in modulating PCD pathways.
  • Phytochemicals can modulate multiple signaling pathways (Nrf2-HO1, NF-κB, RIPK/MLKL) to alleviate APAP-induced PCD.
  • The review provides insights for developing novel hepatoprotective therapeutics.