绿茶提取物可致特异质型肝损伤?——与美国最新版药物性肝损伤指南商榷
DOI: 10.3969/j.issn.1001-5256.2023.03.007
利益冲突声明:所有作者均声明不存在利益冲突。
作者贡献声明:高云娟、朱敬肖负责查询文献,撰写文章;赵旭、柏兆方负责文章关键内容的修改;肖小河、王伽伯指导写作思路。
Can green tea extract cause specific liver injury?——Discussion of the latest US guidelines on drug-induced liver injury
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摘要: 近年来,绿茶提取物的潜在肝毒性越来越多的引起了人们的关注。本文通过现有绿茶提取物肝损伤相关研究,结合最新药物肝毒性分类,对其肝损伤的客观性和成因机制进行了系统的阐述和分析。进一步根据绿茶提取物致肝损伤的主要风险因素,提出了安全合理使用此类产品的相关建议,以期为绿茶提取物肝损伤机制的深入研究和风险的防控提供有价值的见解,同时,也为绿茶提取物改善健康状况的治疗性使用提供重要的参考。
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关键词:
- 化学性与药物性肝损伤 /
- 儿茶酚胺类 /
- 绿茶提取物
Abstract: In recent years, the potential hepatotoxicity of green tea extract (GTE) has attracted more and more attention. With reference to the current studies on liver injury caused by GTE and the latest drug hepatotoxicity classification, this article systematically elaborates on the objectivity and causal mechanisms of liver injury caused by GTE. Based on the main risk factors for liver injury caused by GTE, this article also proposes recommendations for safe and rational use of such products, so as to provide valuable insights for in-depth research on the mechanism of liver injury caused by GTE and risk prevention and control, and meanwhile, it also provides an important reference for the therapeutic use of GTE to improve health conditions. -
[1] HOOFNAGLE JH, BONKOVSKY HL, PHILLIPS EJ, et al. HLA-B*35: 01 and green tea-Induced liver injury[J]. Hepatology, 2021, 73(6): 2484-2493. DOI: 10.1002/hep.31538. [2] CHALASANI NP, MADDUR H, RUSSO MW, et al. ACG clinical guideline: diagnosis and management of idiosyncratic drug-induced liver injury[J]. Am J Gastroenterol, 2021, 116(5): 878-898. DOI: 10.14309/ajg.0000000000001259. [3] FONTANA RJ, LIOU I, REUBEN A, et al. AASLD practice guidance on drug, herbal, and dietary supplement-induced liver injury[J]. Hepatology, 2022. DOI: 10.1002/hep.32689.[Online ahead of print] [4] ZHAO T, LI C, WANG S, et al. Green Tea (Camellia sinensis): A review of its phytochemistry, pharmacology, and toxicology[J]. Molecules, 2022, 27(12): 3909. DOI: 10.3390/molecules27123909. [5] YE Q, LIU Y, CHEN JP, et al. Research progress on chemical constituents and pharmacological activities of green tea[J]. Drug Evaluation Research, 2021, 44(12): 2171-2719. DOI: 10.7501/j.issn.1674-6376.2021.12.026.叶晴, 刘毅, 陈金鹏, 等. 绿茶化学成分及药理作用研究进展[J]. 药物评价研究, 2021, 44(12): 2711-2719. DOI: 10.7501/j.issn.1674-6376.2021.12.026. [6] RUAN YC, WANG YG. Biochemical basis for the mellow, fresh and thick taste quality of green tea[J]. Tea Communication, 1987, 4: 3-6, 17. https://www.cnki.com.cn/Article/CJFDTOTAL-CYTX198704000.htm阮宇成, 王月根. 绿茶滋味品质醇、鲜、浓的生化基础[J]. 茶叶通讯, 1987, 4: 3-6, 17. https://www.cnki.com.cn/Article/CJFDTOTAL-CYTX198704000.htm [7] JIMENEZ-SAENZ M, MARTINEZ-SANCHEZ MDEL C. Acute hepatitis associated with the use of green tea infusions[J]. J Hepatol, 2006, 44(3): 616-617. DOI: 10.1016/j.jhep.2005.11.041. [8] FEDERICO A, TISO A, LOGUERCIO C. A case of hepatotoxicity caused by green tea[J]. Free Radic Biol Med, 2007, 43(3): 474. DOI: 10.1016/j.freeradbiomed.2007.05.010. [9] OKETCH-RABAH HA, ROE AL, RIDER CV, et al. United States Pharmacopeia (USP) comprehensive review of the hepatotoxicity of green tea extracts[J]. Toxicol Rep, 2020, 7: 386-402. DOI: 10.1016/j.toxrep.2020.02.008. [10] PASRIJA D, ANANDHARAMAKRISHNAN C. Techniques for extraction of green tea polyphenols: a review[J]. Food Bioproc Tech, 2015, 8(5): 935-950. DOI: 10.1007/s11947-015-1479-y. [11] ZHENG EX, ROSSI S, FONTANA RJ, et al. Risk of liver injury associated with green tea extract in SLIMQUICK(R) weight loss products: results from the DILIN prospective study[J]. Drug Saf, 2016, 39(8): 749-754. DOI: 10.1007/s40264-016-0428-7. [12] GARCÍA-CORTÉS M, ROBLES-DÍAZ M, ORTEGA-ALONSO A, et al. Hepatotoxicity by dietary supplements: a tabular listing and clinical characteristics[J]. Int J Mol Sci, 2016, 17(4): 537. DOI: 10.3390/ijms17040537. [13] CHO T, WANG X, YEUNG K, et al. Liver Injury caused by green tea extract in PD-1-/- mice: an impaired immune tolerance model for idiosyncratic drug-induced liver injury[J]. Chem Res Toxicol, 2021, 34(3): 849-856. DOI: 10.1021/acs.chemrestox.0c00485. [14] MAH E, CHEN O, LISKA DJ, et al. Dietary supplements for weight management: a narrative review of safety and metabolic health benefits[J]. Nutrients, 2022, 14(9): 1787. DOI: 10.3390/nu14091787. [15] ZHU Y, LIU SH, WANG JB, et al. Clinical analysis of drug-induced liver injury caused by polygonum multiflorum and its preparations[J]. Chin J Integr Tradit West Med, 2015, 35(12): 1442-1447. DOI: 10.7661 /CJIM.2015.12.1442.朱云, 刘树红, 王伽伯, 等. 何首乌及其制剂导致药物性肝损伤的临床分析[J]. 中国中西医结合杂志, 2015, 35(12): 1442-1447. DOI: 10.7661/CJIM.2015.12.1442. [16] LI C, RAO T, CHEN X, et al. HLA-B*35: 01 allele is a potential biomarker for predicting polygonum multiflorum-induced liver injury in humans[J]. Hepatology, 2019, 70(1): 346-357. DOI: 10.1002/hep.30660. [17] AITHAL GP. Of potions, poisons, polygonum, and pre-emptive polymorphism[J]. Hepatology, 2019, 70(1): 8-10. DOI: 10.1002/hep.30798. [18] YANG WN, PANG LL, ZHOU JY, et al. Single-nucleotide polymorphisms of HLA and Polygonum multiflorum-induced liver injury in the Han Chinese population[J]. World J Gastroenterol, 2020, 26(12): 1329-1339. DOI: 10.3748/wjg.v26.i12.1329. [19] SHI Z, ZHU JX, GUO YM, et al. Epigallocatechin gallate during dietary restriction - potential mechanisms of enhanced liver injury[J]. Front Pharmacol, 2020, 11: 609378. DOI: 10.3389/fphar.2020.609378. [20] ZAREZADEH M, SAEDISOMEOLIA A, SHEKARABI M, et al. The effect of obesity, macronutrients, fasting and nutritional status on drug-metabolizing cytochrome P450s: a systematic review of current evidence on human studies[J]. Eur J Nutr, 2021, 60(6): 2905-2921. DOI: 10.1007/s00394-020-02421-y. [21] KAPETANOVIC IM, CROWELL JA, KRISHNARAJ R, et al. Exposure and toxicity of green tea polyphenols in fasted and non-fasted dogs[J]. Toxicology, 2009, 260(1-3): 28-36. DOI: 10.1016/j.tox.2009.03.007. [22] CHOW HH, HAKIM IA, VINING DR, et al. Effects of dosing condition on the oral bioavailability of green tea catechins after single-dose administration of Polyphenon E in healthy individuals[J]. Clin Cancer Res, 2005, 11(12): 4627-4633. DOI: 10.1158/1078-0432.CCR-04-2549. [23] HOOFNAGLE JH, BJÖRNSSON ES. Drug-induced liver injury-types and phenotypes[J]. N Engl J Med, 2019, 381(3): 264-273. DOI: 10.1056/NEJMra1816149. [24] LOUVET A, MATHURIN P. Alcoholic liver disease: mechanisms of injury and targeted treatment[J]. Nat Rev Gastroenterol Hepatol, 2015, 12(4): 231-242. DOI: 10.1038/nrgastro.2015.35. [25] ROCCO A, COMPARE D, ANGRISANI D, et al. Alcoholic disease: liver and beyond[J]. World J Gastroenterol, 2014, 20(40): 14652-14659. DOI: 10.3748/wjg.v20.i40.14652. [26] CEDERBAUM AI. Alcohol metabolism[J]. Clin Liver Dis, 2012, 16(4): 667-685. DOI: 10.1016/j.cld.2012.08.002. [27] HU J, WEBSTER D, CAO J, et al. The safety of green tea and green tea extract consumption in adults-Results of a systematic review[J]. Regul Toxicol Pharmacol, 2018, 95: 412-433. DOI: 10.1016/j.yrtph.2018.03.019.
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