Immune Idiosyncratic Liver Injury Induced by Traditional Non-Toxic Traditional Chinese Medicine and a Hypothesis of Its Mechanism
- Author:
Zhao-Fang BAI
1
Author Information
- Publication Type:Journal Article
- Keywords: Idiosyncratic TCM-induced liver injury; Immunological stress; Mechanism hypothesis; Polygonum multiflorum; Traditional non-toxictraditional Chinese medicine
- From: Chinese Pharmaceutical Journal 2017;52(13):1105-1109
- CountryChina
- Language:Chinese
- Abstract: In recent years, the report of adverse reaction of traditional Chinese medicine(TCM), especially the traditional non-toxic TCM-induced liver injury problems have been repeatedly arising, causing serious concerns about the safety of TCM from the public, and meanwhile there is a huge controversy about the objectivity of traditional non-toxic TCM-induced liver injury as well. How to scientifically acknowledge the side effects of traditional non-toxic TCM has become one of the most challenging and difficult international problems in this field. Previous studies may only focus on the search for toxic substances and toxic mechanisms from the perspective of drugs, so there is little attention and research on the factors that it may be caused by patients' bodies, especially the immune-mediated idiosyncratic drug induced liver injury. This paper carries on the analysis to the TCM-induced liver injury from the angles of objective identification and evaluation problems, elaborates the relationship between the immune and drug-induced liver injury, taking the traditional non-toxic TCM Polygonum Multiflorum as an example to analyze the objective authenticity and mechanism of immune-mediated idiosyncratic drug induced liver injury, on which basis the immunological stress "Three Factors Causing toxicity" mechanism hypothesis of idiosyncratic TCM-induced liver injury has been frist put forward. This hypothesis also provides a theoretical basis for the objective identification and evaluation of traditional non-toxic TCM-induced liver injury, innovate and develop a new evaluation model and method of TCM's safety, which has a significant value for revealing the objectivity of TCM-induced liver injury.
