Journal of Biochemical and Molecular Toxicology · 2019 · 25 citations · 19 references
PharmacyPharmacologyToxicologyDrug MetabolismHepatotoxicologyToxicokineticsCytotoxicity AssessmentCytotoxicity EvaluationHepatic ToxicityHepatotoxicity MechanismsMechanisms Of Toxic InjuryMolecular Mechanisms Of ToxicityElectrophilic MetabolitesHepatotoxic MechanismsHepatotoxic Plant CompoundsHepatotoxic PlantsHerbal Medicine HepatotoxicityHerbal-induced Liver Injury
Colchicine (COL) is an alkaloid existing in plants of Liliaceous colchicum. It has widely been used in the treatments of many diseases, such as gout, Familial Mediterranean Fever, and tumor. However, the adverse effects of COL are an obstacle to its safe use. The present studies explored the role of metabolic demethylation in the development of COL-induced hepatotoxicity. We found that inhibition of CYP3A increased the susceptibility of mice to COL hepatotoxicity, and induction of CYP3A decreased the susceptibility of animals to the hepatotoxicity. The toxicokinetic study demonstrated that pretreatment with ketoconazole caused elevated area under the concentration-time curve of COL. Three demethylation metabolites of COL were found to be less hepatotoxic than the parent compound. It appears that the formation of electrophilic demethylation metabolites was not involved in the development of COL-induced liver injury.
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Colchicine in the Treatment of Cirrhosis of the Liver
David Kershenobich, Florencia Vargas, Guadalupe García–Tsao et al. · New England Journal of Medicine · 1988 · 328 citations
Prolonged Colchicine Treatment in Four Patients with Amyloidosis
M Ravid · Annals of Internal Medicine · 1977 · 114 citations
Medicine, Nephrology, Pathology +12