Skip to content
2000
image of Deciphering the Key Toxicants and Hepatotoxicity Mechanisms of Epimedii Folium and its Preparations via Network Toxicology and Molecular Docking

Abstract

Introduction

The key toxicological constituents and mechanisms of and its formulations, such as Xianling Gubao Capsules (XLGB) and Zhuanggu Guanjie Pills (ZGGJ), remain insufficiently understood, particularly when used in combination. The objective of this study is to investigate the hepatotoxic effects and mechanisms of and its formulations, XLGB and ZGGJ, using network toxicology, molecular docking, and validation.

Materials and Methods

Potential hepatotoxic components and targets of , XLGB, and ZGGJ were screened from multiple databases. PPI networks were constructed, and GO/KEGG enrichment analyses were performed. Molecular docking was used to assess the binding affinities between key components and core targets. validation was conducted using HepG2 cells to assess cell viability and ROS levels through CCK-8 and HCS assays, respectively.

Results

This study confirms that Sagittatoside A, Epimedin B, and Icariside I are the primary hepatotoxic constituents of , capable of targeting core pathways involving KDR, AR, PTGS2, F7, and DPP4. Furthermore, Sagittatoside A and Icariside I significantly elevated ROS levels. The toxic constituents of XLGB and ZGGJ overlapped with those of , and Bavachinin and Neobavaisoflavone from PCL were found to exert synergistic hepatotoxic effects. Neobavaisoflavone enhanced the hepatotoxicity of Epimedin B and Icariside I, while Bavachinin showed synergistic toxicity when combined with Sagittatoside A.

Discussion

Molecular docking confirmed strong binding affinities between these compounds and their targets. In vitro experiments demonstrated that Sagittatoside A and Icariside I significantly increased ROS levels. The compound formulations XLGB and ZGGJ shared similar hepatotoxic components and mechanisms. Additionally, Bavachinin and Neobavaisoflavone from PCL synergistically enhanced the hepatotoxicity of monomers, providing a modern scientific basis for evaluating compatibility principles in traditional Chinese medicine.

Conclusion

This study comprehensively elucidates the hepatotoxicity and synergistic toxic effects of and its formulations XLGB and ZGGJ, offering a modern scientific rationale to guide the safe formulation and compatibility of traditional Chinese medicine.

This is an open access article published under CC BY 4.0 https://creativecommons.org/licenses/by/4.0/legalcode
Loading

Article metrics loading...

/content/journals/cchts/10.2174/0113862073440917251105054437
2026-01-08
2026-01-29
Loading full text...

Full text loading...

/deliver/fulltext/cchts/10.2174/0113862073440917251105054437/BMS-CCHTS-2025-511.html?itemId=/content/journals/cchts/10.2174/0113862073440917251105054437&mimeType=html&fmt=ahah

References

  1. Jiang S. Li H. Zhang L. Mu W. Zhang Y. Chen T. Wu J. Tang H. Zheng S. Liu Y. Wu Y. Luo X. Xie Y. Ren J. Generic Diagramming Platform (GDP): A comprehensive database of high-quality biomedical graphics. Nucleic Acids Res. 2025 53 D1 D1670 D1676 10.1093/nar/gkae973 39470721
    [Google Scholar]
  2. Ma H. He X. Yang Y. Li M. Hao D. Jia Z. The genus Epimedium: An ethnopharmacological and phytochemical review. J. Ethnopharmacol. 2011 134 3 519 541 10.1016/j.jep.2011.01.001 21215308
    [Google Scholar]
  3. Zhao H. Mei J. Huang Q. Wang H. Xu Z. Research progress of main components from Epimedii Folium (Yinyanghuo) in the treatment of male reproductive dysfunction and application & development status of Epimedii Folium. J. Ethnopharmacol. 2025 340 119161 10.1016/j.jep.2024.119161 39608617
    [Google Scholar]
  4. Yue M. Liu Y. Feng X. Cao B. Fei X. Li G. Li C. Epimedii Folium flavonoids: A double-edged sword effect on the liver, a dual exploration of efficacy and toxicity. J. Pharm. Anal. 2025 15 10 101269 10.1016/j.jpha.2025.101269
    [Google Scholar]
  5. Piao S. Lin H. Tao X. Chen W. Mitochondrial toxicants in Xian-Ling-Gu-Bao induce liver injury by regulating the PI3K/mTOR signaling pathway: An in vitro study. BMC Complement. Med. Ther. 2022 22 1 317 10.1186/s12906‑022‑03798‑5 36457007
    [Google Scholar]
  6. Zulkifli M.H. Abdullah Z.L. Mohamed Yusof N.I.S. Mohd Fauzi F. In silico toxicity studies of traditional Chinese herbal medicine: A mini review. Curr. Opin. Struct. Biol. 2023 80 102588 10.1016/j.sbi.2023.102588 37028096
    [Google Scholar]
  7. Li X. Lin L. Pang L. Pu K. Fu J. Shen Y. Zhang W. Xu H. Niu Y. Application and development trends of network toxicology in the safety assessment of traditional Chinese medicine. J. Ethnopharmacol. 2025 343 119480 10.1016/j.jep.2025.119480 39947372
    [Google Scholar]
  8. Ge J.C. Qian Q. Gao Y.H. Zhang Y.F. Li Y.X. Wang X. Fu Y. Ma Y.M. Wang Q. Toxic effects of Tripterygium glycoside tablets on the reproductive system of male rats by metabolomics, cytotoxicity, and molecular docking. Phytomedicine 2023 114 154813 10.1016/j.phymed.2023.154813 37062137
    [Google Scholar]
  9. Martin H.L. Adams M. Higgins J. Bond J. Morrison E.E. Bell S.M. Warriner S. Nelson A. Tomlinson D.C. High-content, high-throughput screening for the identification of cytotoxic compounds based on cell morphology and cell proliferation markers. PLoS One 2014 9 2 88338 10.1371/journal.pone.0088338 24505478
    [Google Scholar]
  10. Donato M.T. Tolosa L. High-content screening for the detection of drug-induced oxidative stress in liver cells. Antioxidants 2021 10 1 106 10.3390/antiox10010106 33451093
    [Google Scholar]
  11. Wu W. Wang T. Sun B. Liu D. Lin Z. Miao Y. Wang C. Geng X. Li B. Xian-Ling-Gu-Bao induced inflammatory stress rat liver injury: Inflammatory and oxidative stress playing important roles. J. Ethnopharmacol. 2019 239 111910 10.1016/j.jep.2019.111910 31026554
    [Google Scholar]
  12. Gao Y. Wang Z. Tang J. Liu X. Shi W. Qin N. Wang X. Pang Y. Li R. Zhang Y. Wang J. Niu M. Bai Z. Xiao X. New incompatible pair of TCM: Epimedii Folium combined with Psoraleae Fructus induces idiosyncratic hepatotoxicity under immunological stress conditions. Front. Med. 2020 14 1 68 80 10.1007/s11684‑019‑0690‑z 30924023
    [Google Scholar]
  13. Zhang L. Wang T. Xu Z.Y. Yang S. Li P. Potential hepatotoxic compounds and mechanisms of Epimedii Folium based on network toxicology and cell experimental validation. Zhongguo Zhongyao Zazhi 2021 46 10 2413 2423 10.19540/j.cnki.cjcmm.20210202.401 34047085
    [Google Scholar]
  14. Gao Y. Xu G. Ma L. Shi W. Wang Z. Zhan X. Qin N. He T. Guo Y. Niu M. Wang J. Bai Z. Xiao X. Icariside I specifically facilitates ATP or nigericin-induced NLRP3 inflammasome activation and causes idiosyncratic hepatotoxicity. Cell Commun. Signal. 2021 19 1 13 10.1186/s12964‑020‑00647‑1 33573688
    [Google Scholar]
  15. Zhang L. Xu A.L. Yang S. Zhao B.S. Wang T. In vitro screening and toxic mechanism exploring of leading components with potential hepatotoxicity of Herba Epimedii extracts. Toxicol. In Vitro 2020 62 104660 10.1016/j.tiv.2019.104660 31629066
    [Google Scholar]
  16. Zhang L. Zhang C. Peng X. Guo Z. Yang S. Fu D. Evaluation on the potential for hepatotoxic components from Herba Epimedii to induce apoptosis in hepg2 cells and the analysis of the influence of metabolism in liver microsomes. Molecules 2024 29 6 1354 10.3390/molecules29061354 38542990
    [Google Scholar]
  17. Zhang G. Li Q. Chen Q. Su S. Network pharmacology: A new approach for Chinese herbal medicine research. Evid. Based Complement. Alternat. Med. 2013 2013 1 9 10.1155/2013/621423 23762149
    [Google Scholar]
  18. Obaidullah A.J. Alanazi M.M. Alsaif N.A. Alanazi A.S. Albassam H. Az A. Alwassil O.I. Alqahtani A.M. Tareq A.M. Network pharmacology- and molecular docking-based identification of potential phytocompounds from Argyreia capitiformis in the treatment of inflammation. Evid. Based Complement. Alternat. Med. 2022 2022 1 22 10.1155/2022/8037488 35140801
    [Google Scholar]
  19. Liao C.C. Day Y.J. Lee H.C. Liou J.T. Chou A.H. Liu F.C. Baicalin attenuates IL-17-mediated acetaminophen-induced liver injury in a mouse model. PLoS One 2016 11 11 0166856 10.1371/journal.pone.0166856 27855209
    [Google Scholar]
  20. Martín-Sanz P. Casado M. Boscá L. Cyclooxygenase 2 in liver dysfunction and carcinogenesis: Facts and perspectives. World J. Gastroenterol. 2017 23 20 3572 3580 10.3748/wjg.v23.i20.3572 28611510
    [Google Scholar]
  21. Du K. Ramachandran A. Jaeschke H. Oxidative stress during acetaminophen hepatotoxicity: Sources, pathophysiological role and therapeutic potential. Redox Biol. 2016 10 148 156 10.1016/j.redox.2016.10.001 27744120
    [Google Scholar]
  22. Shivaji P. Prince S.E. Unveiling the molecular toxicity of Isoniazid and Rifampicin in tuberculosis therapy: Emerging insights and therapeutic strategies. Toxicol. Mech. Methods 2025 1 32 10.1080/15376516.2025.2554918 40916634
    [Google Scholar]
  23. Siwicki M. Gort-Freitas N.A. Messemaker M. Bill R. Gungabeesoon J. Engblom C. Zilionis R. Garris C. Gerhard G.M. Kohl A. Lin Y. Zou A.E. Cianciaruso C. Bolli E. Pfirschke C. Lin Y.J. Piot C. Mindur J.E. Talele N. Kohler R.H. Iwamoto Y. Mino-Kenudson M. Pai S.I. deVito C. Koessler T. Merkler D. Coukos A. Wicky A. Fraga M. Sempoux C. Jain R.K. Dietrich P.Y. Michielin O. Weissleder R. Klein A.M. Pittet M.J. Resident Kupffer cells and neutrophils drive liver toxicity in cancer immunotherapy. Sci. Immunol. 2021 6 61 eabi7083 10.1126/sciimmunol.abi7083 34215680
    [Google Scholar]
  24. Zhou X. Seto S.W. Chang D. Kiat H. Razmovski-Naumovski V. Chan K. Bensoussan A. Synergistic effects of Chinese herbal medicine: A comprehensive review of methodology and current research. Front. Pharmacol. 2016 7 201 10.3389/fphar.2016.00201 27462269
    [Google Scholar]
/content/journals/cchts/10.2174/0113862073440917251105054437
Loading
/content/journals/cchts/10.2174/0113862073440917251105054437
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test