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DNA damage by Withanone as a potential cause of liver toxicity observed for herbal products of Withania somnifera (Ashwagandha)
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Withania somnifera, commonly known as Ashwagandha, is a medicinal plant used for thousands of years for various remedies. Extracts of Ashwagandha contain more than 200 metabolites, with withanone (win) being one of the major ones responsible for many of its medicinal properties. Recently, several cases of liver toxicity resulting from commercially available Ashwagandha products have been reported. The first report of Ashwagandha-related liver damage was from Japan, which was quickly resolved after drug-withdrawal. Later, similar cases of liver toxicity due to Ashwagandha consumption were reported from the USA and Iceland. Towards understanding the liver toxicity of Ashwagandha extracts, we studied win, a representative withanolide having toxicophores or structural alerts that are commonly associated with adverse drug reactions. We found that win can form non-labile adducts with the nucleosides dG, dA, and dC. Using various biochemical assays, we showed that win forms adducts in DNA and interfere with its biological property. Win also forms adducts with amines and this process is reversible. Based on the data presented here we concluded that win is detoxified by GSH but under limiting GSH levels it can cause DNA damage. The work presented here provides a potential mechanism for the reported Ashwagandha-mediated liver damage.
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The underlying mechanism for liver damage due to ashwagandha could be the presence of herb-specific compounds called withanolides that cause irreversible adduction to hepatocellular DNA.
“The underlying mechanism for liver damage due to ashwagandha could be the presence of herb-specific compounds called withanolides that cause irreversible adduction to hepatocellular DNA.30”
From Ashwagandha-induced liver injury—A case series from India and literature review (2023) · cites this paper as [30]
The Conclusions report that withanone, one ashwagandha withanolide, forms non-labile DNA adducts and propose this as a possible explanation for reported liver damage. The Experimental section describes adduct tests using isolated calf thymus DNA, not hepatocellular DNA. The paper therefore supports a potential mechanism, but not the claim that withanolides as a class cause irreversible adduction in liver cells. Page numbers are unavailable in our copy. (LLM, conf=0.88)
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Cites
Liver injury from herbals and dietary supplements in the U.S. Drug-Induced Liver Injury Network
Navarro, V. J., Barnhart, H., Bonkovsky, H. L., Davern, T., Fontana, R. J., Grant, L., Reddy, R. K., Seeff, L. B., Serrano, J., Sherker, A. H., et al. (2014) · Hepatology · doi:10.1002/hep.27317 · Cited by 418
Hepatotoxicity by Dietary Supplements: A Tabular Listing and Clinical Characteristics
García-Cortés, M., Robles-Díaz, M., Ortega-Alonso, A., Medina-Caliz, I., & Andrade, R. (2016) · International Journal of Molecular Sciences · doi:10.3390/ijms17040537 · Cited by 179
Björnsson, H. K., Björnsson, E. S., Avula, B., Khan, I. A., Jonasson, J. G., Ghabril, M., Hayashi, P. H., & Navarro, V. (2020) · Liver International · doi:10.1111/liv.14393 · Cited by 125
Flagged first, then by citations
Research works printed but not linked: 46
- Ahmed, 2020, Protective role of glutathione against peroxidenitrite-mediated DNA damage during acute inflammation, Chem. Res. Toxicol., 33, 2668, 10.1021/acs.chemrestox.0c00299 · DOI
- Atta-ur-Rahman, 1993, New withanolides from Withania spp, J. Nat. Prod., 56, 1000, 10.1021/np50097a003 · DOI
- Balunas, 2005, Drug discovery from medicinal plants, Life Sci., 78, 431, 10.1016/j.lfs.2005.09.012 · DOI
- Cheng, 2017, Whey protein concentrate renders MDA-MB-231 cells sensitive to rapamycin by altering cellular redox state and activating GSK3beta/mTOR signaling, Sci. Rep., 7, 15976, 10.1038/s41598-017-14159-5 · DOI
- Chin, 2006, Drug discovery from natural sources, AAPS J., 8, E239, 10.1007/BF02854894 · DOI
- Choi, 2006, Ixocarpalactone A isolated from the Mexican tomatillo shows potent antiproliferative and apoptotic activity in colon cancer cells, FEBS J., 273, 5714, 10.1111/j.1742-4658.2006.05560.x · DOI
- Choudary, 1996, Withania somnifera- a source of exotic withanolides, Heterocycles, 42, 555, 10.3987/COM-94-6935 · DOI
- Chowdhury, 2013, Detection and characterization of 1,2-dibromoethane-derived DNA crosslinks formed with O(6) -alkylguanine-DNA alkyltransferase, Angew. Chem. Int. Ed. Engl., 52, 12879, 10.1002/anie.201307580 · DOI
- Chowdhury, 2014, Human cytochrome P450 oxidation of 5-hydroxythalidomide and pomalidomide, an amino analogue of thalidomide, Chem. Res. Toxicol., 27, 147, 10.1021/tx4004215 · DOI
- Cossi, 2003, Energies, structures, and electronic properties of molecules in solution with the C-PCM solvation model, J. Comput. Chem., 24, 669, 10.1002/jcc.10189 · DOI · Paper page
- Dahlmann, 2009, Investigating the biochemical impact of DNA damage with structure-based probes: abasic sites, photodimers, alkylation adducts, and oxidative lesions, Biochemistry, 48, 9347, 10.1021/bi901059k · DOI
- Dar, 2015, Pharmacologic overview of Withania somnifera, the Indian Ginseng, Cell. Mol. Life Sci., 72, 4445, 10.1007/s00018-015-2012-1 · DOI
- Dar, 2016, Unique medicinal properties of Withania somnifera: phytochemical constituents and protein component, Curr. Pharm. Des., 22, 535, 10.2174/1381612822666151125001751 · DOI
- Ewa, 2017, Polycyclic aromatic hydrocarbons and PAH-related DNA adducts, J. Appl. Genet., 58, 321, 10.1007/s13353-016-0380-3 · DOI
- Greenberg, 2014, Looking beneath the surface to determine what makes DNA damage deleterious, Curr. Opin. Chem. Biol., 21, 48, 10.1016/j.cbpa.2014.03.018 · DOI
- Huang, 2010, Effects of UV-induced DNA damage on vector ligation and transformation into bacterial cells, Nan Fang Yi Ke Da Xue Xue Bao, 30, 111
- Johnson, 2013, Fluorescence microscopy methods for determining the viability of bacteria in association with mammalian cells, J. Vis. Exp., 79
- Kalgutkar, 2020, Designing around structural alerts in drug discovery, J. Med. Chem., 63, 6276, 10.1021/acs.jmedchem.9b00917 · DOI
- Kalgutkar, 2008, Toxicophores, reactive metabolites and drug safety: when is it a cause for concern?, Expert Rev. Clin. Pharmacol., 1, 515, 10.1586/17512433.1.4.515 · DOI
- Kaul, 2016, Novel methods to generate active ingredients-enriched Ashwagandha leaves and extracts, PLoS One, 11, 10.1371/journal.pone.0166945 · DOI
- Koivisto, 1999, Butadiene diolepoxide- and diepoxybutane-derived DNA adducts at N7-guanine: a high occurrence of diolepoxide-derived adducts in mouse lung after 1,3-butadiene exposure, Carcinogenesis, 20, 1253, 10.1093/carcin/20.7.1253 · DOI
- Lewis-Wambi, 2008, Buthionine sulfoximine sensitizes antihormone-resistant human breast cancer cells to estrogen-induced apoptosis, Breast Cancer Res., 10, R104, 10.1186/bcr2208 · DOI
- Martin, 2000, How stable are epoxides? A novel synthesis of epothilone B, Angew. Chem. Int. Ed. Engl., 39, 581, 10.1002/(SICI)1521-3773(20000204)39:3<581::AID-ANIE581>3.0.CO;2-W · DOI
- Mirjalili, 2009, Steroidal lactones from Withania somnifera, an ancient plant for novel medicine, Molecules, 14, 2373, 10.3390/molecules14072373 · DOI
- Mishra, 2000, Scientific basis for the therapeutic use of Withania somnifera (ashwagandha): a review, Altern. Med. Rev., 5, 334
- Mukherjee, 2021, Withania somnifera (L.) Dunal - Modern perspectives of an ancient Rasayana from Ayurveda, J Ethnopharmacol., 264, 113157, 10.1016/j.jep.2020.113157 · DOI
- Navarro, 2017, Liver injury from herbal and dietary supplements, Hepatology, 65, 363, 10.1002/hep.28813 · DOI
- Obach, 2008, Can in vitro metabolism-dependent covalent binding data in liver microsomes distinguish hepatotoxic from nonhepatotoxic drugs? An analysis of 18 drugs with consideration of intrinsic clearance and daily dose, Chem. Res. Toxicol., 21, 1814, 10.1021/tx800161s · DOI
- Palliyaguru, 2016, Withania somnifera: from prevention to treatment of cancer, Mol. Nutr. Food Res., 60, 1342, 10.1002/mnfr.201500756 · DOI
- Patel, 2016, Safety assessment of Withania somnifera extract standardized for Withaferin A: acute and sub-acute toxicity study, J. Ayurveda Integr. Med., 7, 30, 10.1016/j.jaim.2015.08.001 · DOI · Paper page
- Philips, 2020, Comprehensive review of hepatotoxicity associated with traditional Indian Ayurvedic herbs, World J. Hepatol., 12, 574, 10.4254/wjh.v12.i9.574 · DOI · Paper page
- Pires, 2020, Safety and pharmacokinetics of Withaferin-A in advanced stage high grade osteosarcoma: a phase I trial, J. Ayurveda Integr. Med., 11, 68, 10.1016/j.jaim.2018.12.008 · DOI
- Rai, M., Jogee, P., Agarkar, G., d.S. CA, 2016. Anticancer activities of Withania somnifera: Current research, formulations, and future perspectives., Pharm. Biol. 54 189-197. · DOI
- Stickel, 2015, Hepatotoxicity of herbal and dietary supplements: an update, Arch. Toxicol., 89, 851, 10.1007/s00204-015-1471-3 · DOI
- Tang, 2011, Acrolein induced DNA damage, mutagenicity and effect on DNA repair, Mol. Nutr. Food Res., 55, 1291, 10.1002/mnfr.201100148 · DOI
- Trivedi, 2017, Metabolite profiling in Withania somnifera roots hydroalcoholic extract using LC/MS, GC/MS and NMR Spectroscopy, Chem. Biodivers., 14, 10.1002/cbdv.201600280 · DOI
- Troupin, 1996, Dose-related adverse effects of anticonvulsants, Drug Saf., 14, 299, 10.2165/00002018-199614050-00004 · DOI
- Vaishnavi, 2012, Differential activities of the two closely related withanolides, Withaferin A and Withanone: bioinformatics and experimental evidences, PLoS One, 7, 10.1371/journal.pone.0044419 · DOI
- Wani, 2017, The dihydroxy metabolite of the teratogen thalidomide causes oxidative DNA damage, Chem. Res. Toxicol., 30, 1622, 10.1021/acs.chemrestox.7b00127 · DOI
- Wani, 2018, Quinone-based antitumor agent sepantronium bromide (YM155) causes oxygen-independent redox-activated oxidative DNA damage, Chem. Res. Toxicol., 31, 612, 10.1021/acs.chemrestox.8b00094 · DOI
- Wani, 2018, Adaptation to chronic exposure to sepantronium bromide (YM155), a prototypical survivin suppressant is due to persistent DNA damage-response in breast cancer cells, Oncotarget, 9, 33589, 10.18632/oncotarget.26096 · DOI
- Weigend, 2005, Balanced basis sets of split valence, triple zeta valence and quadruple zeta valence quality for H to Rn: design and assessment of accuracy, PCCP, 7, 3297, 10.1039/b508541a · DOI
- Widodo, 2007, Selective killing of cancer cells by leaf extract of Ashwagandha: identification of a tumor-inhibitory factor and the first molecular insights to its effect, Clin. Cancer Res., 13, 2298, 10.1158/1078-0432.CCR-06-0948 · DOI
- Widodo, 2010, Selective killing of cancer cells by Ashwagandha leaf extract and its component Withanone involves ROS signaling, PLoS One, 5, 10.1371/journal.pone.0013536 · DOI
- Wooten, 2010, Adverse drug reactions: part I, South Med. J., 103, 1025, 10.1097/SMJ.0b013e3181f0c866 · DOI
- Zhao, 2018, Extrapolation of high-order correlation energies: the WMS model, PCCP, 20, 27375, 10.1039/C8CP04973D · DOI
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Ashwagandha-induced liver injury—A case series from India and literature review
Philips, C. A., Valsan, A., Theruvath, A. H., Ravindran, R., Oommen, T. T., Rajesh, S., Bishnu, S., Augustine, P., & India, O. B. O. T. L. R. C. (2023) · Hepatology Communications · doi:10.1097/hc9.0000000000000270 · Cited by 62
Metadata
- Authors
- Siddiqui, S., Ahmed, N., Goswami, M., Chakrabarty, A., & Chowdhury, G.
- Affiliations
- Shiv Nadar University (IN)
- Vellore Institute of Technology University (IN)
- Corresponding author
- Chowdhury, Goutam
- Venue
- Current Research in Toxicology
- Publisher
- Elsevier BV
- Published
- 2021
- Volume
- 2
- Pages
- 72-81
- ISSN
- 2666-027X (ISSN-L)
- PMC
- PMC8320610
- OpenAlex
- W3132676081
- Cited by
- 63
- References
- 3
- Citations by year
- 2026: 17 · 2025: 11 · 2024: 14 · 2023: 10 · 2022: 7 · 2021: 2
- FWCI
- 9.61
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Current Research in Toxicology (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Department of Science and Technology, Ministry of Science and Technology, India (ECR/2015/000197, ECR/2015/000198)
- Science and Engineering Research Board
- Department of Biotechnology, Ministry of Science and Technology, India (BT/RLF/RE-ENTRY/18/2013, BT/RLF/RE-ENTRY/35/2012)
- Topics
- Health Sciences › Medicine › Complementary and alternative medicine › Phytochemicals and Medicinal Plants
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Toxicology › Plant Toxicity and Pharmacological Properties
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Drug-Induced Hepatotoxicity and Protection
- Keywords
- withanone, Withania somnifera, hepatotoxicity, DNA adducts, DNA damage, withanolides, nucleoside adducts, glutathione detoxification, adverse drug reactions, toxicophores
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