Chinese Journal of Pharmacovigilance ›› 2025, Vol. 22 ›› Issue (5): 517-522.
DOI: 10.19803/j.1672-8629.20250036

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Dynamic Immunophenotyping of NK Cells in Triptolide-Induced Hepatotoxicity

CHEN Runji1, SUN Xiaorui1, HUANG Xin1, JIANG Zhenzhou1, ZHANG Luyong1,2, WANG Xinzhi1,*, DING Jian3#   

  1. 1New Drug Screening and Pharmacodynamics Evaluation Center, State Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing Jiangsu 210009, China;
    2Center for Drug Research and Development, Guangdong Pharmaceutical University, Guangzhou Guangdong 510006, China;
    3Zhenjiang Hospital Affiliated to Nanjing University of Chinese Medicine, Zhenjiang Hospital of Traditional Chinese Medicine, Zhenjiang Traditional Chinese Medicine Spleen and Stomach Disease Clinical Medicine Research Center, Zhenjiang Jiangsu 212003, China
  • Received:2025-01-16 Online:2025-05-15 Published:2025-05-19

Abstract: Objective To explore the dynamic changes and roles of natural killer (NK) cells in the process of triptolide (TP)-induced liver injury. Methods Female C57BL/6 mice were divided into the control group, the 1, 3, 5, and 7 days of TP administration (600 μg·kg-1) groups, and groups treated with anti-NK1.1 antibody combined with TP for 1, 3, 5, and 7 days. At different time points, the blood of mice was collected and non-parenchymal cells in the liver were isolated for flow cytometry analysis of the temporal changes in NK cells, CD4⁺/CD8⁺ T cell subsets and cytokines (IFN-γ and IL-4). Results After TP treatment, the proportion of liver NK cells significantly increased at day 1 (P<0.05), while CD69⁺ NK cells kept increasing from day 3 to 7(P<0.05). NK cell depletion significantly reduced serum ALT levels (P<0.05) and inhibited IFN-γ production (P<0.05), shifting NK cell-derived cytokines toward a Th2 bias (reduced IFN-γ/IL-4 ratio, P<0.05). Additionally, TP induced a persistent increase in peripheral blood CD4⁺ T cells (days 1-7, P<0.05) and a selective decrease in CD8⁺ T cells (days 3-5, P<0.05), leading to an imbalanced CD4⁺/CD8⁺ ratio. Conclusion Hepatic NK cells can contribute to TP-induced liver injury.

Key words: Triptolide, Hepatotoxicity, Natural Killer Cells, T Cell Subsets, Cytokines, Immunophenotyping, Mice

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