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ORIGINAL RESEARCH article

Front. Microbiol.

Sec. Microorganisms in Vertebrate Digestive Systems

Volume 16 - 2025 | doi: 10.3389/fmicb.2025.1700408

This article is part of the Research TopicRodent Model Organisms: Therapeutic Treatments and Drugs Interaction with the Gut Microbiome, Volume IIView all 10 articles

Wolfberry prevented liver damage caused by anti-tuberculosis drugs associated with the YAP1/FXR pathway through gut microbiota

Provisionally accepted
Dan  WangDan WangYajun  XiongYajun XiongZhihan  LiuZhihan LiuXiaoyong  SongXiaoyong SongJiaojiao  LiuJiaojiao LiuYanli  GongYanli GongZhuanzhuan  LiZhuanzhuan LiXinli  ShiXinli Shi*
  • Shanxi University of Chinese Medicine, Taiyuan, China

The final, formatted version of the article will be published soon.

The incidence of antituberculosis drug-induced liver injury (AT-DILI) is high, with severe cases potentially leading to liver failure or death. This study explored the preventive effects of wolfberry (Lycium barbarum L.) against AT-DILI. In order to investigate the impact of wolfberry on the gut-liver axis, a mouse model produced by isoniazid (INH) and rifampicin (RIF) was created. Results showed AT-DILI decreased beneficial gut microbiota abundance and increased CYP7A1 expression associated with the YAP1 (Yes-associated protein 1)/FXR pathway. Wolfberry intervention enriched beneficial microbiota, increased goblet cells, upregulated tight junction protein ZO-1, and enhanced intestinal barrier function, while reducing serum ALT, AST, and TBA. Additionally, wolfberry increased nuclear YAP1 expression, activated FXR, and downregulated CYP7A1 to reduce TBA synthesis. The key finding is that after antibiotics clear the gut microbiota, wolfberry failed to activate the YAP1/FXR pathway. In summary, wolfberry prevented liver damage under the condition of gut microbiota presence by enhancing gut microbiota diversity, strengthening intestinal barrier function, and associating with the YAP1/FXR pathway.

Keywords: Wolfberry (Lycium barbarum L.), Antituberculosis drug-induced liver injury (AT-DILI), intestinal flora, intestinal barrier function, FXR, CYP7A1, Yap1

Received: 08 Sep 2025; Accepted: 21 Oct 2025.

Copyright: © 2025 Wang, Xiong, Liu, Song, Liu, Gong, Li and Shi. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Xinli Shi, sxlsunshine@sina.com

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