Gene expression profiles for apoptotic and necrotic pathways during Amanita phalloides intoxication in mice
Yıl 2022,
Cilt: 52 Sayı: 3, 281 - 288, 30.12.2022
Selim Karahan
,
Zehra Atli
,
Ertuğrul Kaya
,
Feride Özdemir
,
Mehmet Boğa
,
Sevcan İzgi
Öz
Background and Aims: Amanita phalloides is the deadliest toxic mushroom in the world and causes death from acute liver failure. α-amanitin (α-AMA), the most potent toxin, inhibits RNA polymerase II in hepatocytes, stops protein synthesis, and causes hepatotoxicity. However, the information about the mechanisms underlying hepatotoxicity caused by α-AMA is quite inadequate. This study aims to reveal the complex necrotic and apoptotic mechanisms occurring in mouse hepatocytes de- pending on A. phalloides exposure time in vivo.
Methods: BALB-c male mice were divided into 5 groups (n=7): control, α-AMA-2, α-AMA-12, α-AMA-72, and α-AMA-96 groups. A poisoning model was created by oral administration of A. phalloides mushroom extract containing 10 mg/kg of α-AMA to mice and they were sacrificed after 2, 12, 72, and 96 h. Then, TNF-α, Bax, caspase-3, and Bcl-2 gene expression levels in liver tissues were examined by the RT-qPCR method. Time-dependent damage to liver tissues was also evaluated histopathologically.
Results: RT-qPCR results showed that proinflammatory cytokine TNF-α mRNA expression levels increased in mouse liver tissues at 2 and 12 h after A. phalloides administration compared among the groups. Bax mRNA expression levels increased in the 12 and 72 h after A. phalloides ingestion. It was observed that caspase-3 mRNA expression levels increased in the 72 and 96 h groups compared among the groups, while Bcl-2 mRNA expression levels decreased in the 72 and 96 h groups.
Conclusion: Our findings showed that necrotic mechanisms develop in the early period after A. phalloides mushroom poison- ing, and then apoptotic mechanisms are effective. In conclusion, understanding the mechanisms of A. phalloides-induced hepatotoxicity will provide important information for new treatment strategies to be developed.
Destekleyen Kurum
Scientific Research Projects Coordinator of Dicle University
Proje Numarası
DUBAP:DUSAM.21.002
Teşekkür
The authors are thankful to the Scientific Research Projects Coordinator of Dicle University (DUBAP:DUSAM.21.002) for the partial supports.
Kaynakça
- Alldredge B, C. R., Ernst M, Guglielmo B, Jacobson P, Kradjan, WA, & Williams, BR. (2012). Koda-Kimble and Young’s applied therapeutics: The clinical use of drugs (K. W Ed. 10th edition ed.): Lippincott Wil- liams & Wilkins.
- Angioi, A., Floris, M., Lepori, N., Bianco, P., Cabiddu, G., & Pani, A. (2021). Extensive proximal tubular necrosis without recovery fol- lowing the ingestion of Amanita phalloides: a case report. Journal of nephrology, 34(6), 2137-2140. doi:https://10.1007/s40620-021- 01018-w
- Arima, Y., Hirota, T., Bronner, C., Mousli, M., Fujiwara, T., Niwa, S.-i.,. . . Saya, H. (2004). Down-regulation of nuclear protein ICBP90 by p53/p21Cip1/WAF1-dependent DNA-damage checkpoint signals contributes to cell cycle arrest at G1/S transition. Genes to Cells, 9(2), 131-142. doi:https://doi.org/10.1111/j.1356- 9597.2004.00710.x
- Arima, Y., Nitta, M., Kuninaka, S., Zhang, D., Fujiwara, T., Taya, Y., .. . Saya, H. (2005). Transcriptional blockade induces p53-depen- dent apoptosis associated with translocation of p53 to mito- chondria. Journal of Biological Chemistry, 280(19), 19166-19176. doi:https://10.1074/jbc.M410691200
- Barbosa, I. A., Machado, N. G., Skildum, A. J., Scott, P. M., & Oliveira, P. J. (2012). Mitochondrial remodeling in cancer metabolism and survival: potential for new therapies. Biochimica et Biophysica Acta, 1826(1), 238-254. doi:https://10.1016/j.bbcan.2012.04.005
- Becker, C. E., Tong, T. G., Boerner, U., Roe, R. L., Sco, T. A., MacQuar- rie, M. B., & Bartter, F. (1976). Diagnosis and treatment of Amanita phalloides-type mushroom poisoning: use of thioctic acid. West- ern Journal of Medicine, 125(2), 100-109.
- Enjalbert, F., Rapior, S., Nouguier-Soulé, J., Guillon, S., Amouroux, N., & Cabot, C. (2002). Treatment of amatoxin poisoning: 20-year retrospective analysis. Journal of Clinical Toxicology, 40(6), 715-757. doi:https://10.1081/clt-120014646
- Escudié, L., Francoz, C., Vinel, J. P., Moucari, R., Cournot, M., Para- dis, V., . . . Durand, F. (2007). Amanita phalloides poisoning: reas- sessment of prognostic factors and indications for emergency liver transplantation. Journal of Hepatology, 46(3), 466-473. doi:https://10.1016/j.jhep.2006.10.013
- Faulstich, H., Talas, A., & Wellhöner, H. H. (1985). Toxicokinetics of labeled amatoxins in the dog. Archives of Toxicology, 56(3), 190- 194. doi:https://10.1007/bf00333425
- Fineschi, V., Di Paolo, M., & Centini, F. (1996). Histological criteria for diagnosis of amanita phalloides poisoning. Journal of Forensic Sciences, 41(3), 429-432.
- Ganzert, M., Felgenhauer, N., & Zilker, T. (2005). Indication of liver transplantation following amatoxin intoxication. Journal of Hepa- tology, 42(2), 202-209. doi:https://10.1016/j.jhep.2004.10.023
- Garcia, J., Costa, V. M., Carvalho, A. T., Silvestre, R., Duarte, J. A., Dourado, D. F., . . . Carvalho, F. (2015). A breakthrough on Amanita phalloides poisoning: an effective antidotal effect by polymyxin B. Archives of Toxicology, 89(12), 2305-2323. doi:https://10.1007/ s00204-015-1582-x
- Jan, M. A., Siddiqui, T. S., Ahmed, N., Ul Haq, I., & Khan, Z. (2008). Mushroom poisoning in children: clinical presentation and out- come. Journal of Ayub Medical College Abbottabad, 20(2), 99-101.
- Karlson-Stiber, C., & Persson, H. (2003). Cytotoxic fungi--an overview. Toxicon, 42(4), 339-349. doi:https://10.1016/s0041-0101(03)00238-1
- Kaya E, H. M., Karahan S, Bayram S, Yaykaşlı KO, Sürmen MG. (2012). Thermostability of Alpha Amanitin in Water and Methanol. Euro- pean Journal of Basic Medical Sciences, 2(4), 106-111. doi:https:// doi.org/10.21601/ejbms/9189
- Kaya, E., Karahan, S., Bayram, R., Yaykasli, K. O., Colakoglu, S., & Sari- tas, A. (2015). Amatoxin and phallotoxin concentration in Amani- ta phalloides spores and tissues. Toxicology and Industrial Health, 31(12), 1172-1177. doi:https://10.1177/0748233713491809
- Kaya, E., Surmen, M. G., Yaykasli, K. O., Karahan, S., Oktay, M., Turan, H., . . . Erdem, H. (2014). Dermal absorption and toxicity of alpha amanitin in mice. Cutaneous and Ocular Toxicology, 33(2), 154-160. doi:10.3109/15569527.2013.802697
- Kaya, E., Yilmaz, I., Admis, O., Oktay, M., Bayram, R., Bakirci, S., . .. Colakoglu, S. (2016). Effects of erdosteine on alpha amanitin- induced hepatotoxicity in mice. Toxin Reviews, 35(1-2), 4-9. doi:htt ps://10.1080/15569543.2016.1178146
- Kaya, E., Yilmaz, I., Sinirlioglu, Z. A., Karahan, S., Bayram, R., Yaykasli, K. O., . . . Severoglu, Z. (2013). Amanitin and phallotoxin concen- tration in Amanita phalloides var. alba mushroom. Toxicon, 76, 225-233. doi:https://10.1016/j.toxicon.2013.10.008
- Leist, M., Gantner, F., Naumann, H., Bluethmann, H., Vogt, K., Brige- lius-Flohé, R., . . . Wendel, A. (1997). Tumor necrosis factor-induced apoptosis during the poisoning of mice with hepatotoxins. Gastroenterology, 112(3), 923-934. doi:https://10.1053/gast.1997. v112.pm9041255
- Li, Y., Xi, Y., Tao, G., Xu, G., Yang, Z., Fu, X., . . . Jiang, T. (2020). Sirtuin 1 activation alleviates primary biliary cholangitis via the blocking of the NF-κB signaling pathway. International Immunopharmacol- ogy, 83, 106386. doi:https://10.1016/j.intimp.2020.106386
- Lindell, T. J., Weinberg, F., Morris, P. W., Roeder, R. G., & Rutter, W. J. (1970). Specific inhibition of nuclear RNA polymerase II by alpha-amanitin. Science, 170(3956), 447-449. doi:https://10.1126/ science.170.3956.447
- Magdalan, J., Ostrowska, A., Piotrowska, A., Gomułkiewicz, A., Podhorska-Okołów, M., Patrzałek, D., . . . Dziegiel, P. (2010). Ben- zylpenicillin, acetylcysteine and silibinin as antidotes in human hepatocytes intoxicated with alpha-amanitin. Experimental and Toxicologic Pathology, 62(4), 367-373. doi:https://10.1016/j. etp.2009.05.003
- Magdalan, J., Ostrowska, A., Piotrowska, A., Izykowska, I., Nowak, M., Gomułkiewicz, A., . . . Dziegiel, P. (2010). alpha-Amanitin in- duced apoptosis in primary cultured dog hepatocytes. Folia Histochemica et Cytobiologica, 48(1), 58-62. doi:https://10.2478/ v10042-010-0010-6
- Magdalan, J., Piotrowska, A., Gomułkiewicz, A., Sozański, T., Podhorska-Okołów, M., Szeląg, A., & Dzięgiel, P. (2011). Ben- zylpenicyllin and acetylcysteine protection from α-amanitin- induced apoptosis in human hepatocyte cultures. Experimental and Toxicologic Pathology, 63(4), 311-315. doi:https://10.1016/j. etp.2010.02.004
- McIlwain, D. R., Berger, T., & Mak, T. W. (2013). Caspase functions in cell death and disease. Cold Spring Harbor perspectives in biology, 5(4), a008656-a008656. doi:https://10.1101/cshperspect.a008656
- Park, R., Choi, W. G., Lee, M. S., Cho, Y. Y., Lee, J. Y., Kang, H. C., . . . Lee, H. S. (2021). Pharmacokinetics of α-amanitin in mice us- ing liquid chromatography-high resolution mass spectrometry and in vitro drug-drug interaction potentials. Journal of Toxicol- ogy and Environmental Health, Part A, 84(20), 821-835. doi:htt ps://10.1080/15287394.2021.1944942
- Pišlar, A., Sabotič, J., Šlenc, J., Brzin, J., & Kos, J. (2016). Cytotoxic L-amino-acid oxidases from Amanita phalloides and Clitocybe geotropa induce caspase-dependent apoptosis. Cell Death Dis- covery, 2(1), 16021. doi:https://10.1038/cddiscovery.2016.21
- Schmittgen, T. D., & Livak, K. J. (2008). Analyzing real-time PCR data by the comparative C(T) method. Nature Protocols, 3(6), 1101-1108. doi:https://10.1038/nprot.2008.73
- Serné, E. H., Toorians, A. W., Gietema, J. A., Bronsveld, W., Haags- ma, E. B., & Mulder, P. O. (1996). Amanita phalloides, a poten- tially lethal mushroom: its clinical presentation and therapeutic options. Netherlands Journal of Medicine, 49(1), 19-23. doi:htt ps://10.1016/0300-2977(95)00096-8
- Smith, M. R., & Davis, R. L. (2016). Mycetismus: a review. Gastroen- terology Report (Oxford), 4(2), 107-112. doi:https://10.1093/gastro/ gov062
- Tiegs, G., & Horst, A. K. (2022). TNF in the liver: targeting a central player in inflammation. Seminars in Immunopathology, 44(4), 445- 459. doi:10.1007/s00281-022-00910-2
- Tong, T. C., Hernandez, M., Richardson, W. H., 3rd, Betten, D. P., Favata, M., Riffenburgh, R. H., . . . Tanen, D. A. (2007). Compara- tive treatment of alpha-amanitin poisoning with N-acetylcys- teine, benzylpenicillin, cimetidine, thioctic acid, and silybin in a murine model. Annals of Emergency Medicine, 50(3), 282-288. doi:https://10.1016/j.annemergmed.2006.12.015
- Vetter, J. (1998). Toxins of Amanita phalloides. Toxicon, 36(1), 13-24. doi:https://10.1016/s0041-0101(97)00074-3
- Wang, M., Chen, Y., Guo, Z., Yang, C., Qi, J., Fu, Y., . . . Wang, Y. (2018). Changes in the mitochondrial proteome in human hepatocytes in response to alpha-amanitin hepatotoxicity. Toxicon, 156, 34-40. doi:https://10.1016/j.toxicon.2018.11.002
- Wieland, T. (1983). The toxic peptides from Amanita mushrooms. International Journal of Peptide Research, 22(3), 257-276. doi:https: //10.1111/j.1399-3011.1983.tb02093.x
- Wieland, T., & Faulstich, H. (1978). Amatoxins, phallotoxins, phal- lolysin, and antamanide: the biologically active components of poisonous Amanita mushrooms. CRC Critical Reviews in Biochem- istry, 5(3), 185-260. doi:https://10.3109/10409237809149870
- Yilmaz, I., Ermis, F., Akata, I., & Kaya, E. (2015). A Case Study: What Doses of Amanita phalloides and Amatoxins Are Lethal to Hu- mans? Wilderness & Environmental Medicine, 26(4), 491-496. doi:https://10.1016/j.wem.2015.08.002
- Zhang, C., Wang, C., Tang, S., Sun, Y., Zhao, D., Zhang, S., . . . Xiao, X. (2013). TNFR1/TNF-α and mitochondria interrelated signaling pathway mediates quinocetone-induced apoptosis in HepG2 cells. Food and Chemical Toxicology, 62, 825-838. doi:https://doi. org/10.1016/j.fct.2013.10.022
- Zhao, J., Cao, M., Zhang, J., Sun, Q., Chen, Q., & Yang, Z. R. (2006). Pathological effects of the mushroom toxin alpha-amanitin on BALB/c mice. Peptides, 27(12), 3047-3052. doi:https://10.1016/j. peptides.2006.08.015
- Zhou, H. Q., Liu, W., Wang, J., Huang, Y. Q., Li, P. Y., Zhu, Y., . . . Zhao, Y. L. (2017). Paeoniflorin attenuates ANIT-induced cholestasis by in- hibiting apoptosis in vivo via mitochondria-dependent pathway. Biomedicine & Pharmacotherapy, 89, 696-704. doi:https://10.1016/j. biopha.2017.02.084
Yıl 2022,
Cilt: 52 Sayı: 3, 281 - 288, 30.12.2022
Selim Karahan
,
Zehra Atli
,
Ertuğrul Kaya
,
Feride Özdemir
,
Mehmet Boğa
,
Sevcan İzgi
Proje Numarası
DUBAP:DUSAM.21.002
Kaynakça
- Alldredge B, C. R., Ernst M, Guglielmo B, Jacobson P, Kradjan, WA, & Williams, BR. (2012). Koda-Kimble and Young’s applied therapeutics: The clinical use of drugs (K. W Ed. 10th edition ed.): Lippincott Wil- liams & Wilkins.
- Angioi, A., Floris, M., Lepori, N., Bianco, P., Cabiddu, G., & Pani, A. (2021). Extensive proximal tubular necrosis without recovery fol- lowing the ingestion of Amanita phalloides: a case report. Journal of nephrology, 34(6), 2137-2140. doi:https://10.1007/s40620-021- 01018-w
- Arima, Y., Hirota, T., Bronner, C., Mousli, M., Fujiwara, T., Niwa, S.-i.,. . . Saya, H. (2004). Down-regulation of nuclear protein ICBP90 by p53/p21Cip1/WAF1-dependent DNA-damage checkpoint signals contributes to cell cycle arrest at G1/S transition. Genes to Cells, 9(2), 131-142. doi:https://doi.org/10.1111/j.1356- 9597.2004.00710.x
- Arima, Y., Nitta, M., Kuninaka, S., Zhang, D., Fujiwara, T., Taya, Y., .. . Saya, H. (2005). Transcriptional blockade induces p53-depen- dent apoptosis associated with translocation of p53 to mito- chondria. Journal of Biological Chemistry, 280(19), 19166-19176. doi:https://10.1074/jbc.M410691200
- Barbosa, I. A., Machado, N. G., Skildum, A. J., Scott, P. M., & Oliveira, P. J. (2012). Mitochondrial remodeling in cancer metabolism and survival: potential for new therapies. Biochimica et Biophysica Acta, 1826(1), 238-254. doi:https://10.1016/j.bbcan.2012.04.005
- Becker, C. E., Tong, T. G., Boerner, U., Roe, R. L., Sco, T. A., MacQuar- rie, M. B., & Bartter, F. (1976). Diagnosis and treatment of Amanita phalloides-type mushroom poisoning: use of thioctic acid. West- ern Journal of Medicine, 125(2), 100-109.
- Enjalbert, F., Rapior, S., Nouguier-Soulé, J., Guillon, S., Amouroux, N., & Cabot, C. (2002). Treatment of amatoxin poisoning: 20-year retrospective analysis. Journal of Clinical Toxicology, 40(6), 715-757. doi:https://10.1081/clt-120014646
- Escudié, L., Francoz, C., Vinel, J. P., Moucari, R., Cournot, M., Para- dis, V., . . . Durand, F. (2007). Amanita phalloides poisoning: reas- sessment of prognostic factors and indications for emergency liver transplantation. Journal of Hepatology, 46(3), 466-473. doi:https://10.1016/j.jhep.2006.10.013
- Faulstich, H., Talas, A., & Wellhöner, H. H. (1985). Toxicokinetics of labeled amatoxins in the dog. Archives of Toxicology, 56(3), 190- 194. doi:https://10.1007/bf00333425
- Fineschi, V., Di Paolo, M., & Centini, F. (1996). Histological criteria for diagnosis of amanita phalloides poisoning. Journal of Forensic Sciences, 41(3), 429-432.
- Ganzert, M., Felgenhauer, N., & Zilker, T. (2005). Indication of liver transplantation following amatoxin intoxication. Journal of Hepa- tology, 42(2), 202-209. doi:https://10.1016/j.jhep.2004.10.023
- Garcia, J., Costa, V. M., Carvalho, A. T., Silvestre, R., Duarte, J. A., Dourado, D. F., . . . Carvalho, F. (2015). A breakthrough on Amanita phalloides poisoning: an effective antidotal effect by polymyxin B. Archives of Toxicology, 89(12), 2305-2323. doi:https://10.1007/ s00204-015-1582-x
- Jan, M. A., Siddiqui, T. S., Ahmed, N., Ul Haq, I., & Khan, Z. (2008). Mushroom poisoning in children: clinical presentation and out- come. Journal of Ayub Medical College Abbottabad, 20(2), 99-101.
- Karlson-Stiber, C., & Persson, H. (2003). Cytotoxic fungi--an overview. Toxicon, 42(4), 339-349. doi:https://10.1016/s0041-0101(03)00238-1
- Kaya E, H. M., Karahan S, Bayram S, Yaykaşlı KO, Sürmen MG. (2012). Thermostability of Alpha Amanitin in Water and Methanol. Euro- pean Journal of Basic Medical Sciences, 2(4), 106-111. doi:https:// doi.org/10.21601/ejbms/9189
- Kaya, E., Karahan, S., Bayram, R., Yaykasli, K. O., Colakoglu, S., & Sari- tas, A. (2015). Amatoxin and phallotoxin concentration in Amani- ta phalloides spores and tissues. Toxicology and Industrial Health, 31(12), 1172-1177. doi:https://10.1177/0748233713491809
- Kaya, E., Surmen, M. G., Yaykasli, K. O., Karahan, S., Oktay, M., Turan, H., . . . Erdem, H. (2014). Dermal absorption and toxicity of alpha amanitin in mice. Cutaneous and Ocular Toxicology, 33(2), 154-160. doi:10.3109/15569527.2013.802697
- Kaya, E., Yilmaz, I., Admis, O., Oktay, M., Bayram, R., Bakirci, S., . .. Colakoglu, S. (2016). Effects of erdosteine on alpha amanitin- induced hepatotoxicity in mice. Toxin Reviews, 35(1-2), 4-9. doi:htt ps://10.1080/15569543.2016.1178146
- Kaya, E., Yilmaz, I., Sinirlioglu, Z. A., Karahan, S., Bayram, R., Yaykasli, K. O., . . . Severoglu, Z. (2013). Amanitin and phallotoxin concen- tration in Amanita phalloides var. alba mushroom. Toxicon, 76, 225-233. doi:https://10.1016/j.toxicon.2013.10.008
- Leist, M., Gantner, F., Naumann, H., Bluethmann, H., Vogt, K., Brige- lius-Flohé, R., . . . Wendel, A. (1997). Tumor necrosis factor-induced apoptosis during the poisoning of mice with hepatotoxins. Gastroenterology, 112(3), 923-934. doi:https://10.1053/gast.1997. v112.pm9041255
- Li, Y., Xi, Y., Tao, G., Xu, G., Yang, Z., Fu, X., . . . Jiang, T. (2020). Sirtuin 1 activation alleviates primary biliary cholangitis via the blocking of the NF-κB signaling pathway. International Immunopharmacol- ogy, 83, 106386. doi:https://10.1016/j.intimp.2020.106386
- Lindell, T. J., Weinberg, F., Morris, P. W., Roeder, R. G., & Rutter, W. J. (1970). Specific inhibition of nuclear RNA polymerase II by alpha-amanitin. Science, 170(3956), 447-449. doi:https://10.1126/ science.170.3956.447
- Magdalan, J., Ostrowska, A., Piotrowska, A., Gomułkiewicz, A., Podhorska-Okołów, M., Patrzałek, D., . . . Dziegiel, P. (2010). Ben- zylpenicillin, acetylcysteine and silibinin as antidotes in human hepatocytes intoxicated with alpha-amanitin. Experimental and Toxicologic Pathology, 62(4), 367-373. doi:https://10.1016/j. etp.2009.05.003
- Magdalan, J., Ostrowska, A., Piotrowska, A., Izykowska, I., Nowak, M., Gomułkiewicz, A., . . . Dziegiel, P. (2010). alpha-Amanitin in- duced apoptosis in primary cultured dog hepatocytes. Folia Histochemica et Cytobiologica, 48(1), 58-62. doi:https://10.2478/ v10042-010-0010-6
- Magdalan, J., Piotrowska, A., Gomułkiewicz, A., Sozański, T., Podhorska-Okołów, M., Szeląg, A., & Dzięgiel, P. (2011). Ben- zylpenicyllin and acetylcysteine protection from α-amanitin- induced apoptosis in human hepatocyte cultures. Experimental and Toxicologic Pathology, 63(4), 311-315. doi:https://10.1016/j. etp.2010.02.004
- McIlwain, D. R., Berger, T., & Mak, T. W. (2013). Caspase functions in cell death and disease. Cold Spring Harbor perspectives in biology, 5(4), a008656-a008656. doi:https://10.1101/cshperspect.a008656
- Park, R., Choi, W. G., Lee, M. S., Cho, Y. Y., Lee, J. Y., Kang, H. C., . . . Lee, H. S. (2021). Pharmacokinetics of α-amanitin in mice us- ing liquid chromatography-high resolution mass spectrometry and in vitro drug-drug interaction potentials. Journal of Toxicol- ogy and Environmental Health, Part A, 84(20), 821-835. doi:htt ps://10.1080/15287394.2021.1944942
- Pišlar, A., Sabotič, J., Šlenc, J., Brzin, J., & Kos, J. (2016). Cytotoxic L-amino-acid oxidases from Amanita phalloides and Clitocybe geotropa induce caspase-dependent apoptosis. Cell Death Dis- covery, 2(1), 16021. doi:https://10.1038/cddiscovery.2016.21
- Schmittgen, T. D., & Livak, K. J. (2008). Analyzing real-time PCR data by the comparative C(T) method. Nature Protocols, 3(6), 1101-1108. doi:https://10.1038/nprot.2008.73
- Serné, E. H., Toorians, A. W., Gietema, J. A., Bronsveld, W., Haags- ma, E. B., & Mulder, P. O. (1996). Amanita phalloides, a poten- tially lethal mushroom: its clinical presentation and therapeutic options. Netherlands Journal of Medicine, 49(1), 19-23. doi:htt ps://10.1016/0300-2977(95)00096-8
- Smith, M. R., & Davis, R. L. (2016). Mycetismus: a review. Gastroen- terology Report (Oxford), 4(2), 107-112. doi:https://10.1093/gastro/ gov062
- Tiegs, G., & Horst, A. K. (2022). TNF in the liver: targeting a central player in inflammation. Seminars in Immunopathology, 44(4), 445- 459. doi:10.1007/s00281-022-00910-2
- Tong, T. C., Hernandez, M., Richardson, W. H., 3rd, Betten, D. P., Favata, M., Riffenburgh, R. H., . . . Tanen, D. A. (2007). Compara- tive treatment of alpha-amanitin poisoning with N-acetylcys- teine, benzylpenicillin, cimetidine, thioctic acid, and silybin in a murine model. Annals of Emergency Medicine, 50(3), 282-288. doi:https://10.1016/j.annemergmed.2006.12.015
- Vetter, J. (1998). Toxins of Amanita phalloides. Toxicon, 36(1), 13-24. doi:https://10.1016/s0041-0101(97)00074-3
- Wang, M., Chen, Y., Guo, Z., Yang, C., Qi, J., Fu, Y., . . . Wang, Y. (2018). Changes in the mitochondrial proteome in human hepatocytes in response to alpha-amanitin hepatotoxicity. Toxicon, 156, 34-40. doi:https://10.1016/j.toxicon.2018.11.002
- Wieland, T. (1983). The toxic peptides from Amanita mushrooms. International Journal of Peptide Research, 22(3), 257-276. doi:https: //10.1111/j.1399-3011.1983.tb02093.x
- Wieland, T., & Faulstich, H. (1978). Amatoxins, phallotoxins, phal- lolysin, and antamanide: the biologically active components of poisonous Amanita mushrooms. CRC Critical Reviews in Biochem- istry, 5(3), 185-260. doi:https://10.3109/10409237809149870
- Yilmaz, I., Ermis, F., Akata, I., & Kaya, E. (2015). A Case Study: What Doses of Amanita phalloides and Amatoxins Are Lethal to Hu- mans? Wilderness & Environmental Medicine, 26(4), 491-496. doi:https://10.1016/j.wem.2015.08.002
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