Polyphyllin H is a steroidal saponin. Polyphyllin H is isolated from Paris polyphylla . Polyphyllin H potently inhibits the activities of CYP1A2 ( IC 50 = 6.44 μM, competitive), CYP2D6 ( IC 50 = 13.88 μM, competitive) and CYP3A4 ( IC 50 = 4.52 μM, non-competitive, time-dependent). Polyphyllin H downregulates the expression of ABCB1 and ABCC3 . Polyphyllin H binds to membrane cholesterol and disrupts lipid raft structures. Polyphyllin H restores the sensitivity of paclitaxel-resistant breast cancer cells to paclitaxel.
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