The Claim

In mouse hepatocytes, the combination of efavirenz (30 μM) and isoniazid (1000 μM) synergistically inhibits mitochondrial complex I and II, leading to peroxynitrite stress, opening of the cyclosporine A-insensitive mitochondrial permeability transition pore, and necrotic cell death, while neither drug alone at these concentrations causes injury, indicating that co-exposure lowers the threshold for mitochondrial toxicity in liver cells.

Source: Bypassing the compromised mitochondrial electron transport with methylene blue alleviates efavirenz/isoniazid-induced oxidant stress and mitochondria-mediated cell death in mouse hepatocytes

What the research says

Supports is higher

Support is ahead, but a single strong opposing study can change this.

Supports
12score
Challenges
0score

These are independent scores, not a percentage. Higher-grade studies count more, so a single strong opposing study can outweigh several weaker ones.

How it works
1 study reviewed
In plain English

When two specific drugs are taken together, they can damage liver cells in mice by disrupting their energy factories and causing cell death — but each drug alone, at the same dose, doesn't do anything harmful. This means the danger only shows up when both are present.

See the scientific wording

In mouse hepatocytes, the combination of efavirenz (30 μM) and isoniazid (1000 μM) synergistically inhibits mitochondrial complex I and II, leading to peroxynitrite stress, opening of the cyclosporine A-insensitive mitochondrial permeability transition pore, and necrotic cell death, while neither drug alone at these concentrations causes injury, suggesting that co-exposure lowers the threshold for mitochondrial toxicity in liver cells.

What the research says

1 study
  1. Study: Bypassing the compromised mitochondrial electron transport with methylene blue alleviates efavirenz/isoniazid-induced oxidant stress and mitochondria-mediated cell death in mouse hepatocytes

    When taken together, two drugs—efavirenz and isoniazid—hurt liver cells in mice by breaking down their energy factories, but neither drug hurts the cells alone. The study proves this dangerous combo works like a one-two punch on mitochondria.

Score breakdown, mechanism chain, raw evidence, ideal studies needed & 1 supporting studies

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