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Precision toxicology can improve detection of subtle intracellular changes in response to exogenous substrates; thus, it facilitates in\u2010depth research on bioactive molecules that may interfere with the onset of certain diseases. In the current study, troxerutin significantly relieved nephrotoxicity, increased endurance, and improved systemic energy metabolism and renal inflammation in OTA\u2010induced nephrotic mice. Lipidomics showed that troxerutin effectively reduced the levels of triglycerides, phosphatidylcholines, and phosphatidylethanolamines in nephropathy. The mechanism was partly attributable to troxerutin in alleviating the aberrantly up\u2010regulated expression of sphingomyelinase, the cystic fibrosis transmembrane conductance regulator, and chloride channel 2. Renal tubular epithelial cells, the main site of toxin\u2010induced accumulation of lipids in the kidney, were subjected to transcriptomic profiling, which uncovered several metabolic factors relevant to aberrant lipid and lipoprotein metabolism. Our work provides new insights into the molecular features of toxin\u2010induced lipotoxicity in renal tubular epithelial cells\n                    <jats:italic>in vivo<\/jats:italic>\n                    and demonstrates the function of troxerutin in alleviating OTA\u2010induced nephrosis and associated systemic energy metabolism disorders.\u2014Yang, X., Xu, W., Huang, K., Zhang, B., Wang, H., Zhang, X., Gong, L., Luo, Y., He, X. Precision toxicology shows that troxerutin alleviates ochratoxin A\u2010induced renal lipotoxicity. 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