“…Paraquat (PQ), a quaternary nitrogen herbicide, is highly toxic to human beings and animals. − Accidental or spontaneous ingestion of PQ would cause an acute poisoning reaction that damages the major organs, resulting in rapid multiorgan failure with a mortality rate of 50–80%. − PQ induces its toxic effects mainly through generation of abundant reactive oxygen species (ROS), including H 2 O 2 , • O 2 – , and HO • by redox cycling. − Abundant ROS will destroy mitochondria, resulting in the activity decrease of a variety of antioxidant enzymes and then causing acute alveolitis, inflammatory cell infiltration, rapid pulmonary interstitial fibrosis, and even death. − In clinical practice, several strategies have been developed to detoxify PQ poisoning. Activated carbon and montmorillonite powder are ordinarily used via gastric administration, and 20% mannitol is used as a cathartic for accelerating PQ excretion to prevent its further absorption. − Numerous antioxidants have also been developed to treat PQ poisoning, including vitamin E, vitamin C, and glutathione. − Additionally, hemoperfusion, immunosuppression, and supportive care measures are taken to detoxify PQ poisoning in clinics. ,− Unfortunately, the current treatments are moderately effective and nonspecific, resulting in poor therapeutic outcomes. ,,− …”