2013
DOI: 10.2147/cbf.s27900
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Biomarkers of drug-induced liver injury

Abstract: Abstract:The liver plays a central role in metabolizing xenobiotics; therefore, it is highly susceptible to toxicity from these chemicals. Certain drugs, when taken in overdose and sometimes even when used within therapeutic range, may cause injury to the organ. Druginduced liver injury is now not only a leading cause of acute liver failure in the US, but is also a leading reason for discontinuation of drugs in development and for regulatory actions against previously approved drugs. The current clinical bioma… Show more

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Cited by 5 publications
(4 citation statements)
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“…It is well‐known that DILI has complicated mechanisms, and most mechanisms are involved chemical reactions with proteins and other macromolecules in liver cells 1,45,49. The six fragments were separated into two categories to explain their mechanisms.…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…It is well‐known that DILI has complicated mechanisms, and most mechanisms are involved chemical reactions with proteins and other macromolecules in liver cells 1,45,49. The six fragments were separated into two categories to explain their mechanisms.…”
Section: Resultsmentioning
confidence: 99%
“…It is an important disease in clinical practice. However, the diagnosis of DILI is challenging because there are no specific clinical features or laboratory tests found in all cases 34. Meanwhile, DILI is the most frequent reason cited for drug withdrawal from the market 5.…”
Section: Introductionmentioning
confidence: 99%
“…Recent advances in biomedical research have underscored the excessive generation of highly reactive oxygen/nitrogen species (ROS/RNS), notably ONOO−, within mitochondria following medication overdose, thereby precipitating severe hepatotoxicity (DiMasi, 2001;Rudin, 2005;Bertolini et al, 2006;Uetrecht, 2010;Amacher et al, 2013). Furthermore, the enzymatic activity of leucine aminopeptidase (LAP) is markedly elevated during hepatic dysfunction compared to physiological states (Aithal et al, 2011;Wang and Zhou, 2013;Atallah et al, 2021). Notably, both ONOO− and LAP have been substantiated as early diagnostic biomarkers for drug-induced liver diseases by numerous investigators (Pacher et al, 2007;Howell et al, 2018).…”
Section: Liver Injury Enzymementioning
confidence: 99%
“…Understanding the molecular mechanisms underlying the transition from desired drug effects to adverse events induced by therapeutic and toxic doses, respectively, is of general importance for both clinical diagnostics and curative intervention strategies [ 10 ]. In this regard, robust clinical biomarkers may significantly improve patient safety and health [ 11 , 12 , 13 , 14 , 15 ] by the initial identification of cellular mechanisms indicating drug toxicity in order to implement appropriate interventions at an early stage [ 16 , 17 , 18 , 19 ]. Comparatively analyzing cellular responses following the transition from therapeutic to toxic doses supports the identification of molecular biomarkers and would clearly help to investigate to what extent specific drugs similarly contribute to characteristic toxicological processes and, furthermore, to find out potential interactions between those drugs, which might act on a mutual target gene.…”
Section: Introductionmentioning
confidence: 99%