“…Research has also found that reactive intermediates bind in the liver to proteins, DNA, RNA and lipids, thus eventually impairing liver cell function, inducing cytotoxicity and causing cell necrosis (ATSDR, 2006;Guengerich and Watanabe, 1979). Reactive intermediates were proposed to activate hepatic Kupffer cells and stellate cells, thus eventually leading to liver fibrogenesis (Mastrangelo et al, 2004;Prodan et al, 1975). Recently, liver fibrogenesis was also proposed to be a secondary effect of the initiation of immune responses to cytotoxicity and cell necrosis when protein adducts expressed on the liver cell membrane as neo-antigens (ATSDR, 2006;Robin et al, 1997).…”