2016
DOI: 10.3109/13880209.2016.1150302
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Role of food-derived antioxidant agents against acetaminophen-induced hepatotoxicity

Abstract: Context Acetaminophen (APAP), also known as paracetamol and N-acetyl p-aminophenol, is one of the most frequently used drugs for analgesic and antipyretic purposes on a worldwide basis. It is safe and effective at recommended doses but has the potential for causing hepatotoxicity and acute liver failure (ALF) with overdose. To solve this problem, different strategies have been developed, including the use of compounds isolated from food, which have been studied to characterize their efficacy as natural dietary… Show more

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Cited by 44 publications
(38 citation statements)
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“…Normally, the APAP is metabolized to non-toxic metabolites by glucuronides or sulfates in hepatocytes before it is finally excreted in the urine. However, once the capacity of normal metabolic pathways is saturated, surplus APAP will be metabolized by the cytochrome P450 (CYP) enzymes (most notably CYP2E1), producing a highly reactive and toxic intermediate N -acetyl- p -benzoquinone imine (NAPQI) and reactive oxygen species (ROS) [ 3 , 4 ]. Glutathione (GSH) could immediately metabolize and neutralize NAPQI to harmless mercapturic acid.…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…Normally, the APAP is metabolized to non-toxic metabolites by glucuronides or sulfates in hepatocytes before it is finally excreted in the urine. However, once the capacity of normal metabolic pathways is saturated, surplus APAP will be metabolized by the cytochrome P450 (CYP) enzymes (most notably CYP2E1), producing a highly reactive and toxic intermediate N -acetyl- p -benzoquinone imine (NAPQI) and reactive oxygen species (ROS) [ 3 , 4 ]. Glutathione (GSH) could immediately metabolize and neutralize NAPQI to harmless mercapturic acid.…”
Section: Introductionmentioning
confidence: 99%
“…Moreover, the activation of the mitogen activated protein kinase (MAPK), c-Jun- N -terminal kinase (JNK), and the subsequent inflammatory responses result in the programmed injury [ 6 , 8 ]. It is evidenced that both oxidative stress [ 4 , 6 , 8 , 9 , 10 ] and inflammatory response [ 2 , 6 , 10 ] are involved in hepatic injury in APAP-induced liver injury model.…”
Section: Introductionmentioning
confidence: 99%
“…APAP-induced hepatotoxicity has been a significant issue for several years and different strategies have been studied, including the use of natural compounds with hepatoprotective effects [5, 6]. …”
Section: Introductionmentioning
confidence: 99%
“…(Woolbright and Jaeschke, 2017). Paracetamol-induced liver toxicity has been a most important problem for many years, and various strategies have been investigated, together with the utilizing the natural bioactive compounds with hepatoprotective activity (Eugenio-Pérez et al, 2016;Ekpenyong et al, 2015).…”
Section: Introductionmentioning
confidence: 99%