1996
DOI: 10.1007/s002040050347
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Role of hydrazine in the mechanism of isoniazid hepatotoxicity in rabbits

Abstract: Isoniazid (INH) continues to be a highly effective drug in the chemoprophylaxis and treatment of tuberculosis; however, its use is associated with hepatotoxicity (predominantly hepatic necrosis) in 1-2% of individuals. The INH metabolites, acetylhydrazine and hydrazine, have each been implicated as the causative hepatotoxin in INH-induced hepatotoxicity. Using a model of INH-induced hepatotoxicity in rabbits, in which INH-induced hepatotoxicity manifests as hepatic necrosis, hepatic steatosis (hepatic fat accu… Show more

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Cited by 94 publications
(61 citation statements)
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“…In present study in toxic control group increased level of TBARS (a marker for oxidative stress), reduction in the GSH concentration During the metabolism of INH, hydrazine is produced directly (from INH) or indirectly (from acetyl hydrazine). From earlier study (Garner et al, 2004) it is evident that hydrazine play a role in INHinduced liver damage in rats, which is consistent with the report by Sarich et al, 1996. The combination of INH and RIF was reported to result in higher rate of inhibition of biliary secretion and an increase in liver cell lipid peroxidation, and cytochrome P450 was thought to be involved the synergistic effect of RIF on INH (Ramaiah et al, 2001).…”
Section: Percent Survivalsupporting
confidence: 67%
“…In present study in toxic control group increased level of TBARS (a marker for oxidative stress), reduction in the GSH concentration During the metabolism of INH, hydrazine is produced directly (from INH) or indirectly (from acetyl hydrazine). From earlier study (Garner et al, 2004) it is evident that hydrazine play a role in INHinduced liver damage in rats, which is consistent with the report by Sarich et al, 1996. The combination of INH and RIF was reported to result in higher rate of inhibition of biliary secretion and an increase in liver cell lipid peroxidation, and cytochrome P450 was thought to be involved the synergistic effect of RIF on INH (Ramaiah et al, 2001).…”
Section: Percent Survivalsupporting
confidence: 67%
“…It is unlikely that the rat model represents the same mechanism of INH-induced hepatotoxicity that occurs in humans because the characteristics are very different. Hydrazine has also been implicated as a potential hepatotoxic metabolite of INH (Blair et al, 1985;Gent et al, 1992;Noda et al, 1983;Sarich et al, 1996); however, given its potent hepatotoxic effects it is more likely that hydrazine would cause acute liver injury rather than liver injury with a delayed onset.…”
Section: Introductionmentioning
confidence: 99%
“…Hydrazine, a toxic intermediate product of INH metabolism can be produced both directly (from INH) and indirectly (from acetylhydrazine). The severity of INHinduced hepatocellular damage has a positive correlation with the plasma hydrazine concentrations (Sarich et al 1996). Both hydrolysis reactions involve an amidase enzyme.…”
mentioning
confidence: 99%