2009
DOI: 10.1124/pr.109.001727
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Inflammatory Stress and Idiosyncratic Hepatotoxicity: Hints from Animal Models

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Cited by 126 publications
(111 citation statements)
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“…46 The second mechanism involving idiosyncratic DILI is limited by the lack of experimental animal models, although the last few years have advanced our understanding of idiosyncratic DILI by studies on murine models. 47,48 One of the important concepts in idiosyncratic DILI is the inflammatory stress hypothesis, wherein bacterial lipopolysaccharide (LPS) released as a result of inflammation, in conjunction with drug metabolites has the potential to precipitate DILI. Inflammagen as a precipitant of liver injury has been described in animal models involving drugs such as diclofenac, sulindac, and trovafloxacin among others.…”
Section: Pathogenesis Of Drug-induced Hepatitismentioning
confidence: 99%
See 1 more Smart Citation
“…46 The second mechanism involving idiosyncratic DILI is limited by the lack of experimental animal models, although the last few years have advanced our understanding of idiosyncratic DILI by studies on murine models. 47,48 One of the important concepts in idiosyncratic DILI is the inflammatory stress hypothesis, wherein bacterial lipopolysaccharide (LPS) released as a result of inflammation, in conjunction with drug metabolites has the potential to precipitate DILI. Inflammagen as a precipitant of liver injury has been described in animal models involving drugs such as diclofenac, sulindac, and trovafloxacin among others.…”
Section: Pathogenesis Of Drug-induced Hepatitismentioning
confidence: 99%
“…Inflammagen as a precipitant of liver injury has been described in animal models involving drugs such as diclofenac, sulindac, and trovafloxacin among others. 47,48 In addition there is increasing evidence of the important role of the innate and adaptive immune system through an interdependent pathway in the pathogenesis of DILI. 40,48 The liver may be considered as an immunologic organ with an important role in immune mediated pathway.…”
Section: Pathogenesis Of Drug-induced Hepatitismentioning
confidence: 99%
“…Sci., 15 (3): 116-123, 2015 Certain drugs may cause liver injury when introduced even within the therapeutic ranges. Hepatotoxicity may result not only from direct toxicity of the primary compound but also from a reactive metabolite or from an immunologically mediated response affecting hepatocytes, biliary epithelial cells and/or liver vasculature (Saukkonen et al, 2006;Deng et al, 2009). The hepatotoxic response elicited by chemical agent depends on toxicant concentration which may be parent compound, toxic metabolite, differential expression of enzymes and concentration gradient of cofactors in blood across the acinus (Kedderis, 1996).…”
Section: Introductionmentioning
confidence: 99%
“…16,17 Drug-inflammation interaction is an intriguing model for investigating the mechanisms of drug-induced liver injury. 18,19 It has been reported that a modest and noninjurious inflammation interacts with a small dose of drugs and induces hepatotoxicity. 20,21 Bacterial lipopolysaccharide (LPS, Endotoxin) is widely applied in this model to induce a modest inflammation.…”
Section: Introductionmentioning
confidence: 99%