2022
DOI: 10.1631/jzus.b2100977
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Molecular pathogenesis of acetaminophen-induced liver injury and its treatment options

Abstract: Acetaminophen, also known as N-acetyl-p-aminophenol (APAP), is commonly used as an antipyretic and analgesic agent. APAP overdose can induce hepatic toxicity, known as acetaminophen-induced liver injury (AILI). However, therapeutic doses of APAP can also induce AILI in patients with excessive alcohol intake or who are fasting. Hence, there is a need to understand the potential pathological mechanisms underlying AILI. In this review, we summarize three main mechanisms involved in the pathogenesis of AILI: hepat… Show more

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Cited by 27 publications
(26 citation statements)
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“…Then research progress in the pathological mechanisms of AILI is discussed. It is now recognized that the pathological process of AILI includes multiple intra-and extracellular activities, such as mitochondrial oxidative stress, endoplasmic reticulum stress, aseptic inflammation, bile acid cycle, and microcirculatory dysfunction (Cai et al, 2022b). Therefore, many processes other than mitochondrial oxidative stress and dysfunction can be potential targets for AILI treatment.…”
Section: Discussionmentioning
confidence: 99%
“…Then research progress in the pathological mechanisms of AILI is discussed. It is now recognized that the pathological process of AILI includes multiple intra-and extracellular activities, such as mitochondrial oxidative stress, endoplasmic reticulum stress, aseptic inflammation, bile acid cycle, and microcirculatory dysfunction (Cai et al, 2022b). Therefore, many processes other than mitochondrial oxidative stress and dysfunction can be potential targets for AILI treatment.…”
Section: Discussionmentioning
confidence: 99%
“…APAP-induced ROS can lead to the release of various DAMPs by inducing hepatocyte death during the development of DILI, thereby recruiting monocytes/ macrophages and neutrophils. A large number of inflammatory factors and ROS are generated and a vicious cycle of inflammation and ROS is formed, which exacerbates APAP-induced liver injury (Yan et al, 2018;Cai et al, 2022). Therefore, the effect of EGM NPs on inflammatory response is also worthy of further study.…”
Section: Egm Nps Inhibit Inflammation During Apap-induced Liver Injurymentioning
confidence: 99%
“…The role of reactive oxygen species (ROS) and inflammation is indeed essential for the pathogenesis of DILI, including liver injury induced by APAP (Ye et al, 2018;Cai et al, 2022). Specifically, APAP is converted into N-acetyl-p-benzoquinone imine (NAPQI), a highly reactive metabolite, by cytochrome P450 enzyme (CYPs).…”
Section: Introductionmentioning
confidence: 99%
“…The waterweed is a good way to avoid the eutrophication of water. It can absorb excess nitrogen and phosphorus [24]. Furthermore, in the high-temperature season, waterweed can play a cooling role to prevent the damage caused by high temperature to the growth of adult crabs [25].…”
Section: The Effect Of Waterweed Coverage On the Growth Of Crabsmentioning
confidence: 99%