1989
DOI: 10.1016/0006-2952(89)90163-9
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The inhibitory effect of acetaminophen on the myeloperoxidase-induced antimicrobial system of the polymorphonuclear leukocyte

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Cited by 23 publications
(3 citation statements)
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“…The H 2 O 2 -dependent MPO-catalyzed polymerization products of acetaminophen; however, acetaminophen can compete effectively with Cl À as MPO substrate and thus HOCl formation is suppressed; while HOCl, nevertheless present, can be scavenged by the drug. In this way, the microbicidal action of the MPO H 2 O 2 -Cl À system can be seriously limited in the presence of high concentrations of acetaminophen (Van Zyl et al, 1989).…”
Section: Discussionmentioning
confidence: 99%
“…The H 2 O 2 -dependent MPO-catalyzed polymerization products of acetaminophen; however, acetaminophen can compete effectively with Cl À as MPO substrate and thus HOCl formation is suppressed; while HOCl, nevertheless present, can be scavenged by the drug. In this way, the microbicidal action of the MPO H 2 O 2 -Cl À system can be seriously limited in the presence of high concentrations of acetaminophen (Van Zyl et al, 1989).…”
Section: Discussionmentioning
confidence: 99%
“…Mitchell and colleagues showed that, whilst the major routes of biotransformation for APAP are indeed detoxication reactions, that form the phenolic sulfate and glucuronide conjugates, a minor route was the oxidative metabolism of the drug via the P450 system to an electrophilic intermediate, most likely N-acetyl-p-benzoquinoneimine (NAPQI, also commonly termed NABQI), which rapidly depleted hepatic glutathione (GSH). 5 Subsequently, it was shown that acetaminophen can be activated by non-P450-dependent metabolism, for example by cyclooxygenases 6 and myeloperoxidases, 7 although the contribution of this to the toxicity of APAP is unclear. When intracellular GSH concentrations reached a low level, toxicity ensued.…”
Section: Introductionmentioning
confidence: 99%
“…2 The oxygen reactive metabolites may be considered to play a major role in the microbicidal action of PMNs.~ The analgesic and antipyretic drug, acetaminophen (AM, N-acetyl-paminophenol) binds to purified myeloperoxidase (MPO) via its acetamido side chain and paralyses the MPO-H2O2-C1-antimicrobial system of PMNs. 4 Furthermore, AM is capable of inhibiting superoxide anion generation and the degradation of PMNS.~ In a recent study conducted in this laboratory, AM exerted a marked inhibitory effect on the ability of isolated human PMNs to generate OFRs upon stimulation with the soluble agent, phorbol myristate acetate (PMA). Also, AM exerted some inhibitory effect on the ability of PMNs to generate superoxide anions and to phagocytose opsonized dead yeast cells in a dose-dependent fashion.…”
Section: Introductionmentioning
confidence: 99%