Article ; Online: The development and hepatotoxicity of acetaminophen: reviewing over a century of progress.
2020 Volume 52, Issue 4, Page(s) 472–500
Abstract: Acetaminophen (APAP) was first synthesized in the 1800s, and came on the market approximately 65 years ago. Since then, it has become one of the most used drugs in the world. However, it is also a major cause of acute liver failure. Early investigations ... ...
Abstract | Acetaminophen (APAP) was first synthesized in the 1800s, and came on the market approximately 65 years ago. Since then, it has become one of the most used drugs in the world. However, it is also a major cause of acute liver failure. Early investigations of the mechanisms of toxicity revealed that cytochrome P450 enzymes catalyze formation of a reactive metabolite in the liver that depletes glutathione and covalently binds to proteins. That work led to the introduction of N-acetylcysteine (NAC) as an antidote for APAP overdose. Subsequent studies identified the reactive metabolite N-acetyl- |
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MeSH term(s) | Acetaminophen/metabolism ; Acetaminophen/toxicity ; Animals ; Chemical and Drug Induced Liver Injury/enzymology ; Chemical and Drug Induced Liver Injury/metabolism ; Cytochrome P-450 Enzyme System/metabolism ; Humans ; Liver/drug effects ; Liver/enzymology ; Liver/metabolism ; Oxidative Stress |
Chemical Substances | Acetaminophen (362O9ITL9D) ; Cytochrome P-450 Enzyme System (9035-51-2) |
Language | English |
Publishing date | 2020-10-14 |
Publishing country | England |
Document type | Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Review |
ZDB-ID | 184967-0 |
ISSN | 1097-9883 ; 0360-2532 ; 0012-6594 |
ISSN (online) | 1097-9883 |
ISSN | 0360-2532 ; 0012-6594 |
DOI | 10.1080/03602532.2020.1832112 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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