Abstract:
:Susceptibility to drug toxicity is influenced by a variety of factors, both genetic and environmental. The focus of this article is the evidence addressing the hypothesis that inflammation is both a result of and a susceptibility factor for drug toxicity, with an emphasis on liver as a target organ. Results of studies suggesting a role for inflammatory mediators in the hepatotoxicity caused by acetaminophen or ethanol are discussed. For several drugs, the evidence from animal models that concurrent inflammation increases injury is presented. In addition, the occurrence of adverse drug reactions in people with preexisting inflammatory diseases is considered. The special case of idiosyncratic drug reactions is discussed and the potential raised for development of animal models for this type of drug toxicity. The conclusion is that inflammatory factors should be considered as determinants of sensitivity to adverse drug reactions.
journal_name
Chem Biol Interactjournal_title
Chemico-biological interactionsauthors
Ganey PE,Luyendyk JP,Maddox JF,Roth RAdoi
10.1016/j.cbi.2004.09.002subject
Has Abstractpub_date
2004-11-01 00:00:00pages
35-51issue
1eissn
0009-2797issn
1872-7786pii
S0009-2797(04)00110-3journal_volume
150pub_type
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