Abstract:
:Drug-induced blood dyscrasias can be either acute and predictable or delayed and unpredictable (idiosyncratic). The predictable toxicity is relatively easy to reproduce with in vitro models, although they may not work for drugs that require bioactivation. It is very unlikely that idiosyncratic blood dyscrasias can be modeled in vitro, although some drugs (or their reactive metabolites) that cause idiosyncratic reaction are toxic to bone marrow cells in vitro. Although the mechanisms of idiosyncratic reactions are poorly understood, there is evidence that most are due to reactive metabolites and some are immune-mediated. Therefore screening drugs for their bioactivation by myeloperoxidase, the major oxidative enzyme in bone marrow, may provide some measure of the risk that a drug will cause blood dyscrasias. Several examples of drug-induced idiosyncratic agranulocytosis, aplastic anemia and thrombocytopenia are presented, but better in vivo models are clearly needed to gain a clearer understanding of these adverse reactions.
journal_name
Environ Toxicol Pharmacoljournal_title
Environmental toxicology and pharmacologyauthors
Ip J,Uetrecht JPdoi
10.1016/j.etap.2005.07.003subject
Has Abstractpub_date
2006-02-01 00:00:00pages
135-40issue
2eissn
1382-6689issn
1872-7077pii
S1382-6689(05)00116-Xjournal_volume
21pub_type
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journal_title:Environmental toxicology and pharmacology
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journal_title:Environmental toxicology and pharmacology
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journal_title:Environmental toxicology and pharmacology
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更新日期:2016-07-01 00:00:00
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journal_title:Environmental toxicology and pharmacology
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更新日期:2020-04-01 00:00:00
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journal_title:Environmental toxicology and pharmacology
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doi:10.1016/j.etap.2007.07.002
更新日期:2008-01-01 00:00:00
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journal_title:Environmental toxicology and pharmacology
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