Genetic Association of Single Nucleotide Polymorphisms with Acetaminophen-Induced Hepatotoxicity

被引:10
作者
Heruth, Daniel P. [1 ]
Shortt, Katherine [1 ,3 ,4 ]
Zhang, Nini [1 ,2 ,5 ]
Li, Ding-You [2 ]
Zhang, Li Q. [1 ]
Ye, Shui Qing [1 ,3 ]
机构
[1] Childrens Mercy, Dept Pediat, Div Expt & Translat Genet, Kansas City, MO 64068 USA
[2] Childrens Mercy, Dept Pediat, Div Gastroenterol, Kansas City, MO 64068 USA
[3] Univ Missouri, Sch Med, Dept Biomed & Hlth Informat, Kansas City, MO 64108 USA
[4] Univ Missouri, Div Cell Biol & Biophys, Sch Biol Sci, Kansas City, MO 64110 USA
[5] Fourth Mil Med Univ, Tangdu Hosp, Dept Pediat, Xian, Shaanxi, Peoples R China
关键词
INDUCED LIVER-INJURY; DRUG-INDUCED HEPATOTOXICITY; GENOME-WIDE ASSOCIATION; PARACETAMOL-INDUCED HEPATOTOXICITY; COVALENT BINDING; HEPATIC-NECROSIS; BENZOQUINONE IMINE; PROTEIN ADDUCTS; UNITED-STATES; IN-VIVO;
D O I
10.1124/jpet.118.248583
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Acetaminophen is commonly used to reduce pain and fever. Unfortunately, overdose of acetaminophen is a leading cause of acute liver injury and failure in many developed countries. The majority of acetaminophen is safely metabolized in the liver and excreted in the urine; however, a small percentage is converted to the highly reactive N-acetyl-p-benzoquinone imine (NAPQI). At therapeutic doses, NAPQI is inactivated by glutathione S-transferases, but at toxic levels, excess NAPQI forms reactive protein adducts that lead to hepatotoxicity. Individual variability in the response to both therapeutic and toxic levels of acetaminophen suggests a genetic component is involved in acetaminophen metabolism. In this review, we evaluate the genetic association studies that have identified 147 single nucleotide polymorphisms linked to acetaminophen-induced hepatotoxicity. The identification of novel genetic markers for acetaminophen-induced hepatotoxicity provides a rich resource for further evaluation and may lead to improved prognosis, prevention, and treatment.
引用
收藏
页码:95 / 100
页数:6
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