AN OVERVIEW ON DRUG-INDUCED HEPATOTOXICITY

Authors

  • Priyankar Dey University of North Bengal
  • Manas Ranjan Saha University of North Bengal
  • Arnab Sen University of North Bengal

Abstract

Liver is a vital organ, contributing in most of the metabolic and physiological processes of our body. It plays principal role in detoxification of various drugs and xenobiotics. Though liver possess tremendous regenerative capacity, but metabolism of various chemicals severely damage the hepatic system. Drug induced hepatotoxicity (DIHT) is a major concern in this respect. The drugs we consume to treat various diseases, very often, their metabolic intermediates cause liver toxicity. The lion's share of the idiosyncratic drug reactions ultimately results either in liver transplantation or even death. DIHT is a major medical concern at present and several drugs have been withdrawn from the market due to their hepatotoxic phenotype. Therefore, considering the phenomenon of DIHT, we have documented various aspects of DIHT, also discussing about the mode of toxicity of the drugs.

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Author Biographies

Priyankar Dey, University of North Bengal

SRF (DBT)

Dept. of Zoology

Manas Ranjan Saha, University of North Bengal

Dept. of Botany

Arnab Sen, University of North Bengal

Dept. of Botany

References

Nadeem M, Dandiya PC, Pasha KV, Imran M, Balani DK, Vohora SB. Hepatoprotective activity of Solanum nigrum fruits. Fitoterapia 1997;58:245-51.

Liver transplant. (http://www.nhs.uk/conditions/Liver-transplant/Pages/Introduction.aspx). Accessed on: 03/01/2013

WHO proposes global agenda on transplantation. (http://www.who.int/mediacentre/news/releases/2007/pr12/en/index.html). Accessed on: 24/02/2013

Pandit A, Sachdeva T, Bafna P. Drug-Induced Hepatotoxicity: A Review. J Appl Pharm Sci 2012;02:233-243.

Ostapowicz G, Fontana RJ, Schiodt FV, Larson A, Davron JT, Steven HB., Timothy M, Reish J. Results of a prospective study of acute liver failure at 17 tertiary care centers in the United States. Ann Intern Med 2002;137:947–954.

Lynch T, Price A. The effect of cytochrome P-450 metabolism on drug response, interactions and adverse effects. Amer Fam Physi 2007;76:391-396.

Blazka ME, Wilmer JL, Holladay SD, Wilson RE, Luster MI. Role of Pro-inflammatory cytokines in acetaminophen hepatotoxicity. Toxicol Appl Pharmacol 1995;133:43-52.

Navarro VJ, Senior JR. Drug-Related Hepatotoxicity. N Engl J Med 2006; 354:731-9.

Mehta N, Ozick LA, Gbadehan E. Drug-Induced Hepatotoxicity. (http://emedicine.medscape.com/article/169814-overview#showall). Accessed on: 18/02/2013.

Wallace JL. Acetaminophen hepatotoxicity: NO to the rescue. Br J Pharmacol 2004;143:1–2.

Kaplowitz N. Idiosyncratic drug hepatotoxicity. Nature 2005;4:489-99.

Girling DJ. The hepatic toxicity of antituberculosis regimens containing isoniazid, rifampicin and pyrazinamide. Tubercle 1978;59:13–32.

Lewis JH. Nonsteroidal anti-inflammatory drugs and leukotriene receptor antagonists: pathology and clinical presentation of hepatotoxicity. In: Kaplowitz N, DeLeve LD, editors. Drug-induced liver disease. New York: Informa Healthcare; 2007. p. 377-390.

Zimmerman HJ. Update on hepatotoxicity due to classes of drugs in common clinical use: non-steroidal drugs, anti-inflammatory drugs, antibiotics, anti-hypertensives and cardiac and psychotropic agents. Semin Liver Dis 1990;10:322–338.

Brody GL, Sweet RB. Halothane anesthesia as a possible cause of massive hepatic necrosis. Anesthesiol 1963;24:29-37.

Nunez M. Hepatotoxicity of antiretrovirals: Incidence, mechanisms and management. J Hepat 2006;44:132–139.

Bjornsson E. Hepatotoxicity associated with antiepileptic drugs. Acta Neurol Scand 2008; 118:281–290.

U.S. Food and Drug Administration. Safety Alerts for Human Medical Products. (http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm173081.htm). Accessed 22.1.2013

Berson A, Descatoire V, Sutton A, Fau D, Maulny B, Vadrot N. Toxicity of alpidem, a peripheral benzodiazepine receptor ligand, but not zolpidem, in rat hepatocytes: role of mitochondrial permeability transition and metabolic activation. J Pharmacol Exp Ther 2001;299:793-800.

Walther EU, Hohlfeld R. Multiple sclerosis: side effects of interferon beta therapy and their management. Neurology 1999; 53:1622–7.

Handral HK, Duggi S, Handral R, Tulsianand G, Shruthi SD. Turmeric: nature’s precious medicine. Asian J Pharm Clin Res 2013;6:10-16.

Dey P, Roy R, Chaudhuri TK. A quantitative assessment of bioactive phytochemicals of Nerium indicum: an ethnopharmacological herb. Int J Res Pharm Sci 2012;3:579-587.

Dutta S, Dey P, Chaudhuri TK. Quantification and correlation of the bioactive phytochemicals of Croton bonplandianum leaves of Sub-Himalayan region of West Bengal. Asian J Pharm Clin Res 2013;5:In press.

Kshirsagar AD, Mohite R,Aggrawal AS, Suralkar UR. Hepatoprotective medicinal plants of Ayurveda – a review. Asian J Pharm Clin Res 2011;4:1-8.

Dey P, Chaudhuri D, Chaudhuri TK, Mandal N. Comparative assessment of the antioxidant activity and free radical scavenging potential of different parts of Nerium indicum. Int J Phytomed 2012;4:54-69.

Dey P, Chaudhuri TK. Antioxidant capacity of N. indicum: a correlation study using principal component analysis and multivariate statistical approach. Int J Pharm Pharm Sci 2013;5:931-937.

Published

01-10-2013

How to Cite

Dey, P., M. R. Saha, and A. Sen. “AN OVERVIEW ON DRUG-INDUCED HEPATOTOXICITY”. Asian Journal of Pharmaceutical and Clinical Research, vol. 6, no. 4, Oct. 2013, pp. 1-4, https://journals.innovareacademics.in/index.php/ajpcr/article/view/253.

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