Acetaminophen Oxidation and Inflammatory Markers – A Review of Hepatic Molecular Mechanisms and Preclinical Studies

Author:

Stefanello Silvio Terra1,de Carvalho Nelson Rodrigues2,Reis Simone Beder3,Soares Felix Alexandre Antunes1,Barcelos Rômulo Pillon1ORCID

Affiliation:

1. Programa de Pos-Graduacao em Bioquimica Toxicologica, Centro de Ciencias Naturais e Exatas (CCNE), Universidade Federal de Santa Maria, Brazil

2. Instituto Federal Farropilha, Santo Angelo, Brazil

3. Institudo de Ciencias Biologicas (ICB), Programa de Posgraduacao em Bioexperimentacao, Universidade de Passo Fundo, Passo Fundo, Brazil

Abstract

Acetaminophen is a widely used analgesic for pain management, especially useful in chronic diseases, such as rheumatoid arthritis. However, easy access to this medicine has increased the occurrence of episodes of poisoning. Patients often develop severe liver damage, which may quickly lead to death. Consequently, numerous studies have been conducted to identify new biomarkers that allow the prediction of the degree of acetaminophen intoxication and thus intervene in a timely manner to save patients’ lives. This review highlights the main mechanisms of the induction and progression of liver damage arising from acetaminophen poisoning. In addition, we have discussed the possibility of using new clinical biomarkers for detecting acetaminophen poisoning.

Funder

CAPES

CNPq

Publisher

Bentham Science Publishers Ltd.

Subject

Clinical Biochemistry,Drug Discovery,Pharmacology,Molecular Medicine

Reference128 articles.

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2. Clark R; Fisher JE; Sketris IS; Johnston GM; Population prevalence of high dose paracetamol in dispensed paracetamol/opioid prescription combinations: an observational study BMC Clin Pharmacol 12(1): 11 2012

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