关键词: APAP-CYS GLDH HMGB1 biomarkers hepatotoxicity keratin-18 miR-122 miRNA mtDNA paracetamol

Mesh : Acetaminophen / administration & dosage pharmacokinetics poisoning Analgesics, Non-Narcotic / administration & dosage pharmacokinetics poisoning Animals Biomarkers / blood Chemical and Drug Induced Liver Injury / blood etiology Drug Overdose / blood complications therapy Glutamate Dehydrogenase / blood HMGB1 Protein / blood Hepatitis A Virus Cellular Receptor 1 Humans Keratin-18 / blood Membrane Glycoproteins / blood MicroRNAs / blood Models, Biological Predictive Value of Tests Receptors, Virus / blood Risk Assessment

来  源:   DOI:10.1111/bcp.12699   PDF(Pubmed)

Abstract:
Paracetamol (acetaminophen) overdose is one of the most common causes of acute liver injury in the Western world. To improve patient care and reduce pressure on already stretched health care providers new biomarkers are needed that identify or exclude liver injury soon after an overdose of paracetamol is ingested. This review highlights the current state of paracetamol poisoning management and how novel biomarkers could improve patient care and save healthcare providers money. Based on the widely used concept of defining a target product profile, a target biomarker profile is proposed that identifies desirable and acceptable key properties for a biomarker in development to enable the improved treatment of this patient population. The current biomarker candidates, with improved hepatic specificity and based on the fundamental mechanistic basis of paracetamol-induced liver injury, are reviewed and their performance compared with our target profile.
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