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Molecular mechanisms underlying chemical liver injury

Published online by Cambridge University Press:  03 February 2012

Xinsheng Gu
Affiliation:
Department of Pharmaceutical Sciences, University of Connecticut, Storrs, CT, USA
Jose E. Manautou*
Affiliation:
Department of Pharmaceutical Sciences, University of Connecticut, Storrs, CT, USA
*
*Corresponding author: Jose E. Manautou, 69 North Eagleville Road, Unit 3092, Storrs, CT 06269, USA. E-mail: jose.manautou@uconn.edu

Abstract

The liver is necessary for survival. Its strategic localisation, blood flow and prominent role in the metabolism of xenobiotics render this organ particularly susceptible to injury by chemicals to which we are ubiquitously exposed. The pathogenesis of most chemical-induced liver injuries is initiated by the metabolic conversion of chemicals into reactive intermediate species, such as electrophilic compounds or free radicals, which can potentially alter the structure and function of cellular macromolecules. Many reactive intermediate species can produce oxidative stress, which can be equally detrimental to the cell. When protective defences are overwhelmed by excess toxicant insult, the effects of reactive intermediate species lead to deregulation of cell signalling pathways and dysfunction of biomolecules, leading to failure of target organelles and eventual cell death. A myriad of genetic factors determine the susceptibility of specific individuals to chemical-induced liver injury. Environmental factors, lifestyle choices and pre-existing pathological conditions also have roles in the pathogenesis of chemical liver injury. Research aimed at elucidating the molecular mechanism of the pathogenesis of chemical-induced liver diseases is fundamental for preventing or devising new modalities of treatment for liver injury by chemicals.

Type
Review Article
Copyright
Copyright © Cambridge University Press 2012

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References

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Further reading, resources and contacts

Gregus, Z. (2008) Mechanism of toxicity. In Casarett and Doull's Toxicology: The Basic Science of Poisons (7th edn) (Casarett, L.J. and Doull, J. et al. , eds), pp. 45-106, McGraw-Hill, New YorkGoogle Scholar
Kaplowitz, N. (2002) Biochemical and cellular mechanisms of toxic liver injury. Seminars in Liver Disease 22, 137-144CrossRefGoogle ScholarPubMed
Abboud, G. and Kaplowitz, N. (2007) Drug-induced liver injury. Drug Safety 30, 277-294CrossRefGoogle ScholarPubMed
Testa, B. and Kramer, S.D. (2007-2009) The biochemistry of drug metabolism – an introduction: parts 2-5. Redox, hydrolysis, conjugation reactions and their enzymes, metabolism and bioactivity. Chemistry and Biodiversity 4, 257-405; 4, 2031-2122; 5, 2171-2336 and 6, 591-684Google Scholar
Parkinson, A. and Ogilvie, B.W. (2008) Biotransformation of xenobiotics. In Casarett and Doull's Toxicology: The Basic Science of Poisons (7th edn) (Casarett, L.J. and Doull, J. et al. , eds), pp. 161-304, McGraw-Hill, New YorkGoogle Scholar
Hinson, J.A., Roberts, D.W. and James, L.P. (2010) Mechanisms of acetaminophen-induced liver necrosis. Handbook of Experimental Pharmacology 196, 369-405CrossRefGoogle Scholar
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Daly, A.K. (2010) Drug-induced liver injury: past, present and future. Pharmacogenomics 11, 607-611CrossRefGoogle ScholarPubMed
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