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Oxidative stress during acetaminophen hepatotoxicity: Sources, pathophysiological role and therapeutic potential

Open access
Du, Kuo, Ramachandran, Anup, Jaeschke, Hartmut·2016·Redox Biology

Abstract

Acetaminophen (APAP) hepatotoxicity is characterized by an extensive oxidative stress. However, its source, pathophysiological role and possible therapeutic potential if targeted, have been controversially described. Earlier studies argued for cytochrome P450-generated reactive oxygen species (ROS) during APAP metabolism, which resulted in massive lipid peroxidation and subsequent liver injury. However, subsequent studies convincingly challenged this assumption and the current paradigm suggests that mitochondria are the main source of ROS, which impair mitochondrial function and are responsible for cell signaling resulting in cell death. Although immune cells can be a source of ROS in other models, no reliable evidence exists to support a role for immune cell-derived ROS in APAP hepatotoxicity. Recent studies suggest that mitochondrial targeted antioxidants can be viable therapeutic agents against hepatotoxicity induced by APAP overdose, and re-purposing existing drugs to target oxidative stress and other concurrent signaling events can be a promising strategy to increase its potential application in patients with APAP overdose.

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Metadata

Authors
Du, K., Ramachandran, A., & Jaeschke, H.
Venue
Redox Biology
Publisher
Elsevier BV
Published
2016-12
Volume
10
Pages
148-156
ISSN
2213-2317 (ISSN-L)
OpenAlex
W2529405505
Cited by
569
References
12
FWCI
50.35
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Oxidative stress during acetaminophen hepatotoxicity: Sources, pathophysiological role and therapeutic potential. https://app.cochat.ai/papers/10.1016/j.redox.2016.10.001
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Du, K., Ramachandran, A., & Jaeschke, H. (2016). Oxidative stress during acetaminophen hepatotoxicity: Sources, pathophysiological role and therapeutic potential. Redox Biology. https://doi.org/10.1016/j.redox.2016.10.001

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