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Cited by 322

The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.

Role of Metabolism in Drug-Induced Idiosyncratic Hepatotoxicity

Walgren, Jennie L., Mitchell, Michael D., Thompson, David C.·2005·Critical Reviews in Toxicology

Abstract

Rare adverse reactions to drugs that are of unknown etiology, or idiosyncratic reactions, can produce severe medical complications or even death in patients. Current hypotheses suggest that metabolic activation of a drug to a reactive intermediate is a necessary, yet insufficient, step in the generation of an idiosyncratic reaction. We review evidence for this hypothesis with drugs that are associated with hepatotoxicity, one of the most common types of idiosyncratic reactions in humans. We identified 21 drugs that have either been withdrawn from the U.S. market due to hepatotoxicity or have a black box warning for hepatotoxicity. Evidence for the formation of reactive metabolites was found for 5 out of 6 drugs that were withdrawn, and 8 out of 15 drugs that have black box warnings. For the other drugs, either evidence was not available or suitable studies have not been carried out. We also review evidence for reactive intermediate formation from a number of additional drugs that have been associated with idiosyncratic hepatotoxicity but do not have black box warnings. Finally, we consider the potential role that high dosages may play in these adverse reactions.

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Metadata

Authors
Walgren, J. L., Mitchell, M. D., & Thompson, D. C.
Venue
Critical Reviews in Toxicology
Published
2005-01
Volume
35
Issue
4
Pages
325-361
ISSN
  • 0045-6446 (ISSN-L)
  • 1040-8444
  • 1547-6898
OpenAlex
W2062934575
Cited by
322
References
9
FWCI
16.90
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Role of Metabolism in Drug-Induced Idiosyncratic Hepatotoxicity. https://app.cochat.ai/papers/10.1080/10408440590935620
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Walgren, J. L., Mitchell, M. D., & Thompson, D. C. (2005). Role of Metabolism in Drug-Induced Idiosyncratic Hepatotoxicity. Critical Reviews in Toxicology. https://doi.org/10.1080/10408440590935620

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.