The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
Biotransformation of Halothane, Enflurane, Isoflurane, and Desflurane to Trifluoroacetylated Liver Proteins: Association Between Protein Acylation and Hepatic Injury
Abstract
In susceptible patients, halothane, enflurane, isoflurane, and desflurane can produce severe hepatic injury by an immune response directed against reactive anesthetic metabolites covalently bound to hepatic proteins. The incidence of hepatotoxicity appears to directly correlate with anesthetic metabolism catalyzed by cytochrome P450 2E1 to trifluoroacetylated hepatic proteins. In the present study, we examined whether the extent of acylation of hepatic proteins in rats by halothane, enflurane, isoflurane, and desflurane correlated with reported relative rates of metabolism. After pretreatment with the P450 2E1 inducer isoniazid, five groups of 10 rats breathed 1.25 minimum alveolar anesthetic concentration (MAC) of halothane, enflurane, isoflurane, or desflurane in oxygen, or oxygen alone, each for 8 h. Immunochemical analysis of livers harvested 18 h after anesthetic exposure showed tissue acylation (greatest to least) after exposure to halothane, enflurane, or isoflurane. Reactivity was not different between isoflurane as compared to desflurane or oxygen alone. An enzyme-linked immunosorbent assay showed halothane reactivity was significantly greater than that of enflurane, isoflurane, desflurane, or oxygen, and that enflurane reactivity was significantly greater than desflurane or oxygen. Sera from patients with a clinical diagnosis of halothane hepatitis showed antibody reactivity against hepatic proteins from rats exposed to halothane or enflurane. No reactivity was dete…
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“P450 2E1 from human livers exhibited oxidative defluorination activity on fluorinated inhalation anesthetics (e.g., sevoflurane, isoflurane, and methoxyflurane), resulting in the generation of toxic metabolic intermediates (116, 117).”
From Toward the development of a molecular toolkit for the microbial remediation of per-and polyfluoroalkyl substances (2024) · cites this paper as [117]
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Cites
Fluoride Metabolites After Prolonged Exposure of Volunteers and Patients to Desflurane
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Sorted by citations
Role of Drug Disposition in Drug Hypersensitivity: A Chemical, Molecular, and Clinical Perspective
Park, B. K., Pirmohamed, M., & Kitteringham, N. R. (1998) · Chemical Research in Toxicology · doi:10.1021/tx980058f · Cited by 267
Hu, M., & Scott, C. (2024) · Applied and Environmental Microbiology · doi:10.1128/aem.00157-24 · Cited by 63
Uetrecht, J. (2006) · Drug Metabolism Reviews · doi:10.1080/03602530600959615 · Cited by 52
Metadata
- Authors
- Njoku, D., Laster, M. J., Gong, D. H., Eger, E. I., Reed, G. F., & Martin, J. L.
- Venue
- Anesthesia & Analgesia
- Published
- 1997-01
- Volume
- 84
- Issue
- 1
- Pages
- 173-178
- ISSN
- 0003-2999
- Cited by
- 18
- References
- 1
- Language
- en
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