Drug-induced fatty liver disease: An overview of pathogenesis and management



Título del documento: Drug-induced fatty liver disease: An overview of pathogenesis and management
Revue: Annals of hepatology
Base de datos: PERIÓDICA
Número de sistema: 000413453
ISSN: 1665-2681
Autores: 1
1
1
2
3
Instituciones: 1University of Tennessee, Health Sciences Center, Memphis, Tennessee. Estados Unidos de América
2University of Texas Southwestern, Dallas, Texas. Estados Unidos de América
3Virginia Commonwealth University Health System, Division of Gastroenterology, Hepatology and Nutrition, Richmond, Virginia. Estados Unidos de América
Año:
Periodo: Nov-Dic
Volumen: 14
Número: 6
Paginación: 789-806
País: México
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés Over the past decades, many drugs have been identified, that can potentially induce steatohepatitis in the predisposed individual. Classically this has been incriminated to amiodarone, perhexiline, and 4,4’-diethylaminoethoxyhexestrol (DH), all of which have been found to independently induce the histologic picture of non-alcoholic steatohepatitis (NASH). Pathogenetic mechanisms of hepatotoxicity although still evolving, demonstrate that mitochondrial dysfunction, deranged ATP production and fatty acid catabolism likely play an important role. Drugs like steroid hormones can exacerbate the pathogenetic mechanisms that lead to NASH, and other drugs like tamoxifen, cisplatin and irenotecan have been shown to precipitate latent fatty liver as well. Further research aiming to elucidate the pathogenesis of drug-induced steatosis and steatohepatitis is needed in order to better design therapeutic targets
Disciplinas: Medicina
Palabras clave: Farmacología,
Gastroenterología,
Fármacos,
Hepatotoxicidad,
Hígado graso no alcohólico,
Esteatohepatitis no alcohólica,
Resistencia a la insulina,
Cirrosis
Keyword: Medicine,
Gastroenterology,
Pharmacology,
Drugs,
Hepatotoxicity,
Non alcoholic fatty liver,
Non-alcoholic steatohepatitis,
Insulin resistance,
Cirrhosis
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