Journal
ARCHIVES OF TOXICOLOGY
Volume 94, Issue 9, Pages 2925-2938Publisher
SPRINGER HEIDELBERG
DOI: 10.1007/s00204-020-02780-9
Keywords
Autophagy; Mitophagy; Acetaminophen; Liver injury
Categories
Funding
- Science and Technology Planning Project of Yunfu, Guangdong, China [201702-9]
- Guangdong Provincial University Engineering Technology Research Center of Natural Products and Drugs, China [2017GCZX002]
- Science and Technology Planning Project of Guangdong, China [201806040009, 201804010349, 201804010329]
- Innovation Strong School Project of Guangdong Pharmaceutical University, China
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Toxicity from drugs has become an important cause of acute liver failure. Acetaminophen, a commonly used analgesic, can cause severe acute liver injury that can worsen into acute liver failure. Autophagy, a protective cell programme, has been reported to have protective effects in a variety of diseases such as cancer, immune diseases, neurodegenerative diseases, and inflammatory diseases. In this review, we describe how an excess of acetaminophen causes liver injury step by step, from the formation of the initial protein adduct to the final hepatocyte necrosis, as well as the induction of autophagy and its beneficial effects on diseases. Emphasis is placed on the potential effect of autophagy on improving the damage of acetaminophen to hepatocytes. Finally, we are committed to providing insights into the treatment of acute liver failure through the mechanism of acetaminophen induced liver injury, the mechanism of autophagy, and the link between autophagy and liver injury.
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