Advances in biomarker development in acetaminophen toxicity

Adv Clin Chem. 2020:98:35-50. doi: 10.1016/bs.acc.2020.02.002. Epub 2020 Apr 27.

Abstract

Acetaminophen liver injury is the most common cause of acute liver injury in the United States and several other countries. Diagnosis of acetaminophen-induced acute liver injury in the clinic is challenging due to the lack of validated and specific biomarkers. The following chapter provides an overview of recent advances evaluating candidate biomarkers in development for acetaminophen acute liver injury. Relationships of biomarkers to mechanisms of acetaminophen toxicity and their potential role in confirming the diagnosis and/or predicting evolving toxicity are addressed.

Keywords: Acetaminophen; Biomarker; Hepatotoxicity; Immunoassay; Liver.

Publication types

  • Review

MeSH terms

  • Acetaminophen / adverse effects*
  • Acetaminophen / toxicity*
  • Animals
  • Biomarkers / analysis
  • Cell Death / drug effects
  • Humans
  • Inflammation / chemically induced*
  • Inflammation / pathology
  • Liver / drug effects*
  • Liver / injuries
  • Liver / metabolism
  • Liver / pathology
  • Mitochondria / drug effects*

Substances

  • Biomarkers
  • Acetaminophen