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Related Concept Videos

Effect of Hepatic Disease on Pharmacokinetics: Pathophysiologic Assessment and Liver Function Test01:22

Effect of Hepatic Disease on Pharmacokinetics: Pathophysiologic Assessment and Liver Function Test

In clinical practice, the direct measurement of hepatic blood flow to evaluate liver function presents significant challenges due to the intricate and specialized nature of the necessary techniques. Consequently, healthcare professionals often rely on empirical estimates derived from thorough patient examinations and liver function tests to gauge liver health. Among the tools at their disposal, the Child–Pugh and MELD scoring systems stand out for their ability to categorize and assess the...
Pharmacogenetics of Phase II Enzymes: N-acetyltransferase, Thiopurine S-methyltransferase, UDP-glucuronosyltransferase01:27

Pharmacogenetics of Phase II Enzymes: N-acetyltransferase, Thiopurine S-methyltransferase, UDP-glucuronosyltransferase

Phase II biotransformation reactions are essential for detoxifying and eliminating xenobiotics, including many pharmaceutical compounds. These reactions typically involve conjugation, the covalent attachment of polar endogenous groups such as glucuronic acid, sulfate, methyl, or acetyl moieties to functional groups introduced during Phase I metabolism. The resulting conjugates are more water-soluble, enabling efficient renal or biliary excretion.The major classes of Phase II enzymes include...
Effect of Hepatic Disease on Pharmacokinetics: Drug Dosing and Hepatic Blood Flow01:26

Effect of Hepatic Disease on Pharmacokinetics: Drug Dosing and Hepatic Blood Flow

Chronic liver disease significantly impacts drug metabolism due to alterations in hepatic blood flow and enzyme accessibility. This disruption affects the body's pharmacokinetics—the movement and processing of drugs within the system. Key enzymes crucial for metabolizing medications become less accessible, changing how drugs are processed and utilized. Furthermore, liver disease influences the synthesis of plasma proteins, such as albumin and globulins, which play critical roles in drug binding...
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Glutathione, a tripeptide made up of glutamate, cysteine, and glycine, is a critical player in the detoxification of drugs and xenobiotics via a process known as glutathione conjugation or mercapturic acid formation. This phase II biotransformation reaction involves the covalent binding of glutathione to a drug or its metabolite, enhancing the compound's water solubility and enabling its excretion.
Several distinctive characteristics distinguish glutathione conjugation from other phase II...
Effect of Hepatic Disease on Pharmacokinetics: Active Drug, Metabolite and Fraction of Metabolized Drug01:14

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In pharmacotherapy, monitoring drug concentrations is paramount, especially for drugs whose therapeutic effects hinge on both the active compound and its metabolite. Hepatic impairment profoundly influences drug potency by altering liver function. If the drug is more potent than its metabolite, impaired liver function amplifies drug activity due to elevated drug concentration levels. Conversely, if the metabolite holds greater potency, diminished liver function diminishes drug activity by...
Effect of Hepatic Disease on Pharmacokinetics: Dose Adjustments Due to Hepatic Impairment01:08

Effect of Hepatic Disease on Pharmacokinetics: Dose Adjustments Due to Hepatic Impairment

Hepatic impairment, characterized by decreased liver function, does not uniformly mandate adjustments in drug dosage. Whether dosage modifications are necessary depends on various factors related to the drug's metabolism and elimination pathways. If a drug is primarily excreted via the kidneys and bypasses significant hepatic processing, if it undergoes minimal metabolic transformation in the liver, or if it is volatile and primarily expelled through the lungs, dose adjustments may not be...

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Updated: May 30, 2026

Partial Lobular Hepatectomy: A Surgical Model for Morphologic Liver Regeneration
05:37

Partial Lobular Hepatectomy: A Surgical Model for Morphologic Liver Regeneration

Published on: May 31, 2018

Paracetamol hepatotoxicity and microsomal function.

R Kaushal1, K R Dave, S S Katyare

  • 1Department of Biochemistry, Faculty of Science, M.S. University of Baroda, Vadodara, Gujarat 390002, India.

Environmental Toxicology and Pharmacology
|July 26, 2011
PubMed
Summary
This summary is machine-generated.

Paracetamol overdose in rats impairs microsomal function by altering enzyme activity and membrane composition. This leads to increased membrane fluidity and reduced sulfhydryl groups, indicating cellular damage.

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An Intestine/Liver Microphysiological System for Drug Pharmacokinetic and Toxicological Assessment
08:59

An Intestine/Liver Microphysiological System for Drug Pharmacokinetic and Toxicological Assessment

Published on: December 3, 2020

Area of Science:

  • Biochemistry
  • Toxicology
  • Cell Biology

Background:

  • Paracetamol (acetaminophen) is a common analgesic with known hepatotoxicity at high doses.
  • Microsomal function is crucial for cellular metabolism and detoxification processes.
  • Understanding paracetamol's effects on microsomes is vital for managing overdose toxicity.

Purpose of the Study:

  • To investigate the impact of paracetamol-induced hepatotoxicity on rat liver microsomal function.
  • To analyze alterations in enzyme kinetics, membrane lipid composition, and membrane fluidity.

Main Methods:

  • Rats were administered a hepatotoxic dose of paracetamol (650 mg/kg).
  • Microsomal fractions were isolated and analyzed for Na(+),K(+)-ATPase activity, V(max), and temperature kinetics.
  • Lipid peroxidation, phospholipid, and cholesterol content were quantified.
  • Changes in specific phospholipids, lysophosphoglycerides, and sulfhydryl groups were assessed.

Main Results:

  • Paracetamol significantly reduced Na(+),K(+)-ATPase activity and V(max) in component II.
  • Microsomal membrane fluidity increased, with a 50% decrease in acidic phospholipids (phosphatidylserine, phosphatidylinositol) and a 12-fold increase in lysophosphoglycerides.
  • Sphingomyelin content increased reciprocally.
  • A significant reduction in sulfhydryl groups was observed, while lipid peroxidation remained unchanged.

Conclusions:

  • Paracetamol-induced hepatotoxicity alters rat liver microsomal function.
  • Changes in phospholipid composition lead to increased membrane fluidity and impaired enzyme activity.
  • Reduced sulfhydryl groups suggest oxidative stress or direct interaction with paracetamol metabolites.