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Updated: May 22, 2026

Human Liver Microphysiological System for Assessing Drug-Induced Liver Toxicity In Vitro
Published on: January 31, 2022
Drug-induced liver disease.
1Department of Transplantation, California Pacific Medical Center, San Francisco, 94115, USA. davernt@sutterhealth.org
Drug-induced liver injury (DILI), a type of hepatotoxicity, is liver damage from drugs or chemicals. This review guides healthcare professionals through challenging DILI cases, covering over 600 causative agents.
Area of Science:
- Hepatology
- Pharmacology
- Toxicology
Background:
- Drug-induced liver injury (DILI), or hepatotoxicity, is a significant adverse drug reaction.
- Over 600 drugs and chemicals are known to cause liver injury.
- Existing reviews often focus on pathogenesis or clinical features.
Purpose of the Study:
- To provide guidance on challenging aspects of DILI for clinicians.
- To offer a comprehensive overview for both novice and experienced hepatologists.
- To address vexing issues in the diagnosis and management of drug-induced liver injury.
Main Methods:
- Literature review of DILI pathogenesis and clinical features.
- Synthesis of information on a wide range of hepatotoxic agents.
- Expert consultation insights on complex DILI cases.
Main Results:
- DILI encompasses a broad spectrum of liver injuries from diverse agents.
- Understanding DILI requires knowledge of drug mechanisms and clinical presentations.
- Management strategies are often tailored to specific drug-induced hepatotoxicity patterns.
Conclusions:
- This article serves as a practical guide for managing DILI.
- It aims to enhance the consultant's ability to navigate complex hepatology cases.
- Effective DILI management requires a multidisciplinary approach and continuous learning.
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