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Local Anesthetics: Adverse Effects01:12

Local Anesthetics: Adverse Effects

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While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
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Skeletal muscle relaxants are widely used for muscle paralysis and relieving pain following any muscle injury or stiffness. However, depending on the drug type, they can have adverse effects that range from mild to severe. Usually, nondepolarizing neuromuscular blockers have minimal side effects. For example, drugs like d-tubocurarine, cisatracurium, and rocuronium cause hypotension, whereas drugs like baclofen, when stopped abruptly, can lead to the recurrence of spastic conditions.
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Three-Level Hepatotoxicity Prediction System Based on Adverse Hepatic Effects.

Lu Liu1, Li Fu1, Jin-Wei Zhang1

  • 1Xiangya School of Pharmaceutical Sciences , Central South University , Changsha , People's Republic of China.

Molecular Pharmaceutics
|November 27, 2018
PubMed
Summary

A new tiered system predicts drug-induced liver injury (hepatotoxicity) using machine learning. This tool enhances drug development by identifying potential liver damage and severity early, reducing market withdrawals.

Keywords:
SARadverse hepatic effectshepatotoxicityrandom foresttoxicity risk assessment

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Area of Science:

  • Drug discovery and development
  • Computational toxicology
  • Pharmacology

Background:

  • Hepatotoxicity is a primary reason for drug withdrawal, necessitating improved prediction methods.
  • Accurate and efficient prediction systems are crucial to mitigate drug attrition due to liver injury.

Purpose of the Study:

  • To develop a multi-level hepatotoxicity prediction system integrating machine learning and adverse hepatic effects (AHEs).
  • To predict hepatotoxicity existence, severity, and specific AHEs for compounds.

Main Methods:

  • Collected and curated 15,873 compound-AHE pairs involving 2017 compounds and 403 AHEs.
  • Developed 27 random forest models across three endpoint levels (hepatotoxicity, severity, specific AHEs).
  • Integrated models into a tiered prediction system and validated using external datasets.

Main Results:

  • Achieved prediction accuracies from 67.0% to 78.2% and AUCs from 0.715 to 0.875.
  • The tiered system enables simultaneous inference of hepatotoxicity, severity, and AHEs.
  • External validation confirmed the system's predictive capabilities.

Conclusions:

  • The developed tiered system provides robust prediction of compound hepatotoxicity, severity, and specific adverse hepatic effects.
  • This system aids researchers in confirming hepatotoxicity, analyzing risks, and selecting appropriate in vitro experiments.
  • The system is available as a flow framework for broader accessibility in drug safety assessment.