Hepatoxicity Flashcards
Portal triad vessel
3 vessels of bile duct, artery and vein, protected within the walls of a single vessel.
Why is the liver vulnerable to toxicity?
It is the first organ to come into contact with large amounts of the substance.
Hepatotoxicity
Liver damage caused by exposure to substances like medications, chemicals an toxins, which leads to impaired liver function and liver failure.
Results of hepatotoxicity
Necrosis, apoptosis, hypertrophy, hyperplasia, fibrosis, choleostasis, mitochondrial dysfunction.
Necrosis
Death and degradation of tissue within a living body.
Functions impaired due to hepatotoxicity
Biotransformation, filtration particulates, protein-synthesis, bile formation, nutrient homeostasis
Clinical signs of hepatotoxicity
Albumin levels low
Alkaline phosphatase levels high
Bilirubin levels high
5’NT levels high
Liver enzymes found in blood.
Drugs that can cause hepatotoxicity
Paracetamol and halothane
Effects of Carbon tetrachloride
Metabolically activated by p450 enzyme, producing a free radical molecule, which binds proteins and lipids together, causing severe hepatotoxicity.
Paracetamol process of hepatotoxicity
Forms a reactive metabolite N-acetyl-p-benzoquinoneimine, which depletes glutathione.