Research advances in the pathogenesis of drug-induced liver injury
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摘要: 近年来,由于临床药物的不合理应用、保健品及膳食补充剂成分不明确、药物安全知识普及不够等原因,药物性肝损伤(DILI)的病例逐年递增,并成为了肝衰竭及肝移植的重要原因。DILI的发病机制复杂,各医疗机构对DILI的关注度不断提高,其相关性的动物及细胞实验正在全球陆续开展,对其代谢途径、免疫机制、线粒体异常、基因学等方面的研究都取得了不同程度的进展,各种发病机制的深入研究和相互关系的探索,对揭示DILI的真正致病原因具有重大意义。综合了国内外与DILI发病相关的文献,阐述了其发病机制的研究概况,为临床治疗和基础研究提供参考。Abstract: In recent years, the number of drug-induced liver injury (DILI) cases is increasing year by year due to unreasonable drug use in clinical practice, unclear composition of healthcare products and dietary supplements, and a lack of drug safety knowledge, and DILI has become a major cause of liver failure and liver transplantation.DILI has complex pathogenesis, and medical institutions are paying more and more attention to DILI.Related animal and cell experiments are being conducted all over the world, and advances have been made in metabolic pathways, immune mechanism, mitochondrial abnormality, and genetics of DILI.In-depth research on various pathogeneses and their association helps to reveal the true pathogenesis of DILI.With reference to the articles on the pathogenesis of DILI in China and foreign countries, this article elaborates on the current research status of the pathogenesis of DILI and provides a reference for clinical treatment and basic research.
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Key words:
- drug-induced liver injury /
- pathologic processes /
- review
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