Evidence map›Paper›PMID 33807700›Full record

ReviewAntioxidants (Basel, Switzerland)2021

Oxidative Stress in Drug-Induced Liver Injury (DILI): From Mechanisms to Biomarkers for Use in Clinical Practice.

Marina Villanueva-Paz, Laura Morán, Nuria López-Alcántara, Cristiana Freixo, Raúl J Andrade, M Isabel Lucena, Francisco Javier Cubero

Open access · goldAbstract readReview
In one paragraph

Review in Antioxidants (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed
17.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

95 citing papers in PubMed, 173 citations in OpenAlex.

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  13. A Microfibrous Extracellular Matrix Platform forACS pharmacology & translational science · 2026
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35 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Marina Villanueva-PazUnidad de Gestión Clínica de Gastroenterología, Servicio de Farmacología Clínica, Instituto de Investigación Biomédica de Málaga-IBIMA, Hospital Universitario Virgen de la Victoria, Universidad de Málaga, CIBERehd, 29071 Málaga, Spain.ORCID 0000-0003-4728-201X
Laura MoránDepartment of Immunology, Ophthalmology and ENT, Complutense University School of Medicine, 28040 Madrid, Spain.
Nuria López-AlcántaraDepartment of Immunology, Ophthalmology and ENT, Complutense University School of Medicine, 28040 Madrid, Spain.
Cristiana FreixoCINTESIS, Center for Health Technology and Services Research, do Porto University School of Medicine, 4200-319 Porto, Portugal.ORCID 0000-0001-5028-6885
Raúl J AndradeUnidad de Gestión Clínica de Gastroenterología, Servicio de Farmacología Clínica, Instituto de Investigación Biomédica de Málaga-IBIMA, Hospital Universitario Virgen de la Victoria, Universidad de Málaga, CIBERehd, 29071 Málaga, Spain.ORCID 0000-0002-1565-0757
M Isabel LucenaUnidad de Gestión Clínica de Gastroenterología, Servicio de Farmacología Clínica, Instituto de Investigación Biomédica de Málaga-IBIMA, Hospital Universitario Virgen de la Victoria, Universidad de Málaga, CIBERehd, 29071 Málaga, Spain.ORCID 0000-0001-9586-4896
Francisco Javier CuberoDepartment of Immunology, Ophthalmology and ENT, Complutense University School of Medicine, 28040 Madrid, Spain.ORCID 0000-0003-1499-650X
Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas · ESUniversidad Complutense de Madrid · ESCentre for Health Technology and Services Research · PT

Funding

AMMF 2018/117Comunidad de Madrid EXOHEP-CM S2017/BMD-3727Comunidad de Madrid NanoLiver-CM Y2018/NMT-4949COST CA17112ERAB Ref. EA 18/14FIS FIS-FEDER PI16_01748Gilead Liver Research 2018 42/2018MINECO RYC-2014-15242MINECO Retos SAF2016-78711PI PI19-00883PY PY18-3364_PY19UCM 25/2019UMA UMA18-FEDERJA-194
6 · The paper itself

Abstract

Idiosyncratic drug-induced liver injury (DILI) is a type of hepatic injury caused by an uncommon drug adverse reaction that can develop to conditions spanning from asymptomatic liver laboratory abnormalities to acute liver failure (ALF) and death. The cellular and molecular mechanisms involved in DILI are poorly understood. Hepatocyte damage can be caused by the metabolic activation of chemically active intermediate metabolites that covalently bind to macromolecules (e.g., proteins, DNA), forming protein adducts-neoantigens-that lead to the generation of oxidative stress, mitochondrial dysfunction, and endoplasmic reticulum (ER) stress, which can eventually lead to cell death. In parallel, damage-associated molecular patterns (DAMPs) stimulate the immune response, whereby inflammasomes play a pivotal role, and neoantigen presentation on specific human leukocyte antigen (HLA) molecules trigger the adaptive immune response. A wide array of antioxidant mechanisms exists to counterbalance the effect of oxidants, including glutathione (GSH), superoxide dismutase (SOD), catalase, and glutathione peroxidase (GPX), which are pivotal in detoxification. These get compromised during DILI, triggering an imbalance between oxidants and antioxidants defense systems, generating oxidative stress. As a result of exacerbated oxidative stress, several danger signals, including mitochondrial damage, cell death, and inflammatory markers, and microRNAs (miRNAs) related to extracellular vesicles (EVs) have already been reported as mechanistic biomarkers. Here, the status quo and the future directions in DILI are thoroughly discussed, with a special focus on the role of oxidative stress and the development of new biomarkers.

Indexed as

biomarkersDILImechanismsoxidative stressrisk factors

Identifiers

PMID33807700
PMCPMC8000729
OpenAlexW3134189711

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.