Abstract
Drug-induced liver injury (DILI) is a significant clinical problem in terms of patient morbidity and mortality and also represents a challenge for the pharmaceutical industry leading to attrition of drugs in development and withdrawal of drugs post-licencing. The Innovative Medicines Initiative MIP-DILI Consortium details in this review the predominant mechanisms underlying DILI in order to help guide the development of physiologically, pharmacologically, and toxicologically relevant in vitro and in vivo DILI models. The overall thesis of this perspective is that only through a more comprehensive understanding of the mechanisms of human DILI will we be able to improve our efforts in the application of more meaningful models in the laboratory and thereby improve human prediction.
Original language | English |
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Title of host publication | Experimental Adme and Toxicology |
Publisher | Elsevier Inc. |
Pages | 217-238 |
Number of pages | 22 |
Volume | 4-8 |
ISBN (Electronic) | 9780128032008 |
ISBN (Print) | 9780128032015 |
DOIs | |
State | Published - 3 Jun 2017 |
Keywords
- DILI
- Drug
- Endoplasmic reticulum
- Immune
- In vitro models
- Liver
- Lysosome
- Mitochondria
- Modeling
- Reactive metabolites
- Toxicity
- Translation