Mechanisms of drug-induced liver injury

Clin Liver Dis. 2013 Nov;17(4):507-18, vii. doi: 10.1016/j.cld.2013.07.002. Epub 2013 Aug 1.


Drug-induced liver injury (DILI) represents a broad spectrum of liver manifestations. However, the most common manifestation is hepatocyte death following drug intake. DILI can be predictable and dose dependent with a notable example of acetaminophen toxicity. Idiosyncratic DILI occurs in an unpredictable fashion at low frequencies, implying that environmental and genetic factors alter the susceptibility of individuals to the insult (drugs).

Keywords: Adaptive immunity; Cell death; HLA associations; Idiosyncratic drug-induced liver injury; Mitochondria; Oxidative stress; Reactive metabolites; Stress signaling.

Publication types

  • Review

MeSH terms

  • Animals
  • Chemical and Drug Induced Liver Injury / etiology*
  • Chemical and Drug Induced Liver Injury / pathology
  • Humans