Drug-Induced Liver Injury: A Literature Review

Authors

  • Pooja Tandon St. soldier institute of pharmacy, Lidhran campus, behind NIT, Jalandhar-Amritsar by pass NH-1, 144001, Punjab, India https://orcid.org/0000-0001-8498-899X
  • Meenakshi Malhotra St Soldier institute of pharmacy, Lidhran campus, behind NIT, Jalandhar Amritsar byepass, Jalandhar, Punjab 144001, India https://orcid.org/0000-0002-0080-1479
  • Ajeet Pal Singh St Soldier institute of pharmacy, Lidhran campus, behind NIT, Jalandhar Amritsar byepass, Jalandhar, Punjab 144001, India
  • Amar Pal Singh St Soldier institute of pharmacy, Lidhran campus, behind NIT, Jalandhar Amritsar byepass, Jalandhar, Punjab 144001, India
  • Indu Melkani St Soldier institute of pharmacy, Lidhran campus, behind NIT, Jalandhar Amritsar byepass, Jalandhar, Punjab 144001, India https://orcid.org/0000-0002-5956-0470

Abstract

Drug-Induced liver injury (DILI) is a common harmful drug reaction of some medication which can cause the damage to liver cells, or might be a chance of death. In the western countries DILI is the main cause for acute liver failure. These reactions are very common because almost all drug regimens can cause injury to liver. Most of DILI cases are harmless and they get better after stopping the offending drug. These reactions are mainly due to some pharmacological remedies, traditional medications, herbal and nutritional supplements. Due to these harmful reactions, elevation is noticed in the liver enzymes (alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphate, total bilirubin) 2N from its normal value. Drug-induced liver injury includes 1,000 of pharmacological remedies or more. Here, we review the maximum current literature, so the treatment includes timely diagnosis and removal of the doubtable medication is the key. This paper explains the different causes, pharmacological medications responsible for drug-induced liver injury, effect of covid-19 on liver injury and future perspective. It is important to be aware of and remove the suspected agent as soon as possible. There are no specific risk factors for DILI, but existing liver disease and genetic factors may be a priority for some people. Treatment of liver damage caused by drugs and herbs includes immediate drug withdrawal and supportive care aimed at alleviating unwanted symptoms. Main purpose of this paper is to deliver the info about the DILI, which are dose related, identification and consideration of disease.

Keywords: Drug-Induced liver injury (DILI), Pathophysiology, Diagnosis, Treatment, Risk factors and effect of covid-19 on liver injury.

Keywords:

Drug-Induced liver injury (DILI), Pathophysiology, Diagnosis, Treatment, Risk factors and effect of covid-19 on liver injury

DOI

https://doi.org/10.22270/jddt.v12i5.5674

Author Biographies

Pooja Tandon, St. soldier institute of pharmacy, Lidhran campus, behind NIT, Jalandhar-Amritsar by pass NH-1, 144001, Punjab, India

St Soldier institute of pharmacy, Lidhran campus, behind NIT, Jalandhar Amritsar byepass, Jalandhar, Punjab 144001, India

Meenakshi Malhotra, St Soldier institute of pharmacy, Lidhran campus, behind NIT, Jalandhar Amritsar byepass, Jalandhar, Punjab 144001, India

St Soldier institute of pharmacy, Lidhran campus, behind NIT, Jalandhar Amritsar byepass, Jalandhar, Punjab 144001, India

Ajeet Pal Singh, St Soldier institute of pharmacy, Lidhran campus, behind NIT, Jalandhar Amritsar byepass, Jalandhar, Punjab 144001, India

St Soldier institute of pharmacy, Lidhran campus, behind NIT, Jalandhar Amritsar byepass, Jalandhar, Punjab 144001, India

Amar Pal Singh, St Soldier institute of pharmacy, Lidhran campus, behind NIT, Jalandhar Amritsar byepass, Jalandhar, Punjab 144001, India

St Soldier institute of pharmacy, Lidhran campus, behind NIT, Jalandhar Amritsar byepass, Jalandhar, Punjab 144001, India

Indu Melkani, St Soldier institute of pharmacy, Lidhran campus, behind NIT, Jalandhar Amritsar byepass, Jalandhar, Punjab 144001, India

St Soldier institute of pharmacy, Lidhran campus, behind NIT, Jalandhar Amritsar byepass, Jalandhar, Punjab 144001, India

References

Matthew Hoffman M. picture of liver human anatomy. https://www.webmd.com/digestive-disorders/picture-of-the-liver

Clarke KA, Dew TP, Watson REB, et al. Green tea catechins and their metabolites in human skin before and after exposure to ultraviolet radiation. J Nutr Biochem. 2016; 27:203-210. https://doi.org/10.1016/j.jnutbio.2015.09.001

Mitra V, Metcalf J. Metabolic functions of the liver. Anaesth Intensive Care Med. 2012; 13(2):54-55. https://doi.org/10.1016/j.mpaic.2011.11.006

Johns H. Johns Hopkins. Johns Hopkins. https://doi.org/10.1353/book.80983

Cameron N, Henney A. Related Papers. Over Rim. Published online 2017; 191-199. https://doi.org/10.2307/j.ctt46nrzt.12

Benesic A. Drug-induced liver injury (DILI). MMW-Fortschritte der Medizin. 2019; 161(8):57-62. https://doi.org/10.1007/s15006-019-0458-z

Fisher K, Vuppalanchi R, Saxena R. Drug-induced liver injury. Arch Pathol Lab Med. 2015; 139(7):876-887. https://doi.org/10.5858/arpa.2014-0214-RA

Kaplowitz N. Drug-Induced Liver Injury. Clin Infect Dis. 2004; 38(SUPPL. 2). https://doi.org/10.1086/381446

Leise MD, Poterucha JJ, Talwalkar JA. Drug-induced liver injury. Mayo Clin Proc. 2014; 89(1):95-106. https://doi.org/10.1016/j.mayocp.2013.09.016

Meeting IC. Criteria of drug-induced liver disorders. Report of an International Consensus Meeting. J Hepatol. 1990; 11(2):272-276. https://doi.org/10.1016/0168-8278(90)90124-A

Stephens C, Andrade RJ, Lucena MI. Mechanisms of drug-induced liver injury. Curr Opin Allergy Clin Immunol. 2014; 14(4):286-292. https://doi.org/10.1097/ACI.0000000000000070

Hoofnagle JH, Björnsson ES. Drug-Induced Liver Injury - Types and Phenotypes. N Engl J Med. 2019; 381(3):264-273. https://doi.org/10.1056/NEJMra1816149

Raul J, Einar S, Gerd A. Drug-induced liver injury. 2019;5.

Morales M. L, Vélez L. N, Muñoz M. OG. Hepatotoxicity: A drug-induced cholestatic pattern. Rev Colomb Gastroenterol. 2016; 31(1):36-47. https://doi.org/10.22516/25007440.71

Mohankumar N, Ranjan MP, Kumari MA, MS. Drug-induced liver injury: Diagnosing (and treating) it early. Res J Pharm Technol. Published online 2015.

Kullak-Ublick GA. drug induced liver injury: recent advances in diagnosis and risk assessment. Published online 2017. https://doi.org/10.1136/gutjnl-2016-313369

Zhou Y, Yang L, Liao Z, He X, Zhou Y, Guo H. Epidemiology of drug-induced liver injury in China: A systematic analysis of the Chinese literature including 21 789 patients. Eur J Gastroenterol Hepatol. 2013; 25(7):825-829. https://doi.org/10.1097/MEG.0b013e32835f6889

Donati M, Conforti A, Lenti MC, et al. Risk of acute and serious liver injury associated to nimesulide and other NSAIDs: data from drug-induced liver injury case-control study in Italy. Br J Clin Pharmacol. Published online 2016; 238-248. https://doi.org/10.1111/bcp.12938

Dubinsky MC. Azathioprine, 6-mercaptopurine in inflammatory bowel disease: Pharmacology, efficacy, and safety. Clin Gastroenterol Hepatol. 2004; 2(9):731-743. https://doi.org/10.1016/S1542-3565(04)00344-1

Licata A, Minissale MG, Calvaruso V, Craxì A. A focus on epidemiology of drug-induced liver injury: Analysis of a prospective cohort. Eur Rev Med Pharmacol Sci. 2017; 21(1):112-121.

Björnsson ES, Bergmann OM, Björnsson HK, Kvaran RB, Olafsson S. Incidence, presentation, and outcomes in patients with drug-induced liver injury in the general population of iceland. Gastroenterology. 2013; 144(7):1419-1425.e3. https://doi.org/10.1053/j.gastro.2013.02.006

Russmann S, Kullak-Ublick G, Grattagliano I. Current Concepts of Mechanisms in Drug-Induced Hepatotoxicity. Curr Med Chem. 2009; 16(23):3041-3053. https://doi.org/10.2174/092986709788803097

Ye H. dissecting the molecular pathophisiology of drug-induced liver injury. Published online 2018. https://doi.org/10.3748/wjg.v24.i13.1373

J.S.Au. drug-induced liver injury-its pathology and evolving diagnostic tools. Published online 2011.

Stephens C, Lucena MI, Andrade J. and diagnosis. Published online 2019:715-728. https://doi.org/10.1002/9781119211419.ch47

stages of liver disease. Published 2021. https://kauveryhospital.com/blog/liver-diseases/5-stages-of-liver-disease/

Mack M. Inflammation and fibrosis. Matrix Biol. 2018; 68-69:106-121. https://doi.org/10.1016/j.matbio.2017.11.010

Li S, Hong M, Tan HY, Wang N, Feng Y. Insights into the Role and Interdependence of Oxidative Stress and Inflammation in Liver Diseases. Oxid Med Cell Longev. 2016; 2016. https://doi.org/10.1155/2016/4234061

jill seladi-schulman. stages of liver failure. Published 2019. https://www.healthline.com/health/liver-failure-stages

Bataller R, Brenner D a. Science in medicine Liver fibrosis. J Clin Invest. 2005; 115(2):209-218. https://doi.org/10.1172/JCI24282

Šmíd V. Liver fibrosis. Vnitr Lek. 2020; 66(4):e36-e41. https://doi.org/10.36290/vnl.2020.078

Friedman SL. Hepatic fibrosis-Overview. Toxicology. 2008; 254(3):120-129. https://doi.org/10.1016/j.tox.2008.06.013

wen ce zhou.pdf.

cirrhosis 1.pdf.

Pinzani M, Rosselli M, Zuckermann M. Liver cirrhosis. Best Pract Res Clin Gastroenterol. 2011; 25(2):281-290. https://doi.org/10.1016/j.bpg.2011.02.009

Schuppan D, Afdhal NH. Seminar Liver cirrhosis. Lancet. 2008; 371:838-851. https://doi.org/10.1016/S0140-6736(08)60383-9

Yang YM, Kim SY, Seki E. Inflammation and Liver Cancer: Molecular Mechanisms and Therapeutic Targets. Semin Liver Dis. 2019; 39(1):26-42. https://doi.org/10.1055/s-0038-1676806

Qi H, Xiao S, Shi R, et al. Enhanced Reader.pdf. Nature. 2018; 388:539-547.

Maluf D, Cotterell A, Clark B, Stravitz T, Kauffman HM, Fisher RA. Hepatic angiosarcoma and liver transplantation: Case report and literature review. Transplant Proc. 2005; 37(5):2195-2199. https://doi.org/10.1016/j.transproceed.2005.03.060

Sharma D, Subbarao G, Saxena R. Hepatoblastoma. Semin Diagn Pathol. 2017;34(2):192-200. https://doi.org/10.1053/j.semdp.2016.12.015

Melchionda F, Oncology P, Spreafico F, et al. LETTER TO THE EDITOR A Novel WT1 Mutation in Familial Wilms Tumor. Pediatr Blood Cancer. 2013; (February):1388-1389. https://doi.org/10.1002/pbc.24539

Hoti E, Adam R. Liver transplantation for primary and metastatic liver cancers. Transpl Int. 2008; 21(12):1107-1117. https://doi.org/10.1111/j.1432-2277.2008.00735.x

american cancer society. Published 2019. https://www.cancer.org/cancer/liver-cancer/about/what-is-liver-cancer.html

Giordano C, Rivas J, Zervos X. An update on treatment of drug-induced liver injury. J Clin Transl Hepatol. 2014; 2(2):74-79. https://doi.org/10.14218/JCTH.2014.00005

Lee william M, John senior R. diagnosis.pdf.

Devarbhavi H. Antituberculous drug-induced liver injury: current perspective. Trop Gastroenterol. 2011; 32(3):167-174.

Teschke R, Frenzel C. Drug induced liver injury: Do we still need a routine liver biopsy for diagnosis today? Ann Hepatol. 2014; 13(1):121-126. https://doi.org/10.1016/S1665-2681(19)30913-5

Indranil Mallick M. What Is Histopathology? Expertise, specialities, and training. Published 2020. https://www.verywellhealth.com/histopathology-2252152

Verma S, Kaplowitz N. Diagnosis, management and prevention of drug-induced liver injury. Gut. 2009; 58(11):1555-1564. https://doi.org/10.1136/gut.2008.163675

Meeting IC. risk factors.pdf.

Martinez MA. impact of covid-19 in liver disease progression. Published online 2021

Published

2022-09-20
Statistics
Abstract Display: 1286
PDF Downloads: 777
PDF Downloads: 65

How to Cite

1.
Tandon P, Malhotra M, Singh AP, Singh AP, Melkani I. Drug-Induced Liver Injury: A Literature Review. J. Drug Delivery Ther. [Internet]. 2022 Sep. 20 [cited 2026 May 9];12(5):239-4. Available from: https://jddtonline.info/index.php/jddt/article/view/5674

How to Cite

1.
Tandon P, Malhotra M, Singh AP, Singh AP, Melkani I. Drug-Induced Liver Injury: A Literature Review. J. Drug Delivery Ther. [Internet]. 2022 Sep. 20 [cited 2026 May 9];12(5):239-4. Available from: https://jddtonline.info/index.php/jddt/article/view/5674

Most read articles by the same author(s)

> >>