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Systems Toxicology Approach to Identifying Paracetamol Overdose.


ABSTRACT: Paracetamol (acetaminophen (APAP)) is one of the most commonly used analgesics in the United Kingdom and the United States. However, exceeding the maximum recommended dose can cause serious liver injury and even death. Promising APAP toxicity biomarkers are thought to add value to those used currently and clarification of the functional relationships between these biomarkers and liver injury would aid clinical implementation of an improved APAP toxicity identification framework. The framework currently used to define an APAP overdose is highly dependent upon time since ingestion and initial dose; information that is often highly unpredictable. A pharmacokinetic/pharmacodynamic (PK/PD) APAP model has been built in order to understand the relationships between a panel of biomarkers and APAP dose. Visualization and statistical tools have been used to predict initial APAP dose and time since administration. Additionally, logistic regression analysis has been applied to histology data to provide a prediction of the probability of liver injury.

SUBMITTER: Mason CL 

PROVIDER: S-EPMC6027737 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature

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Systems Toxicology Approach to Identifying Paracetamol Overdose.

Mason Chantelle L CL   Leedale Joseph J   Tasoulis Sotiris S   Jarman Ian I   Antoine Daniel J DJ   Webb Steven D SD  

CPT: pharmacometrics & systems pharmacology 20180418 6


Paracetamol (acetaminophen (APAP)) is one of the most commonly used analgesics in the United Kingdom and the United States. However, exceeding the maximum recommended dose can cause serious liver injury and even death. Promising APAP toxicity biomarkers are thought to add value to those used currently and clarification of the functional relationships between these biomarkers and liver injury would aid clinical implementation of an improved APAP toxicity identification framework. The framework cu  ...[more]

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