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Editorials1 March 1986Acetaminophen, Alcohol, and Cytochrome P-450MARTIN BLACK, M.D., JUDY RAUCY, Ph.D.MARTIN BLACK, M.D., JUDY RAUCY, Ph.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-104-3-427 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAcetaminophen (N-acetyl-p-aminophenol) was first synthesized in the late 19th century (along with acetanilide and phenacetin) and, after recognition of its mild analgesic-antipyretic properties, has been variably used in humans ever since. Although its use was not as great as that of its analog, phenacetin, over the first half of the 20th century, this situation reversed itself in the 1960s and 1970s as phenacetin was increasingly incriminated as a cause of chronic renal injury (1). Acetaminophen is now clearly the major alternative to aspirin in the United States and most other Western countries for the relief of minor aches and pains...References1. MURRAYGOLDBERG TM. Analgesic abuse and renal disease. Annu Rev Med. 1975;26:537-50. CrossrefMedlineGoogle Scholar2. LEON M. Tylenol fights back. Public Relat J 1983;March:10-4. MedlineGoogle Scholar3. DAVIDSONEASTHAM DW. Acute liver necrosis following overdose of paracetamol. Br Med J. 1966;5512:497-9. CrossrefGoogle Scholar4. VOLANS G. Self-poisoning and suicide due to paracetamol. J Int Med Res. 1976;4(4 suppl):7-13. CrossrefMedlineGoogle Scholar5. BOYERROUFF TS. Acetaminophen-induced hepatic necrosis and renal failure. JAMA. 1971;218:440-1. CrossrefMedlineGoogle Scholar6. MEREDITHVALEGOULDING TJR. The epidemiology of acute acetaminophen poisoning in England and Wales. Arch Intern Med. 1981;141(3 spec no):397-400. CrossrefMedlineGoogle Scholar7. SEEFFCUCCHERINIZIMMERMANADLERBENJAMIN LBHES. Acetaminophen hepatotoxicity in alcoholics: a therapeutic misadventure. Ann Intern Med. 1986;104:399-404. LinkGoogle Scholar8. LUWEST AS. Multiplicity of mammalian microsomal cytochromes P-450. Pharmacol Rev. 1979;31:277-95. MedlineGoogle Scholar9. JOHNSON E. Multiple forms of cytochrome P-450: criteria and significance. In: HODGSON E, BEND JR, PHILPOT RM, eds. Reviews in Biochemical Toxicology. New York: Elsevier-North Holland; 1979:1-26. Google Scholar10. LIEBERDECARLI CL. Ethanol oxidation by hepatic microsomes: adaptive increase after ethanol feeding. Science. 1968;162:917-8. CrossrefMedlineGoogle Scholar11. KOOPCRUMPNORDBLOOMCOON DBGM. Immunochemical evidence for induction of the alcohol-oxidizing cytochrome P-450 of rabbit liver microsomes by diverse agents: ethanol, imidazole, trichloroethylene, acetone, pyrazole, and isoniazid. Proc Natl Acad Sci USA. 1985;82:4065-9. CrossrefMedlineGoogle Scholar12. KOOPMORGANTARRCOON DEGM. Purification and characterization of a unique isozyme of cytochrome P-450 from liver microsomes of ethanol-treated rabbits. J Biol Chem. 1982;257:8472-80. CrossrefMedlineGoogle Scholar13. MORGANKOOPCOON EDM. Catalytic activity of cytochrome P-450 isozyme 3a isolated from liver microsomes of ethanol-treated rabbits: oxidation of alcohols. J Biol Chem. 1982;257:13951-7. CrossrefMedlineGoogle Scholar14. MORGANKOOPCOON EDM. Comparison of six rabbit liver cytochrome P-450 isozymes in formation of a reactive metabolite of acetaminophen. Biochem Biophys Res Commun. 1983;112:8-13. CrossrefMedlineGoogle Scholar15. YANGTUKOOPCOON CYDM. Metabolism of nitrosamines by purified rabbit liver cytochrome P-450 isozymes. Cancer Res. 1985;45:1140-5. MedlineGoogle Scholar16. TUPENGCHANGYANG YRZC. Induction of a high affinity nitrosamine demethylase in rat liver microsomes by acetone and isopropanol. Chem Biol Interact. 1983;44;247-60. CrossrefMedlineGoogle Scholar17. TUYANG YC. High-affinity nitrosamine dealkylase system in rat liver microsomes and its induction by fasting. Cancer Res. 1983;43:623-9. MedlineGoogle Scholar18. MILLERYANG KC. Studies on the mechanisms of induction of N-nitrosodimethylamine demethylase by fasting, acetone, and ethanol. Arch Biochem Biophys. 1984;229:483-91. CrossrefMedlineGoogle Scholar19. PRICEJOLLOW VD. Mechanism of ketone-induced protection from acetaminophen hepatotoxicity in the rat. Drug Metab Dispos. 1983;11:451-7. MedlineGoogle Scholar20. SATONAKANOLIEBER CMC. Prevention of acetaminophen-in-duced hepatotoxicity by acute ethanol administration in the rat: comparison with carbon tetrachloride-induced hepatotoxicity. J Pharmacol Exp Ther. 1981;218:805-10. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Temple University School of Medicine Philadelphia, Pennsylvania PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByBiomarkers of Drug-Induced Liver ToxicityAre some people at increased risk of paracetamol-induced liver injury? 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Watkins, MDMechanism of ethanol induced hepatic injuryDrug-induced Liver DiseaseHypoglycemia Associated with Liver Disease and EthanolToxic and Drug-Induced HepatitisEthanol as enzyme inducer and inhibitorTHE SPECTRUM OF HEPATOTOXICITY DUE TO DRUGS 1 March 1986Volume 104, Issue 3Page: 427-429KeywordsAlcoholsAspirinPain Issue Published: 1 March 1986 PDF DownloadLoading ...
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