DILI category |
Model hepatotoxins that selectively target specific pathways/systems in the hepatocyte |
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Model hepatotoxins that cause specific forms of DILI in preclinical model systems |
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Drugs that have a well-defined association (clinical phenotype, frequency, severity) with particular forms of DILI in man and in non-clinical models |
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Drugs that cause DILI in man but did not in available non-clinical test systems |
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Compounds that do not show liver damage either in pre-clinical tests or in man, but which are chemically related to drugs that are clearly associated with DILI, to act as negative controls |
Mechanism known |
Molecular target |
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Reactive metabolites |
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CYP independent cell injury |
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Mitochondrial impairment |
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Inhibition of BSEP |
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Innate/adaptive immune activation |
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Other |
DILI initiating primary event |
Evidence for primary event (in vitro/in vivo) |
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Evidence for mechanism (in vitro/in vivo) |
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Drug or metabolite involved |
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Dose–response |
ADME data available? |
Characterization of drug exposure and metabolite profiles (Phase I–III) |
DILI frequency in humans? |
Clinical evidence of liver injures reported |
Human-specific DILI? |
Evidence of human only mechanism(s) of liability and liver injury |
Human selective DILI? |
Sensitivity as it relates to in vivo or in vitro test systems |