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Publication : Human PXR modulates hepatotoxicity associated with rifampicin and isoniazid co-therapy.

First Author  Li F Year  2013
Journal  Nat Med Volume  19
Issue  4 Pages  418-20
PubMed ID  23475203 Mgi Jnum  J:283481
Mgi Id  MGI:6211418 Doi  10.1038/nm.3104
Citation  Li F, et al. (2013) Human PXR modulates hepatotoxicity associated with rifampicin and isoniazid co-therapy. Nat Med 19(4):418-20
abstractText  Co-therapy with rifampicin (RIF) and isoniazid (INH) used to treat tuberculosis in humans frequently causes liver injury. Here, using a pregnane X receptor (PXR)-humanized mouse model, we found that co-treatment with RIF and INH causes accumulation of the endogenous hepatotoxin protoporphyrin IX in the liver through PXR-mediated alteration of the heme biosynthesis pathway. These results provide insight into the mechanism of liver injury induced by co-treatment with these compounds and may lead to their safer use in the clinic.
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