Watkins Paul B, Seeff Leonard B
University of North Carolina, Chapel Hill, NC, USA.
Hepatology. 2006 Mar;43(3):618-31. doi: 10.1002/hep.21095.
Idiosyncratic drug induced liver injury (DILI) remains poorly understood. It is assumed that the affected individuals possess a rare combination of genetic and non genetic factors that, if identified, would greatly improve understanding of the underlying mechanisms. This single topic conference brought together basic scientists, translational investigators, and clinicians with an interest in DILI. The goal was to define high priority areas of investigation that will soon be made possible by The Drug-Induced Liver Injury Network (DILIN). Since 2004 DILIN has been collecting clinical data, genomic DNA and some tissues from patients who have experienced bone fide DILI. The presentations spanned many different areas of DILI, and included novel data concerning mechanisms of hepatotoxicity, new "omics" approaches, and the challenges of improving causation assessment.
特异质性药物性肝损伤(DILI)仍未得到充分了解。据推测,受影响的个体拥有罕见的遗传和非遗传因素组合,一旦确定这些因素,将极大地增进对潜在机制的理解。本次单一主题会议汇聚了对DILI感兴趣的基础科学家、转化研究人员和临床医生。目标是确定药物性肝损伤网络(DILIN)即将使之成为可能的高优先研究领域。自2004年以来,DILIN一直在收集经历过真正DILI的患者的临床数据、基因组DNA和一些组织。报告涵盖了DILI的许多不同领域,包括有关肝毒性机制的新数据、新的“组学”方法以及改善因果关系评估的挑战。