Singh Harjit, Kunkle Bryce F, Troia Angela R, Suvarnakar Advait M, Waterman Ade C, Khin Yadana, Korkmaz Serena Y, O'Connor Corinne E, Lewis James H
Department of Internal Medicine, Medstar Georgetown University Hospital, Washington, DC, USA.
Georgetown University School of Medicine, Washington, DC, USA.
Drug Saf. 2025 May;48(5):455-488. doi: 10.1007/s40264-025-01514-z. Epub 2025 Feb 8.
Drug-induced liver injury (DILI) remains an active field of clinical research and investigation with more than 4700 publications appearing in 2023 relating to hepatotoxicity of all causes and injury patterns. As in years past, we have attempted to identify and summarize highlights and controversies from the past year's literature. Several new and novel therapeutic agents were approved by the US Food and Drug Administration (FDA) in 2023, a number of which were associated with significant hepatotoxicity. Updates in the diagnosis and management of DILI using causality scores as well as newer artificial intelligence-based methods were published. Details of newly established hepatotoxins as well as updated information on previously documented hepatotoxic drugs is presented. Significant updates in treatment of DILI were also included as well as reports related to global DILI registries.
药物性肝损伤(DILI)仍是临床研究的一个活跃领域,2023年有超过4700篇关于各种原因肝毒性和损伤模式的出版物。与过去几年一样,我们试图识别和总结过去一年文献中的亮点和争议。2023年美国食品药品监督管理局(FDA)批准了几种新型治疗药物,其中一些与显著的肝毒性有关。发表了使用因果关系评分以及更新的基于人工智能的方法进行DILI诊断和管理的进展。介绍了新发现的肝毒素细节以及先前记录的肝毒性药物的更新信息。还包括DILI治疗的重大进展以及与全球DILI登记处相关的报告。