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Cellular and tissue components in liver, kidney and other non-target tissues

Molecular classification
Other
01

Overview

The term 'Cellular and tissue components in liver, kidney and other non-target tissues' does not describe a specific molecular target or receptor but rather refers to the broad array of biological structures where drugs may exert unintended effects, as defined in FDA safety guidelines [1]. In drug development, these tissues are primary sites for off-target toxicity and adverse drug reactions (ADRs) due to their roles in metabolism and excretion, according to NIH StatPearls [2]. The liver, containing hepatocytes and various enzymes like Cytochrome P450, is often a non-target site where metabolic activation can lead to hepatotoxicity, as detailed in the LiverTox database [3]. Similarly, the kidney's role in filtering and concentrating substances makes its cellular components, such as proximal tubule cells, vulnerable to nephrotoxicity [4]. Identifying interactions with these non-target components is a fundamental aspect of safety pharmacology and toxicology studies to ensure a drug's benefit-risk profile is acceptable [5]. Characterizing the affinity of a drug candidate for these tissues is essential for predicting its safety profile and determining the therapeutic window [6].

Other names
Off-target tissuesNon-target organsSystemic distribution sitesOff-target sites
02

Mechanism of action

Non-specific binding to cellular proteins, metabolic activation by cytochrome P450 enzymes to reactive intermediates, and accumulation in excretory pathways leading to oxidative stress and cellular damage.

03

Biological functions

MetabolismExcretionHomeostasisDrug detoxification
04

Disease associations

Drug-induced liver injuryNephrotoxicitySystemic toxicityOrgan failure
05

Safety considerations

HepatotoxicityNephrotoxicityOff-target toxicityNarrow therapeutic indexDrug-drug interactions
06

Interacting drugs

Acetaminophen

4 more in the full profile.

07

Biomarkers

Alanine aminotransferase (ALT)Aspartate aminotransferase (AST)Serum creatinineBlood urea nitrogen (BUN)Kidney injury molecule-1 (KIM-1)

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