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Hepatic enzymes, particularly cytochrome P450s (CYPs) and prostaglandin H2 synthases (PTGS), metabolize drugs and xenobiotics into reactive or toxic metabolites. These metabolites can cause direct cellular injury, oxidative stress, or trigger immune-mediated damage, leading to hepatotoxicity. The activity of these enzymes is influenced by genetic polymorphisms, drug-drug interactions, and physiological states.
Oxidative biotransformation of xenobiotics into reactive or toxic metabolites
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