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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9510739PMC
http://dx.doi.org/10.14744/hf.2021.2021.0050DOI Listing

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Article Synopsis
  • Some anti-inflammatory drugs, like ibuprofen and naproxen, can cause a liver problem known as drug-induced liver injury (DILI) in some people, but we don't fully understand why this happens.
  • In this study, researchers looked at the immune response in patients with DILI from ibuprofen and naproxen, focusing on special cells called T-cells that help fight off threats in the body.
  • They discovered that a specific form of naproxen (called DM-NAP) activated these T-cells, showing that the immune system plays a role in this liver injury, but they didn’t find evidence linking naproxen itself to the liver damage.
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Non-steroidal anti-inflammatory drugs (NSAIDs) such as diclofenac (DIC) frequently induce drug-induced liver injury (DILI). It is unclear whether macrophages such as M1 and M2 participate in NSAID-associated DILI; elucidating this relationship could lead to a better understanding of the detailed mechanism of DILI. We co-cultured human hepatoma HepG2 cells with M1 or M2 derived from human monocytic leukemia THP-1 cells to examine the roles of M1 and M2 in DIC-induced cytotoxicity.

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Background: Small bowel enteropathy (SBE) is a complication of nonsteroidal anti-inflammatory drug (NSAID) therapy occurring in 71% of NSAID users. We aimed to analyse the efficacy and safety of medications to prevent and treat NSAID-induced SBE in randomized controlled trials (RCTs).

Methods: This review was registered on PROSPERO (CRD42021223371).

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Gastrointestinal safety and tolerability of oral non-aspirin over-the-counter analgesics.

Postgrad Med

March 2018

b Division of Gastroenterology and Hepatology , University of Virginia Medical School, Charlottesville , VA , U.S.A .

Over-the-counter (OTC) analgesics are routinely used worldwide for self-management of various painful conditions. Despite this, there has been little in-depth review of the safety of non-aspirin analgesics at OTC doses. This paper reviews the available literature on the gastrointestinal (GI) and hepatic safety of non-aspirin OTC analgesics, including nonsteroidal anti-inflammatory drugs (NSAIDs; ibuprofen, ketoprofen, diclofenac, and naproxen) and acetaminophen; safety in overdose is also reviewed.

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