This paper describes the increase of isoprostanes and hydroxynonenal (HNE) derivatives as early safety biomarkers of hepatotoxicity caused by oxidative stress.
The hepatotoxic drug flutamide provoked oxidative stress in primary hepatocytes resulting in a time and dose dependent increase of 15R-prostaglandin D2, prostaglandin E2, 13,14-dihydro-15-keto prostaglandin E2 and 5-iso prostaglandin F2α VI.
HNE-mercapturic acid and its metabolite dihydroxynonene-mercapturic acid were also time and concentration dependently increased.
Lipid peroxidation products as markers of reactive oxygen species were demonstrated to be more sensitive than conventional cytotoxicity markers for an early detection of drug-induced liver injury.