Paracetamol interacts with and alters immune system responses
Paracetamol (acetaminophen) is well documented to interact with inflammatory pathways and immune-mediated responses, particularly in the context of drug-induced liver injury and hepatotoxicity.
The retrieved literature consistently supports the premise that paracetamol (acetaminophen) interacts with immune and inflammatory pathways, most notably through studies investigating acetaminophen-induced liver injury and its associated inflammatory and immune-mediated mechanisms.
Paracetamol overdose and toxicity interact with inflammatory pathways and immune-mediated mechanisms in drug-induced liver injury.
Saville E, Wells G, Farrell L, Naisbitt DJ, Meng X. Insights into the Biochemical and Immune Mechanisms in Drug-Induced Liver Injury Pathogenesis.. 2026. https://doi.org/10.1021/acs.chemrestox.5c00530
Paper [3] discusses how acetaminophen toxicity and drug-induced liver injury involve aberrant immune activation and immune-mediated mechanisms.
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de Oliveira AP, Pacheco G, Lopes ALF, da Silva Araujo AK, de Sousa Chaves L, de Araújo S, de Sousa Lima EB, Alves EHP, Queiroz-Junior CM, Teixeira MM, Costa VV, Souza JMT, Barros AB, de Araujo Sousa PS, Rocha JA, Araújo AJ, Filho JDBM, Véras LMC, Vasconcelos DFP, Medeiros JVR. Imidazole Alkaloids Epiisopilosine and Epiisopiloturine Attenuate Acetaminophen-Induced Liver Toxicity in Mice via Autophagy Modulation and Anti-Inflammatory Effects.. 2026. https://doi.org/10.1002/jbt.70782
Paper [5] shows that acetaminophen induces liver toxicity accompanied by inflammatory responses that can be modulated by pharmacological agents.
Fang H, Shu M, Wang J, Tian H, Zhang J, Hu Y, Li H, Zhou H, Gu K, Ren Z. Hepatic p38γ exacerbates acetaminophen‑induced acute liver injury via PI3K/Akt‑dependent mechanisms.. 2026. https://doi.org/10.3892/ijmm.2026.5855
Paper [11] demonstrates that acetaminophen overdose triggers hepatic inflammatory responses involving p38 mitogen-activated protein kinases and oxidative stress pathways.
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