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3.10.3 Risk Factors

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High CYP1A2 activities in combination with low GSH levels could be risk factors for tacrine hepatotoxicity. The caffeine breath test, a clinical bioassay for CYP1A2 activity in patients, however, was not successful in the identification of patients with high susceptibility to tacrine hepatotoxicity [180]. On the other hand, there appeared to be correlation between GST polymorphism and susceptibility to tacrine hepatotoxicity [181, 182]. For instance, multivariate Cox hazards model showed that the GST M1‐T1 null genotype was an independent risk factor of tacrine hepatotoxicity [181].

Transporters and Drug-Metabolizing Enzymes in Drug Toxicity

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