| Pharmacology | Hepatotoxicity | Glucuronidation | |||||
---|---|---|---|---|---|---|---|---|
Compound | Indication in HSCT setting / metabolite of drug | LiverTox database category* | liver toxicity data from curated source (Medscape) | Reported risk factor for SOS [4] | UGTs involved | Type of glucuronidation | Amine group presence | Sources |
4-hydroxyvoriconazole | Voriconazole metabolite | N/A | N/A | N/A | UGT1A4 (hypothetical) | O-glucuronidation | Secondary amine | |
Cyclosporine A | GvHD prophylaxis | C | Yes | Yes | UGT2B7 | N/A | Tertiary amine | [36] |
Dihydroxy voriconazole | Voriconazole metabolite | N/A | N/A | N/A | UGT1A4 (hypothetical) | O-glucuronidation | Secondary amine | |
Hydroxymethyl voriconazole | Voriconazole metabolite | N/A | N/A | N/A | UGT1A4 (hypothetical) | O-glucuronidation | Secondary amine | |
Lorazepam | Seizure prophylaxis | E | Yes | No | S-lorazepam: UGT2B4 UGT2B7 UGT2B15 R-lorazepam: UGT2B4 UGT2B7 UGT2B15 UGT1A7 UGT1A10 | O-glucuronidation | Secondary amine | [37] |
Methotrexate | GvHD prophylaxis | A | Yes | Yes | UGT1A6 | N-glucuronidation | Tertiary amine | [38] |
Methylprednisolone | GvHD prophylaxis | A | Yes | Yes | N/A | O-glucuronidation | Non-amine | |
Mycophenolic acid | The active metabolite of mycophenolate mofetil GvHD prophylaxis | D | Yes | No | UGT1A8 UGT1A9 UGT1A1 (minor) UGT1A7 (minor) UGT1A10 (minor) UGT2B7 (minor) | O-glucuronidation | Non-amine | [41] |
Acetaminophen | Analgesic, Antipyretic | A | Yes | No | UGT1A1 UGT1A6 UGT1A9 UGT2B15 | O-glucuronidation | Secondary amine | [42] |
Posaconazole | Antifungal | E | Yes | No | UGT1A4 | O-or N-glucuronidation | Tertiary amine | [43] |
UDCA-G1 | Ursodeoxycholic acid metabolite | N/A | N/A | N/A | UGT1A3 UGT1A4 UGT2B7 UGT2B7 | N/A | Non-amine | [44] |
UDCA-G2 | Ursodeoxycholic acid metabolite | N/A | N/A | N/A | UGT1A4 UGT2B7 | N/A | Non-amine | [44] |
Ursodeoxycholic acid | SOS prophylaxis | D | Yes? | Used as SOS prophylaxis | UGT1A3 UGT1A8 UGT1A9 UGT2B7 UGT2B17 | O-glucuronidation | Non-amine | [44] |
Voriconazole | Antifungal | B | Yes | No | UGT1A4 | O-glucuronidation | Secondary amine | |
Voriconazole N-oxide | Voriconazole metabolite | N/A | N/A | N/A | N/A | O-glucuronidation | Secondary amine | |
Voriconazole N-oxide imtermediate UK-215,364 [35] | Voriconazole metabolite | N/A | N/A | N/A | N/A | O-glucuronidation | Secondary amine |