title: Hepatotoxicity of targeted therapy for cancer.
abstract: BACKGROUND
  Understanding the mechanism of DILI with MTA, and how to avoid and manage these toxicities is essential for minimising inferior cancer treatment outcomes. An organised and comprehensive overview of MTA-associated hepatotoxicity is lacking; this review aims to fill the gap.
  
  
  METHODS
  A literature review was performed based on published case reports and relevant studies or articles pertaining to the topics on PubMed. Food and Drug Administration drug information documents and search on the US National Library of Medicine LiverTox database was performed for all relevant MTA.
  
  
  CONCLUSIONS
  MTA-associated hepatotoxicity is common but rarely fatal. The pattern of hepatotoxicity is predominantly idiosyncratic. Pharmacogenomics show potential in predicting patients at risk of poorly metabolising or developing immunoallergic responses to MTA, but prospective data is scant. Preventing reactivation of viral hepatitis using anti-viral drugs, and avoidance of drug combinations at high risk of negative interactions are the most readily preventable measures for DILI.
authors.affiliation: a Sir YK Pao Center for Cancer, Department of Clinical Oncology, State Key Laboratory in Oncology in South China , The Chinese University of Hong Kong, Hong Kong Cancer Institute and Prince of Wales Hospital , Shatin , Hong Kong.
authors.forename: Kirsty Wai-Chung
authors.initials: KW
authors.lastname: Lee
authors.affiliation: a Sir YK Pao Center for Cancer, Department of Clinical Oncology, State Key Laboratory in Oncology in South China , The Chinese University of Hong Kong, Hong Kong Cancer Institute and Prince of Wales Hospital , Shatin , Hong Kong.|b Institute of Digestive Disease , The Chinese University of Hong Kong , Shatin , Hong Kong.
authors.forename: Stephen Lam
authors.initials: SL
authors.lastname: Chan
mesh_terms: D000818:Animals; D000970:Antineoplastic Agents / Q000008:administration & dosage / Q000009:adverse effects* / Q000494:pharmacology; D000998:Antiviral Agents / Q000627:therapeutic use; D056486:Chemical and Drug Induced Liver Injury / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control; D006525:Hepatitis, Viral, Human / Q000150:complications / Q000517:prevention & control; D006801:Humans; D058990:Molecular Targeted Therapy; D009369:Neoplasms / Q000188:drug therapy*; D010597:Pharmacogenetics
chemical_list: D000970:Antineoplastic Agents; D000998:Antiviral Agents
keywords: CYP polymorphisms; hepatitis reactivation; hepatotoxicity; immunotherapy; molecular targeted therapy; monoclonal antibodies; multikinase inhibitors; pharmacogenomics; tyrosine kinase inhibitors