The toxicities are not attributable to the compounds per se, but rather to metabolites produced by cytochrome P-450-mediated biotransformations.
First-pass extracted concept
cytochrome P-450-mediated biotransformation
Evidence Snippets
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Linked Claims
Among inhaled anesthetics in current use at the time of the review, halothane is associated with rare but severe hepatotoxicity, whereas hepatitis after enflurane or isoflurane exposure is reported to be much rarer.
The review discusses the potential toxicity of sevoflurane in light of known mechanisms from other inhaled anesthetics rather than concluding established human organ toxicity.
Both hepatotoxicity and nephrotoxicity can arise from generation of cytotoxic metabolites within the target organ.
Organ toxicities of inhaled anesthetics are attributed primarily to metabolites generated by cytochrome P-450-mediated biotransformation rather than to the parent anesthetic compounds themselves.