Webb, SD, Reddyhoff, D, Ward, J, Williams, D and Regan, S (2015) Timescale analysis of a mathematical model of acetaminophen metabolism andtoxicity. Journal of Theoretical Biology, 386. pp. 132-146. ISSN 1095-8541

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Abstract

Acetaminophen is a widespread and commonly used painkiller all over the world. However, it can cause liver damage when taken in large doses or at repeated chronic doses. Current models of acetaminophen metabolism are complex, and limited to numerical investigation though provide results that represent clinical investigation well. We derive a mathematical model based on mass action laws aimed at capturing the main dynamics of acetaminophen metabolism, in particular the contrast between normal and overdose cases, whilst remaining simple enough for detailed mathematical analysis that can identify key parameters and quantify their role in liver toxicity. We use singular perturbation analysis to separate the di fferent timescales describing the sequence of events in acetaminophen metabolism, systematically identifying which parameters dominate during each of the successive stages. Using this approach we determined, in terms of the model parameters, the critical dose between safe and overdose cases, timescales for exhaustion and regeneration of important cofactors for acetaminophen metabolism and total toxin accumulation as a fraction of initial dose.

Item Type:	Article
Uncontrolled Keywords:	01 Mathematical Sciences, 06 Biological Sciences, 08 Information And Computing Sciences
Subjects:	Q Science > QA Mathematics
Divisions:	Applied Mathematics (merged with Comp Sci 10 Aug 20)
Publisher:	Elsevier
Date Deposited:	03 Nov 2015 08:17
Last Modified:	04 Sep 2021 13:54
DOI or ID number:	10.1016/j.jtbi.2015.08.021
URI:	https://researchonline.ljmu.ac.uk/id/eprint/2164

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