Protein covalent binding by xenobiotic metabolites has long been assoc
iated with target organ toxicity but mechanistic involvement of such b
inding has not been widely demonstrated, Modern biochemical, molecular
, and immunochemical approaches have facilitated identification of spe
cific protein targets of xenobiotic covalent binding, Such studies hav
e revealed that protein covalent binding is not random, but rather sel
ective with respect to the proteins targeted. Selective binding to spe
cific cellular target proteins may better correlate with toxicity than
total protein covalent binding. Current research is directed at chara
cterizing and identifying the targeted proteins and clarifying the eff
ect of such binding on their structure, function, and potential roles
in target organ toxicity. The approaches employed to detect and identi
fy the targeted proteins are described, Metabolites of acetaminophen,
halothane, and 2,5-hexanedione form covalently bound adducts to recent
ly identified protein targets. The selective binding may influence hom
eostatic or other cellular responses which in turn contribute to drug
toxicity, hypersensitivity, or autoimmunity. (C) 1997 Academic Press.