Many xenobiotics are metabolically activated to electrophilic intermed
iates that form covalent adducts with proteins; the mechanism of toxic
ity is either intrinsic or idiosyncratic in nature. Many intrinsic tox
ins covalently modify cellular proteins and somehow initiate a sequenc
e of events that leads to toxicity. Major protein adducts of several i
ntrinsic toxins have been identified and demonstrate significant decre
ases in enzymatic activity. The reactivity of intermediates and subcel
lular localization of major targets may be important in the toxicity.
Idiosyncratic toxicities are mediated through either a metabolic or im
mune-mediated mechanism. Xenobiotics that cause hypersensitivity/autoi
mmunity appear to have a limited number of protein targets, which are
localized within the subcellular fraction where the electrophile is pr
oduced, are highly substituted, and are accessible to the immune syste
m. Metabolic idiosyncratic toxins appear to have limited targets and a
re localized within a specific subcellular fraction. Identification of
protein targets has given us insights into mechanisms of xenobiotic t
oxicity.