1. Recommendations for the use of the acetaminophen hepatotoxicity model for mechanistic studies and how to avoid common pitfalls
- Author
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Wen-Xing Ding, Hartmut Jaeschke, David S Umbaugh, Olamide B. Adelusi, Giselle Sanchez-Guerrero, Nga T. Nguyen, Jephte Y. Akakpo, and Anup Ramachandran
- Subjects
GSSG, glutathione disulfide ,LOOH, lipid hydroperoxides ,NQO1, NAD(P)H:quinone oxidoreductase 1 ,TLR, toll like receptor ,HNE, 4-hydroxynonenal ,NAC, N-acetylcysteine ,Apoptosis ,Review ,Bioinformatics ,SMAC/DIABLO, second mitochondria-derived activator of caspase/direct inhibitor of apoptosis-binding protein with low pI ,GSH, glutathione ,General Pharmacology, Toxicology and Pharmaceutics ,Liver injury ,Innate immunity ,BSO, buthionine sulfoximine ,mTORC1, mammalian target of rapamycin complex 1 ,MCP-1, monocyte chemoattractant protein-1 ,Mitochondria ,CYP, cytochrome P450 enzymes ,GPX4, glutathione peroxidase 4 ,NRF2, nuclear factor erythroid 2-related factor 2 ,KEAP1, Kelch-like ECH-associated protein 1 ,LPO, lipid peroxidation ,NF-κB, nuclear factor κB ,medicine.drug ,DMSO, dimethylsulfoxide ,Inflammatory response ,Gclm, glutamate–cysteine ligase modifier subunit ,HMGB1, high mobility group box protein 1 ,APAP, acetaminophen ,ARE, antioxidant response element ,RM1-950 ,TUNEL, terminal deoxynucleotidyl transferase dUTP nick end labeling ,UGT, UDP-glucuronosyltransferases ,Necrotic cell ,MPT, mitochondrial permeability transition ,Acetaminophen hepatotoxicity ,NRF2 ,ROS, reactive oxygen species ,EndoG, endonuclease G ,medicine ,Autophagy ,Injury mechanisms ,Ferroptosis ,MnSOD, manganese superoxide dismutase ,Antipyretic drugs ,MDA, malondialdehyde ,Drug metabolism ,business.industry ,ATG, autophagy-related genes ,PUFAs, polyunsaturated fatty acids ,Liver failure ,medicine.disease ,CAD, caspase-activated DNase ,Gclc, glutamate–cysteine ligase catalytic subunit ,Acetaminophen ,LC3, light chain 3 ,AIF, apoptosis-inducing factor ,AMPK, AMP-activated protein kinase ,DAMPs, damage-associated molecular patterns ,JNK, c-jun N-terminal kinase ,Therapeutics. Pharmacology ,LAMP, lysosomal-associated membrane protein ,business ,NAPQI, N-acetyl-p-benzoquinone imine ,FSP1, ferroptosis suppressing protein 1 ,MAP kinase, mitogen activated protein kinase - Abstract
Acetaminophen (APAP) is a widely used analgesic and antipyretic drug, which is safe at therapeutic doses but can cause severe liver injury and even liver failure after overdoses. The mouse model of APAP hepatotoxicity recapitulates closely the human pathophysiology. As a result, this clinically relevant model is frequently used to study mechanisms of drug-induced liver injury and even more so to test potential therapeutic interventions. However, the complexity of the model requires a thorough understanding of the pathophysiology to obtain valid results and mechanistic information that is translatable to the clinic. However, many studies using this model are flawed, which jeopardizes the scientific and clinical relevance. The purpose of this review is to provide a framework of the model where mechanistically sound and clinically relevant data can be obtained. The discussion provides insight into the injury mechanisms and how to study it including the critical roles of drug metabolism, mitochondrial dysfunction, necrotic cell death, autophagy and the sterile inflammatory response. In addition, the most frequently made mistakes when using this model are discussed. Thus, considering these recommendations when studying APAP hepatotoxicity will facilitate the discovery of more clinically relevant interventions., Graphical abstract This review discusses common pitfalls in studies of acetaminophen hepatotoxicity.Image 1
- Published
- 2021