Acetaminophen Hepatotoxicity: Paradigm for Understanding Mechanisms of Drug-Induced Liver Injury
Annual Review of Pathology Mechanisms of Disease,
Journal Year:
2024,
Volume and Issue:
19(1), P. 453 - 478
Published: Jan. 24, 2024
Acetaminophen
(APAP)
overdose
is
the
clinically
most
relevant
drug
hepatotoxicity
in
western
countries,
and,
because
of
translational
relevance
animal
models,
APAP
mechanistically
studied
drug.
This
review
covers
intracellular
signaling
events
starting
with
metabolism
and
central
role
mitochondrial
dysfunction
involving
oxidant
stress
peroxynitrite.
Mitochondria-derived
endonucleases
trigger
nuclear
DNA
fragmentation,
point
no
return
for
cell
death.
In
addition,
adaptive
mechanisms
that
limit
death
are
discussed
including
autophagy,
morphology
changes,
biogenesis.
Extensive
evidence
supports
oncotic
necrosis
as
mode
death;
however,
a
partial
overlap
apoptosis,
ferroptosis,
pyroptosis
basis
controversial
discussions.
Furthermore,
an
update
on
sterile
inflammation
injury
repair
activation
Kupffer
cells,
monocyte-derived
macrophages,
neutrophils
provided.
Understanding
these
led
to
discovery
N-acetylcysteine
recently
fomepizole
effective
antidotes
against
toxicity.
Language: Английский
The multiple mechanisms and modes of cell death after acetaminophen overdose
Published: April 7, 2025
Acetaminophen
(APAP)-induced
liver
injury
and
acute
failure
is
a
significant
clinical
problem
worldwide;
in
addition,
APAP
overdoses
animals
or
cell
culture
are
used
as
popular
models
to
study
drug-induced
mechanisms
test
therapeutic
interventions.
Early
assumptions
that
toxicity
caused
by
single
mechanism
resulting
defined
mode
of
death
hepatocytes
had
be
questioned
when
over
the
years
many
different
modes
were
reported.
Although
contradictory
results
conclusions
reported
can
attributed
lack
understanding
established
mechanisms,
methodological
problems,
misinterpretation
data,
it
increasingly
recognized
some
differences
signaling
even
switch
variations
experimental
conditions.
In
this
review,
examples
will
discussed
how
conditions
(dose,
solvent,
etc.),
system
(species,
strain,
substrain
vivo,
type,
vitro
conditions),
also
adaptive
responses
off-target
effects
genetic
manipulations
chemical
interventions,
impact
death.
Given
determine
results,
therefore
critical
importance
keep
mind
translational
aspect
experiments,
i.e.,
relevant
human
pathophysiology.
Only
full
appreciation
these
issues
lead
reproducible
clinically
advance
our
all
facets
pathophysiology
identify
targets.
Language: Английский
Identification and validation of cuproptosis-related genes in acetaminophen-induced liver injury using bioinformatics analysis and machine learning
Zhenya Guo,
No information about this author
Jiaping Liu,
No information about this author
Guozhi Liang
No information about this author
et al.
Frontiers in Immunology,
Journal Year:
2024,
Volume and Issue:
15
Published: June 27, 2024
Background
Acetaminophen
(APAP)
is
commonly
used
as
an
antipyretic
analgesic.
However,
acetaminophen
overdose
may
contribute
to
liver
injury
and
even
failure.
Acetaminophen-induced
(AILI)
closely
related
mitochondrial
oxidative
stress
dysfunction,
which
play
critical
roles
in
cuproptosis.
Here,
we
explored
the
potential
role
of
cuproptosis-related
genes
(CRGs)
AILI.
Methods
The
gene
expression
profiles
were
obtained
from
Gene
Expression
Omnibus
database.
differential
CRGs
was
determined
between
AILI
control
samples.
Protein
protein
interaction,
correlation,
functional
enrichment
analyses
performed.
Machine
learning
identify
hub
genes.
Immune
infiltration
evaluated.
mouse
model
established
by
intraperitoneal
injection
APAP
solution.
Quantitative
real-time
PCR
western
blotting
validate
model.
copper
content
samples
AML12
cells
quantified
using
a
colorimetric
assay
kit.
Ammonium
tetrathiomolybdate
(ATTM),
administered
models
order
investigate
effects
chelator
on
Results
analysis
identified
7,809
differentially
expressed
genes,
4,245
downregulated
3,564
upregulated.
Four
optimal
feature
(OFGs;
SDHB,
PDHA1,
NDUFB2,
NDUFB6)
through
intersection
two
machine
algorithms.
Further
nomogram,
decision
curve,
calibration
curve
confirmed
diagnostic
predictive
efficacy
four
OFGs.
Enrichment
indicated
that
OFGs
involved
multiple
pathways,
such
IL-17
pathway
chemokine
signaling
pathway,
are
progression.
revealed
macrophages
more
abundant
than
samples,
whereas
eosinophils
endothelial
less
abundant.
Subsequently,
successfully
established,
histopathological
hematoxylin–eosin
staining
along
with
function
tests
significant
induction
group.
Consistent
expectations,
both
mRNA
levels
exhibited
substantial
decrease.
administration
ATTAM
effectively
mitigates
elevation
induced
cells.
systemic
ATTM
did
not
significantly
alleviate
Conclusion
This
study
first
pathological
process
offered
novel
insights
into
its
underlying
pathogenesis.
Language: Английский
Mechanisms of Acetaminophen Hepatotoxicity: Cell Death Signaling Mechanisms in Hepatocytes
Elsevier eBooks,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 1, 2025
Language: Английский
The Protective Effect of <i>Moringa oleifera</i> Leaves Extract on Paracetamol Hepatotoxicity in Male Rats
Journal of Biomedical Science and Engineering,
Journal Year:
2024,
Volume and Issue:
17(03), P. 72 - 82
Published: Jan. 1, 2024
In
recent
years,
there
has
been
an
increase
in
concern
regarding
the
effects
of
paracetamol
poisoning
on
liver
tissues,
particularly
when
consumed
large
amounts.
Some
studies
have
estimated
that
is
involved
56%
acute
diseases,
whereas
0.4%
overdose
cases
result
fatal-ity.
this
study,
Moringa
oleifera
toxicity
were
explored.
It
demonstrated
highly
nu-tritious,
contains
bioactive
molecules,
and
therapeutically
beneficial.
Many
shown
leaves
possess
a
wide
range
biologi-cal
properties,
including
antioxidant,
tissue
protection,
analgesic,
antihyperten-sive,
immunomodulatory
activities.
This
study
highlights
protective
role
handling
possible
hepatotoxicity
male
rats.
Language: Английский
Elaidic acid induced hepatocyte pyroptosis via autophagy-CTSB-NLRP3 pathway
Jing Lu,
No information about this author
Ziheng Chen,
No information about this author
Xiujuan Bu
No information about this author
et al.
Food and Chemical Toxicology,
Journal Year:
2023,
Volume and Issue:
181, P. 114060 - 114060
Published: Sept. 23, 2023
Language: Английский
6-Hydroxy-2,2,4-trimethyl-1,2-dihydroquinoline Demonstrates Anti-Inflammatory Properties and Reduces Oxidative Stress in Acetaminophen-Induced Liver Injury in Rats
Е. Д. Крыльский,
No information about this author
Svetlana E. Kravtsova,
No information about this author
Т. Н. Попова
No information about this author
et al.
Current Issues in Molecular Biology,
Journal Year:
2023,
Volume and Issue:
45(10), P. 8321 - 8336
Published: Oct. 12, 2023
We
examined
the
effects
of
6-hydroxy-2,2,4-trimethyl-1,2-dihydroquinoline
on
markers
liver
injury,
oxidative
status,
and
extent
inflammatory
apoptotic
processes
in
rats
with
acetaminophen-induced
damage.
The
administration
acetaminophen
caused
accumulation
8-hydroxy-2-deoxyguanosine
8-isoprostane
serum,
as
well
an
increase
biochemiluminescence
indicators.
Oxidative
stress
resulted
activation
pro-inflammatory
cytokine
NF-κB
factor
mRNA
synthesis
increased
levels
immunoglobulin
G,
along
higher
activities
caspase-3,
caspase-8,
caspase-9.
also
development
stress,
leading
to
a
decrease
level
reduced
glutathione
imbalance
function
antioxidant
enzymes.
This
study
discovered
that
by
its
activity,
hence
reducing
mRNA,
decreasing
concentration
G.
These
changes
reduction
activity
caspase-8
caspase-9,
which
are
involved
ligand-induced
mitochondrial
pathways
apoptosis
inhibited
effector
caspase-3.
In
addition,
promoted
normalization
system
animals
treated
acetaminophen.
As
result,
compound
being
tested
alleviated
inflammation
led
improved
marker
indices
ameliorated
histopathological
alterations.
Language: Английский