Jeong Tae Bin, Kim Joung-Hee, Kim Sou Hyun, Lee Seunghyun, Son Seung Won, Lim Yong, Cho Joon-Yong, Hwang Dae Youn, Kim Kil Soo, Kwak Jae-Hwan, Jung Young-Suk
1College of Pharmacy, Pusan National University, Busan, 46241 South Korea.
2Department of Clinical Laboratory Science, College of Nursing and Healthcare Science, Dong-Eui University, Busan, South Korea.
Lab Anim Res. 2019 Sep 3;35:16. doi: 10.1186/s42826-019-0017-x. eCollection 2019.
Acetaminophen (APAP) is the most common antipyretic analgesic worldwide. However, APAP overdose causes severe liver injury, especially centrilobular necrosis, in humans and experimental animals. At therapeutic dosage, APAP is mainly metabolized by sulfation and glucuronidation, and partly by cytochrome P450-mediated oxidation. However, APAP overdose results in production of excess reactive metabolite, N-acetyl--benzoquinone imine (NAPQI), by cytochromes P450; NAPQI overwhelms the level of glutathione (GSH), which could otherwise detoxify it. NAPQI binds covalently to proteins, leading to cell death. A number of studies aimed at the prevention and treatment of APAP-induced toxicity are underway. Rats are more resistant than mice to APAP hepatotoxicity, and thus mouse models are mainly used. In the present study, we compared the toxic responses induced by APAP overdose in the liver of ICR mice obtained from three different sources and evaluated the usability of the Korl:ICR stock established by the National Institute of Food and Drug Safety Evaluation in Korea. Administration of APAP (300 mg/kg) by intraperitoneal injection into male ICR mice enhanced CYP2E1 protein expression and depleted hepatic GSH level 2 h after treatment accompanied with significantly increased level of hepatic malondialdehyde, a product of lipid peroxidation. Regardless of the source of the mice, hepatotoxicity, as evidenced by activity of serum alanine aminotransferase, increased from 8 h and peaked at 24 h after APAP treatment. In summary, hepatotoxicity was induced after the onset of oxidative stress by overdose of APAP, and the response was the same over time among mice of different origins.
对乙酰氨基酚(APAP)是全球最常见的解热镇痛药。然而,APAP过量会导致人类和实验动物发生严重肝损伤,尤其是小叶中心坏死。在治疗剂量下,APAP主要通过硫酸化和葡萄糖醛酸化代谢,部分通过细胞色素P450介导的氧化代谢。然而,APAP过量会导致细胞色素P450产生过量的活性代谢物N-乙酰-对苯醌亚胺(NAPQI);NAPQI超过了谷胱甘肽(GSH)的水平,否则GSH可以将其解毒。NAPQI与蛋白质共价结合,导致细胞死亡。许多旨在预防和治疗APAP诱导毒性的研究正在进行中。大鼠对APAP肝毒性的耐受性比小鼠强,因此主要使用小鼠模型。在本研究中,我们比较了来自三种不同来源的ICR小鼠肝脏中APAP过量诱导的毒性反应,并评估了韩国食品药品安全评价院建立的Korl:ICR品系的可用性。对雄性ICR小鼠腹腔注射APAP(300mg/kg)后,CYP2E1蛋白表达增强,治疗后2小时肝脏GSH水平降低,同时脂质过氧化产物肝丙二醛水平显著升高。无论小鼠来源如何,血清丙氨酸转氨酶活性所证明的肝毒性在APAP治疗后8小时开始增加,并在24小时达到峰值。总之,APAP过量导致氧化应激后诱导肝毒性,不同来源小鼠的反应随时间相同。