Department of Pharmacology, Medicine, and Chemistry, Vanderbilt University, Nashville, TN 37232, USA.
Proc Natl Acad Sci U S A. 2010 Feb 9;107(6):2699-704. doi: 10.1073/pnas.0910174107. Epub 2010 Feb 1.
Hemoproteins, hemoglobin and myoglobin, once released from cells can cause severe oxidative damage as a consequence of heme redox cycling between ferric and ferryl states that generates radical species that induce lipid peroxidation. We demonstrate in vitro that acetaminophen inhibits hemoprotein-induced lipid peroxidation by reducing ferryl heme to its ferric state and quenching globin radicals. Severe muscle injury (rhabdomyolysis) is accompanied by the release of myoglobin that becomes deposited in the kidney, causing renal injury. We previously showed in a rat model of rhabdomyolysis that redox cycling between ferric and ferryl myoglobin yields radical species that cause severe oxidative damage to the kidney. In this model, acetaminophen at therapeutic plasma concentrations significantly decreased oxidant injury in the kidney, improved renal function, and reduced renal damage. These findings also provide a hypothesis for potential therapeutic applications for acetaminophen in diseases involving hemoprotein-mediated oxidative injury.
血红素蛋白、血红蛋白和肌红蛋白一旦从细胞中释放出来,就会由于血红素在铁离子和高铁离子状态之间的氧化还原循环而导致严重的氧化损伤,产生自由基,从而诱导脂质过氧化。我们在体外证明,对乙酰氨基酚通过将高铁血红素还原为亚铁血红素来抑制血红素蛋白诱导的脂质过氧化,并猝灭球蛋白自由基。严重的肌肉损伤(横纹肌溶解症)伴随着肌红蛋白的释放,肌红蛋白沉积在肾脏中,导致肾脏损伤。我们之前在横纹肌溶解症的大鼠模型中表明,高铁肌红蛋白和亚铁肌红蛋白之间的氧化还原循环产生自由基,对肾脏造成严重的氧化损伤。在该模型中,治疗血浆浓度的对乙酰氨基酚显著降低了肾脏的氧化损伤,改善了肾功能,并减少了肾脏损伤。这些发现也为涉及血红素蛋白介导的氧化损伤的疾病中对乙酰氨基酚的潜在治疗应用提供了一个假设。
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