Instituto de Investigaciones Biomédicas Alberto Sols (CSIC-UAM), Madrid 28029, Spain.
Cell Death Dis. 2013 May 9;4(5):e626. doi: 10.1038/cddis.2013.150.
Acute hepatic failure secondary to acetaminophen (APAP) poisoning is associated with high mortality. Protein tyrosine phosphatase 1B (PTP1B) is a negative regulator of tyrosine kinase growth factor signaling. In the liver, this pathway confers protection against injury. However, the involvement of PTP1B in the intracellular networks activated by APAP is unknown. We have assessed PTP1B expression in APAP-induced liver failure in humans and its role in the molecular mechanisms that regulate the balance between cell death and survival in human and mouse hepatocytes, as well as in a mouse model of APAP-induced hepatotoxicity. PTP1B expression was increased in human liver tissue removed during liver transplant from patients for APAP overdose. PTP1B was upregulated by APAP in primary human and mouse hepatocytes together with the activation of c-jun (NH2) terminal kinase (JNK) and p38 mitogen-activated protein kinase (p38 MAPK), resulting in cell death. Conversely, Akt phosphorylation and the antiapoptotic Bcl2 family members BclxL and Mcl1 were decreased. PTP1B deficiency in mouse protects hepatocytes against APAP-induced cell death, preventing glutathione depletion, reactive oxygen species (ROS) generation and activation of JNK and p38 MAPK. APAP-treated PTP1B(-/-) hepatocytes showed enhanced antioxidant defense through the glycogen synthase kinase 3 (GSK3)β/Src kinase family (SKF) axis, delaying tyrosine phosphorylation of the transcription factor nuclear factor-erythroid 2-related factor (Nrf2) and its nuclear exclusion, ubiquitination and degradation. Insulin-like growth factor-I receptor-mediated signaling decreased in APAP-treated wild-type hepatocytes, but was maintained in PTP1B(-/-) cells or in wild-type hepatocytes with reduced PTP1B levels by RNA interference. Likewise, both signaling cascades were modulated in mice, resulting in less severe APAP hepatotoxicity in PTP1B(-/-) mice. Our results demonstrated that PTP1B is a central player of the mechanisms triggered by APAP in hepatotoxicity, suggesting a novel therapeutic target against APAP-induced liver failure.
急性肝衰竭继发于对乙酰氨基酚(APAP)中毒与高死亡率相关。蛋白酪氨酸磷酸酶 1B(PTP1B)是酪氨酸激酶生长因子信号的负调节剂。在肝脏中,该途径赋予了对损伤的保护作用。然而,PTP1B 在 APAP 激活的细胞内网络中的参与情况尚不清楚。我们评估了 PTP1B 在人类 APAP 诱导的肝衰竭中的表达及其在调节人类和小鼠肝细胞中细胞死亡和存活之间平衡的分子机制中的作用,以及在 APAP 诱导的肝毒性的小鼠模型中的作用。在因 APAP 过量而进行肝移植的患者肝组织中,PTP1B 的表达增加。APAP 可诱导原代人类和小鼠肝细胞中 PTP1B 的上调,同时激活 c-jun(NH2)末端激酶(JNK)和 p38 丝裂原激活蛋白激酶(p38 MAPK),导致细胞死亡。相反,Akt 磷酸化和抗凋亡 Bcl2 家族成员 BclxL 和 Mcl1 减少。在小鼠中缺乏 PTP1B 可保护肝细胞免受 APAP 诱导的细胞死亡,防止谷胱甘肽耗竭、活性氧(ROS)生成以及 JNK 和 p38 MAPK 的激活。APAP 处理的 PTP1B(-/-)肝细胞通过糖原合酶激酶 3(GSK3)β/Src 激酶家族(SKF)轴显示出增强的抗氧化防御能力,延迟转录因子核因子-红细胞 2 相关因子(Nrf2)的酪氨酸磷酸化及其核排斥、泛素化和降解。胰岛素样生长因子-I 受体介导的信号在 APAP 处理的野生型肝细胞中减少,但在 PTP1B(-/-)细胞或用 RNA 干扰降低 PTP1B 水平的野生型肝细胞中得到维持。同样,两种信号级联在小鼠中都得到了调节,导致 PTP1B(-/-)小鼠的 APAP 肝毒性减轻。我们的研究结果表明,PTP1B 是 APAP 诱导的肝毒性中触发的机制的核心参与者,提示针对 APAP 诱导的肝衰竭的新的治疗靶标。