State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macao, China.
College of Pharmacy, Guangdong Pharmaceutical University, Guangzhou, China.
Biochem Pharmacol. 2018 Aug;154:75-88. doi: 10.1016/j.bcp.2018.04.019. Epub 2018 Apr 18.
Acetaminophen (APAP) overdose-induced hepatotoxicity is the most commonly cause of drug-induced liver failure characterized by oxidative stress, mitochondrial dysfunction, and cell damage. Therapeutic efficacy of omega-3 polyunsaturated fatty acids (n-3 PUFA) in several models of liver disease is well documented. However, the impacts of n-3 PUFA on APAP hepatotoxicity are not adequately addressed. In this study, the fat-1 transgenic mice that synthesize endogenous n-3 PUFA and wild type (WT) littermates were injected intraperitoneally with APAP at the dose of 400 mg/kg to induce liver injury, and euthanized at 0 h, 2 h, 4 h and 6 h post APAP injection for sampling. APAP overdose caused severe liver injury in WT mice as indicated by serum parameters, histopathological changes and hepatocyte apoptosis, which were remarkably ameliorated in fat-1 mice. These protective effects of n-3 PUFA were associated with regulation of the prolonged JNK activation via inhibition of apoptosis signal-regulating kinase 1 (ASK1)/mitogen-activated protein kinase kinase 4 (MKK4) pathway. Additionally, the augment of endogenous n-3 PUFA reduced nuclear factor kappa B (NF-κB) - mediated inflammation response induced by APAP treatment in the liver. These findings indicate that n-3 PUFA has potent protective effects against APAP-induced acute liver injury, suggesting that n-3 dietary supplement with n-3 PUFA may be a potential therapeutic strategy for the treatment of hepatotoxicity induced by APAP overdose.
对乙酰氨基酚(APAP)过量诱导的肝毒性是最常见的药物性肝衰竭的原因,其特征为氧化应激、线粒体功能障碍和细胞损伤。ω-3 多不饱和脂肪酸(n-3 PUFA)在几种肝病模型中的治疗效果已有充分的文献记载。然而,n-3 PUFA 对 APAP 肝毒性的影响尚未得到充分解决。在这项研究中,内源性合成 n-3 PUFA 的 fat-1 转基因小鼠和野生型(WT)同窝仔鼠经腹腔注射 400mg/kg 的 APAP 诱导肝损伤,并在 APAP 注射后 0h、2h、4h 和 6h 安乐死取样。APAP 过量给药导致 WT 小鼠出现严重的肝损伤,血清参数、组织病理学变化和肝细胞凋亡均表明这一点,而 fat-1 小鼠的这些损伤则显著减轻。n-3 PUFA 的这些保护作用与通过抑制凋亡信号调节激酶 1(ASK1)/丝裂原活化蛋白激酶激酶 4(MKK4)通路调节 JNK 激活的延长有关。此外,内源性 n-3 PUFA 的增加减轻了 APAP 处理诱导的肝核因子 kappa B(NF-κB)介导的炎症反应。这些发现表明,n-3 PUFA 对 APAP 诱导的急性肝损伤具有强大的保护作用,提示 n-3 饮食补充 n-3 PUFA 可能是治疗 APAP 过量引起的肝毒性的一种潜在治疗策略。