Department of Anesthesiology, Chang Gung Memorial Hospital, Taoyuan, Taiwan, ROC; College of Medicine, Chang Gung University, Taoyuan, Taiwan, ROC; Graduate Institute of Clinical Medical Sciences, Chang Gung University, Taoyuan, Taiwan, ROC.
Department of Anesthesiology, Hualien Tzu Chi Hospital & Tzu Chi University, Hualien, Taiwan, ROC.
Toxicol Lett. 2018 Aug;292:20-30. doi: 10.1016/j.toxlet.2018.04.021. Epub 2018 Apr 22.
Acetaminophen (APAP) overdose results in the production of reactive oxygen species (ROS), hepatocyte necrosis, and cell death, and leads to acute liver failure. Interleukin-17 (IL-17), a pro-inflammatory cytokine, plays a key role in the recruitment of neutrophils into sites of inflammation and subsequent damage after liver ischemia-reperfusion injury. In this study, we employed IL-17 knockout (KO) mice to investigate the role of IL-17 in APAP-induced hepatotoxicity. IL-17 wide type (WT) and IL-17 KO mice received an intraperitoneal injection of APAP (300 mg/kg). After 16 h of treatment, the hepatic injury, inflammatory mediators, immune cell infiltration, and western blotting were examined and analyzed. The serum alanine transferase (ALT) enzyme levels and hepatic myeloperoxidase (MPO) activity were significantly elevated 16 h after APAP treatment in the WT mice. IL-17 deficiency significantly attenuates APAP-induced liver injury, MPO activity, pro-inflammatory cytokines (tumor necrosis factor-α, IL-6 and interferon-γ) levels and inflammatory cell (neutrophils, macrophage) infiltration in the liver. Moreover, phosphorylated extracellular signal-regulated kinase (ERK) was significantly decreased at 16 h after APAP treatment in the IL-17 KO mice compared with the IL-17 WT mice. Our data suggests that IL-17 plays a pivotal role in APAP-induced hepatotoxicity through modulation of inflammatory response, and perhaps in part through the ERK signaling pathway. Blockade of IL-17 could be a potential therapeutic target for APAP-induced hepatotoxicity.
对乙酰氨基酚(APAP)过量会导致活性氧(ROS)的产生、肝细胞坏死和细胞死亡,并导致急性肝衰竭。白细胞介素-17(IL-17)是一种促炎细胞因子,在肝缺血再灌注损伤后中性粒细胞募集到炎症部位和随后的损伤中发挥关键作用。在这项研究中,我们使用 IL-17 敲除(KO)小鼠来研究 IL-17 在 APAP 诱导的肝毒性中的作用。IL-17 野生型(WT)和 IL-17 KO 小鼠接受了 APAP(300mg/kg)的腹腔注射。治疗 16 小时后,检查并分析了肝损伤、炎症介质、免疫细胞浸润和 Western blot。APAP 处理后 16 小时,WT 小鼠的血清丙氨酸转移酶(ALT)酶水平和肝髓过氧化物酶(MPO)活性显著升高。IL-17 缺乏显著减轻 APAP 诱导的肝损伤、MPO 活性、促炎细胞因子(肿瘤坏死因子-α、IL-6 和干扰素-γ)水平和肝脏中的炎症细胞(中性粒细胞、巨噬细胞)浸润。此外,与 IL-17 WT 小鼠相比,APAP 处理后 16 小时,IL-17 KO 小鼠中磷酸化细胞外信号调节激酶(ERK)显著降低。我们的数据表明,IL-17 通过调节炎症反应,在一定程度上通过 ERK 信号通路,在 APAP 诱导的肝毒性中发挥关键作用。阻断 IL-17 可能是 APAP 诱导的肝毒性的潜在治疗靶点。