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c-Met 抑制剂卡马替尼可缓解对乙酰氨基酚诱导的肝毒性。

The c-Met inhibitor capmatinib alleviates acetaminophen-induced hepatotoxicity.

机构信息

Department of Pharmacology and Toxicology, Faculty of Pharmacy, Mansoura University, Mansoura 35516, Egypt.

Department of Pharmacology and Toxicology, Faculty of Pharmacy, Mansoura University, Mansoura 35516, Egypt; Department of Pharmacology, Faculty of Pharmacy, Jouf University, Sakaka 2014, Saudi Arabia.

出版信息

Int Immunopharmacol. 2020 Apr;81:106292. doi: 10.1016/j.intimp.2020.106292. Epub 2020 Feb 14.

Abstract

Acetaminophen (APAP)-induced hepatotoxicity comes among the most frequent humans' toxicities caused by drugs. So far, therapeutic interventions for such type of drug-induced toxicity are still limited. In the current study, we examined the influence of capmatinib (Cap), a novel c-Met inhibitor, on APAP-induced hepatotoxicity in mice when administered 2 h prior, 2 h post and 4 h post APAP-challenge. The results revealed that Cap administration significantly attenuated APAP-induced liver injury when administered only 2 h prior and post APAP-administration. Cap hepatoprotective effect was mediated by lowering the excessive formation of lipid peroxidation and nitrosative stress products caused by APAP. Besides, Cap attenuated APAP-induced overproduction and release of proinflammatory mediators like TNF-α, IL-1β, IL-17A, IL-6, and MCP-1. Cap treatment also led to avoidance of APAP-subsequent repair by abating APAP-induced elevation of hepatic IL-22 and PCNA expressions. In conclusion, c-Met receptor inhibition may be a potential strategy for alleviating APAP-hepatotoxicity, especially when administered in the early phase of intoxication.

摘要

对乙酰氨基酚(APAP)诱导的肝毒性是最常见的药物引起的人类毒性之一。到目前为止,针对这种类型的药物诱导毒性的治疗干预措施仍然有限。在本研究中,我们研究了新型 c-Met 抑制剂卡马替尼(Cap)在给予 APAP 前 2 小时、后 2 小时和后 4 小时时对 APAP 诱导的小鼠肝毒性的影响。结果表明,Cap 仅在给予 APAP 前 2 小时和后给予时,可显著减轻 APAP 诱导的肝损伤。Cap 的肝保护作用是通过降低 APAP 引起的脂质过氧化和硝化应激产物的过度形成来介导的。此外,Cap 还通过减轻 APAP 诱导的 TNF-α、IL-1β、IL-17A、IL-6 和 MCP-1 等促炎介质的过度产生和释放来减轻 APAP 诱导的损伤。Cap 治疗还通过减轻 APAP 诱导的肝内 IL-22 和 PCNA 表达升高来避免 APAP 后的修复。总之,c-Met 受体抑制可能是减轻 APAP 肝毒性的一种潜在策略,特别是在中毒的早期阶段给予时。

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