小异二聚体伴侣的肝细胞特异性缺失通过激活 Nrf2 保护小鼠免受对乙酰氨基酚诱导的肝毒性。

Hepatocyte-specific deletion of small heterodimer partner protects mice against acetaminophen-induced hepatotoxicity via activation of Nrf2.

机构信息

Department of Pharmacology, Toxicology and Therapeutics, University of Kansas Medical Center, Kansas City, Kansas 66160, USA.

Department of Pathology and Laboratory Medicine, University of Kansas Medical Center, Kansas City, Kansas 66160, USA.

出版信息

Toxicol Sci. 2023 Dec 21;197(1):53-68. doi: 10.1093/toxsci/kfad104.

Abstract

Acetaminophen (APAP) overdose stands as the primary cause of acute liver failure in the United States. APAP hepatotoxicity involves hepatic glutathione (GSH) depletion and mitochondrial damage. To counteract the toxicity of APAP, the nuclear factor erythroid 2 like 2 (Nrf2) activates the expression of genes responsible for drug detoxification and GSH synthesis. In this study, we present evidence that the elimination of hepatocyte small heterodimer partner, a critical transcriptional repressor for liver metabolism, results in Nrf2 activation and protects mice from APAP-induced acute liver injury. Initial investigations conducted on wildtype (WT) mice revealed a swift downregulation of Shp mRNA within the first 24 h after APAP administration. Subsequent treatment of hepatocyte-specific Shp knockout (ShpHep-/-) mice with 300 mg/kg APAP for 2 h exhibited comparable bioactivation of APAP with that observed in the WT controls. However, a significant reduction in liver injury was observed in ShpHep-/- after APAP treatment for 6 and 24 h. The decreased liver injury correlated with a faster recovery of GSH, attributable to heightened expression of Nrf2 target genes involved in APAP detoxification and GSH synthesis. Moreover, in vitro studies revealed that SHP protein interacted with NRF2 protein, inhibiting the transcription of Nrf2 target genes. These findings hold relevance for humans, as overexpression of SHP hindered APAP-induced NRF2 activation in primary human hepatocytes. In conclusion, our studies have unveiled a novel regulatory axis involving SHP and NRF2 in APAP-induced acute liver injury, emphasizing SHP as a promising therapeutic target in APAP overdose-induced hepatotoxicity.

摘要

对乙酰氨基酚(APAP)过量是美国急性肝衰竭的主要原因。APAP 肝毒性涉及肝谷胱甘肽(GSH)耗竭和线粒体损伤。为了对抗 APAP 的毒性,核因子红细胞 2 样 2(Nrf2)激活负责药物解毒和 GSH 合成的基因表达。在这项研究中,我们提供了证据表明,消除肝细胞小异二聚体伴侣(一种肝脏代谢的关键转录抑制因子)会导致 Nrf2 激活并保护小鼠免受 APAP 诱导的急性肝损伤。对野生型(WT)小鼠进行的初步研究表明,APAP 给药后 24 小时内 Shp mRNA 迅速下调。随后,用 300mg/kg APAP 对肝细胞特异性 Shp 敲除(ShpHep-/-)小鼠进行 2 小时处理,与 WT 对照组观察到的 APAP 生物活化相当。然而,在用 APAP 处理 6 和 24 小时后,ShpHep-/-小鼠的肝损伤明显减少。肝损伤减少与 GSH 更快恢复相关,这归因于参与 APAP 解毒和 GSH 合成的 Nrf2 靶基因的高表达。此外,体外研究表明 SHP 蛋白与 NRF2 蛋白相互作用,抑制 Nrf2 靶基因的转录。这些发现与人类有关,因为 SHP 的过表达会阻碍原发性人肝细胞中 APAP 诱导的 NRF2 激活。总之,我们的研究揭示了一个涉及 SHP 和 NRF2 的新的 APAP 诱导急性肝损伤调节轴,强调 SHP 是 APAP 过量诱导肝毒性的一个有前途的治疗靶点。

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