期刊
INTERNATIONAL JOURNAL OF BIOLOGICAL SCIENCES
卷 18, 期 6, 页码 2317-2328出版社
IVYSPRING INT PUBL
DOI: 10.7150/ijbs.69609
关键词
Acetaminophen (APAP); Hepatotoxicity; Peroxisome proliferator-activated receptor alpha (PPAR alpha); Oxidative stress; IL-6/STAT3; Liver injury; Liver repair
资金
- National Natural Science Foundation of China [81870417, 82070605]
- Key Science and Technology Project of Beijing Municipal Institutions [KZ202010025032]
- Bethune Charitable Foundation [BCF-MSD-HCC-20201127-001]
In this study, it was found that the expression of PPAR alpha in the liver was significantly decreased in drug-induced liver injury caused by acetaminophen. Knocking out the Ppara gene in hepatocytes can alleviate acetaminophen-induced liver injury by reducing oxidative stress and upregulating the hepatoprotective IL-6/STAT3 signaling pathway.
Background & Aims: Peroxisome proliferator-activated receptor alpha (PPAR alpha) is a ligand-activated transcription factor abundantly expressed in liver. PPAR alpha activator has been previously reported to protect against acetaminophen-induced hepatotoxicity, but fenofibrate, a lipid-lowering drug that activates PPAR alpha, has a common side-effect causing liver injury. Thus, the exact effect of liver PPAR alpha on drug-induced liver injury remains obscure. Methods: Hepatocyte-specific Ppara knockout mice and littermate wild-type control mice were intraperitoneally injected with acetaminophen (400 mg/kg body weight). Blood and liver samples were collected at different time points. We measured phase I and II cytochrome P450 enzymes, glutathione, reactive oxygen species, cytokines including Il6, and pSTAT3 by reverse transcriptase quantitative PCR, colorimetric, immunohistochemistry analyses and Western blotting. Results: Hepatic expression of PPAR alpha was significantly decreased in DILI patients. Disruption of the Ppara gene in hepatocytes significantly reduced acetaminophen-induced liver injury in mice. ROS production rather than the expression levels of phase I and II cytochrome P450 enzymes was reduced in hepatocyte-specific Ppara knockout mice compared to control mice after acetaminophen administration. Mechanistically, hepatocyte-specific Ppara knockout mice had upregulated activation of the hepatoprotective pathway IL-6/STAT3 compared to wild-type mice, as evidenced by hepatic Il6 mRNA levels, hepatic protein levels of STAT3 and phosphorylated STAT3 were much higher in hepatocyte-specific Ppara knockout mice than in wild-type mice post acetaminophen injection. Conclusions: Hepatocyte-specific disruption of the Ppara gene protects against acetaminophen-induced liver injury by reducing oxidative stress and upregulating the hepatoprotective IL-6/STAT3 signaling pathway.
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