The modulation of transcriptional expression and inhibition of multidrug resistance associated protein 4 (MRP4) by analgesics and their primary metabolites

Autor: Carolina Inés Ghanem, José E. Manautou, Renato J. Scialis
Jazyk: angličtina
Rok vydání: 2020
Předmět:
ATP
adenosine triphosphate

Diclofenac
OH-DCF
4′-hydroxy diclofenac

Health
Toxicology and Mutagenesis

Metabolite
APAP
acetaminophen

purl.org/becyt/ford/3.5 [https]
ABCC4
Oxidative phosphorylation
Pharmacology
Toxicology
medicine.disease_cause
Applied Microbiology and Biotechnology
Article
chemistry.chemical_compound
APAP-GLU
acetaminophen glucuronide

APAP-SUL
acetaminophen sulfate

Downregulation and upregulation
ANALGESIC
Fmo
flavin containing monooxygenase

lcsh:RA1190-1270
ALT
alanine aminotransferase

PGE2
prostaglandin E2

medicine
DCF-AG
diclofenac acyl glucuronide

IS
internal standard

Acetaminophen
Inhibition
lcsh:Toxicology. Poisons
Liver injury
APAP-NAC
acetaminophen N-acetylcysteine

biology
MRP4
DCF
diclofenac

digestive
oral
and skin physiology

MRP
multidrug resistance-associated protein

Glutathione
medicine.disease
chemistry
AMP
adenosine monophosphate

APAP-CYS
acetaminophen cysteine

biology.protein
purl.org/becyt/ford/3 [https]
LTC4
leukotriene C4

ACETAMINOPHEN
Oxidative stress
medicine.drug
Zdroj: Current Research in Toxicology, Vol 1, Iss, Pp 34-41 (2020)
CONICET Digital (CONICET)
Consejo Nacional de Investigaciones Científicas y Técnicas
instacron:CONICET
Current Research in Toxicology
Popis: During the course of a toxic challenge, changes in gene expression can manifest such as induction of metabolizing enzymes as a compensatory detoxification response. We currently report that a single 400 mg/kg acetaminophen (APAP) dose to C57BL/6J mice led to an increase in multidrug resistance-associated (Mrp) 4 (Abcc4) mRNA 12 h after administration. Alanine aminotransferase, as a marker of liver injury, was also elevated indicating hepatotoxicity had occurred. Therefore, induction of Mrp4 mRNA was likely attributable to APAP-induced liver injury. Mrp4 has been shown to be upregulated during oxidative stress, and it is well-established that APAP overdose causes oxidative stress due to depletion of glutathione. Given the importance of Mrp4 upregulation as an adaptive response during cholestatic and oxidative liver injury, we next investigated the extent by which human MRP4 can be inhibited by the analgesics, APAP, diclofenac (DCF), and their metabolites. Using an in vitro assay with inside out human MRP4 vesicles, we determined that APAP-cysteine inhibited MRP4-mediated transport of leukotriene C4 with an apparent IC50 of 125 μM. APAP-glutathione also attenuated MRP4 activity though it achieved only 28% inhibition at 300 μM. Diclofenac acyl glucuronide (DCF-AG) inhibited MRP4 transport by 34% at 300 μM. The MRP4 in vitro inhibition occurs at APAP-cysteine and DCF-AG concentrations seen in vivo after toxic doses of APAP or DCF in mice, hence the findings are important given the role that Mrp4 serves as a compensatory response during oxidative stress following toxic challenge.
Graphical abstract Unlabelled Image
Highlights • Following 400 mg/kg APAP in mice, mean ALT 12 hours post-dose was 1,140 U/L • A statistically significant increase in Mrp4 mRNA was observed 12 hours post-dose • APAP-CYS inhibited human MRP4 transport of LTC4 with an IC50 = 125 μM (Ki = 122 μM) • APAP-GSH decreased MRP4 transport by 29% inhibition at 300 μM • APAP, APAP-GLU, APAP-NAC, and APAP-SUL did not exhibit significant MRP4 inhibition
Databáze: OpenAIRE