Cell-permeable succinate prodrugs rescue mitochondrial respiration in cellular models of acute acetaminophen overdose

Acetaminophen is one of the most common over-the-counter pain medications used worldwide and is considered safe at therapeutic dose. However, intentional and unintentional overdose accounts for up to 70% of acute liver failure cases in the western world. Extensive research has demonstrated that the...

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Veröffentlicht in:PloS one 2020-04, Vol.15 (4), p.e0231173-e0231173
Hauptverfasser: Piel, Sarah, Chamkha, Imen, Dehlin, Adam Kozak, Ehinger, Johannes K, Sjövall, Fredrik, Elmér, Eskil, Hansson, Magnus J
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container_title PloS one
container_volume 15
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Chamkha, Imen
Dehlin, Adam Kozak
Ehinger, Johannes K
Sjövall, Fredrik
Elmér, Eskil
Hansson, Magnus J
description Acetaminophen is one of the most common over-the-counter pain medications used worldwide and is considered safe at therapeutic dose. However, intentional and unintentional overdose accounts for up to 70% of acute liver failure cases in the western world. Extensive research has demonstrated that the induction of oxidative stress and mitochondrial dysfunction are central to the development of acetaminophen-induced liver injury. Despite the insight gained on the mechanism of acetaminophen toxicity, there still is only one clinically approved pharmacological treatment option, N-acetylcysteine. N-acetylcysteine increases the cell's antioxidant defense and protects liver cells from further acetaminophen-induced oxidative damage. Because it primarily protects healthy liver cells rather than rescuing the already injured cells alternative treatment strategies that target the latter cell population are warranted. In this study, we investigated mitochondria as therapeutic target for the development of novel treatment strategies for acetaminophen-induced liver injury. Characterization of the mitochondrial toxicity due to acute acetaminophen overdose in vitro in human cells using detailed respirometric analysis revealed that complex I-linked (NADH-dependent) but not complex II-linked (succinate-dependent) mitochondrial respiration is inhibited by acetaminophen. Treatment with a novel cell-permeable succinate prodrug rescues acetaminophen-induced impaired mitochondrial respiration. This suggests cell-permeable succinate prodrugs as a potential alternative treatment strategy to counteract acetaminophen-induced liver injury.
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subjects Acetaminophen
Acetylcysteine
Analgesics
Analysis
Antioxidants
Antioxidants (Nutrients)
Automation
Basic Medicine
Biology and Life Sciences
Blood platelets
Care and treatment
Cells (Biology)
Characterization
Chemical compounds
Drug dosages
Drug therapy
Drugs
EDTA
Electron transport chain
Farmakologi och toxikologi
Health aspects
Hepatocytes
Injuries
Liver
Liver diseases
Liver failure
Medical and Health Sciences
Medical research
Medicin och hälsovetenskap
Medicine
Medicine and Health Sciences
Medicinska och farmaceutiska grundvetenskaper
Mitochondria
NADH
Nicotinamide adenine dinucleotide
Nonprescription drugs
Novels
Overdose
Oxidative stress
Pain
Permeability
Pharmaceuticals
Pharmacology and Toxicology
Phosphorylation
Prodrugs
Respiration
Therapeutic applications
Toxicity
title Cell-permeable succinate prodrugs rescue mitochondrial respiration in cellular models of acute acetaminophen overdose
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