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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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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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.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0231173</identifier><identifier>PMID: 32251487</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>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</subject><ispartof>PloS one, 2020-04, Vol.15 (4), p.e0231173-e0231173</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Piel et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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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.</description><subject>Acetaminophen</subject><subject>Acetylcysteine</subject><subject>Analgesics</subject><subject>Analysis</subject><subject>Antioxidants</subject><subject>Antioxidants (Nutrients)</subject><subject>Automation</subject><subject>Basic Medicine</subject><subject>Biology and Life Sciences</subject><subject>Blood platelets</subject><subject>Care and treatment</subject><subject>Cells (Biology)</subject><subject>Characterization</subject><subject>Chemical compounds</subject><subject>Drug dosages</subject><subject>Drug therapy</subject><subject>Drugs</subject><subject>EDTA</subject><subject>Electron transport chain</subject><subject>Farmakologi och toxikologi</subject><subject>Health aspects</subject><subject>Hepatocytes</subject><subject>Injuries</subject><subject>Liver</subject><subject>Liver diseases</subject><subject>Liver 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succinate prodrugs rescue mitochondrial respiration in cellular models of acute acetaminophen overdose</title><author>Piel, Sarah ; Chamkha, Imen ; Dehlin, Adam Kozak ; Ehinger, Johannes K ; Sjövall, Fredrik ; Elmér, Eskil ; Hansson, Magnus J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c761t-ff4f06f400dbf26ed4438da8fd15959ceba5ab48131931aa755b74bca5d8a5933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acetaminophen</topic><topic>Acetylcysteine</topic><topic>Analgesics</topic><topic>Analysis</topic><topic>Antioxidants</topic><topic>Antioxidants (Nutrients)</topic><topic>Automation</topic><topic>Basic Medicine</topic><topic>Biology and Life Sciences</topic><topic>Blood platelets</topic><topic>Care and treatment</topic><topic>Cells (Biology)</topic><topic>Characterization</topic><topic>Chemical compounds</topic><topic>Drug dosages</topic><topic>Drug 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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.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32251487</pmid><doi>10.1371/journal.pone.0231173</doi><tpages>e0231173</tpages><orcidid>https://orcid.org/0000-0002-2417-5767</orcidid><orcidid>https://orcid.org/0000-0001-5612-0325</orcidid><orcidid>https://orcid.org/0000-0002-1779-3532</orcidid><oa>free_for_read</oa></addata></record> |
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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 |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-02T01%3A38%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Cell-permeable%20succinate%20prodrugs%20rescue%20mitochondrial%20respiration%20in%20cellular%20models%20of%20acute%20acetaminophen%20overdose&rft.jtitle=PloS%20one&rft.au=Piel,%20Sarah&rft.date=2020-04-06&rft.volume=15&rft.issue=4&rft.spage=e0231173&rft.epage=e0231173&rft.pages=e0231173-e0231173&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0231173&rft_dat=%3Cgale_plos_%3EA619584397%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2386851265&rft_id=info:pmid/32251487&rft_galeid=A619584397&rft_doaj_id=oai_doaj_org_article_38c8ab6c0c2b4962a46ddb921cd97c16&rfr_iscdi=true |