The role of p-aminophenol in acetaminophen-induced nephrotoxicity: Effect of bis( p-nitrophenyl) phosphate on acetaminophen and p-aminophenol nephrotoxicity and metabolism in Fischer 344 rats

Acetaminophen (APAP) produces proximal tubular necrosis in Fischer 344 (F344) rats. Recently, p-aminophenol (PAP), a known potent nephrotoxicant, was identified as a metabolite of APAP in F344 rats. The purpose of this study was to determine if PAP formation is a requisite step in APAP-induced nephr...

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Veröffentlicht in:Toxicology and applied pharmacology 1985, Vol.81 (3), p.416-430
Hauptverfasser: Newton, J.F., Kuo, C-H., DeShone, G.M., Hoefle, D., Bernstein, J., Hook, J.B.
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container_issue 3
container_start_page 416
container_title Toxicology and applied pharmacology
container_volume 81
creator Newton, J.F.
Kuo, C-H.
DeShone, G.M.
Hoefle, D.
Bernstein, J.
Hook, J.B.
description Acetaminophen (APAP) produces proximal tubular necrosis in Fischer 344 (F344) rats. Recently, p-aminophenol (PAP), a known potent nephrotoxicant, was identified as a metabolite of APAP in F344 rats. The purpose of this study was to determine if PAP formation is a requisite step in APAP-induced nephrotoxicity. Therefore, the effect of bis( p-nitrophenyl) phosphate (BNPP), an acylamidase inhibitor, on APAP and PAP nephrotoxicity and metabolism was determined. BNPP (1 to 8 m m) reduced APAP deacetylation and covalent binding in F344 renal cortical homogenates in a concentration-dependent manner. Pretreatment of animals with BNPP prior to APAP or PAP administration resulted in marked reduction of APAP (900 mg/kg) nephrotoxicity but not PAP nephrotoxicity. This result was not due to altered disposition of either APAP or acetylated metabolites in plasma or renal cortical and hepatic tissue. Rather, BNPP pretreatment reduced the fraction of APAP excreted as PAP by 64 and 75% after APAP doses of 750 and 900 mg/kg. BNPP did not alter the excretion of APAP or any of its non-deacetylated metabolites nor did BNPP alter excretion of PAP or its metabolites after PAP doses of 150 and 300 mg/kg. Therefore, the BNPP-induced reduction in APAP-induced nephrotoxicity appears to be due to inhibition of APAP deacetylation. It is concluded that PAP formation, in vivo, accounts, at least in part, for APAP-induced renal tubular necrosis.
doi_str_mv 10.1016/0041-008X(85)90413-2
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Recently, p-aminophenol (PAP), a known potent nephrotoxicant, was identified as a metabolite of APAP in F344 rats. The purpose of this study was to determine if PAP formation is a requisite step in APAP-induced nephrotoxicity. Therefore, the effect of bis( p-nitrophenyl) phosphate (BNPP), an acylamidase inhibitor, on APAP and PAP nephrotoxicity and metabolism was determined. BNPP (1 to 8 m m) reduced APAP deacetylation and covalent binding in F344 renal cortical homogenates in a concentration-dependent manner. Pretreatment of animals with BNPP prior to APAP or PAP administration resulted in marked reduction of APAP (900 mg/kg) nephrotoxicity but not PAP nephrotoxicity. This result was not due to altered disposition of either APAP or acetylated metabolites in plasma or renal cortical and hepatic tissue. Rather, BNPP pretreatment reduced the fraction of APAP excreted as PAP by 64 and 75% after APAP doses of 750 and 900 mg/kg. BNPP did not alter the excretion of APAP or any of its non-deacetylated metabolites nor did BNPP alter excretion of PAP or its metabolites after PAP doses of 150 and 300 mg/kg. Therefore, the BNPP-induced reduction in APAP-induced nephrotoxicity appears to be due to inhibition of APAP deacetylation. 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Recently, p-aminophenol (PAP), a known potent nephrotoxicant, was identified as a metabolite of APAP in F344 rats. The purpose of this study was to determine if PAP formation is a requisite step in APAP-induced nephrotoxicity. Therefore, the effect of bis( p-nitrophenyl) phosphate (BNPP), an acylamidase inhibitor, on APAP and PAP nephrotoxicity and metabolism was determined. BNPP (1 to 8 m m) reduced APAP deacetylation and covalent binding in F344 renal cortical homogenates in a concentration-dependent manner. Pretreatment of animals with BNPP prior to APAP or PAP administration resulted in marked reduction of APAP (900 mg/kg) nephrotoxicity but not PAP nephrotoxicity. This result was not due to altered disposition of either APAP or acetylated metabolites in plasma or renal cortical and hepatic tissue. Rather, BNPP pretreatment reduced the fraction of APAP excreted as PAP by 64 and 75% after APAP doses of 750 and 900 mg/kg. BNPP did not alter the excretion of APAP or any of its non-deacetylated metabolites nor did BNPP alter excretion of PAP or its metabolites after PAP doses of 150 and 300 mg/kg. Therefore, the BNPP-induced reduction in APAP-induced nephrotoxicity appears to be due to inhibition of APAP deacetylation. It is concluded that PAP formation, in vivo, accounts, at least in part, for APAP-induced renal tubular necrosis.</description><subject>Acetaminophen - metabolism</subject><subject>Acetaminophen - toxicity</subject><subject>Acetaminophen - urine</subject><subject>Aminophenols - metabolism</subject><subject>Aminophenols - toxicity</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Body Weight - drug effects</subject><subject>Drug toxicity and drugs side effects treatment</subject><subject>Injections, Intraperitoneal</subject><subject>Kidney Cortex Necrosis - chemically induced</subject><subject>Kidney Cortex Necrosis - metabolism</subject><subject>Kidney Cortex Necrosis - pathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nitrophenols - pharmacology</subject><subject>Organ Size - drug effects</subject><subject>Pharmacology. 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Drug treatments</topic><topic>Rats</topic><topic>Rats, Inbred F344</topic><topic>Toxicity: urogenital system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Newton, J.F.</creatorcontrib><creatorcontrib>Kuo, C-H.</creatorcontrib><creatorcontrib>DeShone, G.M.</creatorcontrib><creatorcontrib>Hoefle, D.</creatorcontrib><creatorcontrib>Bernstein, J.</creatorcontrib><creatorcontrib>Hook, J.B.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Toxicology and applied pharmacology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Newton, J.F.</au><au>Kuo, C-H.</au><au>DeShone, G.M.</au><au>Hoefle, D.</au><au>Bernstein, J.</au><au>Hook, J.B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of p-aminophenol in acetaminophen-induced nephrotoxicity: Effect of bis( p-nitrophenyl) phosphate on acetaminophen and p-aminophenol nephrotoxicity and metabolism in Fischer 344 rats</atitle><jtitle>Toxicology and applied pharmacology</jtitle><addtitle>Toxicol Appl Pharmacol</addtitle><date>1985</date><risdate>1985</risdate><volume>81</volume><issue>3</issue><spage>416</spage><epage>430</epage><pages>416-430</pages><issn>0041-008X</issn><eissn>1096-0333</eissn><coden>TXAPA9</coden><abstract>Acetaminophen (APAP) produces proximal tubular necrosis in Fischer 344 (F344) rats. Recently, p-aminophenol (PAP), a known potent nephrotoxicant, was identified as a metabolite of APAP in F344 rats. The purpose of this study was to determine if PAP formation is a requisite step in APAP-induced nephrotoxicity. Therefore, the effect of bis( p-nitrophenyl) phosphate (BNPP), an acylamidase inhibitor, on APAP and PAP nephrotoxicity and metabolism was determined. BNPP (1 to 8 m m) reduced APAP deacetylation and covalent binding in F344 renal cortical homogenates in a concentration-dependent manner. Pretreatment of animals with BNPP prior to APAP or PAP administration resulted in marked reduction of APAP (900 mg/kg) nephrotoxicity but not PAP nephrotoxicity. This result was not due to altered disposition of either APAP or acetylated metabolites in plasma or renal cortical and hepatic tissue. Rather, BNPP pretreatment reduced the fraction of APAP excreted as PAP by 64 and 75% after APAP doses of 750 and 900 mg/kg. BNPP did not alter the excretion of APAP or any of its non-deacetylated metabolites nor did BNPP alter excretion of PAP or its metabolites after PAP doses of 150 and 300 mg/kg. Therefore, the BNPP-induced reduction in APAP-induced nephrotoxicity appears to be due to inhibition of APAP deacetylation. It is concluded that PAP formation, in vivo, accounts, at least in part, for APAP-induced renal tubular necrosis.</abstract><cop>San Diego, CA</cop><pub>Elsevier Inc</pub><pmid>4082192</pmid><doi>10.1016/0041-008X(85)90413-2</doi><tpages>15</tpages></addata></record>
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subjects Acetaminophen - metabolism
Acetaminophen - toxicity
Acetaminophen - urine
Aminophenols - metabolism
Aminophenols - toxicity
Animals
Biological and medical sciences
Body Weight - drug effects
Drug toxicity and drugs side effects treatment
Injections, Intraperitoneal
Kidney Cortex Necrosis - chemically induced
Kidney Cortex Necrosis - metabolism
Kidney Cortex Necrosis - pathology
Male
Medical sciences
Nitrophenols - pharmacology
Organ Size - drug effects
Pharmacology. Drug treatments
Rats
Rats, Inbred F344
Toxicity: urogenital system
title The role of p-aminophenol in acetaminophen-induced nephrotoxicity: Effect of bis( p-nitrophenyl) phosphate on acetaminophen and p-aminophenol nephrotoxicity and metabolism in Fischer 344 rats
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