CYP2E1 and miRNA-378a-3p contribute to acetaminophen- or tripterygium glycosides-induced hepatotoxicity

Basic Clin Pharmacol Toxicol. 2020 Feb;126(2):153-165. doi: 10.1111/bcpt.13313. Epub 2019 Oct 20.

Abstract

Increased expression of CYP2E1 may represent the main factor contributing to oxidative stress-mediated liver damage in drug-induced liver injury (DILI). However, the regulation mechanism of CYP2E1 expression is poorly described. The present study was aimed to investigate the role of CYP2E1 in acetaminophen (APAP)- or tripterygium glycosides (TG)-induced hepatotoxicity as well as the regulation of CYP2E1 and miR-378a-3p expression by APAP or TG. Rats were randomly divided and treated with APAP, TG, chlormethiazole (CMZ), APAP + CMZ and TG + CMZ, respectively, for 4 weeks. Then, blood and liver samples were collected. Serum and hepatic biochemical parameters were measured using commercial kits. Liver histopathology was tested by H&E staining. Expression levels of CYP2E1 mRNA and miR-378a-3p were detected by qRT-PCR. CYP2E1 protein expression was determined by Western blot. Our results showed that CMZ effectively restored the hepatic histopathological changes, oxidative stress biomarkers and TNF-α levels induced by APAP or TG. CYP2E1 mRNA and/or protein expression levels were dramatically increased after chronic APAP or TG treatment, while this induction was significantly reversed by CMZ co-treatment. Of note, miR-378a-3p expression levels were significantly suppressed after APAP, TG and/or CMZ treatment. These results suggested that CYP2E1 were highly induced after chronic APAP or TG treatment, which in turn play an important role in APAP- or TG-induced hepatotoxicity. These inductions of CYP2E1 expression were probably carried out by inhibition of miR-378a-3p. Our findings might provide a new molecular basis for DILI.

Keywords: CYP2E1; acetaminophen; hepatotoxicity; miR-378a-3p; tripterygium glycosides.

MeSH terms

  • Acetaminophen / toxicity*
  • Animals
  • Chemical and Drug Induced Liver Injury / etiology*
  • Chemical and Drug Induced Liver Injury / genetics
  • Chlormethiazole / pharmacology
  • Cytochrome P-450 CYP2E1 / genetics
  • Gene Expression Regulation, Enzymologic
  • Glycosides / isolation & purification
  • Glycosides / toxicity*
  • Male
  • MicroRNAs / genetics
  • Oxidative Stress / drug effects
  • Rats
  • Rats, Sprague-Dawley
  • Tripterygium / chemistry*

Substances

  • Glycosides
  • MIRN378 microRNA, rat
  • MicroRNAs
  • Chlormethiazole
  • Acetaminophen
  • Cytochrome P-450 CYP2E1