The c-Met inhibitor capmatinib alleviates acetaminophen-induced hepatotoxicity

Int Immunopharmacol. 2020 Apr:81:106292. doi: 10.1016/j.intimp.2020.106292. Epub 2020 Feb 14.

Abstract

Acetaminophen (APAP)-induced hepatotoxicity comes among the most frequent humans' toxicities caused by drugs. So far, therapeutic interventions for such type of drug-induced toxicity are still limited. In the current study, we examined the influence of capmatinib (Cap), a novel c-Met inhibitor, on APAP-induced hepatotoxicity in mice when administered 2 h prior, 2 h post and 4 h post APAP-challenge. The results revealed that Cap administration significantly attenuated APAP-induced liver injury when administered only 2 h prior and post APAP-administration. Cap hepatoprotective effect was mediated by lowering the excessive formation of lipid peroxidation and nitrosative stress products caused by APAP. Besides, Cap attenuated APAP-induced overproduction and release of proinflammatory mediators like TNF-α, IL-1β, IL-17A, IL-6, and MCP-1. Cap treatment also led to avoidance of APAP-subsequent repair by abating APAP-induced elevation of hepatic IL-22 and PCNA expressions. In conclusion, c-Met receptor inhibition may be a potential strategy for alleviating APAP-hepatotoxicity, especially when administered in the early phase of intoxication.

Keywords: Acetaminophen; Capmatinib; Hepatotoxicity; Sterile Inflammation; c-Met.

MeSH terms

  • Acetaminophen / adverse effects*
  • Acetaminophen / therapeutic use
  • Animals
  • Anti-Inflammatory Agents / therapeutic use*
  • Benzamides
  • Chemical and Drug Induced Liver Injury / drug therapy*
  • Cytokines / metabolism
  • Disease Models, Animal
  • Humans
  • Imidazoles / therapeutic use*
  • Inflammation Mediators / metabolism
  • Interleukin-22
  • Interleukins / metabolism
  • Lipid Peroxidation
  • Liver / metabolism*
  • Liver / pathology
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Nitrosative Stress
  • Proliferating Cell Nuclear Antigen / metabolism
  • Proto-Oncogene Proteins c-met / antagonists & inhibitors*
  • Triazines / therapeutic use*

Substances

  • Anti-Inflammatory Agents
  • Benzamides
  • Cytokines
  • Imidazoles
  • Inflammation Mediators
  • Interleukins
  • Proliferating Cell Nuclear Antigen
  • Triazines
  • Acetaminophen
  • Proto-Oncogene Proteins c-met
  • capmatinib