Glutamate dehydrogenase as a biomarker for mitotoxicity; insights from furosemide hepatotoxicity in the mouse

PLoS One. 2020 Oct 9;15(10):e0240562. doi: 10.1371/journal.pone.0240562. eCollection 2020.

Abstract

Glutamate dehydrogenase (GLDH) is a liver-specific biomarker of hepatocellular damage currently undergoing qualification as a drug development tool. Since GLDH is located within the mitochondrial matrix, it has been hypothesized that it might also be useful in assessing mitotoxicity as an initiating event during drug-induced liver injury. According to this hypothesis, hepatocyte death that does not involve primary mitochondrial injury would result in release of intact mitochondria into circulation that could be removed by high speed centrifugation and result in lower GLDH activity measured in spun serum vs un-spun serum. A single prior study in mice has provided some support for this hypothesis. We sought to repeat and extend the findings of this study. Accordingly, mice were treated with the known mitochondrial toxicant, acetaminophen (APAP), or with furosemide (FS), a toxicant believed to cause hepatocyte death through mechanisms not involving mitotoxicity as initiating event. We measured GLDH levels in fresh plasma before and after high speed centrifugation to remove intact mitochondria. We found that both APAP and FS treatments caused substantial hepatocellular necrosis that correlated with plasma alanine aminotransferase (ALT) and GLDH elevations. The plasma GLDH activity in both the APAP- and FS- treated mice was not affected by high-speed centrifugation. Interestingly, the ratio of GLDH:ALT was 5-fold lower during FS compared to APAP hepatotoxicity. Electron microscopy confirmed that both APAP- and FS-treatments had resulted in mitochondrial injury. Mitochondria within vesicles were only observed in the FS-treated mice raising the possibility that mitophagy might account for reduced release of GLDH in the FS-treated mice. Although our results show that plasma GLDH is not clinically useful for evaluating mitotoxicity, the GLDH:ALT ratio as a measure of mitophagy needs to be further studied.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetaminophen / adverse effects
  • Alanine Transaminase / blood*
  • Animals
  • Biomarkers / blood
  • Chemical and Drug Induced Liver Injury / metabolism*
  • Furosemide / adverse effects*
  • Glutamate Dehydrogenase / blood*
  • Hepatocytes / metabolism
  • Hepatocytes / pathology
  • Liver / metabolism
  • Liver / pathology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mitochondria, Liver* / drug effects
  • Mitochondria, Liver* / metabolism
  • Mitophagy / drug effects*

Substances

  • Biomarkers
  • Acetaminophen
  • Furosemide
  • Glutamate Dehydrogenase
  • Alanine Transaminase

Grants and funding

This study was a collaboration between authors PBW and RJC at the University of North Carolina at Chapel Hill and author JA who was at Pfizer when this study was completed. The in-life animal study was performed at UNC (by JSE) while clinical chemistry, histopathology, and electron microscopy were performed at Pfizer (by authors SJS, GGB, and JA). No money was exchanged between UNC and Pfizer for this work; both UNC and Pfizer used internal discretionary funding for this collaboration. Pfizer provided support in the form of salaries for authors (SJS, GGB, JMK, and JA), but did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. The specific roles of these authors are articulated in the “authors contributions” section.