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Jiang X, Zhou Q, Du B, Li S, Huang Y, Chi Z, Lee WM, Yu M, Zheng J. Noninvasive monitoring of hepatic glutathione depletion through fluorescence imaging and blood testing. SCIENCE ADVANCES 2021; 7:7/8/eabd9847. [PMID: 33608272 PMCID: PMC7895432 DOI: 10.1126/sciadv.abd9847] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/23/2020] [Accepted: 01/06/2021] [Indexed: 05/29/2023]
Abstract
Hepatic glutathione plays a key role in regulating redox potential of the entire body, and its depletion is known to increase susceptibility to oxidative stress involved in many diseases. However, this crucial pathophysiological event can only be detected noninvasively with high-end instrumentation or invasively with surgical biopsy, limiting both preclinical research and clinical prevention of oxidative stress-related diseases. Here, we report that both in vivo fluorescence imaging and blood testing (the first-line detection in the clinics) can be used for noninvasive and consecutive monitoring of hepatic glutathione depletion at high specificity and accuracy with assistance of a body-clearable nanoprobe, of which emission and surface chemistries are selectively activated and transformed by hepatic glutathione in the liver sinusoids. These findings open a new avenue to designing exogenous blood markers that can carry information of local disease through specific nanobiochemical interactions back to the bloodstream for facile and rapid disease detection.
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Affiliation(s)
- Xingya Jiang
- Department of Chemistry and Biochemistry, The University of Texas at Dallas, 800 West Campbell Road, Richardson, TX 75080, USA
| | - Qinhan Zhou
- Department of Chemistry and Biochemistry, The University of Texas at Dallas, 800 West Campbell Road, Richardson, TX 75080, USA
| | - Bujie Du
- Department of Chemistry and Biochemistry, The University of Texas at Dallas, 800 West Campbell Road, Richardson, TX 75080, USA
| | - Siqing Li
- Department of Chemistry and Biochemistry, The University of Texas at Dallas, 800 West Campbell Road, Richardson, TX 75080, USA
| | - Yingyu Huang
- Department of Chemistry and Biochemistry, The University of Texas at Dallas, 800 West Campbell Road, Richardson, TX 75080, USA
| | - Zhikai Chi
- Department of Pathology, University of Texas Southwestern Medical Center at Dallas, Dallas, TX 75390-8887, USA
| | - William M Lee
- Division of Digestive and Liver Diseases, Department of Internal Medicine, University of Texas Southwestern Medical Center at Dallas, Dallas, TX 75390-8887, USA
| | - Mengxiao Yu
- Department of Chemistry and Biochemistry, The University of Texas at Dallas, 800 West Campbell Road, Richardson, TX 75080, USA
| | - Jie Zheng
- Department of Chemistry and Biochemistry, The University of Texas at Dallas, 800 West Campbell Road, Richardson, TX 75080, USA.
- Department of Urology, University of Texas Southwestern Medical Center at Dallas, Dallas, TX 75390-8887, USA
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3
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Todorović Vukotić N, Đorđević J, Pejić S, Đorđević N, Pajović SB. Antidepressants- and antipsychotics-induced hepatotoxicity. Arch Toxicol 2021; 95:767-789. [PMID: 33398419 PMCID: PMC7781826 DOI: 10.1007/s00204-020-02963-4] [Citation(s) in RCA: 39] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2020] [Accepted: 11/26/2020] [Indexed: 02/06/2023]
Abstract
Drug-induced liver injury (DILI) is a serious health burden. It has diverse clinical presentations that can escalate to acute liver failure. The worldwide increase in the use of psychotropic drugs, their long-term use on a daily basis, common comorbidities of psychiatric and metabolic disorders, and polypharmacy in psychiatric patients increase the incidence of psychotropics-induced DILI. During the last 2 decades, hepatotoxicity of various antidepressants (ADs) and antipsychotics (APs) received much attention. Comprehensive review and discussion of accumulated literature data concerning this issue are performed in this study, as hepatotoxic effects of most commonly prescribed ADs and APs are classified, described, and discussed. The review focuses on ADs and APs characterized by the risk of causing liver damage and highlights the ones found to cause life-threatening or severe DILI cases. In parallel, an overview of hepatic oxidative stress, inflammation, and steatosis underlying DILI is provided, followed by extensive review and discussion of the pathophysiology of AD- and AP-induced DILI revealed in case reports, and animal and in vitro studies. The consequences of some ADs and APs ability to affect drug-metabolizing enzymes and therefore provoke drug–drug interactions are also addressed. Continuous collecting of data on drugs, mechanisms, and risk factors for DILI, as well as critical data reviewing, is crucial for easier DILI diagnosis and more efficient risk assessment of AD- and AP-induced DILI. Higher awareness of ADs and APs hepatotoxicity is the prerequisite for their safe use and optimal dosing.
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Affiliation(s)
- Nevena Todorović Vukotić
- Department of Molecular Biology and Endocrinology, "Vinča" Institute of Nuclear Sciences, National Institute of the Republic of Serbia, University of Belgrade, 12-14 Mike Petrovića Alasa, P.O. Box 522-090, 11000, Belgrade, Serbia.
| | - Jelena Đorđević
- Institute of Physiology and Biochemistry "Ivan Đaja", Faculty of Biology, University of Belgrade, 16 Studentski Trg, 11000, Belgrade, Serbia
| | - Snežana Pejić
- Department of Molecular Biology and Endocrinology, "Vinča" Institute of Nuclear Sciences, National Institute of the Republic of Serbia, University of Belgrade, 12-14 Mike Petrovića Alasa, P.O. Box 522-090, 11000, Belgrade, Serbia
| | - Neda Đorđević
- Department of Molecular Biology and Endocrinology, "Vinča" Institute of Nuclear Sciences, National Institute of the Republic of Serbia, University of Belgrade, 12-14 Mike Petrovića Alasa, P.O. Box 522-090, 11000, Belgrade, Serbia
| | - Snežana B Pajović
- Department of Molecular Biology and Endocrinology, "Vinča" Institute of Nuclear Sciences, National Institute of the Republic of Serbia, University of Belgrade, 12-14 Mike Petrovića Alasa, P.O. Box 522-090, 11000, Belgrade, Serbia.,Faculty of Medicine, University of Niš, 81 Blvd. Dr. Zorana Đinđića, 18000, Niš, Serbia
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5
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Firman JW, Pestana CB, Rathman JF, Vinken M, Yang C, Cronin MTD. A Robust, Mechanistically Based In Silico Structural Profiler for Hepatic Cholestasis. Chem Res Toxicol 2020; 34:641-655. [PMID: 33314907 DOI: 10.1021/acs.chemrestox.0c00465] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Owing to the primary role which it holds within metabolism of xenobiotics, the liver stands at heightened risk of exposure to, and injury from, potentially hazardous substances. A principal manifestation of liver dysfunction is cholestasis-the impairment of physiological bile circulation from its point of origin within the organ to the site of action in the small intestine. The capacity for early identification of compounds liable to exert cholestatic effects is of particular utility within the field of pharmaceutical development, where contribution toward candidate attrition is great. Shortcomings associated with the present in vitro methodologies forecasting cholestasis render their predictivity questionable, permitting scope for the adoption of computational toxicology techniques. As such, the intention of this study has been to construct an in silico profiler, founded upon clinical data, highlighting structural motifs most reliably associated with the end point. Drawing upon a list of >1500 small molecular drugs, compiled and annotated by Kotsampasakou, E. and Ecker, G. F. (J. Chem. Inf. Model. 2017, 57, 608-615), we have formulated a series of 15 structural alerts. These describe fragments intrinsic within distinct pharmaceutical classes including psychoactive tricyclics, β-lactam antimicrobials, and estrogenic/androgenic steroids. Description of the coverage and selectivity of each are provided, alongside consideration of the underlying reactive mechanisms and relevant structure-activity concerns. Provision of mechanistic anchoring ensures that potential exists for framing within the adverse outcome pathway paradigm-the chemistry conveyed through the alert, in particular enabling rationalization at the level of the molecular initiating event.
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Affiliation(s)
- James W Firman
- School of Pharmacy and Biomolecular Sciences, Liverpool John Moores University, Byrom Street, Liverpool L3 3AF, United Kingdom
| | - Cynthia B Pestana
- School of Pharmacy and Biomolecular Sciences, Liverpool John Moores University, Byrom Street, Liverpool L3 3AF, United Kingdom
| | - James F Rathman
- Molecular Networks GmbH, Neumeyerstraße 28, 90411 Nuremberg, Germany.,Altamira, LLC, Columbus, Ohio 43210, United States.,Chemical and Biomolecular Engineering, The Ohio State University, Columbus, Ohio 43210, United States
| | - Mathieu Vinken
- Department of In Vitro Toxicology and Dermato-Cosmetology, Vrije Universiteit Brussel, 1090 Brussels, Belgium
| | - Chihae Yang
- Molecular Networks GmbH, Neumeyerstraße 28, 90411 Nuremberg, Germany.,Altamira, LLC, Columbus, Ohio 43210, United States
| | - Mark T D Cronin
- School of Pharmacy and Biomolecular Sciences, Liverpool John Moores University, Byrom Street, Liverpool L3 3AF, United Kingdom
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6
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Tolosa L, Jiménez N, Pelechá M, Castell JV, Gómez-Lechón MJ, Donato MT. Long-term and mechanistic evaluation of drug-induced liver injury in Upcyte human hepatocytes. Arch Toxicol 2018; 93:519-532. [PMID: 30426164 DOI: 10.1007/s00204-018-2349-y] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2018] [Accepted: 11/08/2018] [Indexed: 12/21/2022]
Abstract
Drug-induced liver injury (DILI) constitutes one of the most frequent reasons of restricted-use warnings as well as withdrawals of drugs in postmarketing and poses an important concern for the pharmaceutical industry. The current hepatic in vivo and in vitro models for DILI detection have shown clear limitations, mainly for studies of long-term hepatotoxicity. For this reason, we here evaluated the potential of using Upcytes human hepatocytes (UHH) for repeated-dose long-term exposure to drugs. The UHH were incubated with 15 toxic and non-toxic compounds for up to 21 days using a repeated-dose approach, and, in addition to conventional examination of effects on viability, the mechanisms implicated in cell toxicity were also assessed by means of high-content screening. The UHH maintained the expression and activity levels of drug-metabolizing enzymes for up to 21 days of culture and became more sensitive to the toxic compounds after extended exposures, showing inter-donor differences which would reflect variability among the population. The assay also allowed to detect the main mechanisms implicated in the toxicity of each drug as well as identifying special susceptibilities depending on the donor. UHH can be used for a long-term repeated detection of DILI at clinically relevant concentrations and also offers key mechanistic features of drug-induced hepatotoxicity. This system is therefore a promising tool in preclinical testing of human relevance that could help to reduce and/or replace animal testing for drug adverse effects.
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Affiliation(s)
- Laia Tolosa
- Unidad de Hepatología Experimental, Torre A. Instituto Investigación Sanitaria La Fe, Av Fernando Abril Martorell 106, 46026, Valencia, Spain.
| | - Nuria Jiménez
- Unidad de Hepatología Experimental, Torre A. Instituto Investigación Sanitaria La Fe, Av Fernando Abril Martorell 106, 46026, Valencia, Spain
| | - María Pelechá
- Unidad de Hepatología Experimental, Torre A. Instituto Investigación Sanitaria La Fe, Av Fernando Abril Martorell 106, 46026, Valencia, Spain
| | - José V Castell
- Unidad de Hepatología Experimental, Torre A. Instituto Investigación Sanitaria La Fe, Av Fernando Abril Martorell 106, 46026, Valencia, Spain.,Departamento de Bioquímica y Biología Molecular, Facultad de Medicina, Universidad de Valencia, 46010, Valencia, Spain
| | - Mª José Gómez-Lechón
- Unidad de Hepatología Experimental, Torre A. Instituto Investigación Sanitaria La Fe, Av Fernando Abril Martorell 106, 46026, Valencia, Spain
| | - M Teresa Donato
- Unidad de Hepatología Experimental, Torre A. Instituto Investigación Sanitaria La Fe, Av Fernando Abril Martorell 106, 46026, Valencia, Spain. .,Departamento de Bioquímica y Biología Molecular, Facultad de Medicina, Universidad de Valencia, 46010, Valencia, Spain.
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9
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Bachour-El Azzi P, Sharanek A, Abdel-Razzak Z, Antherieu S, Al-Attrache H, Savary CC, Lepage S, Morel I, Labbe G, Guguen-Guillouzo C, Guillouzo A. Impact of inflammation on chlorpromazine-induced cytotoxicity and cholestatic features in HepaRG cells. Drug Metab Dispos 2014; 42:1556-66. [PMID: 25002748 DOI: 10.1124/dmd.114.058123] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
Abstract
Several factors are thought to be implicated in the occurrence of idiosyncratic adverse drug reactions. The present work aimed to question as to whether inflammation is a determinant factor in hepatic lesions induced by chlorpromazine (CPZ) using the human HepaRG cell line. An inflammation state was induced by a 24-hour exposure to proinflammatory cytokines interleukin-6 (IL-6) and IL-1β; then the cells were simultaneously treated with CPZ and/or cytokine for 24 hours or daily for 5 days. The inflammatory response was assessed by induction of C-reactive protein and IL-8 transcripts and proteins as well as inhibition of CPZ metabolism and down-regulation of cytochrome 3A4 (CYP3A4) and CYP1A2 transcripts, two major cytochrome P450 (P450) enzymes involved in its metabolism. Most effects of cotreatments with cytokines and CPZ were amplified or only observed after five daily treatments; they mainly included increased cytotoxicity and overexpression of oxidative stress-related genes, decreased Na(+)-taurocholate cotransporting polypeptide mRNA levels and activity, a key transporter involved in bile acids uptake, and deregulation of several other transporters. However, CPZ-induced inhibition of taurocholic acid efflux and pericanalicular F-actin distribution were not affected. In addition, a time-dependent induction of phospholipidosis was noticed in CPZ-treated cells, without obvious influence of the inflammatory stress. In summary, our results show that an inflammatory state induced by proinflammatory cytokines increased cytotoxicity and enhanced some cholestatic features induced by the idiosyncratic drug CPZ in HepaRG cells. These changes, together with inhibition of P450 activities, could have important consequences if extrapolated to the in vivo situation.
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Affiliation(s)
- Pamela Bachour-El Azzi
- Inserm UMR991, Foie, Métabolismes et Cancer, Rennes, France (P.B-E.A., A.S., S.A., H.A-A., C.C.S., I.M., C.G-G., A.G.); Université de Rennes 1, Rennes, France (P.B-E.A., A.S., S.A., H.A-A., C.C.S., I.M., C.G-G., A.G.); EDST-PRASE and EDST-AZM-Center-LBA3B, Université Libanaise, Lebanon (P.B-E.A., H.A-A., Z.A-R.); Laboratoire d'Urgence et de Réanimation, Hôpital Pontchaillou, Rennes, France (S.L., I.M.); Sanofi R&D, Alfortville, France (G.L.)
| | - Ahmad Sharanek
- Inserm UMR991, Foie, Métabolismes et Cancer, Rennes, France (P.B-E.A., A.S., S.A., H.A-A., C.C.S., I.M., C.G-G., A.G.); Université de Rennes 1, Rennes, France (P.B-E.A., A.S., S.A., H.A-A., C.C.S., I.M., C.G-G., A.G.); EDST-PRASE and EDST-AZM-Center-LBA3B, Université Libanaise, Lebanon (P.B-E.A., H.A-A., Z.A-R.); Laboratoire d'Urgence et de Réanimation, Hôpital Pontchaillou, Rennes, France (S.L., I.M.); Sanofi R&D, Alfortville, France (G.L.)
| | - Ziad Abdel-Razzak
- Inserm UMR991, Foie, Métabolismes et Cancer, Rennes, France (P.B-E.A., A.S., S.A., H.A-A., C.C.S., I.M., C.G-G., A.G.); Université de Rennes 1, Rennes, France (P.B-E.A., A.S., S.A., H.A-A., C.C.S., I.M., C.G-G., A.G.); EDST-PRASE and EDST-AZM-Center-LBA3B, Université Libanaise, Lebanon (P.B-E.A., H.A-A., Z.A-R.); Laboratoire d'Urgence et de Réanimation, Hôpital Pontchaillou, Rennes, France (S.L., I.M.); Sanofi R&D, Alfortville, France (G.L.)
| | - Sebastien Antherieu
- Inserm UMR991, Foie, Métabolismes et Cancer, Rennes, France (P.B-E.A., A.S., S.A., H.A-A., C.C.S., I.M., C.G-G., A.G.); Université de Rennes 1, Rennes, France (P.B-E.A., A.S., S.A., H.A-A., C.C.S., I.M., C.G-G., A.G.); EDST-PRASE and EDST-AZM-Center-LBA3B, Université Libanaise, Lebanon (P.B-E.A., H.A-A., Z.A-R.); Laboratoire d'Urgence et de Réanimation, Hôpital Pontchaillou, Rennes, France (S.L., I.M.); Sanofi R&D, Alfortville, France (G.L.)
| | - Houssein Al-Attrache
- Inserm UMR991, Foie, Métabolismes et Cancer, Rennes, France (P.B-E.A., A.S., S.A., H.A-A., C.C.S., I.M., C.G-G., A.G.); Université de Rennes 1, Rennes, France (P.B-E.A., A.S., S.A., H.A-A., C.C.S., I.M., C.G-G., A.G.); EDST-PRASE and EDST-AZM-Center-LBA3B, Université Libanaise, Lebanon (P.B-E.A., H.A-A., Z.A-R.); Laboratoire d'Urgence et de Réanimation, Hôpital Pontchaillou, Rennes, France (S.L., I.M.); Sanofi R&D, Alfortville, France (G.L.)
| | - Camille C Savary
- Inserm UMR991, Foie, Métabolismes et Cancer, Rennes, France (P.B-E.A., A.S., S.A., H.A-A., C.C.S., I.M., C.G-G., A.G.); Université de Rennes 1, Rennes, France (P.B-E.A., A.S., S.A., H.A-A., C.C.S., I.M., C.G-G., A.G.); EDST-PRASE and EDST-AZM-Center-LBA3B, Université Libanaise, Lebanon (P.B-E.A., H.A-A., Z.A-R.); Laboratoire d'Urgence et de Réanimation, Hôpital Pontchaillou, Rennes, France (S.L., I.M.); Sanofi R&D, Alfortville, France (G.L.)
| | - Sylvie Lepage
- Inserm UMR991, Foie, Métabolismes et Cancer, Rennes, France (P.B-E.A., A.S., S.A., H.A-A., C.C.S., I.M., C.G-G., A.G.); Université de Rennes 1, Rennes, France (P.B-E.A., A.S., S.A., H.A-A., C.C.S., I.M., C.G-G., A.G.); EDST-PRASE and EDST-AZM-Center-LBA3B, Université Libanaise, Lebanon (P.B-E.A., H.A-A., Z.A-R.); Laboratoire d'Urgence et de Réanimation, Hôpital Pontchaillou, Rennes, France (S.L., I.M.); Sanofi R&D, Alfortville, France (G.L.)
| | - Isabelle Morel
- Inserm UMR991, Foie, Métabolismes et Cancer, Rennes, France (P.B-E.A., A.S., S.A., H.A-A., C.C.S., I.M., C.G-G., A.G.); Université de Rennes 1, Rennes, France (P.B-E.A., A.S., S.A., H.A-A., C.C.S., I.M., C.G-G., A.G.); EDST-PRASE and EDST-AZM-Center-LBA3B, Université Libanaise, Lebanon (P.B-E.A., H.A-A., Z.A-R.); Laboratoire d'Urgence et de Réanimation, Hôpital Pontchaillou, Rennes, France (S.L., I.M.); Sanofi R&D, Alfortville, France (G.L.)
| | - Gilles Labbe
- Inserm UMR991, Foie, Métabolismes et Cancer, Rennes, France (P.B-E.A., A.S., S.A., H.A-A., C.C.S., I.M., C.G-G., A.G.); Université de Rennes 1, Rennes, France (P.B-E.A., A.S., S.A., H.A-A., C.C.S., I.M., C.G-G., A.G.); EDST-PRASE and EDST-AZM-Center-LBA3B, Université Libanaise, Lebanon (P.B-E.A., H.A-A., Z.A-R.); Laboratoire d'Urgence et de Réanimation, Hôpital Pontchaillou, Rennes, France (S.L., I.M.); Sanofi R&D, Alfortville, France (G.L.)
| | - Christiane Guguen-Guillouzo
- Inserm UMR991, Foie, Métabolismes et Cancer, Rennes, France (P.B-E.A., A.S., S.A., H.A-A., C.C.S., I.M., C.G-G., A.G.); Université de Rennes 1, Rennes, France (P.B-E.A., A.S., S.A., H.A-A., C.C.S., I.M., C.G-G., A.G.); EDST-PRASE and EDST-AZM-Center-LBA3B, Université Libanaise, Lebanon (P.B-E.A., H.A-A., Z.A-R.); Laboratoire d'Urgence et de Réanimation, Hôpital Pontchaillou, Rennes, France (S.L., I.M.); Sanofi R&D, Alfortville, France (G.L.)
| | - André Guillouzo
- Inserm UMR991, Foie, Métabolismes et Cancer, Rennes, France (P.B-E.A., A.S., S.A., H.A-A., C.C.S., I.M., C.G-G., A.G.); Université de Rennes 1, Rennes, France (P.B-E.A., A.S., S.A., H.A-A., C.C.S., I.M., C.G-G., A.G.); EDST-PRASE and EDST-AZM-Center-LBA3B, Université Libanaise, Lebanon (P.B-E.A., H.A-A., Z.A-R.); Laboratoire d'Urgence et de Réanimation, Hôpital Pontchaillou, Rennes, France (S.L., I.M.); Sanofi R&D, Alfortville, France (G.L.)
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