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Publication : Novel Protective Role of Nicotinamide Phosphoribosyltransferase in Acetaminophen-Induced Acute Liver Injury in Mice.

First Author  Zhang LQ Year  2018
Journal  Am J Pathol Volume  188
Issue  7 Pages  1640-1652
PubMed ID  29684358 Mgi Jnum  J:264750
Mgi Id  MGI:6193085 Doi  10.1016/j.ajpath.2018.04.004
Citation  Zhang LQ, et al. (2018) Novel Protective Role of Nicotinamide Phosphoribosyltransferase in Acetaminophen-Induced Acute Liver Injury in Mice. Am J Pathol 188(7):1640-1652
abstractText  Acetaminophen overdose is the most common cause of acute liver injury (ALI) or acute liver failure in the United States. Its pathogenetic mechanisms are incompletely understood. Additional studies are warranted to identify new genetic risk factors for more mechanistic insights and new therapeutic target discoveries. The objective of this study was to explore the role and mechanisms of nicotinamide phosphoribosyltransferase (NAMPT) in acetaminophen-induced ALI. C57BL/6 Nampt gene wild-type (Nampt(+/+)), heterozygous knockout (Nampt(+/-)), and overexpression (Nampt(OE)) mice were treated with overdose of acetaminophen, followed by histologic, biochemical, and transcriptomic evaluation of liver injury. The mechanism of Nampt in acetaminophen-induced hepatocytic toxicity was also explored in cultured primary hepatocytes. Three lines of evidence have convergently demonstrated that acetaminophen overdose triggers the most severe oxidative stress and necrosis, and the highest expression of key necrosis driving genes in Nampt(+/-) mice, whereas the effects in Nampt(OE) mice were least severe relative to Nampt(+/+) mice. Treatment of P7C3-A20, a small chemical molecule up-regulator of Nampt, ameliorated acetaminophen-induced mouse ALI over the reagent control. These findings support the fact that NAMPT protects against acetaminophen-induced ALI.
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