Abstract

Age is a risk factor for drug-induced liver injury (DILI). However, there is a limited understanding of pediatric DILI. Here, 2-week-old weaning and 8-week-old adult male ICR mice were intraperitoneally injected with CCl4 (0.1 mmol/kg equal to 15.4 mg/kg) to comparatively evaluate the time-dependent liver damage and cellular events. CCl4 significantly enhanced the serum alanine aminotransferase/aspartate aminotransferase levels and hepatic centrilobular necrosis in the weaning mice, whereas it induced mild liver injury in the adult mice. CCl4-treated weaning mice exhibited higher hepatic levels of pro-apoptotic proteins (Bax, cleaved caspase-3, -7, and -9), activated MAPKs (p-JNK and p-Erk), and endoplasmic reticulum stress indicators (ATF6 and CHOP) and lower hepatic anti-apoptotic Bcl-2 levels than the adult mice. The weaning mice exhibited enhanced basal hepatic glutathione (GSH) levels due to high glutamate cysteine ligase (GCL) and low anti-cysteine dioxygenase (CDO) enzyme levels. However, CCl4 markedly reduced the hepatic GSH levels only in the weaning mice. Furthermore, higher hepatic levels of oxidative stress-induced malondialdehyde, 4-hydroxynonenal, nitrotyrosine-protein adducts, and oxidized proteins were observed in CCl4-treated weaning mice than in CCl4-treated adult mice. The enhanced levels of hepatic cytochrome P450 (CYP) 2E1 and CYP3A, and decreased hepatic GSH S-transferase (GST)-π and GSH reductase (GR) levels in the weaning mice may contribute to their enhanced susceptibility to liver damage.

Highlights

  • The liver is the primary organ for metabolism of xenobiotics, including toxins, environmental pollutants, chemicals, and drugs [1,2]

  • The analysis of hematoxylin and eosin (H&E)-stained liver tissues indicated that the weaning mouse liver exhibited severe centrilobular necrosis at 24 h post-CCl4 injection, whereas the adult mouse liver exhibited mild liver injury (Figure 2E)

  • The results indicated that the differential hepatic levels of cytochrome P450 (CYP), GSH S-transferase (GST)-π, and GSH reductase (GR) proteins mice, that represents infant age before weaning, and 8-week-old mice that represents adulthood

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Summary

Introduction

The liver is the primary organ for metabolism of xenobiotics, including toxins, environmental pollutants, chemicals, and drugs [1,2]. Xenobiotics can be detoxified and converted to hydrophilic forms for excretion by phase I and phase II drug-metabolizing enzymes in the liver. Metabolic reactions can generate reactive products to cause liver damage [2]. Drug-induced liver injury (DILI) is the leading cause of acute liver failure and drug withdrawal from the market [3,4]. The risk factors for DILI are age, sex, and genetic polymorphisms [5].

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