IntroductionAcetaminophen (APAP) induced acute liver failure (ALF) is recognized as the most common cause of ALF in Western societies, occurring in approximately 40% of all cases. The disease is characterized by coagulopathy, hepatic encephalopathy, multi‐organ failure, and death. Micro‐RNAs are small, non‐coding RNAs capable of altering gene expression at the post‐transcriptional level. MicroRNA‐21 is dynamically expressed in the liver and several target genes of microRNA‐21 are highly expressed in the pericentral hepatocytes. We hypothesize that microRNA‐21 genetic ablation attenuates hepatotoxicity following acetaminophen intoxication.MethodsEight‐week old microRNA‐21 knockout (miR21KO) or wild‐type (WT) C57BL/6N male mice were injected with acetaminophen (APAP, 300 mg/kg BW) or saline. Animals were sacrificed 6 or 24 hours post‐injection, and serum and livers were harvested.ResultsWT animals showed significantly higher hepatic injury markers serum ALT (20,077±2,084 U/L vs 13,364±1,667 U/L, p<0.05, n=11) and AST (29,125±3,485 U/L vs 20,282±2,445 U/L, p<0.05, n=11) than their miR21KO counterparts after 6 hours of APAP treatment, while no significant difference was observed in animals treated for 24 hours. miR21KO mice presented attenuated liver necrosis compared with WT animals (59.8±5.8 vs 42.5±7.9 %, p<0.05, n=10) 24 hours post‐APAP treatment. Moreover, miR21KO mice had decreased hepatic DNA fragmentation analyzed by TUNEL assay than WT animals (58.26±4.5 vs 42.60±4.9 %, p<0.05, n=8) after 24 hours of APAP treatment. MicroRNA‐21 ablation did not modify hepatic GSSH/GSH or APAP‐Cysteine adducts at either 6 or 24 hours post treatment. MicroRNA‐21 ablation upregulated mRNA expression of autophagy (Beclin‐1, Map1LC3a, Pdcd4, p62) and decreased inflammation (PAI‐1) markers compared with WT mice 24 post APAP treatment. MicroRNA‐21 ablation exacerbated hepatic autophagy marker LC3A/B‐II protein expression at both 6 (2.8 vs 1.5‐fold) and 24 (2.2 vs 1.2‐fold 1.2) hours post APAP, correlating with increased Map1lc3a/b mRNA levels.ConclusionOur results suggest that miRNA‐21 mediates APAP‐induced hepatotoxicity. MicroRNA‐21 inhibition could be a novel therapeutic approach to abolish or mitigate APAP‐induced hepatotoxicity. The beneficial effect of microRNA‐21 is due to an upregulation of hepatic autophagy. Specifically, microRNA‐21 inhibition could be particularly useful when APAP intoxication is detected at its late stages and the only available therapy, NAC, is minimally effective.Support or Funding InformationSupported by NIH grants R21 DK‐113500 and P20 GM‐121334.
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