1. Omics-based identification of the combined effects of idiosyncratic drugs and inflammatory cytokines on the development of drug-induced liver injury
- Author
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J.H.M. van Delft, R. Peters, A. Hecka, Karen Mathijs, Leen Timmermans, J. Weusten, Danyel Jennen, Sandra M.H. Claessen, Jian Jiang, Jos C. S. Kleinjans, T. M. de Kok, Toxicogenomics, RS: GROW - R1 - Prevention, Onderwijsontw & Onderwijsresearch, Ondersteunend personeel ODB, RS: FHML MaCSBio, RS: FPN MaCSBio, RS: FSE MaCSBio, Pharmaceutical and Pharmacological Sciences, Experimental in vitro toxicology and dermato-cosmetology, Faculty of Psychology and Educational Sciences, and Faculty of Arts and Philosophy
- Subjects
0301 basic medicine ,Drug-induced liver injury ,PROTEIN-KINASES ,medicine.medical_treatment ,Apoptosis ,Microarray ,Pharmacology ,Toxicology ,chemistry.chemical_compound ,Tandem Mass Spectrometry ,NF-kappa B/genetics ,Cytokines/metabolism ,NF-kappa B ,Hep G2 Cells ,HEPG2 CELLS ,Toxicogenomics ,Endoplasmic Reticulum Stress ,Cytokine ,Liver ,Cytokines ,Chemical and Drug Induced Liver Injury ,medicine.symptom ,Hepatocytes/drug effects ,ER stress ,Intracellular ,Signal Transduction ,Ceramide ,MAP Kinase Signaling System ,Liver/cytology ,JNK ACTIVATION ,Inflammation ,Biology ,Ceramides ,Proinflammatory cytokine ,03 medical and health sciences ,Ceramides/metabolism ,PROTEOMICS INVESTIGATIONS ,Endoplasmic Reticulum Stress/drug effects ,medicine ,Humans ,Metabolomics ,Dose-Response Relationship, Drug ,CERAMIDE ,Gene Expression Profiling ,Apoptosis/drug effects ,NECROSIS-FACTOR-ALPHA ,Lipid signaling ,Chemical and Drug Induced Liver Injury/metabolism ,HUMAN HEPATOCYTES ,030104 developmental biology ,chemistry ,Hepatocytes ,Unfolded protein response ,INDUCED HEPATOTOXICITY ,INDUCED CELL-DEATH - Abstract
The mechanisms of idiosyncratic drug-induced hepatotoxicity remain largely unclear. It has demonstrated that the drug idiosyncrasy is potentiated in the context of inflammation and intracellular ceramides may play a role in this process.To study the mechanisms, HepG2 cells were co-treated with high and low doses of three idiosyncratic (I) and three non-idiosyncratic (N) compounds, with (I+ and N+) or without (I- and N-) a cytokine mix. Microarray, lipidomics and flow cytometry were performed to investigate the genome-wide expression patterns, the intracellular ceramide levels and the induction of apoptosis.We found that all I + treatments significantly influenced the immune response- and response to stimulus-associated gene ontology (GO) terms, but the induction of apoptotic pathways, which was confirmed by flow cytometry, only appeared to be induced after the high-dose treatment. The ceramide signaling-, ER stress-, NF-kB activation- and mitochondrial activity-related pathways were biologically involved in apoptosis induced by the high-dose I+. Additionally, genes participating in ceramide metabolism were significantly altered resulting in a measurable increase in ceramide levels. The increases in ceramide concentrations may induce ER stress and activate the JNK pathway by affecting the expression of the related genes, and eventually trigger the mitochondria independent apoptosis in hepatocytes. Overall, our study provides a potential mechanism to explain the role of inflammation in idiosyncratic drug reactions. (C) 2017 Elsevier Inc. All rights reserved.
- Published
- 2017
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