Abstract
The protective effect of N-acetylcysteine against the toxicity of paracetamol, acrolein, and paraquat was investigated using isolated hepatocytes as the experimental system. N-acetylcysteine protects against paracetamol toxicity by acting as a precursor for intracellular glutathione. N-acetylcysteine protects against acrolein toxicity by providing a source of sulfhydryl groups, and is effective without prior conversion. Paraquat toxicity can be decreased by coincubating the cells with N-acetylcysteine, but the mechanism for the protective effect is not as clear in this instance. It is probable that N-acetylcysteine protects against paraquat toxicity by helping to maintain intracellular glutathinone levels.
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Berrigan MJ, Gurtoo HL, Sharm SD, Struck RF, Marinello AJ (1980) Protection by N-acetylcysteine of cyclophosphamide metabolism-related in vivo depression of mixed function oxygenase activity and in vitro denaturation of cytochrome P-450. BBRC 93: 797–803
Brigelius R, Hashim A, Lengfelder E (1981) Paraquat-induced alterations of phospholipids and GSSG-release in the isolated perfused rat liver, and the effect of SOD-active copper complexes. Biochem Pharmac 30: 349–354
Bus JS, Cagen SZ, Olgaard M, Gibson JE (1976) A mechanism of paraquat toxicity in mice and rats. Toxicol Appl Pharmacol 35: 501–513
Cox PJ (1979) Cyclophosphamide cystitis — identification of acrolein as the causative agent. Biochem Pharmacol 28: 2045–2049
Davies DS, Conolly ME (1975) Paraquat poisoning — possible therapeutic approach. In: Junod AF, DeHaller R (eds) Lung Metabolism. Academic Press, New York, p 275
Freeman RW, MacDonald JS, Olson RD, Boerth RC, Oates JA, Harbison RD (1980) Effect of sulfhydryl-containing compounds on the antitumour effects of adriamycin. Toxicol Appl Pharmacol 54: 168–175
Galinsky RE, Levy G (1979) Effect of N-acetylcysteine on the pharmacokinetics of acetaminophen in rats. Live Sci 25: 693–700
Golden DP, Mosby EL, Smith DJ, Mackercher P (1982) Acetaminophen toxicity: Report of two cases. Oral Med 51: 385–389
Grassi C, Morandini GC, Frigerio G (1973) Critical evaluation of systemic acetylcysteine by different routes of administration. Curr Ther Res 15: 165–179
Haley TJ (1979) Review of the toxicology of paraquat. Clin Toxicol 14: 1–46
Hissen PJ, Hilf R (1976) A fluorimetric method for determination of oxidized and reduced glutathione in tissues. Anal Biochem 74: 214–226
Högberg J, Kristoferson A (1977) A correlation between glutathione levels and cellular damage in isolated hepatocytes. Eur J Biochem 74: 77–82
Ilett KF, Stripp B, Menard RH, Reid WD, Gillette JR (1974) Studies on the mechanism of the lung toxicity of paraquat: Comparison of tissue distribution and some biochemical parameters. Toxicol Appl Pharmacol 28: 216–226
Izard C, Libermann C (1978) Acrolein. Mutat Res 47: 115–138
Jee RC, Sipes G, Gandolfi AJ, Brown Jr. BR (1980) Factors influencing halothane hepatotoxicity in the rat hypoxic model. Toxicol Appl Pharmacol 52: 267–277
Levy L, Harris R (1977) Effect of N-acetylcysteine on some aspects of cyclophosphamide-induced toxicity and immunosuppressin. Biochem Pharmacol 26: 1015–1020
Lin JH, Levy G (1981) Sulfate depletion after acetaminophen administration and replenishment by infusion of sodium sulfate or N-acetylcysteine in rats. Biochem Pharmacol 30: 2723–2725
Mitchell JR, Corcoran GB, Hughes H, Lauterburg BH, Smith CV (1981) Acute lethal liver injury cause by chemically reactive metabolites. In: Brown SS, Davies DS (eds) Organ-directed toxicology. Chemical indices and mechanisms. IUPAC Series, Pergamon Press, Oxford, p 117
Moldéus P (1978) Paracetamol metabolism and toxicity studied in isolated hepatocytes from mouse. In: Aitio A (ed) Conjugation reactions in drug biotransformation. Elsevier/North-Holland Biomedical Press, Amsterdam, p 293
Moldéus P, Gergely V (1980) Effect of acetone on the activation of acetaminophen. Toxicol Appl Pharmacol 53: 8–13
Moldéus P, Högberg J, Orrenius S (1978) Isolation and use of liver cells. In: Fleischer S, Packer L (eds) Methods of enzymology 52. Academic Press, New York, p 60
Multicenter Study Group (1980) Long-term oral acetylcysteine in chronic bronchitis. A double-blind controlled study. Eur J Respir Dis 61: 93–108
Pasi A (1978) In: The toxicology of paraquat, diquat and morfamquat. Hans Huber, Bern
Reed DJ, Orrenius S (1977) The role of methionine in glutathione biosynthesis by isolated hepatocytes. Biochem Biophys Res Commun 77: 1257–1264
Seglen PO (1976) Incorporation of radioactive amino acids into protein in isolated rat hepatocytes. Biochim Biophys Acta 442: 391–404
Thor H, Moldéus P, Orrenius S (1979) Effect of cysteine, N-acetylcysteine and methionine on glutathione biosynthesis and bromobenzene toxicity in isolated rat hepatocytes. Arch Biochem Biophys 192: 405–413
Whitehouse LW, Wong LT, Solomonraj G, Paul CJ, Thomas BH (1981) N-acetylcysteine-induced inhibition of gastric emptying: a mechanism affording protection to mice from hepatotoxicity of concomitantly administered acetaminophen. Toxicology 19: 113–125
Zitting A, Heinonen T (1980) Decrease of reduced glutathione in isolated rat hepatocytes caused by acrolein, acrylonitrile and the thermal degradation products of styrene copolymers. Toxicology 17: 333–341
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Dawson, J.R., Norbeck, K., Anundi, I. et al. The effectiveness of N-acetylcysteine in isolated hepatocytes, against the toxicity of paracetamol, acrolein, and paraquat. Arch Toxicol 55, 11–15 (1984). https://doi.org/10.1007/BF00316579
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DOI: https://doi.org/10.1007/BF00316579