Skip to main content
Log in

Recombinant Platelet-Activating Factor–Acetylhydrolase Attenuates Paracetamol-Induced Liver Oxidative Stress, Injury, and Regeneration

  • Original Article
  • Published:
Digestive Diseases and Sciences Aims and scope Submit manuscript

Abstract

The aim of this study was to investigate the effects of platelet-activating factor (PAF) inactivator, recombinant PAF-acetylhydrolase (rPAF-AH), on post–paracetamol treatment functional outcome of the liver in the rat. Fifty male Wistar rats were divided into two groups: the control group received a toxic dose of paracetamol (3.5 g/kg body weight [BW]) by gastric tube and the rPAF-AH-treated group received the same dose of paracetamol followed by a dose of rPAF-AH (10 mg/kg BW) intraperitoneally. The animals were sacrificed at time points of 56, 66, 72, 84, and 96 hr after paracetamol treatment. Hepatic injury was evaluated by determination of AST, ALT, and ALP activities and degree of necrosis and apoptosis. Liver regeneration was estimated by [3H]thymidine incorporation into hepatic DNA, liver thymidine kinase activity, and hepatocyte mitotic index. Hepatic levels of malondialdehyde (MDA) and serum cholesterol/high-density lipoprotein cholesterol fraction were also measured as parameters of oxidant–antioxidant balance. The positive effects of rPAF-AH were expressed by (1) reduction of oxidative stress, (2) large decrease in hepatic injury, and (3) diminution of regenerating activity. These results indicate that the use of PAF inactivator enhances the liver’s recovery from paracetamol intoxication and attenuates the severity of experimental liver injury, providing important means of improving liver function following paracetamol intoxication.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10

Similar content being viewed by others

References

  1. Bessems JG, Vermeulen NP (2001) Paracetamol (acetaminophen)-induced toxicity: molecular and biochemical mechanisms, analogues and protective approaches. Crit Rev Toxicol 31:55–138

    Article  PubMed  CAS  Google Scholar 

  2. Larsen FS, Kirkegaard P, Rasmussen A, Hansen BA (1995) The Danish liver transplantation program and patients with serious acetaminophen intoxication. Transplant Proc 27:3519–3520

    PubMed  CAS  Google Scholar 

  3. Tsai CL, Chang WT, Weng TI, Fang CC, Chen WJ (2004) Acute acetaminophen intoxication in Taiwan: outcomes and risk factors. J Formosa Med Assoc 103:830–835

    Google Scholar 

  4. Sciodt FV, Atillasoy E, Shakil AO, Schiff ER, Caldwell C, Kowdley KV, Stribling R (1995) Etiology and outcome for 295 patients with acute liver failure in the United States. Liver Transpl Surg 5:29–34

    Article  Google Scholar 

  5. Sidney D, Nelson MD (1990) Molecular mechanisms of the hepatotoxicity caused by acetaminophen. Semin Liver Dis 10:267–278

    Article  Google Scholar 

  6. Dahlin DC, Miwa GT, Lu AY, Nelson SD (1984) N-Acetyl-p-benzoquinone imine: a cytochrome P-450-mediated oxidation product of acetaminophen. Proc Natl Acad Sci USA 81:1327–1331

    Article  PubMed  CAS  Google Scholar 

  7. Gujral JS, Bucci TJ, Farhood A, Jaeschke H (2001) Mechanism of cell death during hepatic ischemia-reperfusion in rats: apoptosis or necrosis? Hepatology 33:397–405

    Article  PubMed  CAS  Google Scholar 

  8. Gujral JS, Knight TR, Farhood A, Bajt ML, Jaeschke H (2002) Mode of cell death after acetaminophen overdose in mice: Apoptosis or oncotic necrosis? Toxicol Sci 67:322–328

    Article  PubMed  CAS  Google Scholar 

  9. Smilkstein MJ, Knapp GL, Kulig KW, Rumack BH (1988) Efficacy of oral N-acetylcysteine in the treatment of acetaminophen overdose. Analysis of the national multicenter study (1976 to 1985). N Engl J Med 319:1557–1562

    Article  PubMed  CAS  Google Scholar 

  10. Ray SD, Kamendulis LM, Gurule MW, Yorkin RD, Concoran GB (1993) Ca2+ antagonists inhibit DNA fragmentation and toxic cell death induced by acetaminophen. FASEB J 7:453–463

    PubMed  CAS  Google Scholar 

  11. Liakos AA, Mykoniatis MG, Kokala ME, Papadimitriou DG, Liatsos GD (1999) Levels of hepatic stimulator substance in the liver regenerating process of partially hepatectomized rats pretreated with a single dose of carbon tetrachloride. Dig Dis Sci 44:1046–1053

    Article  PubMed  CAS  Google Scholar 

  12. Liatsos GD, Mykoniatis MG, Margeli A, Liakos AA, Theocharis SE (2003) Effect of acute ethanol exposure on hepatic stimulator substance (HSS) levels during liver regeneration: protective function of HSS. Dig Dis Sci 48:1929–1938

    Article  PubMed  CAS  Google Scholar 

  13. Margeli AP, Papadimitriou L, Ninos S, Manolis E, Mykoniatis MG, Theocharis SE (2003) Hepatic stimulator substance administration ameliorates liver regeneration in an animal model of fulminant hepatic failure and encephalopathy. Liver Int 23:171–178

    Article  PubMed  CAS  Google Scholar 

  14. Margeli AP, Manolis E, Skaltsas SN, Tsarpalis KS, Mykoniatis MG, Theocharis SE (2002) Hepatic stimulator substance in an animal model of fulminant hepatic failure and encephalopathy. Dig Dis Sci 47:2170–2178

    Article  PubMed  CAS  Google Scholar 

  15. Tzirogiannis KN, Liakos AA, Margeli AP, Theocharis SE, Mykoniatis MG (1998) The levels of hepatic stimulator substance (HSS) in liver regeneration after cadmium intoxication and partial hepatectomy. Arch. Pharmacol 358:5412

    Google Scholar 

  16. Hanahan DJ (1986) Platelet activating factor: a biologically active phosphoglyceride. Annu Rev Biochem 55:483–509

    Article  PubMed  CAS  Google Scholar 

  17. Prescott SM, Zimmerman GA, Stafforini DM, McIntyre TM (2000) Platelet-activating factor and related lipid mediators. Annu Rev Biochem 69:419–445

    Article  PubMed  CAS  Google Scholar 

  18. Montrucchio G, Alloatti G, Camussi G (2000) Role of platelet-activating factor in cardiovascular pathophysiology. Physiol Rev 80:1669–1699

    PubMed  CAS  Google Scholar 

  19. Karasawa K, Harada A, Satoh N (2003) Plasma platelet activating factor-acetylhydrolase (PAF-AH). Prog Lipid Res 42:93–114

    Article  PubMed  CAS  Google Scholar 

  20. Tjoelker LW, Wilder C, Eberhardt C, Stafforini DM, Dietsch G, Schimpf B, Hooper S, Trong HL, Cousens LS, Zimmerman GA, Yamada Y, McIntyre TM, Prescott SM, Gray PW (1995) Anti-inflammatory properties of a platelet-activating factor acetylhydrolase. Nature 374:549–553

    Article  PubMed  CAS  Google Scholar 

  21. Grypioti AD, Theocharis SE, Papadimas GΚ, Demopoulos CΑ, Papadopoulou-Daifoti Z, Basayiannis ΑC, Μykoniatis ΜG (2005) Platelet-activating factor (PAF) involvement in acetaminophen-induced liver toxicity and regeneration. Arc Toxicol 79:466–474

    Article  CAS  Google Scholar 

  22. Tygstrup N, Jensen SA, Krog B, Dalhoff K (1997) Expression of liver functions following sub-lethal and non-lethal doses of allyl alcohol and acetaminophen in the rat. J Hepatol 27:156–162

    Article  PubMed  CAS  Google Scholar 

  23. Munro HN, Fleck A (1966) Recent developments in the measurement of nucleic acids in biological materials. Analyst 91:78–88

    Article  PubMed  CAS  Google Scholar 

  24. Kyprianidis KG, Mykoniatis MG, Papadimitriou DG, Valsamidou AJ (1996) Effect of subtotal pancreatectomy on the rate of liver regeneration: the role of hepatic stimulator substance. J Surg Res 62:267–272

    Article  PubMed  CAS  Google Scholar 

  25. Richards GM (1974) Modifications of the diphenylamine reaction giving increased sensitivity and simplicity in the estimation of DNA. Anal Biochem 57:369–376

    Article  PubMed  CAS  Google Scholar 

  26. Kahn D, Svanas GW, Eagon PK, Makowka L, Podesta L, Chapchap P, Starzl TE, Van Thiel DH (1988) Effect of an antiandrogenic H2 receptor antagonist on hepatic regeneration in rats. J Lab Clin Med 112:232–239

    PubMed  CAS  Google Scholar 

  27. Lowry OH, Rosebrough NJ, Farr AL, Randall RJ (1951) Protein measurement with the Folin phenol reagent. J Biol Chem 193:265–275

    PubMed  CAS  Google Scholar 

  28. O’Grady JG (1997) Paracetamol-induced acute liver failure: prevention and management. J Hepatol 1:41–46

    Article  Google Scholar 

  29. Bailey B, Amre DK, Gaudreault P (2003) Fulminant hepatic failure secondary to acetaminophen poisoning: a systematic review and meta-analysis of prognostic criteria determining the need for liver transplantation. Crit Care Med 31:299–305

    Article  PubMed  CAS  Google Scholar 

  30. Lee WM (2004) Acetaminophen and the U.S. Acute Liver Failure Study Group: lowering the risks of hepatic failure. Hepatology 40:6–9

    Article  PubMed  CAS  Google Scholar 

  31. Bartlett D (2004) Acetaminophen toxicity. J Emerg Nurs 30:281–283

    Article  PubMed  Google Scholar 

  32. James LP, Mayeux PR, Hinson JA (2003) Acetaminophen-induced hepatotoxicity. Drug Metab Dispos 31:1499–1506

    Article  PubMed  CAS  Google Scholar 

  33. Bromer MQ, Black M (2003) Acetaminophen hepatotoxicity. Clin Liver Dis 7:351–367

    Article  PubMed  Google Scholar 

  34. Dargan PI, Jones AL (2002) Acetaminophen poisoning: an update for the intensivist. Crit Care 6:108–110

    Article  PubMed  Google Scholar 

  35. Jaeschke H (1990) Glutathione disulfide formation and oxidant stress during acetaminophen-induced hepatotoxicity in mice in vivo: The protective effect of allopurinol. J Pharmacol Exp Ther 255:935–941

    PubMed  CAS  Google Scholar 

  36. Knight TR, Kurtz A, Bajt ML, Hinson JA, Jaeschke H (2001) Vascular and hepatocellular peroxynitrite formation during acetaminophen-induced liver injury: Role of mitochondrial oxidant stress. Toxicol Sci 62:212–220

    Article  PubMed  CAS  Google Scholar 

  37. Jaeschke H (2003) Oxidant stress precedes liver injury after acetaminophen in cultured mouse hepatocytes. Toxicol Sci 72:10 (abstr)

    Google Scholar 

  38. Knight TR, Ho YS, Farhood A, Jaeschke H (2002) Peroxynitrite is a critical mediator of acetaminophen hepatotoxicity in murine livers: protection by glutathione. J Pharmacol Exp Ther 303:468–475

    Article  PubMed  CAS  Google Scholar 

  39. Zhou W, Chao W, Levine BA, Olson MS (1992) Role of platelet-activating factor in hepatic responses after bile duct ligation in rats. Am J Physiol 263:G587–G592

    PubMed  CAS  Google Scholar 

  40. Zhou W, McCollum MO, Levine BA, Olson MS (1992) Inflammation and platelet-activating factor production during hepatic ischemia/reperfusion. Hepatology 16:1236–1240

    Article  PubMed  CAS  Google Scholar 

  41. Bedirli A, Gokahmetoglu S, Sakrak O, Soyuer I, Ince O, Sozuer E (2004) Beneficial effects of recombinant platelet-activating factor acetylhydrolase and BN 52021 on bacterial translocation in cerulein-induced pancreatitis. Eur Surg Res 36:136–141

    Article  PubMed  CAS  Google Scholar 

  42. Hofbauer B, Saluja AK, Bhatia M, Frossard JL, Lee HS, Bhagat L, Steer ML (1998) Effect of recombinant platelet-activating factor acetylhydrolase on two models of experimental acute pancreatitis. Gastroenterology 115:1238–1247

    Article  PubMed  CAS  Google Scholar 

  43. Lee ES, Jiang J, Sund GC, Simonson WT, Graham J, Dietsch G, Schimpf B, Bieg S, Peterman G, Lernmark A (1999) Recombinant human platelet-activating factor acetylhydrolase reduces the frequency of diabetes in the diabetes-prone BB rat. Diabetes 48:43–49

    Article  PubMed  CAS  Google Scholar 

  44. Marathe GK, Harisson KA, Roberts II LJ, Morrow JD, Murphy RC, Tjoelker LW, Prescott SM, Zimmerman GA, McIntyre TM (2001) Identification of platelet-activating factor as the inflammatory lipid mediator in CCl4-metabolizing rat liver. J Lipid Res 42:587–596

    PubMed  CAS  Google Scholar 

  45. Anderson BO, Bensard DD, Harken AH (1991) The role of platelet-activating factor and its antagonists in shock, sepsis and multiple organ failure. Surg Gynecol Obstet 172:415–424

    PubMed  CAS  Google Scholar 

  46. Shimizu T, Honda Z, Nakamura M, Bito H, Izumi T (1992) Platelet-activating factor receptor and signal transduction. Biochem Pharmacol 44:1001–1008

    Article  PubMed  CAS  Google Scholar 

  47. Mizuno S, Izumi T, Isaji S (2001) Role of PAF in acute liver injury after extended hepatectomy: overexpression of PAF receptor mRNA in Kupffer cells. Dig Dis Sci 46:1299–1304

    Article  PubMed  CAS  Google Scholar 

  48. Yang Y, Harvey SAK, Gandhi CR (2003) Kupffer cells are a major source of increased platelet-activating factor in the CCl4-induced cirrhotic rat liver. J Hepatol 39:200–207

    Article  PubMed  CAS  Google Scholar 

  49. Chao W, Liu H, De Buysere M, Hanahan DJ, Olson MS (1989) Identification of receptors for platelet activating factor in rat Kupffer cells. J Biol Chem 64:13591–13598

    Google Scholar 

  50. Fisher RA, Sharma RV, Bhalla RC (1989) Platelet-activating factor increases inositol phosphate production and cytosolic free Ca2+ concentrations in cultured rat Kupffer cells. FEB Lett 251:22–26

    Article  CAS  Google Scholar 

  51. Taub R (2004) Liver regeneration: from myth to mechanism. Nat Rev Mol Cell Biol 5:836–847

    Article  PubMed  CAS  Google Scholar 

  52. Prescott LF (2003) New perspectives on paracetamol. Drugs 63:51–56

    Article  PubMed  CAS  Google Scholar 

  53. Ray SD, Jena N (2000) A hepatotoxic dose of acetaminophen modulates expression of BCL-2, BCL-X(L), and BCL-X(S) during apoptotic and necrotic death of mouse liver cells in vivo. Arch Toxicol 73:594–606

    Article  PubMed  CAS  Google Scholar 

  54. Takada Y, Shimahara Y, Yamaguchi T, Nishizawa F, Mori K, Yamaoka Y, Ozawa K (1992) Protective effect of platelet-activating factor antagonist on hepatic energy metabolism following transient hepatic inflow occlusion in rabbits. Circ Shock 38:130–137

    PubMed  CAS  Google Scholar 

  55. Nishihira T, Tanaka J, Nishikawa K, Jikko A, Taki Y, Morimoto T, Koizumi K, Kamiyama Y, Ozawa K, Tobe T (1986) Biological significance of enhanced mitochondrial membrane potential in regenerating liver. Hepatology 6:220–224

    Article  PubMed  CAS  Google Scholar 

  56. Atkinson DE (1968) The energy charge of the adenylate pool as a regulatory parameter. Interaction with feedback modifiers. Biochemistry 7:4030–4034

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to A. D. Grypioti.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Grypioti, A.D., Mykoniatis, M., Demopoulos, C.A. et al. Recombinant Platelet-Activating Factor–Acetylhydrolase Attenuates Paracetamol-Induced Liver Oxidative Stress, Injury, and Regeneration. Dig Dis Sci 52, 192–199 (2007). https://doi.org/10.1007/s10620-006-9363-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10620-006-9363-2

Keywords

Navigation