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Updated: Aug 17, 2026

Human Liver Microphysiological System for Assessing Drug-Induced Liver Toxicity In Vitro
Published on: January 31, 2022
Proteomic identification of potential susceptibility factors in drug-induced liver disease
Kevin D Welch1, Bo Wen, David R Goodlett
1Molecular and Cellular Toxicology Section, Laboratory of Molecular Immunology, National Heart, Lung, and Blood Institute, National Institutes of Health, Department of Health and Human Services, Bethesda, MD 20892, USA. WelchKD@nhlbi.nih.gov
Abstract:
Drug-induced liver disease (DILD) causes significant morbidity and mortality and impairs new drug development. Currently, no known criteria can predict whether a drug will cause DILD or what risk factors make an individual susceptible. Although it has been shown in mouse studies that the disruption of key regulatory factors, such as cyclooxygenase-2 (COX-2), interleukin (IL)-6, and IL-10, increased susceptibility to DILD caused by acetaminophen (APAP), no single factor seems to be absolute. As an approach to better understand the multifactorial basis of DILD, we compared the hepatic proteome of mice that are resistant (SJL) and susceptible (C57Bl/6) to APAP-induced liver disease (AILD), using solution-based isotope-coded affinity tag (ICAT) liquid chromatography mass spectrometry. Several novel factors were identified that were more highly expressed in the livers of SJL mice, including those involved in stress response, cell proliferation and tissue regeneration, and protein modification, implicating these proteins as potential hepatoprotective factors. There was also a selective loss of several mitochondrial proteins from the livers of the susceptible C57Bl/6 mice, suggesting that the loss of functional mitochondria may indeed play a role in AILD. These findings indicate that comparative hepatic proteomic analyses of susceptible and resistant mouse strains may provide a global approach for identifying potential risk factors and mechanistic pathways responsible for DILD.
Insights
Understanding drug-induced liver injury (DILI) is crucial. Comparing resistant and susceptible mice revealed novel protective factors and mitochondrial dysfunction in DILI, offering new insights into disease mechanisms.
Area of Science:
- Hepatology
- Proteomics
- Toxicology
Background:
- Drug-induced liver disease (DILD) poses significant health risks and hinders drug development.
- Predicting DILD susceptibility and identifying risk factors remain challenging.
- Previous studies linked factors like COX-2, IL-6, and IL-10 to DILD, but no single factor is absolute.
Purpose of the Study:
- To elucidate the multifactorial basis of DILD by comparing hepatic proteomes of resistant and susceptible mouse strains.
- To identify novel hepatoprotective factors and understand mechanisms underlying acetaminophen-induced liver injury (AILD).
Main Methods:
- Comparative proteomic analysis using solution-based isotope-coded affinity tag (ICAT) liquid chromatography mass spectrometry.
- Analysis of hepatic proteomes in SJL (resistant) and C57Bl/6 (susceptible) mouse strains subjected to APAP challenge.
Main Results:
- Identification of novel proteins, including those involved in stress response, cell proliferation, and protein modification, with higher expression in resistant SJL mice.
- Discovery of a selective loss of mitochondrial proteins in susceptible C57Bl/6 mice, suggesting mitochondrial dysfunction in AILD.
- Implication of identified proteins as potential hepatoprotective factors against DILD.
Conclusions:
- Comparative hepatic proteomic analysis is a valuable global approach for identifying DILD risk factors and mechanistic pathways.
- Novel hepatoprotective factors and mitochondrial dysfunction are implicated in the differential susceptibility to DILD.
- Findings pave the way for better prediction and prevention strategies for drug-induced liver injury.
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