Nimesulide-induced hepatic mitochondrial injury in heterozygous Sod2(+/-) mice

Michie M K Ong1, Audrey S Wang, Koon Yeow Leow

  • 1Department of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

Insights

Nimesulide exacerbates liver injury in mice with genetic mitochondrial defects. This drug potentiates oxidative stress and triggers apoptosis, highlighting a risk in individuals with compromised mitochondrial function.

Area of Science:

  • Hepatology
  • Mitochondrial Biology
  • Toxicology

Background:

  • Nimesulide, a COX-2 inhibitor, is linked to rare liver damage.
  • Oxidative stress and mitochondrial dysfunction are implicated in nimesulide-induced hepatotoxicity.
  • The precise mechanisms underlying this liver injury remain unclear.

Purpose of the Study:

  • To investigate if genetic mitochondrial abnormalities sensitize mice to nimesulide's hepatotoxicity.
  • To explore the role of impaired mitochondrial function and oxidative stress in nimesulide's adverse effects.

Main Methods:

  • Utilized heterozygous superoxide dismutase 2 (Sod2(+/-)) mice, exhibiting silent mitochondrial stress.
  • Administered nimesulide (10 mg/kg, ip, bid) for 4 weeks, a human-equivalent dose.
  • Assessed hepatic mitochondrial oxidative injury markers, apoptosis, and in vitro mitochondrial superoxide production.

Main Results:

  • Nimesulide potentiated mitochondrial oxidative injury (decreased aconitase activity, increased protein carbonyls) specifically in Sod2(+/-) mice.
  • Nimesulide-treated Sod2(+/-) mice showed increased cytochrome c and caspase-3 activity, indicating apoptosis.
  • In vitro studies revealed nimesulide increased mitochondrial superoxide anion in Sod2(+/-) mice.

Conclusions:

  • Repeated nimesulide administration exacerbates oxidant stress and mitochondrial damage in genetically compromised mice.
  • Nimesulide activates pro-apoptotic factors in the context of impaired mitochondrial function.
  • This study suggests a potential risk of nimesulide-induced liver injury in individuals with underlying mitochondrial dysfunction.

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