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ANIT-induced intrahepatic cholestasis alters hepatobiliary transporter expression via Nrf2-dependent and independent
Yuji Tanaka1, Lauren M Aleksunes, Yue Julia Cui
1Department of Pharmacology, University of Kansas Medical Center, Kansas City, Kansas 66160, USA.
Abstract:
Alpha-naphthylisothiocyanate (ANIT) causes intrahepatic cholestasis by injuring biliary epithelial cells. Adaptive regulation of hepatobiliary transporter expression has been proposed to reduce liver injury during cholestasis. Recently, the oxidative stress transcription factor Nrf2 (nf-e2-related factor 2) was shown to regulate expression of hepatobiliary transporters. The purpose of this study was to determine whether ANIT-induced hepatotoxicity and regulation of hepatobiliary transporters are altered in the absence of Nrf2. For this purpose, wild-type and Nrf2-null mice were administered ANIT (75 mg/kg po). Surprisingly, ANIT-induced hepatotoxicity was similar in both genotypes at 48 h. Accumulation of bile acids in serum and liver was lower in Nrf2-null mice compared with wild-types treated with ANIT. Transporter mRNA profiles differed between wild-type and Nrf2-null mice after ANIT. Bsep (bile salt export pump), Mdr2 (multidrug resistance gene), and Mrp3 (multidrug resistance-associated protein) efflux transporters were increased by ANIT in wild-type, but not in Nrf2-null mice. In contrast, mRNA expression of two hepatic uptake transporters, Ntcp (sodium-taurocholate cotransporting polypeptide) and Oatp1b2 (organic anion transporting peptide), were decreased in both genotypes after ANIT, with larger declines in Nrf2-null mice. mRNA expression of the transcriptional repressor of Ntcp, small heterodimeric partner (SHP), was increased in Nrf2-null mice after ANIT. Furthermore, hepatocyte nuclear factor 1alpha (HNF1alpha), which regulates Oatp1b2, was downregulated in ANIT-treated Nrf2-null mice. Preferential upregulation of SHP and downregulation of HNF1alpha and uptake transporters likely explains why Nrf2-null mice exhibited similar injury to wild-types after ANIT. A subsequent study revealed that treatment of mice with the Nrf2 activator oltipraz protects against ANIT-induced histological injury. Despite compensatory changes in Nrf2-null mice to limit ANIT toxicity, pharmacological activation of Nrf2 may represent a therapeutic option for intrahepatic cholestasis.
Insights
Mice lacking Nrf2 showed similar liver injury from ANIT, but altered bile acid transporters, suggesting Nrf2 activation may treat cholestasis.
Area of Science:
- Hepatology
- Toxicology
- Molecular Biology
Background:
- Alpha-naphthylisothiocyanate (ANIT) induces intrahepatic cholestasis by damaging biliary epithelial cells.
- Nuclear factor erythroid 2-related factor 2 (Nrf2) regulates hepatobiliary transporters and may influence cholestasis adaptation.
- This study investigates the role of Nrf2 in ANIT-induced liver injury and transporter regulation.
Purpose of the Study:
- To determine if ANIT-induced hepatotoxicity and hepatobiliary transporter expression are altered in Nrf2-null mice.
- To elucidate the compensatory mechanisms in Nrf2-deficient mice during ANIT-induced cholestasis.
Main Methods:
- Wild-type and Nrf2-null mice were administered ANIT (75 mg/kg).
- Hepatotoxicity was assessed at 48 hours.
- Serum and liver bile acid levels were measured.
- mRNA expression of key transporters (Bsep, Mdr2, Mrp3, Ntcp, Oatp1b2) and regulatory factors (SHP, HNF1alpha) was analyzed.
Main Results:
- ANIT-induced hepatotoxicity was similar in wild-type and Nrf2-null mice at 48 hours.
- Nrf2-null mice had lower serum and liver bile acid accumulation post-ANIT.
- ANIT upregulated efflux transporters (Bsep, Mdr2, Mrp3) in wild-type but not Nrf2-null mice.
- Uptake transporters (Ntcp, Oatp1b2) decreased in both genotypes, with greater decline in Nrf2-null mice.
- SHP expression increased, and HNF1alpha downregulated in Nrf2-null mice after ANIT.
Conclusions:
- Nrf2-null mice exhibit compensatory changes, including altered transporter expression, limiting ANIT toxicity.
- Upregulation of SHP and downregulation of HNF1alpha and uptake transporters contribute to similar injury levels despite Nrf2 absence.
- Pharmacological activation of Nrf2 may offer a therapeutic strategy for intrahepatic cholestasis.
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