Related Experiment Video
Updated: May 31, 2026

Deacetylation Assays to Unravel the Interplay between Sirtuins (SIRT2) and Specific Protein-substrates
Published on: February 27, 2016
SIRT3-dependent deacetylation exacerbates acetaminophen hepatotoxicity
Zhongping Lu1, Mohammed Bourdi, Jian H Li
1Center for Molecular Medicine, NHLBI, National Institutes of Health, Building 10-CRC, Room 5-3150, 10 Center Drive, Bethesda, Maryland 20892, USA.
Fasting worsens acetaminophen liver injury by promoting protein deacetylation. Deacetylation increases toxic metabolite binding to mitochondrial proteins, enhancing liver damage.
Area of Science:
- Biochemistry
- Hepatology
- Mitochondrial Biology
Background:
- Acetaminophen (paracetamol) overdose causes liver failure via reactive metabolites binding to mitochondrial proteins.
- Fasting exacerbates acetaminophen-induced liver injury.
- Fasting is known to promote SIRT3-mediated deacetylation of mitochondrial proteins.
Purpose of the Study:
- To investigate if protein deacetylation predisposes mice to acetaminophen's toxic metabolite-mediated mitochondrial disruption.
- To explore the role of SIRT3 in acetaminophen hepatotoxicity.
Main Methods:
- Utilized SIRT3 knockout (SIRT3-/-) mice to assess acetaminophen hepatotoxicity.
- Identified mitochondrial aldehyde dehydrogenase 2 (ALDH2) as a direct SIRT3 substrate.
- Examined the impact of ALDH2 deacetylation on acetaminophen toxic metabolite binding and enzyme activity.
Main Results:
- SIRT3 knockout mice were protected from acetaminophen-induced liver injury.
- Deacetylation of ALDH2 by SIRT3 increased the binding of toxic acetaminophen metabolites.
- ALDH2 enzyme inactivation was enhanced by deacetylation, contributing to liver damage.
Conclusions:
- Protein deacetylation, specifically by SIRT3, enhances xenobiotic liver injury.
- Deacetylation modulates the binding of toxic metabolites to critical mitochondrial proteins like ALDH2.
- Targeting SIRT3-mediated deacetylation may offer a therapeutic strategy against acetaminophen-induced liver failure.
Related Concept Videos
Phase II Reactions: Acetylation Reactions
The substrates for acetylation are typically drugs or their metabolites with an amino, sulfonamide, or hydrazine functional group. Acetylation can occur at several points in the drug molecule, including primary, secondary, and...
Pharmacogenetics of Phase II Enzymes: N-acetyltransferase, Thiopurine S-methyltransferase, UDP-glucuronosyltransferase
Phase II Reactions: Glutathione Conjugation and Mercapturic Acid Formation
Several distinctive characteristics distinguish glutathione conjugation from other phase II...
Drug Toxicity: Dose-Dependent Reactions
Effect of Hepatic Disease on Pharmacokinetics: Dose Adjustments Due to Hepatic Impairment
Drug toxicity: Drug–Drug Interaction