Related Experiment Video
Updated: May 25, 2026

Generation of a Rat Model of Acute Liver Failure by Combining 70% Partial Hepatectomy and Acetaminophen
Published on: November 27, 2019
Complement activation in acetaminophen-induced liver injury in mice
Rohit Singhal1, Patricia E Ganey, Robert A Roth
1Department of Pharmacology and Toxicology, and Center for Integrative Toxicology, Michigan State University, East Lansing, Michigan, USA.
Complement activation plays a crucial role in acetaminophen (APAP) overdose-induced liver injury. Depleting complement components reduces liver damage and inflammation, highlighting its therapeutic potential in APAP hepatotoxicity.
Area of Science:
- Immunology
- Hepatology
- Toxicology
Background:
- Acetaminophen (APAP) overdose is a leading cause of acute liver failure.
- The role of the complement system in APAP-induced liver injury remains largely uninvestigated.
- Complement proteins are involved in both tissue damage and repair processes.
Purpose of the Study:
- To evaluate the role of complement activation in the pathogenesis of APAP-induced hepatotoxicity.
- To investigate the effects of complement depletion on APAP-induced liver injury markers.
Main Methods:
- Male C57BL6J mice were treated with APAP (200-400 mg/kg) to induce liver injury.
- Complement activation was assessed by measuring plasma C3 levels and C3b deposition in liver tissue.
- Mice were pretreated with cobra venom factor (CVF) to deplete complement components or were genetically deficient in C3.
- Liver injury was evaluated by measuring plasma alanine aminotransferase (ALT) activity, hepatocellular necrosis, neutrophil infiltration, and inflammatory gene expression.
Main Results:
- APAP treatment led to significant liver injury, characterized by elevated ALT and hepatocellular necrosis.
- Reduced plasma C3 and increased C3b deposition in centrilobular areas indicated complement activation post-APAP.
- CVF-mediated complement depletion significantly reduced APAP-induced ALT activity, necrosis, neutrophil accumulation, and inflammatory gene expression.
- Hepatocellular glutathione levels were unaffected by CVF pretreatment, suggesting APAP bioactivation was not altered.
- Mice deficient in C3 exhibited reduced ALT activity following APAP administration.
Conclusions:
- Complement activation is a key contributor to liver inflammation and injury progression in APAP overdose.
- Complement depletion ameliorates APAP-induced hepatotoxicity, suggesting complement inhibition as a potential therapeutic strategy.
- These findings elucidate a novel mechanism in APAP hepatotoxicity, implicating the complement system in its pathogenesis.
Related Concept Videos
Phase II Reactions: Glutathione Conjugation and Mercapturic Acid Formation
Several distinctive characteristics distinguish glutathione conjugation from other phase II...
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...
Effect of Hepatic Disease on Pharmacokinetics: Pathophysiologic Assessment and Liver Function Test
Bioactivation and Tissue Toxicity
Acute Pancreatitis II: Pathophysiology
