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Updated: Jan 30, 2026

Generation of a Rat Model of Acute Liver Failure by Combining 70% Partial Hepatectomy and Acetaminophen
Published on: November 27, 2019
Mannan-binding lectin attenuates acetaminophen-induced hepatotoxicity by regulating CYP2E1 expression via
Huifang Li1,2,3, Yan Liu1,2, Junru Li1,4
1Department of Immunology, School of Basic Medical Sciences, Southern Medical University, Guangzhou, China.
Abstract:
Mannan-binding lectin (MBL) acts as a soluble pattern recognition molecule in the innate immune system, which is primarily produced by the liver. MBL deficiency occurs with high frequency in the population and is reported to be associated with susceptibility to several liver diseases. In the present study, we investigated the pathophysiological role of MBL in acetaminophen (APAP)-induced hepatotoxicity. After APAP treatment, MBL-deficient (MBL-/- ) mice had significantly higher mortality and aggravated hepatic necrosis as well as elevated serum lactate dehydrogenase and alanine aminotransferase levels compared to control mice. The enhanced hepatotoxicity in MBL-/- mice was associated with increased concentration of APAP toxic metabolisms. Furthermore, we demonstrated here that genetic ablation of MBL resulted in excessive reactive oxygen species (ROS) production and enhanced c-Jun N-terminal kinase (JNK) activation, leading to up-regulated specificity protein 1 (SP1) nuclear expression, thus promoted CYP2E1 hepatic expression and consequently exacerbated APAP-induced liver injury in mice. Importantly, we have validated that MBL protected against APAP toxicity in human HepaRG cells in vitro with the same mechanism. Our study revealed an unexpected function of MBL in drug metabolism, thus providing new insight into the drug-induced liver injury in patients with MBL deficiency.
Insights
Mannan-binding lectin (MBL) deficiency worsens acetaminophen-induced liver injury by increasing toxic metabolism and oxidative stress. MBL protects against drug-induced liver damage through a mechanism involving reactive oxygen species and CYP2E1.
Area of Science:
- Immunology
- Hepatology
- Pharmacology
Background:
- Mannan-binding lectin (MBL) is a key innate immune system pattern recognition molecule.
- MBL deficiency is common and linked to liver disease susceptibility.
- Acetaminophen (APAP) overdose causes significant drug-induced liver injury.
Purpose of the Study:
- To investigate the role of MBL in APAP-induced hepatotoxicity.
- To elucidate the underlying mechanisms of MBL's protective effects against liver injury.
Main Methods:
- Utilized MBL-deficient (MBL-/-) mice and human HepaRG cells.
- Administered APAP to induce hepatotoxicity.
- Measured mortality, liver enzymes, APAP metabolism, reactive oxygen species (ROS), JNK activation, SP1 expression, and CYP2E1 levels.
Main Results:
- MBL-/- mice exhibited higher mortality, aggravated liver necrosis, and elevated liver enzymes post-APAP treatment.
- Hepatotoxicity in MBL-/- mice correlated with increased APAP toxic metabolites.
- MBL deficiency led to excessive ROS production, enhanced JNK activation, and increased SP1/CYP2E1 expression, exacerbating liver injury.
- MBL demonstrated protective effects against APAP toxicity in vitro.
Conclusions:
- MBL plays a crucial protective role in mitigating acetaminophen-induced liver injury.
- MBL deficiency exacerbates APAP hepatotoxicity via increased oxidative stress and altered drug metabolism.
- This study reveals a novel function of MBL in drug metabolism and provides insights into drug-induced liver injury in MBL-deficient individuals.
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