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Covalent binding of acetaminophen to N-10-formyltetrahydrofolate dehydrogenase in mice

N R Pumford1, N C Halmes, B M Martin

  • 1Division of Toxicology, University of Arkansas for Medical Sciences, Little Rock, USA.

Insights

Acetaminophen overdose can harm the liver. This study identifies N-10-formyltetrahydrofolate dehydrogenase as a protein that binds acetaminophen, potentially causing liver damage.

Area of Science:

  • Biochemistry
  • Toxicology
  • Molecular Biology

Background:

  • Acetaminophen (APAP) is a common pain reliever, but its mechanism of liver toxicity is not fully understood.
  • A proposed mechanism involves the covalent binding of toxic APAP metabolites to cellular proteins, impairing vital functions.
  • Identifying specific protein targets is crucial for understanding APAP-induced hepatotoxicity.

Purpose of the Study:

  • To investigate the role of protein adduct formation in acetaminophen hepatotoxicity.
  • To identify the specific cellular protein(s) that form covalent adducts with acetaminophen metabolites.
  • To determine if binding to identified proteins affects their enzymatic activity.

Main Methods:

  • Purification of a major 100 kDa cytosolic acetaminophen-protein adduct using anion exchange chromatography and preparative electrophoresis.
  • Peptide sequencing (N-terminal and internal) of the purified adduct.
  • Homology analysis of peptide sequences against known protein databases.
  • Western blot analysis using specific antiserum for N-10-formyltetrahydrofolate dehydrogenase and acetaminophen.
  • Measurement of cytosolic N-10-formyltetrahydrofolate dehydrogenase activity in mice after acetaminophen administration.

Main Results:

  • A 100 kDa acetaminophen-protein adduct was successfully purified.
  • Peptide sequences from the adduct showed homology to N-10-formyltetrahydrofolate dehydrogenase.
  • Western blot confirmed the presence of acetaminophen and N-10-formyltetrahydrofolate dehydrogenase in the purified adduct.
  • Mice treated with a toxic acetaminophen dose exhibited a 25% reduction in cytosolic N-10-formyltetrahydrofolate dehydrogenase activity within 2 hours.

Conclusions:

  • Acetaminophen covalently binds to N-10-formyltetrahydrofolate dehydrogenase, forming a 100 kDa adduct.
  • This covalent binding leads to a significant decrease in the enzyme's activity.
  • The interaction between acetaminophen and N-10-formyltetrahydrofolate dehydrogenase may contribute to acetaminophen-induced liver toxicity.

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