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Acetaminophen hepatotoxicity precipitated by short-term treatment of rats with ethanol and isopentanol: protection by triacetyloleandomycin.
Sinclair, J F; Szakacs, J G; Wood, S G; Kostrubsky, V E; Jeffery, E H; Wrighton, S A; Bement, W J; Wright, D; Sinclair, P R.
Afiliación
  • Sinclair JF; Veterans Administration Medical Center, White River Junction, VT 05009, USA. JSINC@dartmouth.edu
Biochem Pharmacol ; 59(4): 445-54, 2000 Feb 15.
Article en En | MEDLINE | ID: mdl-10644054
Ethanol and isopentanol are the predominant alcohols in alcoholic beverages. We have reported previously that pretreatment of rats with a liquid diet containing 6.3% ethanol plus 0.5% isopentanol for 7 days results in a synergistic increase in acetaminophen hepatotoxicity, compared with rats treated with either alcohol alone. Here, we investigated the role of CYP3A in acetaminophen hepatotoxicity associated with the combined alcohol treatment. Triacetyloleandomycin, a specific inhibitor of CYP3A, protected rats pretreated with ethanol along with isopentanol from acetaminophen hepatotoxicity. At both 0.25 and 0.5 g acetaminophen/kg, triacetyloleandomycin partially prevented elevations in serum levels of alanine aminotransferase. At 0.25 g acetaminophen/kg, triacetyloleandomycin completely protected 6 of 8 rats from histologically observed liver damage, and partially protected the remaining 2 rats. At 0.5 g acetaminophen/kg, triacetyloleandomycin decreased histologically observed liver damage in 7 of 15 rats. In rats pretreated with ethanol plus isopentanol, CYP3A, measured immunohistochemically, was decreased by acetaminophen treatment. This effect was prevented by triacetyloleandomycin. These results suggest that CYP3A has a major role in acetaminophen hepatotoxicity in animals administered the combined alcohol treatment. We also found that exposure to ethanol along with 0.1% isopentanol for only 3 days resulted in maximal increases in acetaminophen hepatotoxicity by the combined alcohol treatment, suggesting that short-term consumption of alcoholic beverages rich in isopentanol may be a risk for developing liver damage from acetaminophen.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hidrocarburo de Aril Hidroxilasas / Troleandomicina / Etanol / Pentanoles / Enfermedad Hepática Inducida por Sustancias y Drogas / Acetaminofén Límite: Animals Idioma: En Revista: Biochem Pharmacol Año: 2000 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hidrocarburo de Aril Hidroxilasas / Troleandomicina / Etanol / Pentanoles / Enfermedad Hepática Inducida por Sustancias y Drogas / Acetaminofén Límite: Animals Idioma: En Revista: Biochem Pharmacol Año: 2000 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido