关键词: ALT GLDH Hepatotoxicity acetaminophen exosomes miR-122

Mesh : Acetaminophen Alanine Transaminase Animals Biomarkers / blood Chemical and Drug Induced Liver Injury / diagnosis Early Diagnosis Glutamate Dehydrogenase / blood MicroRNAs / blood Pharmacokinetics Rats Sensitivity and Specificity

来  源:   DOI:10.1080/1354750X.2016.1269131   PDF(Sci-hub)

Abstract:
BACKGROUND: There is an ongoing search for specific and translational biomarkers of drug-induced liver injury (DILI). MicroRNA-122 (miR-122) has previously shown potential as a sensitive, specific, and translational biomarker of DILI in both rodent, and human studies.
OBJECTIVE: To build on previous work within the field, we examined biomarker kinetics in a rat model of acetaminophen (APAP)-induced liver injury to confirm the sensitivity, and specificity of miR-122 and glutamate dehydrogenase (GLDH).
METHODS: qRT-PCR and a standard enzymatic assay were used for biomarker analysis.
RESULTS: Both miR-122 and GLDH were demonstrated to be more readily-detectable biomarkers of APAP-DILI than alanine aminotransferase (ALT). Peak levels for all biomarkers were detected at 2 days after APAP. At day 3, miR-122 had returned to baseline; however, other biomarkers remained elevated between 3 and 4 days. We were also able to demonstrate that, although miR-122 is present in greater quantities in exosome-free form, both exosome-bound and non-vesicle bound miR-122 are released in a similar profile throughout the course of DILI.
CONCLUSIONS: Together, this study demonstrates that both GLDH and miR-122 could be used during preclinical drug-development as complementary biomarkers to ALT to increase the chance of early detection of hepatotoxicity.
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