Acetaminophen was given to mice at a single dose of 375 mg/kg. In situ
liver chemiluminescence, H2O2 steady-state concentration, and the liv
er concentrations of total and oxidized glutathione were measured 15,
30, and 60 min after acetaminophen administration. Increases of 145% a
nd 72% in spontaneous chemiluminescence and H2O2 concentration were ob
served 15 min after the injection, respectively. Total glutathione was
decreased by acetaminophen administration at all the times studied. T
he maximal decrease, 83%, was found 60 min postinjection. The ratio GS
H/GSSG was found significantly decreased at all the times studied. Mic
rosomal superoxide production was increased by 2.4-fold by addition of
acetaminophen. The activities of the antioxidant enzymes superoxide d
ismutase, catalase, and glutathione peroxidase were determined. Catala
se was slightly inhibited (30%) 15 min after acetaminophen administrat
ion. No significant changes were found in superoxide dismutase activit
y. Se and non-Se glutathione peroxidase activities were decreased by 4
0% and 53% respectively, 15 min after acetaminophen administration. Th
e decrease in catalase and glutathione peroxidase would result in an i
ncreased steady state level of H2O2 and hydroperoxides, contributing t
o cell injury. Damaged hepatocytes were observed, and severe lesions a
nd necrosis appeared 60 min after acetaminophen administration. Our re
sults indicate the occurrence of oxidative stress as a possible mechan
ism for acetaminophen-induced hepatotoxicity.