Drug-induced hepatotoxicity causes significant morbidity and mortality and
is a major concern in drug development, This is due, in large part, to insu
fficient knowledge of the mechanism(s) of drug-induced liver injury. In ord
er to address this problem, we have evaluated the modulation of gene expres
sion within the livers of mice treated with a hepatotoxic dose of acetamino
phen (APAP) using high-density oligonucleotide microarrays capable of deter
mining the expression profile of >11,000 genes and expressed sequence tags
(ESTs), Significant alterations in gene expression, both positive and negat
ive, were noted within the livers of APAP-treated mice. APAP-induced toxici
ty affected numerous aspects of liver physiology causing, for instance, >tw
ofold increased expression of genes that encode for growth arrest and cell
cycle regulatory proteins, stress-induced proteins, the transcription facto
r LRG-21, suppressor of cytokine signaling (SOCS)-2-protein, and plasminoge
n activator inhibitor-1 (PAI-1), A number of these and other genes and ESTs
were detectable within the liver only after APAP treatment suggesting thei
r potential importance in propagating or preventing further toxicity. These
data provide new directions for mechanistic studies that may lead to a bet
ter understanding of the molecular basis of drug-induced liver injury and,
ultimately, to a more rational design of safer drugs. (C) 2001 Academic Pre
ss.