Elsevier

Toxicology Reports

Volume 8, 2021, Pages 962-970
Toxicology Reports

Drug-induced-acute liver failure: A critical appraisal of the thioacetamide model for the study of hepatic encephalopathy

https://doi.org/10.1016/j.toxrep.2021.04.011Get rights and content
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open access

Highlights

  • To figure out the pathogenesis of HE, the improvement of the animal model is warranted.

  • TAA has been introduced as a valid model because it mimics many pathological features of patients with ALF and HE.

  • TAA as a chemical agent leads to liver injury by triggering the production of ROS and proinflammatory cytokines.

  • TAA causes impairment of CBF, gliopathy, neuroinflammation, and neurological impairments that are seen in ALF patients.

Abstract

Hepatic encephalopathy (HE) following acute and chronic liver failure is defined as a complex of neuropsychiatric abnormalities, such as discrete personal changes, sleep disorder, forgetfulness, confusion, and decreasing the level of consciousness to coma. The use and design of suitable animal models that represent clinical features and pathological changes of HE are valuable to map the molecular mechanisms that result in HE. Among different types of animal models, thioacetamide (TAA) has been used extensively for the induction of acute liver injury and HE. This agent is not directly hepatotoxic but its metabolites induce liver injury through the induction of oxidative stress and produce systemic inflammation similar to that seen in acute HE patients. In this short review article, we shortly review the most important pathological findings in animal models of acute HE following the administration of TAA.

Abbreviations

ALT
alanine aminotransferase
AST
aspartate aminotransferase
AQP4
aquaporin 4 water channel
BBB
blood-brain barrier
B7
B7 molecules (CD80+CD86)
CBF
cerebral blood flow
CCL2
chemokine ligand 2
CNS
central nervous system
CTLA4
Cytotoxic T-lymphocyte-associated Protein 4
CYP2E1
Cytochrome P450 family 2 subfamily E member 1
GFAP
glial fibrillary acidic protein
HE
hepatic encephalopathy
Iba1
ionized calcium-binding adaptor molecule 1
IL-β
interleukin 1 β
IL-6
interleukin 6
JNK
c-Jun N-terminal kinase
OA
L-ornithine-l-aspartate
NAC
N-acetylcysteine
NF-κB
nuclear factor κB
TAA
thioacetamide
ROS
reactive oxygen species
TASO
thioacetamide sulfoxide
TASO2
thioacetamide sulfdioxide
TLR-2
toll-like receptor 2
TLR-4
toll-like receptor 4
TNFα
tumor necrosis factor α

Keywords

Acute liver failure
Hepatic encephalopathy
Thioacetamide
Toxicity pathway
Animal model

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