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Vol. 26, Issue 3, 267-271, March 1998
Departments of
Pharmacology & Therapeutics (W.F.S., S.M.R.) and
Physiological Sciences (S.M.R.), J. Hillis Miller Health Science
Center, University of Florida; and
Division of Toxicology (N.R.P.,
J.A.H), University of Arkansas for Medical Sciences
The hepatotoxicity of the analgesic acetaminophen is believed to be
mediated by covalent binding to critical proteins. Radiolabeled 3'-hydroxyacetanilide, a regioisomer of acetaminophen, covalently binds
to proteins at levels similar to those of acetaminophen, but without
toxicity. Covalent binding has recently been detected by Western blot
to a 50-kDa microsomal protein that comigrated with CYP2E1 and was
accompanied by a loss of the CYP2E1 activity. However, radiolabel
studies previously indicated that a significant amount of the
radiolabel is lost during electrophoresis. In the present study,
3'-hydroxyacetanilide covalent binding was detected immunohistochemically in liver using an anti-acetaminophen antiserum. 3'-Hydroxyacetanilide (1000 mg/kg, ip) administration to mice resulted
in panlobular immunostaining in liver, with the single layer of
hepatocytes surrounding the central veins having the greatest
intensity of staining. Staining was most intense at 1 hr and somewhat
decreased at 3 and 6 hr. In contrast, immunochemical staining indicated
that covalent binding of acetaminophen (250 mg/kg, ip) was confined to
the centrilobular hepatocytes, the area of the ensuing necrosis.
Cobaltous chloride pretreatment decreased the total intensity of the
panlobular immunostaining following 3'-hydroxyacetanilide. The CYP2E1
inhibitor diallyl sulfide decreased the intensity of immunostaining in
the central vein area only. Western blot analysis indicated diallyl
sulfide also eliminated binding to the microsomal 50-kDa protein. These data are consistent with centrilobular binding of
3'-hydroxyacetanilide, mediated in part by CYP2E1, and panlobular
binding, mediated by other P450 enzymes.