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The Toxicologist - Society of Toxicology

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1502 IMMUNOLOGICAL ASPECTS OF AN ANIMAL MODEL<br />

OF AMODIAQUINE-INDUCED LIVER TOXICITY.<br />

J. Li 1 , H. C. Workman 2 , P. Cai 3 , G. Kourteva 4 , H. Hilton 4 , H. Haggerty 1 , D.<br />

Moore 2 and J. Uetrecht 3, 5 . 1 Immunotoxicology, Bristol-Myers Squibb Company, New<br />

Brunswick, NJ, 2 Nonclinical Safety, F. H<strong>of</strong>fmann-La Roche Inc., Nutley, NJ,<br />

3 Pharmacy, University <strong>of</strong> Toronto, Toronto, ON, Canada, 4 TRS-RNA Biomarker<br />

Technology, F. H<strong>of</strong>fmann-La Roche Inc., Nutley, NJ and 5 Medicine, University <strong>of</strong><br />

Toronto, Toronto, ON, Canada.<br />

Rationale: As in humans, amodiaquine (AQ) causes a delayed onset liver injury in<br />

rats, but the ALT returns to normal despite continued treatment. This is consistent<br />

with immune tolerance and we tried to overcome this tolerance with IL-7 co-treatment.<br />

Experimental Procedures: Male Brown Norway rats were treated with AQ at<br />

62.5 mg/kg/day p.o. for six weeks with IL-7 co-treatment at 100 ug/kg/day i.p. for<br />

7 days during either the 2nd or 3rd week. Serum ALT and cytokines were measured<br />

weekly. Liver histopathology, splenocyte phenotype, hepatic mRNA expression,<br />

serum prolactin and serum microRNAs were determined at the end. Results: Liver<br />

findings include individually scattered activated Kupffer cells (KC) (vacuolated and<br />

clustered) and KC microgranulomas as well as hepatocyte single cell necrosis. This<br />

was slightly enhanced by both IL-7 co-treatment schedules. Macrophage and B cell<br />

activation was observed in the spleen. IL-7 given during the 3rd week appeared to<br />

increase the elevation <strong>of</strong> ALT while IL-7 during the 2nd week delayed it. <strong>The</strong>re was<br />

a good correlation between serum levels <strong>of</strong> ALT and MCP-1. Hepatic mRNAs involved<br />

in apoptosis (i.e. caspase 1, Fas and Faslg) and immunological functions (i.e.<br />

CD3, IL-4, IL-18, CCL5, TLR 2, 4, 7) were up-regulated in all AQ groups, with<br />

prolactin receptor being most up-regulated (40-60 fold, p < 0.0001). IL-7 co-treatment<br />

caused more gene expression changes (i.e. TNF-α, IL-1β). Significantly elevated<br />

serum levels <strong>of</strong> prolactin and microRNA-122 were also detected in AQtreated<br />

rats. Conclusions: Amodiaquine treatment for 6 weeks resulted in KC<br />

hyperplasia and single cell necrosis in the liver. <strong>The</strong> delayed onset and up-regulation<br />

<strong>of</strong> immune-related genes suggests that this injury is immune-mediated. This work<br />

was supported by CIHR grants and the Roche postdoctoral fellowship program.<br />

1503 CHANGES IN HEPATIC GENE EXPRESSION INDUCED<br />

BY AMODIAQUINE IN RATS.<br />

J. Uetrecht 3, 5 , J. Li 1 , G. Kourteva 2 , H. Hilton 2 , P. Cai 3 , H. C. Workman 4 , H.<br />

Haggerty 1 and D. Moore 4 . 1 Immunotoxicology, Bristol-Myers Squibb Company, New<br />

Brunswick, NJ, 2 TRS-RNA Biomarker Technology, F. H<strong>of</strong>fmann-La Roche Inc.,<br />

Nutley, NJ, 3 Pharmacy, University <strong>of</strong> Toronto, Toronto, ON, Canada, 4 Nonclinical<br />

Safety, F. H<strong>of</strong>fmann-La Roche Inc., Nutley, NJ and 5 Medicine, University <strong>of</strong> Toronto,<br />

Toronto, ON, Canada.<br />

Rationale: Previous studies indicated that treatment <strong>of</strong> Brown Norway (BN) rats<br />

with amodiaquine (AQ) leads to activation <strong>of</strong> the immune system, especially in the<br />

liver. This study pr<strong>of</strong>iled changes in hepatic mRNA expression induced by AQ at<br />

early time points during the initiation <strong>of</strong> hepatotoxicity. Methods: (1) Male BN rats<br />

(n=4) were treated with AQ at 62.5 mg/kg/day p.o. for 7 days and hepatic mRNA<br />

expression related to apoptosis and immune activation was determined by qPCR<br />

array. (2) Male BN rats (n=4) were given a single dose <strong>of</strong> AQ at 200 mg/kg p.o. and<br />

global gene expression pr<strong>of</strong>ile in the liver at 6 h was determined by an Affymetrix<br />

chip (rat genome 230 2.0). mRNA expression data were further analyzed by either<br />

on-line s<strong>of</strong>tware for qPCR array or Partek for Affymetrix chip. Serum HMGB1 was<br />

also measured by ELISA. Results: AQ treatment for 7 days resulted in the up-regulation<br />

<strong>of</strong> several genes crucial for apoptosis such as Faslg, Bax, and Caspase 1 etc.,<br />

and <strong>of</strong> immune-related genes such as CD2, CD3, IL-1b, IL-4, IL-18, CCL5, IFNg,<br />

and TLR 2 etc. Although not significant between groups, prolactin receptor<br />

(prlr) was dramatically up-regulated in two AQ-treated rats. Global gene expression<br />

screening at 6 h identified only a few but interesting changes: Prlr (2.6-fold,<br />

p

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