title: The Nrf2 transcription factor protects from toxin-induced liver injury and fibrosis.
abstract: The liver is frequently exposed to insults, including toxic chemicals and alcohol, viral infection or metabolic overload. Although it can fully regenerate after acute injury, chronic liver damage causes liver fibrosis and cirrhosis, which can result in complete liver failure. In this study, we demonstrate that the NF-E2-related factor 2 (Nrf2) transcription factor protects the liver from acute and chronic toxin-mediated damage. Repair of the liver injury that occurs after a single treatment with the hepatotoxin carbon tetrachloride (CCl(4)) was severely delayed in Nrf2-deficient mice. The defect in repair was accompanied by an enhanced and prolonged inflammatory and profibrotic response. After long-term CCl(4) treatment, liver fibrosis was strongly aggravated in the Nrf2 knockout mice and inflammation was enhanced. We demonstrate that these abnormalities are at least in part due to the reduced expression of known and novel Nrf2 target genes in hepatocytes, which encode enzymes involved in the detoxification of CCl(4) and its metabolites. These results suggest that activation of Nrf2 may be a novel strategy to prevent or ameliorate toxin-induced liver injury and fibrosis.
authors.affiliation: Department of Biology, Institute of Cell Biology, ETH Zürich, Switzerland.
authors.forename: Weihua
authors.initials: W
authors.lastname: Xu
authors.forename: Claus
authors.initials: C
authors.lastname: Hellerbrand
authors.forename: Ulrike A
authors.initials: UA
authors.lastname: Köhler
authors.forename: Philippe
authors.initials: P
authors.lastname: Bugnon
authors.forename: Yuet-Wai
authors.initials: YW
authors.lastname: Kan
authors.forename: Sabine
authors.initials: S
authors.lastname: Werner
authors.forename: Tobias A
authors.initials: TA
authors.lastname: Beyer
mesh_terms: D000818:Animals; D002252:Carbon Tetrachloride Poisoning / Q000473:pathology / Q000503:physiopathology*; D016207:Cytokines / Q000378:metabolism; D005260:Female; D007249:Inflammation / Q000473:pathology / Q000503:physiopathology*; D008103:Liver Cirrhosis / Q000139:chemically induced / Q000473:pathology / Q000503:physiopathology*; D050216:Metabolic Detoxication, Phase I / Q000502:physiology*; D051379:Mice; D018345:Mice, Knockout; D051267:NF-E2-Related Factor 2 / Q000502:physiology*
chemical_list: D016207:Cytokines; D051267:NF-E2-Related Factor 2; C495636:Nfe2l2 protein, mouse