TY - JOUR A1 - Liu, Hong-Hsing A1 - Lu, Peng A1 - Guo, Yingying A1 - Farrell, Erin A1 - Zhang, Xun A1 - Zheng, Ming A1 - Bosano, Betty A1 - Zhang, Zhaomei A1 - Allard, John A1 - Liao, Guochun A1 - Fu, Siyu A1 - Chen, Jinzhi A1 - Dolim, Kimberly A1 - Kuroda, Ayako A1 - Usuka, Jonathan A1 - Cheng, Janet A1 - Tao, William A1 - Welch, Kevin A1 - Liu, Yanzhou A1 - Pease, Joseph A1 - de Keczer, Steve A. A1 - Masjedizadeh, Mohammad A1 - Hu, Jing-Shan A1 - Weller, Paul A1 - Garrow, Tim A1 - Peltz, Gary T1 - An integrative genomic analysis identifies Bhmt2 as a diet-dependent genetic factor protecting against acetaminophen-induced liver toxicity Y1 - 2010/01/01 JF - Genome Research JO - Genome Research SP - 28 EP - 35 DO - 10.1101/gr.097212.109 VL - 20 IS - 1 UR - http://genome.cshlp.org/content/20/1/28.abstract N2 - Acetaminophen-induced liver toxicity is the most frequent precipitating cause of acute liver failure and liver transplant, but contemporary medical practice has mainly focused on patient management after a liver injury has been induced. An integrative genetic, transcriptional, and two-dimensional NMR-based metabolomic analysis performed using multiple inbred mouse strains, along with knowledge-based filtering of these data, identified betaine-homocysteine methyltransferase 2 (Bhmt2) as a diet-dependent genetic factor that affected susceptibility to acetaminophen-induced liver toxicity in mice. Through an effect on methionine and glutathione biosynthesis, Bhmt2 could utilize its substrate (S-methylmethionine [SMM]) to confer protection against acetaminophen-induced injury in vivo. Since SMM is only synthesized in plants, Bhmt2 exerts its beneficial effect in a diet-dependent manner. Identification of Bhmt2 and the affected biosynthetic pathway demonstrates how a novel method of integrative genomic analysis in mice can provide a unique and clinically applicable approach to a major public health problem. ER -