RT Journal 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 JF Genome Research JO Genome Research YR 2010 FD January 01 VO 20 IS 1 SP 28 OP 35 DO 10.1101/gr.097212.109 UL http://genome.cshlp.org/content/20/1/28.abstract AB 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.