An integrative genomic analysis identifies Bhmt2 as a diet-dependent genetic factor protecting against acetaminophen-induced liver toxicity

  1. Hong-Hsing Liu1,7,8,
  2. Peng Lu1,7,
  3. Yingying Guo1,
  4. Erin Farrell1,
  5. Xun Zhang1,
  6. Ming Zheng2,
  7. Betty Bosano2,
  8. Zhaomei Zhang1,
  9. John Allard1,
  10. Guochun Liao1,
  11. Siyu Fu1,
  12. Jinzhi Chen1,
  13. Kimberly Dolim2,
  14. Ayako Kuroda2,
  15. Jonathan Usuka2,
  16. Janet Cheng1,
  17. William Tao2,
  18. Kevin Welch3,
  19. Yanzhou Liu4,
  20. Joseph Pease4,
  21. Steve A. de Keczer4,
  22. Mohammad Masjedizadeh4,
  23. Jing-Shan Hu1,
  24. Paul Weller2,
  25. Tim Garrow5 and
  26. Gary Peltz6
  1. 1 Department of Genetics and Genomics, Roche Palo Alto, Palo Alto, California 94304, USA;
  2. 2 Non-Clinical Safety, Roche Palo Alto, Palo Alto, California 94304, USA;
  3. 3 Technical Sciences, Roche Palo Alto, Palo Alto, California 94304, USA;
  4. 4 Laboratory of Molecular Immunology, National Heart, Lung, and Blood Institute, National Institutes of Health Bethesda, Maryland 20892, USA;
  5. 5 Department of Food Science and Nutrition, University of Illinois, Urbana, Illinois 61801, USA;
  6. 6 Department of Anesthesia, Stanford University, Stanford, California 94305, USA
    1. 7 These authors contributed equally to this work.

    Abstract

    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.

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