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Am J Physiol Gastrointest Liver Physiol 296: G1318-G1323, 2009. First published March 26, 2009; doi:10.1152/ajpgi.00555.2007
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LIVER AND BILIARY TRACT

The protective role of HO-1 and its generated products (CO, bilirubin, and Fe) in ethanol-induced human hepatocyte damage

Ping Yao,1,2,* Liping Hao,2,3,* Natascha Nussler,1 Antje Lehmann,1 Fangfang Song,2 Jing Zhao,2 Peter Neuhaus,1 Liegang Liu,2 and Andreas Nussler1,3

1Universitätsmedizin Berlin, Charité, Campus Virchow, Department of General, Visceral, and Transplantation Surgery, Berlin, Germany; 2Tongji Medical College, Huazhong University of Science and Technology, School of Public Health, Department of Nutrition and Food Hygiene, Wuhan, People's Republic of China; 3Technical University Munich, Department of Traumatology, Munich, Germany

Submitted 28 November 2007 ; accepted in final form 23 March 2009

It has been reported that naturally occurring quercetin exerts hepatoprotective effects through heme oxygenase-1 (HO-1) induction. However, the precise mechanism of how ethanol-associated liver damage is counteracted by quercetin-enhanced HO-1 metabolism still remains unclear. To further decipher the protective role of quercetin on ethanol-induced liver damage, we treated human hepatocytes with quercetin and various (end) products of the HO-1 pathway. Our data clearly showed that quercetin treatment attenuated ethanol-induced damage, whereas hemoglobin and zinc protoporphyrin 9 (ZnPP) abolished such effects. Iron-II aggravated ethanol toxicity and was only partially reduced by quercetin. In contrast, carbon monoxide (CO) dose dependently inhibited ethanol-induced cytochrome P450 2E1 (CYP 2E1) activity and hepatotoxicity but had no influence on CYP 2E1 protein expression. Similarly, hemoglobin dramatically stimulated CYP 2E1 activity but not the protein expression in quercetin- and ethanol-cotreated hepatocytes. ZnPP significantly promoted CYP 2E1 protein expression in the presence and absence of CO treatment but inhibited ethanol-induced CYP 2E1 activation following CO incubation in quercetin- and ethanol-cotreated hepatocytes. These results suggested that quercetin virtually attenuated ethanol-derived oxidative damage via HO-1 induction. Heme degradation and CO release may mediate the protective effects through inhibiting ethanol-induced CYP 2E1 synthesis and enzymatic activity, respectively.

quercetin; CYP 2E1; heme oxygenase-1; carbon monoxide



Address for reprint requests and other correspondence: A. Nussler, Technical Univ. of Munich, Dept. of Traumatology, Ismaningerstr. 22, 81675 Munich, Germany (e-mail address: andreas.nuessler{at}gmail.com)







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