Acetaminophen (
APAP) overdose induces
apoptosis-inducing factor (AIF)-dependent necroptosis, but the mechanism remains obscure. The present study investigated the role of
receptor interacting protein (RIP)1, a critical mediator of necroptosis, on AIF-dependent necroptosis during
APAP-induced
acute liver failure. Mice were intraperitoneally injected with
APAP (300 mg/kg). As expected, hepatic RIP1 was activated as early as 1 h after
APAP, which is earlier than
APAP-induced hepatic RIP3 upregulation.
APAP-evoked RIP1 activation is associated with hepatic
glutathione (GSH) depletion. Either pretreatment or post-treatment with Nec-1, a selective inhibitor of RIP1, significantly alleviated
APAP-induced
acute liver failure. Moreover, Nec-1 improved the survival and prevented
APAP-induced necroptosis, as determined by TdT-mediated dUTP-
biotin nick end labeling (TUNEL) assay. Further analysis showed that Nec-1 significantly inhibited
APAP-induced hepatic
c-Jun N-terminal kinase (JNK) phosphorylation and mitochondrial Bax translocation. In addition, Nec-1 blocked
APAP-induced translocation of AIF from the mitochondria to the nucleus. Of interest, no changes were induced by Nec-1 on hepatic
CYP2E1 expression. In addition, Nec-1 had little effect on
APAP-induced hepatic GSH depletion at early stage. Taken together, these results suggest that RIP1 is involved in
APAP-induced necroptosis. Nec-1 is an effective
antidote for
APAP-induced
acute liver failure.