Tuberculosis is one of the top causes of death among curable
infectious diseases; it is an airborne
infectious disease that killed 1.1 million people worldwide in 2010.
Anti-tuberculosis drug-induced liver injury is the primary cause of
drug-induced liver injury (DILI).
Rifampicin is one of the most common anti-
tuberculosis therapies and has well-known hepatotoxicity. To understand the mechanism of
rifampicin-induced liver injury, we performed a global proteomic analysis of liver
proteins by LC-MS/MS in a mouse model after the
oral administration of 177 and 442.5 mg/kg
rifampicin (LD10 and LD25) for 14 days. Based on the biochemical parameters in the plasma after
rifampicin treatment, the hepatotoxic effect of
rifampicin in the mouse liver was defined as a mixed liver injury. In the present study, we identified 1101
proteins and quantified 1038
proteins. A total of 29 and 40
proteins were up-regulated and 27 and 118
proteins were down-regulated in response to 177 and 442.5 mg/kg
rifampicin, respectively. Furthermore, we performed Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses to characterize the mechanism of
rifampicin-induced hepatotoxicity. In the molecular function category,
glutathione transferase activity was up-regulated and
proteins related to
arachidonic acid metabolism were down-regulated. In the KEGG pathway enrichment-based clustering analysis, the
peroxisome proliferator-activated receptor-γ (PPARγ) signaling pathway,
cytochrome P450,
glutathione metabolism, chemical
carcinogenesis, and related
proteins increased dose-dependently in
rifampicin-treated livers. Taken together, this study showed in-depth molecular mechanism of
rifampicin-induced liver injury by comparative toxicoproteomics approach.