Acetaminophen (
APAP)
poisoning is one of the leading causes of
acute hepatic failure and
liver transplantation is often the only lifesaving alternative. During the course of hepatocyte
necrosis, an intense accumulation of neutrophils is often observed within the liver microenvironment. Despite the classic idea that neutrophil accumulation in tissues causes collateral tissue damage, there is a growing body of evidence showing that neutrophils can also orchestrate the resolution of
inflammation. In this work,
drug-induced liver injury was induced by
oral administration of
APAP and pharmacological intervention was made 12 h after this challenge. Liver injury and repair kinetics were evaluated by a novel combination of
enzyme quantifications, ELISA, specific antagonists of neutrophil
enzymes and confocal intravital microscopy. We have demonstrated that neutrophil infiltration is not only involved in injury amplification, but also in liver tissue repair after
APAP-induced liver injury. In fact, while neutrophil depletion led to reduced hepatic
necrosis during
APAP poisoning, injury recovery was also delayed in neutropenic mice. The mechanisms underlying the neutrophil reparative role involved rapid degranulation and
matrix metalloproteinases (
MMPs) activity. Our data highlights the crucial role of neutrophils, in particular for
MMPs, in the resolution phase of
APAP-induced inflammatory response.