RT Journal Article T1 Restoring cellular magnesium balance through Cyclin M4 protects against acetaminophen-induced liver damage. A1 González-Recio, Irene A1 Simón, Jorge A1 Goikoetxea-Usandizaga, Naroa A1 Serrano-Maciá, Marina A1 Mercado-Gómez, Maria A1 Rodríguez-Agudo, Rubén A1 Lachiondo-Ortega, Sofía A1 Gil-Pitarch, Clàudia A1 Fernández-Rodríguez, Carmen A1 Castellana, Donatello A1 Latasa, Maria U A1 Abecia, Leticia A1 Anguita, Juan A1 Delgado, Teresa C A1 Iruzubieta, Paula A1 Crespo, Javier A1 Hardy, Serge A1 Petrov, Petar D A1 Jover, Ramiro A1 Avila, Matías A A1 Martín, César A1 Schaeper, Ute A1 Tremblay, Michel L A1 Dear, James W A1 Masson, Steven A1 McCain, Misti Vanette A1 Reeves, Helen L A1 Andrade, Raul J A1 Lucena, M Isabel A1 Buccella, Daniela A1 Martínez-Cruz, Luis Alfonso A1 Martínez-Chantar, Maria L AB Acetaminophen overdose is one of the leading causes of acute liver failure and liver transplantation in the Western world. Magnesium is essential in several cellular processess. The Cyclin M family is involved in magnesium transport across cell membranes. Herein, we identify that among all magnesium transporters, only Cyclin M4 expression is upregulated in the liver of patients with acetaminophen overdose, with disturbances in magnesium serum levels. In the liver, acetaminophen interferes with the mitochondrial magnesium reservoir via Cyclin M4, affecting ATP production and reactive oxygen species generation, further boosting endoplasmic reticulum stress. Importantly, Cyclin M4 mutant T495I, which impairs magnesium flux, shows no effect. Finally, an accumulation of Cyclin M4 in endoplasmic reticulum is shown under hepatoxicity. Based on our studies in mice, silencing hepatic Cyclin M4 within the window of 6 to 24 h following acetaminophen overdose ingestion may represent a therapeutic target for acetaminophen overdose induced liver injury. YR 2022 FD 2022-11-25 LK http://hdl.handle.net/10668/19549 UL http://hdl.handle.net/10668/19549 LA en DS RISalud RD Apr 7, 2025