RT Journal Article T1 The mitochondrial negative regulator MCJ is a therapeutic target for acetaminophen-induced liver injury. A1 Barbier-Torres, Lucía A1 Iruzubieta, Paula A1 Fernández-Ramos, David A1 Delgado, Teresa C A1 Taibo, Daniel A1 Guitiérrez-de-Juan, Virginia A1 Varela-Rey, Marta A1 Azkargorta, Mikel A1 Navasa, Nicolas A1 Fernández-Tussy, Pablo A1 Zubiete-Franco, Imanol A1 Simon, Jorge A1 Lopitz-Otsoa, Fernando A1 Lachiondo-Ortega, Sofia A1 Crespo, Javier A1 Masson, Steven A1 McCain, Misti Vanette A1 Villa, Erica A1 Reeves, Helen A1 Elortza, Felix A1 Lucena, Maria Isabel A1 Hernández-Alvarez, Maria Isabel A1 Zorzano, Antonio A1 Andrade, Raúl J A1 Lu, Shelly C A1 Mato, José M A1 Anguita, Juan A1 Rincón, Mercedes A1 Martínez-Chantar, María Luz AB Acetaminophen (APAP) is the active component of many medications used to treat pain and fever worldwide. Its overuse provokes liver injury and it is the second most common cause of liver failure. Mitochondrial dysfunction contributes to APAP-induced liver injury but the mechanism by which APAP causes hepatocyte toxicity is not completely understood. Therefore, we lack efficient therapeutic strategies to treat this pathology. Here we show that APAP interferes with the formation of mitochondrial respiratory supercomplexes via the mitochondrial negative regulator MCJ, and leads to decreased production of ATP and increased generation of ROS. In vivo treatment with an inhibitor of MCJ expression protects liver from acetaminophen-induced liver injury at a time when N-acetylcysteine, the standard therapy, has no efficacy. We also show elevated levels of MCJ in the liver of patients with acetaminophen overdose. We suggest that MCJ may represent a therapeutic target to prevent and rescue liver injury caused by acetaminophen. YR 2017 FD 2017-12-12 LK http://hdl.handle.net/10668/11900 UL http://hdl.handle.net/10668/11900 LA en DS RISalud RD Apr 11, 2025