RT Journal Article T1 Methionine Cycle Rewiring by Targeting miR-873-5p Modulates Ammonia Metabolism to Protect the Liver from Acetaminophen. A1 Rodríguez-Agudo, Rubén A1 Goikoetxea-Usandizaga, Naroa A1 Serrano-Maciá, Marina A1 Fernández-Tussy, Pablo A1 Fernández-Ramos, David A1 Lachiondo-Ortega, Sofía A1 González-Recio, Irene A1 Gil-Pitarch, Clàudia A1 Mercado-Gómez, María A1 Morán, Laura A1 Bizkarguenaga, Maider A1 Lopitz-Otsoa, Fernando A1 Petrov, Petar A1 Bravo, Miren A1 Van Liempd, Sebastiaan Martijn A1 Falcon-Perez, Juan Manuel A1 Zabala-Letona, Amaia A1 Carracedo, Arkaitz A1 Castell, Jose Vicente A1 Jover, Ramiro A1 Martínez-Cruz, Luis Alfonso A1 Delgado, Teresa Cardoso A1 Cubero, Francisco Javier A1 Lucena, María Isabel A1 Andrade, Raúl Jesús A1 Mabe, Jon A1 Simón, Jorge A1 Martínez-Chantar, María Luz K1 acetaminophen (APAP) K1 ammonia K1 drug-induced liver injury (DILI) K1 methionine cycle K1 miR-873-5p K1 mitochondria K1 polyamines K1 therapy AB Drug-induced liver injury (DILI) development is commonly associated with acetaminophen (APAP) overdose, where glutathione scavenging leads to mitochondrial dysfunction and hepatocyte death. DILI is a severe disorder without effective late-stage treatment, since N-acetyl cysteine must be administered 8 h after overdose to be efficient. Ammonia homeostasis is altered during liver diseases and, during DILI, it is accompanied by decreased glycine N-methyltransferase (GNMT) expression and S-adenosylmethionine (AdoMet) levels that suggest a reduced methionine cycle. Anti-miR-873-5p treatment prevents cell death in primary hepatocytes and the appearance of necrotic areas in liver from APAP-administered mice. In our study, we demonstrate a GNMT and methionine cycle activity restoration by the anti-miR-873-5p that reduces mitochondrial dysfunction and oxidative stress. The lack of hyperammoniemia caused by the therapy results in a decreased urea cycle, enhancing the synthesis of polyamines from ornithine and AdoMet and thus impacting the observed recovery of mitochondria and hepatocyte proliferation for regeneration. In summary, anti-miR-873-5p appears to be an effective therapy against APAP-induced liver injury, where the restoration of GNMT and the methionine cycle may prevent mitochondrial dysfunction while activating hepatocyte proliferative response. SN 2076-3921 YR 2022 FD 2022-04-30 LK http://hdl.handle.net/10668/20781 UL http://hdl.handle.net/10668/20781 LA en DS RISalud RD Aug 13, 2025