Identification of flucloxacillin-modified hepatocellular proteins: implications in flucloxacillin-induced liver injury.

{"sci_version": "1.2", "schema": "https://corpus.bntrg.co.uk/sci/1.0/sci.schema.json", "id": "pmid:36782357", "kind": "science-record", "revision": 3, "content_hash": "sha256:a32cb578d07ef9191e07211d7efdf0fbbfa1e1d4fddbacd8577e33630f7df98a", "created_at": "2026-11-01T19:01:22Z", "updated_at": "2026-11-01T22:08:48Z", "generator": {"name": "corpus-assay-engine", "run_id": "reading-sci-2026-11-01"}, "paper": {"state": "complete", "title": "Identification of flucloxacillin-modified hepatocellular proteins: implications in flucloxacillin-induced liver injury.", "doi": "10.1093/toxsci/kfad015", "pmid": "36782357", "authors": ["Serat-E Ali", "James C Waddington", "Adam Lister", "Rowena Sison-Young", "Robert P Jones", "Adeeb H Rehman", "Chris E P Goldring", "Dean J Naisbitt", "Xiaoli Meng"], "journal": "Toxicological sciences : an official journal of the Society of Toxicology", "year": 2023, "abstract": "Flucloxacillin is a β-lactam antibiotic associated with a high incidence of drug-induced liver injury. Although expression of HLA-B*57:01 is associated with increased susceptibility, little is known of the pathological mechanisms involved in the induction of the clinical phenotype. Irreversible protein modification is suspected to drive the reaction through the provision of flucloxacillin-modified peptides that are presented to T-cells by the protein encoded by the risk allele. In this study, we have shown that flucloxacillin binds to multiple proteins within human primary hepatocytes, including major hepatocellular proteins (hemoglobin and albumin) and mitochondrial proteins. Inhibition of membrane transporters multidrug resistance-associated protein 2 (MRP2) and P-glycoprotein (P-gp) appeared to reduce the levels of covalent binding. A diverse range of proteins with different functions was found to be targeted by flucloxacillin, including adaptor proteins (14-3-3), proteins with catalytic activities (liver carboxylesterase 1, tRNA-splicing endonuclease subunit Sen2, All-trans-retinol dehydrogenase ADH1B, Glutamate dehydrogenase 1 mitochondrial, Carbamoyl-phosphate synthase [ammonia] mitochondrial), and transporters (hemoglobin, albumin, and UTP-glucose-1-phosphate uridylyltransferase). These flucloxacillin-modified intracellular proteins could provide a potential source of neoantigens for HLA-B*57:01 presentation by hepatocytes. More importantly, covalent binding to critical cellular proteins could be the molecular initiating events that lead to flucloxacillin-induced cholestasis Data are available via ProteomeXchange with identifier PXD038581.", "claims": [{"id": "claim-method", "statement": "False discovery rate was estimated with decoy fusion.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:36782357", "locator": "sections[10] \"Analysis of tryptic peptides\" paragraph 2", "quote": "False discovery rate was estimated with decoy fusion."}], "state": "complete"}, {"id": "claim-data-access", "statement": "Data are available via ProteomeXchange with identifier PXD038581.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:36782357", "locator": "sections[0] \"Abstract\" paragraph 1", "quote": "Data are available via ProteomeXchange with identifier PXD038581."}], "state": "complete"}], "gaps": []}, "experiment": {"state": "partial", "objective": "", "steps": [{"id": "read_published_estimate", "order": 1, "name": "Read the published estimate from the source", "kind": "other", "state": "complete", "blocked_on": null, "description": "The claim, method and evidence span published with the source article.", "duration_hours": null, "parameters": {}, "inputs": ["source:pmid:36782357"], "outputs": ["the published estimate and its evidence"], "instruments": [], "reagents": []}, {"id": "obtain_source_data", "order": 2, "name": "Obtain the source data from the named repository", "kind": "data-preparation", "state": "blocked", "blocked_on": "data:accession_absent", "description": "The GEO series accession resolves and its sample accessions are listed. 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