摘要:SummaryLiver disease is a major cause of premature death. Oxidative stress in the liver represents a key disease driver. Compounds, such as dimethyl fumarate (DMF), can activate the antioxidant response and are used clinically to treat disease. In this study, we tested the protective properties of DMF before or after paracetamol exposure. Following DMF administration, Nrf2 nuclear translocation was tracked at the single-cell level and target gene transactivation confirmed. Next, the protective properties of DMF were examined following paracetamol exposure. Transcriptomic and biochemical analysis revealed that DMF rescue was underpinned by reduced Nf-kB and TGF-β signaling and cell senescence. Following on from these studies, we employed a Zebrafish model to study paracetamol exposurein vivo. We combined a genetically modified Zebrafish model, expressing green fluorescent protein exclusively in the liver, with automated microscopy. Pre-treatment with DMF, prior to paracetamol exposure, led to reduced liver damage in Zebrafish demonstrating protective properties.Graphical abstractDisplay OmittedHighlights•Dimethyl fumarate protects hepatocyte-like cells from paracetamol-induced stress•Nrf2 activation and TGF-β inhibition are main drivers of cell protectionin vitro•DMF pre-treatment of zebrafish prevents paracetamol-induced liver injuryin vivoMolecular biology; Toxicology ; Cell biology; Transcriptomics.