Skip to main content

Intestinal Ischemic Preconditioning After Ischemia/Reperfusion Injury in Rat Intestine: Profiling Global Gene Expression Patterns

Abstract

Objective

Intestinal ischemia/reperfusion (IR) injury involves activation of inflammatory mediators, mucosal necrosis, ileus, and alteration in a variety of gene products. Ischemic preconditioning (IPC) reduced all the effects of intestinal injury seen in IR. In an effort to investigate the molecular mechanisms responsible for the protective effects afforded by IPC, we sought to characterize the global gene expression pattern in rats subjected to IPC in the setting of IR injury.

Methods

Rats were randomized into five groups: (1) Sham, (2) IPC only (3) IR, (4) Early IPC + IR (IPC → IR), and (5) Late IPC + IR (IPC → 24 h → IR). At 6 h after reperfusion, ileum was harvested for total RNA isolation, pooled, and analyzed on complementary DNA (cDNA) microarrays with validation using real-time polymerase chain reaction (PCR). Significance Analysis of Microarray (SAM) software was used to determine statistically significant changes in gene expression.

Results

Early IPC + IR had 5,167 induced and 4 repressed genes compared with the other groups. SAM analysis revealed 474 out of 10,000 genes differentially expressed among the groups. Early and Late IPC + IR had more genes involved in redox hemostasis, the immune/inflammatory response, and apoptosis than either the IPC only or IR alone groups.

Conclusion

The transcriptional profile suggests that IPC exerts its protective effects by regulating the gene response to injury in the intestine.

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10

References

  1. Miedema BW, Schillie S, Simmons JW, Burgess SV, Liem T, Silver D. Small bowel motility and transit after aortic surgery. J Vasc Surg. 2002;36(1):19–24.

    Article  PubMed  Google Scholar 

  2. Bauer AJ, Schwarz NT, More BA, Turler A, Kalff JC. Ileus in critical illness: mechanisms and management. Curr Opin Crit Care. 2002;8(2):152–157.

    Article  PubMed  Google Scholar 

  3. Moore FA, Cocanour CS, McKinley BA, et al. Migrating motility complexes persist after severe traumatic shock in patients who tolerate enteral nutrition. J Trauma. 2001;51:1075–1082.

    Article  PubMed  CAS  Google Scholar 

  4. Hassoun HH, Mercer DW, Moody FG, Weisbrodt NW, Moore FA. Postinjury multiple organ failure: the role of the gut. Shock. 2001;15:1–10.

    Article  PubMed  CAS  Google Scholar 

  5. Murry CE, Jennings RB, Reimer KA. Preconditioning with ischemia: a delay of lethal cell injury in ischemic myocardium. Circulation. 1986;74(5):1124–1136.

    PubMed  CAS  Google Scholar 

  6. Tomai F, Crea F, Chiariello L, Gioffre PA. Ischemic preconditioning in humans: models, mediators, and clinical relevance. Circulation. 1999;100(5):559–563.

    PubMed  CAS  Google Scholar 

  7. Nilsson B, Friman S, Gustafsson BI, Delbro DS. Preconditioning protects against ischemia/reperfusion injury of the liver. J Gastrointest Surg. 2000;4(1):44–49.

    Article  PubMed  CAS  Google Scholar 

  8. Cochrane J, Williams BT, Banerjee A, et al. Ischemic preconditioning attenuates functional, metabolic, and morphologic injury from ischemic acute renal failure in the rat. Ren Fail. 1999;21(2):135–145.

    Article  PubMed  CAS  Google Scholar 

  9. Millar CG, Baxter GF, Thiemermann C. Protection of the myocardium by ischaemic preconditioning: mechanisms and therapeutic implications. Pharmacol Ther. 1996;69(2):143–151.

    Article  PubMed  CAS  Google Scholar 

  10. Moore-Olufemi SD, Kozar RA, Moore FA, et al. Ischemic preconditioning protects against gut dysfunction and mucosal injury after ischemia/reperfusion injury. Shock. 2005;23(3):258–263.

    PubMed  Google Scholar 

  11. Xu DZ, Lu Q, Kubicka R, Deitch EA. The effect of hypoxia/reoxygenation on the cellular function of intestinal epithelial cells. J Trauma. 1999;46(2):280–285.

    Article  PubMed  CAS  Google Scholar 

  12. Granger DN, Rutili G, McCord LM. Role of superoxide radicals on intestinal ischemia. Gastroenterology. 1981;8:22–29.

    Google Scholar 

  13. Hassoun HT, Weisbrodt NW, Mercer DW, Kozar RA, Moody FG, Moore FA. Inducible nitric oxide synthase mediates gut ischemia-reperfusion induced ileus only after severe insults. J Surg Res. 2001;97:150–154.

    Article  PubMed  CAS  Google Scholar 

  14. Hassoun HT, Kozar RA, Kone BC, Safi HJ, Moore FA. Intraischemic hypothermia differentially modulates oxidative stress proteins during mesenteric ischemia/reperfusion. Surgery. 2002;132(2):369–376.

    Article  PubMed  Google Scholar 

  15. Hassoun JT, Zou L, Moore FA, Kozar RA, Weisbrodt NW, Kone BC. α-Melanocyte stimulating hormone protects against mesenteric ischemia-reperfusion injury. Am J Physiol. 2002;282:G1059–G1068.

    CAS  Google Scholar 

  16. Attuwaybi B, Kozar RA, Gates KS, et al. Hypertonic saline prevents inflammation, injury, and impaired intestinal transit after gut ischemia/reperfusion by inducing heme oxygenase 1 enzyme. J Trauma. 2004;56(4):749–758.

    Article  PubMed  CAS  Google Scholar 

  17. Xuan YT, Guo Y, Han H, Zhu Y, Bolli R. An essential role of the JAK-STAT pathway in ischemic preconditioning. Proc Natl Acad Sci USA. 2001;98(16):9050–9055.

    Article  PubMed  CAS  Google Scholar 

  18. Sandhu R, Diaz RJ, Mao GD, Wilson GJ. Ischemic preconditioning: differences in protection and susceptibility to blockade with single-cycle versus multicycle transient ischemia. Circulation. 1997;96(3):984–995.

    PubMed  CAS  Google Scholar 

  19. Chiu CT, McArdle AH, Brown R, Scott H, Gurd F. Intestinal mucosal lesion in low flow states. Arch Surg. 1970;101:478–483.

    PubMed  CAS  Google Scholar 

  20. Giannella E, Mochmann H, Levi R. Ischemic preconditioning prevents the impairment of hypoxic coronary vasodilatation caused by ischemia/reperfusion. Circ Res. 1997;81:415–422.

    PubMed  CAS  Google Scholar 

  21. Hattori R, Maulik N, Otani H, et al. Role of STAT-3 in ischemic preconditioning. J Mol Cell Cardiol. 2001;33:1929–1936.

    Article  PubMed  CAS  Google Scholar 

  22. Xuan YT, Guo Y, Han H, Zhu Y, Bolli R. An essential role of the JAK-STAT pathway in ischemic preconditioning. Proc Natl Acad Sci USA. 2001;98:9050–9055.

    Article  PubMed  CAS  Google Scholar 

  23. Kurtz CC, Lindell SL, Mangino MJ, Carey HV. Hibernation confers resistance to intestinal ischemia-reperfusion injury. Am J Physiol Gastrointest Liver Physiol. 2006;291(5):G895–G901.

    Article  PubMed  CAS  Google Scholar 

  24. Martin SL, Epperson LE, Rose JC, Kurtz CC, Ané C, Carey HV. Proteomic analysis of the winter-protected phenotype of hibernating ground squirrel intestine. Am J Physiol Regul Integr Comp Physiol. 2008;295(1):R316–R328.

    PubMed  CAS  Google Scholar 

  25. Sato N, Moore FA, Smith MA, et al. Immune-enhancing enteral nutrients differentially modulate the early proinflammatory transcription factors mediating gut ischemia/reperfusion. J Trauma. 2005;58(3):455–461.

    Article  PubMed  CAS  Google Scholar 

  26. Gonzalez EA, Kozar RA, Suliburk JW, Weisbrodt NW, Mercer DW, Moore FA. Hypertonic saline resuscitation after mesenteric ischemia/reperfusion induces ileal apoptosis. J Trauma. 2005;59(5):1092–1098.

    Article  PubMed  CAS  Google Scholar 

  27. Szabo C, Billiar TC. Novel roles of nitric oxide in hemorrhagic shock. Shock. 1999;12:1–9.

    Article  PubMed  CAS  Google Scholar 

  28. Brauch KM, Dhruv ND, Hanse EA, Andrews MT. Digital transcriptome analysis indicates adaptive mechanisms in the heart of a hibernating mammal. Physiol Genomics. 2005;23(2):227–234.

    Article  PubMed  CAS  Google Scholar 

  29. Wolfárd A, Kaszaki J, Varga S, Lázár G, Boros M. Early microcirculatory changes after ischemic preconditioning and small bowel autotransplantation. Eur Surg Res. 2007;39(5):284–290.

    Article  PubMed  Google Scholar 

  30. McCallion K, Wattanasirichaigoon S, Gardiner KR, Fink MP. Ischemic preconditioning ameliorates ischemia- and reperfusion-induced intestinal epithelial hyperpermeability in rats. Shock. 2000;14:429–434.

    Article  PubMed  CAS  Google Scholar 

  31. Aksoyek S, Cinel I, Avlan D, et al. Intestinal ischemic preconditioning protects the intestine and reduces bacterial translocation. Shock. 2002;18:476–480.

    Article  PubMed  Google Scholar 

  32. Aban N, Cinel L, Tamer L, Aktas A, Aban M. Ischemic preconditioning reduces caspase-related intestinal apoptosis. Surg Today. 2005;35(3):228–234.

    Article  PubMed  CAS  Google Scholar 

  33. Zimmermann P, Tomatis D, Rosas M, et al. Characterization of syntenin, a syndecan-binding PDZ protein, as a component of cell adhesion sites and microfilaments. Mol Biol Cell. 2001;12(2):339–350.

    PubMed  CAS  Google Scholar 

  34. Bock-Marquette I, Saxena A, White MD, Dimaio JM, Srivastava D. Thymosin beta4 activates integrin-linked kinase and promotes cardiac cell migration, survival and cardiac repair. Nature. 2004;432(7016):466–472.

    Article  PubMed  CAS  Google Scholar 

  35. Paret C, Bourouba M, Beer A, et al. Ly6 family member C4.4A binds laminins 1 and 5, associates with galectin-3 and supports cell migration. Int J Cancer. 2005;115(5):724–733.

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

This work was supported by NIGMS grants T32 GM 08792, P50 GM38529, the Department of Defense “DREAMS” grant (B.C.K.), and endowment funds from The James T. and Nancy B. Willerson Chair (B.C.K.).

Author information

Affiliations

Authors

Corresponding author

Correspondence to Charles S. Cox Jr..

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Moore-Olufemi, S.D., Olufemi, SE., Lott, S. et al. Intestinal Ischemic Preconditioning After Ischemia/Reperfusion Injury in Rat Intestine: Profiling Global Gene Expression Patterns. Dig Dis Sci 55, 1866–1877 (2010). https://doi.org/10.1007/s10620-009-0980-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10620-009-0980-4

Keywords

  • Ischemia/reperfusion
  • Gene expression
  • Intestine
  • Preconditioning