Molecular Medicine

, Volume 19, Issue 1, pp 72–78 | Cite as

XBP-1s Is Linked to Suppressed Gluconeogenesis in the Ebb Phase of Burn Injury

  • Natasha C. Brooks
  • Alexandra H. Marshall
  • Nour Qa’aty
  • Yaeko Hiyama
  • Darren Boehning
  • Marc G. Jeschke
Research Article


The first 24 h following burn injury is known as the ebb phase and is characterized by a depressed metabolic rate. While the postburn ebb phase has been well described, the molecular mechanisms underlying this response are poorly understood. The endoplasmic reticulum (ER) regulates metabolic rate by maintaining glucose homeostasis through the hepatic ER stress response. We have shown that burn injury leads to ER stress in the liver during the first 24 h following thermal injury. However, whether ER stress is linked to the metabolic responses during the ebb phase of burn injury is poorly understood. Here, we show in an animal model that burn induces activation of activating transcription factor 6 (ATF6) and inositol requiring enzyme-1 (IRE-1) and this leads to increased expression of spliced X-box binding protein-1 (XBP-1s) messenger ribonucleic acid (mRNA) during the ebb phase. This is associated with increased expression of XBP-1target genes and downregulation of the key gluconeogenic enzyme glucose-6-phosphatase (G6Pase). We conclude that upregulation of the ER stress response after burn injury is linked to attenuated gluconeogenesis and sustained glucose tolerance in the postburn ebb phase.



We are very grateful for the anti-TO13/14 ATF6 antibody generously provided by Alan Volchuk (University of Toronto, Toronto, Canada). This research was supported by grants from the National Institutes of Health (R01 GM087285), the CFI’s Leader’s Opportunity Fund (25407), CIHR #123336 and the Health Research Grant Program from the Physicians’ Services Incorporated Foundation.


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Authors and Affiliations

  • Natasha C. Brooks
    • 1
  • Alexandra H. Marshall
    • 3
  • Nour Qa’aty
    • 3
  • Yaeko Hiyama
    • 3
  • Darren Boehning
    • 2
  • Marc G. Jeschke
    • 3
    • 4
    • 5
    • 6
  1. 1.Department of Biochemistry and Molecular BiologyUniversity of Texas Medical BranchGalvestonUSA
  2. 2.Department of Neuroscience and Cell BiologyUniversity of Texas Medical BranchGalvestonUSA
  3. 3.Department of Trauma, Emergency, and Critical Care, Sunnybrook Research InstituteSunnybrook Health Sciences CentreTorontoCanada
  4. 4.Ross Tilley Burn Centre, Sunnybrook Health Sciences CentreUniversity of TorontoTorontoCanada
  5. 5.Division of Plastic Surgery, Department of SurgeryUniversity of TorontoTorontoCanada
  6. 6.Department of ImmunologyUniversity of TorontoTorontoCanada

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