Abstract
Shock, regardless of etiology, is characterized by decreased tissue perfusion resulting in cell death, organ dysfunction, and poor survival. Current therapies largely focus on restoring tissue perfusion through resuscitation but have failed to address the specific cellular dysfunction caused by shock. Acetylation is rapidly emerging as a key mechanism that regulates the expression of numerous genes (epigenetic modulation through activation of nuclear histone proteins), as well as functions of multiple cytoplasmic proteins involved in key cellular functions such as cell survival, repair/healing, signaling, and proliferation. Cellular acetylation can be increased immediately through the administration of histone deacetylase inhibitors (HDACI). A series of studies have been performed using: (1) cultured cells; (2) single-organ ischemia-reperfusion injury models; (3) rodent models of lethal septic and hemorrhagic shock; (4) swine models of lethal hemorrhagic shock and multi-organ trauma; and (5) tissues from severely injured trauma patients, to fully characterize the changes in acetylation that occur following lethal insults and in response to treatment with HDACI. These data demonstrate that: (1) shock causes a decrease in acetylation of nuclear and cytoplasmic proteins; (2) hypoacetylation can be rapidly reversed through the administration of HDACI; (3) normalization of acetylation prevents cell death, decreases inflammation, attenuates activation of pro-apoptotic pathways, and augments pro-survival pathways; (4) the effect of HDACI significantly improves survival in lethal models of septic shock, hemorrhagic shock, and complex poly-trauma without need for conventional fluid resuscitation or blood transfusion; and (5) improvement in survival is not due to better resuscitation but due to an enhanced ability of cells to tolerate lethal insults.
As different models of hemorrhagic or septic shock have specific strengths and limitations, this chapter will summarize our attempts to create “pro-survival and anti-inflammatory phenotype” in various models of hemorrhagic shock and septic shock.
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Abbreviations
- ASK1:
-
Apoptosis signal regulating kinase 1
- BAD:
-
Bcl-xl/Bcl-2 associated death promoter
- Bcl-2:
-
B-cell lymphoma 2
- β2-AR:
-
Beta2-adrenergic receptor
- BMP7:
-
Bone morphogenetic protein 7
- CASP:
-
Colon ascendant stent peritonitis
- CBP:
-
Cyclic AMP (cAMP) response element binding protein (CREBP) binding protein
- CCL2:
-
Chemokine (C-C motif) ligand 2
- CINC:
-
Cytokine-induced neutrophil chemoattractant
- CLP:
-
Cecal ligation puncture
- DAMPs:
-
Damage-associated molecular patterns
- DNA:
-
Deoxyribonucleic acid
- DUSP5:
-
Dual specificity protein phosphatase 5
- ELISA:
-
Enzyme-linked immunosorbent assay
- ER:
-
Endoplasmic reticulum
- ERK:
-
Extracellular signal regulated kinase
- F-actin:
-
Filamentous actin
- FWB:
-
Fresh whole blood
- GSK-3β:
-
Glycogen synthase kinase-3β
- h:
-
Hour
- H:
-
Histone
- HATs:
-
Histone acetylases
- HDA1:
-
Histone deacetylase A1
- HDACs:
-
Histone deacetylases
- HDACI:
-
Histone deacetylase inhibitors
- HMGB1:
-
High mobility group box 1
- HS:
-
Hemorrhagic shock
- Hsp 70:
-
Heat shock protein 70
- Hsp 90:
-
Heat shock protein 90
- ICAM-1:
-
Intercellular adhesion molecule-1
- IFN:
-
Interferon
- IGF-1:
-
Insulin-like growth factor 1
- IKK:
-
IκB kinase
- IL:
-
Interleukin
- IRAK 1:
-
Interleukin-1 receptor associated kinase 1
- IRF3:
-
Interferon regulatory factor 3
- IV:
-
Intravenous (injection into a vein)
- JNK:
-
c-Jun N-terminal kinase
- LPS:
-
Lipopolysaccharide
- MAGUK:
-
Membrane-associated guanylate kinase
- MAP:
-
Mean arterial pressure
- MAPK:
-
Mitogen-activated protein kinase
- MEF2:
-
Myocyte enhancer factor 2
- MKP-1:
-
MAP kinase phosphatase 1
- MMTV:
-
Mouse mammary tumor virus
- MODS:
-
Multi-organ dysfunction syndrome
- MPO:
-
Myeloperoxidase
- MSK1:
-
Mitogen and stress-activated protein kinase 1
- MyD88:
-
Myeloid differentiation factor 88
- NAD:
-
Nicrotinamide adenine dinucleotide
- NF-κB:
-
Nuclear factor kappa B
- PAMPs:
-
Pathogen-associated molecular patterns
- PCAF:
-
p300/CREB-binding protein-associated factor
- PCI:
-
Peritoneal contamination and infection
- p300:
-
p300 histone acetyl transferase
- PGC-1α:
-
Peroxisome proliferator-activated receptor γ coactivator-1α
- PI3K:
-
Phosphoinositide 3 kinase
- PIP2:
-
Phosphatidylinositol 4,5-bisphosphate
- PIP3:
-
Phosphatidyl-inositol,3,4,5 triphosphate
- PKB:
-
Protein kinase B
- PTEN:
-
Phosphatase and tensin homolog
- ROS:
-
Reactive oxygen species
- RSK2:
-
Ribosomal S6 kinase 2
- SAHA:
-
Suberoylanilide hydroxamic acid
- SEK:
-
Stress-activated protein kinase (SAPK)/extracellular signal-regulated kinase (ERK) kinase
- SIRS:
-
Systemic inflammatory response syndrome
- SIRT:
-
Sirtuins
- SMA:
-
Superior mesenteric artery
- RT-PCR:
-
Reverse transcription polymerase chain reaction
- TBP2:
-
Trx binding protein 2
- TFs:
-
Transcription factors
- TJ:
-
Tight junction
- TLR4:
-
Toll-like receptor 4
- TNF-α:
-
Tumor necrosis factor α
- TRAF6:
-
TNF receptor associated factor 6
- TRB3:
-
Tribbles 3
- Trx:
-
Thioredoxin
- TSA:
-
Trichostatin A
- VCAM-1:
-
Vascular cell adhesion molecule-1
- VPA:
-
Valproic acid
- VSMCs:
-
Vascular smooth muscle cells
- WT:
-
Wild type
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Acknowledgements
Dr. Alam acknowledges grant support from the National Institutes of Health (RO1 GM084127), Defense Advanced Research Projects Agency (W911NF-06-1-0220), Office of Naval Research (N000140910378), and the US Army Medical Research Material Command (GRANTT00521959).
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Li, Y., Alam, H.B. (2012). Creating a Pro-survival and Anti-inflammatory Phenotype by Modulation of Acetylation in Models of Hemorrhagic and Septic Shock. In: Mylonakis, E., Ausubel, F., Gilmore, M., Casadevall, A. (eds) Recent Advances on Model Hosts. Advances in Experimental Medicine and Biology, vol 710. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-5638-5_11
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