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mTOR inhibition modulates apoptosis and oxidative stress in hindlimb ischemia/reperfusion injury

Cilt: 48 Sayı: 4 29 Aralık 2023
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mTOR inhibition modulates apoptosis and oxidative stress in hindlimb ischemia/reperfusion injury

Abstract

Purpose: Ischemia/reperfusion (I/R)-induced injuries represent serious clinical events regarding profound target organ destructions followed by remote organ complications due to the loss of oxidant/antioxidant balance and apoptosis. Recent studies examining the mammalian target of rapamycin (mTOR) during I/R injury in different organs have remained a matter of debate. The current study aimed to explore further the protective and underlying antiapoptotic and antioxidant mechanisms of mammalian target of rapamycin (mTOR) inhibition in hindlimb (HL) schemia/reperfusion (I/R)injury. Materials and Methods: Occlusion of bilateral hindlimbs for 4 h with tourniquets was carried out under anesthesia to induce I/R for 4 h in rats. Rapamycin (1 mg/kg) or saline (4 mL/kg) was injected intraperitoneally 1 h before reperfusion. Gastrocnemius muscle, kidney, and blood were collected at the end of the experiments for analysis. Muscle and kidney damages were evaluated by measuring protein expression and/or phosphorylation of eukaryotic initiation factor 4E-binding protein 1 (4EBP1), ribosomal protein S6 (rpS6), B-cell lymphoma 2 (Bcl-2), caspase-3, and Bcl-2-associated X protein (Bax) with NADPH oxidase level and total antioxidant capacity in tissues or sera. Results: I/R-induced organ damages were demonstrated by enhanced phosphorylation and/or expression of rpS6, 4EBP1, caspase-3, and Bax with a significant reduction in Bcl-2 accompanied by a decreased total antioxidant capacity and increased level of NADPH oxidase. Administration of rapamycin, an inhibitor mTOR, protected against I/R-mediated injuries. Conclusion: Our findings suggest that the activation of mTOR signaling plays a crucial role in HL I/R-triggered organ damages presumably through the activation of apoptosis as a result of oxidant/antioxidant imbalance.

Keywords

apoptosis , reperfusion injury , mTOR , oxidants , antioxidants

Kaynakça

  1. Blaisdell WF. The pathophysiology of skeletal muscle ischemia and the reperfusion syndrome: a review. Cardiovasc Surg. 2002;10:620-30.
  2. Drysch M, Wallner C, Schmidt SV, Reinkemeier F, Wagner JM, Lehnhardt M et al. An optimized low-pressure tourniquet murine hind limb ischemia reperfusion model: inducing acute ischemia reperfusion injury in C57BL/6 wild type mice. PLoS One. 2019;14:e0210961.
  3. Collard CD, Gelman S. Pathophysiology, clinical manifestations, and prevention of ischemia–reperfusion injury basic pathophysiology of ischemia–reperfusion injury. Anesthesiology. 2001;94:1133-8.
  4. Yassin MMI, Harkin DW, Barros D’Sa AAB, Halliday MI, Rowlands BJ. Lower limb ischemia-reperfusion injury triggers a systemic inflammatory response and multiple organ dysfunction. World J Surg. 2002;26:115-21.
  5. Bayrak S, Yurekli I, Gokalp O, Kiray M, Bademci MS, Ozcem B et al. Assessment of protective effects of methylprednisolone and pheniramine maleate on reperfusion injury in kidney after distant organ ischemia: a rat model. Ann Vasc Surg. 2012;26:559-65.
  6. Takhtfooladi MA, Jahanshahi A, Jahanshahi G, Sotoudeh A, Takhtfooladi HA, Khansari M. Protective effect of N-acetylcysteine on kidney as a remote organ after skeletal muscle ischemia-reperfusion. Acta Cir Bras. 2012;27:611-5.
  7. Takhtfooladi MA, Takhtfooladi HA, Moayer F, Karimi P, Asl HA. Effect of otostegia persica extraction on renal injury induced by hindlimb ischemia-reperfusion: a rat model. Int J Surg. 2015;13:124-30.
  8. Collino M, Aragno M, Mastrocola R, Gallicchio M, Rosa AC, Dianzani C et al. Modulation of the oxidative stress and inflammatory response by PPAR-γ agonists in the hippocampus of rats exposed to cerebral ischemia/reperfusion. Eur J Pharmacol. 2006;530:70-80.
  9. Teruya R, Fagundes DJ, Oshima CTF, Brasileiro JL, Marks G, Ynouye CM et al. The effects of pentoxifylline into the kidneys of rats in a model of unilateral hindlimb ischemia/reperfusion injury. Acta Cir Bras. 2008;23:29-35.
  10. Liu S, Yang Y, Gao H, Zhou N, Wang P, Zhang Y et al. Trehalose attenuates renal ischemia-reperfusion injury by enhancing autophagy and inhibiting oxidative stress and inflammation. Am J Physiol Renal Physiol. 2020;318:994-1005.

Kaynak Göster

MLA
Pire, Zarife, vd. “mTOR inhibition modulates apoptosis and oxidative stress in hindlimb ischemia/reperfusion injury”. Cukurova Medical Journal, c. 48, sy 4, Aralık 2023, ss. 1322-3, doi:10.17826/cumj.1353689.