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Am J Physiol Gastrointest Liver Physiol (August 31, 2006). doi:10.1152/ajpgi.00186.2006
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Submitted on May 2, 2006
Accepted on August 28, 2006

Hepatocyte NF-{kappa}B Activation is Hepatoprotective during Ischemia/Reperfusion Injury and is Augmented by Ischemic Hypothermia

Satoshi Kuboki1, Tomohisa Okaya1, Rebecca Schuster1, John Blanchard1, Alvin Denenberg2, Hector Wong2, and Alex B. Lentsch1*

1 Surgery, University of Cincinnati, Cincinnati, Ohio, United States
2 Divsion of Critical Care Medicine, Children's Hospital Medical Center, United States

* To whom correspondence should be addressed. E-mail: alex.lentsch{at}uc.edu.

The current study examined the role of hepatocyte NF-{kappa}B activation during ischemia/reperfusion injury. Secondly, we evaluated the effects of ischemic hypothermia on NF-{kappa}B activation and liver injury. C57BL/6 mice underwent 90 minutes of partial hepatic ischemia and up to 8 hours of reperfusion. Body temperature was regulated during the ischemic period between 35-37°C, 33-35°C, 29-33°C, or unregulated, where temperature fell to <29°C. Liver injury, as measured by serum alanine aminotransferase as well as liver histopathology, was inversely proportional to regulated body temperature, with the unregulated group (<29°C) being highly protected and the normothermic group (35-37°C) displaying the greatest injury. Inflammation, as measured by production of TNF{alpha} and liver recruitment of neutrophils, was greatest in the normothermic groups and lowest in ischemic hypothermia groups. Interestingly, hepatocyte NF-{kappa}B activation was highest in the hypothermic group and least in the normothermic group. Paradoxically, degradation of the I{kappa}B proteins, I{kappa}B{alpha} and I{kappa}B{beta}, was greatest in the normothermic group suggesting an alternate NF-{kappa}B regulatory mechanism during ischemia/reperfusion injury. Subsequently, we found that NF-{kappa}B p65 protein was degraded in normothermic versus hypothermic groups and this degradation was specific for hepatocytes and was associated with decreased expression of the peptidyl-prolyl isomerase, Pin1. The data suggest that NF-{kappa}B activation in hepatocytes is a protective response during ischemia/reperfusion and can be augmented by ischemic hypothermia. Furthermore, it appears that the peptidyl-prolyl isomerase, Pin1, promotes NF-{kappa}B p65 protein stability such that decreased expression of Pin1 during ischemia/reperfusion results in p65 degradation, reduced nuclear translocation of NF-{kappa}B and enhanced hepatocellular injury.







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