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This Article Full Text Full Text (PDF) All Versions of this Article: 291/3/G456    most recent 00480.2005v2 00480.2005v1 Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via ISI Web of Science (1) Citing Articles via Google Scholar Google Scholar Articles by Lehnert, M. Articles by Lemasters, J. J. Search for Related Content PubMed PubMed Citation Articles by Lehnert, M. Articles by Lemasters, J. J.

INFLAMMATION/IMMUNITY/MEDIATORS

Lipopolysaccharide-binding protein modulates hepatic damage and the inflammatory response after hemorrhagic shock and resuscitation

Departments of ¹Cell and Developmental Biology, ²Medicine, and ⁴Surgery, University of North Carolina, Chapel Hill, North Carolina; and ³Department of Trauma Surgery, J. W. Goethe University, Frankfurt/Main, Germany

Submitted 11 October 2005 ; accepted in final form 4 April 2006

Hemorrhagic shock and resuscitation cause endotoxemia and hepatocellular damage. Because lipopolysaccharide-binding protein (LBP) enhances cellular responses to endotoxin, our aim was to determine whether LBP contributes to hemorrhage/resuscitation-induced injury by comparing LBP knockout and wild-type mice. Under pentobarbital anaesthesia, wild-type and LBP-deficient mice were hemorrhaged to 30 mmHg for 3 h and then resuscitated with shed blood plus half the volume of lactated Ringer solution. Serum alanine aminotransferase (ALT) necrosis, neutrophil infiltration, and 4-hydroxynonenal by histology/cytochemistry and stress kinase activation by immunoblot analysis were then determined. ALT in wild-type mice was 2,461 ± 383 and 1,418 ± 194 IU/l (means ± SE), respectively, at 2 and 6 h after resuscitation versus sham ALT of 102 ± 6 IU/l. In LBP-deficient mice, ALT was blunted at both time points to 1,108 ± 340 and 619 ± 171 IU/l (P < 0.05). Liver necrosis after 6 h was also attenuated from 3.5 ± 0.8% in wild-type mice to 1.3 ± 0.5% in LBP-deficient mice (P < 0.05). After hemorrhage/resuscitation, neutrophil infiltration increased 71% more in wild-type than LBP knockout mice. Similarly, hepatic 4-hydroxynonenal staining, indicative of lipid peroxidation, decreased from 33.8 ± 4.5% in wild-type mice to 11.6 ± 1.9% in knockout mice (P < 0.05). After hemorrhage/resuscitation, activation of MAPKs, JNK and ERK, occurred in wild-type mice, which was largely blocked in LBP-deficient mice. However, endotoxin in portal blood after resuscitation was not significantly different between wild-type and knockout mice. In conclusion, hemorrhagic shock and resuscitation to mice cause severe, LBP-mediated hepatocellular damage. An absence of LBP blunts hepatocellular injury with decreased neutrophil infiltration, oxidative stress, and c-Jun and ERK activation.

knockout mouse; hemorrhage/resuscitation; liver injury; stress kinases