Fallsehr Christine, Zapletal Christina, Kremer Michael, Demir Resit, von Knebel Doeberitz Magnus, Klar Ernst
Institute of Molecular Pathology, University of Heidelberg, Heidelberg, Germany.
World J Gastroenterol. 2005 Mar 7;11(9):1303-16. doi: 10.3748/wjg.v11.i9.1303.
To identify potential diagnostic target genes in early reperfusion periods following warm liver ischemia before irreversible liver damage occurs.
We used two strategies (SSH suppression subtractive hybridization and hybridization of cDNA arrays) to determine early changes in gene expression profiles in a rat model of partial WI/R, comparing postischemic and adjacent nonischemic liver lobes. Differential gene expression was verified (WI/R; 1 h/2 h) and analyzed in more detail after warm ischemia (1 h) in a reperfusion time kinetics (0, 1, 2 and 6 h) and compared to untreated livers by Northern blot hybridizations. Protein expression was examined on Western blots and by immunohistochemistry for four differentially expressed target genes (Hsp70, Hsp27, Gadd45a and IL-1rI).
Thirty-two individual WI/R target genes showing altered RNA levels after confirmation by Northern blot analyzes were identified. Among them, six functionally uncharacteristic expressed sequences and 26 known genes (12 induced in postischemic liver lobes, 14 with higher transcriptional expression in adjacent nonischemic liver lobes). Functional categories of the verified marker genes indicate on the one hand cellular stress and tissue damage but otherwise activation of protective cellular reactions (AP-1 transcription factors, apoptosis related genes, heat shock genes). In order to assign the transcriptional status to the biological relevant protein level we demonstrated that Hsp70, Hsp27, Gadd45a and IL-1rI were clearly up-regulated comparing postischemic and untreated rat livers, suggesting their involvement in the WI/R context.
This study unveils a WI/R response gene set that will help to explore molecular pathways involved in the tissue damage after WI/R. In addition, these genes especially Hsp70 and Gadd45a might represent promising new candidates indicating WI/R liver damage.
在不可逆性肝损伤发生之前,识别温性肝缺血后早期再灌注阶段潜在的诊断靶基因。
我们采用两种策略(抑制性消减杂交和cDNA阵列杂交)来确定部分温性缺血/再灌注大鼠模型中基因表达谱的早期变化,比较缺血后肝叶和相邻的非缺血肝叶。对差异基因表达进行验证(温性缺血/再灌注;1小时/2小时),并在温性缺血(1小时)后的再灌注时间动力学(0、1、2和6小时)中进行更详细的分析,并通过Northern印迹杂交与未处理的肝脏进行比较。通过蛋白质印迹法和免疫组织化学法检测四个差异表达靶基因(热休克蛋白70、热休克蛋白27、生长停滞和DNA损伤诱导蛋白45α和白细胞介素-1受体I型)的蛋白质表达。
通过Northern印迹分析确认后,鉴定出32个显示RNA水平改变的温性缺血/再灌注靶基因。其中,6个功能未明确的表达序列和26个已知基因(12个在缺血后肝叶中诱导表达,14个在相邻的非缺血肝叶中具有较高的转录表达)。经验证的标记基因的功能类别一方面表明细胞应激和组织损伤,另一方面表明保护性细胞反应(AP-1转录因子、凋亡相关基因、热休克基因)的激活。为了将转录状态与生物学相关的蛋白质水平相关联,我们证明,与缺血后和未处理的大鼠肝脏相比,热休克蛋白70、热休克蛋白27、生长停滞和DNA损伤诱导蛋白45α和白细胞介素-1受体I型明显上调,表明它们参与了温性缺血/再灌注过程。
本研究揭示了一组温性缺血/再灌注反应基因,这将有助于探索温性缺血/再灌注后组织损伤所涉及的分子途径。此外,这些基因尤其是热休克蛋白70和生长停滞和DNA损伤诱导蛋白45α可能代表有希望的新候选指标,提示温性缺血/再灌注肝损伤。