Zhang Qin, Carter Edward A, Ma Bangyi, Fischman Alan J, Tompkins Ronald G
Department of Surgery, Massachusetts General Hospital, and Shriners Hospital for Children, Boston, MA 02114, USA.
J Burn Care Res. 2008 Mar-Apr;29(2):346-52. doi: 10.1097/BCR.0b013e3181667387.
Postburn alterations in the morphology and metabolism of brain tissue have been previously reported. It was demonstrated in our previous study that thermal injury decreased glucose usage in rat brain during the ebb phase. The cellular and molecular signaling events that trigger the pathophysiologic alterations, however, have not yet been characterized. In the present report, the authors have examined the effect of burn injury on mitogen-activated protein kinases (MAPKs) activities and insulin signaling in the brain tissue. Rats were subjected to 50% total body surface area full thickness scald injury. Brain samples were collected at 6 hours after injury. Tissue lysates were analyzed for MAPKs activities, insulin receptor substrate (IRS)-1 expression, and Akt activity which were determined by western blot and immunoprecipitation. Burn injury stimulated the stress-responsive components, SAPK/JNK, p38 MAP kinase and p44/42 MAP kinase, and increased IRS-1 expression and Akt activity. There was no change, however, on the phosphorylation of Ser307 of IRS-1 in brain tissue. The present data is consistent with the hypothesis that activation of the three major MAPKs pathways appears to be events involved in the mechanisms of burn injury induced insulin resistance and encephalopathy. Changes in signal transduction pathways in the brain after burn injury provide the underlying molecular mechanism of neurologic abnormalities (burn encephalopathy) that occur in burn patients.
先前已有关于烧伤后脑组织形态和代谢改变的报道。我们之前的研究表明,在休克期热损伤会降低大鼠脑内的葡萄糖利用。然而,引发这些病理生理改变的细胞和分子信号事件尚未得到明确。在本报告中,作者研究了烧伤对脑组织中丝裂原活化蛋白激酶(MAPK)活性和胰岛素信号的影响。将大鼠进行50%体表面积的全层烫伤。在伤后6小时采集脑样本。通过蛋白质印迹法和免疫沉淀法分析组织裂解物中的MAPK活性、胰岛素受体底物(IRS)-1表达及Akt活性。烧伤刺激了应激反应成分,即应激活化蛋白激酶/氨基末端激酶(SAPK/JNK)、p38丝裂原活化蛋白激酶和p44/42丝裂原活化蛋白激酶,并增加了IRS-1表达和Akt活性。然而,脑组织中IRS-1的Ser307磷酸化没有变化。目前的数据与以下假设一致,即三大MAPK途径的激活似乎是烧伤诱导的胰岛素抵抗和脑病机制中的相关事件。烧伤后脑内信号转导途径的变化为烧伤患者出现的神经异常(烧伤脑病)提供了潜在的分子机制。