Chang Zhigang, Li Yongqing, He Wei, Liu Baoling, Duan Xiuzhen, Halaweish Ihab, Bambakidis Ted, Pan Baihong, Liang Yingjian, Nikolian Vahagn C, Georgoff Patrick, Alam Hasan B
From the Department of Surgical ICU (Z.C.), Beijing Hospital, Beijing, China; Department of Cardiothoracic Surgery (W.H.), Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China; Department of Surgery (Z.C., Y.L., W.H., B.L., I.H., T.B., B.P., Y.L., V.C.N., P.G., H.B.A.), University of Michigan Hospital, Ann Arbor, Michigan; The First Hospital (Y.L.), China Medical University, Shengyang, China; and Department of Pathology (X.D.), Loyola University Medical Center, Maywood, Illinois.
J Trauma Acute Care Surg. 2016 Sep;81(3):512-9. doi: 10.1097/TA.0000000000001137.
We recently discovered that Tubastatin-A, a histone deacetylase (HDAC6) inhibitor, can improve survival in a rodent model of hemorrhagic shock (HS), but mechanisms remain poorly defined. In this study, we investigated whether Tubastatin-A could protect intestinal tight junction (TJ) in HS.
In an in-vivo study with Wistar-Kyoto rats, the rats underwent HS (40% blood loss) followed by Tubastatin-A (70 mg/kg) treatment, without fluid resuscitation. The experimental groups were (1) sham (no hemorrhage, no treatment), (2) control (hemorrhage, without treatment), and (3) treatment (hemorrhage with Tubastatin-A administration). Six hours after hemorrhage, ileum was harvested. Whole cell lysate were analyzed for acetylated α-tubulin (Ac-tubulin), total tubulin, acetylated histone 3 at lysine 9 (Ac-H3K9), β-actin, claudin-3 and zonula occludens 1 (ZO-1) proteins by Western blot. Histological effects of Tubastatin-A on small bowel were examined. In an in-vitro study, human intestinal epithelial cells (Caco-2) were divided into three groups: (1) sham (normoxia), (2) control (anoxia, no treatment), and (3) treatment (anoxia, treatment with Tubastatin-A). After 12 hours in an anoxia chamber, the cells were examined for Ac-tubulin and Ac-H3K9, cellular viability, cytotoxicity, claudin-3 and ZO-1 protein expression, and transwell permeability study.
Tubastatin-A treatment significantly attenuated HS-induced decreases of Ac-tubulin, Ac-H3K9, ZO-1 and claudin-3 proteins in small bowel in-vivo (p < 0.05). In cultured Caco-2 cells, anoxia significantly decreased cellular viability (p < 0.001) and increased cytotoxicity (p < 0.001) compared to the sham group, while Tubastatin-A treatment offered significant protection (p < 0.0001). Moreover, expression of claudin-3 was markedly decreased in vitro compared to the sham group, whereas this was significantly attenuated by Tubastatin-A (p < 0.05). Finally, anoxia markedly increased the permeability of Caco-2 monolayer cells (p < 0.05), while Tubastatin-A significantly attenuated the alteration (p < 0.05).
Inhibition of HDAC6 can induce Ac-tubulin and Ac-H3K9, promote cellular viability, and prevent the loss of intestinal tight junction proteins during HS and anoxia.
我们最近发现,组蛋白去乙酰化酶(HDAC6)抑制剂Tubastatin-A可提高失血性休克(HS)啮齿动物模型的存活率,但其机制仍不清楚。在本研究中,我们调查了Tubastatin-A是否能在HS中保护肠道紧密连接(TJ)。
在一项针对Wistar-Kyoto大鼠的体内研究中,大鼠经历HS(失血40%),随后进行Tubastatin-A(70mg/kg)治疗,不进行液体复苏。实验组为:(1)假手术组(无出血,未治疗),(2)对照组(出血,未治疗),(3)治疗组(出血并给予Tubastatin-A)。出血6小时后,采集回肠。通过蛋白质印迹法分析全细胞裂解物中的乙酰化α-微管蛋白(Ac-微管蛋白)、总微管蛋白、赖氨酸9位乙酰化组蛋白3(Ac-H3K9)、β-肌动蛋白、闭合蛋白-3和闭锁小带蛋白1(ZO-1)。检查Tubastatin-A对小肠的组织学影响。在一项体外研究中,将人肠上皮细胞(Caco-2)分为三组:(1)假手术组(常氧),(2)对照组(缺氧,未治疗),(3)治疗组(缺氧,用Tubastatin-A治疗)。在缺氧箱中放置12小时后,检查细胞的Ac-微管蛋白和Ac-H3K9、细胞活力、细胞毒性、闭合蛋白-3和ZO-1蛋白表达,并进行跨膜通透性研究。
Tubastatin-A治疗显著减轻了HS诱导的体内小肠中Ac-微管蛋白、Ac-H3K9、ZO-1和闭合蛋白-3蛋白的减少(p<0.05)。在培养的Caco-2细胞中,与假手术组相比,缺氧显著降低了细胞活力(p<0.001)并增加了细胞毒性(p<0.001),而Tubastatin-A治疗提供了显著的保护作用(p<0.0001)。此外,与假手术组相比,体外闭合蛋白-3的表达明显降低,而Tubastatin-A显著减轻了这种降低(p<0.05)。最后,缺氧显著增加了Caco-2单层细胞的通透性(p<0.05),而Tubastatin-A显著减轻了这种改变(p<0.05)。
抑制HDAC6可诱导Ac-微管蛋白和Ac-H3K9,促进细胞活力,并防止HS和缺氧期间肠道紧密连接蛋白的丢失。