Expression of genes belonging to the interacting TLR cascades, NADPH-oxidase and mitochondrial oxidative phosphorylation in septic patients

Sepsis is a complex disease that is characterized by activation and inhibition of different cell signaling pathways according to the disease stage. Here, we evaluated genes involved in the TLR signaling pathway, oxidative phosphorylation and oxidative metabolism, aiming to assess their interactions...

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Veröffentlicht in:PloS one 2017-02, Vol.12 (2), p.e0172024-e0172024
Hauptverfasser: Nucci, Laura A, Santos, Sidnéia S, Brunialti, Milena K C, Sharma, Narendra Kumar, Machado, Flavia R, Assunção, Murillo, de Azevedo, Luciano C P, Salomao, Reinaldo
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container_issue 2
container_start_page e0172024
container_title PloS one
container_volume 12
creator Nucci, Laura A
Santos, Sidnéia S
Brunialti, Milena K C
Sharma, Narendra Kumar
Machado, Flavia R
Assunção, Murillo
de Azevedo, Luciano C P
Salomao, Reinaldo
description Sepsis is a complex disease that is characterized by activation and inhibition of different cell signaling pathways according to the disease stage. Here, we evaluated genes involved in the TLR signaling pathway, oxidative phosphorylation and oxidative metabolism, aiming to assess their interactions and resulting cell functions and pathways that are disturbed in septic patients. Blood samples were obtained from 16 patients with sepsis secondary to community acquired pneumonia at admission (D0), and after 7 days (D7, N = 10) of therapy. Samples were also collected from 8 healthy volunteers who were matched according to age and gender. Gene expression of 84 genes was performed by real-time polymerase chain reactions. Their expression was considered up- or down-regulated when the fold change was greater than 1.5 compared to the healthy volunteers. A p-value of ≤ 0.05 was considered significant. Twenty-two genes were differently expressed in D0 samples; most of them were down-regulated. When gene expression was analyzed according to the outcomes, higher number of altered genes and a higher intensity in the disturbance was observed in non-survivor than in survivor patients. The canonical pathways altered in D0 samples included interferon and iNOS signaling; the role of JAK1, JAK2 and TYK2 in interferon signaling; mitochondrial dysfunction; and superoxide radical degradation pathways. When analyzed according to outcomes, different pathways were disturbed in surviving and non-surviving patients. Mitochondrial dysfunction, oxidative phosphorylation and superoxide radical degradation pathway were among the most altered in non-surviving patients. Our data show changes in the expression of genes belonging to the interacting TLR cascades, NADPH-oxidase and oxidative phosphorylation. Importantly, distinct patterns are clearly observed in surviving and non-surviving patients. Interferon signaling, marked by changes in JAK-STAT modulation, had prominent changes in both survivors and non-survivors, whereas the redox imbalance (iNOS signaling, oxidative phosphorylation and superoxide radical degradation) affecting mitochondrial functions was prominent in non-surviving patients.
doi_str_mv 10.1371/journal.pone.0172024
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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nucci, Laura A</au><au>Santos, Sidnéia S</au><au>Brunialti, Milena K C</au><au>Sharma, Narendra Kumar</au><au>Machado, Flavia R</au><au>Assunção, Murillo</au><au>de Azevedo, Luciano C P</au><au>Salomao, Reinaldo</au><au>Cunha-Neto, Edecio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Expression of genes belonging to the interacting TLR cascades, NADPH-oxidase and mitochondrial oxidative phosphorylation in septic patients</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2017-02-09</date><risdate>2017</risdate><volume>12</volume><issue>2</issue><spage>e0172024</spage><epage>e0172024</epage><pages>e0172024-e0172024</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Sepsis is a complex disease that is characterized by activation and inhibition of different cell signaling pathways according to the disease stage. Here, we evaluated genes involved in the TLR signaling pathway, oxidative phosphorylation and oxidative metabolism, aiming to assess their interactions and resulting cell functions and pathways that are disturbed in septic patients. Blood samples were obtained from 16 patients with sepsis secondary to community acquired pneumonia at admission (D0), and after 7 days (D7, N = 10) of therapy. Samples were also collected from 8 healthy volunteers who were matched according to age and gender. Gene expression of 84 genes was performed by real-time polymerase chain reactions. Their expression was considered up- or down-regulated when the fold change was greater than 1.5 compared to the healthy volunteers. A p-value of ≤ 0.05 was considered significant. Twenty-two genes were differently expressed in D0 samples; most of them were down-regulated. When gene expression was analyzed according to the outcomes, higher number of altered genes and a higher intensity in the disturbance was observed in non-survivor than in survivor patients. The canonical pathways altered in D0 samples included interferon and iNOS signaling; the role of JAK1, JAK2 and TYK2 in interferon signaling; mitochondrial dysfunction; and superoxide radical degradation pathways. When analyzed according to outcomes, different pathways were disturbed in surviving and non-surviving patients. Mitochondrial dysfunction, oxidative phosphorylation and superoxide radical degradation pathway were among the most altered in non-surviving patients. Our data show changes in the expression of genes belonging to the interacting TLR cascades, NADPH-oxidase and oxidative phosphorylation. Importantly, distinct patterns are clearly observed in surviving and non-surviving patients. Interferon signaling, marked by changes in JAK-STAT modulation, had prominent changes in both survivors and non-survivors, whereas the redox imbalance (iNOS signaling, oxidative phosphorylation and superoxide radical degradation) affecting mitochondrial functions was prominent in non-surviving patients.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28182798</pmid><doi>10.1371/journal.pone.0172024</doi><tpages>e0172024</tpages><orcidid>https://orcid.org/0000-0003-1149-4598</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1932-6203
ispartof PloS one, 2017-02, Vol.12 (2), p.e0172024-e0172024
issn 1932-6203
1932-6203
language eng
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source PLoS; MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central; Free Full-Text Journals in Chemistry; EZB Electronic Journals Library
subjects Aged
Aged, 80 and over
Analysis
Biology and Life Sciences
Biomarkers - metabolism
Care and treatment
Cascades
Cytokines
Degradation
Female
Gene expression
Genes
Humans
Infections
Interferon
Janus kinase
Janus Kinase 1 - genetics
Janus Kinase 1 - metabolism
Janus kinase 2
Janus Kinase 2 - genetics
Janus Kinase 2 - metabolism
Kinases
Male
Medicine and Health Sciences
Metabolism
Microorganisms
Middle Aged
Mitochondria
NAD(P)H oxidase
NADPH Oxidases - genetics
NADPH Oxidases - metabolism
Nitric Oxide Synthase Type II - genetics
Nitric Oxide Synthase Type II - metabolism
Nitric-oxide synthase
Oxidase
Oxidative metabolism
Oxidative Phosphorylation
Oxidative stress
Patients
Phosphorylation
Physical Sciences
Pneumoviridae
Polymerase chain reaction
Risk factors
Sepsis
Sepsis - diagnosis
Sepsis - genetics
Signal Transduction
Signaling
Superoxide
Survival Analysis
Toll-Like Receptors - genetics
Toll-Like Receptors - metabolism
TYK2 Kinase - genetics
TYK2 Kinase - metabolism
Tyk2 protein
title Expression of genes belonging to the interacting TLR cascades, NADPH-oxidase and mitochondrial oxidative phosphorylation in septic patients
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