The AKT/mTOR pathway mediates neuronal protective effects of erythropoietin in sepsis

Sepsis is one of the most common causes of mortality in intensive care units. Although sepsis-associated encephalopathy (SAE) is reported to be a leading manifestation of sepsis, its pathogenesis remains to be elucidated. In this study, we investigated whether exogenous recombinant human erythropoie...

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Veröffentlicht in:Molecular and cellular biochemistry 2014-01, Vol.385 (1-2), p.125-132
Hauptverfasser: Wang, Guo-Bin, Ni, Yun-Lan, Zhou, Xin-Ping, Zhang, Wei-Fang
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creator Wang, Guo-Bin
Ni, Yun-Lan
Zhou, Xin-Ping
Zhang, Wei-Fang
description Sepsis is one of the most common causes of mortality in intensive care units. Although sepsis-associated encephalopathy (SAE) is reported to be a leading manifestation of sepsis, its pathogenesis remains to be elucidated. In this study, we investigated whether exogenous recombinant human erythropoietin (rhEPO) could protect brain from neuronal apoptosis in the model of SAE. We showed that application of rhEPO enhanced Bcl-2, decreased Bad in lipopolysaccharide treated neuronal cultures, and improved neuronal apoptosis in hippocampus of cecal ligation and peroration rats. We also found that rhEPO increased the expression of phosphorylated AKT, and the antiapoptotic role of rhEPO could be abolished by phosphoinositide 3-kinase (PI3K)/AKT inhibitor LY294002 or SH-5. In addition, systemic sepsis inhibited the hippocampal-phosphorylated mammalian target of rapamycin (mTOR) and p70S6K (downstream substrates of PKB/AKT signaling), which were restored by administration of exogenous rhEPO. Moreover, treatment with mTOR-signaling inhibitor rapamycin or transfection of mTOR siRNA reversed the neuronal protective effects of rhEPO. Finally, exogenous rhEPO rescued the emotional and spatial cognitive defects without any influence on locomotive activity. These results illustrated that exogenous rhEPO improves brain dysfunction by reducing neuronal apoptosis, and AKT/mTOR signaling is likely to be involved in this process. Application of rhEPO may serve as a potential therapy for the treatment of SAE.
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Although sepsis-associated encephalopathy (SAE) is reported to be a leading manifestation of sepsis, its pathogenesis remains to be elucidated. In this study, we investigated whether exogenous recombinant human erythropoietin (rhEPO) could protect brain from neuronal apoptosis in the model of SAE. We showed that application of rhEPO enhanced Bcl-2, decreased Bad in lipopolysaccharide treated neuronal cultures, and improved neuronal apoptosis in hippocampus of cecal ligation and peroration rats. We also found that rhEPO increased the expression of phosphorylated AKT, and the antiapoptotic role of rhEPO could be abolished by phosphoinositide 3-kinase (PI3K)/AKT inhibitor LY294002 or SH-5. In addition, systemic sepsis inhibited the hippocampal-phosphorylated mammalian target of rapamycin (mTOR) and p70S6K (downstream substrates of PKB/AKT signaling), which were restored by administration of exogenous rhEPO. 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Although sepsis-associated encephalopathy (SAE) is reported to be a leading manifestation of sepsis, its pathogenesis remains to be elucidated. In this study, we investigated whether exogenous recombinant human erythropoietin (rhEPO) could protect brain from neuronal apoptosis in the model of SAE. We showed that application of rhEPO enhanced Bcl-2, decreased Bad in lipopolysaccharide treated neuronal cultures, and improved neuronal apoptosis in hippocampus of cecal ligation and peroration rats. We also found that rhEPO increased the expression of phosphorylated AKT, and the antiapoptotic role of rhEPO could be abolished by phosphoinositide 3-kinase (PI3K)/AKT inhibitor LY294002 or SH-5. In addition, systemic sepsis inhibited the hippocampal-phosphorylated mammalian target of rapamycin (mTOR) and p70S6K (downstream substrates of PKB/AKT signaling), which were restored by administration of exogenous rhEPO. 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subjects Analysis
Animals
Apoptosis
Apoptosis - drug effects
bcl-Associated Death Protein - metabolism
Biochemistry
Biomedical and Life Sciences
Biomedical research
Brain - drug effects
Brain - pathology
Brain - physiopathology
Cardiology
Cecum - pathology
Cognition - drug effects
Emotions - drug effects
Epoetin Alfa
Erythrocytes
Erythropoietin
Erythropoietin - administration & dosage
Erythropoietin - pharmacology
Erythropoietin - therapeutic use
Health aspects
Hospitals
Humans
Infection
Life Sciences
Ligation
Locomotives
Male
Medical Biochemistry
Mitogens
Neurons
Neurons - drug effects
Neurons - metabolism
Neurons - pathology
Neuroprotective Agents - pharmacology
Neuroprotective Agents - therapeutic use
Oncology
Pathogenesis
Phosphorylation - drug effects
Proto-Oncogene Proteins c-akt - metabolism
Punctures
Rats
Rats, Sprague-Dawley
Recombinant Proteins - administration & dosage
Recombinant Proteins - pharmacology
Recombinant Proteins - therapeutic use
Sepsis
Sepsis - drug therapy
Sepsis - pathology
Sepsis - physiopathology
Signal Transduction - drug effects
Studies
TOR Serine-Threonine Kinases - metabolism
title The AKT/mTOR pathway mediates neuronal protective effects of erythropoietin in sepsis
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