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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Trauma+Acute+Care+Surg
2015 ; 78
(4
): 793-800
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Stimulation of Wnt/?-catenin signaling pathway with Wnt agonist reduces organ
injury after hemorrhagic shock
#MMPMID25742253
Kuncewitch M
; Yang WL
; Jacob A
; Khader A
; Giangola M
; Nicastro J
; Coppa GF
; Wang P
J Trauma Acute Care Surg
2015[Apr]; 78
(4
): 793-800
PMID25742253
show ga
BACKGROUND: Hemorrhagic shock is a leading cause of morbidity and mortality in
surgery and trauma patients. Despite a large number of preclinical trials
conducted to develop therapeutic strategies against hemorrhagic shock, there is
still an unmet need for effective therapy for hemorrhage patients. Wnt/?-catenin
signaling controls developmental processes and cellular regeneration owing to its
central role in cell survival and proliferation. We therefore hypothesized that
the activation of Wnt signaling reduces systemic injury caused by hemorrhagic
shock. METHODS: Adult male Sprague-Dawley rats underwent hemorrhagic shock by
controlled bleeding of the femoral artery to maintain a mean arterial pressure of
30 mm Hg for 90 minutes, followed by resuscitation with crystalloid equal to two
times the shed blood volume. After resuscitation, animals were infused with Wnt
agonist (5 mg/kg) or vehicle (20% dimethyl sulfoxide in saline). Blood and tissue
samples were collected 6 hours after resuscitation for analysis. RESULTS:
Hemorrhagic shock increased serum levels of aspartate aminotransferase, lactate,
and lactate dehydrogenase. Treatment with Wnt agonist significantly reduced these
levels by 40%, 36%, and 77%, respectively. Wnt agonist also decreased blood urea
nitrogen and creatinine by 34% and 56%, respectively. The treatment reduced lung
myeloperoxidase activity and interleukin 6 messenger RNA by 55% and 68%,
respectively, and significantly improved lung histology. Wnt agonist treatment
increased Bcl-2 protein to sham values and decreased cleaved caspase 3 by 46%,
indicating attenuation of hemorrhage-induced apoptosis in the lungs. Hemorrhage
resulted in significant reductions of ?-catenin protein levels in the lungs as
well as down-regulation of a Wnt target gene, cyclin D1, while Wnt agonist
treatment preserved these levels. CONCLUSION: The administration of Wnt agonist
attenuated hemorrhage-induced organ injury, inflammation, and apoptosis. This was
correlated with the preservation of the Wnt signaling pathway. Thus,
Wnt/?-catenin activation could be protective in hemorrhagic shock.