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Am J Physiol Heart Circ Physiol 292: H3179-H3189, 2007. First published February 16, 2007; doi:10.1152/ajpheart.01337.2006
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Apoptotic signaling induces hyperpermeability following hemorrhagic shock

Ed W. Childs, Binu Tharakan, Felicia A. Hunter, John H. Tinsley, and Xiaobo Cao

Department of Surgery, Texas A&M University Health Science Center, College of Medicine and Scott & White Memorial Hospital, Temple, Texas

Submitted 7 December 2006 ; accepted in final form 14 February 2007

Hemorrhagic shock (HS) disrupts the endothelial cell barrier, resulting in microvascular hyperpermeability. Recent studies have also demonstrated that activation of the apoptotic signaling cascade is involved in endothelial dysfunction, which may result in hyperpermeability. Here we report involvement of the mitochondrial "intrinsic" pathway in microvascular hyperpermeability following HS in rats. HS resulted in the activation of the mitochondrial intrinsic pathway, as is evident from an increase in the proapoptotic Bcl-2 family member BAK, release of mitochondrial cytochrome c into the cytoplasm, and activation of caspase-3. This, along with the in vivo transfection of the proapoptotic peptide BAK (BH3), resulted in hyperpermeability (as visualized by intravital microscopy), release of mitochondrial cytochrome c into the cytoplasm, and activation of caspase-3. Conversely, transfection of the BAK (BH3) mutant had no effect on hyperpermeability. Together, these results demonstrate involvement of the mitochondrial intrinsic apoptotic pathway in HS-induced hyperpermeability and that the attenuation of this pathway may provide an alternative strategy in preserving vascular barrier integrity.

BAK; ischemia-reperfusion; protein transfection; cytochrome c; caspase-3



Address for reprint requests and other correspondence: E. W. Childs, Dept. of Surgery, The Texas A & M Univ. HSC College of Medicine, Scott & White Memorial Hospital, 2401 South 31st St., Temple, TX 76508 (e-mail: echilds{at}swmail.sw.org)




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E. W. Childs, B. Tharakan, N. Byrge, J. H. Tinsley, F. A. Hunter, and W. R. Smythe
Angiopoietin-1 inhibits intrinsic apoptotic signaling and vascular hyperpermeability following hemorrhagic shock
Am J Physiol Heart Circ Physiol, May 1, 2008; 294(5): H2285 - H2295.
[Abstract] [Full Text] [PDF]




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