Time dependency and topography of hepatic nuclear factor κB activation after hemorrhagic shock and resuscitation in mice

Shock. 2012 Nov;38(5):486-92. doi: 10.1097/SHK.0b013e3182699072.

Abstract

The leading causes of death in people aged 1 to 44 years are unintentional injuries with associated hemorrhagic shock. Hemorrhagic shock followed by resuscitation (H/R) activates the nuclear factor κB (NF-κB) pathway. To further address the association between liver damage and NF-κB activation, we analyzed the H/R-induced activation of NF-κB using cis-NF-κB reporter gene mice. In these mice, the expression of green fluorescent protein (GFP) is linked to the activation of NF-κB, and therefore tracing of GFP colocalizes NF-κB activation. Mice were hemorrhaged to a mean arterial blood pressure of 30mmHg for 90 min, followed by resuscitation. Six, 14, or 24 h after resuscitation, mice were killed. Compared with sham-operated mice, H/R led to a profound hepatic and cellular damage as measured by aspartate aminotransferase, creatine kinase, and lactate dehydrogenase levels, which was accompanied by an elevation in interleukin 6 levels and hepatic leukocyte infiltration. Interleukin 10 levels in plasma were elevated 6 h after H/R. Using serial liver sections, we found an association between necrotic areas, oxidative stress, and enhanced GFP-positive cells. Furthermore, enhanced GFP-positive cells surrounded areas of necrotic liver tissue, predominantly in a penumbra-like-shape pericentrally. These results elucidate spatial relationship between oxidative stress, liver necrosis, and NF-κB activation, using an in vivo approach and therefore might help to further analyze mechanisms of NF-κB activation after resuscitated blood loss.

MeSH terms

  • Adolescent
  • Adult
  • Animals
  • Aspartate Aminotransferases / metabolism
  • Child
  • Child, Preschool
  • Creatine Kinase / genetics
  • Creatine Kinase / metabolism
  • Female
  • Humans
  • Infant
  • Interleukin-10 / genetics
  • Interleukin-10 / metabolism
  • Interleukin-6 / genetics
  • Interleukin-6 / metabolism
  • L-Lactate Dehydrogenase / genetics
  • L-Lactate Dehydrogenase / metabolism
  • Liver / metabolism*
  • Liver / pathology
  • Male
  • Mice
  • Mice, Transgenic
  • NF-kappa B / genetics
  • NF-kappa B / metabolism*
  • Necrosis
  • Oxidative Stress / genetics
  • Shock, Hemorrhagic / genetics
  • Shock, Hemorrhagic / metabolism*
  • Shock, Hemorrhagic / mortality
  • Shock, Hemorrhagic / pathology

Substances

  • IL10 protein, mouse
  • Interleukin-6
  • NF-kappa B
  • Interleukin-10
  • L-Lactate Dehydrogenase
  • Aspartate Aminotransferases
  • Creatine Kinase