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Reperfusion Microvascular Ischemia After Prolonged Coronary Occlusion: Implications And Treatment With Local Supersaturated Oxygen Delivery 长期冠状动脉闭塞后再灌注微血管缺血:局部过饱和氧输送的意义和治疗
Pub Date : 2019-10-21 DOI: 10.2147/HP.S217955
J. Spears
Abstract Following a prolonged coronary arterial occlusion, heterogeneously scattered, focal regions of low erythrocyte flow are commonly found throughout the reperfused myocardium. Experimental studies have also demonstrated the presence of widespread, focally patchy regions of microvascular ischemia during reperfusion (RMI). However, the potential contribution of RMI to tissue viability and function has received little attention in the absence of practical clinical methods for its detection. In this review, the anatomic/functional basis of RMI is summarized, along with the evidence for its presence in reperfused myocardium. Advances in microcirculation research related to obstructive responses of vascular endothelial cells and blood elements to the effects of hypoxia and low shear stress are discussed, and a potential cycle of intensification of RMI from such responses and progressive loss of functional capillary density is presented. In capillaries with impaired erythrocyte flow, compensatory increases in the delivery of oxygen, because of its low solubility in plasma, are effective only at high partial pressures. As discussed herein, attenuation of the cycle with oxygen at hyperbaric levels in plasma is, very likely, responsible for improved tissue level perfusion noted experimentally. Observed clinical benefits from intracoronary SuperSaturated oxygen (SSO2) delivery, including infarct size reduction, can be attributed to attenuation of RMI with improvement in microvascular blood flow.
长期冠状动脉闭塞后,在整个再灌注心肌中通常发现非均匀分散的低红细胞流量局灶性区域。实验研究还表明,在再灌注(RMI)期间存在广泛的局部斑块状微血管缺血区域。然而,由于缺乏实用的临床检测方法,RMI对组织活力和功能的潜在贡献很少受到关注。本文综述了RMI的解剖学/功能基础,以及RMI在再灌注心肌中存在的证据。本文讨论了与血管内皮细胞和血液成分对缺氧和低剪切应力影响的阻塞性反应相关的微循环研究进展,并提出了这种反应和功能性毛细血管密度逐渐丧失导致RMI加剧的潜在循环。在红细胞血流受损的毛细血管中,由于氧在血浆中的溶解度低,代偿性氧输送增加仅在高分压下有效。正如本文所讨论的,在高压水平下,血浆中氧气循环的衰减很可能是实验中注意到的组织水平灌注改善的原因。观察到的冠状动脉内过饱和氧(SSO2)输送的临床益处,包括梗死面积的缩小,可归因于RMI的衰减和微血管血流的改善。
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引用次数: 6
Hypoxia Suppresses High Fat Diet-Induced Steatosis And Development Of Hepatic Adenomas 缺氧抑制高脂肪饮食诱导的脂肪变性和肝腺瘤的发展
Pub Date : 2019-10-01 DOI: 10.2147/HP.S217569
Nathan W. Sweeney, Cecil J. Gomes, R. De Armond, Sara M Centuori, S. Parthasarathy, Jesse D. Martinez
Purpose Nonalcoholic fatty liver disease (NAFLD) is considered the most common form of silent liver disease in the United States and obesity is associated with increased risk of NAFLD. Obstructive sleep apnea (OSA) which is common in obese individuals is associated with a greater incidence of NAFLD, which in turn, increases the risk for hepatocellular carcinoma (HCC). It is unclear how obesity, OSA and NAFLD interrelate nor how they collectively contribute to an increased risk for developing HCC. Patients and methods Male BALB/c mice were exposed to diethylnitrosamine and phenobarbital followed by 48 weeks of either standard chow diet (chow), chow with hypoxia, high-fat diet, or a combination of hypoxia and high-fat diet. We noninvasively monitored tumor development using micro-CT imaging. We tracked the total weight gained throughout the study. We evaluated liver histology, fat accumulation, carbonic anhydrase 9 (CA9) and hypoxia-inducible factor 1-alpha (HIF-1α) expression, as well as, serum aspartate aminotransferase (AST) and alanine aminotransferase (ALT). Results A high-fat diet without hypoxia led to the development of obesity that induced hepatic steatosis and promoted tumorigenesis. Animals on a high-fat diet and that were also exposed to hypoxia had lower total weight gain, lower steatosis, lower serum AST and ALT levels, and fewer number of hepatic adenomas than a high-fat diet without hypoxia. Conclusion These findings suggest that hypoxia abrogates obesity, hepatic steatosis, and hepatic tumorigenesis related to a high-fat diet.
目的:非酒精性脂肪性肝病(NAFLD)被认为是美国最常见的无症状肝病,肥胖与NAFLD风险增加相关。在肥胖人群中常见的阻塞性睡眠呼吸暂停(OSA)与NAFLD的发生率较高相关,NAFLD反过来又增加了患肝细胞癌(HCC)的风险。目前尚不清楚肥胖、阻塞性睡眠呼吸暂停和NAFLD之间的相互关系,也不清楚它们如何共同导致发生HCC的风险增加。患者和方法雄性BALB/c小鼠暴露于二乙基亚硝胺和苯巴比妥48周后,分别饲喂标准饲料、低氧饲料、高脂饲料或低氧高脂饲料组合。我们使用微ct成像无创监测肿瘤的发展。我们跟踪了整个研究过程中增加的总体重。我们评估了肝脏组织学、脂肪积累、碳酸酐酶9 (CA9)和缺氧诱导因子1- α (HIF-1α)的表达,以及血清天冬氨酸转氨酶(AST)和丙氨酸转氨酶(ALT)。结果无缺氧的高脂饮食可导致肥胖的发生,从而诱发肝脂肪变性,促进肿瘤发生。与不缺氧的高脂肪饮食相比,高脂肪饮食和缺氧环境下的动物总体重增加更少,脂肪变性更低,血清谷丙转氨酶和谷丙转氨酶水平更低,肝腺瘤数量更少。结论低氧可消除与高脂肪饮食有关的肥胖、肝脂肪变性和肝肿瘤发生。
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引用次数: 3
Separate and combined effects of hypobaric hypoxia and hindlimb suspension on skeletal homeostasis and hematopoiesis in mice 低氧缺氧和后肢悬吊对小鼠骨骼稳态和造血的单独和联合影响
Pub Date : 2019-07-01 DOI: 10.2147/HP.S195827
Marjorie Durand, J. Collombet, S. Frasca, Véronique Sarilar, J. Lataillade, M. Le Bousse-Kerdilès, X. Holy
Purpose Bone marrow response to an organismal stress is made by orchestrating the interplay between hematopoietic stem/progenitor cells (HSPCs) and mesenchymal stromal cells (MSCs). Neither the cellular nor the molecular factors that regulate this process are fully understood, especially since this mechanism probably varies depending on the type of stress. Herein, we explored the differentiation and fate of MSCs and HSPCs in mice challenged with a hematopoietic stress or a mechanical stress applied separately or in combination. Methods Mice were subjected to 4 days of hypobaric hypoxia (hematopoietic challenge) and/or 7 days of hindlimb suspension (stromal challenge) and then sacrificed for blood and bone collection. Using hematological measurements, colony-forming unit assays, bone histomorphometry and array-based multiplex ELISA analysis, we evaluated challenge influences on both MSC and HSPC mobilization, differentiation (osteoblasts, osteoclasts, and mature blood cells) and fate. Results We found that hypoxia leads to HSPC mobilization and that an imbalance between bone formation and bone resorption accounts for this mobilization. Whilst suspension is also associated with an imbalance between bone formation and bone resorption, it does not induce HSPC mobilization. Then, we revealed cellular interactions by combining hematopoietic and stromal challenges together in mice. We showed that the hypoxia-driven HSPC mobilization is moderated by suspension. Moreover, when applied in a hypoxic environment, suspension offsets bone imbalance. We identified stroma cell-derived factors MIP-1α, HGF and SDF-1 as potent molecular key players sustaining interactions between hindlimb suspension and hypobaric hypoxia. Conclusion Taken together, our data highlight the benefit of combining different types of stress to better understand the interplay between MSCs and HSPCs.
目的骨髓对机体应激的反应是通过协调造血干/祖细胞(HSPCs)和间充质基质细胞(MSC)之间的相互作用而产生的。调节这一过程的细胞因子和分子因子都不完全清楚,尤其是因为这种机制可能因压力类型而异。在此,我们探索了骨髓间充质干细胞和热休克蛋白在单独或联合应用造血应激或机械应激的小鼠中的分化和命运。方法对小鼠进行4天的低压缺氧(造血激发)和/或7天的后肢悬吊(基质激发),然后处死以采集血液和骨骼。使用血液学测量、集落形成单位测定、骨组织形态计量学和基于阵列的多重ELISA分析,我们评估了挑战对MSC和HSPC动员、分化(成骨细胞、破骨细胞和成熟血细胞)和命运的影响。结果我们发现缺氧导致HSPC动员,骨形成和骨吸收之间的不平衡是这种动员的原因。虽然悬浮液也与骨形成和骨吸收之间的不平衡有关,但它不会诱导HSPC动员。然后,我们通过将小鼠的造血和基质攻击结合起来,揭示了细胞间的相互作用。我们发现缺氧驱动的HSPC动员是由悬浮液调节的。此外,当在缺氧环境中使用时,悬浮液可以抵消骨骼失衡。我们确定基质细胞衍生因子MIP-1α、HGF和SDF-1是维持后肢悬吊和低压缺氧之间相互作用的有效分子关键因素。结论总之,我们的数据强调了将不同类型的应激结合起来以更好地理解MSCs和HSPCs之间的相互作用的好处。
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引用次数: 6
Role of pseudohypoxia in the pathogenesis of type 2 diabetes. 假性缺氧在2型糖尿病发病机制中的作用。
Pub Date : 2019-06-05 eCollection Date: 2019-01-01 DOI: 10.2147/HP.S202775
Jing Song, Xiaojuan Yang, Liang-Jun Yan

Type 2 diabetes is caused by persistent high blood glucose, which is known as diabetic hyperglycemia. This hyperglycemic situation, when not controlled, can overproduce NADH and lower nicotinamide adenine dinucleotide (NAD), thereby creating NADH/NAD redox imbalance and leading to cellular pseudohypoxia. In this review, we discussed two major enzymatic systems that are activated by diabetic hyperglycemia and are involved in creation of this pseudohypoxic condition. One system is aldose reductase in the polyol pathway, and the other is poly (ADP ribose) polymerase. While aldose reductase drives overproduction of NADH, PARP could in contrast deplete NAD. Therefore, activation of the two pathways underlies the major mechanisms of NADH/NAD redox imbalance and diabetic pseudohypoxia. Consequently, reductive stress occurs, followed by oxidative stress and eventual cell death and tissue dysfunction. Additionally, fructose formed in the polyol pathway can also cause metabolic syndrome such as hypertension and nonalcoholic fatty liver disease. Moreover, pseudohypoxia can also lower sirtuin protein contents and induce protein acetylation which can impair protein function. Finally, we discussed the possibility of using nicotinamide riboside, an NAD precursor, as a promising therapeutic agent for restoring NADH/NAD redox balance and for preventing the occurrence of diabetic pseudohypoxia.

2型糖尿病是由持续的高血糖引起的,被称为糖尿病高血糖症。这种高血糖状态如果不加以控制,会过量产生NADH并降低烟酰胺腺嘌呤二核苷酸(NAD),从而造成NADH/NAD氧化还原失衡,导致细胞假性缺氧。在这篇综述中,我们讨论了糖尿病高血糖激活的两个主要酶系统,并参与了这种假性缺氧状态的产生。一个系统是多元醇途径中的醛糖还原酶,另一个系统是聚(ADP核糖)聚合酶。醛糖还原酶会导致NADH的过量产生,而PARP则会消耗NAD。因此,这两条通路的激活是NADH/NAD氧化还原失衡和糖尿病假性缺氧的主要机制。因此,发生还原性应激,随后是氧化应激和最终的细胞死亡和组织功能障碍。此外,多元醇途径中形成的果糖还可引起代谢综合征,如高血压和非酒精性脂肪肝。假性缺氧还可降低sirtuin蛋白含量,诱导蛋白质乙酰化,损害蛋白质功能。最后,我们讨论了利用NAD前体烟酰胺核苷作为恢复NADH/NAD氧化还原平衡和预防糖尿病假性缺氧发生的有前景的治疗剂的可能性。
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引用次数: 9
Ascorbate modulates the hypoxic pathway by increasing intracellular activity of the HIF hydroxylases in renal cell carcinoma cells. 抗坏血酸通过增加肾细胞癌细胞内HIF羟化酶的活性来调节缺氧途径。
Pub Date : 2019-05-15 eCollection Date: 2019-01-01 DOI: 10.2147/HP.S201643
Christina Wohlrab, Caroline Kuiper, Margreet Cm Vissers, Elisabeth Phillips, Bridget A Robinson, Gabi U Dachs

Purpose: Protein levels and activity of the hypoxia-inducible transcription factors HIF-1 and HIF-2 are controlled by hydroxylation of the regulatory alpha chains. Proline hydroxylases (PHDs) target the protein for degradation via the von-Hippel-Lindau (VHL)-ubiquitin-ligase complex, and asparagine hydroxylation by Factor Inhibiting HIF (FIH) leads to transcriptional inactivation. In cell-free systems, these enzymes require ascorbate as a cofactor, and this is also inferred to be an intracellular requirement for effective hydroxylation. However, how intracellular concentrations of ascorbate affect hydroxylase activity is unknown. In this study, we investigated the modulation of the regulatory hydroxylases in cancer cells by intracellular ascorbate. Materials and methods: To facilitate this investigation, we used clear cell renal carcinoma cell lines that were VHL-proficient (Caki-1), with a normal hypoxic response, or VHL-defective (Caki-2 and 786-0), with uncontrolled accumulation of HIF-α chains. We monitored the effect of intracellular ascorbate on the hypoxia-induced accumulation of HIF-1α, HIF-2α and the expression of downstream HIF targets BNIP3, cyclin D1 and GLUT1. Changes in hydroxylation of the HIF-1α protein in response to ascorbate were also investigated in 786-0 cells gene-modified to express full-length HIF-1α (786-HIF1). Results: In VHL-proficient cells, hypoxia induced accumulation of HIF-1α and BNIP3 which was dampened in mild hypoxia by elevated intracellular ascorbate. Increased HIF-2α accumulation occurred only under severe hypoxia and this was not modified by ascorbate availability. In VHL-defective cells, ascorbate supplementation induced additional accumulation of HIF under hypoxic conditions and HIF pathway proteins were unchanged by oxygen supply. In 786-HIF1 cells, levels of hydroxylated HIF-1α were elevated in response to increasing intracellular ascorbate levels. Conclusion: Our data provide evidence that the hypoxic pathway can be modulated by increasing HIF hydroxylase activity via intracellular ascorbate availability. In VHL-defective cells, accumulation of HIF-alpha proteins is independent of hydroxylation and is unaffected by intracellular ascorbate levels.

目的:缺氧诱导的转录因子HIF-1和HIF-2的蛋白水平和活性受调节α链的羟基化控制。脯氨酸羟化酶(PHDs)通过von- hipel - lindau (VHL)-泛素连接酶复合物靶向蛋白质降解,而抑制因子HIF (FIH)的天冬酰胺羟化导致转录失活。在无细胞系统中,这些酶需要抗坏血酸作为辅助因子,这也被推断为有效羟基化的细胞内需求。然而,细胞内抗坏血酸浓度如何影响羟化酶活性尚不清楚。在这项研究中,我们研究了细胞内抗坏血酸对癌细胞中调节羟化酶的调节。材料和方法:为了促进这项研究,我们使用了vhl精通(Caki-1),具有正常缺氧反应的透明细胞肾癌细胞系,或vhl缺陷(Caki-2和786-0),具有不受控制的HIF-α链积累。我们监测了细胞内抗坏血酸对缺氧诱导的HIF-1α、HIF-2α积累以及下游HIF靶点binip3、cyclin D1和GLUT1表达的影响。我们还研究了786-0细胞中表达全长HIF-1α (786-HIF1)的HIF-1α蛋白羟基化对抗坏血酸反应的变化。结果:在vhl精通的细胞中,缺氧诱导HIF-1α和BNIP3的积累,轻度缺氧时细胞内抗坏血酸的升高抑制了HIF-1α和BNIP3的积累。HIF-2α积累的增加只发生在严重缺氧的情况下,并且不受抗坏血酸可用性的影响。在vhl缺陷细胞中,补充抗坏血酸会在缺氧条件下诱导HIF的额外积累,并且HIF通路蛋白不受氧气供应的影响。在786-HIF1细胞中,随着细胞内抗坏血酸水平的增加,羟基化HIF-1α水平升高。结论:我们的数据提供了证据,证明缺氧途径可以通过细胞内抗坏血酸可用性增加HIF羟化酶活性来调节。在vhl缺陷细胞中,hif - α蛋白的积累与羟基化无关,不受细胞内抗坏血酸水平的影响。
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引用次数: 22
Aryl hydrocarbon receptor acts as a tumor suppressor in a syngeneic MC38 colon carcinoma tumor model. 芳烃受体在同基因MC38结肠癌肿瘤模型中起抑瘤作用。
Pub Date : 2019-04-10 eCollection Date: 2019-01-01 DOI: 10.2147/HP.S196301
Poonam Yakkundi, Eleanor Gonsalves, Maria Galou-Lameyer, Mark J Selby, William K Chan

Background: Aryl hydrocarbon receptor (AHR), commonly known as an environmental sensor involved in the metabolism and elimination of xenobiotic substances, is also an important modulator in the development and functioning of the immune system. AHR expression is varied in the T cell subsets with the highest expression in T-helper 17 and T regulatory cells. It has been reported that AHR can act as a tumor promoter or a tumor suppressor, depending on the tumor type. Methods: In an effort to understand the role played by AHR in tumor growth, the MC38 syngeneic colon carcinoma tumor model was used on C57BL/6 or ahr knockout (KO, -/-) mice with or without AHR antagonist (CH223191) treatment. Tumor sizes were measured, and biomarkers were quantified in tumor microenvironment and draining lymph nodes using flow cytometry. Enzyme-linked immunosorbent assay was used to determine the amount of cytokines in tumors. Results: In ahr deficient mice, MC38 tumors progress more rapidly than in wild-type mice, accompanied by an increase in tumor-associated macrophages and M2 macrophages and a decrease in CD8a positive cytotoxic lymphocytes. Analysis of cytokines in the tumor microenvironment reveals a pro-inflammatory phenotype. Similar changes were observed by pharmacologic blockade of the receptor using CH223191. Conclusion: AHR acts as a tumor suppressor in mice implanted with MC38 colon carcinoma cells as evidenced by either a blockade or deficiency of AHR.

背景:芳烃受体(Aryl hydrocarbon receptor, AHR)是一种环境传感器,参与体外代谢和清除外源物质,也是免疫系统发育和功能的重要调节剂。AHR在T细胞亚群中的表达各不相同,其中辅助性T- 17和T调节细胞的表达最高。据报道,AHR可以作为肿瘤启动子或肿瘤抑制子,这取决于肿瘤类型。方法:为了了解AHR在肿瘤生长中的作用,采用MC38同基因结肠癌肿瘤模型,对C57BL/6或AHR敲除(KO, -/-)小鼠进行AHR拮抗剂(CH223191)治疗或不治疗。测量肿瘤大小,并使用流式细胞术定量肿瘤微环境和引流淋巴结中的生物标志物。采用酶联免疫吸附法测定肿瘤细胞因子的含量。结果:在ahr缺陷小鼠中,MC38肿瘤进展速度比野生型小鼠快,伴有肿瘤相关巨噬细胞和M2巨噬细胞的增加,CD8a阳性细胞毒性淋巴细胞的减少。对肿瘤微环境中细胞因子的分析揭示了促炎表型。使用CH223191对受体进行药物阻断后也观察到类似的变化。结论:AHR在MC38结肠癌细胞植入小鼠中具有抑瘤作用,其表现为AHR的阻断或缺失。
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引用次数: 10
Born to sense: biophysical analyses of the oxygen sensing prolyl hydroxylase from the simplest animal Trichoplax adhaerens. 天生的感觉:从最简单的动物粘毛虫的氧感应丙基羟化酶的生物物理分析。
Pub Date : 2018-11-09 eCollection Date: 2018-01-01 DOI: 10.2147/HP.S174655
Kerstin Lippl, Anna Boleininger, Michael A McDonough, Martine I Abboud, Hanna Tarhonskaya, Rasheduzzaman Chowdhury, Christoph Loenarz, Christopher J Schofield

Background: In humans and other animals, the chronic hypoxic response is mediated by hypoxia inducible transcription factors (HIFs) which regulate the expression of genes that counteract the effects of limiting oxygen. Prolyl hydroxylases (PHDs) act as hypoxia sensors for the HIF system in organisms ranging from humans to the simplest animal Trichoplax adhaerens.

Methods: We report structural and biochemical studies on the T. adhaerens HIF prolyl hydroxylase (TaPHD) that inform about the evolution of hypoxia sensing in animals.

Results: High resolution crystal structures (≤1.3 Å) of TaPHD, with and without its HIFα substrate, reveal remarkable conservation of key active site elements between T. adhaerens and human PHDs, which also manifest in kinetic comparisons.

Conclusion: Conserved structural features of TaPHD and human PHDs include those apparently enabling the slow binding/reaction of oxygen with the active site Fe(II), the formation of a stable 2-oxoglutarate complex, and a stereoelectronically promoted change in conformation of the hydroxylated proline-residue. Comparison of substrate selectivity between the human PHDs and TaPHD provides insights into the selectivity determinants of HIF binding by the PHDs, and into the evolution of the multiple HIFs and PHDs present in higher animals.

背景:在人类和其他动物中,慢性缺氧反应是由缺氧诱导转录因子(hif)介导的,它调节抵消限氧作用的基因表达。脯氨酸羟化酶(PHDs)在从人类到最简单的动物黏着毛虫的生物体内充当缺氧传感器。方法:我们报道了T. adhaerens HIF脯氨酸羟化酶(TaPHD)的结构和生化研究,该酶为动物缺氧感知的进化提供了信息。结果:带HIFα底物和不带HIFα底物的TaPHD的高分辨率晶体结构(≤1.3 Å)显示,T.粘附体与人类博士之间的关键活性位点元件具有显著的保守性,这也体现在动力学比较中。结论:TaPHD和人类博士的保守结构特征包括:氧与活性位点Fe(II)的缓慢结合/反应,形成稳定的2-氧戊二酸配合物,以及立体电子促进羟基化脯氨酸残基构象的改变。比较人类博士和TaPHD之间的底物选择性,可以深入了解博士结合HIF的选择性决定因素,以及高等动物中存在的多个HIF和博士的进化。
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引用次数: 7
Astrocyte HIF-2α supports learning in a passive avoidance paradigm under hypoxic stress. 星形胶质细胞HIF-2α支持缺氧应激下被动回避模式下的学习。
Pub Date : 2018-11-08 eCollection Date: 2018-01-01 DOI: 10.2147/HP.S173589
Cindy V Leiton, Elyssa Chen, Alissa Cutrone, Kristy Conn, Kennelia Mellanson, Dania M Malik, Michael Klingener, Ryan Lamm, Michael Cutrone, John Petrie, Joher Sheikh, Adriana DiBua, Betsy Cohen, Thomas F Floyd

Background: The brain is extensively vascularized, useŝ20% of the body's oxygen, and is highly sensitive to changes in oxygen. While synaptic plasticity and memory are impaired in healthy individuals by exposure to mild hypoxia, aged individuals appear to be even more sensitive. Aging is associated with progressive failure in pulmonary and cardiovascular systems, exposing the aged to both chronic and superimposed acute hypoxia. The HIF proteins, the "master regulators" of the cellular response to hypoxia, are robustly expressed in neurons and astrocytes. Astrocytes support neurons and synaptic plasticity via complex metabolic and trophic mechanisms. The activity of HIF proteins in the brain is diminished with aging, and the increased exposure to chronic and acute hypoxia with aging combined with diminished HIF activity may impair synaptic plasticity.

Purpose: Herein, we test the hypothesis that astrocyte HIF supports synaptic plasticity and learning upon hypoxia.

Materials and methods: An Astrocyte-specific HIF loss-of-function model was employed, where knock-out of HIF-1α or HIF-2α in GFAP expressing cells was accomplished by cre-mediated recombination. Animals were tested for behavioral (open field and rotarod), learning (passive avoidance paradigm), and electrophysiological (long term potentiation) responses to mild hypoxic challenge.

Results: In an astrocyte-specific HIF loss-of-function model followed by mild hypoxia, we identified that the depletion of HIF-2α resulted in an impaired passive avoidance learning performance. This was accompanied by an attenuated response to induction in long-term potentiation (LTP), suggesting that the hippocampal circuitry was perturbed upon hypoxic exposure following HIF-2α loss in astrocytes, and not due to hippocampal cell death. We investigated HIF-regulated trophic and metabolic target genes and found that they were not regulated by HIF-2α, suggesting that these specific targets may not be involved in mediating the phenotypes observed.

Conclusion: Together, these results point to a role for HIF-2α in the astrocyte's regulatory role in synaptic plasticity and learning under hypoxia and suggest that even mild, acute hypoxic challenges can impair cognitive performance in the aged population who harbor impaired HIF function.

背景:大脑广泛血管化,使用人体20%的氧气,对氧气的变化高度敏感。虽然健康人的突触可塑性和记忆会因轻度缺氧而受损,但老年人似乎更敏感。衰老与肺和心血管系统的进行性衰竭有关,使老年人暴露在慢性和叠加急性缺氧中。HIF蛋白是细胞对缺氧反应的“主要调节因子”,在神经元和星形胶质细胞中强烈表达。星形胶质细胞通过复杂的代谢和营养机制支持神经元和突触可塑性。大脑中HIF蛋白的活性随着年龄的增长而降低,随着年龄的增加,暴露于慢性和急性缺氧的程度增加,再加上HIF活性的降低,可能会损害突触的可塑性。目的:在此,我们验证了星形胶质细胞HIF支持缺氧时突触可塑性和学习的假设。材料和方法:采用星形胶质细胞特异性HIF功能丧失模型,通过cre介导的重组来敲除表达GFAP的细胞中的HIF-1α或HIF-2α。测试动物对轻度缺氧挑战的行为(开阔场地和旋转杆)、学习(被动回避范式)和电生理(长时程增强)反应。结果:在星形胶质细胞特异性HIF功能丧失伴轻度缺氧的模型中,我们发现HIF-2α的耗竭导致被动回避学习能力受损。这伴随着对长时程增强(LTP)诱导的反应减弱,表明星形胶质细胞中HIF-1α缺失后缺氧暴露会扰乱海马回路,而不是由于海马细胞死亡。我们研究了HIF调节的营养和代谢靶基因,发现它们不受HIF-2α的调节,这表明这些特异性靶可能与介导观察到的表型无关。结论:总之,这些结果表明HIF-2α在星形胶质细胞在缺氧条件下突触可塑性和学习的调节作用中发挥作用,并表明即使是轻度、急性缺氧挑战也会损害HIF功能受损的老年人的认知能力。
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引用次数: 0
A novel approach to target hypoxic cancer cells via combining β-oxidation inhibitor etomoxir with radiation. 结合β-氧化抑制剂依托莫西与放疗靶向缺氧癌细胞的新方法。
Pub Date : 2018-08-21 eCollection Date: 2018-01-01 DOI: 10.2147/HP.S163115
Arpit Dheeraj, Chapla Agarwal, Isabel R Schlaepfer, David Raben, Rana Singh, Rajesh Agarwal, Gagan Deep

Background: Hypoxia in tumors is associated with resistance towards various therapies including radiotherapy. In this study, we assessed if hypoxia in cancer spheres could be effectively reduced by adding etomoxir (a β-oxidation inhibitor) immediately after cell irradiation.

Methods: We employed cancer cells' sphere model to target hypoxia. Confocal imaging was used to analyze hypoxia and expression of specific biomarkers in spheres following various treatments (radiation and/or etomoxir).

Results: Etomoxir (32.5 μM) treatment improved the radiation (2.5 Gy) efficacy against growth of lung adenocarcinoma H460 spheres. More importantly, radiation and etomoxir combination significantly reduced the hypoxic regions (pimonidazole+ areas) in H460 spheres compared to either treatment alone. Also, etomoxir and radiation combination treatment reduced the protein level of biomarkers for proliferation (Ki-67 and cyclin D1), stemness (CD44) and β-oxidation (CPT1A) in H460 spheres. We observed similar efficacy of etomoxir against growth of prostate cancer LNCaP cells' spheres when combined with radiation. Further, radiation treatment strongly reduced the hypoxic regions (pimonidazole+ areas) in CPT1 knockdown LNCaP cells' spheres.

Conclusions: Together, these results offer a unique approach to target hypoxia in solid tumors via combining etomoxir with radiation, thereby improving therapeutic efficacy.

背景:肿瘤缺氧与对包括放疗在内的多种治疗的耐药性有关。在这项研究中,我们评估了在细胞照射后立即添加依托莫西(一种β-氧化抑制剂)是否可以有效地减少癌球中的缺氧。方法:采用肿瘤细胞球模型进行缺氧靶实验。共聚焦成像用于分析不同治疗(放疗和/或依托莫西)后球中缺氧和特定生物标志物的表达。结果:依托莫西(32.5 μM)对肺腺癌H460微球的杀伤效果(2.5 Gy)明显提高。更重要的是,与单独治疗相比,放疗和依托莫西联合治疗显著减少了H460球的缺氧区域(吡莫硝唑+区域)。此外,依托莫西和放射联合治疗降低了H460球中增殖(Ki-67和cyclin D1)、干性(CD44)和β-氧化(CPT1A)的生物标志物的蛋白水平。我们观察到依托莫西联合放疗对前列腺癌LNCaP细胞球生长的影响相似。此外,放射治疗强烈减少了CPT1敲低LNCaP细胞球中的缺氧区域(吡莫硝唑+区域)。结论:综上所述,这些结果为依托莫西联合放射治疗实体肿瘤缺氧提供了一种独特的方法,从而提高了治疗效果。
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引用次数: 33
Effects of human relaxin-2 (serelaxin) on hypoxic pulmonary vasoconstriction during acute hypoxia in a sheep model. 人舒张素-2(色拉素)对绵羊急性缺氧缺氧肺血管收缩的影响
Pub Date : 2018-05-22 eCollection Date: 2018-01-01 DOI: 10.2147/HP.S165092
René Schiffner, Marius Nistor, Sabine Juliane Bischoff, Georg Matziolis, Martin Schmidt, Thomas Lehmann

Purpose: Hypoxia induces pulmonary vasoconstriction with a subsequent increase of pulmonary artery pressure (PAP), which can result in pulmonary hypertension. Serelaxin has shown an increase of pulmonary hemodynamic parameters after serelaxin injection. We therefore investigated the response of pulmonary hemodynamic parameters after serelaxin administration in a clinically relevant model.

Methods: Six controls and six sheep that received 30 μg/kg serelaxin underwent right heart catheterization during a 12-minute hypoxia period (inhalation of 5% oxygen and 95% nitrogen) and subsequent reoxygenation. Systolic, diastolic, and mean values of both PAP (respectively, PAPs, PAPd, and PAPm) and pulmonary capillary wedge pressure (respectively, PCWPs, PCWPd, and PCWPm), blood gases, heart rate (HR), and both peripheral and pulmonary arterial oxygen saturation were obtained. Cardiac output (CO), stroke volume (SV), pulmonary vascular resistance (PVR), pulmonary arterial compliance (PAcompl), and systemic vascular resistance (SVR) were calculated.

Results: The key findings of the current study are that serelaxin prevents the rise of PAPs (p≤0.001), PAPm, PCWPm, PCWPs (p≤0.03), and PAPd (p≤0.05) during hypoxia, while it simultaneously increases CO and SV (p≤0.001). Similar courses of decreases of PAPm, PAPd, PAPs, CO, SVR (p≤0.001), and PCWPd (p≤0.03) as compared to hypoxic values were observed during reoxygenation. In direct comparison, the experimental groups differed during hypoxia in regard to HR, PAPm, PVR, and SVR (p≤0.03), and during reoxygenation in regard to HR (p≤0.001), PAPm, PAPs, PAPd, PVR, SVR (p≤0.03), and PCWPd (p≤0.05).

Conclusion: The findings of this study suggest that serelaxin treatment improves pulmonary hemodynamic parameters during acute hypoxia.

目的:缺氧引起肺血管收缩,肺动脉压升高,导致肺动脉高压。注射舍拉辛后肺血流动力学参数增高。因此,我们在临床相关模型中研究了给药后肺血流动力学参数的反应。方法:6只对照组羊和6只接受30 μg/kg血清舒张素治疗的羊,在12分钟的缺氧期(吸入5%氧和95%氮)右心导管插管后再充氧。测量收缩压、舒张压(分别为PAP、PAPd和PAPm)和肺毛细血管楔形压(分别为PCWPs、PCWPd和PCWPm)、血气、心率(HR)以及外周血和肺动脉氧饱和度的平均值。计算心输出量(CO)、卒中容积(SV)、肺血管阻力(PVR)、肺动脉顺应性(PAcompl)、全身血管阻力(SVR)。结果:本研究的主要发现是:在缺氧时,色拉辛可抑制pap (p≤0.001)、PAPm、PCWPm、PCWPs (p≤0.03)和PAPd (p≤0.05)的升高,同时可使CO和SV升高(p≤0.001)。与低氧值相比,再氧过程中PAPm、PAPd、PAPs、CO、SVR (p≤0.001)和PCWPd (p≤0.03)的下降过程相似。直接比较,各组缺氧时HR、PAPm、PVR、SVR差异有(p≤0.03),再氧时HR (p≤0.001)、PAPm、PAPs、PAPd、PVR、SVR (p≤0.03)、PCWPd差异有(p≤0.05)。结论:本研究结果提示血清舒张素治疗可改善急性缺氧时肺血流动力学参数。
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引用次数: 4
期刊
Hypoxia (Auckland, N.Z.)
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