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Am J Physiol Regul Integr Comp Physiol 279: R99-R108, 2000;
0363-6119/00 $5.00
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Vol. 279, Issue 1, R99-R108, July 2000

Brief hypoxic stress suppresses postbacteremic NF-kappa B activation and TNF-alpha bioactivity in perfused liver

Laura L. Loftis1, Cheryl A. Johanns2, Andrew J. Lechner3, and George M. Matuschak2,3,4

1 Division of Critical Care Medicine, Department of Pediatrics, 2 Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, and 3 Department of Pharmacological and Physiological Sciences, Saint Louis University School of Medicine, Saint Louis 63104, and 4 Department of Critical Care Medicine, Saint John's Mercy Medical Center, Saint Louis, Missouri 63141

Reductions in hepatic O2 delivery are common early after gram-negative bacteremic sepsis owing to cardiopulmonary dysfunction and derangements in sinusoidal perfusion. Although gram-negative endotoxin and cellular hypoxia independently enhance activation of nuclear factor-kappa B (NF-kappa B) via generation of reactive O2 species (ROS), the combination of these stimuli downregulates hepatic TNF-alpha gene expression. Here we tested the hypothesis that hypoxic suppression of postbacteremic TNF-alpha gene expression is transcriptionally mediated by reduced activation of NF-kappa B. Buffer-perfused rat livers (n = 52) were studied over 180 min after intraportal infection at t = 0 with 109 live Escherichia coli (EC), serotype O55:B5, or 0.9% NaCl controls under normoxic conditions, compared with 0.5 h of constant-flow hypoxia (PO2 ~41 ± 7 Torr) beginning at t = 30 min, followed by 120 min of reoxygenation. In parallel studies, tissue was obtained at peak hypoxia (t = 60 min). To determine the role of xanthine oxidase (XO)-induced ROS in modulating NF-kappa B activity after hypoxia/reoxygenation (H/R), livers were pretreated with the XO inhibitor allopurinol, with results confirmed in organs of tungstate-fed animals. Electrophoretic mobility shift assays were performed on nuclear extracts of whole liver lysates using 32P-labeled oligonucleotides specific for NF-kappa B. Compared with normoxic EC controls, hypoxia reduced postbacteremic NF-kappa B nuclear translocation and TNF-alpha bioactivity, independent of reoxygenation, tissue levels of reduced glutathione, or posthypoxic O2 consumption. XO inhibition reversed the hypoxic suppression of NF-kappa B nuclear translocation and ameliorated decreases in cell-associated TNF-alpha . Thus decreases in hepatic O2 delivery reduce postbacteremic nuclear translocation of NF-kappa B and hepatic TNF-alpha biosynthesis by signaling mechanisms involving low-level generation of XO-mediated ROS.

nuclear factor-kappa B; transcription factors; gram-negative sepsis; multiple organ failure; tumor necrosis factor-alpha ; hepatic O2 consumption; perfused liver; xanthine oxidase; reactive O2 species


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