Merz 2017 Intensive Care Med Exp

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Merz T, Vogt JA, Wachter U, Calzia E, Szabo C, Wang R, Radermacher P, McCook O (2017) Impact of hyperglycemia on cystathionine-Ξ³-lyase expression during resuscitated murine septic shock. Intensive Care Med Exp 5:30.

Β» PMID: 28616781 Open Access

Merz T, Vogt JA, Wachter U, Calzia E, Szabo C, Wang R, Radermacher P, McCook O (2017) Intensive Care Med Exp

Abstract: Cystathionine-Ξ³-lyase (CSE) was shown to have a regulatory role in glucose metabolism. Circulatory shock can induce metabolic stress, thereby leading to hyperglycemia and mitochondrial dysfunction. In vitro data suggest an effect of high glucose on CSE expression. Therefore, the aim of this study was to investigate the effects of hyperglycemia on CSE expression in resuscitated murine septic shock.

Normo- (80-150 mg/dl) and hyperglycemic (>200 mg/dl) male C57/BL6J mice (n = 5-6 per group) underwent cecal ligation and puncture (CLP)-induced polymicrobial sepsis or sham procedure (n = 6 per group) and, 15 h afterwards, were anesthetized again, surgically instrumented and received intensive care treatment, including antibiotics, lung protective mechanical ventilation, circulatory support, and intravenous (i.v.) glucose infusion (50% as stable-isotope labeled 1,2,3,4,5,6-13C6 glucose). Blood and breath gas were sampled hourly to quantify parameters of glucose metabolism. 5 h later, mice were sacrificed and organs were harvested. The liver mitochondrial respiratory activity was determined via high resolution respirometry; CSE, peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PGC1Ξ±), and adipocyte differentiation-related protein (ADRP) expression was immunohistochemically investigated.

In sepsis combined with hyperglycemia the least CSE and PGC1Ξ± expression could be detected, along with reduced mitochondrial respiratory activity, and enhanced ADRP expression, a marker of lipid droplet formation, in the liver. A novel in vivo finding is the CSE translocation from the cytosol to the nucleus triggered by metabolic stress.

A relationship between CSE and glucose metabolism was established, which, when dysregulated, may contribute to fatty liver disease and hepatic steatosis. β€’ Keywords: Gluconeogenesis, Glucose oxidation, Lipid droplet formation, Mitochondrial function, Peroxisome proliferator-activated receptor gamma coactivator 1-alpha β€’ Bioblast editor: Kandolf G β€’ O2k-Network Lab: DE Ulm Radermacher P

Labels: MiParea: Respiration  Pathology: Sepsis 

Organism: Mouse  Tissue;cell: Liver  Preparation: Homogenate 

Coupling state: LEAK, OXPHOS, ET  Pathway: F, N, S, NS, ROX  HRR: Oxygraph-2k 

Labels, 2017-09 

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