A peptide inhibitor of C-jun N-terminal kinase modulates hepatic damage and the inflammatory response after hemorrhagic shock and resuscitation

Shock. 2008 Aug;30(2):159-65. doi: 10.1097/SHK.0b013e31815dd623.

Abstract

Hemorrhage and resuscitation (H/R) leads to phosphorylation of mitogen-activated stress kinases, an event that is associated with organ damage. Recently, a specific, cell-penetrating, protease-resistant inhibitory peptide of the mitogen-activated protein kinase c-JUN N-terminal kinase (JNK) was developed (D-JNKI-1). Here, using this peptide, we tested if inhibition of JNK protects against organ damage after H/R. Male Sprague-Dawley rats were treated with D-JNKI-1 (11 mg/kg, i.p.) or vehicle. Thirty minutes later, rats were hemorrhaged for 1 h to a MAP of 30 to 35 mmHg and then resuscitated with 60% of the shed blood and twice the shed blood volume as Ringer lactate. Tissues were harvested 2 h later. ANOVA with Tukey post hoc analysis or Kruskal-Wallis ANOVA on ranks, P < 0.05, was considered significant. c-JUN N-terminal kinase inhibition decreased serum alanine aminotransferase activity as a marker of liver injury by 70%, serum creatine kinase activity by 67%, and serum lactate dehydrogenase activity by 60% as compared with vehicle treatment. The histological tissue damage observed was blunted after D-JNKI-1 pretreatment both for necrotic and apoptotic cell death. Hepatic leukocyte infiltration and serum IL-6 levels were largely diminished after D-JNKI-1 pretreatment. The extent of oxidative stress as evaluated by immunohistochemical detection of 4-hydroxynonenal was largely abrogated after JNK inhibition. After JNK inhibition, activation of cJUN after H/R was also reduced. Hemorrhage and resuscitation induces a systemic inflammatory response and leads to end-organ damage. These changes are mediated, at least in part, by JNK. Therefore, JNK inhibition deserves further evaluation as a potential treatment option in patients after resuscitated blood loss.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Blood Pressure / physiology
  • Humans
  • Inflammation / enzymology
  • Inflammation / physiopathology
  • Inflammation / prevention & control
  • Inflammation Mediators / administration & dosage
  • Inflammation Mediators / therapeutic use*
  • JNK Mitogen-Activated Protein Kinases / antagonists & inhibitors*
  • JNK Mitogen-Activated Protein Kinases / physiology
  • Liver / blood supply
  • Liver / enzymology
  • Liver / pathology*
  • Male
  • Peptides / administration & dosage
  • Peptides / therapeutic use*
  • Random Allocation
  • Rats
  • Rats, Sprague-Dawley
  • Resuscitation* / methods
  • Shock, Hemorrhagic / enzymology*
  • Shock, Hemorrhagic / pathology
  • Shock, Hemorrhagic / physiopathology
  • Shock, Hemorrhagic / prevention & control*

Substances

  • Inflammation Mediators
  • Peptides
  • JNK Mitogen-Activated Protein Kinases
  • D-JNKI-1