17-DMAG, an HSP90 Inhibitor, Ameliorates Multiple Organ Dysfunction Syndrome via Induction of HSP70 in Endotoxemic Rats

PLoS One. 2016 May 25;11(5):e0155583. doi: 10.1371/journal.pone.0155583. eCollection 2016.

Abstract

Sepsis is a systemic inflammatory disorder, accompanied with elevated oxidative stress, leading to multiple organ dysfunction syndrome (MODS), and disseminated intravascular coagulation. 17-Dimethylaminoethylamino- 17-demethoxygeldanamycin (17-DMAG), a heat shock protein (HSP) 90 inhibitor, has been reported to possess anti-inflammatory effects. In this study, the beneficial effects of 17-DMAG on lipopolysaccharide (LPS) induced MODS and DIC was evaluated in anesthetized rats. 17-DMAG (5 mg/kg, i.p.) was significantly increased survival rate, and prevented hypotension in LPS (30 mg/kg i.v. infused for 4 h) induced endotoxemia. The elevated levels of alanine aminotransferase (ALT), creatine phosphokinase (CPK), lactate dehydrogenase, creatinine, nitric oxide (NO) metabolites, IL-6, and TNF-α in LPS-exposed rat plasma were significantly reduced by 17-DMAG. Moreover, 17-DMAG suppressed LPS-induced superoxide anion production and caspase 3 activation in heart tissues. LPS induced the prolongation of prothrombin time, and a pronounced decrease in platelet count, which were improved by 17-DMAG. 17-DMAG markedly induced HSP70 and heme oxygenase (HO)-1, and suppressed inducible nitric oxide synthase (iNOS) and phosphorylated NF-κB p65 protein expression in organs 6 h after LPS initiation. Pretreatment with high dose of quercetin (300 mg/kg, i.p.), as an HSP70 inhibitor, reversed the beneficial effects of 17-DMAG on survival rate, plasma levels of ALT, CPK, creatinine, IL-6, and NO metabolites, iNOS induction, and caspase-3 activation in LPS-treated rats. In conclusion, 17-DMAG possesses the anti-inflammatory and antioxidant effects that were proved through LPS-induced acute inflammation, which is associated with induction of HSP70 and HO-1, leading to prevent MODS in sepsis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alanine Transaminase / blood
  • Animals
  • Benzoquinones / pharmacology*
  • Caspase 3 / metabolism
  • Creatine Kinase / blood
  • Creatinine / blood
  • Endotoxemia / chemically induced
  • Endotoxemia / drug therapy*
  • Endotoxemia / metabolism
  • Endotoxemia / pathology
  • HSP70 Heat-Shock Proteins / biosynthesis*
  • HSP90 Heat-Shock Proteins / antagonists & inhibitors*
  • Interleukin-6 / blood
  • L-Lactate Dehydrogenase / blood
  • Lactams, Macrocyclic / pharmacology*
  • Lipopolysaccharides / toxicity
  • Male
  • Multiple Organ Failure / chemically induced
  • Multiple Organ Failure / drug therapy*
  • Multiple Organ Failure / metabolism
  • Multiple Organ Failure / pathology
  • Nitric Oxide / blood
  • Rats
  • Rats, Wistar
  • Transcription Factor RelA / metabolism
  • Tumor Necrosis Factor-alpha / blood

Substances

  • Benzoquinones
  • HSP70 Heat-Shock Proteins
  • HSP90 Heat-Shock Proteins
  • Interleukin-6
  • Lactams, Macrocyclic
  • Lipopolysaccharides
  • Rela protein, rat
  • Transcription Factor RelA
  • Tumor Necrosis Factor-alpha
  • 17-(dimethylaminoethylamino)-17-demethoxygeldanamycin
  • Nitric Oxide
  • Creatinine
  • L-Lactate Dehydrogenase
  • Alanine Transaminase
  • Creatine Kinase
  • Casp3 protein, rat
  • Caspase 3

Grants and funding

This work was supported by the Ministry of Science and Technology (NSC104-2320-B-016-010, YML), & The Ministry of National Defense (103-M052, YML). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.