PMID- 18506850 OWN - NLM STAT- MEDLINE DCOM- 20080826 LR - 20131121 IS - 1527-3350 (Electronic) IS - 0270-9139 (Linking) VI - 48 IP - 1 DP - 2008 Jul TI - Adenosine-dependent activation of hypoxia-inducible factor-1 induces late preconditioning in liver cells. PG - 230-9 LID - 10.1002/hep.22249 [doi] AB - The cellular mechanisms by which ischemic preconditioning increases liver tolerance to ischemia/reperfusion injury are still poorly understood. This study investigated the role of the hypoxia-inducible factor-1 (HIF-1) in the protection associated with the late phase of liver preconditioning. Late preconditioning was induced in primary cultured rat hepatocytes by a transient (10 minute) hypoxic stress or by 15 minutes incubation with the adenosine A(2A) receptors agonist CGS21680 24 hours before exposure to 90 minutes of hypoxia in a serum-free medium. Late preconditioning induced the nuclear translocation of HIF-1 and the expression of carbonic anhydrase IX (CAIX), a HIF-1-regulated transmembrane enzyme that catalyzes bicarbonate production. Such effects were associated with prevention of hepatocyte killing by hypoxia and the amelioration of intracellular acidosis and Na+ accumulation. The inhibition of PKC-mediated and PI3-kinase-mediated signals with, respectively, chelerythrine and wortmannin abolished HIF-1 activation and blocked both CAIX expression and the protective action of late preconditioning. CAIX expression was also prevented by interfering with the transcriptional activity of HIF-1 using a dominant negative HIF-1beta subunit. The inhibition of CAIX with acetazolamide or the block of bicarbonate influx with disodium-4-acetamido-4'-isothiocyanato-stilben-2,2'-disulfonate also reverted the protective effects of late preconditioning on intracellular acidosis and Na+ accumulation. CONCLUSION: The stimulation of adenosine A(2A) receptors induced late preconditioning in liver cells through the activation of HIF-1. HIF-1-induced expression of CAIX increases hepatocyte tolerance to ischemia by maintaining intracellular Na+ homeostasis. These observations along with the importance of HIF-1 in regulating cell survival indicates HIF-1 activation as a possible key event in liver protection by late preconditioning. FAU - Alchera, Elisa AU - Alchera E AD - Dipartimento di Scienze Mediche, Universita "A. Avogadro", Novara, Italy. FAU - Tacchini, Lorenza AU - Tacchini L FAU - Imarisio, Chiara AU - Imarisio C FAU - Dal Ponte, Caterina AU - Dal Ponte C FAU - De Ponti, Cristina AU - De Ponti C FAU - Gammella, Elena AU - Gammella E FAU - Cairo, Gaetano AU - Cairo G FAU - Albano, Emanuele AU - Albano E FAU - Carini, Rita AU - Carini R LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Hepatology JT - Hepatology (Baltimore, Md.) JID - 8302946 RN - 0 (Adenosine A2 Receptor Agonists) RN - 0 (Culture Media, Serum-Free) RN - 0 (Hypoxia-Inducible Factor 1) RN - 0 (Phenethylamines) RN - 0 (Purinergic P1 Receptor Agonists) RN - 0 (Receptor, Adenosine A2A) RN - 0 (Receptors, Purinergic P1) RN - 120225-54-9 (2-(4-(2-carboxyethyl)phenethylamino)-5'-N-ethylcarboxamidoadenosine) RN - EC 4.2.1.- (Carbonic Anhydrase IV) RN - K72T3FS567 (Adenosine) SB - IM MH - Adenosine/analogs & derivatives/*metabolism/pharmacology MH - Adenosine A2 Receptor Agonists MH - Animals MH - Biological Transport MH - Carbonic Anhydrase IV/metabolism MH - Cell Hypoxia/physiology MH - Cell Nucleus/metabolism MH - Cells, Cultured MH - Culture Media, Serum-Free MH - Cytoprotection MH - Hepatocytes/drug effects/metabolism/*physiology MH - Hypoxia-Inducible Factor 1/*metabolism MH - *Ischemic Preconditioning MH - Liver/*blood supply MH - Male MH - Phenethylamines/pharmacology MH - Purinergic P1 Receptor Agonists MH - Rats MH - Rats, Wistar MH - Receptor, Adenosine A2A/*metabolism MH - Receptors, Purinergic P1/*metabolism MH - Time Factors EDAT- 2008/05/29 09:00 MHDA- 2008/08/30 09:00 CRDT- 2008/05/29 09:00 PHST- 2008/05/29 09:00 [pubmed] PHST- 2008/08/30 09:00 [medline] PHST- 2008/05/29 09:00 [entrez] AID - 10.1002/hep.22249 [doi] PST - ppublish SO - Hepatology. 2008 Jul;48(1):230-9. doi: 10.1002/hep.22249.