PMID- 20940001 OWN - NLM STAT- MEDLINE DCOM- 20110415 LR - 20210309 IS - 1872-6240 (Electronic) IS - 0006-8993 (Linking) VI - 1367 DP - 2011 Jan 7 TI - Ischemic postconditioning protects brain from ischemia/reperfusion injury by attenuating endoplasmic reticulum stress-induced apoptosis through PI3K-Akt pathway. PG - 85-93 LID - 10.1016/j.brainres.2010.10.017 [doi] AB - Endoplasmic reticulum (ER) stress has been implicated in the pathology of cerebral ischemia. During prolonged period of stress or when the adaptive response fails, apoptotic cell death ensues. Cerebral ischemic postconditioning (Postcond) has been shown to reduce cerebral ischemia/reperfusion (I/R) injury in both focal and global cerebral ischemia model. However, the mechanism remains to be understood. This study aimed to elucidate whether Postcond attenuates brain I/R damage by suppressing ER stress-induced apoptosis and if the phosphatidylinositol-3kinase/Akt (PI3K/Akt) pathway is involved. A focal cerebral ischemia rat model was used in the study. Rat brain infarct size and terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) positive cells in ischemic penumbra were assessed after reperfusion of the brain. The expressions of C/EBP-homologous protein (CHOP), caspase-12, glucose-regulated protein 78 (GRP78) and the phosphorylation of Akt (Ser473) in ischemic penumbra were measured after reperfusion. Our results showed that Postcond significantly attenuated brain I/R injury, as shown by reduction in infarct size, cell apoptosis, CHOP expression, caspase-12 activation and increase in GRP78 expression. LY294002, a phosphoinositide 3-kinase inhibitor, increased the number of TUNEL-positive cells suppressed by Postcond in penumbra. In addition, LY294002 diminished the effect of Postcond on the activation of CHOP, caspase-12 and GRP78. These results suggest that Postcond protects brain from I/R injury by suppressing ER stress-induced apoptosis and PI3K/Akt pathway is involved. CI - Copyright (c) 2010 Elsevier B.V. All rights reserved. FAU - Yuan, Yajing AU - Yuan Y AD - Department of Anesthesiology, Xiangya Hospital of Central South University, Hunan 410008, China. FAU - Guo, Qulian AU - Guo Q FAU - Ye, Zhi AU - Ye Z FAU - Pingping, Xia AU - Pingping X FAU - Wang, Na AU - Wang N FAU - Song, Zongbin AU - Song Z LA - eng PT - Journal Article DEP - 20101101 PL - Netherlands TA - Brain Res JT - Brain research JID - 0045503 RN - 0 (Chromones) RN - 0 (Ddit3 protein, rat) RN - 0 (Enzyme Inhibitors) RN - 0 (GRP78 protein, rat) RN - 0 (Heat-Shock Proteins) RN - 0 (Morpholines) RN - 147336-12-7 (Transcription Factor CHOP) RN - 31M2U1DVID (2-(4-morpholinyl)-8-phenyl-4H-1-benzopyran-4-one) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 3.4.22.- (Caspase 12) SB - IM MH - Animals MH - Apoptosis/*physiology MH - Brain/*blood supply MH - Brain Infarction/prevention & control MH - Caspase 12/metabolism MH - Chromones/therapeutic use MH - Disease Models, Animal MH - Endoplasmic Reticulum/metabolism/*pathology MH - Enzyme Inhibitors/therapeutic use MH - Heat-Shock Proteins/metabolism MH - In Situ Nick-End Labeling/methods MH - Ischemic Postconditioning/*methods MH - Male MH - Morpholines/therapeutic use MH - Phosphatidylinositol 3-Kinases/*metabolism MH - Proto-Oncogene Proteins c-akt/*metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Reperfusion Injury/*therapy MH - Signal Transduction/drug effects/*physiology MH - Time Factors MH - Transcription Factor CHOP/metabolism EDAT- 2010/10/14 06:00 MHDA- 2011/04/19 06:00 CRDT- 2010/10/14 06:00 PHST- 2010/07/11 00:00 [received] PHST- 2010/10/03 00:00 [revised] PHST- 2010/10/05 00:00 [accepted] PHST- 2010/10/14 06:00 [entrez] PHST- 2010/10/14 06:00 [pubmed] PHST- 2011/04/19 06:00 [medline] AID - S0006-8993(10)02224-9 [pii] AID - 10.1016/j.brainres.2010.10.017 [doi] PST - ppublish SO - Brain Res. 2011 Jan 7;1367:85-93. doi: 10.1016/j.brainres.2010.10.017. Epub 2010 Nov 1.