PMID- 22723631 OWN - NLM STAT- MEDLINE DCOM- 20130109 LR - 20130926 IS - 1522-1601 (Electronic) IS - 0161-7567 (Linking) VI - 113 IP - 4 DP - 2012 Aug 15 TI - Reduced hexokinase II impairs muscle function 2 wk after ischemia-reperfusion through increased cell necrosis and fibrosis. PG - 608-18 LID - 10.1152/japplphysiol.01494.2011 [doi] AB - We previously demonstrated that hexokinase (HK) II plays a key role in the pathophysiology of ischemia-reperfusion (I/R) injury of the heart (Smeele et al. Circ Res 108: 1165-1169, 2011; Wu et al. Circ Res 108: 60-69, 2011). However, it is unknown whether HKII also plays a key role in I/R injury and healing thereafter in skeletal muscle, and if so, through which mechanisms. We used male wild-type (WT) and heterozygous HKII knockout mice (HKII(+/-)) and performed in vivo unilateral skeletal muscle I/R, executed by 90 min hindlimb occlusion using orthodontic rubber bands followed by 1 h, 1 day, or 14 days reperfusion. The contralateral (CON) limb was used as internal control. No difference was observed in muscle glycogen turnover between genotypes at 1 h reperfusion. At 1 day reperfusion, the model resulted in 36% initial cell necrosis in WT gastrocnemius medialis (GM) muscle that was doubled (76% cell necrosis) in the HKII(+/-) mice. I/R-induced apoptosis (29%) was similar between genotypes. HKII reduction eliminated I/R-induced mitochondrial Bax translocation and oxidative stress at 1 day reperfusion. At 14 days recovery, the tetanic force deficit of the reperfused GM (relative to control GM) was 35% for WT, which was doubled (70%) in HKII(+/-) mice, mirroring the initial damage observed for these muscles. I/R increased muscle fatigue resistance equally in GM of both genotypes. The number of regenerating fibers in WT muscle (17%) was also approximately doubled in HKII(+/-) I/R muscle (44%), thus again mirroring the increased cell death in HKII(+/-) mice at day 1 and suggesting that HKII does not significantly affect muscle regeneration capacity. Reduced HKII was also associated with doubling of I/R-induced fibrosis. In conclusion, reduced muscle HKII protein content results in impaired muscle functionality during recovery from I/R. The impaired recovery seems to be mainly a result of a greater susceptibility of HKII(+/-) mice to the initial I/R-induced necrosis (not apoptosis), and not a HKII-related deficiency in muscle regeneration. FAU - Smeele, Kirsten M AU - Smeele KM AD - Laboratory of Experimental Intensive Care and Anesthesiology, Department of Anesthesiology, Academic Medical Center, Amsterdam, The Netherlands. FAU - Eerbeek, Otto AU - Eerbeek O FAU - Schaart, Gert AU - Schaart G FAU - Koeman, Anneke AU - Koeman A FAU - Bezemer, Rick AU - Bezemer R FAU - Nelson, Jessica K AU - Nelson JK FAU - Ince, Can AU - Ince C FAU - Nederlof, Rianne AU - Nederlof R FAU - Boek, Maxim AU - Boek M FAU - Laakso, Markku AU - Laakso M FAU - de Haan, Arnold AU - de Haan A FAU - Drost, Maarten R AU - Drost MR FAU - Hollmann, Markus W AU - Hollmann MW FAU - Zuurbier, Coert J AU - Zuurbier CJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120621 PL - United States TA - J Appl Physiol (1985) JT - Journal of applied physiology (Bethesda, Md. : 1985) JID - 8502536 RN - 0 (Bax protein, mouse) RN - 0 (bcl-2-Associated X Protein) RN - 9005-79-2 (Glycogen) RN - EC 2.7.1.1 (Hexokinase) SB - IM MH - Animals MH - Apoptosis MH - Disease Models, Animal MH - Down-Regulation MH - Fibrosis MH - Glycogen/metabolism MH - Hexokinase/*deficiency/genetics MH - Hindlimb MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Microcirculation MH - Mitochondria, Muscle/metabolism/pathology MH - Muscle Fatigue MH - *Muscle Strength MH - Muscle, Skeletal/*blood supply/*enzymology/pathology/physiopathology MH - Necrosis MH - Neovascularization, Physiologic MH - Oxidative Stress MH - Recovery of Function MH - Regeneration MH - Regional Blood Flow MH - Reperfusion Injury/*enzymology/genetics/pathology/physiopathology MH - Time Factors MH - bcl-2-Associated X Protein/metabolism EDAT- 2012/06/23 06:00 MHDA- 2013/01/10 06:00 CRDT- 2012/06/23 06:00 PHST- 2012/06/23 06:00 [entrez] PHST- 2012/06/23 06:00 [pubmed] PHST- 2013/01/10 06:00 [medline] AID - japplphysiol.01494.2011 [pii] AID - 10.1152/japplphysiol.01494.2011 [doi] PST - ppublish SO - J Appl Physiol (1985). 2012 Aug 15;113(4):608-18. doi: 10.1152/japplphysiol.01494.2011. Epub 2012 Jun 21.