PMID- 23689279 OWN - NLM STAT- MEDLINE DCOM- 20140131 LR - 20220408 IS - 1748-7838 (Electronic) IS - 1001-0602 (Print) IS - 1001-0602 (Linking) VI - 23 IP - 7 DP - 2013 Jul TI - ALDH2 protects against stroke by clearing 4-HNE. PG - 915-30 LID - 10.1038/cr.2013.69 [doi] AB - Aldehyde dehydrogenase 2 (ALDH2) is a mitochondrial enzyme that metabolizes ethanol and toxic aldehydes such as 4-hydroxy-2-nonenal (4-HNE). Using an unbiased proteomic search, we identified ALDH2 deficiency in stroke-prone spontaneously hypertensive rats (SHR-SP) as compared with spontaneously hypertensive rats (SHR). We concluded the causative role of ALDH2 deficiency in neuronal injury as overexpression or activation of ALDH2 conferred neuroprotection by clearing 4-HNE in in vitro studies. Further, ALDH2-knockdown rats revealed the absence of neuroprotective effects of PKCepsilon. Moderate ethanol administration that is known to exert protection against stroke was shown to enhance the detoxification of 4-HNE, and to protect against ischemic cerebral injury through the PKCepsilon-ALDH2 pathway. In SHR-SP, serum 4-HNE level was persistently elevated and correlated inversely with the lifespan. The role of 4-HNE in stroke in humans was also suggested by persistent elevation of its plasma levels for at least 6 months after stroke. Lastly, we observed that 21 of 1 242 subjects followed for 8 years who developed stroke had higher initial plasma 4-HNE levels than those who did not develop stroke. These findings suggest that activation of the ALDH2 pathway may serve as a useful index in the identification of stroke-prone subjects, and the ALDH2 pathway may be a potential target of therapeutic intervention in stroke. FAU - Guo, Jin-Min AU - Guo JM AD - Department of Pharmacology, School of Pharmacy, Second Military Medical University, 325 Guo He Road, Shanghai 200433, China. FAU - Liu, Ai-Jun AU - Liu AJ FAU - Zang, Pu AU - Zang P FAU - Dong, Wen-Zhe AU - Dong WZ FAU - Ying, Li AU - Ying L FAU - Wang, Wei AU - Wang W FAU - Xu, Pu AU - Xu P FAU - Song, Xu-Rui AU - Song XR FAU - Cai, Jun AU - Cai J FAU - Zhang, She-Qing AU - Zhang SQ FAU - Duan, Jun-Li AU - Duan JL FAU - Mehta, Jawahar L AU - Mehta JL FAU - Su, Ding-Feng AU - Su DF LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130521 PL - England TA - Cell Res JT - Cell research JID - 9425763 RN - 0 (Aldehydes) RN - 0 (Mitochondrial Proteins) RN - 4Y8F71G49Q (Malondialdehyde) RN - EC 1.2.1.3 (Aldehyde Dehydrogenase) RN - EC 1.2.1.3 (Aldehyde Dehydrogenase, Mitochondrial) RN - EC 1.2.1.3 (Aldh2 protein, rat) RN - K1CVM13F96 (4-hydroxy-2-nonenal) SB - IM CIN - Cell Res. 2013 Jul;23(7):874-5. PMID: 23752927 MH - Aldehyde Dehydrogenase/genetics/*metabolism MH - Aldehyde Dehydrogenase, Mitochondrial MH - Aldehydes/*blood/*metabolism MH - Animals MH - Fluorescent Antibody Technique MH - Humans MH - Immunoblotting MH - Immunoprecipitation MH - Male MH - Malondialdehyde/metabolism MH - Mitochondrial Proteins/genetics/*metabolism MH - Oxidative Stress/genetics/physiology MH - PC12 Cells MH - Rats MH - Rats, Sprague-Dawley MH - Stroke/blood/*metabolism PMC - PMC3698638 EDAT- 2013/05/22 06:00 MHDA- 2014/02/01 06:00 PMCR- 2013/07/01 CRDT- 2013/05/22 06:00 PHST- 2012/12/16 00:00 [received] PHST- 2013/02/05 00:00 [revised] PHST- 2013/03/20 00:00 [accepted] PHST- 2013/05/22 06:00 [entrez] PHST- 2013/05/22 06:00 [pubmed] PHST- 2014/02/01 06:00 [medline] PHST- 2013/07/01 00:00 [pmc-release] AID - cr201369 [pii] AID - 10.1038/cr.2013.69 [doi] PST - ppublish SO - Cell Res. 2013 Jul;23(7):915-30. doi: 10.1038/cr.2013.69. Epub 2013 May 21.