PMID- 24126417 OWN - NLM STAT- MEDLINE DCOM- 20140210 LR - 20211021 IS - 1096-0333 (Electronic) IS - 0041-008X (Print) IS - 0041-008X (Linking) VI - 273 IP - 3 DP - 2013 Dec 15 TI - Carbamazepine suppresses calpain-mediated autophagy impairment after ischemia/reperfusion in mouse livers. PG - 600-10 LID - S0041-008X(13)00437-7 [pii] LID - 10.1016/j.taap.2013.10.006 [doi] AB - Onset of the mitochondrial permeability transition (MPT) plays a causative role in ischemia/reperfusion (I/R) injury. Current therapeutic strategies for reducing reperfusion injury remain disappointing. Autophagy is a lysosome-mediated, catabolic process that timely eliminates abnormal or damaged cellular constituents and organelles such as dysfunctional mitochondria. I/R induces calcium overloading and calpain activation, leading to degradation of key autophagy-related proteins (Atg). Carbamazepine (CBZ), an FDA-approved anticonvulsant drug, has recently been reported to increase autophagy. We investigated the effects of CBZ on hepatic I/R injury. Hepatocytes and livers from male C57BL/6 mice were subjected to simulated in vitro, as well as in vivo I/R, respectively. Cell death, intracellular calcium, calpain activity, changes in autophagy-related proteins (Atg), autophagic flux, MPT and mitochondrial membrane potential after I/R were analyzed in the presence and absence of 20 muM CBZ. CBZ significantly increased hepatocyte viability after reperfusion. Confocal microscopy revealed that CBZ prevented calcium overloading, the onset of the MPT and mitochondrial depolarization. Immunoblotting and fluorometric analysis showed that CBZ blocked calpain activation, depletion of Atg7 and Beclin-1 and loss of autophagic flux after reperfusion. Intravital multiphoton imaging of anesthetized mice demonstrated that CBZ substantially reversed autophagic defects and mitochondrial dysfunction after I/R in vivo. In conclusion, CBZ prevents calcium overloading and calpain activation, which, in turn, suppresses Atg7 and Beclin-1 depletion, defective autophagy, onset of the MPT and cell death after I/R. CI - (c) 2013. FAU - Kim, Jae-Sung AU - Kim JS AD - Department of Surgery, University of Florida, Gainesville, FL 32610, USA. Electronic address: Jae.Kim@surgery.ufl.edu. FAU - Wang, Jin-Hee AU - Wang JH FAU - Biel, Thomas G AU - Biel TG FAU - Kim, Do-Sung AU - Kim DS FAU - Flores-Toro, Joseph A AU - Flores-Toro JA FAU - Vijayvargiya, Richa AU - Vijayvargiya R FAU - Zendejas, Ivan AU - Zendejas I FAU - Behrns, Kevin E AU - Behrns KE LA - eng GR - R01 DK090115/DK/NIDDK NIH HHS/United States GR - AG028740/AG/NIA NIH HHS/United States GR - P30 AG028740/AG/NIA NIH HHS/United States GR - DK079879/DK/NIDDK NIH HHS/United States GR - R01 DK079879/DK/NIDDK NIH HHS/United States GR - DK090115/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20131012 PL - United States TA - Toxicol Appl Pharmacol JT - Toxicology and applied pharmacology JID - 0416575 RN - 0 (Anticonvulsants) RN - 0 (Apoptosis Regulatory Proteins) RN - 0 (Atg7 protein, mouse) RN - 0 (Beclin-1) RN - 0 (Becn1 protein, mouse) RN - 0 (Microtubule-Associated Proteins) RN - 33CM23913M (Carbamazepine) RN - EC 3.4.22.- (Calpain) RN - EC 6.2.1.45 (Autophagy-Related Protein 7) RN - SY7Q814VUP (Calcium) SB - IM MH - Animals MH - Anticonvulsants/pharmacology MH - Apoptosis Regulatory Proteins/genetics/metabolism MH - Autophagy/*drug effects MH - Autophagy-Related Protein 7 MH - Beclin-1 MH - Calcium/metabolism MH - Calpain/*adverse effects MH - Carbamazepine/*pharmacology MH - Hepatocytes/drug effects/metabolism MH - Liver/*drug effects/metabolism MH - Lysosomes/metabolism MH - Male MH - Membrane Potential, Mitochondrial/drug effects MH - Mice MH - Mice, Inbred C57BL MH - Microscopy, Confocal MH - Microtubule-Associated Proteins/genetics/metabolism MH - Mitochondria/metabolism MH - Reperfusion Injury/drug therapy PMC - PMC3867813 MID - NIHMS532009 OTO - NOTNLM OT - Atg OT - Autophagy OT - CBZ OT - CQ OT - Calcium OT - FDA OT - Food & Drug Administration OT - Hepatocytes OT - I/R OT - IP(3) OT - Ischemia/reperfusion OT - KRH OT - Krebs-Ringer-N-2 hydroxyethylpiperazine-N-2 ethanesulfonic acid OT - LC3 OT - MPT OT - Mitochondria OT - Mitochondrial permeability transition OT - PI OT - TMRM OT - autophagy-related proteins OT - carbamazepine OT - chloroquine OT - inositol-1,4,5-triphosphate OT - ischemia/reperfusion OT - microtubule-associated protein 1 light chain 3 OT - mitochondrial permeability transition OT - propidium iodide OT - tetramethylrhodamine methylester COIS- Conflict of interest The authors declare that there are no conflicts of interest. EDAT- 2013/10/16 06:00 MHDA- 2014/02/11 06:00 PMCR- 2014/12/15 CRDT- 2013/10/16 06:00 PHST- 2013/07/26 00:00 [received] PHST- 2013/09/29 00:00 [revised] PHST- 2013/10/02 00:00 [accepted] PHST- 2013/10/16 06:00 [entrez] PHST- 2013/10/16 06:00 [pubmed] PHST- 2014/02/11 06:00 [medline] PHST- 2014/12/15 00:00 [pmc-release] AID - S0041-008X(13)00437-7 [pii] AID - 10.1016/j.taap.2013.10.006 [doi] PST - ppublish SO - Toxicol Appl Pharmacol. 2013 Dec 15;273(3):600-10. doi: 10.1016/j.taap.2013.10.006. Epub 2013 Oct 12.