PMID- 25766329 OWN - NLM STAT- MEDLINE DCOM- 20151130 LR - 20211110 IS - 2041-4889 (Electronic) VI - 6 IP - 3 DP - 2015 Mar 12 TI - Life or death by NFkappaB, Losartan promotes survival in dy2J/dy2J mouse of MDC1A. PG - e1690 LID - 10.1038/cddis.2015.60 [doi] AB - Inflammation and fibrosis are well-defined mechanisms involved in the pathogenesis of the incurable Laminin alpha2-deficient congenital muscular dystrophy (MDC1A), while apoptosis mechanism is barely discussed. Our previous study showed treatment with Losartan, an angiotensin II type I receptor antagonist, improved muscle strength and reduced fibrosis through transforming growth factor beta (TGF-beta) and mitogen-activated protein kinases (MAPK) signaling inhibition in the dy(2J)/dy(2J) mouse model of MDC1A. Here we show for the first time that Losartan treatment up-regulates and shifts the nuclear factor kappa B (NFkappaB) signaling pathway to favor survival versus apoptosis/damage in this animal model. Losartan treatment was associated with significantly increased serum tumor necrosis factor alpha (TNF-alpha) level, p65 nuclei accumulation, and decreased muscle IkappaB-beta protein level, indicating NFkappaB activation. Moreover, NFkappaB anti-apoptotic target genes TNF receptor-associated factor 1 (TRAF1), TNF receptor-associated factor 2 (TRAF2), cellular inhibitor of apoptosis (cIAP2), and Ferritin heavy chain (FTH1) were increased following Losartan treatment. Losartan induced protein expression toward a pro-survival profile as BCL-2 expression levels were increased and Caspase-3 expression levels were decreased. Muscle apoptosis reduction was further confirmed using terminal deoxynucleotidyltransferase-mediated dUTP nick end labeling (TUNEL) assay. Thus, along with TGF-beta and MAPK signaling, NFkappaB serves as an important regulatory pathway which following Losartan treatment promotes survival in the dy(2J)/dy(2J) mouse model of MDC1A. FAU - Elbaz, M AU - Elbaz M AD - Pediatric Neuromuscular Laboratory and Neuropediatric Unit, Hadassah - Hebrew University Medical Center, Jerusalem, Israel. FAU - Yanay, N AU - Yanay N AD - Pediatric Neuromuscular Laboratory and Neuropediatric Unit, Hadassah - Hebrew University Medical Center, Jerusalem, Israel. FAU - Laban, S AU - Laban S AD - Pediatric Neuromuscular Laboratory and Neuropediatric Unit, Hadassah - Hebrew University Medical Center, Jerusalem, Israel. FAU - Rabie, M AU - Rabie M AD - Pediatric Neuromuscular Laboratory and Neuropediatric Unit, Hadassah - Hebrew University Medical Center, Jerusalem, Israel. FAU - Mitrani-Rosenbaum, S AU - Mitrani-Rosenbaum S AD - Goldyne Savad Institute of Gene Therapy, Hadassah - Hebrew University Medical Center, Jerusalem, Israel. FAU - Nevo, Y AU - Nevo Y AD - 1] Pediatric Neuromuscular Laboratory and Neuropediatric Unit, Hadassah - Hebrew University Medical Center, Jerusalem, Israel [2] Institute of Neurology, Schneider Children's Medical Center of Israel, 14 Kaplan St., Petach Tikva, Israel. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150312 PL - England TA - Cell Death Dis JT - Cell death & disease JID - 101524092 RN - 0 (Inhibitor of Apoptosis Proteins) RN - 0 (NF-kappa B) RN - 0 (Rela protein, mouse) RN - 0 (TNF Receptor-Associated Factor 1) RN - 0 (TNF Receptor-Associated Factor 2) RN - 0 (Transcription Factor RelA) RN - 9007-73-2 (Ferritins) RN - EC 3.4.22.- (Caspase 3) RN - JMS50MPO89 (Losartan) RN - Muscular dystrophy congenital, merosin negative SB - IM MH - Animals MH - Apoptosis/drug effects MH - Caspase 3/metabolism MH - Disease Models, Animal MH - Ferritins/biosynthesis MH - Humans MH - Inhibitor of Apoptosis Proteins/biosynthesis MH - Losartan/administration & dosage MH - Mice MH - Muscle Strength/drug effects MH - Muscle, Skeletal/drug effects/metabolism/pathology MH - Muscular Dystrophies/drug therapy/*genetics/pathology MH - NF-kappa B/*genetics MH - Signal Transduction MH - TNF Receptor-Associated Factor 1/*biosynthesis/genetics MH - TNF Receptor-Associated Factor 2/*biosynthesis/genetics MH - Transcription Factor RelA/metabolism PMC - PMC4385938 EDAT- 2015/03/15 06:00 MHDA- 2015/12/15 06:00 PMCR- 2015/03/01 CRDT- 2015/03/14 06:00 PHST- 2014/11/24 00:00 [received] PHST- 2015/01/26 00:00 [revised] PHST- 2015/01/27 00:00 [accepted] PHST- 2015/03/14 06:00 [entrez] PHST- 2015/03/15 06:00 [pubmed] PHST- 2015/12/15 06:00 [medline] PHST- 2015/03/01 00:00 [pmc-release] AID - cddis201560 [pii] AID - 10.1038/cddis.2015.60 [doi] PST - epublish SO - Cell Death Dis. 2015 Mar 12;6(3):e1690. doi: 10.1038/cddis.2015.60.