PMID- 29722337 OWN - NLM STAT- MEDLINE DCOM- 20180924 LR - 20220317 IS - 2542-5641 (Electronic) IS - 0366-6999 (Print) IS - 0366-6999 (Linking) VI - 131 IP - 10 DP - 2018 May 20 TI - Accelerated Autophagy of Cecal Ligation and Puncture-Induced Myocardial Dysfunction and Its Correlation with Mammalian Target of Rapamycin Pathway in Rats. PG - 1185-1190 LID - 10.4103/0366-6999.231522 [doi] AB - BACKGROUND: Recent studies have indicated that autophagy is involved in sepsis-induced myocardial dysfunction. This study aimed to investigate the change of autophagy in cecal ligation and puncture (CLP)-induced myocardium dysfunction and its relationship with mammalian target of rapamycin (mTOR) pathway. METHODS: Totally, 12 rats were randomly divided into CLP group or sham-operated (SHAM) group. Cardiac tissues were harvested 18 h after CLP or sham operation. Pathology was detected by hematoxylin and eosin staining, cardiac functions by echocardiography, distribution of microtubule-associated protein light chain 3 type II (LC3II) by immunohistochemical staining, and autophagic vacuoles by transmission electron microscopy. Moreover, phosphorylation of mTOR (p-mTOR), phosphorylation of S6 kinase-1 (PS6K1), and LC3II and p62 expression were measured by western blotting. Pearson's correlation coefficient was used to analyze the correlation of two parameters. RESULTS: The results by pathology and echocardiography revealed that there was obvious myocardial injury in CLP rats (left ventricle ejection fraction: SHAM 0.76 +/- 0.06 vs. CLP 0.59 +/- 0.11, P < 0.01; fractional shortening: SHAM 0.51 +/- 0.09 vs. CLP 0.37 +/- 0.06, P < 0.05). We also found that the autophagy process was elevated by CLP, the ratio of LC3II/LC3I was increased (P < 0.05) while the expression of p62 was decreased (P < 0.05) in the CLP rats, and there were also more autophagosomes and autolysosomes in the CLP rats. Furthermore, the mTOR pathway in CLP myocardium was inhibited when compared with the sham-operated rats; p-mTOR (P < 0.01) and PS6K1 (P < 0.05) were both significantly suppressed following CLP challenge. Interestingly, we found that the mTOR pathway was closely correlated with the autophagy processes. In our study, while p-mTOR in the myocardium was significantly correlated with p62 (r = 0.66, P = 0.02), PS6K1 was significantly positively correlated with p62 (r = 0.70, P = 0.01) and negatively correlated with LC3II (r = -0.71, P = 0.01). CONCLUSIONS: The autophagy process in the myocardium was accelerated in CLP rats, which was closely correlated with the inhibition of the mTOR pathway. FAU - Wang, Hao AU - Wang H AD - Department of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Science, Beijing 100730, China. FAU - Cui, Na AU - Cui N AD - Department of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Science, Beijing 100730, China. FAU - Han, Wen AU - Han W AD - Department of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Science, Beijing 100730, China. FAU - Su, Long-Xiang AU - Su LX AD - Department of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Science, Beijing 100730, China. FAU - Long, Yun AU - Long Y AD - Department of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Science, Beijing 100730, China. FAU - Liu, Da-Wei AU - Liu DW AD - Department of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Science, Beijing 100730, China. LA - eng PT - Journal Article PL - China TA - Chin Med J (Engl) JT - Chinese medical journal JID - 7513795 RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Animals MH - Autophagy/*physiology MH - Cecum/injuries MH - Echocardiography MH - Immunohistochemistry MH - Ligation MH - Male MH - Microscopy, Electron, Transmission MH - Myocardium/metabolism MH - Rats MH - Rats, Wistar MH - Sepsis/metabolism MH - TOR Serine-Threonine Kinases/*metabolism PMC - PMC5956769 OTO - NOTNLM OT - Autophagy OT - Cecal Ligation and Puncture OT - Mammalian Target of Rapamycin OT - Myocardial Dysfunction OT - Sepsis COIS- There are no conflicts of interest EDAT- 2018/05/04 06:00 MHDA- 2018/09/25 06:00 PMCR- 2018/05/20 CRDT- 2018/05/04 06:00 PHST- 2018/05/04 06:00 [entrez] PHST- 2018/05/04 06:00 [pubmed] PHST- 2018/09/25 06:00 [medline] PHST- 2018/05/20 00:00 [pmc-release] AID - ChinMedJ_2018_131_10_1185_231522 [pii] AID - CMJ-131-1185 [pii] AID - 10.4103/0366-6999.231522 [doi] PST - ppublish SO - Chin Med J (Engl). 2018 May 20;131(10):1185-1190. doi: 10.4103/0366-6999.231522.