PMID- 30565807 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200929 IS - 1386-6346 (Print) IS - 1386-6346 (Linking) VI - 49 IP - 4 DP - 2019 Apr TI - Inhibition of glycogen synthase kinase 3beta protects liver against ischemia/reperfusion injury by activating 5' adenosine monophosphate-activated protein kinase-mediated autophagy. PG - 462-472 LID - 10.1111/hepr.13287 [doi] AB - AIM: Autophagy has been found to play an important role in hepatic ischemia/reperfusion (I/R) injury. Our previous study has also clarified that rictor deficiency aggravated hepatic I/R injury by suppressing autophagy. Here, we explore whether autophagy participates in glycogen synthase kinase 3beta (GSK3beta)-mediated cytoprotection in liver I/R. METHODS: Mice were treated with SB216763 to inhibit GSK3beta before being subjected to hepatic I/R. Liver injury was evaluated by liver and blood samples. Autophagy was measured by detecting expression of microtubule-associated protein 1 light chain-3B (LC3B) II and autophagy protein 5 (ATG-5), as well as the number of autophagosomes by transmission electron microscope. Primary hepatocytes pretreated with SB216763 for 2 h were subjected to hypoxia/reoxygenation to induce autophagy. The lactate dehydrogenase level was used to evaluate cell death and survival. Autophagy inhibitors and 5' adenosine monophosphate-activated protein kinase (AMPK) inhibitor were given in vivo or in vitro. RESULTS: SB216763 significantly increased the number of autophagosomes and the protein levels of LC3B II and ATG-5 in liver I/R models, which was accompanied by a decline of hepatic necrosis and apoptosis. Consistent with the in vivo study, autophagy and cytoprotection were induced by the inhibition of GSK3beta in the in vitro study. Moreover, pretreatment with autophagy inhibitors attenuated the cytoprotective role of autophagy in the GSK3beta-treated liver I/R models. Further analysis showed that pretreatment with an AMPK inhibitor increased mammalian target of rapamycin (mTOR) activity, decreased autophagy, and abrogated GSK3beta- mediated liver protection. CONCLUSION: Autophagy was induced by GSK3beta inhibition through the AMPK/mTOR pathway and could substantially ameliorate liver I/R injury. Therefore, our findings strongly renew the therapeutic value of the GSK3beta/autophagy axis in hepatic I/R injury. CI - (c) 2018 The Japan Society of Hepatology. FAU - Kong, Defu AU - Kong D AD - Department of Liver Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China. FAU - Hua, Xiangwei AU - Hua X AD - Center of Organ Transplantation, The Affiliated Hospital of Qingdao University and Institute of Transplant Medicine, Qingdao University, Qingdao, China. FAU - Qin, Tian AU - Qin T AD - Department of Liver Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China. FAU - Zhang, Jianjun AU - Zhang J AD - Department of Liver Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China. FAU - He, Kang AU - He K AUID- ORCID: 0000-0003-4671-1337 AD - Department of Liver Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China. FAU - Xia, Qiang AU - Xia Q AD - Department of Liver Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China. LA - eng GR - 81400671/National Natural Science Foundation of China/ GR - 81400671 to K. He/National Natural Science Foundation of China/ GR - 101005.21.20 to K. He/Shanghai Young Physicians Training Funding Scheme/ GR - 15411950401 to Q. Xia/Shanghai Science and Technology Committee/ PT - Journal Article DEP - 20181221 PL - Netherlands TA - Hepatol Res JT - Hepatology research : the official journal of the Japan Society of Hepatology JID - 9711801 OTO - NOTNLM OT - AMPK OT - GSK3beta OT - autophagy OT - hepatic ischemia/reperfusion injury EDAT- 2018/12/20 06:00 MHDA- 2018/12/20 06:01 CRDT- 2018/12/20 06:00 PHST- 2018/09/04 00:00 [received] PHST- 2018/11/13 00:00 [revised] PHST- 2018/11/16 00:00 [accepted] PHST- 2018/12/20 06:00 [pubmed] PHST- 2018/12/20 06:01 [medline] PHST- 2018/12/20 06:00 [entrez] AID - 10.1111/hepr.13287 [doi] PST - ppublish SO - Hepatol Res. 2019 Apr;49(4):462-472. doi: 10.1111/hepr.13287. Epub 2018 Dec 21.