PMID- 36299606 OWN - NLM STAT- MEDLINE DCOM- 20221105 LR - 20221105 IS - 1942-0994 (Electronic) IS - 1942-0900 (Print) IS - 1942-0994 (Linking) VI - 2022 DP - 2022 TI - Exploration of the Protective Mechanism of Bax Removal against Ischemia Reperfusion Injury of Skin Flap through the p38 Mitogen-Activated Protein Kinase Pathway. PG - 1175078 LID - 10.1155/2022/1175078 [doi] LID - 1175078 AB - This research is aimed at exploring the influences of the Bax gene in the p38 mitogen-activated protein kinase (MAPK) pathway and its protective mechanism against ischemia-reperfusion injury (IRI) of skin flap. Forty male Sprague-Dawley (SD) rats were equally divided into the experimental group (Bax gene knockout rats) and control group. The dorsal flap model was prepared, and the survival rate of flap was observed after surgery. The rat flap tissue was cut and stained with hematoxylin-eosin (HE) and in situ terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL). The distribution characteristics of p38MAPK and Bax were detected to evaluate the protective mechanism of Bax gene knockout on IRI of skin flap. After surgery, the survival rate of flaps in the experimental group (82.32%, 70.28%) was significantly higher than that in the control group (57.64%, 46.14%) (P < 0.05). The results of HE staining showed that on the 1(st) day after surgery, compared with those in the control group, the skin flaps of the rats in the experimental group were arranged more neatly. The results of TUNEL staining showed that compared with that of the control group, the tissue structure of the skin flap of the experimental group was normal and only a few apoptotic cells appeared. In addition, compared with that in the control group (7.14, 4.25, 3.48, 2.18/6.46, 7.12, 4.86, and 2.44), the expression of Bax and p38 MAPK in the experimental group (0.96, 0.81, 0.76, 0.55/1.63, 1.33, 1.01, and 0.56) significantly decreased (P < 0.05). In short, after the Bax gene was knocked out, injury of the flap after ischemia-reperfusion was considerably improved, which may play a protective role on the IRI of the flap by affecting the p38MAPK pathway. CI - Copyright (c) 2022 Yapeng Wang et al. FAU - Wang, Yapeng AU - Wang Y AD - Department of Orthopaedics, Wuxi No. 9 People's Hospital Affiliated to Soochow University, Wuxi 214000 Jiangsu, China. FAU - Wu, Yongwei AU - Wu Y AD - Department of Orthopaedics, Wuxi No. 9 People's Hospital Affiliated to Soochow University, Wuxi 214000 Jiangsu, China. FAU - Wang, Peng AU - Wang P AD - Department of Orthopaedics, Wuxi No. 9 People's Hospital Affiliated to Soochow University, Wuxi 214000 Jiangsu, China. FAU - Luo, Junhao AU - Luo J AD - Department of Orthopaedics, Wuxi No. 9 People's Hospital Affiliated to Soochow University, Wuxi 214000 Jiangsu, China. FAU - Rui, Yongjun AU - Rui Y AUID- ORCID: 0000-0002-1103-2935 AD - Department of Orthopaedics, Wuxi No. 9 People's Hospital Affiliated to Soochow University, Wuxi 214000 Jiangsu, China. LA - eng PT - Journal Article DEP - 20221017 PL - United States TA - Oxid Med Cell Longev JT - Oxidative medicine and cellular longevity JID - 101479826 RN - 0 (bcl-2-Associated X Protein) RN - EC 2.7.7.31 (DNA Nucleotidylexotransferase) RN - TDQ283MPCW (Eosine Yellowish-(YS)) RN - YKM8PY2Z55 (Hematoxylin) RN - EC 2.7.11.24 (p38 Mitogen-Activated Protein Kinases) SB - IM MH - Animals MH - Male MH - Rats MH - Apoptosis/genetics/physiology MH - bcl-2-Associated X Protein/genetics/metabolism MH - DNA Nucleotidylexotransferase MH - Eosine Yellowish-(YS) MH - Hematoxylin MH - *p38 Mitogen-Activated Protein Kinases/genetics/metabolism MH - Rats, Sprague-Dawley MH - *Reperfusion Injury/genetics/metabolism MH - *Surgical Flaps/blood supply/physiology MH - *Skin/blood supply/metabolism MH - Dermatologic Surgical Procedures PMC - PMC9592197 COIS- The authors declare that they have no conflicts of interest. EDAT- 2022/10/28 06:00 MHDA- 2022/10/29 06:00 PMCR- 2022/10/17 CRDT- 2022/10/27 02:28 PHST- 2022/08/26 00:00 [received] PHST- 2022/09/28 00:00 [revised] PHST- 2022/09/30 00:00 [accepted] PHST- 2022/10/27 02:28 [entrez] PHST- 2022/10/28 06:00 [pubmed] PHST- 2022/10/29 06:00 [medline] PHST- 2022/10/17 00:00 [pmc-release] AID - 10.1155/2022/1175078 [doi] PST - epublish SO - Oxid Med Cell Longev. 2022 Oct 17;2022:1175078. doi: 10.1155/2022/1175078. eCollection 2022.