Surgery
Volume 148, Issue 1 , Pages 103-109, July 2010

Role of Akt-dependent up-regulation of hemeoxygenase-1 in resveratrol-mediated attenuation of hepatic injury after trauma hemorrhage

  • Huang-Ping Yu, MD, PhD

      Affiliations

    • Department of Anesthesiology, Chang Gung University, Taoyuan, Taiwan
    • College of Medicine, Chang Gung University, Taoyuan, Taiwan
  • ,
  • Shun-Chin Yang, MD

      Affiliations

    • Department of Anesthesiology, Taipei Veterans General Hospital, Taipei, Taiwan
  • ,
  • Ying-Tung Lau, PhD

      Affiliations

    • Department of Physiology and Pharmacology, Chang Gung University, Taoyuan, Taiwan
  • ,
  • Tsong-Long Hwang, PhD

      Affiliations

    • Graduate Institute of Natural Products, Chang Gung University, Taoyuan, Taiwan
    • Corresponding Author InformationReprint requests: Tsong-Long Hwang, PhD, Graduate Institute of Natural Products, College of Medicine, Chang Gung University, 259 Wen Hwa 1 Road, Kwei-Shan, Taoyuan, Taiwan.

Accepted 7 December 2009. published online 01 February 2010.

Background

Protein kinase B (Akt) is known to be involved in pro-inflammatory and chemotactic events in response to injury. Akt activation also leads to the induction of hemeoxygenase (HO)-1, which exerts potent anti-inflammatory effects. The aim of this study is to elucidate whether Akt/HO-1 plays any role in resveratrol-mediated attenuation of hepatic injury after trauma hemorrhage.

Methods

Male Sprague-Dawley rats were subjected to trauma hemorrhage. A single dose of resveratrol (30-mg/kg body weight) with or without a PI3 K inhibitor (wortmannin) or an HO antagonist (chromium-mesoporphyrin) was administered intravenously during resuscitation. Various parameters were measured at 24 hours postresuscitation.

Results

Results showed that trauma hemorrhage increased hepatic myeloperoxidase activity, cytokine-induced neutrophil chemoattractant (CINC)-1, CINC-3, intercellular adhesion molecule-1, and interleukin-6 levels and plasma aspartate and alanine aminotransferases concentrations. These parameters were significantly improved in the resveratrol-treated rats subjected to trauma hemorrhage. Resveratrol treatment also increased hepatic Akt activation and HO-1 expression as compared with vehicle-treated trauma hemorrhaged rats. Coadministration of wortmannin or chromium-mesoporphyrin prevented the beneficial effects of resveratrol administration on postresuscitation proinflammatory responses and hepatic injury.

Conclusion

These findings collectively suggest that the salutary effects of resveratrol administration on attenuation of hepatic injury after trauma hemorrhage are likely mediated via up-regulation of Akt-dependent HO-1 expression.

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 Supported in part by grants from the National Science Council and Chang Gung Memorial Hospital

PII: S0039-6060(09)00800-9

doi:10.1016/j.surg.2009.12.008

Surgery
Volume 148, Issue 1 , Pages 103-109, July 2010