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Original communication| Volume 139, ISSUE 3, P365-376, March 2006

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Cardiac histones are substrates of histone deacetylase activity in hemorrhagic shock and resuscitation

  • Tom Lin
    Affiliations
    Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Md; Washington Hospital Center, Washington, DC; and Massachusetts General Hospital/Harvard Medical School, Boston, Mass
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  • Hasan B. Alam
    Correspondence
    Reprint requests: Hasan B. Alam, MD, Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, 165 Cambridge St, Suite 810, Boston, MA 02114.
    Affiliations
    Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Md; Washington Hospital Center, Washington, DC; and Massachusetts General Hospital/Harvard Medical School, Boston, Mass
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  • Huazhen Chen
    Affiliations
    Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Md; Washington Hospital Center, Washington, DC; and Massachusetts General Hospital/Harvard Medical School, Boston, Mass
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  • Joy Britten-Webb
    Affiliations
    Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Md; Washington Hospital Center, Washington, DC; and Massachusetts General Hospital/Harvard Medical School, Boston, Mass
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  • Peter Rhee
    Affiliations
    Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Md; Washington Hospital Center, Washington, DC; and Massachusetts General Hospital/Harvard Medical School, Boston, Mass
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  • John Kirkpatrick
    Affiliations
    Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Md; Washington Hospital Center, Washington, DC; and Massachusetts General Hospital/Harvard Medical School, Boston, Mass
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  • Elena Koustova
    Affiliations
    Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Md; Washington Hospital Center, Washington, DC; and Massachusetts General Hospital/Harvard Medical School, Boston, Mass
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      Background

      DNA transcription is regulated, in part, by acetylation of nuclear histones that are controlled by 2 groups of enzymes: histone deacetylases (HDAC) and histone acetyl transferases (HAT). Whether an imbalance in HDAC/HAT system plays a role in hemorrhage/resuscitation is unknown. The goals of this study were to determine whether hemorrhage results in deacetylation of cardiac histones and whether this can be corrected through the application of different resuscitation strategies or specific HDAC inhibitors.

      Methods

      In the first experiment, rats (n = 6 per group) were subjected to volume-controlled hemorrhage and resuscitated with racemic lactated Ringer’s solution, L-lactated Ringer’s solution, 7.5% hypertonic saline solution, ketone Ringer’s solution, and pyruvate Ringer’s solution. Control groups included no hemorrhage (sham) and hemorrhage with no resuscitation. In the second experiment (n = 5 per group), 3 HDAC inhibitors (valproic acid, trichostatin A, and suberoylanilide hydroxamic acid) were added to saline solution resuscitation. Heart tissue was collected at the end of resuscitation. Isolated subcellular protein fractions were used in Western blotting to analyze the patterns of total protein acetylation and histone acetylation specifically. HDAC and HAT activity was measured in tissue extracts.

      Results

      Hemorrhage led to partial histone deacetylation. Resuscitation resulted in protein hyperacetylation in nuclear fractions only. A detailed analysis of histones (on 10 acetylation sites) revealed that ketone Ringer’s solution hyperacetylated histones H2B, H3, and H4. The addition of suberoylanilide hydroxamic acid hyperacetylated histones more effectively than other resuscitation strategies, presumably by direct inhibition of HDAC activity.

      Conclusion

      Hemorrhage/resuscitation is associated with HDAC/HAT activity misbalance, and the acetylation status of cardiac histones is influenced by the choice of resuscitation strategy. Shock-induced changes can be reversed through the infusion of pharmacologic HDAC inhibitor, even when it is administered after the insult for a limited period of time.
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