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      Propofol protects human keratinocytes from oxidative stress via autophagy expression

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          Abstract

          Background

          The skin consists of tightly connected keratinocytes, and prevents extensive water loss while simultaneously protecting against the entry of microbial pathogens. Excessive cellular levels of reactive oxygen species can induce cell apoptosis and also damage skin integrity. Propofol (2,6-diisopropylphenol) has antioxidant properties. In this study, we investigated how propofol influences intracellular autophagy and apoptotic cell death induced by oxidative stress in human keratinocytes.

          Method

          The following groups were used for experimentation: control, cells were incubated under normoxia (5% CO 2, 21% O 2, and 74% N 2) without propofol; hydrogen peroxide (H 2O 2), cells were exposed to H 2O 2 (300 µM) for 2 h; propofol preconditioning (PPC)/H 2O 2, cells pretreated with propofol (100 µM) for 2 h were exposed to H 2O 2; and 3-methyladenine (3-MA)/PPC/H 2O 2, cells pretreated with 3-MA (1 mM) for 1 h and propofol were exposed to H 2O 2. Cell viability, apoptosis, and migration capability were evaluated. Relation to autophagy was detected by western blot analysis.

          Results

          Cell viability decreased significantly in the H 2O 2 group compared to that in the control group and was improved by propofol preconditioning. Propofol preconditioning effectively decreased H 2O 2-induced cell apoptosis and increased cell migration. However, pretreatment with 3-MA inhibited the protective effect of propofol on cell apoptosis. Autophagy was activated in the PPC/H 2O 2 group compared to that in the H 2O 2 group as demonstrated by western blot analysis and autophagosome staining.

          Conclusion

          The results suggest that propofol preconditioning induces an endogenous cellular protective effect in human keratinocytes against oxidative stress through the activation of signaling pathways related to autophagy.

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          Most cited references18

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          Caspases 3 and 7: key mediators of mitochondrial events of apoptosis.

          The current model of apoptosis holds that upstream signals lead to activation of downstream effector caspases. We generated mice deficient in the two effectors, caspase 3 and caspase 7, which died immediately after birth with defects in cardiac development. Fibroblasts lacking both enzymes were highly resistant to both mitochondrial and death receptor-mediated apoptosis, displayed preservation of mitochondrial membrane potential, and had defective nuclear translocation of apoptosis-inducing factor (AIF). Furthermore, the early apoptotic events of Bax translocation and cytochrome c release were also delayed. We conclude that caspases 3 and 7 are critical mediators of mitochondrial events of apoptosis.
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            Oxidative stress in normal and impaired wound repair.

            A large percentage of the population suffers from wound healing abnormalities, in particular aged individuals, patients with diabetes, and those treated with immunosuppressive drugs, chemo- or radiotherapy. The mechanisms underlying the impaired healing response are still poorly understood. Recent studies provided strong evidence for a role of oxidative stress in the pathogenesis of non-healing ulcers. Therefore, it is of major importance to identify and functionally characterize the factors involved in the generation and detoxification of reactive oxygen species (ROS). This will provide the basis for the development of new strategies for therapeutic intervention. In this review we summarize the current information about the roles of low molecular weight antioxidants and ROS-detoxifying enzymes in normal and impaired wound repair, and we report on the consequences of their modulation at the wound site.
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              Cellular and molecular facets of keratinocyte reepithelization during wound healing.

              Cutaneous wound healing is a highly coordinated physiological process that rapidly and efficiently restores skin integrity. Reepithelization is a crucial step during wound healing, which involves migration and proliferation of keratinocytes to cover the denuded dermal surface. Recent advances in wound biology clarified the molecular pathways governing keratinocyte reepithelization at wound sites. These new findings point towards novel therapeutic targets and provide suitable methods to promote faster tissue regeneration in vivo.
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                Author and article information

                Journal
                J Dent Anesth Pain Med
                J Dent Anesth Pain Med
                JDAPM
                Journal of Dental Anesthesia and Pain Medicine
                The Korean Dental Society of Anesthsiology
                2383-9309
                2383-9317
                March 2017
                27 March 2017
                : 17
                : 1
                : 21-28
                Affiliations
                [1 ]Department of Dental Anesthesia and Pain Medicine, School of Dentistry, Pusan National University, Dental Research Institute, Yangsan, Republic of Korea.
                [2 ]Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, Yangsan, Republic of Korea.
                [3 ]Department of Oral Anatomy, School of Dentistry, Pusan National University, Yangsan, Republic of Korea.
                Author notes
                Corresponding Author: Jin-Won Kwak, Dental Anesthesia and Pain Medicine, Pusan National University Dental Hospital, Geumo-ro 20, Yangsan, Gyeongnam, 626-787, Republic of Korea. Tel: +82-55-360-5370, Fax: +82-55-360-5369, dentiwon@ 123456hanmail.net
                Article
                10.17245/jdapm.2017.17.1.21
                5564133
                5c992cae-0dc3-4ad5-8794-2c5b3e2ce581
                Copyright © 2017 Journal of Dental Anesthesia and Pain Medicine

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 01 February 2017
                : 21 February 2017
                : 22 February 2017
                Categories
                Original Article

                keratinocytes,oxidative stress,propofol
                keratinocytes, oxidative stress, propofol

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