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      Glycogen synthase kinase-3 beta inhibitors protectagainst the acute lung injuries resulting from acute necrotizing pancreatitis 1

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          Abstract

          Purpose

          The research is intended for clarification of the efficacy as well as the underlying mechanism of GSK-3β inhibitors on the advancement of acute lung injuries in acute necrotizing pancreatitis (ANP) in rats.

          Methods

          Seventy-two rats were randomly divided into 6 groups: (1)ANP-vehicle; (2)ANP-TDZD-8;(3)ANP-SB216763;(4)Sham-vehicle;(5)Sham-TDZD-8;(6)Sham-SB216763; Blood biochemical test, histopathological examination and immunohistochemical analysis of rats pancreas and lung tissues were performed. The protein expression of GSK-3β, phospho-GSK-3β (Ser9), iNOS, ICAM-1, TNF-α, and IL-10 were detected in lung tissues by Western-blot.

          Results

          The outcomes revealed that the intervention of GSK-3β inhibitors alleviated the pathological damage of pancreas and lung (P<0.01), reduced serum amylase, lipase, hydrothorax and lung Wet-to-Dry Ratio, attenuated serum concentrations of IL-1β and IL-6 (P<0.01), inhibited the activation of NF-κB, and abated expression of iNOS, ICAM-1 and TNF-α protein, but up-regulated IL-10 expression in lung of ANP rats (P<0.01). The inflammatory response and various indicators in ANP-TDZD-8 groups were lower than those in ANP-SB216763 groups.

          Conclusions

          Inhibition of GSK-3β weakens acute lung injury related to ANP via the inhibitory function of NF-κB signaling pathway. Different kinds of GSK-3β inhibitors have different effects to ANP acute lung injury.

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          Most cited references29

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          Toll-like receptor-mediated cytokine production is differentially regulated by glycogen synthase kinase 3.

          The cellular mechanisms that directly regulate the inflammatory response after Toll-like receptor (TLR) stimulation are unresolved at present. Here we report that glycogen synthase kinase 3 (GSK3) differentially regulates TLR-mediated production of pro- and anti-inflammatory cytokines. Stimulation of monocytes or peripheral blood mononuclear cells with TLR2, TLR4, TLR5 or TLR9 agonists induced substantial increases in interleukin 10 production while suppressing the release of proinflammatory cytokines after GSK3 inhibition. GSK3 regulated the inflammatory response by differentially affecting the nuclear amounts of transcription factors NF-kappaB subunit p65 and CREB interacting with the coactivator CBP. Administration of a GSK3 inhibitor potently suppressed the proinflammatory response in mice receiving lipopolysaccharide and mediated protection from endotoxin shock. These findings demonstrate a regulatory function for GSK3 in modulating the inflammatory response.
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            A better model of acute pancreatitis for evaluating therapy.

            Existing models of acute pancreatitis have limitations to studying novel therapy. Whereas some produce mild self-limited pancreatitis, others result in sudden necrotizing injury. The authors developed an improved model providing homogeneous moderately severe injury by superimposing secretory hyperstimulation on minimal intraductal bile acid exposure. Sprague-Dawley rats (n = 231) received low-pressure intraductal glycodeoxycholic acid (GDOC) at very low (5 or 10 mmol/L) concentrations followed by intravenous cerulein. Cerulein or GDOC alone caused only very mild inflammation. However, GDOC combined with cerulein was uniformly associated with more edema (p less than 0.0005), acinar necrosis (p less than 0.01), inflammation (p less than 0.006), and hemorrhage (p less than 0.01). Pancreatic injury was further increased and death was potentiated by increasing volume and duration of intraductal low-dose GDOC infusion. There was significant morphologic progression between 6 and 24 hours. The authors conclude that (1) combining minimal intraductal bile acid exposure with intravenous hyperstimulation produces homogeneous pancreatitis of intermediate severity that can be modulated at will; (2) the injury is progressive over at least 24 hours with finite mortality rate; (3) the model provides superior opportunity to study innovative therapy.
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              Glycogen Synthase Kinase-3 (GSK-3)-Targeted Therapy and Imaging

              Glycogen synthase kinase-3 (GSK-3) is associated with various key biological processes, including glucose regulation, apoptosis, protein synthesis, cell signaling, cellular transport, gene transcription, proliferation, and intracellular communication. Accordingly, GSK-3 has been implicated in a wide variety of diseases and specifically targeted for both therapeutic and imaging applications by a large number of academic laboratories and pharmaceutical companies. Here, we review the structure, function, expression levels, and ligand-binding properties of GSK-3 and its connection to various diseases. A selected list of highly potent GSK-3 inhibitors, with IC50 <20 nM for adenosine triphosphate (ATP)-competitive inhibitors and IC50 <5 μM for non-ATP-competitive inhibitors, were analyzed for structure activity relationships. Furthermore, ubiquitous expression of GSK-3 and its possible impact on therapy and imaging are also highlighted. Finally, a rational perspective and possible route to selective and effective GSK-3 inhibitors is discussed.
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                Author and article information

                Journal
                Acta Cir Bras
                Acta Cir Bras
                acb
                Acta Cirúrgica Brasileira
                Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
                0102-8650
                1678-2674
                19 August 2019
                2019
                : 34
                : 6
                : e201900609
                Affiliations
                [I ]PhD, Department of Hepatobiliary Surgery, Renmin Hospital, Wuhan University, Hubei Province, China. Acquisiton and analysis of data, manuscript writing.
                [II ]MD, PhD, Department of Hepatobiliary Surgery, Renmin Hospital, Wuhan University, Hubei Province, China. Conception and design of the study, supervised all phases of the study, final approval.
                [III ]MD, PhD, Department of Hepatobiliary Surgery, Renmin Hospital, Wuhan University, Hubei Province, China. Statistical analysis, manuscript preparation.
                [IV ]MD, PhD, Department of Hepatobiliary Surgery, Renmin Hospital, Wuhan University, Hubei Province, China. Technical procedures, histopathological examinations.
                Author notes
                Correspondence: Kailiang Zhao. Department of Hepatobiliary Surgery. Renmin Hospital, Wuhan University. 238 Jiefang Road, Wuhan 430060 China. Phone: 86-27-88041911-81085. chensi271@ 123456aliyun.com. zhaokl1983@ 123456qq.com
                [*]

                Contributed equally

                Conflict of interest: none

                Author information
                http://orcid.org/0000-0002-6151-7041
                http://orcid.org/0000-0002-7634-3929
                http://orcid.org/0000-0003-3842-3140
                http://orcid.org/0000-0003-2611-8464
                http://orcid.org/0000-0001-9832-6647
                http://orcid.org/0000-0002-2503-0025
                Article
                00208
                10.1590/s0102-865020190060000009
                6705337
                31433000
                a9f0d4f9-4cca-466b-a046-93d5a36d2718

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 16 February 2019
                : 19 April 2019
                : 7 May 2019
                Page count
                Figures: 3, Tables: 3, Equations: 0, References: 30
                Categories
                Original Articles
                Experimental Surgery

                glycogen synthase kinase 3 beta,pancreatitis, acute necrotizing,acute lung injury,nf-kappa b,rats

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