Patrick S. Wolf, MD, Heather E. Merry, MD, Alexander S

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Stress-activated protein kinase inhibition to ameliorate lung ischemia reperfusion injury  Patrick S. Wolf, MD, Heather E. Merry, MD, Alexander S. Farivar, MD, Anton S. McCourtie, MD, Michael S. Mulligan, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 135, Issue 3, Pages 656-665 (March 2008) DOI: 10.1016/j.jtcvs.2007.11.026 Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Electromobility shift assay for activator protein 1. Vehicle-treated positive control animals (phosphate-buffered saline solution lane 3, phosphate-buffered saline solution plus dimethylsulfoxide lane 4) exhibited marked activator protein 1 nuclear translocation relative to negative control animals (lane 2). Activator protein 1 translocation was decreased significantly with p38 inhibition (lanes 5 and 6, p = .03) and c-jun N-terminal kinase inhibition (lanes 7 and 8, p = .008). Cold competition lane (lane 1) verified band as activator protein 1. The Journal of Thoracic and Cardiovascular Surgery 2008 135, 656-665DOI: (10.1016/j.jtcvs.2007.11.026) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Western blots for phosphorylated p38 (p-p38), c-jun N-terminal kinase (pJNK), and extracellular signal–regulated kinase (pERK1/2) demonstrating inhibitor specificity. Target mitogen-activated protein kinases for each inhibitor are indicated with heavy outlines. Specific p38, c-jun N-terminal kinase, and extracellular signal–regulated kinase inhibitions were achieved with FR167653 (FR, 6 mg/kg), SP600125 (SP, 25 mg/kg), and U0126 (U0, 200 μg/kg), respectively, after 90 minutes of ischemia and 15 minutes of reperfusion (IR 15). The Journal of Thoracic and Cardiovascular Surgery 2008 135, 656-665DOI: (10.1016/j.jtcvs.2007.11.026) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Immunohistochemical staining for phosphorylated p38 (A), c-jun N-terminal kinase (B), and extracellular signal–regulated kinase (C). Left column represents lung sections from unmanipulated negative control animals, with no staining for any phosphorylated mitogen-activated protein kinase isoforms. Right column represents lung sections from positive control animals subjected to 90 minutes of ischemia followed by 15 minutes of reperfusion (IR 15). Phosphorylated p38 and c-jun N-terminal kinase localized exclusively to alveolar macrophages (thin arrows). Phosphorylated extracellular signal–regulated kinase localized to endothelial (thick outline arrow) and epithelial cells (thick dark arrow). The Journal of Thoracic and Cardiovascular Surgery 2008 135, 656-665DOI: (10.1016/j.jtcvs.2007.11.026) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Electromobility shift assay for nuclear factor κB. Unmanipulated negative control animals demonstrated minimal nuclear translocation (lane 2). After 90 minutes of ischemia and 15 minutes of reperfusion, vehicle treated-positive control animals (with phosphate buffered saline solution lane 3, with phosphate-buffered saline solution plus dimethylsulfoxide lane 4) demonstrated marked translocation of nuclear factor κB. FR167653 (lanes 5 and 6) and SP600125 (lanes 7 and 8) significantly reduced transactivation of nuclear factor κB relative to that in positive control animals (FR167653 P = .02, SP600125 P = .007). Cold competition lane (lane 1) verified band as nuclear factor κB. The Journal of Thoracic and Cardiovascular Surgery 2008 135, 656-665DOI: (10.1016/j.jtcvs.2007.11.026) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Western blots for phosphorylated p38 (A), c-jun N-terminal kinase (B), and extracellular signal–regulated kinase (C). Positive control animals (phosphate-buffered saline solution in lane 2, phosphate-buffered saline solution plus dimethylsulfoxide in lane 3) exhibited significantly more mitogen-activated protein kinase phosphorylation than did unmanipulated negative control animals (lane 1, p38 P = .04, c-jun N-terminal kinase P = .04, extracellular signal–regulated kinase P = .01). FR167653-treated animals (lane 4) demonstrated significantly reduced p38 phosphorylation relative to positive control animals (P = .03), wheras c-jun N-terminal kinase and extracellular signal–regulated kinase phosphorylation were unaffected. SP600125 treatment (lane 5) inhibited c-jun N-terminal kinase phosphorylation (P = .04) and did not significantly reduce extracellular signal–regulated kinase or p38 phosphorylation. Relative to positive control animals, UO126-treated animals (lane 6) showed reduced extracellular signal–regulated kinase phosphorylation (P = .03) but no significant inhibition of either p38 or c-jun N-terminal kinase. The Journal of Thoracic and Cardiovascular Surgery 2008 135, 656-665DOI: (10.1016/j.jtcvs.2007.11.026) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions