Blockade of p38 mitogen-activated protein kinase pathway ameliorates delayed intestinal transit in burned rats

Hua Tian Gan1, Pankaj J Pasricha, Jiande D Z Chen

  • 1Department of Geriatrics Medicine, West China Hospital, Sichuan University, 37 Guo Xue Xiang, Chengdu, Sichuan 610041, China.

Abstract

Insights

Burn injury delays intestinal transit, but inhibiting p38 MAPK with SB203580 normalizes this function. This occurs by reducing inflammatory mediators like iNOS, COX-2, and IL-1beta, suggesting p38 MAPK as a therapeutic target.

Area of Science:

  • Gastroenterology
  • Molecular Biology
  • Burn Injury Research

Background:

  • Burn injury significantly impairs intestinal transit.
  • p38 mitogen-activated protein kinase (MAPK) is implicated in inflammatory mediator production (IL-1beta, iNOS, COX-2).

Purpose of the Study:

  • To investigate the effect of the p38 MAPK inhibitor SB203580 on intestinal transit after burn injury.
  • To elucidate the underlying mechanisms of p38 MAPK's role in burn-induced gut dysmotility.

Main Methods:

  • Burned and sham rats were treated with saline, iNOS inhibitor, COX-2 inhibitor, or SB203580.
  • Intestinal transit was measured, and gene/protein expression of inflammatory markers (iNOS, COX-2, IL-1beta) and enzyme activities (p38 MAPK, MPO) were assessed.

Main Results:

  • Burn injury significantly delayed intestinal transit and increased p38 MAPK, MPO, iNOS, COX-2, and IL-1beta levels.
  • SB203580 treatment almost completely normalized intestinal transit.
  • SB203580 inhibited p38 MAPK and MPO activity and reduced inflammatory marker expression.

Conclusions:

  • Burn-induced delayed intestinal transit is linked to the p38 MAPK pathway.
  • Inhibiting p38 MAPK ameliorates gut dysmotility by reducing iNOS, COX-2, and IL-1beta.
  • p38 MAPK is a potential therapeutic target for managing gut dysfunction post-burn injury.

Related Concept Videos