Mitogen-activated protein kinases regulate vascular reactivity after hemorrhagic shock through myosin light chain

Guangming Yang1, Tao Li, Jing Xu

  • 1State Key Laboratory of Trauma, Burns and Combined Injury, Second Department of Research Institute of Surgery, Daping Hospital, Third Military Medical University, Chongqing, China.

Abstract

Insights

Mitogen-activated protein kinases (MAPKs) regulate vascular reactivity during shock. Extracellular signal-regulated kinase (ERK) and p38 MAPK primarily act via specific pathways, while jun NH2-terminal kinase (JNK) may use other mechanisms.

Area of Science:

  • Physiology
  • Molecular Biology
  • Critical Care Medicine

Background:

  • Vascular hyporeactivity is a key feature of critical illnesses like shock and sepsis.
  • The precise molecular mechanisms underlying vascular hyporeactivity remain incompletely understood.

Purpose of the Study:

  • To investigate the roles of major mitogen-activated protein kinases (MAPKs) – extracellular signal-regulated kinase (ERK), p38 MAPK, and jun NH2-terminal kinase (JNK) – in vascular reactivity during shock.
  • To elucidate the mechanisms by which these MAPKs influence vascular tone, focusing on myosin light chain (MLC20) phosphorylation.

Main Methods:

  • Analysis of superior mesenteric arteries from rats subjected to hemorrhagic shock.
  • Assessment of MAPK activity and its impact on vascular reactivity, calcium sensitivity, and MLC20 phosphorylation.
  • Utilized specific inhibitors to delineate the roles of ERK, p38 MAPK, and JNK in Angiotensin II-stimulated responses.

Main Results:

  • ERK, p38 MAPK, and JNK activities were elevated in early shock and decreased in late shock.
  • Angiotensin II stimulation increased vascular reactivity, calcium sensitivity, and MLC20 phosphorylation, effects modulated by MAPK activity.
  • ERK and p38 MAPK were crucial for Angiotensin II-induced increases in calcium sensitivity and phosphorylation of downstream targets like CPI17, ILK, and ZIPK.

Conclusions:

  • MAPKs are integral to regulating vascular reactivity during shock.
  • ERK and p38 MAPK exert their effects predominantly through the ILK, ZIPK, and CPI17-mediated MLC20 phosphorylation pathway.
  • JNK's role in vascular reactivity during shock may involve mechanisms distinct from those of ERK and p38 MAPK.

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