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Updated: Nov 27, 2025

Cecal Ligation and Puncture-induced Sepsis as a Model To Study Autophagy in Mice
Published on: February 9, 2014
Kcnh2 mediates FAK/AKT-FOXO3A pathway to attenuate sepsis-induced cardiac dysfunction
Zhigang Li1,2,3,4, Yilei Meng1,2,3,4, Chang Liu1,2,3
1Key Laboratory of Arrhythmias, Ministry of Education, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China.
Objectives:
Myocardial dysfunction is a significant manifestation in sepsis, which results in high mortality. Even Kcnh2 has been hinted to associate with the pathological process, its involved signalling is still elusive.
Materials And Methods:
The caecal ligation puncture (CLP) surgery or lipopolysaccharide (LPS) injection was performed to induce septic cardiac dysfunction. Western blotting was used to determine KCNH2 expression. Cardiac function was examined by echocardiography 6 hours after CLP and LPS injection in Kcnh2 knockout (Kcnh2+/- ) and NS1643 injection rats (n ≥ 6/group). Survival was monitored following CLP-induced sepsis (n ≥ 8/group).
Results:
Sepsis could downregulate KCNH2 level in the rat heart, as well as in LPS-stimulated cardiomyocytes but not cardiac fibroblast. Defect of Kcnh2 (Kcnh2+/- ) significantly aggravated septic cardiac dysfunction, exacerbated tissue damage and increased apoptosis under LPS challenge. Fractional shortening and ejection fraction values were significantly decreased in Kcnh2+/- group than Kcnh2+/+ group. Survival outcome in Kcnh2+/- septic rats was markedly deteriorated, compared with Kcnh2+/+ rats. Activated Kcnh2 with NS1643, however, resulted in opposite effects. Lack of Kcnh2 caused inhibition of FAK/AKT signalling, reflecting in an upregulation for FOXO3A and its downstream targets, which eventually induced cardiomyocyte apoptosis and heart tissue damage. Either activation of AKT by activator or knockdown of FOXO3A with si-RNA remarkably attenuated the pathological manifestations that Kcnh2 defect mediated.
Conclusion:
Kcnh2 plays a protection role in sepsis-induced cardiac dysfunction (SCID) via regulating FAK/AKT-FOXO3A to block LPS-induced myocardium apoptosis, indicating a potential effect of the potassium channels in pathophysiology of SCID.
Insights
Kcnh2 channel protects against sepsis-induced cardiac dysfunction by regulating FAK/AKT-FOXO3A signaling to block cardiomyocyte apoptosis. This highlights potassium channels
Area of Science:
- Cardiology
- Molecular Biology
- Sepsis Research
Background:
- Sepsis frequently causes myocardial dysfunction, leading to high mortality.
- The role of Kcnh2 in sepsis-associated cardiac pathology is not fully understood.
Purpose of the Study:
- To investigate the role of Kcnh2 in sepsis-induced cardiac dysfunction (SCID).
- To elucidate the signaling pathways involved in Kcnh2's function during sepsis.
Main Methods:
- Septic cardiac dysfunction was induced using cecal ligation and puncture (CLP) or lipopolysaccharide (LPS) in rats.
- Kcnh2 expression was analyzed via Western blotting.
- Cardiac function and survival were assessed in Kcnh2 knockout and NS1643-treated rats.
Main Results:
- Sepsis downregulated cardiac Kcnh2 expression.
- Kcnh2 deficiency aggravated septic cardiac dysfunction, tissue damage, and apoptosis.
- Activation of Kcnh2 with NS1643 ameliorated these effects.
- Kcnh2 deficiency inhibited FAK/AKT signaling, leading to FOXO3A activation and cardiomyocyte apoptosis.
Conclusions:
- Kcnh2 plays a protective role in SCID.
- Kcnh2 regulates the FAK/AKT-FOXO3A pathway to prevent sepsis-induced myocardial apoptosis.
- Potassium channels like Kcnh2 represent potential therapeutic targets for SCID.
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