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Mechanistic Implications of GSK and CREB Crosstalk in Ischemia Injury
Heena Khan1, Annu Bangar1, Amarjot Kaur Grewal1
1Chitkara College of Pharmacy, Chitkara University, Punjab, 140401, India.
Insights
Ischemia-reperfusion injury causes cell death, but activating the GSK/CREB pathway enhances cell survival. This pathway offers a promising strategy for managing organ damage after reduced blood flow.
Area of Science:
- Cellular Biology
- Physiology
- Pathology
Background:
- Ischemia-reperfusion (IR) injury results from insufficient blood supply, causing cellular dysfunction and death in organs like the kidney, liver, and brain.
- IR injury triggers cellular stress, including oxidative stress, calcium overload, inflammation, and apoptosis, potentially leading to systemic damage.
- Dysfunction of cyclic AMP response element (CRE)-binding protein (CREB) signaling is implicated in various diseases, including IR injury.
Purpose of the Study:
- To explore the protective role of the GSK/CREB signaling pathway in mitigating ischemia-reperfusion injury.
- To investigate the involvement of GSK-3 and CREB in various signaling pathways altered during IR injury.
- To highlight the crosstalk between GSK-3 and CREB in promoting cell survival and resistance to ischemia.
Main Methods:
- Review of existing literature on signaling pathways involved in IR injury.
- Analysis of the modulation of GSK-3 and CREB in response to IR.
- Examination of the role of calcium-calmodulin-dependent protein kinase (CaMK) in CREB activation.
Main Results:
- Activation of CREB promotes cell survival and enhances resistance to ischemic conditions.
- GSK-3 and CREB act as downstream targets in multiple signaling pathways affected by IR injury.
- Calcium overload during ischemia activates CaMK, which in turn activates CREB-mediated transcription, promoting cell survival.
Conclusions:
- The GSK/CREB signaling pathway demonstrates significant protective potential for cells in various organs following ischemia.
- Targeting the GSK/CREB pathway represents a futuristic strategy for managing ischemia-reperfusion injury.
- The crosstalk between GSK-3 and CREB is crucial for enhancing cell survival and conferring resistance to subsequent ischemic events.
Abstract:
Ischemia-reperfusion (IR) injury is a damage to an organ when the blood supply is less than the demand required for normal functioning, leading to exacerbation of cellular dysfunction and death. IR injury occurs in different organs like the kidney, liver, heart, brain, etc., and may not only involve the ischemic organ but also cause systemic damage to distant organs. Oxygen-glucose deprivation in cells causes oxidative stress, calcium overloading, inflammation, and apoptosis. CREB is an essential integrator of the body's various physiological systems, and it is widely accepted that dysfunction of CREB signaling is involved in many diseases, including ischemia-reperfusion injury. The activation of CREB can provide life to a cell and increase the cell's survival after ischemia. Hence, GSK/CREB signaling pathway can provide significant protection to cells of different organs after ischemia and emerges as a futuristic strategy for managing ischemia-reperfusion injury. Different signaling pathways such as MAPK/ERK, TLR4/MyD88, RISK, Nrf2, and NF-κB, get altered during IR injury by the modulation of GSK-3 and CREB (cyclic AMP response element (CRE)-binding protein). GSK-3 (protein kinase B) and CREB are the downstream targets for fulfilling the roles of various signaling pathways. Calcium overloading during ischemia increases the expression of calcium-calmodulin-dependent protein kinase (CaMK), which subsequently activates CREB-mediated transcription, thus promoting the survival of cells. Furthermore, this review highlights the crosstalk between GSK-3 and CREB, promoting survival and rendering the cells resistant to subsequent severe ischemia.
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