Abstract

Abstract Hemorrhagic shock induces tissue hypoxia, cellular oxidative stress and production of reactive oxygen species, which we have previously shown leads to activation of the inflammasome and caspase-1. Our previous data also show that caspase-1 is hepatoprotective after hemorrhagic shock/resuscitation (HS/R). Autophagy is a protective response to cellular stress and we hypothesized that caspase-1 is hepatoprotective by regulating autophagy after HS/R. Autophagic markers beclin1 were upregulated in WT liver after HS/R but to significantly lower levels in caspase-1-/- liver, and caspase-1-/- liver also had higher levels of apoptosis. Adenovirus encoding beclin1 (Adbeclin1) or control AdGFP was injected via tail vein in WT and caspase-1-/- mice. After 48h mice were subjected to HS/R. Immunoblotting of whole liver lysates confirmed beclin1 overexpression after Adbeclin1. Caspase-1-/- mice expressing Adbeclin1 had significantly less liver injury after HS/R and lower cytochrome c release (marker of apoptosis/mitochondrial damage) compared with AdGFP-caspase-1-/- mice and similar to WT levels. Similarly, in vitro primary hepatocytes isolated from caspase-1 -/- mice had decreased beclin1 expression, reduced autophagic flux and increased cells death after hypoxia/reoxygenation compared with WT cells. Together our data suggest that upregulation of beclin1 is vital for hepatoprotection after HS/R and that caspase-1 regulates beclin1 expression and autophagy through a novel pathway.

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