Abstract

Excessive nitric oxide (NO) production and NO-mediated nitrative stress contribute to vascular dysfunction, inflammation, and tissue injury in septic shock. New therapeutic targets are urgently needed to provide better control of NO level during septic shock. In the present study, we investigated the role of HDAC6 in the regulation of NO production and nitrative stress in a mouse model of endotoxin-induced septic shock. HDAC6 deficient mice and a specific HDAC6 inhibitor were utilized in our studies. Our data clearly indicate that HDAC6 is an important mediator of NO production in macrophages. HDAC6 mediates NO production through the regulation of iNOS expression in macrophages. HDAC6 up-regulates iNOS expression in macrophages by modulating STAT1 activation and IRF-1 expression. HDAC6 inhibition potently blocked endotoxin-induced STAT1 activation and iNOS expression in macrophages. Furthermore, HDAC6 contributes to excessive NO production and nitrotyrosine level in the blood and promotes iNOS expression in the lung tissues during septic shock. Our data reveal a novel HDAC6/STAT1/iNOS pathway that mediates excessive NO production and nitrative stress in septic shock.

Highlights

  • Sepsis is a life-threatening disease that is defined as multi-organ dysfunction caused by dysregulated host responses to infection [1,2,3,4,5]

  • Peritoneal macrophages isolated from the HDAC6 knockout and wild type mice were challenged with LPS

  • Our data showed that HDAC6 deletion markedly blocked LPS-induced inducible nitric oxide synthase (iNOS) expression in the peritoneal macrophages, which was associated with a robust increase of α-tubulin acetylation in the peritoneal macrophages of HDAC6 knockout mice (Figure 1)

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Summary

Introduction

Sepsis is a life-threatening disease that is defined as multi-organ dysfunction caused by dysregulated host responses to infection [1,2,3,4,5]. Septic shock, which is characterized by hypotension and hyporeactivity to vasoconstrictors, is a main cause of high mortality in sepsis patients [5,6,7,8]. Septic shock leads to reduced blood and oxygen flow to vital organs, which eventually causes multi-organ failure and death [5,6,7,8]. Endotoxemia is a major factor in the pathogenesis of septic shock [2, 3]. Endotoxemia has been detected in the critically ill sepsis patients [2, 3]

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