Activation of the XBP1s/O-GlcNAcylation Pathway Improves Functional Outcome After Cardiac Arrest and Resuscitation in Young and Aged Mice.

dc.contributor.author

Li, Ran

dc.contributor.author

Shen, Yuntian

dc.contributor.author

Li, Xuan

dc.contributor.author

Lu, Liping

dc.contributor.author

Wang, Zhuoran

dc.contributor.author

Sheng, Huaxin

dc.contributor.author

Hoffmann, Ulrike

dc.contributor.author

Yang, Wei

dc.date.accessioned

2021-11-01T14:36:22Z

dc.date.available

2021-11-01T14:36:22Z

dc.date.issued

2021-11

dc.date.updated

2021-11-01T14:36:21Z

dc.description.abstract

Abstract

After cardiac arrest (CA) and resuscitation, the unfolded protein response (UPR) is activated in various organs including the brain. However, the role of the UPR in CA outcome remains largely unknown. One UPR branch involves spliced X-box-binding protein-1 (XBP1s). Notably, XBP1s, a transcriptional factor, can upregulate expression of specific enzymes related to glucose metabolism, and subsequently boost O-linked β-N-acetylglucosamine modification (O-GlcNAcylation). The current study is focused on effects of the XBP1 UPR branch and its downstream O-GlcNAcylation on CA outcome. Using both loss-of-function and gain-of-function mouse genetic tools, we provide the first evidence that activation of the XBP1 UPR branch in the post-CA brain is neuroprotective. Specifically, neuron-specific Xbp1 knockout mice had worse CA outcome, while mice with neuron-specific expression of Xbp1s in the brain had better CA outcome. Since it has been shown that the protective role of the XBP1s signaling pathway under ischemic conditions is mediated by increasing O-GlcNAcylation, we then treated young mice with glucosamine, and found that functional deficits were mitigated on day 3 post CA. Finally, after confirming that glucosamine can boost O-GlcNAcylation in the aged brain, we subjected aged mice to 8 min CA, and then treated them with glucosamine. We found that glucosamine-treated aged mice performed significantly better in behavioral tests. Together, our data indicate that the XBP1s/O-GlcNAc pathway is a promising target for CA therapy.
dc.identifier

00024382-202111000-00014

dc.identifier.issn

1073-2322

dc.identifier.issn

1540-0514

dc.identifier.uri

https://hdl.handle.net/10161/23949

dc.language

eng

dc.publisher

Ovid Technologies (Wolters Kluwer Health)

dc.relation.ispartof

Shock (Augusta, Ga.)

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10.1097/shk.0000000000001732

dc.subject

Aging

dc.subject

brain ischemia

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ER stress

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glucosamine

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knockout

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neuroprotection

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UPR

dc.title

Activation of the XBP1s/O-GlcNAcylation Pathway Improves Functional Outcome After Cardiac Arrest and Resuscitation in Young and Aged Mice.

dc.type

Journal article

duke.contributor.orcid

Sheng, Huaxin|0000-0002-4325-2940

duke.contributor.orcid

Yang, Wei|0000-0001-5719-4393

pubs.begin-page

755

pubs.end-page

761

pubs.issue

5

pubs.organisational-group

School of Medicine

pubs.organisational-group

Anesthesiology

pubs.organisational-group

Duke

pubs.organisational-group

Clinical Science Departments

pubs.publication-status

Accepted

pubs.volume

56

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