title: Heme Oxygenase-1 Inhibits Neuronal Apoptosis in Spinal Cord Injury through Down-Regulation of Cdc42-MLK3-MKK7-JNK3 Axis.
abstract: The mechanism by which spinal cord injury (SCI) induces neuronal death has not been thoroughly understood. Investigation on the molecular signal pathways involved in SCI-mediated neuronal apoptosis is important for development of new therapeutics for SCI. In the current study, we explore the role of heme oxygenase-1 (HO-1) in the modulation of mixed lineage kinase 3/mitogen-activated protein kinase kinase/cJUN N-terminal kinase 3 (MLK3/MKK7/JNK3) signaling, which is a pro-apoptotic pathway, after SCI. We found that MLK3/MKK7/JNK3 signaling was activated by SCI in a time-dependent manner, demonstrated by increase in activating phosphorylation of MLK3, MKK7, and JNK3. SCI also induced HO-1 expression. Administration of HO-1-expressing adeno-associated virus before SCI introduced expression of exogenous HO-1 in injured spinal cords. Exogenous HO-1 reduced phosphorylation of MLK3, MKK7, and JNK3. Consistent with its inhibitory effect on MLK3/MKK7/JNK3 signaling, exogenous HO-1 decreased SCI-induced neuronal apoptosis and improved neurological score. Further, we found that exogenous HO-1 inhibited expression of cell division cycle 42 (Cdc42), which is crucial for MLK3 activation. In vitro experiments indicated that Cdc42 was essential for neuronal apoptosis, while transduction of neurons with HO-1-expressing adeno-associated virus significantly reduced neuronal apoptosis to enhance neuronal survival. Therefore, our study disclosed a novel mechanism by which HO-1 exerted its neuroprotective efficacy. Our discovery might be valuable for developing a new therapeutic approach for SCI.
authors.affiliation: 1 Department of Orthopedic Surgery, the Second Affiliated Hospital, Fujian Medical University , Quanzhou, China .
authors.forename: Wenping
authors.initials: W
authors.lastname: Lin
authors.affiliation: 1 Department of Orthopedic Surgery, the Second Affiliated Hospital, Fujian Medical University , Quanzhou, China .
authors.forename: Siyuan
authors.initials: S
authors.lastname: Wang
authors.affiliation: 2 Department of Orthopedic Surgery, the People's Hospital of Guizhou Province , Guiyang, China .
authors.forename: Zhen
authors.initials: Z
authors.lastname: Yang
authors.affiliation: 3 Department of Orthopedic Surgery, the First Affiliated Hospital, Fujian Medical University , Fuzhou, China .
authors.forename: Jianhua
authors.initials: J
authors.lastname: Lin
authors.affiliation: 1 Department of Orthopedic Surgery, the Second Affiliated Hospital, Fujian Medical University , Quanzhou, China .
authors.forename: Qingfeng
authors.initials: Q
authors.lastname: Ke
authors.affiliation: 3 Department of Orthopedic Surgery, the First Affiliated Hospital, Fujian Medical University , Fuzhou, China .
authors.forename: Wenbin
authors.initials: W
authors.lastname: Lan
authors.affiliation: 1 Department of Orthopedic Surgery, the Second Affiliated Hospital, Fujian Medical University , Quanzhou, China .
authors.forename: Jinxing
authors.initials: J
authors.lastname: Shi
authors.affiliation: 1 Department of Orthopedic Surgery, the Second Affiliated Hospital, Fujian Medical University , Quanzhou, China .
authors.forename: Shiqiang
authors.initials: S
authors.lastname: Wu
authors.affiliation: 4 Department of Neurology and Institute of Neurology, the First Affiliated Hospital, Fujian Medical University , Fuzhou, China .
authors.forename: Bin
authors.initials: B
authors.lastname: Cai
mesh_terms: D000818:Animals; D017209:Apoptosis / Q000502:physiology; D002478:Cells, Cultured; D015536:Down-Regulation / Q000502:physiology; D006419:Heme Oxygenase (Decyclizing) / Q000096:biosynthesis*; D048688:MAP Kinase Kinase 7 / Q000037:antagonists & inhibitors / Q000378:metabolism*; D020930:MAP Kinase Kinase Kinases / Q000037:antagonists & inhibitors / Q000378:metabolism*; D008297:Male; D048057:Mitogen-Activated Protein Kinase 10 / Q000037:antagonists & inhibitors / Q000378:metabolism*; D009474:Neurons / Q000378:metabolism / Q000473:pathology; D011897:Random Allocation; D051381:Rats; D017207:Rats, Sprague-Dawley; D015398:Signal Transduction / Q000502:physiology; D013119:Spinal Cord Injuries / Q000378:metabolism* / Q000473:pathology; D020764:cdc42 GTP-Binding Protein / Q000037:antagonists & inhibitors / Q000378:metabolism*; D000097767:Mitogen-Activated Protein Kinase Kinase Kinase 11
chemical_list: D006419:Heme Oxygenase (Decyclizing); D048688:MAP Kinase Kinase 7; D020930:MAP Kinase Kinase Kinases; D048057:Mitogen-Activated Protein Kinase 10; D020764:cdc42 GTP-Binding Protein; D000097767:Mitogen-Activated Protein Kinase Kinase Kinase 11; C491523:Hmox1 protein, rat; C482570:Map2k7 protein, mouse
keywords: apoptosis; locomotor function; spinal cord injury