Air Bubble Contact with Endothelial Cells Causes a Calcium-Independent Loss in Mitochondrial Membrane Potential 英文参考文献.docVIP
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Air Bubble Contact with Endothelial Cells Causes a Calcium-Independent Loss in Mitochondrial Membrane Potential 英文参考文献
AirBubbleContactwithEndothelialCellsCauses
aCalcium-IndependentLossinMitochondrialMembrane
Potential
PeterSobolewski1,JudithKandel2,DavidM.Eckmann1,2*
1Department of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America, 2Department of Bioengineering,
UniversityofPennsylvania,Philadelphia,Pennsylvania,UnitedStatesofAmerica
Abstract
Objective:Gasmicroembolismremainsaseriousriskassociatedwithsurgicalproceduresanddecompression.Despitethis,
thesignalingconsequencesofairbubblesinthevasculaturearepoorlyunderstoodandthereisalackofpharmacological
therapiesavailable.Here,weinvestigatethemitochondrialconsequencesofairbubblecontactwithendothelialcells.
MethodsandResults:Humanumbilicalveinendothelialcellswereloadedwithanintracellularcalciumindicator(Fluo-4)
andeitheramitochondrialcalciumindicator(X-Rhod-1)ormitochondrialmembranepotentialindicator(TMRM).Contact
with 50–150mm air bubbles induced concurrent rises in intracellular and mitochondrial calcium, followed by a loss of
mitochondrialmembranepotential.Pre-treatingcellswith1mmol/Lrutheniumred,aTRPVfamilycalciumchannelblocker,
didnotprotectcellsfromthemitochondrialdepolarization,despiteblockingtheintracellularcalciumresponse.Mitigating
the interactions between the air-liquid interface and the endothelial surface layer with 5% BSA or 0.1% Pluronic F-127
prevented the loss of mitochondrial membrane potential. Finally, inhibiting protein kinase C-a (PKCa), with 5mmol/L
Go¨6976,protectedcellsfrommitochondrialdepolarization,butdidnotaffecttheintracellularcalciumresponse.
Conclusions: Our results indicate that air bubble contact with endothelial cells activates a novel, calcium-independent,
PKCa-dependentsignalingpathway,whichresultsinmitochondrialdepolarization.Asaresult,mitochondrialdysfunctionis
likely to be a key contributor to the pathophysiology of gas embolism injury. Further, this connection between the
endothelialsurfacelayerandendothelialmitochondriamayalsopla
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