J Physiol Volume 581, Number 3, 1293-1307, June 15, 2007 DOI: 10.1113/jphysiol.2007.130872
Transcriptional up-regulation of nitric oxide synthase II by nuclear factor-
B at rostral ventrolateral medulla in a rat mevinphos intoxication model of brain stem death
Julie Y. H. Chan1,
Carol H. Y. Wu2,
Ching-Yi Tsai2,
Hsiao-Lei Cheng2,
Kuang-Yu Dai2,
Samuel H. H. Chan2 and
Alice Y. W. Chang2
1 Department of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, Republic of China
2 Center for Neuroscience, National Sun Yat-sen University, Kaohsiung, Taiwan, Republic of China
As the origin of a life-and-death signal that reflects central cardiovascular regulatory failure during brain stem death, the rostral ventrolateral medulla (RVLM) is a suitable neural substrate for mechanistic delineation of this vital phenomenon. Using a clinically relevant animal model that employed the organophosphate pesticide mevinphos (Mev) as the experimental insult, we evaluated the hypothesis that transcriptional up-regulation of nitric oxide synthase I or II (NOS I or II) gene expression by nuclear factor-
B (NF-
B) on activation of muscarinic receptors in the RVLM underlies brain stem death. In Sprague-Dawley rats maintained under propofol anaesthesia, co-microinjection of muscarinic M2R (methoctramine) or M4R (tropicamide), but not M1R (pirenzepine) or M3R (4-diphenylacetoxy-N-dimethylpiperidinium) antagonist significantly reduced the enhanced NOS Iprotein kinase G signalling (pro-life phase) or augmented NOS IIperoxynitrite cascade (pro-death phase) in ventrolateral medulla, blunted the biphasic increase and decrease in baroreceptor reflex-mediated sympathetic vasomotor tone that reflect the transition from life to death, and diminished the elevated DNA binding activity or nucleus-bound translocation of NF-
B in RVLM neurons induced by microinjection of Mev into the bilateral RVLM. However, NF-
B inhibitors (diethyldithiocarbamate or pyrrolidine dithiocarbamate) or double-stranded
B decoy DNA preferentially antagonized the augmented NOS IIperoxynitrite cascade and the associated cardiovascular depression exhibited during the pro-death phase. We conclude that transcriptional up-regulation of NOS II gene expression by activation of NF-
B on selective stimulation of muscarinic M2 or M4 subtype receptors in the RVLM underlies the elicited cardiovascular depression during the pro-death phase in our Mev intoxication model of brain stem death.
(Received 21 February 2007;
accepted after revision 20 March 2007;
first published online 29 March 2007)
Corresponding author A. Y. W. Chang: Center for Neuroscience, National Sun Yat-sen University, Kaohsiung 80424, Taiwan, Republic of China. Email: achang{at}mail.nsysu.edu.tw
Copyright © 2007 The Physiological Society.