Inactivation of the MEK/ERK pathway in the myocardium during cardiopulmonary bypass  Eugenio G. Araujo, DVMa, b, Cesario Bianchi, MD, PhDa, Kaori Sato,

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Inactivation of the MEK/ERK pathway in the myocardium during cardiopulmonary bypass  Eugenio G. Araujo, DVMa, b, Cesario Bianchi, MD, PhDa, Kaori Sato, MDa, Renato Faro, PhDa, X.Alec Li, PhDa, Frank W. Sellke, MDa  The Journal of Thoracic and Cardiovascular Surgery  Volume 121, Issue 4, Pages 773-781 (April 2001) DOI: 10.1067/mtc.2001.112933 Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

Fig. 1 Simplified MEK/ERK pathway and its possible relation to c-Src and Akt (see text for details). ERK, Extracellular regulated kinase; MEK, mitogen-activated protein kinase kinase [MAPK kinase]; MKP-1, mitogen-activated protein kinase phosphatase; Akt, protein kinase B; c-Src, cellular tyrosine kinase pp60; PI3k, phosphatidylinositol 3-kinase. The Journal of Thoracic and Cardiovascular Surgery 2001 121, 773-781DOI: (10.1067/mtc.2001.112933) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

Fig. 2 Anti-phospho-ERK1/2 (A), anti-phospho-MEK1/2 (B), anti-MKP-1 (C), and respective control (D, E, and F ) immunoblottings of total protein lysate from pig ventricle before (b) and 90 minutes after (a) post-CPB perfusion or 180 minutes after start of sham operations in controls as described in “Material and methods.” ERK1/2 phosphorylation significantly decreases after 90 minutes of CPB and 90 minutes of post-CPB perfusion (0.39-fold ± 0.15 as compared with basal levels, P =.006, n = 5), as well as MEK1/2 phosphorylation (0.36-fold ± 0.22 as compared with basal levels, P =.009, n = 5), whereas MKP-1 levels increase perfusion (5.11-fold ± 2.2 as compared with basal levels, P =.03, n = 5). No significant changes are observed in controls. The figure shows the result of 2 different experiments representative of 5 pigs studied (CPB) or 1 experiment representative of 4 controls. Ponseau S or total protein was used to ascertain proper protein fractionation and transfer. The Journal of Thoracic and Cardiovascular Surgery 2001 121, 773-781DOI: (10.1067/mtc.2001.112933) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

Fig. 3 Anti-phospho-ERK1/2 (A), anti-phospho-MEK1/2 (B), anti-MKP-1 (C), and respective control (D, E, and F ) immunoblottings of total protein lysate from pig atria before (b) and 90 minutes after (a) post-CPB perfusion or 180 minutes after start of sham operations in controls as described in “Material and methods.” ERK1/2 phosphorylation significantly decreases after 90 minutes of CPB and 90 minutes of post-CPB perfusion tissue (0.47-fold ± 0.10 as compared with basal levels, P =.007, n = 7), as well as MEK1/2 phosphorylation (0.49-fold ± 0.03 as compared with basal levels, P =.008, n = 7), whereas MKP-1 levels increased (4.35-fold ± 1.15 as compared with basal levels, P =.02, n = 4). The figure shows the result of 2 different experiments representative of 7 pigs studied (CPB) or 1 experiment representative of 4 controls. Ponseau S or total protein was used to ascertain proper protein fractionation and transfer. The Journal of Thoracic and Cardiovascular Surgery 2001 121, 773-781DOI: (10.1067/mtc.2001.112933) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

Fig. 4 Immunoblotting of total protein lysate from pig atria before (b) and 90 minutes after (a) post-CPB perfusion as described in “Material and methods.” A, The lane with total c-Src was probed with a c-Src antibody 327. The lane with activated c-Src was probed with antibody that only recognizes c-Src in its active form (antibody 29). B, Akt phosphorylation was not significantly different between before and after post-CPB perfusion. The figure shows the results of 1 or 2 different experiments representative of 6 pigs studied. Ponseau S was used to ascertain proper protein fractionation and transfer. The Journal of Thoracic and Cardiovascular Surgery 2001 121, 773-781DOI: (10.1067/mtc.2001.112933) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

Fig. 5 A, Confocal microscopy images from pig atria before (left) and 90 minutes after (right) post-CPB perfusion as described in “Material and methods.” Notice the intensity decrease of phospho-ERK1/2 signal post-CPB perfusion, confirming immunoblotting observations. Images were obtained from similar fields and same magnification and image adjustments. B, Confocal microscopy images from pig atria before (left) and 90 minutes after (right) post-CPB perfusion as described in “Material and methods.” MKP-1 is induced at the end of post-CPB perfusion, localizing mainly in cardiomyocyte nuclei. Images were obtained from similar fields, magnifications, and adjustments. The Journal of Thoracic and Cardiovascular Surgery 2001 121, 773-781DOI: (10.1067/mtc.2001.112933) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions