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Originally published In Press as doi:10.1074/jbc.M405297200 on June 16, 2004

J. Biol. Chem., Vol. 279, Issue 35, 36803-36808, August 27, 2004
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Desensitization of the Permeability Transition Pore by Cyclosporin A Prevents Activation of the Mitochondrial Apoptotic Pathway and Liver Damage by Tumor Necrosis Factor-{alpha}*

Maria Eugenia Soriano{ddagger}§, Luca Nicolosi{ddagger}§, and Paolo Bernardi{ddagger}||**

From the {ddagger}Consiglio Nazionale delle Ricerche Institute of Neuroscience at the Department of Biomedical Sciences, University of Padova, Viale Giuseppe Colombo 3, I-35121 Padova, Italy and the ||Venetian Institute of Molecular Medicine, Via Orus 2, I-35129 Padova, Italy

We studied the effects of cyclosporin A (CsA) administration 1) on the properties of the permeability transition pore (PTP) in mitochondria isolated from the liver and 2) on the susceptibility to hepatotoxicity induced by lipopolysaccharide of Escherichia coli (LPS) plus D-galactosamine (D-GalN) in rats. CsA exerted a marked PTP inhibition ex vivo, with an effect that peaked between 2 and 9 h of drug treatment and decayed with an apparent half-time of about 13 h. Administration of LPS plus D-GalN to naive rats caused the expected increased serum levels of tumor necrosis factor (TNF)-{alpha}, liver inflammation with BID cleavage, activation of caspase 3, appearance of terminal deoxynucleotidyltransferase-mediated dUTP nick-end labeling-positive nuclei, and release of alanine aminotransferase and aspartate aminotransferase into the bloodstream. Treatment with CsA before or within 5 h of the administration of LPS plus D-GalN protected rats from hepatotoxicity despite the normal increase of serum TNF-{alpha} and BID cleavage. These results indicate that CsA prevents the hepatotoxic effects of TNF-{alpha} by blocking the mitochondrial proapoptotic pathway through inhibition of the PTP and provides a viable strategy for the treatment of liver diseases that depend on increased production and/or liver sensitization to TNF-{alpha}.


Received for publication, May 12, 2004

* This work was supported in part by Grants from the Associazione Italiana per la Ricerca sul Cancro and Telethon-Italy (to P. B.). The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

§ These authors contributed equally to this work.

Presented in partial fulfillment of the requirements for the Ph.D. degree in the School of Biosciences, Program in Cell Biology of the University of Padova.

** To whom correspondence should be addressed. Fax: 39-049-827-6361; E-mail: bernardi{at}bio.unipd.it.


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