2016
DOI: 10.3389/fphys.2016.00417
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Targeting Heat Shock Proteins Mitigates Ventilator Induced Diaphragm Muscle Dysfunction in an Age-Dependent Manner

Abstract: Intensive care unit (ICU) patients are often overtly subjected to mechanical ventilation and immobilization, which leads to impaired limb and respiratory muscle function. The latter, termed ventilator-induced diaphragm dysfunction (VIDD) has recently been related to compromised heat shock protein (Hsp) activation. The administration of a pharmacological drug BGP-15 acting as a Hsp chaperone co-inducer has been found to partially alleviate VIDD in young rats. Considering that the mean age in the ICU is increasi… Show more

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Cited by 9 publications
(10 citation statements)
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“…They display mild hyperglycemia and damaged glucose tolerance, while being normotensive and non-obese [17]. Besides the insulin-sensitizing effect, the role of BGP-15 in alleviating ventilation-induced diaphragm dysfunction has been examined on Sprague-Dawley rats [40]. The advantage of these rats is their calmness and easy handling [41].…”
Section: Animal Modelsmentioning
confidence: 99%
“…They display mild hyperglycemia and damaged glucose tolerance, while being normotensive and non-obese [17]. Besides the insulin-sensitizing effect, the role of BGP-15 in alleviating ventilation-induced diaphragm dysfunction has been examined on Sprague-Dawley rats [40]. The advantage of these rats is their calmness and easy handling [41].…”
Section: Animal Modelsmentioning
confidence: 99%
“…Currently, there is no approved treatment against cachexia, despite many adjuvant therapeutics having been clinically evaluated (reviewed recently in [ 24 ]) Targeting the mitochondria could be therapeutically advantageous in this regard since they appear implicit in IRI-induced skeletal myopathy. One potential therapeutic candidate is the small molecule BGP-15, a hydroximic acid derivative nicotinic acid-amidoxime [ 25 ], which has demonstrated therapeutic potential in treating skeletal myopathy associated with Duchenne Muscular Dystrophy [ 26 , 27 ], ventilation-induced diaphragm dysfunction [ 28 , 29 , 30 , 31 ], sarcopenia [ 32 ], diabetes [ 33 , 34 , 35 ] and oxaliplatin treatment [ 36 ]. BGP-15 inhibits poly-(ADP-ribose) polymerase-1 (PARP-1) [ 37 ], a repressor of mitochondrial function [ 38 , 39 ], and co-induces heat shock protein-70 (HSP-70) [ 40 , 41 ], which increases mitochondrial content, function and oxidative capacity [ 42 ].…”
Section: Introductionmentioning
confidence: 99%
“…In animals treated with BGP‐15 (n = 13), 100% survival was observed after 5, 8, and 10 days exposure to the ICU condition. In controls, we have also included rats exposed to the ICU condition at other durations than 5, 8 and 10 days, that is, results included from previous studies . The logrank statistic showed a significant ( P < .01) survival benefit with BGP‐15 (Figure ).…”
Section: Resultsmentioning
confidence: 99%
“…Thirty‐six adult female Sprague‐Dawley rats were divided into one sham‐operated control group (n = 10) and the six experimental groups exposed to deep sedation, CMV, neuromuscular blockade (NMB) for 5 days with BGP‐15 treatment (5d + BGP‐15, n = 4) and without BGP‐15 (5d, n = 6), 8 days with BGP‐15 treatment (8d + BGP‐15, n = 3) and without BGP‐15 treatment (8d, n = 3), and 10 days with BGP‐15 (10d + BGP‐15, n = 4) and without BGP‐15 (10d, n = 6). For survival data in control rats, we also included results from other rats exposed to the ICU condition at other durations than 5, 8 and 10 days longer than 2 days (total number of controls, 30) included in previous studies …”
Section: Methodsmentioning
confidence: 99%