We investigated the role of endothelial glycocalyx and its component syndecan-1 protein in the pathophysiology of sepsis-induced vascular hyper-permeability and examined the therapeutic effects of high-molecular-weight sodium hyaluronate (HMW-SH). Methods: Sepsis was induced by cotton smoke inhalation followed by intranasal administration of Pseudomonas aeruginosa in female (> 6 months) Balb/c and syndecan-1 knockout mice. Survival of mice, lung capillary endothelial glycocalyx integrity, lung water content, and vascular hyper-permeability were determined with or without HMW-SH treatment in these mice. Effects of HMW-SH on endothelial permeability and neutrophil migration were tested in in vitro setting. Results: In septic wildtype mice, we found a severely damaged pulmonary microvascular endothelial glycocalyx and elevated levels of shed syndecan-1 in the circulation. These changes were associated with significantly increased pulmonary vascular permeability. In septic syndecan-1 knockout mice, extravascular lung water content was higher, and early death was observed. The administration of HMW-SH significantly reduced mortality and lung water content in septic syndecan-1 knockout mice, but not in septic wildtype mice. In in vitro setting, HMW-SH inhibited neutrophil migration and reduced cultured endothelial cell permeability increases. However, these effects were reversed by the addition of recombinant syndecan-1 ectodomain. Conclusions: HMW-SH reduced lung tissue damage and mortality in the absence of syndecan-1 protein, possibly by reducing vascular hyper-permeability and neutrophil migration. Our results further suggest that increased shed syndecan-1 protein levels are linked with the inefficiency of HMW-SH in septic wildtype mice.

Glioblastoma (GBM) is a lethal brain tumor with limited therapeutic options. Temozolomide (TMZ), a standard-of-care chemotherapeutic agent, exerts its cytotoxicity by alkylating DNA, which triggers a DNA damage response and depletes ATP and NAD⁺. However, TMZ also releases the byproduct 4-amino-5-imidazole carboxamide (AIC), which is believed to be a benign metabolite. We considered the possibility that AIC from TMZ could enter the de novo purine synthesis pathway, contributing to AMP and NAD⁺ synthesis and thus potentially antagonizing the anticancer activity of TMZ. The purpose of this article is to determine if AIC from TMZ can be incorporated into cellular purines. Using mass spectrometry with isotope-labeled TMZ, we demonstrate that the AIC derived from TMZ is incorporated into AMP and NAD⁺ in glioblastoma cell lines. Further, we performed an analysis of publicly available transcriptomic data from the Cancer Genome Atlas (TCGA) and Genotype-Tissue Expression (GTEx) databases. Our analyses demonstrate that de novo purine synthesis is upregulated in GBM relative to the normal brain. Collectively, our findings demonstrate that a drug metabolite of TMZ, AIC, can be incorporated into de novo purine synthesis, which is upregulated in GBM.

Background: Sepsis is associated with a highest mortality rate in the ICU. Present study tests the efficacy of combined therapy with vitamin C, hydrocortisone and thiamine (combined therapy) in the ovine model of sepsis induced by Pseudomonas aeruginosa. In this study, sepsis was induced in sheep by instillation of Pseudomonas aeruginosa (1 × 10¹¹ CFU) into the lungs via bronchoscope, under anesthesia. Nine hours after injury, intravenous infusion of vitamin C (0.75 g every 6 h), hydrocortisone (25 mg every 6 h), and thiamine (100 mg every 12 h) or saline was given to the treatment and control groups. Cardiopulmonary variables were recorded. Results: The survival rate was 16.7% in control and 33.3% in treatment groups. In the control group, mean arterial pressure dropped from 93.6 ± 8.6 to 75.5 ± 9.7 mmHg by 9 h, which was not affected by the combined therapy. Pulmonary dysfunction was not attenuated by the combined therapy either. The combined therapy had no effect on increased extravascular lung water content and fluid effusion into thoracic cavity. The bacterial number in the bronchoalveolar lavage fluid was significantly increased in the treatment group than the control group. The blood bacterial number remained comparable between groups. Conclusions: Combined vitamin C, hydrocortisone, and thiamine did not attenuate severity of ovine sepsis.

Recently, we constructed a hybrid thymine DNA glycosylase (hyTDG) by linking a 29-amino acid sequence from the human thymine DNA glycosylase with the catalytic domain of DNA mismatch glycosylase (MIG) from M. thermoautotrophicum, increasing the overall activity of the glycosylase. Previously, it was shown that a tyrosine to lysine (Y126K) mutation in the catalytic site of MIG could convert the glycosylase activity to a lyase activity. We made the corresponding mutation to our hyTDG to create a hyTDGlyase (Y163K). Here, we report that the hybrid mutant has robust lyase activity, has activity over a broad temperature range, and is active under multiple buffer conditions. The hyTDG-lyase cleaves an abasic site similar to endonuclease III (Endo III). In the presence of beta-mercaptoethanol (beta-ME), the abasic site unsaturated aldehyde forms a beta-ME adduct. The hyTDG-lyase maintains its preference for cleaving opposite G, as with the hyTDG glycosylase, and the hyTDG-lyase and hyTDG glycosylase can function in tandem to cleave T:G mismatches. The hyTDG-lyase described here should be a valuable tool in studies examining DNA damage and repair. Future studies will utilize these enzymes to quantify T:G mispairs in cells, tissues, and genomic DNA using next-generation sequencing.

NQO1 and NAMPT expression is elevated in GBM. Gene expression data from TCGA-GBM and GTEx were accessed through UCSC Xena Browser. Normal brain tissue from noncancer patients (GTEx, n = 1,142) were compared with primary IDH wild-type GBM tumors (n = 140) and recurrent GBM tumors (n = 13). A, NQO1 expression in brain tissue. B, NAMPT expression in brain tissue. Statistical significance was determined using ANOVA with the Dunnett multiple comparison test. **, P < 0.01; ****, P < 0.0001.

NAD+ synthesis pathways in PDX GBM. NQO1-expressing PDX GBM cells were treated with FK866 (10 nM) and 500 µM of each NAD+ precursor: quinolinic acid (QA), nicotinamide (NAM), nicotinic acid (NA), nicotinamide riboside (NR), or nicotinamide mononucleotide (NMN). After 24 h, cells were collected for NAD+ measurement by colorimetry assay. A. NA, NR, and NMN rescue NAD+ in GBM39 cells. NAD+ precursors NAM, NA, NR, and NMN all increased NAD+ levels in untreated GBM39 cells (black bars). FK866 depletes NAD+ levels and supplementation with 500 µM NA, NR, and NMN rescues NAD+ depletion. B-C. NR and NMN rescue NAD+ in GBM10 (B) and GBM117 (C). FK866 depletes NAD+ levels in GBM10 and 117. Supplementation with 500 µM NR and NMN rescues this depletion. QA and NA have no significant effect on NAD+ levels. Values are mean ± SD of n=3. Statistical significance determined by ANOVA with Tukey’s Multiple Comparisons. *p<0.05, **p<0.01, ***p<0.001,****p<0.0001.