Pingan
Li, M.D., Ph.D. Member,
Cancer Research Center of Hawaii, Cancer Etiology Program;
Associate Clinical Professor, Department of Medicine, John A. Burns
School of Medicine;
Associate Research Professor, Cardiovascular Research Center;
Member, Cell Molecular Biology Graduate Program
Ph.D. (Neurobiology), University
of Lund, Lund, Sweden
Hyperglycemia is common
among victims of cerebral ischemia, as the incidences of stroke
and heart disease rise in the elderly and diabetic population.
Although it has been well established that diabetes/hyperglycemia
enhances ischemic brain damage, the mechanism underlying this
important, clinically relevant phenomenon is poorly understood.
One solid evidence is that intra- and extracellular acidosis
occurs inevitably during ischemia. Accumulative evidence, including
those produced in our laboratory, suggests that mitochondrion
plays a critical role in initiating cell death; However, it is
not clear to what extent and how mitochondrial function is influenced
by acidosis and glucose.
Research in Dr. Li’s laboratory focuses on the effects
of pre-ischemic hyperglycemia and of acidosis on the outcome
of an ischemic injury. The objective is to explore whether
elevated glucose level and enhanced acidosis exacerbate ischemic
brain damage by triggering mitochondrial dysfunction, activating
cell death pathways, or suppressing cell survival pathways
and if pharmacological intervention aiming at preserving
mitochondrial function can ameliorate such enhanced ischemic
brain damage.
Another research focus in Dr. Li’s laboratory is on
the role of lysyl oxidase, an extracellular matrix enzyme,
in angiogenesis. Angiogenesis, the formation of new vessels
caused by the sprouting of endothelial cells from pre-existing
vessels, occures in a wide range of pathologic processes.
Pathological angiogenesis has been recognized as a hallmark
of cancer progression.
It also occurs in other disease conditions such as ischemic
stroke and diabetic retinopathy. Manipulation of new vessel
formation can be an innovative means of therapy for cancer,
ischemia, and retinopathy. The objective of this project
is to determine whether lysyl oxidase plays a role in mediating
angiogenic processes induced by cancer and cerebral ischemia
and what the underlying molecular mechanisms are for the
action.
Illustration: Hyperglycemia activates caspase 3-associated cell death
pathway and suppresses cAMP-responsive element-binding
protein (CREB)-mediated cell survival pathways in the nuclei
of the neurons subjected to transient stroke and reperfusion.
NG: normoglycemia, HG: hyperglycemia, DM: diabetes, 3h
and 6h: 3 and 6 hours of reperfusion.
Numbers of blood vessels and branching points are increased
after transient ischemia in rats treated with
lysyl oxidase inhibitor (B) compared with non-treated
rat
(A).
Selected
Publications
Muranyi
M, Fujioka M, He QP, Han A, Csiszar K, Li PA. (2003) Diabetes
activates cell death pathway after transient focal cerebral
ischemia. Diabetes 52:481-486.
He
QP, Csiszar K, Li P-A. (2003) Transient forebrain ischemia
induced phosphorylation of cAMP-responsive element-binding
protein is suppressed by hyperglycemia. Neurobiol Dis 12:25-34.
Li
PA, Rasquinha I, He QP, Csiszar K, C.D B, MacManus JP, Siesjö BK.
(2001) Hyperglycemia enhances DNA fragmentation after transient
cerebral ischemia. J Cereb Blood Flow Metab 21:568-576.
Li
PA, Shuaib A, Miyashita H, He QP, Siesjö BK. (2000) Hyperglycemia
enhances extracellular glutamate accumulation in rats subjected
to forebrain ischemia: an in vivo microdialysis study. Stroke
31:183-191.
Li
P-A, Kristán T, Shamloo M, Siesjö BK. (1996) Effects
of preischemic hyperglycemia on the brain damage incurred by
rats subjected to 2.5 and 5 minutes of forebrain ischemia.
Stroke 27:1592-1602.
Li
P-A, Shamloo M, Katsura K, Smith M-L, Siesjö BK. (1995)
Critical values for plasma glucose in aggravating ischemic
brain damage: correlation to extracellular pH. Neurobiol Dis
2:97-108.