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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

Publication list via PubMed

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).

Illustation:   Hyperglycemia activates...

 

 
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.

 

 

 

 
 
 
 
 
 
   
   


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