Geldanamycin inhibits hemorrhage-induced increases in caspase-3 activity: Role of inducible nitric oxide synthase

Juliann G. Kiang, Phillip D. Bowman, Xinyue Lu, Yansong Li, Brian W. Wu, Horace H. Loh, Kong-Thon Tsen, George C. Tsokos

Research output: Contribution to journalArticle

16 Scopus citations


Hemorrhage has been shown to increase inducible nitric oxide synthase (iNOS) and deplete ATP levels in tissues and geldanamycin limits both processes. Moreover, it is evident that inhibition of iNOS reduces caspase-3 and increases survival. Thus we sought to identify the molecular events responsible for the beneficial effect of geldanamycin. Hemorrhage in mice significantly increased caspase-3 activity and protein while treatment with geldanamycin significantly limited these increases. Similarly, geldanamycin inhibited increases in proteins forming the apoptosome (a complex of caspase-9, cytochrome c, and Apaf-1). Modulation of the expression of iNOS by iNOS gene transfection or siRNA treatment demonstrated that the level of iNOS correlates with caspase-3 activity. Our data indicate that geldanamycin limits caspase-3 expression and protects from organ injury by suppressing iNOS expression and apoptosome formation. Geldanamycin, therefore, may prove useful as an adjuvant in fluids used to treat patients suffering blood loss.

Original languageEnglish (US)
Pages (from-to)1045-1055
Number of pages11
JournalJournal of Applied Physiology
Issue number3
Publication statusPublished - Sep 2007



  • Caspase-9
  • Cytochrome c
  • Hemorrhagic shock
  • Jejunum
  • Lung

ASJC Scopus subject areas

  • Physiology
  • Endocrinology
  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

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