Presenter: Ryan Boileau
Mentor: Hans Dreyer
AM Poster Presentation
Poster 3
Estimated to be performed 3.48 million times annually by 2030, Total Knee Arthroplasty (TKA) is the most common surgery to remediate chronic osteoarthritis in older adults. During surgery, blood flow is occluded to the operative leg resulting in anoxic conditions within the distal tissues. We have previously shown that proteins regulating cap-dependent translation initiation and elongation are downregulated and components of the catabolic and cell stress pathways are upregulated during ischemia and reperfusion. The purpose of this study was to further characterize the effects of anoxia in muscle cells on proteins controlling components of the ER stress pathway, i.e., the unfolded protein response (UPR). Muscle biopsies were obtained at baseline (before TKA surgery), maximal ischemia (before tourniquet release), and reperfusion. Preliminary results suggest an increase in cytoplasmic levels of downstream targets of the UPR (ATF4, CHOP, JNK, and Bcl-2). Further research will elucidate protein targets for preconditioning therapies that may ameliorate the UPR in an attempt to mitigate the substantial muscle atrophy following this increasingly common procedure performed in older adults.