DOI QR코드

DOI QR Code

Ginsenoside Rg1 attenuates cerebral ischemia-reperfusion injury due to inhibition of NOX2-mediated calcium homeostasis dysregulation in mice

  • Han, Yuli (Department of Pharmacology, Basic Medicine College, Key Laboratory of Anti-inflammatory and Immunopharmacology, Ministry of Education, Anhui Medical University) ;
  • Li, Xuewang (Department of Pharmacology, Basic Medicine College, Key Laboratory of Anti-inflammatory and Immunopharmacology, Ministry of Education, Anhui Medical University) ;
  • Yang, Liu (Department of Pharmacology, Basic Medicine College, Key Laboratory of Anti-inflammatory and Immunopharmacology, Ministry of Education, Anhui Medical University) ;
  • Zhang, Duoduo (Department of Pharmacology, Basic Medicine College, Key Laboratory of Anti-inflammatory and Immunopharmacology, Ministry of Education, Anhui Medical University) ;
  • Li, Lan (Department of Pharmacology, Basic Medicine College, Key Laboratory of Anti-inflammatory and Immunopharmacology, Ministry of Education, Anhui Medical University) ;
  • Dong, Xianan (Department of Pharmacology, Basic Medicine College, Key Laboratory of Anti-inflammatory and Immunopharmacology, Ministry of Education, Anhui Medical University) ;
  • Li, Yan (Department of Pharmacology, Basic Medicine College, Key Laboratory of Anti-inflammatory and Immunopharmacology, Ministry of Education, Anhui Medical University) ;
  • Qun, Sen (Stroke Center & Department of Neurology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China) ;
  • Li, Weizu (Department of Pharmacology, Basic Medicine College, Key Laboratory of Anti-inflammatory and Immunopharmacology, Ministry of Education, Anhui Medical University)
  • Received : 2021.05.08
  • Accepted : 2021.08.03
  • Published : 2022.07.01

Abstract

Background: The incidence of ischemic cerebrovascular disease is increasing in recent years and has been one of the leading causes of neurological dysfunction and death. Ginsenoside Rg1 has been found to protect against neuronal damage in many neurodegenerative diseases. However, the effect and mechanism by which Rg1 protects against cerebral ischemia-reperfusion injury (CIRI) are not fully understood. Here, we report the neuroprotective effects of Rg1 treatment on CIRI and its possible mechanisms in mice. Methods: A bilateral common carotid artery ligation was used to establish a chronic CIRI model in mice. HT22 cells were treated with Rg1 after OGD/R to study its effect on [Ca2+]i. The open-field test and poleclimbing experiment were used to detect behavioral injury. The laser speckle blood flowmeter was used to measure brain blood flow. The Nissl and H&E staining were used to examine the neuronal damage. The Western blotting was used to examine MAP2, PSD95, Tau, p-Tau, NOX2, PLC, p-PLC, CN, NFAT1, and NLRP1 expression. Calcium imaging was used to test the level of [Ca2+]i. Results: Rg1 treatment significantly improved cerebral blood flow, locomotion, and limb coordination, reduced ROS production, increased MAP2 and PSD95 expression, and decreased p-Tau, NOX2, p-PLC, CN, NFAT1, and NLRP1 expression. Calcium imaging results showed that Rg1 could inhibit calcium overload and resist the imbalance of calcium homeostasis after OGD/R in HT22 cells. Conclusion: Rg1 plays a neuroprotective role in attenuating CIRI by inhibiting oxidative stress, calcium overload, and neuroinflammation.

Keywords

Acknowledgement

The study is upheld by the Major projects of Anhui Provincial Department of Education (KJ2020ZD14) and the Key Research and Development Project of Anhui Province (202004j07020014) and the Hefei Science and Technology Bureau "Borrow, Transfer and Supplement" Project (J2019Y01).

References

  1. Zhang X, Wang X, Xue Z, Zhan G, Ito Y, Guo Z. Prevention properties on cerebral ischemia reperfusion of medicine food homologous Dioscorea yamderived diosgenin based on mediation of potential targets. Food Chem 2021;345:128672. https://doi.org/10.1016/j.foodchem.2020.128672
  2. Lou Z, Wang AP, Duan XM, Hu GH, Song GL, Zuo ML, Yang ZB. Upregulation of NOX2 and NOX4 mediated by TGF-beta signaling pathway exacerbates cerebral ischemia/reperfusion oxidative stress injury. Cell Physiol Biochem : international journal of experimental cellular physiology, biochemistry, and pharmacology 2018;5:2103-13.
  3. Poh L, Kang SW, Baik SH, Ng GYQ, She DT, Balaganapathy P, Dheen ST, Magnus T, Gelderblom M, Sobey CG, et al. Evidence that NLRC4 inflammasome mediates apoptotic and pyroptotic microglial death following ischemic stroke. Brain Behav Immun 2019;7:34-47.
  4. Stegner D, Klaus V, Nieswandt B. Platelets as modulators of cerebral ischemia/reperfusion injury. Front Immunol 2019;10:2505. https://doi.org/10.3389/fimmu.2019.02505
  5. Li F, Yang B, Li T, Gong X, Zhou F, Hu Z. HSPB8 over-expression prevents disruption of blood-brain barrier by promoting autophagic flux after cerebral ischemia/reperfusion injury. J Neurochem 2019;1:97-113.
  6. Shi L, Rocha M, Leak RK, Zhao J, Bhatia TN, Mu H, Wei Z, Yu F, Weiner SL, Ma F, et al. A new era for stroke therapy: integrating neurovascular protection with optimal reperfusion. J Cerebr Blood Flow Metabol : official journal of the International Society of Cerebral Blood Flow and Metabolism 2018;12:2073-91.
  7. Du J, Yin G, Hu Y, Shi S, Jiang J, Song X, Zhang Z, Wei Z, Tang C, Lyu H. Coicis semen protects against focal cerebral ischemia-reperfusion injury by inhibiting oxidative stress and promoting angiogenesis via the TGFbeta/ALK1/Smad 1/5 signaling pathway. Aging (Albany NY) 2020;1:877-93.
  8. Li JT, Wang WQ, Wang L, Liu NN, Zhao YL, Zhu XS, Liu QQ, Gao CF, Yang AG, Jia LT. Subanesthetic isoflurane relieves zymosan-induced neutrophil inflammatory response by targeting NMDA glutamate receptor and Toll-like receptor 2 signaling. Oncotarget 2016;22:31772-89.
  9. Shirley R, Ord EN, Work LM. Oxidative stress and the use of antioxidants in stroke. Antioxidants 2014;3:472-501. https://doi.org/10.3390/antiox3030472
  10. Lorenzano S, Rost NS, Khan M, Li H, Batista LM, Chutinet A, Green RE, Thankachan TK, Thornell B, Muzikansky A, et al. Early molecular oxidative stress biomarkers of ischemic penumbra in acute stroke. Neurology 2019;13:e1288-98.
  11. Bedard K, Krause KH. The NOX family of ROS-generating NADPH oxidases: physiology and pathophysiology. Physiol Rev 2007;1:245-313. https://doi.org/10.1152/physrev.00044.2005
  12. Qin YY, Li M, Feng X, Wang J, Cao L, Shen XK, Chen J, Sun M, Sheng R, Han F, et al. Combined NADPH and the NOX inhibitor apocynin provides greater anti-inflammatory and neuroprotective effects in a mouse model of stroke. Free Radical Biol Med 2017;104:333-45. https://doi.org/10.1016/j.freeradbiomed.2017.01.034
  13. Khayrullina G, Bermudez S, Byrnes KR. Inhibition of NOX2 reduces locomotor impairment, inflammation, and oxidative stress after spinal cord injury. J Neuroinflammation 2015;12:172. https://doi.org/10.1186/s12974-015-0391-8
  14. Lipton P. Ischemic cell death in brain neurons. Physiol Rev 1999;4:1431-568. https://doi.org/10.1152/physrev.1999.79.4.1431
  15. Lipton1 S a, P AR. Excitatory amino acids as a final common pathway for neurologic disorders. N Engl J Med 1994;9:613-22.
  16. Martin HG, Wang YT. Blocking the deadly effects of the NMDA receptor in stroke. Cell 2010;2:174-6. https://doi.org/10.1016/j.cell.2010.01.014
  17. Xu Z, Xu B, Xia T, He W, Gao P, Guo L, Wang Z, Niu Q, Wang A. Relationship between intracellular Ca(2)(+) and ROS during fluoride-induced injury in SHSY5Y cells. Environ Toxicol 2013;6:307-12.
  18. Wong CH, Crack PJ. Modulation of neuro-inflammation and vascular response by oxidative stress following cerebral ischemia-reperfusion injury. Curr Med Chem 2008;1:1-14.
  19. Kapoor M, Sharma N, Sandhir R, Nehru B. Effect of the NADPH oxidase inhibitor apocynin on ischemia-reperfusion hippocampus injury in rat brain. Biomed Pharmacother 2018;97:458-72. https://doi.org/10.1016/j.biopha.2017.10.123
  20. Poli G, Fabi C, Bellet MM, Costantini C, Nunziangeli L, Romani L, Brancorsini S. Epigenetic mechanisms of inflammasome regulation. Int J Mol Sci 2020;16:5758.
  21. De Rivero Vaccari JP, Lotocki G, Alonso OF, Bramlett HM, Dietrich WD, Keane RW. Therapeutic neutralization of the NLRP1 inflammasome reduces the innate immune response and improves histopathology after traumatic brain injury. J Cerebr Blood Flow Metabol 2009;7:1251-61.
  22. Pereira CA, Carlos D, Ferreira NS, Silva JF, Zanotto CZ, Zamboni DS, Garcia VD, Ventura DF, Silva JS, Tostes RC. Mitochondrial DNA promotes NLRP3 inflammasome activation and contributes to endothelial dysfunction and inflammation in type 1 diabetes. Front Physiol 2019;10:1557. https://doi.org/10.3389/fphys.2019.01557
  23. Kim JH, Yi YS, Kim MY, Cho JY. Role of ginsenosides, the main active components of Panax ginseng, in inflammatory responses and diseases. Journal of ginseng research 2017;4:435-43.
  24. Xu TZ, Shen XY, Sun LL, Chen YL, Zhang BQ, Huang DK, Li WZ. Ginsenoside Rg1 protects against H2O2induced neuronal damage due to inhibition of the NLRP1 inflammasome signalling pathway in hippocampal neurons in vitro. Int J Mol Med 2019;2:717-26.
  25. Chen Y, Ding S, Zhang H, Sun Z, Shen X, Sun L, Yin Y, Qun S, Li W. Protective effects of ginsenoside Rg1 on neuronal senescence due to inhibition of NOX2 and NLRP1 inflammasome activation in SAMP8 mice. Journal of Functional Foods 2020;65:103713. https://doi.org/10.1016/j.jff.2019.103713
  26. Dai Y, Zhang H, Zhang J, Yan M. Isoquercetin attenuates oxidative stress and neuronal apoptosis after ischemia/reperfusion injury via Nrf 2-mediated inhibition of the NOX4/ROS/NF-kappaB pathway. Chem Biol Interact 2018;284:32-40. https://doi.org/10.1016/j.cbi.2018.02.017
  27. Franke M, Bieber M, Kraft P, Weber ANR, Stoll G, Schuhmann MK. The NLRP3 inflammasome drives inflammation in ischemia/reperfusion injury after transient middle cerebral artery occlusion in mice. Brain Behav Immun 2021;92:223-33.
  28. Shao J, Jia L. Potential serious interactions between nutraceutical ginseng and warfarin in patients with ischemic stroke. Trends Pharmacol Sci 2013;2:85-6. https://doi.org/10.1016/j.tips.2012.11.008
  29. Xie W, Zhou P, Sun Y, Meng X, Dai Z, Sun G, Sun X. Protective effects and target network analysis of ginsenoside Rg1 in cerebral ischemia and reperfusion injury: a comprehensive overview of experimental studies. Cells 2018;12:270.
  30. Xu M, Wu R, Liang Y, Fu K, Zhou Y, Li X, Wu L, Wang Z. Protective effect and mechanism of Qishiwei Zhenzhu pills on cerebral ischemia-reperfusion injury via blood-brain barrier and metabonomics. Biomed Pharmacother 2020;131:110723. https://doi.org/10.1016/j.biopha.2020.110723
  31. Zhang Y, Liu S, Wan J, Yang Q, Xiang Y, Ni L, Long Y, Cui M, Ci Z, Tang D, et al. Preparation, characterization and in vivo study of borneol-baicalin-liposomes for treatment of cerebral ischemia-reperfusion injury. Int J Nanomed 2020;15:5977-89. https://doi.org/10.2147/IJN.S259938
  32. Sun L, Chen Y, Shen X, Xu T, Yin Y, Zhang H, Ding S, Zhao Y, Zhang Y, Guan Y, et al. Inhibition of NOX2-NLRP1 signaling pathway protects against chronic glucocorticoids exposure-induced hippocampal neuronal damage. Int Immunopharm 2019;74:105721. https://doi.org/10.1016/j.intimp.2019.105721
  33. Zhang X, Wei M, Fan J, Yan W, Zha X, Song H, Wan R, Yin Y, Wang W. Ischemia-induced upregulation of autophagy preludes dysfunctional lysosomal storage and associated synaptic impairments in neurons. Autophagy 2021;6:1519-42.
  34. Chen J, Pan HL. Dissecting molecular architecture of post-synaptic density at excitatory synapses: an Editorial Highlight for 'Hierarchical organization and genetically separable subfamilies of PSD95 postsynaptic supercomplexes' on page 504. J Neurochem 2017;4:500-3. https://doi.org/10.1111/jnc.14084
  35. Staurenghi E, Cerrato V, Gamba P, Testa G, Giannelli S, Leoni V, Caccia C, Buffo A, Noble W, Perez-Nievas BG, et al. Oxysterols present in Alzheimer's disease brain induce synaptotoxicity by activating astrocytes: a major role for lipocalin-2. Redox biology 2021;39:101837. https://doi.org/10.1016/j.redox.2020.101837
  36. Sepulveda-Falla D, Chavez-Gutierrez L, Portelius E, Velez JI, Dujardin S, Barrera-Ocampo A, Dinkel F, Hagel C, Puig B, Mastronardi C, et al. A multifactorial model of pathology for age of onset heterogeneity in familial Alzheimer's disease. Acta Neuropathol 2021;2:217-33.
  37. Wu R, Li X, Xu P, Huang L, Cheng J, Huang X, Jiang J, Wu LJ, Tang Y. TREM2 protects against cerebral ischemia/reperfusion injury. Mol Brain 2017;1:20. https://doi.org/10.1186/1756-6606-1-20
  38. Amantea D, Bagetta G. Excitatory and inhibitory amino acid neurotransmitters in stroke: from neurotoxicity to ischemic tolerance. Curr Opin Pharmacol 2017;35:111-9. https://doi.org/10.1016/j.coph.2017.07.014
  39. Li Y, Meng F. Effects of icariside II on brain tissue oxidative stress and Nrf 2/HO-1 expression in rats with cerebral ischemia-reperfusion injury 1. Acta Cir Bras 2019;2:e201900208. https://doi.org/10.1590/s0102-8650201900208
  40. Zhang T, Wu C, Yang X, Liu Y, Yang H, Yuan L, Liu Y, Sun S, Yang J. Pseudo-ginsenoside-F11 protects against transient cerebral ischemia injury in rats involving repressing calcium overload. Neuroscience 2019;411:86-104. https://doi.org/10.1016/j.neuroscience.2019.05.030
  41. Ma MW, Wang J, Zhang Q, Wang R, Dhandapani KM, Vadlamudi RK, Brann DW. NADPH oxidase in brain injury and neurodegenerative disorders. Mol Neurodegener 2017;1:7.
  42. Zuo ML, Wang AP, Song GL, Yang ZB. miR-652 protects rats from cerebral ischemia/reperfusion oxidative stress injury by directly targeting NOX2. Biomed Pharmacother 2020;124:109860. https://doi.org/10.1016/j.biopha.2020.109860
  43. Garcia F, Lobos P, Ponce A, Cataldo K, Meza D, Farias P, Estay C, Oyarzun-Ampuero F, Herrera-Molina R, Paula-Lima A, et al. Astaxanthin counteracts excitotoxicity and reduces the ensuing increases in calcium levels and mitochondrial reactive oxygen species generation. Mar Drugs 2020;6:335.
  44. Maher P, Van Leyen K, Dey PN, Honrath B, Dolga A, Methner A. The role of Ca(2+) in cell death caused by oxidative glutamate toxicity and ferroptosis. Cell Calcium 2018;70:47-55. https://doi.org/10.1016/j.ceca.2017.05.007
  45. Joseph LC, Kokkinaki D, Valenti MC, Kim GJ, Barca E, Tomar D, Hoffman NE, Subramanyam P, Colecraft HM, Hirano M, et al. Inhibition of NADPH oxidase 2 (NOX2) prevents sepsis-induced cardiomyopathy by improving calcium handling and mitochondrial function. JCI insight 2017;17:e94248.
  46. Domijan AM, Kovac S, Abramov AY. Lipid peroxidation is essential for phospholipase C activity and the inositol-trisphosphate-related Ca(2)(+) signal. J Cell Sci 2014;Pt 1:21-6.
  47. Kadamur G, Ross EM. Mammalian phospholipase C. Annu Rev Physiol 2013;75:127-54. https://doi.org/10.1146/annurev-physiol-030212-183750
  48. Shioda N, Han F, Moriguchi S, Fukunaga K. Constitutively active calcineurin mediates delayed neuronal death through Fas-ligand expression via activation of NFAT and FKHR transcriptional activities in mouse brain ischemia. J Neurochem 2007;5:1506-17.
  49. Coit P, De Lott LB, Nan B, Elner VM, Sawalha AH. DNA methylation analysis of the temporal artery microenvironment in giant cell arteritis. Ann Rheum Dis 2016;6:1196-202.
  50. Abdul HM, Sama MA, Furman JL, Mathis DM, Beckett TL, Weidner AM, Patel ES, Baig I, Murphy MP, Levine 3rd H, et al. Cognitive decline in Alzheimer's disease is associated with selective changes in calcineurin/NFAT signaling. J Neurosci : the official journal of the Society for Neuroscience 2009;41:12957-69.
  51. Fann DY, Lee SY, Manzanero S, Chunduri P, Sobey CG, Arumugam TV. Pathogenesis of acute stroke and the role of inflammasomes. Ageing Res Rev 2013;4:941-66.
  52. Ning N, Dang X, Bai C, Zhang C, Wang K. Panax notoginsenoside produces neuroprotective effects in rat model of acute spinal cord ischemia-reperfusion injury. J Ethnopharmacol 2012;2:504-12.
  53. Zhu P, Li JX, Fujino M, Zhuang J, Li XK. Development and treatments of inflammatory cells and cytokines in spinal cord ischemia-reperfusion injury. Mediat Inflamm 2013;2013:701970. https://doi.org/10.1155/2013/701970
  54. Fann DY, Lee SY, Manzanero S, Tang SC, Gelderblom M, Chunduri P, Bernreuther C, Glatzel M, Cheng YL, Thundyil J, et al. Intravenous immunoglobulin suppresses NLRP1 and NLRP3 inflammasome-mediated neuronal death in ischemic stroke. Cell Death Dis 2013;9:e790.
  55. Li X, Shi MQ, Chen C, Du JR. Phthalide derivative CD21 ameliorates ischemic brain injury in a mouse model of global cerebral ischemia: involvement of inhibition of NLRP3. Int Immunopharm 2020;86:106714. https://doi.org/10.1016/j.intimp.2020.106714
  56. Zhang MJ, Gao W, Liu S, Siu SP, Yin M, Ng JC, Chow VL, Chan JY, Wong TS. CD38 triggers inflammasome-mediated pyroptotic cell death in head and neck squamous cell carcinoma. American journal of cancer research 2020;9:2895-908.
  57. Chen H, Song YS, Chan PH. Inhibition of NADPH oxidase is neuroprotective after ischemia-reperfusion. J Cerebr Blood Flow Metabol : official journal of the International Society of Cerebral Blood Flow and Metabolism 2009;7:1262-72. https://doi.org/10.1038/jcbfm.2009.47
  58. Hu G, Lyeth BG, Zhao X, Mitchell JB, Watson JC. Neuroprotection by the stable nitroxide 3-carbamoyl-proxyl during reperfusion in a rat model of transient focal ischemia. J Neurosurg 2003;2:393-6.