Abstract
The aim of this study was to investigate the neuroprotective effects of gastrodin (GAS), one of the major bioactive components of Gastrodia elata Blume (Tian Ma), against amyloid β (Aβ) (1–42)-induced neurotoxicity in primary neural progenitor cells (NPCs). We found that pretreatment with GAS not only prevents a loss in cell viability following treatment with Aβ (1–42) but also counteracts Aβ (1–42)-triggered release of pro-inflammatory cytokines and nitric oxide (NO) in a dose-dependent manner. Additionally, GAS was able to attenuate Aβ (1–42)-induced apoptosis in NPCs, evidenced by the decreased percentage of apoptotic cells and altered expression of apoptosis-related proteins in response to GAS pretreatment prior to Aβ (1–42) exposure. Furthermore, in Aβ (1–42)-injected C57BL/6 mice, we found that systemic administration of GAS could improve hippocampal neurogenesis, manifested by the increased number of SOX-2 and doublecortin (DCX)-positive cells in the DG area. Mechanistic studies revealed that in NPCs, GAS could reverse the Aβ (1–42)-induced increase in phosphorylation of MEK-1/2, extracellular signal-regulated kinases (ERK), and c-Jun N-terminal kinase (JNK). When combining GAS with the MEK inhibitor U0126 or the JNK inhibitor SP600125, we observed a synergistic effect against Aβ (1–42)-induced reduction in cell viability of NPCs. Taken together, these results show the efficacy and underlying mechanism of GAS against amyloid β (1–42)-induced neurotoxicity and provide substantial insight into the potential merits of GAS for its clinical application in the treatment of Alzheimer’s disease.
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Introduction
Currently, Alzheimer’s disease (AD) is the most common form of dementia among the elderly, affecting an estimated population of over 40 million worldwide (Burns and Iliffe 2009). At the histological level, AD is characterized by senile plaques and neurofibrillary tangles, which refer to extracellular aggregates composed by amyloid peptide (Aβ), and intracellular aggregates composed by hyper-phosphorylated forms of tau protein, respectively (Thal et al. 2015). In recent years, it has been well documented that the accumulation of Aβ into senile plaques elicits a pathogenic cascade in the brain, including altered neuronal activity, synaptic deficits, oxidative stress, and inflammatory responses (Dawkins and Small 2014). Of these pathogenic processes, chronic inflammatory responses are considered a key feature of AD, which has been evidenced by the fact that in AD patients, the brain usually has the signs of inflammation and shows increased expression of several pro-inflammatory cytokines that are hardly observed in normal brains (Minter et al. 2016). Under the inflammatory environment, neuronal apoptosis occurs, consequently inducing the progressive loss of neurons and ultimately causing cognitive and motor impairments (Fuster-Matanzo et al. 2013).
In recent years, formation of new neurons, i.e., neurogenesis, has been demonstrated in the normal adult human brain (Eriksson et al. 1998). Adult neurogenesis occurs principally in two brain regions: the subventricular zone (SVZ) and the subgranular zone (SGZ) of the hippocampus, where neural progenitor cells (NPCs) are concentrated and involved in this process (Zhao et al. 2008). In the adult SGZ, NPCs generate intermediate progenitors, which subsequently migrate a short distance into the granule cell layer of the dentate gyrus (DG) of the hippocampus and differentiate into new neurons (Martino et al. 2014). In AD brains, however, Aβ-induced neurotoxicity (e.g., inflammatory responses, apoptosis, and oxidative stress) has been found to have remarkable influence on proliferation, survival, and differentiation and fate determination of NPCs, thus greatly impairing adult neurogenesis (Winner and Winkler 2015). Hence, counteracting Aβ-induced neurotoxicity and restoring neurogenesis from NPCs could be a beneficial strategy not only for endogenous neural repair but for improving the deficits directly provoked by AD.
To date, researchers have been concentrated on the development of anti-inflammatory medications as a treatment option for patients with AD (Wang et al. 2015a). Chemically synthesized drugs such as the nonsteroidal anti-inflammatory drugs (NSAIDs) and glucocorticoid steroids have been well studied. Nevertheless, in spite of strong anti-inflammatory activities, none of these drugs can facilitate neurogenesis in vitro or in vivo (Apetz et al. 2014). Therefore, more and more researchers have focused their attention on natural products, which can be potential sources of new chemical entities (NCEs) with both anti-inflammatory and neurogenesis-promoting effects.
Gastrodin (GAS) is one of the major bioactive components of Gastrodia elata Blume (Tian Ma) (Fig. 1), a Chinese traditional herbal medicine that is widely used for the treatment of headache, convulsions, hypertension, and cardiovascular diseases (Jang et al. 2015). Recent studies have demonstrated the anti-inflammatory of GAS both in vitro and in vivo (Qu et al. 2015; Yang et al. 2013). Regarding the neuroprotective activities of GAS, Hu et al. (2014) reported that GAS is able to alleviate memory deficits and significantly attenuate Aβ deposition and glial activation in a mouse model of AD. Another in vivo study demonstrated that GAS suppresses the Aβ-induced increase of spontaneous discharge in the entorhinal cortex of rats (Chen et al. 2014). More importantly, Sun et al. (2012) found that GAS induces neural stem cell differentiation into neurons, while in rats, systemic administration of GAS upregulates proliferation of hippocampal-derived neural stem cells (Wang et al. 2014). Despite of these encouraging findings, few studies have reported the protective effects of GAS against Aβ-induced neurotoxicity in NPCs. Whether GAS can improve Aβ-mediated impairment of hippocampal neurogenesis is also poorly understood. In this study, therefore, we used mouse primary NPCs and Aβ-injected mice to explore the neuroprotective and neurogenesis-promoting activities of GAS. The underlying molecular mechanism was also investigated.
Materials and Methods
Reagents and Animals
GAS (purity >99 %) was purchased from Chongqing Kangheyuecheng Pharmaceutical Technology Co., Ltd. (Chongqing, China). Synthetic Aβ (1–42), SP600125, and U0126 were purchased from Sigma-Aldrich China (Shanghai, China). Cell counting kit-8 (CCK-8) was provided by Dojindo Laboratories (Kumamoto, Japan). The ApoDETECT Annexin V-fluorescein isothiocyanate (FITC) apoptosis detection kit, the nitric oxide (NO) assay kit, and the enzyme-linked immunosorbent assay (ELISA) kits for human tumor necrosis factor alpha (TNF-α), interleukin (IL)-1β, and IL-6 were obtained from ThermoFisher Scientific Inc. (Waltham, MA, USA). C57BL/6 mice were from Beijing Laboratory Animal Research Centre (Beijing, China).
Preparation of Oligomeric Aβ (1–42)
Oligomeric Aβ (1–42) was prepared and characterized according to the procedure described previously (Sanphui and Biswas 2013). First, lyophilized Aβ (1–42) was dissolved in 1,1,1,3,3,3 hexafluoro-2-propanol (HFIP, Sigma-Aldrich) to a final concentration of 1 mM. Then, the resulting solution was aliquoted into Eppendorf tubes, and HFIP was evaporated under vacuum. The remaining dried Aβ (1–42) was resuspended in dimethylsulfoxide (DMSO) to generate a stock solution of 5 mM. Afterward, the obtained stock solution was diluted with phosphate-buffered saline (PBS) to a final working concentration of 100 μM. Prior to use, the working solution was incubated at 37 °C for 5 days. The final concentration of Aβ (1–42) and incubation periods in all in vitro experiments were determined based on previous literature (He et al. 2013; Hou et al. 2014; Karkkainen et al. 2014) and a pilot study (Supplementary Figs. 1 and 2).
Culture of Primary NPCs
Primary NPCs were prepared from the hippocampus of 8-week-old C57BL/6 mice and were cultured according to the protocol described in previous literature (Smith et al. 2015). In brief, after removing superficial blood vessels, hippocampus tissues were minced and then digested in Dulbecco’s modified Eagle’s medium (DMEM) (ThermoFisher Scientific Inc.) supplemented with 250 U/ml DNase I (Worthington Biochemicals, Lakewood, NJ, USA), 2.5 U/ml Papain (Worthington Biochemicals), and 1 U/ml Dispase II (Sigma-Aldrich China) (37 °C, 30 min). After being into single cells, NPCs were purified using a Percoll gradient of 65 % (vol/vol). Then, the purified NPCs were plated on uncoated tissue culture dishes at a density of 105 cells/cm2 and cultured in NeuroBasal A medium (ThermoFisher Scientific Inc.) containing serum-free B27 Supplement Minus Vitamin A (ThermoFisher Scientific Inc.), 2 mM L-glutamine, penicillin-streptomycin (100 U/ml and 100 mg/ml, respectively), 20 ng/ml basic fibroblast growth factor (bFGF), and 20 ng/ml epidermal growth factors (EGF). After being cultured for 48 h, NPCs were dissociated using cell dissociation kit (Sigma-Aldrich, China). Then, the dissociated cells were resuspended in proliferation medium and seeded into 96-well plates at a density of 103 cells per well for subsequent experiments.
Cell Viability Assay
CCK-8 was used to determine cell viability under different treatment conditions. In brief, NPCs were seeded into 96-well plates at a density of 103 cells per well. Before being exposed to 10 μM Aβ (1–42) for 48 or 96 h, cells were pretreated with varying concentrations of GAS (0, 5, 20, and 50 μg/ml) for 6 h. The concentrations of GAS were chosen according to previous studies (Wang et al. 2014). After exposure to Aβ (1–42) for indicated time periods, CCK-8 reagent was added to each well and incubated at 37 °C for 1 h. Absorbance was measured at 450 nm in a spectrophotometer (Model 680, Bio-Rad, Hercules, CA, USA). Each experiment was performed in sextuplicate and repeated three times.
Analysis of Neurosphere Size and Number
Analysis of neurosphere size and number was used to further validate the neuroprotective effects of GAS. Briefly, NPCs were treated with 10 μM Aβ (1–42) for 96 h, following preincubation with varying concentrations of GAS for 6 h. Then, cells were observed and photographed using a microscope (Olympus 7903, Olympus Inc., Tokyo, Japan). For each experimental group, neurosphere size analysis was performed in 100 randomly selected neurospheres from 10 random fields of view (200×), whereas neurosphere number analysis was performed by calculating the mean neurosphere number of 10 randomly selected 100× fields of view. All analyses were carried out using ImageJ software (version 1.46, http://imagej.nih.gov/ij/).
Measurement of Cytokine and NO Concentrations
Production of TNF-α, IL-1β, and IL-6, as well as NO in primary NPCs was measured using the ELISA or colorimetric kits (ThermoFisher Scientific Inc.). Briefly, after collecting the supernatants of NPCs exposed to different treatment conditions, the concentrations of the three cytokines and NO were detected by the respective kits according to the manufacturer’s instructions. All experiments were conducted three times independently.
Quantitative Real-Time Polymerase Chain Reaction
After exposure to various treatments, total RNA was extracted from NPCs using the TRIzol® Plus RNA Purification Kit (ThermoFisher Scientific Inc.) following the manufacturer’s instruction. The cDNAs were synthesized using the QuantiTect Reverse Transcription Kit (Qiagen, Hilden, Germany). The primers were synthesized according to previous literature (Wu et al. 2003). Quantitative real-time PCR (qRT-PCR) was carried out using an iQ5™ RT-PCR System with iQ™ SYBR® Green Supermix kit (Bio-Rad). Messenger RNA (mRNA) levels were calculated using the delta-delta cycle threshold (ΔΔCt) method (Schmittgen and Livak, 2008). Glyceraldehyde-3-phosphate dehydrogenase (GAPDH) served as an internal control. All experiments were conducted three times independently.
Western Blot
Primary NPCs exposed to various treatments were harvested by centrifugation. Afterward, cells were lysed using RIPA buffer. The obtained homogenates were centrifuged at 10,000g for 10 min to remove debris. The supernatant was then subject to protein concentration assay and Western blot analysis according to routine procedures. Immunoblots were carried out using the following antibodies: inducible nitric oxide synthase (iNOS) (NB300–605) (1:500, Novus Biologicals, Littleton, CO, USA); cyclooxygenase-2 (COX-2) (ab52237) and cleaved caspase 3 (p17 fragment, ab2302) (1:1000, Abcam, Cambridge, UK); Bcl-2 (#2876), Bcl-XL (#2762), Bax (#2772), MEK-1/2 (#9122), and phosphorylated MEK-1/2 at serine 217/221 (p-MEK-1/2, #9121) (1:500, Cell Signaling, Danvers, MA, USA); ERK (sc-94), JNK (sc-7345), p38 (sc-535), phosphorylated ERK at threonine 202/tyrosine 204 (p-ERK, sc-16982), phosphorylated JNK at threonine 183/tyrosine 185 (p-JNK, sc-12882), and phosphorylated p38 at tyrosine 182 (p-p38, sc-7973) (1:500, Santa Cruz Biotechnology, Dallas, TX, USA). The antibody against β-actin (A2228, Sigma-Aldrich China) served as loading control. All immunoblots were developed using an enhanced chemiluminescence (ECL) Western blotting detection kit (ThermoFisher Scientific Inc.) and then quantified using ImageJ software. All experiments were conducted three times independently.
Annexin V Assay
Quantification of apoptotic NPCs was performed using an Annexin V-FITC apoptosis detection kit (ThermoFisher Scientific Inc.) according to the manufacturer’s instruction. Briefly, 1.0 × 105 NPCs under various treatment conditions were harvested. After being washed with cold PBS, cells were resuspended in 500 μl of Annexin V binding buffer. Then, 5 μl of Annexin V-FITC and 5 μl of propidium iodide (PI) were added. After incubation in the dark for 15 min at room temperature, the percentage of Annexin V-positive NPCs was quantified using a flow cytometer (FACScan Flow Cytometry System; BD Bioscience, San Jose, CA, USA). All experiments were conducted three times independently.
Aβ (1–42)-Injected Mice Model and GAS Treatment
Twenty-four 8-week-old male C57BL/6 mice were divided into four groups: sham-operated group (sham, n = 6), sham-treated with 60 mg/kg GAS group (60 mg/kg GAS, n = 6), Aβ (1–42)-injected group (Aβ (1–42), n = 6), and GAS treatment group (Aβ (1–42) + 60 mg/kg GAS, n = 6). Before the study, all mice were housed under a 12-h light-dark cycle and had free access to food and water. All animal handling procedures were conducted in accordance with institutional guidelines. The protocol of animal study was approved by the Animal Ethics Committee of Cangzhou Central Hospital.
The administration of Aβ (1–42) oligomers was performed according to a previously described protocol with minor modifications (Zhao et al. 2013). Briefly, C57BL/6 mice were positioned in a stereotaxic frame and anesthetized with 2 % isoflurane in 100 % oxygen via a nose cone. Four microliters of Aβ (1–42) oligomer saline solution (1 μg/μl) were injected into the bilateral hippocampi by infusion cannulae. For animals in the GAS treatment group, 60 mg/kg GAS (dissolved in sterile saline) was administered intraperitoneally (i.p.) once daily for 15 consecutive days, in addition to infusion of Aβ (1–42) oligomers. The dosage and frequency of GAS administration were based on previous literature (Wang et al. 2014; Zhao et al. 2012). The two sham groups were treated either with vehicle (saline) or with vehicle plus GAS (i.p. 60 mg/kg, once daily for 15 days).
Immunohistochemistry
Tissue processing and immunohistochemistry (IHC) were carried out following routine protocols. In brief, mice were anesthetized with isoflurane and transcardially perfused with 0.9 % saline. Brains were removed, fixed in phosphate-buffered 4 % paraformaldehyde (pH 7.4), and then sectioned coronally at 40 μm using a cryomicrotome (Leica, Wetzlar, Germany). The obtained sections were treated with 10 mM sodium citrate for 30 min at 90 °C. After being washed with Tris-buffered saline with Tween (TBST), the sections were blocked in 10 % goat serum for 1 h and then incubated with anti-SOX2 (1: 1000, ab97959, Abcam) or anti-doublecortin (DCX) (1: 500, sc-8066, Santa Cruz Biotechnology) overnight at 4 °C. Immunopositive cells were quantified using ImageJ software. The total number of immunopositive cells per DG was estimated according to the method reported by Smith et al. (2015).
Statistical Analysis
All statistical analyses were carried out in GraphPad Prism 6.01 software (GraphPad Software, La Jolla, CA, USA). The D’Agostino-Pearson omnibus normality test was used to test the normality of data. Data with normal distribution are presented as mean ± standard deviation (SD) or mean ± standard error of the mean (SEM), while data with skewed distribution are presented as median and range (minimum and maximum). One-way analysis of variance (ANOVA) with Tukey post hoc test (for multiple comparisons) was used to compare means among groups, whereas the Kruskal-Wallis test with Dunn’s post hoc test was used to compare medians among groups. A P value less than 0.05 was considered statistically significant.
Results
GAS Protects NPCs Against Aβ (1–42)-Induced Neurotoxicity
First, we examined the effects of GAS on NPC viability. As shown in Fig. 2a, treatment with up to 50 μg/ml of GAS for 48 or 96 h did not influence cell viability of NPCs. Then, we investigated the protective effects of GAS against Aβ (1–42)-induced neurotoxicity in NPCs. As indicated in Fig. 2b, NPCs exposed to 10 μM oligomeric Aβ (1–42) for 48 and 96 h showed a significant decrease in cell viability as compared to vehicle-treated controls. When NPCs were incubated with varying doses of GAS for 6 h prior to Aβ (1–42) treatment, the Aβ (1–42)-induced loss of cell viability was markedly attenuated in a dose-dependent manner, and 50 μg/ml GAS displayed the most potent effect among the doses investigated.
Next, we validated the protective effects of GAS based on morphological features of NPCs. The morphological appearances of NPCs after the indicated treatments for 96 h, as well as the quantification of neurosphere size, are presented in Fig. 2c, 2d. Cells exposed to 10 μM Aβ (1–42) generated significantly smaller neurospheres compared with those treated with vehicle, indicating that the cell proliferation was suppressed by Aβ (1–42). Nevertheless, this suppressive effect could be counteracted by preincubation with GAS dose-independently. In addition, as shown in Fig. 2e, Aβ (1–42)-treated NPCs formed remarkably fewer neurospheres than the vehicle-treated cells did. When NPCs were pretreated with varying concentrations of GAS, the impact of Aβ (1–42) on neurosphere formation was attenuated with an increase of GAS concentration. Collectively, these results demonstrate the protective activities of GAS against Aβ (1–42)-induced neurotoxicity in NPCs.
GAS Counteracts the Release of Pro-Inflammatory Cytokines and Nitric Oxide Induced by Aβ (1–42)
It has been well documented that Aβ is able to trigger inflammatory responses, which can promote its neurotoxicity (Fuster-Matanzo et al., 2013). Therefore, we investigated whether GAS has anti-inflammatory effects on Aβ (1–42)-treated NPCs. As depicted in Fig. 3a, the production of TNF-α, IL-1β, and IL-6 was significantly increased, by 3.9-, 3.4-, and 4.2-fold, in Aβ (1–42)-treated NPCs as compared to those treated with vehicle. When cells were preincubated with GAS, the production of the three cytokines was dramatically suppressed in a dose-dependent manner. In addition, we examined the production of NO, a potent inflammatory mediator, in NPCs upon different treatment. As shown in Fig. 3b, 10 μM Aβ (1–42) induced a considerably higher NO production (2.3-fold) in NPCs than vehicle did. However, this effect could be attenuated by varying doses of GAS, of which 50 μg/ml achieved the most significant reduction in NO production. Taken together, these results revealed that GAS has anti-inflammatory effects against Aβ (1–42)-triggered inflammatory responses in NPCs.
Next, we utilized qRT-PCR to measure the mRNA levels of the three pro-inflammatory cytokines and iNOS, a major enzyme for NO production, under different treatment conditions. In line with the findings presented in Fig. 3a, 3b, exposure to 10 μM Aβ (1–42) significantly increased the mRNA levels of the three cytokines and iNOS in NPCs. When the cells were pretreated with different doses of GAS, a dose-dependent decrease in the mRNA levels was observed for these molecules (Fig. 3c). Additionally, Western blot analysis confirmed that Aβ (1–42) treatment substantially increased the expression of iNOS and COX-2, a well-established marker of inflammation, in NPCs, but this increase could be inhibited by preincubation with GAS dose-dependently (Fig. 3d).
GAS Attenuates NPC Apoptosis Induced by Aβ (1–42)
In order to investigate whether GAS is able to protect NPCs from apoptosis induced by Aβ (1–42), we measured apoptotic events by Annexin V assay and used qRT-PCR and Western blot to analyze the levels of apoptotic markers. As shown in Fig. 4a, NPCs treated with 10 μM Aβ (1–42) for 96 h had 4.5-fold more apoptotic cells than vehicle-treated controls, while NPCs preincubated with GAS showed a dose-dependent decrease in the number of apoptotic cells. qRT-PCR analysis further showed that Aβ (1–42) significantly decreased Bcl-2 and Bcl-XL mRNA levels and increased Bax mRNA level. However, this effect could be counteracted by pretreatment with varying concentrations of GAS (Fig. 4b). Consistent with qRT-PCR data, Western blot analysis also revealed that exposure to Aβ (1–42) could considerably reduce the expression of anti-apoptotic Bcl-2 and Bcl-XL and promote the expression of Bax and cleaved caspase 3 in NPCs. However, these changes could be prevented following preincubation with varying doses of GAS (Fig. 4c, d).
GAS Improves Hippocampal Neurogenesis in Aβ (1–42)-Injected Mice
To further validate the neuroprotective potential in vivo, we administered GAS in Aβ (1–42)-injected C57BL/6 mice and examined its effects on hippocampal neurogenesis. As depicted in Fig. 5a–d, by using IHC analysis, we detected a significant decrease in the number of SOX-2 and DCX-positive cells in the dentate gyrus (DG) of Aβ (1–42)-injected mice, as compared to those treated either with vehicle or with 60 mg/kg GAS alone. However, when mice were administered Aβ (1–42) and GAS simultaneously, this Aβ (1–42)-induced cell number loss could be considerably prevented. Considering SOX-2 and DCX is the marker for neural progenitor cells and differentiated neurons, respectively, these results indicate that GAS is able to improve the impaired hippocampal neurogenesis caused by Aβ (1–42).
GAS Suppresses Aβ (1–42)-Induced Activation of the MAPK Pathway
It has been well documented that the MAPK pathway is highly associated with the neurotoxicity of Aβ (Origlia et al. 2009). Hence, to explore the molecular mechanism underlying the neuroprotective effects of GAS, we treated NPCs with 10 μM Aβ (1–42) in the absence or presence of 50 μg/ml GAS and examined the phosphorylation of several key kinases in the MAPK pathway. As shown in Fig. 6a–d, treatment with Aβ (1–42) led to approximately 2.0-fold increase (P < 0.001) in phosphorylation of MEK-1/2, ERK, p38, and JNK in NPCs, as compared to vehicle and GAS alone did. When cells were preincubated with 50 μg/ml GAS, the Aβ (1–42)-induced increase in MEK-1/2, ERK, and JNK phosphorylation was significantly (MEK-1/2 and ERK) or slightly (JNK) suppressed, but this was not the case for p38. Taken together, these data suggest that GAS potentially inhibits Aβ (1–42)-induced activation of MEK/ERK and JNK signaling cascades.
In order to further verify that the neuroprotective effects of GAS are mediated by the MAPK pathway, we treated NPCs with the MEK inhibitor U0126 (10 μM) or the JNK inhibitor SP600125 (20 μM) for 6 h prior to GAS and Aβ (1–42) treatments. As presented in Fig. 7a, both kinase inhibitors, particularly U0126, could synergistically act with GAS to prevent the Aβ (1–42)-induced decrease in cell viability. Additionally, NPCs pretreated with U0126 and GAS formed significantly larger and more neurospheres compared to those pretreated with GAS alone (Fig. 7b–d). Collectively, these findings suggest that the neuroprotective effects of GAS against Aβ (1–42) in NPCs are most likely mediated by the MAPK pathway.
Discussion
In this study, we report for the first time that GAS can protect mouse primary NPCs from Aβ (1–42)-induced neurotoxicity, which was evidenced by our findings that preincubation with GAS not only prevented a loss in cell viability following treatment with Aβ (1–42), but attenuated Aβ (1–42)-triggered inflammatory responses and cell apoptosis in a dose-dependent manner. Additionally, we found that systemic administration of GAS was able to improve hippocampal neurogenesis in Aβ (1–42)-injected C57BL/6 mice. Mechanistic studies revealed that in NPCs, GAS could counteract Aβ (1–42)-induced activation of MEK/ERK and JNK signaling cascades, thus suggesting that the neuroprotective effects of GAS against Aβ (1–42)-induced toxicity are most likely mediated by the MAPK pathway.
In recent years, accumulating evidence indicates that neurogenesis in the brain of adult mammals occurs throughout life (Zhao et al. 2008). This process is influenced and regulated by a variety of physiological activities, of which the proliferation, differentiation, and fate determination of NPCs are considered greatly essential (Gage 2000). Due to the stem cell properties, adult NPCs can self-renew and differentiate into various neural cells, including neurons, astrocytes, and oligodendrocytes, which are responsible for processing and transmitting information, as well as supporting neuronal function, respectively (Zhao et al., 2008). Nevertheless, in AD, adult neurogenesis is impaired, mainly by the impacts of Aβ on survival and differentiation of NPCs (Crews and Masliah 2010; Curtis et al. 2012; Khan and Berti 2009; Lazarov and Marr 2010). Several lines of evidence have demonstrated that these impacts may be related to Aβ-induced oxidative stress and inflammatory responses, which result in the release of pro-inflammatory cytokines and trigger cell apoptosis (Thal et al. 2015). For example, previous study reported that treatment with Aβ (1–42) could decrease neurosphere proliferation of NPCs and that this process was regulated by an oxidative stress-responsive transcription factor Nrf2 (Karkkainen et al. 2014). In addition, Aβ precursor protein has been found to be able to impair neuronal differentiation of NPCs and induce glial differentiation by activation of the inflammation-associated signaling pathway (Kwak et al. 2010; Shruster et al. 2011). Consistently, our data also showed the toxicity of Aβ (1–42) toward NPCs, which led to decreased cell viability, increased release of pro-inflammatory cytokines and NO, as well as cell apoptosis. Based on these findings, anti-inflammatory and anti-apoptotic interventions may be a natural way to overcome the neurotoxic effects of Aβ and minimize cell damage in NPCs.
In the current study, in vitro experiments revealed that GAS could counteract cell viability loss, inflammatory responses, and cell apoptosis in NPCs following Aβ (1–42) treatment. As the major bioactive component in Tian Ma, GAS has been documented to have potent anti-oxidative, anti-inflammatory, and anti-apoptotic properties both in vitro and in vivo. Peng et al. (2015) reported that in a mice ischemic stroke model, GAS alleviates cerebral ischemic damage through oxidative stress- and inflammation-mediated signaling cascades, whereas Li and Zhang (2015) revealed that GAS improves cognitive dysfunction and decreases oxidative stress in vascular dementia rats induced by chronic ischemia. In a recently published study, GAS was found to ameliorate depression-like behaviors in rats and upregulate proliferation of hippocampal-derived neural stem cells, in which its anti-inflammatory action was functionally involved (Wang et al. 2014). These published results are in line with the findings obtained in this study. More strikingly, in Aβ (1–42)-injected C57BL/6 mice, we observed that systemic administration of GAS was able to restore the impaired hippocampal neurogenesis caused by Aβ (1–42), which was evidenced by the increased number of SOX-2 and DCX-positive cells in the DG area. Taken together, our data demonstrate the neuroprotective effects of GAS against Aβ (1–42)-induced toxicity. Further mechanistic study indicated that blocking of the activated MAPK signaling cascade by Aβ (1–42) may be an underlying mechanism.
It has been well proven in literature that the activation of the MAPK cascade by Aβ is one of the dominant in vitro and in vivo mechanisms related to AD (Dineley et al. 2001). Soluble and aggregated Aβ can interact with α7 nicotinic acetylcholine receptors (nAChRs), consequently transmitting signals downstream to activate the primary effectors of the MAPK pathway, such as ERK, p38, and JNK, by phosphorylation. These activated molecules, combined with Aβ-induced oxidative stress, mediate pro-inflammatory cytokine expression and promote cell apoptosis, ultimately resulting in the function loss of neuronal cells (Dineley et al. 2001; Rapoport and Ferreira 2000). For GAS, however, several studies have demonstrated that its anti-oxidative, anti-inflammatory, and anti-apoptotic effects are exerted mainly via the inhibition of the MAPK signaling cascade. For instance, Dai et al. (2011) found that GAS dramatically decreases expression levels of neurotoxic pro-inflammatory mediators and cytokines through inhibiting the phosphorylation of MAPK signaling effectors in LPS-stimulated microglial cells, while Zhang et al. (2016) reported that GAS alleviates memory deficits in mice via the inhibition of PKR kinase, which is required for p38 MAPK activation. In another in vitro study, GAS attenuates glutamate-induced apoptosis in PC12 cells via blocking the p38 MAPK/p53 signaling cascade (Jiang et al. 2014). In line with these reports, Western blot analysis of the present study showed elevated phosphorylation of MEK, ERK, and JNK in Aβ (1–42)-treated NPCs, but this Aβ-induced effect could be reversed by preincubation with GAS. Additionally, the combination of GAS either with MEK inhibitor U0126 or with JNK inhibitor SP600125 was able to synergistically counteract Aβ (1–42)-induced decrease in cell viability and growth. Taken collectively, these data provide direct evidence on the important role of MAPK pathway inhibition as the key mechanism involved in the neuroprotective effects of GAS against Aβ.
An interesting finding in our study was that GAS alone neither directly stimulates survival and proliferation of cultured NPCs, nor directly increases the number of SOX-2 and DCX-positive cells in the DG area of the adult mouse brain. These results were consistent with the previous study by Wang et al. (2014). In addition, treatment with GAS alone could not counteract Aβ (1–42)-induced increase in the phosphorylation of MAPKs. Therefore, we speculate that GAS might be a molecule that can interfere with the interaction between Aβ (1–42) and nAChRs and/or other putative cellular receptors. Moreover, previous literature has shown that GAS can improve memory and cognitive impairment in 3,3′-iminodipropionitrile-treated mice (Wang et al. 2016; 2015b), which leads to a speculation that GAS may ameliorate Aβ-induced memory and cognitive impairment. However, further studies are required to obtain solid evidence supporting these speculations.
In summary, this study reveals that GAS is able to protect cultured primary NPCs against Aβ (1–42)-induced neurotoxicity and improve hippocampal neurogenesis in Aβ (1–42)-injected C57BL/6 mice. Mechanistic studies suggest that the MAPK signaling cascade is involved in mediating the neuroprotective effects of GAS (the hypothetical scheme is shown in Fig. 8). These findings provide substantial insight into the potential merits of GAS for its clinical application in the treatment of AD.
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All authors would like to thank Dr. Zhenhuan Zheng for his kind assistance in data analysis and preparation of the manuscript.
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Li, M., Qian, S. Gastrodin Protects Neural Progenitor Cells Against Amyloid β (1–42)-Induced Neurotoxicity and Improves Hippocampal Neurogenesis in Amyloid β (1–42)-Injected Mice. J Mol Neurosci 60, 21–32 (2016). https://doi.org/10.1007/s12031-016-0758-z
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DOI: https://doi.org/10.1007/s12031-016-0758-z