Abstract
Background
Sevoflurane (Sev) is a widely used general anesthetic that can cause neurotoxicity. Histone acetylation is a vital epigenetic mechanism responding to environmental stresses.
Objective
This study was conducted to analyze the role of histone deacetylase 3 (HDAC3) in Sev-induced neurotoxicity and provide a theoretical reference for the treatment of anesthetic neurotoxicity.
Results
HDAC3 was upregulated in Sev-treated HT-22 cells. Inhibition of HDAC3 upregulated cell viability and downregulated apoptosis, oxidative stress and secretion of inflammatory cytokines. HDAC3 reduced H3K27ac and H3K9ac levels on the TrkC promoter to inhibit TrkC expression. TrkC downregulation reversed the alleviative role of si-HDAC3 in Sev-induced neurotoxicity.
Conclusion
HDAC3 enhanced Sev-induced neurotoxicity by reducing H3K27ac and H3K9ac to repress TrkC.
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Introduction
Volatile anesthetics are extensively used for surgical operations and considered to be clinically safe for most of the time. Sevoflurane (Sev) is a volatile general anesthetic tailored for inhalational induction to induce anesthesia both in pediatric and adult populations (De Hert and Moerman 2015). It owns its popularity due to rapid anesthetic induction, lack of airway irritation, and good pharmacokinetic performance (Apai et al. 2021). However, accumulating evidence has verified that Sev is neurotoxic to damage the function and structure of the brain, especially in infants (Sun et al. 2022). Sev has deleterious effects on neuronal plasticity, hippocampal neural survival, and neurocognitive performance dependent on exposure time and dose, which is documented in rats (Xiao et al. 2016; Zhou et al. 2016). Moreover, it has also been found to trigger apoptosis, oxidative stress (OS), and inflammation in human neuroglioma cells (Liu et al. 2020). However, the exact molecular pathway by which Sev induces neurotoxicity remains elusive and warrants further exploration.
Histone acetylation, one common form of epigenetic modifications, is mediated by histone acetyltransferases (HATs) and histone deacetylases (HDACs). Acetylated histones are often less compact and more accessible to RNA polymerase and the transcriptional machinery, thus activating the transcription of target genes, while histone deacetylation results in transcriptional repression because of chromatin compaction (Chelladurai et al. 2021). Essentially, histone acetylation and deacetylation by HATs and HDACs significantly involve the regulation of neurodevelopment, brain function, and neurodegenerative diseases (Gupta et al. 2021). For instance, ablation of HDAC2 and HDAC3 is correlated with increased mRNA levels of brain-derived neurotrophic factor (BDNF) and improved memory (Sartor et al. 2019); HDAC3 and HDAC6 are identified as possible regulators of neurotoxicity in the case of ischemic stroke (Chen et al. 2012). Especially, Sev exerts neurotoxicity by downregulating hippocampal HDAC2 and HDAC3, consequently impairing spatial learning and memory of pregnant rats (Yu et al. 2020). However, growing evidence has revealed that HDAC3 exerts both beneficial and damaging functions in the brain (D’Mello 2020). Small interfering RNAs (siRNAs) are a group of double-stranded RNA molecules, 20–25 base pairs in length, which take action within the RNAi pathway to interfere with the transcribed mRNA of a specific targeted gene and prevent its translation. Therefore, we used siRNAs to intervene HDAC3 expression and further observe cell behaviors and physiological and biochemical changes after gene intervention.
On another note, tyrosine kinase (Trk) receptors, including TrkA, TrkB and TrkC, have a high affinity with multiple neurotrophins, such as nerve growth factor, BDNF, and neurotrophin-3/4, thus regulating the homeostasis of the nervous system (Reichardt 2006). TrkB and TrkC are shown to promote the growth of cholinergic neurons to protect against Alzheimer’s disease (Gonzalez et al. 2022). TrkA and TrkB are identified to play an alleviative role in bupivacaine-induced neuronal apoptosis and neurite loss (Guo et al. 2017). In particular, TrkC overexpression protects against neurotoxic damage by Sev in human induced pluripotent stem cell-derived neurons (Zhang et al. 2020a, b). Moreover, TrkC can be elevated by HDAC inhibitor (Dedoni et al. 2021), suggesting that HDAC3 could deacetylate TrkC. In light of the aforementioned associations, we speculated that HDAC3 mediates histone deacetylation of TrkC to regulate Sev-induced neurotoxicity. The primary objective of our study is to decipher the molecular route of HDAC3 in Sev-induced neurotoxicity and provide a new rationale for the management of anesthetic neurotoxicity.
Materials and methods
Cell culture
Mouse hippocampal neurons HT-22 were supplied by Cell Bank of Chinese Academy of Sciences (Shanghai, China) and cultured in a T25 flask containing Dulbecco’s modified Eagle medium/F12 (Thermo Fisher Scientific, Waltham, MA, USA) incorporated with 10% fetal bovine serum (Thermo Fisher Scientific) and 1% penicillin/streptomycin (Invitrogen, Carlsbad, CA, USA) under a condition of 5% CO2 and 37℃. The medium was replaced twice a week.
Cell treatment
Cells were seeded in the 6-well plates at a density of 2 × 104 cells/well. With regard to Sev treatment, HT-22 cells were placed in a gas-tight chamber and exposed to 1%, 2%, and 4% Sev for 6 h respectively, with the control cells cultured in the equivalent condition without Sev (Zhang et al. 2020a, b). Small interfering RNA (siRNA) negative control (si-NC) and siRNAs targeting HDAC3 and TrkC (si-HDAC3-1, si-HDAC3-2, si-TrkC-1, and si-TrkC-2) were purchased from Genepharma (Shanghai, China). Based on the manufacturer’s protocol, the above RNAs (80 pmol) were transfected into HT-22 cells using Lipofectamine 3000 (Invitrogen). After 48 h, transfection efficiency was tested, followed by Sev treatment. RGFP966 (inhibitor of HDAC3) was provided by MedChemExpress Co., Ltd. (Monmouth Junction, NJ, USA) and was added to the medium at a concentration of 10 μM (Louis Sam Titus et al. 2019) and was cultured with Sev exposure, with the equal volume of dimethylsulfoxide (DMSO) as the control. The sequence information of used siRNAs were as follow: si-NC, SS: CAAAGUGUUGACUAUGGGACA, AS: TGTCCCATAGTCAACACTTTGGGG; si-HDAC3-1, SS: CGGUGUUGGACAUAUGAAACA, AS: UUUCAUAUGUCCAACACCGGG; si-HDAC3-2, SS: GAUGAUGAUGUGUAUAAUAAA, AS: UAUUAUACACAUCAUCAUCUG; si-TrkC-1, SS: GGCUGAGUGCUACAAUCUAAG, AS: UAGAUUGUAGCACUCAGCCAG; si-TrkC-2, SS: GCUGAGUGCUACAAUCUAAGC, AS: UUAGAUUGUAGCACUCAGCCA.
Cell counting kit-8 (CCK-8) assay
Cell viability was tested by means of the CCK-8 assay (Beyotime, Jiangsu, China). HT-22 cells were seeded in the 96-well plates (5 × 103cells/well). After Sev exposure, 10 μL of CCK-8 reagent was incorporated and cultured at 37℃ for 2 h, upon which the optical density at a wavelength of 450 nm was measured using a microplate reader (Bio-Rad 680, Bio-Rad, Hercules, CA, USA).
Terminal-deoxynucleoitidyl transferase mediated Nick end labeling (TUNEL)
The apoptosis of HT-22 cells was assessed using the TUNEL apoptosis assay kit (Beyotime Institute of Biotechnology, Shanghai, China). Simply put, 3 × 104 HT-22 cells were seeded in the 6-well plates, treated with Sev, fixed with 4% paraformaldehyde for 30 min, and incubated with 100 μL TUNEL determination reagent in dark for 1 h. After treatment with anti-fluorescence quencher, a fluorescence microscope (BX43, Olympus, Tokyo, Japan) was used to observe stained cells.
Reactive oxygen species (ROS) assay
ROS contents in cells were quantified using a DCFH2-DA fluorescence probe (S0033S, Beyotime). In brief, 3.5 × 104 HT-22 cells were seeded in the 12-well plates, exposed to Sev, and loaded with 10 μM DCFH2-DA for 45 min. Following these steps, HT-22 cells were washed and detached by trypsin, and resuspended in the buffer. Afterwards, HT-22 cells were observed using a fluorescence microscope (BX43, Olympus, Tokyo, Japan), with ImageJ software (NIH, Bethesda, MD, USA) for quantification.
Lactate dehydrogenase (LDH), superoxide dismutase (SOD), and malondialdehyde (MDA) assays
HT-22 cells (5 × 105) undergoing different treatments were harvested and lysed using cell lysis buffer (Beyotime). The supernatant was obtained after centrifugation and the contents of LDH, SOD, and MDA in the supernatant were determined using the LDH cytotoxicity assay kit (BC0680, Solarbio, Beijing, China), SOD assay kit (A001-3–2, Nanjing Jiancheng Bioengineering Institute, Nanjing, China), and MDA assay kit (A003-1–2¸ Nanjing Jiancheng Bioengineering Institute) respectively according to the manufacturer’s instructions.
Enzyme-linked immunosorbent assay (ELISA)
According to the manufacturer’s instructions (R&D System, Inc., Minneapolis, MN, USA), cells (5 × 105) were lysed at 4℃. After centrifugation, the levels of tumor necrosis factor (TNF)-α (MTA00B), interleukin (IL)-1β (MLB00C), and IL-6 (M6000B) were determined in equal amounts of supernatant.
Quantitative real-time polymerase chain reaction (qRT-PCR)
Through treatment with the TRIzol reagent (Invitrogen), the total RNA was isolated from HT-22 cells, and 1 ng RNA was reverse-transcribed into the complementary DNA using SuperScript IV reverse transcriptase (Thermo Fisher Scientific). qRT-PCR was conducted using Taqman Universal PCR Master mix II (Thermo Fisher Scientific). The operation conditions were as follow: 5 min of pre-denaturation at 95 ℃, 15 s of denaturation at 95 ℃, and 30 s of annealing at 60 ℃. With glyceraldehyde-3-phosphate dehydrogenase (GAPDH) as the internal reference, the relative expression amount was quantified based on the 2−ΔΔCt method (Livak and Schmittgen 2001). Primers are shown in Table 1.
Western blot assay
HT-22 cells were lysed with radioimmunoprecipitation assay lysis buffer containing the mixture of proteinase inhibitor. After centrifugation, the protein concentration was tested using the bicinchoninic acid protein determination kit (P0011, Beyotime). The equal amount of protein (30 μg) was subjected to sodium dodecyl sulfate polyacrylamide gel electrophoresis and transference onto polyvinylidene fluoride membranes. After a blockade with non-fat milk, the membrane incubation was performed with antibodies against HDAC3 (1:2000, ab137704, Abcam), TrkC (1:1000, ab240651, Abcam), β-actin (1:5000, ab8227, Abcam) and with the secondary horse radish peroxidase-coupled immunoglobulin G (IgG) antibody (1:1000, ab6721, Abcam). Protein signals were visualized using the enhanced chemiluminescence solution (P0018, Beyotime).
Chromatin immunoprecipitation (ChIP)
According to the protocol of the ChIP assay kit (Merck, Burlington, MA, USA), HT-22 cells (5 × 105) with different treatments were treated with 37% formaldehyde to fix the crosslink of DNA and protein, and were lysed with the lysis buffer, and were ultrasonically processed to shear DNA. The overnight incubation of DNA fragments was conducted with antibodies against HDAC3 (1:1000, ab137704, Abcam), acetylated lysine 27 on histone H3 (H3K27ac, 1:1000, ab4729, Abcam), H3K9ac (1:500, ab32129, Abcam), IgG (1:1000, ab6728, Abcam), followed by purification of DNA. The quantification analysis of purified DNA was conducted by PCR. Primers of the promoter are shown in Table 1.
Statistical analysis
Data analysis was performed with help of SPSS 21.0 software (SPSS, Inc, Chicago, IL, USA). Data were normally distributed as tested by Kolmogorov–Smirnov and presented as mean ± standard deviation. The t test was adopted for pairwise comparisons and one-way/two-way analysis of variance (ANOVA) was employed for multi-group comparisons, with Tukey’s multiple comparison test used for pairwise comparisons after ANOVA. P values were obtained from the two-sided test, and P < 0.05 denoted statistical significance.
Result
HDAC3 is upregulated in Sev-induced HT-22 cells
Under exposure to 1%, 2%, and 4% Sev, the viability of HT-22 cells was gradually decreased (P < 0.05, Fig. 1A). HDAC3 expression levels in HT-22 cells were determined and were found to be increased with the increases in Sev concentration (P < 0.05, Fig. 1B, C). Then, 4% Sev was selected for the subsequent assays. The apoptosis rate of HT-22 cells was significantly increased under exposure to 4% Sev (P < 0.05, Fig. 1D), and cytotoxic marker LDH levels were notably elevated (P < 0.05, Fig. 1E).
Inhibition of HDAC3 alleviates Sev-induced neurotoxicity
To explore the role of HDAC3 in Sev-induced neurotoxicity, two strands of siRNAs targeting HDAC3 were synthesized and transfected into HT-22 cells. According to the transfection efficiency, si-HDAC3-1 was selected for the subsequent assays (P < 0.05, Fig. 2A, B). Then, transfected cells were exposed to 4% Sev. Compared with the si-NC group, the viability of HT-22 cells was elevated (P < 0.05, Fig. 2C), apoptosis rate was decreased (P < 0.05, Fig. 2D), and cytotoxic marker LDH levels were reduced (P < 0.05, Fig. 2E) after HDAC3 downregulation. The above results illustrated that inhibition of HDAC3 alleviated Sev-induced neurotoxicity.
Inhibition of HDAC3 alleviates Sev-induced OS and inflammation in neurons
Meanwhile, OS in HT-22 cells was determined. Based on our results, Sev exposure triggered OS in HT-22 cells by increasing ROS and MDA levels and decreasing SOD levels (P < 0.05, Fig. 3A, B), and promoted the secretion of inflammatory cytokines (TNF-α, IL-1β, and IL-6) (P < 0.05, Fig. 3C). After inhibition of HDAC3, OS was moderated (P < 0.05, Fig. 3A, B), and the secretion of inflammatory cytokines (TNF-α, IL-1β, and IL-6) was reduced (P < 0.05, Fig. 3C).
HDAC3 inhibits H3 acetylation on the TrkC promoter to repress TrkC expression
To provide insights into the downstream mechanism of HDAC3, we firstly analyzed the enrichment of HDAC3 on the TrkC promoter and found that HDAC3 was abundantly enriched on the TrkC promoter (P < 0.05, Fig. 4A, B), and the enrichment was increased with the increases in Sev concentration (P < 0.05, Fig. 4A) and was decreased upon inhibition of HDAC3 (P < 0.05, Fig. 4B). Furthermore, Sev treatment was found to notably reduce the enrichment of H3K27ac and H3K9ac on the TrkC promoter (P < 0.05, Fig. 4A, B). Consistent with the results caused by HDAC3 inhibitor (RGFP966; with the addition of DMSO as the control), the enrichment of H3K27ac and H3K9ac were markedly augmented in si-HDAC3-tarnsfected cells (P < 0.05, Fig. 4B). In addition, the expression levels of TrkC were found to be inhibited by Sev treatment and increased after inhibition of HDAC3 (P < 0.05, Fig. 4C, D). The above results elicited that HDAC3 inhibited the enrichment of H3K27ac and H3K9ac on the TrkC promoter to repress TrkC expression.
TrkC downregulation reverses the alleviative role of HDAC3 inhibition in Sev-induced neurotoxicity
Eventually, to validate the above mechanism, HT-22 cells were transfected with two strands of si-TrkC (P < 0.05, Fig. 5A, B). si-TrkC-1 was found to have the better silencing effectiveness and as a result was selected for combined treatment with si-HDAC3-1. The result showed that after TrkC downregulation, cell viability was decreased (P < 0.05, Fig. 5C), apoptosis rate was elevated (P < 0.05, Fig. 5D), levels of LDH, ROS, and MDA were elevated, SOD levels were reduced (P < 0.05, Fig. 5E, F), and the secretion of inflammatory cytokines was intensified (P < 0.05, Fig. 5G). The above findings suggested that TrkC downregulation reversed the alleviative role of HDAC3 inhibition in Sev-induced neurotoxicity.
Discussion
Sevoflurane (Sev) is a popular general anesthetic commonly used in pediatric surgery but its excessive exposure can induce neurotoxicity that would damage neuronal growth and cognitive performance (Sun 2022). Histone acetylation is a vital epigenetic mechanism responding to environmental stresses. Sev is known to repress histone acetylation (acetylated H3 and H4) in the hippocampus, reducing the expression of synaptic proteins (Chai et al. 2022), while HDAC inhibitor sodium butyrate can reverse the inhibition of neurogenesis caused by Sev (Jia et al. 2020). However, the mechanism of HDAC3-mediated histone deacetylation in Sev-induced neurotoxicity remains unknown. Our study is the first to explore the role of HDAC3/TrkC in Sev-induced neurotoxicity, providing a theoretical reference to overcome Sev-induced neurotoxicity (Fig. 6).
Deficiency of HDAC3 in neurons and glia is detrimental for proper brain development, promoting astrogliogenesis while reducing oligodendrocytes (Norwood et al. 2014). On the other hand, the aberrant expression of HDAC3 results in brain injuries and cognitive dysfunction. For instance, HDAC3 is a contributor to ischemia/reperfusion-induced neuroinflammation and brain injury (Liao et al. 2020); HDAC3 in dorsal hippocampus is likely to induce postoperative cognitive dysfunction (Yang et al. 2022); HDAC3 overexpression in the hippocampus can increase amyloid burden and impair spatial memory in mice with Alzheimer’s disease (Zhu et al. 2017). Most importantly, Sev has been previously shown to upregulate HDAC3 levels in the hippocampus and HDAC3 can promote Sev-induced neurotoxicity by degrading the BDNF signaling (Yu, 2020). Likewise, HDAC3 downregulation is associated with alleviation of isoflurane-induced neuronal apoptosis and cognitive dysfunction caused by paeonol (Jin et al. 2020). When exposed to toxic stimulation, the plasma membrane ruptures and LDH is rapidly released outside cells (Parhamifar et al. 2019). Therefore, LDH serves as the most widely used marker of cytotoxicity. According to our results, Sev exposure augmented HDAC3 expression levels in a concentration-dependent manner and increased LDH levels, while HDAC3 downregulation inhibited Sev-induced neurotoxicity as manifested by increased cell viability, decreased apoptosis, and reduced LDH levels.
OS and inflammation are two key events that activate neurotoxicity (Oztas et al. 2019). OS occurs as a result of an imbalance between ROS production and the activity of the cellular antioxidant system, leading to lipid peroxidation (e. g. MDA) and inhibited activity of enzymatic antioxidants (e. g. SOD) (Islam 2017). SOD and MDA are commonly used as markers of OS. TNF-α, IL-1β, and IL-6 are pro-inflammatory cytokines detectable in hippocampal neurons (Liu et al. 2018). The effects of Sev on OS and inflammation impact its safety in surgery (Lee et al. 2015). HDAC3 knockdown can decrease OS in cortical neurons by inactivating the c-Abl/MST1/YAP pathway (Yu et al. 2018). Besides, HDAC3 can coordinate with nuclear factor-kappa B to induce brain inflammation in subacute Alzheimer’s disease rat model (Yu et al. 2021). In accordance, we found that Sev exposure increased ROS and MDA levels while decreased SOD levels and elevated the secretion of TNF-α, IL-1β, and IL-6, whereas HDAC3 inhibition reduced OS and inflammation. Therefore, HDAC3 inhibitor may be a potential adjuvant of Sev in surgery to reduce neurotoxicity, OS, and inflammation and increase anesthetic safety.
As a HDAC, HDAC3 can induce histone deacetylation to repress gene transcription. Trk receptors-mediated neurotrophic trafficking plays a role in neurogenesis (Scott-Solomon and Kuruvilla 2018). The BDNF/Trk/Akt pathway participates in general anesthesia-induced neuronal apoptosis (Lu et al. 2006). A previous study has elucidated that the TrkC activity is more dynamic in Sev-induced pluripotent stem cell-derived neurons compared to TrkA and TrkB and protects against neurotoxicity (Zhang, 2020). Moreover, TrkC upregulation is associated with the use of HDAC inhibitor and H3 acetylation (Dedoni, 2021). Our experimentation revealed that the TrkC promoter presented the enrichment of HDAC3, indicating an affinity between them. Then, si-HDAC3 and HDAC3 inhibitor (RGFP966) were shown to increase the enrichment of H3K27ac and H3K9ac on the TrkC promoter. The expression levels of TrkC were uncovered to be diminished by Sev treatment and elevated as a result of silencing HDAC3. These results suggested that HDAC3 can inhibit TrkC expression by exerting HDAC activity to reduce the enrichment of H3K27ac and H3K9ac. Eventually, TrkC was silenced by si-TrkC-1, upon which cell viability was reduced while apoptosis, LDH levels, OS, and inflammation were enhanced. Overall, these evidences suggested that TrkC may be the predominant target of HDAC3 to enhance Sev-induced neurotoxicity.
To conclude, our findings unraveled that 1) under the condition of 6 h treatment with 4% Sev, HDAC3 mRNA and protein levels were increased by about one fold in HT-22 cells, and H3K27ac and H3K9ac on the TrkC promoter were reduced by about half and TrkC expression was reduced to 1/3; 2) after transfection with si-HDAC3, HDAC3 expression was decreased by three folds, and in response to si-HDAC3 and 4% Sev treatment, the H3K27ac and H3K9ac levels on the TrkC promoter were increased by three folds, and TrkC expression was increased by about one fold; 3) transfection with si-HDAC3 reduced Sev-induced neurotoxicity. However, our study was limited to the cellular level, with experiments only conducted on HT-22 cell line. Meanwhile, we only analyzed TrkC and other downstream targets of HDAC3 in HT-22 cells were not clear. In the future, we will employ more animal species and other neuron types and establish the animal models to validate our mechanism.
Data availability
The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
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Conceptualization: JZ, XF, Dan Wang; Methodology: JZ, XF; Data curation: JZ, XF, DW; Validation: JZ; Supervision: XF; Writing – original draft: JZ; Writing – review and editing: JZ, XF, DW.
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Zhou, J., Feng, X. & Wang, D. HDAC3 deacetylates H3K27ac and H3K9ac on the TrkC promoter to exacerbate sevoflurane-induced neurotoxicity. Mol. Cell. Toxicol. (2023). https://doi.org/10.1007/s13273-023-00394-7
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DOI: https://doi.org/10.1007/s13273-023-00394-7