전체메뉴
검색
Article Search

JMB Journal of Microbiolog and Biotechnology

QR Code QR Code

Research article


References

  1. Fang J. 2015. Classification of fruits based on anthocyanin types and relevance to their health effects. Nutrition 31: 1301-1306.
    Pubmed CrossRef
  2. Sasaki N, Nishizaki Y, Ozeki Y, Miyahara T. 2014. The role of acyl-glucose in anthocyanin modifications. Molecules 19: 18747-18766.
    Pubmed PMC CrossRef
  3. He J, Ye S, Correia P, Fernandes I, Zhang R, Wu M, et al. 2022. Dietary polyglycosylated anthocyanins, the smart option? A comprehensive review on their health benefits and technological applications. Compr. Rev. Food Sci. Food Saf. 21: 3096-3128.
    Pubmed CrossRef
  4. Saigo T, Wang T, Watanabe M, Tohge T. 2020. Diversity of anthocyanin and proanthocyanin biosynthesis in land plants. Curr. Opin. Plant Biol. 55: 93-99.
    Pubmed CrossRef
  5. Vahapoglu B, Erskine E, Gultekin Subasi B, Capanoglu E. 2021. Recent studies on berry bioactives and their health-promoting roles. Molecules 27: 108.
    Pubmed PMC CrossRef
  6. Panchal SK, John OD, Mathai ML, Brown L. 2022. Anthocyanins in chronic diseases: the power of purple. Nutrients 14: 2161.
    Pubmed PMC CrossRef
  7. Khoo HE, Ng HS, Yap WS, Goh HJH, Yim HS. 2019. Nutrients for prevention of macular degeneration and eye-related diseases. Antioxidants (Basel) 8: 85.
    Pubmed PMC CrossRef
  8. Martini D, Marino M, Venturi S, Tucci M, Klimis-Zacas D, Riso P, et al. 2023. Blueberries and their bioactives in the modulation of oxidative stress, inflammation and cardio/vascular function markers: a systematic review of human intervention studies. J. Nutr. Biochem. 111: 109154.
    Pubmed CrossRef
  9. Bocsan IC, Măgureanu DC, Pop RM, Levai AM, Macovei ȘO, Pătrașca IM, et al. 2022. Antioxidant and anti-inflammatory actions of polyphenols from red and white grape pomace in ischemic heart diseases. Biomedicines 10: 2337.
    Pubmed PMC CrossRef
  10. Pérez-Torres I, Castrejón-Téllez V, Soto ME, Rubio-Ruiz ME, Manzano-Pech L, Guarner-Lans V. 2021. Oxidative stress, plant natural antioxidants, and obesity. Int. J. Mol. Sci. 22: 1786.
    Pubmed PMC CrossRef
  11. Chen J, Meng X. 2022. Aronia melanocarpa anthocyanin extracts improve hepatic structure and function in high-fat diet-/streptozotocin-induced T2DM mice. J. Agric. Food Chem. 70: 11531-11543.
    Pubmed CrossRef
  12. Wang C, Yu S, Jiang J, Li H, Pan Y, Li W, et al. 2022. Protective effect of anthocyanins on radiation-induced hippocampal injury through activation of SIRT3. Curr. Pharm. Des. 28: 1103-1108.
    Pubmed CrossRef
  13. Molagoda IMN, Lee KT, Choi YH, Kim GY. 2020. Anthocyanins from Hibiscus syriacus L. inhibit oxidative stress-mediated apoptosis by activating the Nrf2/HO-1 signaling pathway. Antioxidants (Basel) 9: 42.
    Pubmed PMC CrossRef
  14. Yin L, Fan SJ, Zhang MN. 2022. Protective effects of anthocyanins extracted from Vaccinium uliginosum on 661W cells against microwave-induced retinal damage. Chin. J. Integr. Med. 28: 620-626.
    Pubmed CrossRef
  15. Thummayot S, Tocharus C, Jumnongprakhon P, Suksamrarn A, Tocharus J. 2018. Cyanidin attenuates Aβ25-35-induced neuroinflammation by suppressing NF-kB activity downstream of TLR4/NOX4 in human neuroblastoma cells. Acta Pharmacol. Sin. 39: 1439-1452.
    Pubmed PMC CrossRef
  16. Ali T, Kim T, Rehman SU, Khan MS, Amin FU, Khan M, et al. 2018. Natural dietary supplementation of anthocyanins via PI3K/Akt/Nrf2/HO-1 pathways mitigate oxidative stress, neurodegeneration, and memory impairment in a mouse model of Alzheimer's disease. Mol. Neurobiol. 55: 6076-6093.
    Pubmed CrossRef
  17. Song Y, Huang L, Yu J. 2016. Effects of blueberry anthocyanins on retinal oxidative stress and inflammation in diabetes through Nrf2/HO-1 signaling. J. Neuroimmunol. 301: 1-6.
    Pubmed CrossRef
  18. Shaw P, Chattopadhyay A. 2020. Nrf2-ARE signaling in cellular protection: mechanism of action and the regulatory mechanisms. J. Cell. Physiol. 235: 3119-3130.
    Pubmed CrossRef
  19. Jenkins T, Gouge J. 2021. Nrf2 in cancer, detoxifying enzymes and cell death programs. Antioxidants (Basel) 10: 1030.
    Pubmed PMC CrossRef
  20. Yu ZY, Ma D, He ZC, Liu P, Huang J, Fang Q, et al. 2018. Heme oxygenase-1 protects bone marrow mesenchymal stem cells from iron overload through decreasing reactive oxygen species and promoting IL-10 generation. Exp. Cell Res. 362: 28-42.
    Pubmed CrossRef
  21. Peng W, Wu Y, Peng Z, Qi W, Liu T, Yang B, et al. 2022. Cyanidin-3-glucoside improves the barrier function of retinal pigment epithelium cells by attenuating endoplasmic reticulum stress-induced apoptosis. Food Res. Int. 157: 111313.
    Pubmed CrossRef
  22. Ni T, Yang W, Xing Y. 2019. Protective effects of delphinidin against H2O2-induced oxidative injuries in human retinal pigment epithelial cells. Biosci. Rep. 39: BSR20190689.
    Pubmed PMC CrossRef
  23. Park C, Lee WS, Go SI, Jeong SH, Yoo J, Cha HJ, et al. 2021. Apoptotic effects of anthocyanins from Vitis coignetiae Pulliat are enhanced by augmented enhancer of the rudimentary homolog (ERH) in human gastric carcinoma MKN28 cells. In. J. Mol. Sci. 22: 3030.
    Pubmed PMC CrossRef
  24. Han MH, Kim HJ, Jeong JW, Park C, Kim BW, Choi YH. 2018. Inhibition of adipocyte differentiation by anthocyanins isolated from the fruit of Vitis coignetiae Pulliat is associated with the activation of AMPK signaling pathway. Toxicol. Res. 34: 13-21.
    Pubmed PMC CrossRef
  25. Lu JN, Lee WS, Kim MJ, Yun JW, Jung JH, Yi SM, et al. 2014. The inhibitory effect of anthocyanins on Akt on invasion and epithelialmesenchymal transition is not associated with the anti-EGFR effect of the anthocyanins. Int. J. Oncol. 44: 1756-1766.
    Pubmed CrossRef
  26. Yun JW, Lee WS, Kim MJ, Lu JN, Kang MH, Kim HG, et al. 2010. Characterization of a profile of the anthocyanins isolated from Vitis coignetiae Pulliat and their anti-invasive activity on HT-29 human colon cancer cells. Food Chem. Toxicol. 48: 903-909.
    Pubmed CrossRef
  27. Shin DY, Lee WS, Lu JN, Kang MH, Ryu CH, Kim GY, et al. 2009. Induction of apoptosis in human colon cancer HCT-116 cells by anthocyanins through suppression of Akt and activation of p38-MAPK. Int. J. Oncol. 35: 1499-504.
    CrossRef
  28. Park C, Noh JS, Jung Y, Leem SH, Hyun JW, Chang YC, et al. 2022. Fisetin attenuated oxidative stress-induced cellular damage in ARPE-19 human retinal pigment epithelial cells through Nrf2-mediated activation of heme oxygenase-1. Front. Pharmacol. 13: 927898.
    Pubmed PMC CrossRef
  29. Jeong MJ, Lim DS, Kim SO, Park C, Leem SH, Lee H, et al. 2022. Protection of oxidative stress-induced DNA damage and apoptosis by rosmarinic acid in murine myoblast C2C12 cells. Biotechnol. Bioprocess Eng. 27: 171-182.
    CrossRef
  30. Mukherjee S, Park JP, Yun JW. 2022. Carboxylesterase3 (Ces3) Interacts with bone morphogenetic protein 11 and promotes differentiation of osteoblasts via Smad1/5/9 pathway. Biotechnol. Bioprocess Eng. 27: 1-16.
    CrossRef
  31. Choi YH. 2022. Tacrolimus induces apoptosis in leukemia Jurkat cells through inactivation of the reactive oxygen species-dependent phosphoinositide-3-kinase/Akt signaling pathway. Biotechnol. Bioprocess Eng. 27: 183-192.
    CrossRef
  32. Sukjamnong S, Chen H, Saad S, Santiyanont R. 2022. Fimbristylis ovata and Artemisia vulgaris extracts inhibited AGE-mediated RAGE expression, ROS generation, and inflammation in THP-1 cells. Toxicol. Res. 38: 331-343.
    Pubmed PMC CrossRef
  33. Park C, Lee H, Hong SH, Kim JH, Park SK, Jeong JW, et al. 2019. Protective effect of diphlorethohydroxycarmalol against oxidative stress-induced DNA damage and apoptosis in retinal pigment epithelial cells. Cutan. Ocul. Toxicol. 38: 298-308.
    Pubmed CrossRef
  34. Hernandez M, Recalde S, González-Zamora J, Bilbao-Malavé V, Sáenz de Viteri M, Bezunartea J, et al. 2021. Anti-inflammatory and anti-oxidative synergistic effect of vitamin D and nutritional complex on retinal pigment epithelial and endothelial cell lines against age-related macular degeneration. Nutrients 13: 1423.
    Pubmed PMC CrossRef
  35. Mahendra CK, Tan LTH, Pusparajah P, Htar TT, Chuah LH, Lee VS, et al. 2020. Detrimental effects of UVB on retinal pigment epithelial cells and its role in age-related macular degeneration. Oxid. Med. Cell. Longev. 2020: 1904178.
    Pubmed PMC CrossRef
  36. Tong Y, Zhang Z, Wang S. 2022. Role of mitochondria in retinal pigment epithelial aging and degeneration. Front. Aging 3: 926627.
    Pubmed PMC CrossRef
  37. Cordelli E, Bignami M, Pacchierotti F. 2021. Comet assay: a versatile but complex tool in genotoxicity testing. Toxicol. Res. (Camb.) 10: 68-78.
    Pubmed PMC CrossRef
  38. Kopp B, Khoury L, Audebert M. 2019. Validation of the γH2AX biomarker for genotoxicity assessment: a review. Arch. Toxicol. 93: 2103-2114.
    Pubmed CrossRef
  39. Hahm JY, Park J, Jang ES, Chi SW. 2022. 8-Oxoguanine: from oxidative damage to epigenetic and epitranscriptional modification. Exp. Mol. Med. 54: 1626-1642.
    Pubmed PMC CrossRef
  40. Lou MF. 2022. Glutathione and glutaredoxin in redox regulation and cell signaling of the lens. Antioxidants (Basel) 11: 1973.
    Pubmed PMC CrossRef
  41. Enns GM, Cowan TM. 2017. Glutathione as a redox biomarker in mitochondrial disease-implications for therapy. J. Clin. Med. 6: 50.
    Pubmed PMC CrossRef
  42. Wang Y, Zhang D, Liu Y, Wang D, Liu J, Ji B. 2015. The protective effects of berry-derived anthocyanins against visible light-induced damage in human retinal pigment epithelial cells. J. Sci. Food d Agric. 95: 936-944.
    Pubmed CrossRef
  43. Tiwari S, Dewry RK, Srivastava R, Nath S, Mohanty TK. 2022. Targeted antioxidant delivery modulates mitochondrial functions, ameliorates oxidative stress and preserve sperm quality during cryopreservation. Theriogenology 179: 22-31.
    Pubmed CrossRef
  44. Bock FJ, Tait SWG. 2020. Mitochondria as multifaceted regulators of cell death. Nat. Rev. Mol. Cell Biol. 21: 85-100.
    Pubmed CrossRef
  45. Kiraz Y, Adan A, Kartal Yandim M. Baran Y. 2016. Major apoptotic mechanisms and genes involved in apoptosis. Tumor Biol. 37: 8471-8486.
    Pubmed CrossRef
  46. Clementi ME, Pizzoferrato M, Bianchetti G, Brancato A, Sampaolese B, Maulucci G, et al. 2022. Cytoprotective effect of idebenone through modulation of the intrinsic mitochondrial pathway of apoptosis in human retinal pigment epithelial cells exposed to oxidative stress induced by hydrogen peroxide. Biomedicines 10: 503.
    Pubmed PMC CrossRef
  47. Dinc E, Ayaz L, Kurt AH. 2017. Protective effect of combined caffeic acid phenethyl ester and bevacizumab against hydrogen peroxide-induced oxidative stress in human RPE cells. Curr. Eye Res. 42: 1659-1666.
    Pubmed CrossRef
  48. Lalier L, Vallette F, Manon S. 2022. Bcl-2 Family members and the mitochondrial import machineries: the roads to death. Biomolecules 12: 162.
    Pubmed PMC CrossRef
  49. Du Y, You L, Ni B, Sai N, Wang W, Sun M, et al. 2020. Phillyrin mitigates apoptosis and oxidative stress in hydrogen peroxide-treated RPE cells through activation of the Nrf2 signaling pathway. Oxid. Med. Cell. Longev. 2020: 2684672.
    Pubmed PMC CrossRef
  50. You L, Peng H, Liu J, Cai M, Wu H, Zhang Z, et al. 2021. Catalpol protects ARPE-19 cells against oxidative stress via activation of the Keap1/Nrf2/ARE pathway. Cells 10: 2635.
    Pubmed PMC CrossRef

Related articles in JMB

More Related Articles

Article

Research article

J. Microbiol. Biotechnol. 2024; 34(3): 596-605

Published online March 28, 2024 https://doi.org/10.4014/jmb.2310.10011

Copyright © The Korean Society for Microbiology and Biotechnology.

Anthocyanins Inhibits Oxidative Injury in Human Retinal Pigment Epithelial ARPE-19 Cells via Activating Heme Oxygenase-1

Cheol Park1, Hyun Hwangbo2,3, Sung Ok Kim4, Jeong Sook Noh5, Shin-Hyung Park6, Su Hyun Hong2,3, Sang Hoon Hong7, Gi-Young Kim8, and Yung Hyun Choi2,3*

1Division of Basic Sciences, College of Liberal Studies, Dong-eui University, Busan 47340, Republic of Korea
2Anti-Aging Research Center, Dong-eui University, Busan 47340, Republic of Korea
3Department of Biochemistry, Dong-eui University College of Korean Medicine, Busan 47227, Republic of Korea
4Department of Food Science and Biotechnology, College of Engineering, Kyungsung University, Busan 48434, Republic of Korea
5Department of Food Science & Nutrition, Tongmyong University, Busan 48520, Republic of Korea
6Department of Pathology, Dong-eui University College of Korean Medicine, Busan 47227, Republic of Korea
7Department of Internal Medicine, Dong-eui University College of Korean Medicine, Busan 47227, Republic of Korea
8Laboratory of Immunobiology, Department of Marine Life Sciences, Jeju National University, Jeju 63243, Republic of Korea

Correspondence to:Yung Hyun Choi,         choiyh@deu.ac.kr

Received: October 10, 2023; Revised: October 24, 2023; Accepted: November 2, 2023

Abstract

Anthocyanins belong to phenolic pigments and are known to have various pharmacological activities. This study aimed to investigate whether anthocyanins could inhibit hydrogen peroxide (H2O2)-induced oxidative damage in human retinal pigment epithelial ARPE-19 cells. Our results indicated that anthocyanins suppressed H2O2-induced genotoxicity, while inhibiting reactive oxygen species (ROS) production and preserving diminished glutathione. Anthocyanins also suppressed H2O2-induced apoptosis by reversing the Bcl-2/Bax ratio and inhibiting caspase-3 activation. Additionally, anthocyanins attenuated the release of cytochrome c into the cytosol, which was achieved by interfering with mitochondrial membrane disruption. Moreover, anthocyanins increased the expression of heme oxygenase-1 (HO-1) as well as its activity, which was correlated with the phosphorylation and nuclear translocation of nuclear factor-erythroid-2 related factor 2 (Nrf2). However, the cytoprotective and anti-apoptotic effects of anthocyanins were significantly attenuated by the HO-1 inhibitor, demonstrating that anthocyanins promoted Nrf2-induced HO-1 activity to prevent ARPE-19 cells from oxidative stress. Therefore, our findings suggest that anthocyanins, as Nrf2 activators, have potent ROS scavenging activity and may have the potential to protect ocular injury caused by oxidative stress.

Keywords: Anthocyanins, genotoxicity, apoptosis, ROS, Nrf2/HO-1

Introduction

Anthocyanins, water-soluble pigments, are classified into the polyphenolic flavanol family composed of anthocyanidin aglycone and one or more glycosides [1, 2]. To date, more than 700 anthocyanins have been identified in various plants, including berries, and are reported to have diverse pharmacological properties, such as anti-inflammatory, antidiabetic, antithrombotic and antiallergic effects [3-5]. In particular, accumulating studies have shown that the improvement of aging-related chronic diseases such as neurodegenerative, cardiovascular, and ocular diseases by anthocyanins is closely associated with their potent antioxidant action [3, 6, 7]. The antioxidant potency of anthocyanins is primarily related to increased reactive oxygen species (ROS) scavenging capacity through regulation of antioxidant-related signaling pathways [8-10]. For example, the alleviation of insulin resistance, inflammation and tissue damage by anthocyanins isolated from Aronia melanocarpa (Michx.) Ell. in type 2 diabetic mice was related to ROS-mediated downregulation of nuclear factor kappa B signaling [11]. Wang, et al. [12] reported that the anti-apoptotic effect of anthocyanins extracted from black bean seeds in radiation-exposed hippocampal neurons was due to the suppression of ROS generation following activation of Sirtuin-3. In addition, anthocyanins isolated from Hibiscus syriacus L. (Haeoreum) inhibited apoptosis in HaCaT human keratinocytes exposed to H2O2 through nuclear factor-erythrocyte 2-associated factor 2 (Nrf2)-dependent activation of heme oxygenase-1 (HO-1) [13]. The important roles of Nrf2 as an antioxidant regulator of anthocyanins have also been confirmed in models of diabetes, retinopathy and Alzheimer's disease [14-17].

Among the transcription factors involved in the antioxidant signaling pathway, Nrf2 is critically involved as a transcription factor for several cytoprotective antioxidant phase II enzymes to counteract oxidative stress [18, 19]. Moreover, HO-1, a key downstream gene of Nrf2, contributes to the regulation of redox homeostasis through its metabolites. For this reason, the Nrf2/HO-1 axis has been widely recognized as a key defense system against oxidative stress [18, 20]. Recently, it has been shown that anthocyanins can exert antioxidant effects through activation of Nrf2 in retinal pigment epithelial (RPE) cells [21, 22], but the role of this transcription factor is still limitedly known. According our previous studies, anthocyanins derived from Vitis coignetiae Pulliat, a type of berry rich in anthocyanins, have been demonstrated to have anticancer and anti-obesity activities through the regulation of various intracellular signal transduction pathways, but no study on their antioxidant activity has been performed [23-27]. Therefore, our study aimed to evaluate the involvement of Nrf2/HO-1 signaling pathway in the antioxidant capacity of anthocyanins isolated from V. coignetiae Pulliat fruits in a human RPE ARPE-19 cell line.

Materials and Methods

Cell Culture and Treatment

Immortalized ARPE-19 cells (ATCC, USA) were cultured in Dulbecco’s Modified Eagle’s Medium/F-12 medium [28]. Stock solutions of H2O2 (Sigma-Aldrich, USA) and anthocyanins extracted from V. coignetiae fruits prepared using dimethyl sulfoxide (Sigma-Aldrich) were diluted to appropriate concentrations in culture medium and then treated with cells. To examine the suppressive potential of anthocyanins on oxidative damage following H2O2 stimulation, cells were treated with anthocyanins and H2O2 for 24 h or treated with anthocyanins or/and zinc protoporphyrin IX (ZnPP, Sigma-Aldrich) for 1 h prior to stimulation with H2O2 for 24 h. To examine the protective potential of anthocyanins on ROS production by H2O2, cells were maintained in medium containing anthocyanins or/and ZnPP for 1 h before exposure to H2O2 for 1 h.

Analysis of Cytotoxicity and Observation of Cell Morphology

Cell viability of cells exposed to anthocyanins and H2O2 alone or stimulated with H2O2 in the presence of anthocyanins or/and ZnPP was examined using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay [29]. At the same time, images of morphological changes in cells were captured using an optical microscope (Carl Zeiss, Germany).

Comet Assay

To assess DNA damage, the Comet Assay Kit purchased from Trevigen, Inc. (USA) was used according to the manufacturer’s protocol. In brief, cells stimulated with H2O2 with or without anthocyanins were mixed in 1%agarose, spread evenly on a slide, and subjected to DNA denaturation and electrophoresis. Subsequently, images were visualized using fluorescence microscopy (Carl Zeiss) for each treatment group after staining with an asymmetric cyanine dye.

8-Hydroxyguanosine (8-OHdG) Assay

Levels of 8-OHdG, an RNA nucleoside that is an oxidized derivative of guanosine, were quantified using the 8-OHdG Assay Kit (Abcam, Inc., UK) following to the manufacturer's instructions. The absorbance of each treatment group was determined at 450 nm, and results were presented as ng of 8-OHdG/ml.

Western Blot Analysis

Total proteins were isolated according to previously described methods [30]. The mitochondrial, nuclear and cytoplasmic proteins were prepared using a Mitochondrial Fractionation Kit (Thermo Fisher Scientific, USA) or Cytoplasmic and Nuclear Protein Extraction Kit (Sigma-Aldrich). After protein quantification, Western blot analysis was performed using an equal amount of protein. After protein quantification, Western blot analysis was performed using the same amount of protein, antibodies to be analyzed, and SuperSignal West Pico PLUS (Thermo Fisher Scientific) [30]. Expression of actin, lamin B, and cytochrome c oxidase IV (COX IV) was presented as housekeeping proteins for total, nuclear, and mitochondrial proteins, respectively. Antibodies used for this study were purchased from Thermo Fisher Scientific, Cell Signaling Technology (USA), Abcam, Inc., and Santa Cruz Biotechnology, Inc. (USA) (Table 1).

Table 1 . List of antibodies used in this study..

AntibodySpecies raisedDilutionProduct CodeSource
γH2AXMouse monoclonal1:500MA1-2022Thermo Fisher Scientific Inc.
Bcl-2Mouse monoclonal1:1000sc-509Santa Cruz Biotechnology Inc.
BaxMouse monoclonal1:1000sc-7480Santa Cruz Biotechnology Inc.
Caspase-3Rabbit polyclonal1:1000#9662Cell Signaling Technology Inc.
PARPMouse monoclonal1:1000sc-8007Santa Cruz Biotechnology Inc.
Cytochrome cMouse monoclonal1:1000sc-13560Santa Cruz Biotechnology Inc.
Nrf2Mouse monoclonal1:1000sc-518036Santa Cruz Biotechnology Inc.
p-Nrf2Rabbit polyclonal1:500PA5-67520Thermo Fisher Scientific Inc.
HO-1Mouse monoclonal1:1000sc-136960Santa Cruz Biotechnology Inc.
Lamin BRabbit polyclonal1:500ab65986Abcam, Inc.
COX IVRabbit polyclonal1:1000#4844Cell Signaling Technology Inc.
ActinMouse monoclonal1:1000sc-47778Santa Cruz Biotechnology Inc.


Apoptosis and Mitochondrial Membrane Potential (MMP) Analysis

The degree of apoptosis was analyzed using the Annexin V-FITC Apoptosis Staining/Detection Kit (Abcam, Inc.). In brief, the collected cells were stained with annexin V/propidium iodide (PI), and annexin V-positive cell populations were regarded as apoptosis-induced cells using flow cytometry. To evaluate MMP levels, cells were stained with 5,5',6,6'-tetrachloro-1,1',3,3'-tetraethylbenzimidazolylcarbocyanine iodide (JC-1, Thermo Fisher Scientific). The frequency of cells lacking MMP was expressed as a percentage of JC-1 monomer.

Nuclear Morphology Analysis

To monitor apoptosis using 4',6-diamidino-2-phenylindole (DAPI) dye, the nuclei were stained with DAPI solution (Sigma-Aldrich) according to previous methods [31]. Subsequently, images of DAPI-stained nuclei were acquired under a fluorescence microscope.

Caspase-3 Activity Assay

Differences in the enzymatic activity of caspase-3 in each treatment group were evaluated using a commercially available kit (Thermo Fisher Scientific). Cell lysates, lysed using reagents provided by the manufacturer, were read at 485/530 nm using a microplate reader, according to the manufacturer's instructions. Caspase-3 activity in each treatment group is presented compared to that in the control group.

ROS Detection

For quantitative evaluation of total intracellular ROS levels, 2',7'-dichlorofluorescein diacetate (DCF-DA) dye was used. At the end of the incubation time, the harvested cells were reacted with the DCF-DA solution (Sigma-Aldrich) and the fluorescence signal of DCF, indicating ROS production, was immediately measured using flow cytometry [32]. Fluorescence imaging was also conducted with a fluorescence microscope to detect differences in emitted DCF fluorescence intensity.

Measurement of Glutathione/Glutathione Disulfide (GSH/GSSG) Ratio

Alterations in the GSH/GSSG ratio for each treatment group were quantified using a GSH/GSSG Analysis Kit obtained from Abcam, Inc. Briefly, cells of each treatment group were reacted under the conditions recommended by the manufacturer, and then the concentrations of GSH and GSSG were calculated based on the standard curve of reduced GSH and oxidized GSSG.

HO-1 Activity Assay

To detect HO-1 activity, bilirubin concentrations were assessed using the HO-1 ELISA kit purchased from Abcam, Inc. In brief, bilirubin levels in each treatment group were quantified based on absorbance at 510 nm, according to the manufacturer’s method.

Statistical Analysis

The results of each experiment were presented as mean ± standard deviation (SD). Statistical significance was performed using GraphPad Prism and set at p < 0.05 (**p < 0.01 and ***p < 0.001 compared to the control group; #p < 0.05 and ###p < 0.001 compared to H2O2-treated cells; $$$p < 0.001 compared to anthocyanins + H2O2 treatment group).

Results

Anthocyanins Abolished H2O2-Induced Decrease in ARPE-19 Cell Viability

To examine the inhibitory potential of anthocyanins against H2O2-induced cytotoxicity in ARPE-19 cells, cell viability was determined using MTT assay. As shown in Fig. 1A, cell viability was suppressed in a dose-dependent manner in cells after H2O2 exposure, and the cell viability of ARPE-19 cells cultured in medium containing 0.5 mM H2O2 was suppressed by about 60%. Therefore, in all subsequent experiments, 0.5 mM was selected as the concentration of H2O2 treatment to mimic oxidative damage. And since anthocyanins did not induce significant inhibition of cell viability at treatment concentrations within the maximum 400 μg/ml, 400 μg/ml was set as the highest and optimal concentration (Fig. 1B). And as a result of evaluating the inhibitory effect of H2O2-mediated cytotoxicity of anthocyanins, it was found that pretreatment with anthocyanins at 400 μg/ml significantly raised cell viability up to about 86% and inhibited morphological changes of shrunken and thinned cells (Fig. 1C and 1D).

Figure 1. Anthocyanins protected H2O2-induced reduction of cell viability in ARPE-19 cells. (A-C) Results of MTT assay analyzed after treating cells with different concentrations of H2O2 (A) or anthocyanins (B) for 24 h or pre-treating cells with anthocyanins for 1 h and then treating them with H2O2 for 24 h (C). (D) Representative morphological images of cells cultured under different conditions (200×).

Anthocyanins Protected DNA Damage in H2O2-Stimulated ARPE-19 Cells

To determine whether the blocking potential of anthocyanins against H2O2-mediated cytotoxicity is correlated with the prevention of DNA damage, the effects of anthocyanins on comet tail formation, 8-OHdG content and phosphorylation of histone H2AX (γH2AX) by H2O2 treatment were evaluated. As indicated in Fig. 2, the comet tail movement, 8-OHdG levels and γH2AX expression were greatly increased by H2O2 treatment, which were markedly weakened by anthocyanins.

Figure 2. Anthocyanins attenuated DNA damage in H2O2-treated ARPE-19 cells. Before treating the cells with H2O2 for 24 h, they were incubated in the presence or absence of anthocyanins for 1 h. Representative images of comet assay (A), 8- OHdG levels (B) and expression changes of γH2AX (C) were presented.

Anthocyanins Inhibited H2O2-Induced Apoptosis in ARPE-19 Cells

Next, we examined whether anthocyanins affect H2O2-induced apoptosis. Results from flow cytometry showed that apoptosis was greatly increased by H2O2 stimulations but was significantly abrogated by anthocyanin pretreatment (Fig. 3A and 3B). Further, in H2O2-exposed ARPE-19 cells, morphological changes in the nucleus such as nuclear fragmentation and chromatin condensation characteristic of apoptosis were clearly observed. However, these morphological features of apoptosis were significantly attenuated by anthocyanins pretreatment (Fig. 3C and 3D). Moreover, immunoblotting results indicated that H2O2 treatment suppressed Bcl-2 expression and increased Bax expression, which was related to caspase-3 activation and poly (ADP-ribose) polymerase (PARP) degradation. However, these changes induced by H2O2 treatment were largely abolished by anthocyanin pretreatment (Fig. 3E and 3F).

Figure 3. Anthocyanins ameliorated H2O2-induced apoptosis in ARPE-19 cells. Cells were exposed to anthocyanins for 1 h prior to treatment with H2O2 for 24 h. (A and B) Representative histograms (A) and quantitative results (B) of flow cytometry analysis by Annexin V/PI staining. (C and D) Images of representative nuclei (C, 400×) and results of quantitative analysis obtained after DAPI staining. (E) Expression changes of the indicated proteins obtained through immunoblotting. (F) Differences in caspase-3 activity by treatment group.

Anthocyanins Reduced Mitochondrial Impairment in H2O2-Treated ARPE-19 Cells

To evaluate whether the suppressive capacity of anthocyanins against H2O2-mediated apoptosis is associated with their protective ability against mitochondrial damage, MMP was measured. Our data revealed that as much as the frequency of JC-1 monomers increased by H2O2 treatment, the frequency of JC-1 aggregates was diminished (Fig. 4A and 4B). Moreover, in H2O2-treated cells, the level of cytochrome c protein was up-regulated in the cytoplasm but down-regulated in the mitochondria (Fig. 4C and 4D). However, anthocyanin mitigated all these changes caused by H2O2 treatment.

Figure 4. Anthocyanins suppressed H2O2-induced mitochondrial impairment in ARPE-19 cells. Cells exposed with or without anthocyanins for 1 h were treated with H2O2 for 24 h. (A and B) Representative histograms (A) and JC-1 monomer ratios (B) of flow cytometry using JC-1 staining in each treatment group. (C and D) The expression of cytochrome c in the mitochondrial and cytosolic fractions was investigated by immunoblotting.

Anthocyanins Decreased ROS Production and Increased GSH/GSSG Ratio in H2O2-Exposed ARPE-19 Cells

Since mitochondria are the main source of ROS and the primary targets for ROS damage, we investigated the effect of anthocyanins on intracellular ROS formation by H2O2. Our results showed that the intensity of oxidized DCF, indicating ROS production, was approximately 6-fold higher in cells treated with H2O2 than in control cells, which was significantly reduced in anthocyanins-pretreated cells (Fig. 5A and 5B). In parallel, fluorescence microscopy revealed strong expression of DCF-fluorescence intensity (green) in H2O2-treated cells compared to untreated cells (Fig. 5C), which was markedly abrogated by anthocyanins pretreatment. In addition, H2O2 exposure significantly decreased the GSH/GSSG ratio, but anthocyanins pretreatment significantly increased the reduced GSH level (Fig. 5D).

Figure 5. Anthocyanins attenuated ROS production and reduced GSH/GSSG ratio in ARPE-19 cells under H2O2-treated conditions. Cells exposed with or without anthocyanins for 1 h were stimulated with H2O2 for 1 h (A, B and C) or 24 h (D). (A and B) Representative histograms of flow cytometry (A) and the frequency of DCF-positive cells (B). (C) Representative fluorescence images of ROS production. (D) Bar chart indicated the GSH/GSSG ratio following the exposure to H2O2 and pretreatment with anthocyanins.

Anthocyanins Increased H2O2-Induced Nrf2 Phosphorylation and HO-1 Activity in ARPE-19 Cells

Next, we examined whether activation of Nrf2, a potent antioxidant transcriptional regulator, was related to the antioxidant capacity of anthocyanins. The data in Fig. 6A and 6B indicate that the total expression of Nrf2 protein and its phosphorylation level (p-Nrf2) were clearly enhanced in cells co-treated with anthocyanins and H2O2 compared to cells treated with H2O2 and anthocyanins alone. Furthermore, the activity and expression of HO-1, a key downstream enzyme of Nrf2, were enhanced in cells co-treated with anthocyanins and H2O2 (Fig. 6A and 6C).

Figure 6. Anthocyanins activated the Nrf2/HO-1 signaling in ARPE-19 cells under H2O2-treated conditions. Cells exposed with or without anthocyanins for 1 h were stimulated with H2O2 for 24 h. (A and B) Expression changes of proteins presented in each treatment group were analyzed by immunoblotting using cytosolic and nuclear fractions. (C) The activity of HO-1 in each treatment group was expressed as a relative value.

Role of HO-1 Activation in Inhibition of ROS Production and Recovery of Cytotoxicity by Anthocyanins in ARPE-19 Cells Exposed to H2O2

To investigate whether the increase in HO-1 activity by anthocyanins in ARPE-19 cells exposed to H2O2 was associated with the antioxidant potential of anthocyanins, we evaluated the efficacy of ZnPP, a competitive blocker of HO-1. As shown in Fig. 7A and 7B, the protective effect of anthocyanins on ROS accumulation caused by H2O2 was clearly reversed in the presence of ZnPP. And, pretreatment with ZnPP significantly reduced the inhibitory effect of anthocyanins on apoptosis induced by H2O2 treatment against H2O2-induced apoptosis (Fig. 7C and 7D). Consistent with these results, ZnPP pretreatment abolished the cytotoxic protective effect of anthocyanins in H2O2-treated cells (Fig. 7E).

Figure 7. The protective ability of anthocyanins against ROS generation and apoptosis caused by H2O2 treatment was offset by ZnPP in ARPE-19 cells. Cells were treated with anthocyanins and/or ZnPP for 1 h and then further treated with H2O2 for 24 h. (A and B) Representative flow cytometry results (A) and their average values (B) according to DCF-DA staining. (C and D) Representative histograms (C) and quantitative results (D) of flow cytometry analysis following double staining of annexin V and PI. (E) Cell viability was assessed using MTT assay.

Discussion

Accumulating studies have demonstrated that DNA and mitochondrial damage induced by oxidative stimuli are closely accompanied by ROS-dependent apoptosis. Previous studies have also shown that the genotoxic effects of H2O2 on RPE cells are mostly related to mitochondrial dysfunction and apoptosis, which was associated with damage to intracellular macromolecules including DNA [28, 33, 34]. RPE cells exposed to a high oxidative stress environment are susceptible to defense against DNA damage, cellular senescence and apoptosis, and loss of antioxidant capacity underlies degenerative retinal diseases such as age-related macular degeneration [35, 36]. Here, we demonstrated that anthocyanins were able to block DNA damage caused by H2O2 in ARPE-19 cells, as evidenced inhibiting hallmarks of DNA double-strand breaks, including DNA tail formation and γH2AX expression [37, 38]. Anthocyanins also normalized levels of 8-OHdG, a widely used biomarker of oxidative stress in nucleic acids [39], in H2O2-treated ARPE-19 cells. Additionally, as analyzed by flow cytometry and DAPI staining, exposure to H2O2 increased the frequency of apoptosis-induced cells. However, these changes were apparently eliminated after anthocyanins pretreatment.

Since GSH acts as an antioxidant enzyme cofactor and scavenges ROS and electrophiles, the ratio of reduced GSH to oxidized GSSG is used to measure the cellular redox state [40, 41]. Consistent with previous studies on the efficacy of berry-derived anthocyanins reported in ARPE-19 cells irradiated with visible light [42], anthocyanins used in this study significantly reduced H2O2-induced ROS accumulation while restoring the GSH/GSSG ratio. Excessive ROS due to oxidative stimuli contributes to depolarization of the mitochondrial membrane, resulting in MMP loss, an indicative of mitochondrial impairment [43, 44]. Loss of MMPs in turn triggers the release of mitochondrial cytochrome c into the cytosol, where it activates the caspase cascade, initiating the mitochondria-mediated apoptotic pathway and ultimately cleaving target proteins of effector caspases, including PARP [44, 45]. Similar to previous results [46, 47], in the current study, loss of MMP, cytochrome c release into the cytosol, and degradation of PARP by caspase-3 activation were observed in ARPE-19 cells treated with H2O2. However, these changes were significantly reduced by anthocyanins pretreatment, and caspase-3 inactivation may be causally related to protection against H2O2-induced apoptosis.

As is well known, Bcl-2 family proteins are critically involved in the regulation of the apoptosis. Among them, pro-apoptotic proteins such as Bax play a critical role in the formation of mitochondrial pores that disrupt mitochondrial membrane barrier stability, while anti-apoptotic proteins including Bcl-2 play the opposite role [43, 48]. Therefore, when Bcl-2 expression is relatively lower than Bax, mitochondrial membrane permeability increases and mitochondrial cytochrome c release is enhanced [45, 48]. In this study, it was confirmed that the decreased Bcl-2 and increased Bax expression by H2O2 treatment were restored in the presence of anthocyanins, which may be responsible for the restoration of MMP loss. These results indicate that anthocyanins protected ARPE-19 cells from DNA and mitochondrial damage and induction of apoptosis under conditions of oxidative environment while exerting ROS scavenging activity. Nrf2, a redox-sensitive transcription factor, enhances antioxidant capacity by promoting transcription of phase II detoxification enzymes [18, 19]. Under normal physiological conditions, this transcription factor is located in the cytoplasm bound to its inhibitor, Kelch-like ECH-associated protein 1 (Keap1), and is degraded via the ubiquitin-proteasome pathway. To enhance the transcription of antioxidant genes regulated by Nrf2, Nrf2 must be phosphorylated after dissociation from Keap1 prior to nuclear translocation.

Among the Nrf2-dependent downstream factors, HO-1 break down heme into biliverdin, free iron, and carbon monoxide, of which bilirubin converted from biliverdin exerts strong antioxidant action [19, 20]. Recently, Nrf2-dependent activation of HO-1 in RPE cells was found to contribute to protection against mitochondrial damage-mediated apoptosis caused by oxidative stress [28, 46, 49, 50]. According to the results of this study, anthocyanins increased Nrf2 expression and phosphorylation in H2O2-treated ARPE-19 cells, and they were expressed predominantly in the nucleus. Furthermore, anthocyanins upregulated HO-1 expression as well as its enzymatic activity, demonstrating that anthocyanins may increase HO-1 expression by acting as activators of Nrf2. In subsequent experiments using the HO-1 inhibitor, the antioxidant potency of anthocyanins to block apoptosis and cytotoxicity in H2O2-exposed ARPE-19 cells was largely offset, suggesting that HO-1 activation contributed to inhibition of H2O2-induced oxidative damage by anthocyanins. The current results are similar to previous findings that the antioxidant activity of anthocyanins such as cyanidin-3-glucoside and delphinidin is due to Nrf2-mediated activation of HO-1 in RPE cells [21, 22]. Therefore, the present results indicate that HO-1 activation by anthocyanins contributes at least as one of the upstream signals for the protective action of anthocyanins on H2O2-mediated cytotoxicity in ARPE-19 cells.

Taken together, our data demonstrated that anthocyanins could reduce H2O2-induced cellular toxicity such as DNA damage and apoptotic cell death by alleviating mitochondrial dysfunction through scavenging ROS and increasing GSH in ARPE-19 cells. Moreover, anthocyanins may contribute to eliminating oxidative stress by enhancing the activation of the Nrf2/HO-1 axis, probably because H2O2-induced ROS accumulation was suppressed by HO-1 activation (Fig. 8). Although further studies are needed to better understand the mechanisms of upstream regulators regulating Nrf2 phosphorylation, these findings support the preventive potential of anthocyanins in oxidative injury-related ocular disease.

Figure 8. Schematic diagram showing the blocking effect of anthocyanins on oxidative stress in ARPE-19 cells.

Acknowledgments

This research was funded by Basic Science Research Program through the National Research Foundation of Korea (NRF) grant funded by the Korea government (2021R1A2C2009549) and Korea Basic Science Institute grant (NRF-2020R1A6C101A201).

Conflict of Interest

The authors have no financial conflicts of interest to declare.

Fig 1.

Figure 1.Anthocyanins protected H2O2-induced reduction of cell viability in ARPE-19 cells. (A-C) Results of MTT assay analyzed after treating cells with different concentrations of H2O2 (A) or anthocyanins (B) for 24 h or pre-treating cells with anthocyanins for 1 h and then treating them with H2O2 for 24 h (C). (D) Representative morphological images of cells cultured under different conditions (200×).
Journal of Microbiology and Biotechnology 2024; 34: 596-605https://doi.org/10.4014/jmb.2310.10011

Fig 2.

Figure 2.Anthocyanins attenuated DNA damage in H2O2-treated ARPE-19 cells. Before treating the cells with H2O2 for 24 h, they were incubated in the presence or absence of anthocyanins for 1 h. Representative images of comet assay (A), 8- OHdG levels (B) and expression changes of γH2AX (C) were presented.
Journal of Microbiology and Biotechnology 2024; 34: 596-605https://doi.org/10.4014/jmb.2310.10011

Fig 3.

Figure 3.Anthocyanins ameliorated H2O2-induced apoptosis in ARPE-19 cells. Cells were exposed to anthocyanins for 1 h prior to treatment with H2O2 for 24 h. (A and B) Representative histograms (A) and quantitative results (B) of flow cytometry analysis by Annexin V/PI staining. (C and D) Images of representative nuclei (C, 400×) and results of quantitative analysis obtained after DAPI staining. (E) Expression changes of the indicated proteins obtained through immunoblotting. (F) Differences in caspase-3 activity by treatment group.
Journal of Microbiology and Biotechnology 2024; 34: 596-605https://doi.org/10.4014/jmb.2310.10011

Fig 4.

Figure 4.Anthocyanins suppressed H2O2-induced mitochondrial impairment in ARPE-19 cells. Cells exposed with or without anthocyanins for 1 h were treated with H2O2 for 24 h. (A and B) Representative histograms (A) and JC-1 monomer ratios (B) of flow cytometry using JC-1 staining in each treatment group. (C and D) The expression of cytochrome c in the mitochondrial and cytosolic fractions was investigated by immunoblotting.
Journal of Microbiology and Biotechnology 2024; 34: 596-605https://doi.org/10.4014/jmb.2310.10011

Fig 5.

Figure 5.Anthocyanins attenuated ROS production and reduced GSH/GSSG ratio in ARPE-19 cells under H2O2-treated conditions. Cells exposed with or without anthocyanins for 1 h were stimulated with H2O2 for 1 h (A, B and C) or 24 h (D). (A and B) Representative histograms of flow cytometry (A) and the frequency of DCF-positive cells (B). (C) Representative fluorescence images of ROS production. (D) Bar chart indicated the GSH/GSSG ratio following the exposure to H2O2 and pretreatment with anthocyanins.
Journal of Microbiology and Biotechnology 2024; 34: 596-605https://doi.org/10.4014/jmb.2310.10011

Fig 6.

Figure 6.Anthocyanins activated the Nrf2/HO-1 signaling in ARPE-19 cells under H2O2-treated conditions. Cells exposed with or without anthocyanins for 1 h were stimulated with H2O2 for 24 h. (A and B) Expression changes of proteins presented in each treatment group were analyzed by immunoblotting using cytosolic and nuclear fractions. (C) The activity of HO-1 in each treatment group was expressed as a relative value.
Journal of Microbiology and Biotechnology 2024; 34: 596-605https://doi.org/10.4014/jmb.2310.10011

Fig 7.

Figure 7.The protective ability of anthocyanins against ROS generation and apoptosis caused by H2O2 treatment was offset by ZnPP in ARPE-19 cells. Cells were treated with anthocyanins and/or ZnPP for 1 h and then further treated with H2O2 for 24 h. (A and B) Representative flow cytometry results (A) and their average values (B) according to DCF-DA staining. (C and D) Representative histograms (C) and quantitative results (D) of flow cytometry analysis following double staining of annexin V and PI. (E) Cell viability was assessed using MTT assay.
Journal of Microbiology and Biotechnology 2024; 34: 596-605https://doi.org/10.4014/jmb.2310.10011

Fig 8.

Figure 8.Schematic diagram showing the blocking effect of anthocyanins on oxidative stress in ARPE-19 cells.
Journal of Microbiology and Biotechnology 2024; 34: 596-605https://doi.org/10.4014/jmb.2310.10011

Table 1 . List of antibodies used in this study..

AntibodySpecies raisedDilutionProduct CodeSource
γH2AXMouse monoclonal1:500MA1-2022Thermo Fisher Scientific Inc.
Bcl-2Mouse monoclonal1:1000sc-509Santa Cruz Biotechnology Inc.
BaxMouse monoclonal1:1000sc-7480Santa Cruz Biotechnology Inc.
Caspase-3Rabbit polyclonal1:1000#9662Cell Signaling Technology Inc.
PARPMouse monoclonal1:1000sc-8007Santa Cruz Biotechnology Inc.
Cytochrome cMouse monoclonal1:1000sc-13560Santa Cruz Biotechnology Inc.
Nrf2Mouse monoclonal1:1000sc-518036Santa Cruz Biotechnology Inc.
p-Nrf2Rabbit polyclonal1:500PA5-67520Thermo Fisher Scientific Inc.
HO-1Mouse monoclonal1:1000sc-136960Santa Cruz Biotechnology Inc.
Lamin BRabbit polyclonal1:500ab65986Abcam, Inc.
COX IVRabbit polyclonal1:1000#4844Cell Signaling Technology Inc.
ActinMouse monoclonal1:1000sc-47778Santa Cruz Biotechnology Inc.

References

  1. Fang J. 2015. Classification of fruits based on anthocyanin types and relevance to their health effects. Nutrition 31: 1301-1306.
    Pubmed CrossRef
  2. Sasaki N, Nishizaki Y, Ozeki Y, Miyahara T. 2014. The role of acyl-glucose in anthocyanin modifications. Molecules 19: 18747-18766.
    Pubmed KoreaMed CrossRef
  3. He J, Ye S, Correia P, Fernandes I, Zhang R, Wu M, et al. 2022. Dietary polyglycosylated anthocyanins, the smart option? A comprehensive review on their health benefits and technological applications. Compr. Rev. Food Sci. Food Saf. 21: 3096-3128.
    Pubmed CrossRef
  4. Saigo T, Wang T, Watanabe M, Tohge T. 2020. Diversity of anthocyanin and proanthocyanin biosynthesis in land plants. Curr. Opin. Plant Biol. 55: 93-99.
    Pubmed CrossRef
  5. Vahapoglu B, Erskine E, Gultekin Subasi B, Capanoglu E. 2021. Recent studies on berry bioactives and their health-promoting roles. Molecules 27: 108.
    Pubmed KoreaMed CrossRef
  6. Panchal SK, John OD, Mathai ML, Brown L. 2022. Anthocyanins in chronic diseases: the power of purple. Nutrients 14: 2161.
    Pubmed KoreaMed CrossRef
  7. Khoo HE, Ng HS, Yap WS, Goh HJH, Yim HS. 2019. Nutrients for prevention of macular degeneration and eye-related diseases. Antioxidants (Basel) 8: 85.
    Pubmed KoreaMed CrossRef
  8. Martini D, Marino M, Venturi S, Tucci M, Klimis-Zacas D, Riso P, et al. 2023. Blueberries and their bioactives in the modulation of oxidative stress, inflammation and cardio/vascular function markers: a systematic review of human intervention studies. J. Nutr. Biochem. 111: 109154.
    Pubmed CrossRef
  9. Bocsan IC, Măgureanu DC, Pop RM, Levai AM, Macovei ȘO, Pătrașca IM, et al. 2022. Antioxidant and anti-inflammatory actions of polyphenols from red and white grape pomace in ischemic heart diseases. Biomedicines 10: 2337.
    Pubmed KoreaMed CrossRef
  10. Pérez-Torres I, Castrejón-Téllez V, Soto ME, Rubio-Ruiz ME, Manzano-Pech L, Guarner-Lans V. 2021. Oxidative stress, plant natural antioxidants, and obesity. Int. J. Mol. Sci. 22: 1786.
    Pubmed KoreaMed CrossRef
  11. Chen J, Meng X. 2022. Aronia melanocarpa anthocyanin extracts improve hepatic structure and function in high-fat diet-/streptozotocin-induced T2DM mice. J. Agric. Food Chem. 70: 11531-11543.
    Pubmed CrossRef
  12. Wang C, Yu S, Jiang J, Li H, Pan Y, Li W, et al. 2022. Protective effect of anthocyanins on radiation-induced hippocampal injury through activation of SIRT3. Curr. Pharm. Des. 28: 1103-1108.
    Pubmed CrossRef
  13. Molagoda IMN, Lee KT, Choi YH, Kim GY. 2020. Anthocyanins from Hibiscus syriacus L. inhibit oxidative stress-mediated apoptosis by activating the Nrf2/HO-1 signaling pathway. Antioxidants (Basel) 9: 42.
    Pubmed KoreaMed CrossRef
  14. Yin L, Fan SJ, Zhang MN. 2022. Protective effects of anthocyanins extracted from Vaccinium uliginosum on 661W cells against microwave-induced retinal damage. Chin. J. Integr. Med. 28: 620-626.
    Pubmed CrossRef
  15. Thummayot S, Tocharus C, Jumnongprakhon P, Suksamrarn A, Tocharus J. 2018. Cyanidin attenuates Aβ25-35-induced neuroinflammation by suppressing NF-kB activity downstream of TLR4/NOX4 in human neuroblastoma cells. Acta Pharmacol. Sin. 39: 1439-1452.
    Pubmed KoreaMed CrossRef
  16. Ali T, Kim T, Rehman SU, Khan MS, Amin FU, Khan M, et al. 2018. Natural dietary supplementation of anthocyanins via PI3K/Akt/Nrf2/HO-1 pathways mitigate oxidative stress, neurodegeneration, and memory impairment in a mouse model of Alzheimer's disease. Mol. Neurobiol. 55: 6076-6093.
    Pubmed CrossRef
  17. Song Y, Huang L, Yu J. 2016. Effects of blueberry anthocyanins on retinal oxidative stress and inflammation in diabetes through Nrf2/HO-1 signaling. J. Neuroimmunol. 301: 1-6.
    Pubmed CrossRef
  18. Shaw P, Chattopadhyay A. 2020. Nrf2-ARE signaling in cellular protection: mechanism of action and the regulatory mechanisms. J. Cell. Physiol. 235: 3119-3130.
    Pubmed CrossRef
  19. Jenkins T, Gouge J. 2021. Nrf2 in cancer, detoxifying enzymes and cell death programs. Antioxidants (Basel) 10: 1030.
    Pubmed KoreaMed CrossRef
  20. Yu ZY, Ma D, He ZC, Liu P, Huang J, Fang Q, et al. 2018. Heme oxygenase-1 protects bone marrow mesenchymal stem cells from iron overload through decreasing reactive oxygen species and promoting IL-10 generation. Exp. Cell Res. 362: 28-42.
    Pubmed CrossRef
  21. Peng W, Wu Y, Peng Z, Qi W, Liu T, Yang B, et al. 2022. Cyanidin-3-glucoside improves the barrier function of retinal pigment epithelium cells by attenuating endoplasmic reticulum stress-induced apoptosis. Food Res. Int. 157: 111313.
    Pubmed CrossRef
  22. Ni T, Yang W, Xing Y. 2019. Protective effects of delphinidin against H2O2-induced oxidative injuries in human retinal pigment epithelial cells. Biosci. Rep. 39: BSR20190689.
    Pubmed KoreaMed CrossRef
  23. Park C, Lee WS, Go SI, Jeong SH, Yoo J, Cha HJ, et al. 2021. Apoptotic effects of anthocyanins from Vitis coignetiae Pulliat are enhanced by augmented enhancer of the rudimentary homolog (ERH) in human gastric carcinoma MKN28 cells. In. J. Mol. Sci. 22: 3030.
    Pubmed KoreaMed CrossRef
  24. Han MH, Kim HJ, Jeong JW, Park C, Kim BW, Choi YH. 2018. Inhibition of adipocyte differentiation by anthocyanins isolated from the fruit of Vitis coignetiae Pulliat is associated with the activation of AMPK signaling pathway. Toxicol. Res. 34: 13-21.
    Pubmed KoreaMed CrossRef
  25. Lu JN, Lee WS, Kim MJ, Yun JW, Jung JH, Yi SM, et al. 2014. The inhibitory effect of anthocyanins on Akt on invasion and epithelialmesenchymal transition is not associated with the anti-EGFR effect of the anthocyanins. Int. J. Oncol. 44: 1756-1766.
    Pubmed CrossRef
  26. Yun JW, Lee WS, Kim MJ, Lu JN, Kang MH, Kim HG, et al. 2010. Characterization of a profile of the anthocyanins isolated from Vitis coignetiae Pulliat and their anti-invasive activity on HT-29 human colon cancer cells. Food Chem. Toxicol. 48: 903-909.
    Pubmed CrossRef
  27. Shin DY, Lee WS, Lu JN, Kang MH, Ryu CH, Kim GY, et al. 2009. Induction of apoptosis in human colon cancer HCT-116 cells by anthocyanins through suppression of Akt and activation of p38-MAPK. Int. J. Oncol. 35: 1499-504.
    CrossRef
  28. Park C, Noh JS, Jung Y, Leem SH, Hyun JW, Chang YC, et al. 2022. Fisetin attenuated oxidative stress-induced cellular damage in ARPE-19 human retinal pigment epithelial cells through Nrf2-mediated activation of heme oxygenase-1. Front. Pharmacol. 13: 927898.
    Pubmed KoreaMed CrossRef
  29. Jeong MJ, Lim DS, Kim SO, Park C, Leem SH, Lee H, et al. 2022. Protection of oxidative stress-induced DNA damage and apoptosis by rosmarinic acid in murine myoblast C2C12 cells. Biotechnol. Bioprocess Eng. 27: 171-182.
    CrossRef
  30. Mukherjee S, Park JP, Yun JW. 2022. Carboxylesterase3 (Ces3) Interacts with bone morphogenetic protein 11 and promotes differentiation of osteoblasts via Smad1/5/9 pathway. Biotechnol. Bioprocess Eng. 27: 1-16.
    CrossRef
  31. Choi YH. 2022. Tacrolimus induces apoptosis in leukemia Jurkat cells through inactivation of the reactive oxygen species-dependent phosphoinositide-3-kinase/Akt signaling pathway. Biotechnol. Bioprocess Eng. 27: 183-192.
    CrossRef
  32. Sukjamnong S, Chen H, Saad S, Santiyanont R. 2022. Fimbristylis ovata and Artemisia vulgaris extracts inhibited AGE-mediated RAGE expression, ROS generation, and inflammation in THP-1 cells. Toxicol. Res. 38: 331-343.
    Pubmed KoreaMed CrossRef
  33. Park C, Lee H, Hong SH, Kim JH, Park SK, Jeong JW, et al. 2019. Protective effect of diphlorethohydroxycarmalol against oxidative stress-induced DNA damage and apoptosis in retinal pigment epithelial cells. Cutan. Ocul. Toxicol. 38: 298-308.
    Pubmed CrossRef
  34. Hernandez M, Recalde S, González-Zamora J, Bilbao-Malavé V, Sáenz de Viteri M, Bezunartea J, et al. 2021. Anti-inflammatory and anti-oxidative synergistic effect of vitamin D and nutritional complex on retinal pigment epithelial and endothelial cell lines against age-related macular degeneration. Nutrients 13: 1423.
    Pubmed KoreaMed CrossRef
  35. Mahendra CK, Tan LTH, Pusparajah P, Htar TT, Chuah LH, Lee VS, et al. 2020. Detrimental effects of UVB on retinal pigment epithelial cells and its role in age-related macular degeneration. Oxid. Med. Cell. Longev. 2020: 1904178.
    Pubmed KoreaMed CrossRef
  36. Tong Y, Zhang Z, Wang S. 2022. Role of mitochondria in retinal pigment epithelial aging and degeneration. Front. Aging 3: 926627.
    Pubmed KoreaMed CrossRef
  37. Cordelli E, Bignami M, Pacchierotti F. 2021. Comet assay: a versatile but complex tool in genotoxicity testing. Toxicol. Res. (Camb.) 10: 68-78.
    Pubmed KoreaMed CrossRef
  38. Kopp B, Khoury L, Audebert M. 2019. Validation of the γH2AX biomarker for genotoxicity assessment: a review. Arch. Toxicol. 93: 2103-2114.
    Pubmed CrossRef
  39. Hahm JY, Park J, Jang ES, Chi SW. 2022. 8-Oxoguanine: from oxidative damage to epigenetic and epitranscriptional modification. Exp. Mol. Med. 54: 1626-1642.
    Pubmed KoreaMed CrossRef
  40. Lou MF. 2022. Glutathione and glutaredoxin in redox regulation and cell signaling of the lens. Antioxidants (Basel) 11: 1973.
    Pubmed KoreaMed CrossRef
  41. Enns GM, Cowan TM. 2017. Glutathione as a redox biomarker in mitochondrial disease-implications for therapy. J. Clin. Med. 6: 50.
    Pubmed KoreaMed CrossRef
  42. Wang Y, Zhang D, Liu Y, Wang D, Liu J, Ji B. 2015. The protective effects of berry-derived anthocyanins against visible light-induced damage in human retinal pigment epithelial cells. J. Sci. Food d Agric. 95: 936-944.
    Pubmed CrossRef
  43. Tiwari S, Dewry RK, Srivastava R, Nath S, Mohanty TK. 2022. Targeted antioxidant delivery modulates mitochondrial functions, ameliorates oxidative stress and preserve sperm quality during cryopreservation. Theriogenology 179: 22-31.
    Pubmed CrossRef
  44. Bock FJ, Tait SWG. 2020. Mitochondria as multifaceted regulators of cell death. Nat. Rev. Mol. Cell Biol. 21: 85-100.
    Pubmed CrossRef
  45. Kiraz Y, Adan A, Kartal Yandim M. Baran Y. 2016. Major apoptotic mechanisms and genes involved in apoptosis. Tumor Biol. 37: 8471-8486.
    Pubmed CrossRef
  46. Clementi ME, Pizzoferrato M, Bianchetti G, Brancato A, Sampaolese B, Maulucci G, et al. 2022. Cytoprotective effect of idebenone through modulation of the intrinsic mitochondrial pathway of apoptosis in human retinal pigment epithelial cells exposed to oxidative stress induced by hydrogen peroxide. Biomedicines 10: 503.
    Pubmed KoreaMed CrossRef
  47. Dinc E, Ayaz L, Kurt AH. 2017. Protective effect of combined caffeic acid phenethyl ester and bevacizumab against hydrogen peroxide-induced oxidative stress in human RPE cells. Curr. Eye Res. 42: 1659-1666.
    Pubmed CrossRef
  48. Lalier L, Vallette F, Manon S. 2022. Bcl-2 Family members and the mitochondrial import machineries: the roads to death. Biomolecules 12: 162.
    Pubmed KoreaMed CrossRef
  49. Du Y, You L, Ni B, Sai N, Wang W, Sun M, et al. 2020. Phillyrin mitigates apoptosis and oxidative stress in hydrogen peroxide-treated RPE cells through activation of the Nrf2 signaling pathway. Oxid. Med. Cell. Longev. 2020: 2684672.
    Pubmed KoreaMed CrossRef
  50. You L, Peng H, Liu J, Cai M, Wu H, Zhang Z, et al. 2021. Catalpol protects ARPE-19 cells against oxidative stress via activation of the Keap1/Nrf2/ARE pathway. Cells 10: 2635.
    Pubmed KoreaMed CrossRef