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Research article
Anthocyanins Inhibits Oxidative Injury in Human Retinal Pigment Epithelial ARPE-19 Cells via Activating Heme Oxygenase-1
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
J. Microbiol. Biotechnol. 2024; 34(3): 596-605
Published March 28, 2024 https://doi.org/10.4014/jmb.2310.10011
Copyright © The Korean Society for Microbiology and Biotechnology.
Abstract
Keywords
Graphical Abstract
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
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
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
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).
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Table 1 . List of antibodies used in this study.
Antibody Species raised Dilution Product Code Source γH2AX Mouse monoclonal 1:500 MA1-2022 Thermo Fisher Scientific Inc. Bcl-2 Mouse monoclonal 1:1000 sc-509 Santa Cruz Biotechnology Inc. Bax Mouse monoclonal 1:1000 sc-7480 Santa Cruz Biotechnology Inc. Caspase-3 Rabbit polyclonal 1:1000 #9662 Cell Signaling Technology Inc. PARP Mouse monoclonal 1:1000 sc-8007 Santa Cruz Biotechnology Inc. Cytochrome c Mouse monoclonal 1:1000 sc-13560 Santa Cruz Biotechnology Inc. Nrf2 Mouse monoclonal 1:1000 sc-518036 Santa Cruz Biotechnology Inc. p-Nrf2 Rabbit polyclonal 1:500 PA5-67520 Thermo Fisher Scientific Inc. HO-1 Mouse monoclonal 1:1000 sc-136960 Santa Cruz Biotechnology Inc. Lamin B Rabbit polyclonal 1:500 ab65986 Abcam, Inc. COX IV Rabbit polyclonal 1:1000 #4844 Cell Signaling Technology Inc. Actin Mouse monoclonal 1:1000 sc-47778 Santa 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
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).
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Fig. 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.
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Fig. 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).
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Fig. 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.
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Fig. 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).
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Fig. 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).
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Fig. 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).
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Fig. 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.
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Fig. 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.
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Related articles in JMB
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
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
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
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
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).
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Table 1 . List of antibodies used in this study..
Antibody Species raised Dilution Product Code Source γH2AX Mouse monoclonal 1:500 MA1-2022 Thermo Fisher Scientific Inc. Bcl-2 Mouse monoclonal 1:1000 sc-509 Santa Cruz Biotechnology Inc. Bax Mouse monoclonal 1:1000 sc-7480 Santa Cruz Biotechnology Inc. Caspase-3 Rabbit polyclonal 1:1000 #9662 Cell Signaling Technology Inc. PARP Mouse monoclonal 1:1000 sc-8007 Santa Cruz Biotechnology Inc. Cytochrome c Mouse monoclonal 1:1000 sc-13560 Santa Cruz Biotechnology Inc. Nrf2 Mouse monoclonal 1:1000 sc-518036 Santa Cruz Biotechnology Inc. p-Nrf2 Rabbit polyclonal 1:500 PA5-67520 Thermo Fisher Scientific Inc. HO-1 Mouse monoclonal 1:1000 sc-136960 Santa Cruz Biotechnology Inc. Lamin B Rabbit polyclonal 1:500 ab65986 Abcam, Inc. COX IV Rabbit polyclonal 1:1000 #4844 Cell Signaling Technology Inc. Actin Mouse monoclonal 1:1000 sc-47778 Santa 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
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).
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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.
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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).
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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.
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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).
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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).
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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).
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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.
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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.
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Table 1 . List of antibodies used in this study..
Antibody Species raised Dilution Product Code Source γH2AX Mouse monoclonal 1:500 MA1-2022 Thermo Fisher Scientific Inc. Bcl-2 Mouse monoclonal 1:1000 sc-509 Santa Cruz Biotechnology Inc. Bax Mouse monoclonal 1:1000 sc-7480 Santa Cruz Biotechnology Inc. Caspase-3 Rabbit polyclonal 1:1000 #9662 Cell Signaling Technology Inc. PARP Mouse monoclonal 1:1000 sc-8007 Santa Cruz Biotechnology Inc. Cytochrome c Mouse monoclonal 1:1000 sc-13560 Santa Cruz Biotechnology Inc. Nrf2 Mouse monoclonal 1:1000 sc-518036 Santa Cruz Biotechnology Inc. p-Nrf2 Rabbit polyclonal 1:500 PA5-67520 Thermo Fisher Scientific Inc. HO-1 Mouse monoclonal 1:1000 sc-136960 Santa Cruz Biotechnology Inc. Lamin B Rabbit polyclonal 1:500 ab65986 Abcam, Inc. COX IV Rabbit polyclonal 1:1000 #4844 Cell Signaling Technology Inc. Actin Mouse monoclonal 1:1000 sc-47778 Santa Cruz Biotechnology Inc.
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