Sulfiredoxin-1 exerts anti-apoptotic and neuroprotective effects against oxidative stress-induced injury in rat cortical astrocytes following exposure to oxygen-glucose deprivation and hydrogen peroxide

Sulfiredoxin 1 (Srxn1), an endogenous antioxidant protein, plays an important neuroprotective role in cerebral ischemia. However, the exact mechanisms of action of Srxn1 in cerebral ischemia have not yet been fully elucidated. Therefore, in the present study, rat primary cortical astrocytes transfected with a lentiviral vector encoding short hairpin RNA (shRNA) were exposed to oxygen-glucose deprivation (OGD) for 4 h or to 100 μM hydrogen peroxide (H2O2) for 6 h, in order to construct an in vitro model of cerebral ischemia-induced damage. We found that following exposure to OGD or H2O2, the knockdown of Srxn1 resulted in a decrease in cell viability, as shown by MTS assay, an increase in cell damage, as shown by lactate dehydrogenase assay and an increase in cellular apoptosis, as shown by Hoechst 33342 staining and flow cytometry. Furthermore, we found that following exposure to OGD or H2O2, the knockdown of Srxn1 resulted in a decrease in mitochondrial transmembrane potential (Δψm) as indicated by JC-1 staining, an increase in the cytoplasmic expression of cytochrome c (Cyt.C), caspase-3, caspase-9, poly(ADP-ribose) polymerase (PARP) and Bax protein at the protein level, but a decrease in the expression of the anti-apoptotic Bcl-2 protein; these effects were tightly associated with the mitochondrial apoptotic pathway. However, we found that there was no obvious change in the intracellular calcium ([Ca2+]i) levels and caspase-12 expression following the knockdown of Srxn1. Taken together, the results from the present study demonstrate that Srxn1 protects primary rat cortical astrocytes from OGD- or H2O2-induced apoptosis and that involves the activation of the mitochondrial apoptotic pathway, which suggests that Srxn1 may be a potential target in the treatment of cerebral ischemia.


Introduction
Cerebral ischemia, particularly during the period of ischemia/ reperfusion, involves complex biochemical mechanisms, and compared with other organs, brain tissue is more likely to produce free radicals and lipid peroxides; therefore, oxidative stress is likely to be the key factor responsible for the irreversible damage caused during cerebral ischemia/reperfusion (1). It has been confirmed that oxidative stress can affect glial cells, which are associated with neuronal death or a decrease in neuronal cell proliferation (2). At present, however, we have not acquired a satisfactory curative effect with regards to the application of exogenous antioxidants and anti-apoptotic agents. It is well known that the endogenous antioxidant defense system is crucial to the survival of nerve cells (3). Therefore, endogenous antioxidants and anti-apoptotic agents may provide an effective therapeutic intervention in ischemic brain injury. In addition, an improved understanding of the disease mechanisms is crucial for developing applicable treatment strategies.
Sulfiredoxin 1 (Srxn1), a central endogenous antioxidant protein belonging to the sulfiredoxin family of antioxidants, was initially characterized in yeast (4) and subsequently in mammalian cells (5) before it was reported to have an important function in neuroprotection (3). Srxn1 functions as one of the reactive oxygen species (ROS) management systems that counter cell oxidative stress-induced damage (6). It has been demonstrated that Srxn1 protects brain tissue from damage through the regulation of glutathionylation/deglutathionylation in Parkinson's disease (PD) (7). The induction of Srxn1 expression has been shown to exert neuroprotective effects against hydrogen peroxide (H 2 O 2 )-induced cell death (8). The reduction of Srxn1 expression has been shown to lead to an increased sensitivity to oxidative stress, and this sensitivity was reduced by the overexpression of intracellular Srxn1 (6,9,10). In addition, it has been reported that the induction of the expression of Sulfiredoxin-1 exerts anti-apoptotic and neuroprotective effects against oxidative stress-induced injury in rat cortical astrocytes following exposure to oxygen-glucose deprivation and hydrogen peroxide Srxn1 contributes to neuroprotective ischemic preconditioning in response to oxygen-glucose deprivation (OGD) in vitro and following brief ischemic episodes in vivo (11). Moreover, Srxn1 can enter the mitochondria to maintain a balance between mitochondrial H 2 O 2 production and elimination (12). Furthermore, Srxn1 may be a novel component in maintaining the balance between H 2 O 2 production and elimination and protecting A549 cells or wild-type mouse embryonic fibroblasts (MEFs) from apoptosis (13). This may be related to the inhibition of the release of cytochrome c (Cyt.C) and the activation of caspase-9 and caspase-3 (13). Nevertheless, the specific function and related regulatory mechanisms of action of Srxn1 in cerebral ischemia and in damage induced by apoptosis have not been extensively investigated. In our previous study, we demonstrated that the knockdown of Srxn1 resulted in an increased sensitivity to H 2 O 2 in PC12 cells, indicating that Srxn1 was essential for antioxidant proteins (1). The aim of this study was to investigate the function of Srxn1 with respect to apoptosis in rat cortical astrocytes, as well as the potential protective mechanisms of action of Srxn1.
Primary culture of rat cortical astrocytes. All procedures were in accordance with the Guide for the Care and Use of Laboratory Animals adopted by the National Institutes of Health (Bethesda, MA, USA). Newborn Sprague-Dawley (SD) rats (day 0-1-old) were obtained from the Laboratory Animal Center, Chongqing Medical University, Chongqing, China. Cortical astrocytes from newborn SD rats were obtained as previously described (14,15). The cells in DMEM/F12 medium containing 10% FBS and 1% Pen/Strep were plated onto poly-L-lysine-coated 75 cm 2 flasks at a density of 1.5x10 5 cells/ ml at 37˚C in a incubator (Thermo 3111; Thermo Scientific, Waltham, MA, USA) containing 5% CO 2 and 95% air. When firmly attached to the bottom of the flask, the cells were passaged. Tha astrocytes obtained using this procedure were then sub-cultured twice. Under these conditions, the astrocytes were contained at >90% as determined by glial fibrillary acidic protein (GFAP) staining.
Transfection with short hairpin RNA (shRNA) against Srxn1. A Srxn1 lentivirus (LV2-nonGFP)-encoding shRNA and a negative control (NC) shRNA were prepared by Shanghai GenePharma (Shanghai, China), using the rat Srxn1 gene sequence NM_001047858 available in the NCBI database. The effective knockdown fragment sequence of shRNA against rat Srxn1 was CAT CCA CAC CAG ACT TGC AGT, and the sequence of the negative control shRNA against rat was TTC TCC GAA CGT GTC ACG T. The astrocytes were transfected with the shRNA according to the directions provided by the manufacturer and as described in the study by Liu et al (16). Briefly, after the culture medium was changed, 1 µl of lentivirus per 1x10 4 cells was added to the cells, which were 60-80% confluent, for infection for approximately 24 h. The cells were then washed with PBS, and the culture medium was changed. Following transfection for approximately 72 h, the cells were ready for exposure to OGD or H 2 O 2 . The Srxn1 shRNA knockdown efficiency was confirmed by western blot analysis and reverse transcription-quantitative polymerase chain reaction (RT-qPCR) at approximately 72 h post-transfection.
Cell groups and exposure to OGD or H 2 O 2 . The astrocytes were divided into the following 9 groups: i) the control group: astrocytes without any treatment; ii) the negative control (NC) group: astrocytes were transfected with negative control shRNA; iii) the sh-Srxn1 group: astrocytes were transfected with Srxn1 shRNA (sh-Srxn1); iv) the control + OGD group: astrocytes were exposed to OGD; v) the NC + OGD group: astrocytes were transfected with negative control shRNA followed by exposure to OGD; vi) the sh-Srxn1 + OGD group: astrocytes were transfected with Srxn1 shRNA followed by exposure to OGD; vii) the control + H 2 O 2 group: astrocytes were exposed to H 2 O 2 ; viii) the NC + H 2 O 2 group: astrocytes were transfected with negative control shRNA followed by exposure to H 2 O 2 ; and ix) the sh-Srxn1+H 2 O 2 group: astrocytes were transfected with Srxn1 shRNA followed by exposure to H 2 O 2 .
OGD was performed according to a previously described method (15). Briefly, the control and the cells transfected with the shRNA for 72 h were exposed to OGD for 4 h, followed by oxygen-glucose reoxygenation for 24 h at 37˚C. Subsequently, the cells were ready for further experiments. H 2 O 2 was administered according to a previously described method (1). The control and the cells transfected with the shRNA for 72 h were exposed to H 2 O 2 at an optimal concentration of 100 µM for 6 h at 37˚C; the cells were then ready for the following experiments.
RNA extraction and RT-qPCR. Total RNA was extracted using RNAiso Plus (Takara Biotechnology Co., Ltd., Dalian, China) according to the manufacturer's instructions. The concentration and purity of the RNA were measured with a spectrophotometer (U-3010; Hitachi Co., Tokyo, Japan). Subsequently, cDNA from the total RNA was obtained using the PrimeScript™ RT reagent kit (Perfect Real-Time) (Takara Biotechnology Co., Ltd.). The amplification was carried out using the Thermal Cycler miniopticon real-time PCR system (Bio-Rad) in a 25 µl reaction mixture containing 2 µl of diluted cDNA templates, 1 µl of each primer and 12.5 µl of 2X SYBR ® Premix Ex Taq™ (Takara Biotechnology Co., Ltd.). The PCR conditions were as follows: 95˚C for 10 sec, followed by 39 cycles consisting of 95˚C for 5 sec, 60˚C for 15 sec and 72˚C for 15 sec, and melt curve at 72˚C 5 sec, followed by 95˚C keep. The sequences of the specific primers used in this study were as follows: Srxn1 forward, 5'-CCC AAG GCG GTG ACT ACT AC-3' and reverse, 5'-GGC AGG AAT GGT CTC TCT CTG TG-3'; β-actin forward, 5'-CAC CCG CGA GTA CAA CCT TC-3' and reverse, 5'-CCC ATA CCC ACC ATC ACA CC-3' . β-actin was used to normalize the expression levels of each sample. The reaction of each sample was performed in triplicate. Data were calculated using 2 -ΔΔCt method, as previously described (17,18) with Bio-Rad CFX Manager software (Bio-Rad).
LDH assay. The release of LDH was measured using the LDH assay kit according to manufacturer's instructions (Roche Molecular Biochemicals). Following treatment, the nutrient solution was collected and transferred to new 96-well plates, then mixed with the 100 µl reaction solution provided in the kit. The optical density was measured at 490 nm 30 min using a microplate reader (Bio-Rad).
Hoechst staining. Apoptotic morphology was measured using Hoechst 33342 staining as previously described (15). Briefly, the treated cells on coverslips (approximately 1x10 5 cells/coverslip) were fixed with 4% paraformaldehyde for 20 min at 37˚C. After washing, the cells were mounted with Hoechst 33342 at room temperature for 15 min. Fluorescent images were acquired using a fluorescence microscope (Olympus BX51; Olympus, Tokyo, Japan). Nuclear shrinkage, chromatin condensation and nuclear fragmentation were the criteria for identifying an apoptotic cell.
Flow cytometric analysis. Apoptosis analyses were performed as previously described (19), using Annexin V-FITC and propidium iodide (PI) double staining. The treated cells were harvested and diluted in 100 µl of 1X Annexin V binding buffer per assay and incubated with Annexin V-FITC and PI for 15 min in the dark at room temperature. Subsequently, 400 µl of 1X binding buffer were added. The stained cells were immediately analyzed by flow cytometry (FCM). During apoptosis, phosphatidylserine is translocated from the inner to the outer leaflet of the plasma membrane where it can be detected by Annexin V conjugates. For each sample, at least 1x10 5 cells were analyzed by applying CellQuest™ Pro Analysis software (BD Biosciences, San Jose, CA, USA). The cytogram of the 4 quadrants was used to distinguish normal (Annexin V -/PI -), early apoptotic (Annexin V + /PI -), late apoptotic (Annexin V + / PI + ) and necrotic cells (Annexin V -/PI + ). The sum of the early and late apoptotic cells represented the total apoptosis.

Measurement of mitochondrial transmembrane potential (Δψ m ).
To measure the Δψ m , JC-1, a lipophilic cation sensitive fluorescent probe for Δψ m , was used according to the manufacturer's instructions (Molecular Probes) and as described in the study by Han et al (20). The cells were washed and incubated with 10 µg/ml JC-1 at 37˚C for 30 min. After removing JC-1 and washing, images were captured by Laser Scanning Confocal Microscopy (Nikon TiE; Nikon, Tokyo, Japan) with both red and green channels. A total of 6 random, non-adjacent fields in each group were used for statistical analysis. IPP 6.0 software was used to measure the average fluorescence intensity of the red and green fluorescence in each group. The Δψ m level is represented by the JC-1 fluorescence ratio, which was calculated as the ratio of average fluorescence intensity of red/green.

Measurements of intracellular calcium ([Ca 2+ ]i) levels.
To monitor changes in [Ca 2+ ]i levels, Fluo-3 AM was used according to the manufacturer's instructions (Invitrogen). The cells were washed and incubated with 5 µM of the Ca 2+ indicator, Fluo-3/AM, at 37˚C for 60 min. After removing Ca 2+ and washing, changes in [Ca 2+ ]i levels (Fluo-3 fluorescence intensity) were measured by Laser Scanning Confocal Microscopy (Nikon TiE; Nikon). A total of 6 random, non-adjacent fields in each group were used for statistical analysis.
Statistical analysis. All the experiments were performed at least 3 times and the data are presented as the means ± SEM. Data were analyzed by one-way ANOVA followed by a post hoc Tukey's test. Statistical analysis was performed using SPSS 17.0 software (SPSS, Inc., Chicago, IL, USA) and a value of P<0.05 was considered to indicate a statistically significant difference.

Results
Evaluation of the efficiency of Srxn1 shRNA following exposure to OGD or H 2 O 2 . The inhibition of Srxn1 expression in the presence of OGD or H 2 O 2 was confirmed by western blot analysis ( Fig. 1A and B) and RT-qPCR (Fig. 1C). Compared with the control group, Srxn1 knockdown resulted in a ~61% decrease in protein and a ~47% decrease in Srxn1 mRNA expression (Fig. 1). The exposure of the cells to OGD (or H 2 O 2 ) resulted in a significant increase in Srxn1 protein and mRNA expression, and Srxn1 knockdown prevented this increase (sh-Srxn1 + OGD group and sh-Srxn1 + H 2 O 2 group), compared with the control + OGD (or H 2 O 2 ) group (P<0.05 and P<0.01). These results suggest that Srxn1 plays an important role in protecting astrocytes from damage induced by exposure to OGD or H 2 O 2 .
Knockdown of Srxn1 decreases cell viability and enhances cell damage following exposure to OGD or H 2 O 2 . Following exposure to OGD or H 2 O 2 , cell viability was determined by MTS assay (Fig. 2A). Compared with the control group, following exposure to OGD or H 2 O 2 , cell viability was decreased by ~26% in the control + OGD group and by 27% in the control + H 2 O 2 group. Following the knockdown of Srxn1, cell viability decreased more significantly (sh-Srxn1 + OGD group and sh-Srxn1 + H 2 O 2 group) compared with the control + OGD (or H 2 O 2 ) group (P<0.05). We also determined astrocyte damage by LDH assay (Fig. 2B). Exposure to OGD (or H 2 O 2 ) resulted in an increase in the release of LDH (P<0.05), and following exposure to OGD or H 2 O 2 , the knockdown of Srxn1 resulted in the release of LDH increasing more significantly compared with the control + OGD (or H 2 O 2 ) group (P<0.01; Fig. 2B).
These results indicate that Srxn1 may protect astrocytes from OGD-or H 2 O 2 -induced damage.
Knockdown of Srxn1 increases apoptosis following exposure to OGD or H 2 O 2 . Apoptosis was detected by combining microscopic analysis with Hoechst 33342 staining ( Fig. 3A and B) and FCM (Fig. 3C and D). Compared with the control group, exposure to OGD (or H 2 O 2 ) induced apoptosis (control + OGD group and control + H 2 O 2 group) (P<0.01), and following the knockdown of Srxn1, the cell apoptotic rate increased more significantly (sh-Srxn1 + OGD group and sh-Srxn1 + H 2 O 2 group) compared with the control + OGD (or H 2 O 2 ) group (P<0.01; Fig. 3A and B). Annexin V-FITC/PI double staining revealed a significant increase in apoptotis by ~29% in the control + OGD group and by 31% in the control + H 2 O 2 group, compared with the control group (P<0.01; Fig. 3C and D). In addition, following exposure to OGD or H 2 O 2 , the knockdown of Srxn1 resulted in an even more significant increase in apoptotis (P<0.01), compared with the control + OGD (or H 2 O 2 ) group. Taken together, these results indicate that Srxn1 plays a vital role in protecting astrocytes from apoptosis induced by exposure to OGD (or H 2 O 2 ).
Knockdown of Srxn1 activates the mitochondrial apoptotic pathway following exposure to OGD or H 2 O 2 . To evaluate whether the mitochondrial apoptotic pathway was activated, we determined Δψ m using JC-1 staining (Fig. 4), as well as the expression levels of some mitochondrial apoptotic pathwayrelated proteins by western blot analysis (Fig. 5). At a high membrane potential, JC-1 enters the mitochondria and forms aggregates that have a fluorescence of bright red, whereas JC-1 exists as a green fluorescence at a low potential (21). As The results showed that Srxn1 protein and mRNA expression were decreased by shRNA Srxn1 knockdown and that sensitivity to OGD or H 2 O 2 was increased. The exposure to astrocytes to OGD or H 2 O 2 resulted in a significant increase in Srxn1 protein and mRNA expression, and Srxn1 knockdown prevented this increase. Data are the means ± SEM. * P<0.05 and ** P<0.01 vs. controls (untreated cells); # P<0.05 and ## P<0.01 vs. control + OGD (or H 2 O 2 ) group; n=4. NC, negative control.
shown in Fig. 4A, the untreated cell mitochondria exhibited a high Δψ m , as indicated by a bright, red fluorescence and a very low green fluorescence (Fig. 4A panels a and b). The knockdown of Srxn1 decreased Δψ m , and thus the green  fluorescence increased significantly compared with the red fluorescence (Fig. 4A panel c). In addition, following exposure to OGD or H 2 O 2 , the green fluorescence was stronger than the red fluorescence [control + OGD (or H 2 O 2 ) group], compared with the untreated control group (Fig. 4A panels d, e, g and h). Following exposure to OGD or H 2 O 2 , Srxn1 knockdown resulted in a further decrease in Δψ m , and thus the green fluorescence became much stronger and the red fluorescence became much weaker (Fig. 4A panels f and i). To quantify the level of Δψ m , the JC-1 fluorescence ratio was calculated using the average optical density ratio of red/green. The JC-1 ratio decreased by ~38% in the sh-Srxn1 group, by 32% in the control + OGD group and by 31% in the control + H 2 O 2 group, compared with the untreated control group (P<0.05; Fig. 4B). Moreover, following exposure to OGD or H 2 O 2 , Srxn1 knockdown markedly decreased the JC-1 ratio in the sh-Srxn1 + OGD (or H 2 O 2 ) group compared with the control + OGD (or H 2 O 2 ) group (P<0.05), representing a dissipation of Δψ m . These data indicated that Srxn1 knockdown induced the dissipation of Δψ m in the astrocytes following exposure to OGD or H 2 O 2 .
Compared with the control group, exposure to OGD or H 2 O 2 increased the cytoplasmic release of Cyt.C, as well as the cytoplasmic levels of caspase-9, caspase-3, PARP, Bax and Bcl-2 proteins (P<0.05; Fig. 5). Following exposure to OGD or H 2 O 2 , Srxn1 knockdown promoted this increase in protein expression apart from the expression of Bcl-2; the expression level of Bcl-2 decreased (sh-Srxn1 + OGD group and sh-Srxn1 + H 2 O 2 group) compared with the control + OGD (or H 2 O 2 ) group (P<0.01 or P<0.05). These observations indicate that Srxn1 has an antiapoptotic function in astrocytes following exposure to OGD or H 2 O 2 , which is related to the mitochondrial apoptotic pathway.
Knockdown of Srxn1 does not affect endoplasmic reticulum stress pathway-mediated apoptosis following exposure to OGD or H 2 O 2 . In order to determine whether endoplasmic reticulum stress pathway-mediated apoptosis had occurred, we detected [Ca 2+ ]i and caspase-12 levels based on Fluo-3 AM staining ( Fig. 6A and B) and western blot analysis (Fig. 6 C  and D). Of note, we found that the levels of caspase-12 and [Ca 2+ ]i increased following exposure to OGD or H 2 O 2 compared with the control group; however, after the knockdown of Srxn1, these levels did not differ from those of the control + OGD (or H 2 O 2 ) group. Hence, we deduced that the neuroprotective effects of Srxn1 are not related to endoplasmic reticulum stress pathway-mediated apoptosis.

Discussion
In the present study, we provide evidence that Srxn1 exerts a protective effect against oxidative stress-induced brain injury and also provide insight into its mechanisms of action. Rat corital astrocytes were exposed to OGD and H 2 O 2 in order to mimic oxidative stress-induced injury in cerebral ischemia and used shRNAs to knockdown Srxn1. We found that following exposure to OGD or H 2 O 2 , the knockdown of Srxn1 significantly increased cell death as determined by MTS and LDH assays, increased cell apoptosis as measured by Hoechst 33342 and Annexin V-FITC/PI staining. Following exposure to OGD or H 2 O 2 , the knockdown of Srxn1 promoted the activation of the mitochondrial apoptotic pathway, decreasing Δψ m and the expression of the anti-apoptotic Bcl-2 protein in the cytoplasm, and increasing the cytoplasmic levels of Cyt.C, caspase-3, caspase-9, PARP and pro-apoptotic Bax proteins. We also demonstrated that the levels of [Ca 2+ ]i and caspase-12, which are tightly linked with endoplasmic reticulum stress pathwaymediated apoptosis, were not altered after the knockdown of Srxn1. Taken together, these results indicate that Srxn1 plays a vital role in protecting astrocytes from apoptosis induced by exposure to OGD or H 2 O 2 . Srxn1 was found play a neuroprotective role partly by exerting anti-apoptosis effects associated with the mitochondrial apoptotic pathway.
Cerebral ischemia, particularly during the period of ischemia/reperfusion, involves complex pathophysiological and biochemical mechanisms, such as the generation of ROS, glutamate-mediated excitotoxicity, inflammation, calciumactivated proteolysis and apoptosis (22,23). It has been widely reported that apoptosis is the major cell death pathway following hypoxia-ischemia in developing brains (24)(25)(26). Within the central nervous system (CNS), astrocytes are the most abundant cells and play a role in synaptic transmis- sion and plasticity, they transport nutrients and participate in neurotransmission (27)(28)(29). It has been demonstrated that astrocytes in primary culture undergo apoptosis following an ischemic insult (30,31). Furthermore, studies have indicated that oxidative stress and glial-derived ROS are critical for the apoptosis-induced selective loss of neurons (32,33). Moreover, astrocyte apoptosis may contribute to the pathogenesis of a number of acute and chronic neurodegenerative disorders, such as cerebral ischemia, Alzheimer's disease and PD (34).
There are three main apoptotic signaling pathways that have been discovered: i) the mitochondrial pathway (intrinsic pathway) (35,36); ii) the death receptor-associated pathway (extrinsic pathway) (37); and iii) the endoplasmic reticulumassociated pathway (38,39). Currently, the apoptosis of the mitochondria and the endoplasmic reticulum pathway, which are endogenous organelles, are hotspot research topics. A variety of conditions can disturb the functions of the mitochondria or the endoplasmic reticulum and lead to mitochondrial or endoplasmic reticulum stress. These conditions include ischemia, hypoxia, exposure to free radicals, as well as others. When mitochondrial or endoplasmic reticulum stress conditions persist, the initiation of the apoptotic processes is promoted.
Under different pathological conditions, cell death is associated with or initiated by mitochondrial function impairment and dissipation of Δψ m (40). Δψ m , which can modulate the release of Cyt.C by controlling membrane permeability, plays a crucial role in the terminal step of apoptosis (41,42). The depolarization of mitochondrial membrane potential induced by hypoxic-ischemic injury implicates the loss of Δψ m in the brain. The loss of Δψ m leads to mitochondrial membrane permeabilization, and thus the release of Cyt.C from the mitochondria into the cytoplasm, which binds and activates caspase-9, thereby resulting in the activation of other downstream caspases and, ultimately, caspase-3 (43), triggering apoptosis (41,42). Caspase-3 has been identified as a main executioner of the apoptotic response inside cells. Finally, acti- vated caspase-3 cleaved effector proteins, including PARP and the induction of DNA fragmentation in the nucleus eventually lead to cell death (44,45). Bcl-2 family members are the arbiters of the mitochondrial apoptotic pathway and decide whether a cell lives or dies (46). This family includes anti-apoptotic (e.g., Bcl-2) and pro-apoptotic genes (e.g., Bax) (47,48). Bcl-2, an inhibitor of apoptosis, prevents neuronal apoptosis by blocking the destruction of the mitochondria and the subsequent release of Cyt.C and caspase activation (49). In this study, our results demonstrated that OGD or H 2 O 2 increased cell death, including apoptosis, decreased Δψ m and increased the subsequent cytosolic translocation of Cyt.C, thereby promoting downstream caspase activation, resulting in increased levels of caspase-9, caspase-3, PARP (the substrate of caspase-3), antiapoptotic protein Bcl-2 and pro-apoptotic protein Bax in the cytoplasm. Following exposure to OGD or H 2 O 2 , Srxn1 knockdown promoted cell death, apoptosis, dissipation of Δψ m , and promoted an increase in protein expression apart from Bcl-2 expression (the expression of Bcl-2 decreased). These data indicated that the knockdown of Srxn1 promoted the activation of the mitochondrial apoptotic pathway following exposure to OGD or H 2 O 2 . Thus, the protective effects of Srxn1 are associated with the inhibition of the mitochondrial apoptotic pathway.
It has been reported that caspase-12-mediated apoptosis is a specific apoptotic pathway of the endoplasmic reticulum (39,50).
Caspase-12 appears to be necessary for apoptosis induced by a variety of endoplasmic reticulum-directed pro-apoptotic signals (39). The cytoplasmic calcium [Ca 2+ ]c signal has been shown to mediate the calpain/caspase-12-dependent apoptotic pathway primarily in cancer cells, and it has been shown that alterations in [Ca 2+ ]c levels may potentially induce apoptotic cell death (51). In this study, exposure to OGD or H 2 O 2 resulted in endoplasmic reticulum stress and thus incresaed the expression of caspase-12 and [Ca 2+ ]i. However, after the knockdown of Srxn1, these levels were not altered. This suggests that the knockdown of Srxn1 does not affect endoplasmic reticulum stress pathway-mediated apoptosis.
In conclusion, the data from the present study demonstrate that Srxn1 exerts a protective effect against the oxidative stressinduced brain injury and that this effect is partly mediated through its anti-apoptosis effects, which are associated with the inhibition of the mitochondrial apoptotic pathway. The findings of this study suggest that Srxn1 may be a novel target for neuroprotective intervention in neurodegenerative diseases. We aim to continue this area of investigation in future in vivo studies using the chemical synthesis of RNA interference and the overexpression of Srxn1 to verify the association between Srxn1 and apoptosis.