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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJMM</journal-id>
<journal-title-group>
<journal-title>International Journal of Molecular Medicine</journal-title></journal-title-group>
<issn pub-type="ppub">1107-3756</issn>
<issn pub-type="epub">1791-244X</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ijmm.2015.2296</article-id>
<article-id pub-id-type="publisher-id">ijmm-36-04-0939</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title><italic>Cordyceps sinensis</italic> oral liquid prolongs the lifespan of the fruit fly, <italic>Drosophila melanogaster</italic>, by inhibiting oxidative stress</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>ZOU</surname><given-names>YINGXIN</given-names></name><xref rid="af1-ijmm-36-04-0939" ref-type="aff">1</xref><xref rid="fn1-ijmm-36-04-0939" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>LIU</surname><given-names>YUXIANG</given-names></name><xref rid="af1-ijmm-36-04-0939" ref-type="aff">1</xref><xref rid="af2-ijmm-36-04-0939" ref-type="aff">2</xref><xref rid="fn1-ijmm-36-04-0939" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>RUAN</surname><given-names>MINGHUA</given-names></name><xref rid="af1-ijmm-36-04-0939" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>FENG</surname><given-names>XU</given-names></name><xref rid="af1-ijmm-36-04-0939" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>WANG</surname><given-names>JIACHUN</given-names></name><xref rid="af1-ijmm-36-04-0939" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>CHU</surname><given-names>ZHIYONG</given-names></name><xref rid="af1-ijmm-36-04-0939" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-ijmm-36-04-0939"/></contrib>
<contrib contrib-type="author">
<name><surname>ZHANG</surname><given-names>ZESHENG</given-names></name><xref rid="af2-ijmm-36-04-0939" ref-type="aff">2</xref><xref ref-type="corresp" rid="c2-ijmm-36-04-0939"/></contrib></contrib-group>
<aff id="af1-ijmm-36-04-0939">
<label>1</label>Naval Medical Research Institute, Shanghai 200433, P.R. China</aff>
<aff id="af2-ijmm-36-04-0939">
<label>2</label>Department of Food Engineering and Biotechnology, Tianjin University of Science and Technology, Tianjin 300457, P.R. China</aff>
<author-notes>
<corresp id="c1-ijmm-36-04-0939">Correspondence to: Professor Zhiyong Chu, Naval Medical Research Institute, 880 Xiangyin Road, Shanghai 200433, P.R. China, E-mail: <email>zhiyongchuleader@163.com</email></corresp>
<corresp id="c2-ijmm-36-04-0939">Professor Zesheng Zhang, Department of Food Engineering and Biotechnology, Tianjin University of Science and Technology, 29 Thirteenth Avenue, Tianjin Economic-Technological Development Area, Tianjin 300457, P.R. China, E-mail: <email>zhangzesheng@tust.edu.cn</email></corresp><fn id="fn1-ijmm-36-04-0939">
<label>&#x0002A;</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>10</month>
<year>2015</year></pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>07</month>
<year>2015</year></pub-date>
<volume>36</volume>
<issue>4</issue>
<fpage>939</fpage>
<lpage>946</lpage>
<history>
<date date-type="received">
<day>23</day>
<month>01</month>
<year>2015</year></date>
<date date-type="accepted">
<day>16</day>
<month>07</month>
<year>2015</year></date></history>
<permissions>
<copyright-statement>Copyright: &#x000A9; Zou. This is an open access article distributed under the terms of a Creative Commons Attribution License</copyright-statement>
<copyright-year>2015</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 4.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>This study investigated the effect of <italic>Cordyceps sinensis</italic> oral liquid (CSOL) on the lifespan of <italic>Drosophila melanogaster</italic> (fruit fly). Following the lifelong treatment of fruit flies with CSOL, lifespan was examined. The activity of copper-zinc-containing superoxide dismutase 1 (SOD1), manganese-containing superoxide dismutase 2 (SOD2) and catalase (CAT), as well as the lipofuscin (LF) content were determined. The mRNA levels of SOD1, SOD2 and CAT were quantified by qPCR. Hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>) and paraquat were used to mimic the effects of damage caused by acute oxidative stress. D-galactose was used to mimic chronic pathological aging. CSOL significantly prolonged the lifespan of the fruit flies under physiological conditions. The activity of SOD1 and CAT was upregulated, and LF accumulation was inhibited by CSOL. CSOL had no effect on the transcriptional levels (mRNA) of these enzymes. The survival time of the fruit flies which were negatively affected by exposure to H<sub>2</sub>O<sub>2</sub> or paraquat was significantly prolonged by CSOL. In fruit flies pathologically aged by epxosure to D-galactose, CSOL also significantly prolonged their lifespan, upregulated the activity of SOD1 and CAT, and inhibited LF accumulation. The findings of our study indicate that CSOL prolongs the lifespan of fruit flies through an anti-oxidative stress pathway involving the upregulation of SOD1 and CAT activity and the inhibition of LF accumulation. CSOL may thus be explored as a novel agent for slowing the human aging process.</p></abstract>
<kwd-group>
<kwd>Cordyceps sinensis</kwd>
<kwd>aging</kwd>
<kwd>lifespan</kwd>
<kwd>oxidative stress</kwd>
<kwd>Drosophila melanogaster</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Increased rates of population aging are causing the problems associated with aging to attract increasing attention. By the year 2050, the number of individuals over the age of 80 will triple globally (<xref rid="b1-ijmm-36-04-0939" ref-type="bibr">1</xref>). More than 70% of individuals over 65 years of age suffer from at least two chronic diseases, such as heart disease, stroke, cancer, arthritis and diabetes (<xref rid="b2-ijmm-36-04-0939" ref-type="bibr">2</xref>). Studies of food or medicine as a means of extending longevity have been taking place since ancient times.</p>
<p>The underlying mechanisms of aging remain unknown, despite tremendous progress being made in this area. There is growing evidence to suggest that oxidative stress increases with age (<xref rid="b3-ijmm-36-04-0939" ref-type="bibr">3</xref>). The endogenous enzymes, superoxide dismutase (SOD) and catalase (CAT), are involved in the human antioxidant defense network of human (<xref rid="b4-ijmm-36-04-0939" ref-type="bibr">4</xref>). Lipofuscin (LF) accumulation, which is deemed to be a hallmark of aging (<xref rid="b5-ijmm-36-04-0939" ref-type="bibr">5</xref>), has been shown to be related to the loss of protein homeostasis (<xref rid="b6-ijmm-36-04-0939" ref-type="bibr">6</xref>) and the rate of accumulation has been linked to age-dependent mortality (<xref rid="b7-ijmm-36-04-0939" ref-type="bibr">7</xref>).</p>
<p>Recently, great interest has arisen in the possibility that antioxidants, particularly naturally occurring antioxidants from edible materials, may reduce the risk of aging (<xref rid="b8-ijmm-36-04-0939" ref-type="bibr">8</xref>).</p>
<p><italic>Cordyceps sinensis</italic>, one of the most valued edible, medical entomopathogenic fungi, used in traditional Chinese medicine for thousands of years, is commonly used as a tonic for promoting vitality and longevity, as well as a herbal medicine for treating various intractable diseases (<xref rid="b9-ijmm-36-04-0939" ref-type="bibr">9</xref>,<xref rid="b10-ijmm-36-04-0939" ref-type="bibr">10</xref>). It has been demonstrated to possess multiple pharmacological properties, such as antioxidant (<xref rid="b11-ijmm-36-04-0939" ref-type="bibr">11</xref>), immunomodulatory (<xref rid="b12-ijmm-36-04-0939" ref-type="bibr">12</xref>) and anti-tumor (<xref rid="b13-ijmm-36-04-0939" ref-type="bibr">13</xref>) properties. Furthermore, <italic>Cordyceps sinensis</italic> extract has been reported to improve learning and memory function in a mouse model of D-galactose-induced aging (<xref rid="b14-ijmm-36-04-0939" ref-type="bibr">14</xref>). The aqueous polysaccharides of C<italic>ordyceps taii</italic> have been shown to possess antioxidant activity in a mouse model of D-galactose-induced aging (<xref rid="b15-ijmm-36-04-0939" ref-type="bibr">15</xref>). However, to the best of our knowlewdge, the anti-aging effects of <italic>Cordyceps sinensis in vivo</italic>, under physiological conditions, have not been confirmed to date.</p>
<p><italic>Cordyceps sinensis</italic> oral liquid (CSOL) was studied and manufactured by the Naval Medical Research Institute (Shanghai, China) (<xref rid="b16-ijmm-36-04-0939" ref-type="bibr">16</xref>), and has been used as an immunomodulator, an adjunctive therapy during chemoradiation treatment and to ameliorate chronic bronchitis more than twenty years (<xref rid="b17-ijmm-36-04-0939" ref-type="bibr">17</xref>). In a previous study of ours, we demonstrated that CSOL inhibited damage induced by oxygen and glucose deprivation <italic>in vitro</italic> (unpublished data) and thus, CSOL has potential for use as an agent to ameliorate stroke-induced brain damage.</p>
<p>The aim of the present study was to assess the anti-aging/life-prolonging effects of CSOL in <italic>Drosophila melanogaster</italic> (<italic>D. melanogaster</italic>, fruit fly) under conditions of physiological (normal) and pathological (premature) aging. In addition, the mechanisms involving the anti-oxidative stress pathway were investigated.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>CSOL</title>
<p>CSOL (lot no. 20130906; the Naval Medical Research Institute), consists of wild <italic>Cordyceps sinensis</italic> extract (CSE) and <italic>Cordyceps sinensis</italic> mycelial fermentation broth (CSMFB). CSE and CSMFB were mixed in a ratio of 6:4 (v/v). The CSOL concentration was expressed as 100 mg of wild <italic>Cordyceps sinensis</italic> per 10 ml of CSOL (100 mg/10 ml). Adenosine (no less than 1.0 mg/100 ml) was used as a marker for CSOL quality control and was quantified using an Agilent 1260 HPLC apparatus (Agilent Technologies, Santa Clara, CA, USA). This sample of CSOL was found to have an adenosine concentration of 3.94 mg/100 ml (<xref rid="f1-ijmm-36-04-0939" ref-type="fig">Fig. 1</xref>). In the present study, CSOL was pre-filtered by sterile membrane filtration under aseptic conditions and stored at 4&#x000B0;C for use.</p></sec>
<sec>
<title>Fruit fly strain and culture conditions</title>
<p>The wild-type Oregon-K-strain of the <italic>D. melanogaster</italic> fruit fly was kindly provided by Professor Zesheng Zhang of the Tianjin University of Science and Technology, Tianjin, China. The fruit flies were housed in 50 ml plastic vials containing 5 ml of culture medium, and the vials were kept at 25&#x000B1;1&#x000B0;C, 60&#x000B1;5% humidity on a 12:12 h light/dark cycle. The basal culture medium consisted of 72 g cornmeal, 72 g glucose (63005518), 10 g yeast (Angel Yeast Co., Ltd., Yichang, China), 6 g agar (10000582), 40 ml antiseptic (1% ethyl 4-hydroxybenzoate in 75% alcohol) (Sigma-Aldrich, St. Louis, MO, USA) and water to prepare 500 ml of medium. Glucose and agar were purchased from Sinopharm Chemical Regent Co., Ltd. (Shanghai, China).</p>
<p>The mixture was cooked and poured into vials (5 ml in each). All relative protocols were approved by the Local Institutional Committee of Naval Medical Research Institute.</p></sec>
<sec>
<title>Determination of the effects of CSOL on fruit flies under physiological conditions</title>
<sec>
<title>Lifespan assay</title>
<p>A total of 800 male fruit flies (eclosion within 8 h) were randomly divided into 4 groups as follows: the control group, and the groups treated with 0.02, 0.06 and 0.20 mg/ml CSOL. The fruit flies in the CSOL-treated groups were fed with culture medium supplemented with CSOL at final concentrations of 0.02, 0.06 and 0.20 mg/ml, respectively. The fruit flies in the control group were fed with basal culture medium. The fruit flies were transferred to fresh culture medium twice a week. The number of dead fruit flies was recorded every 3 days until all flies died. The survival time was observed. The lifespan curve was drawn, and the median and mean lifespans were calculated. Maximum lifespan was calculated as the average lifespan of the longest surviving 10% of the fruit fly population.</p></sec>
<sec>
<title>Enzyme assays</title>
<p>To examine the effects of CSOL on antioxidant enzymes, male fruit flies (eclosion within 8 h) were randomly divided into 2 groups: the control group and the 0.06 mg/ml CSOL-treated group. The daily treatment was as described above. On days 0, 25 and 45, the fruit flies were collected for the determination of the activity of SOD and CAT, and the LF content. Copper-zinc-containing SOD (SOD1) activity, manganese-containing SOD (SOD2) activity and CAT activity were detected according to the manufacturer's instructions. The SOD activity assay kit (S0103) was purchased from Beyotime Biotechnology Co., Ltd. (Haimen, China) and the CAT activity assay kit (A007-1) was purchased from Nanjing Jiancheng Bioengineering Institute (Nanjing, China). The LF concentration was determined as previously described (<xref rid="b18-ijmm-36-04-0939" ref-type="bibr">18</xref>). Briefly, the fruit fly homogenate was extracted with chloroform:methanol (2:1, v/v) and centrifuged at 3000 x g for 10 min. Chloroform (40064966) and methanol (40064292) were purchased from Sinopharm Chemical Regent Co., Ltd. The absorbance (excitation, 360 nm and emission, 430 nm) was measured using a Fluorospectrophotometer-850 (Hitachi, Tokyo, Japan). Standardization was carried out with a freshly prepared solution of quinine sulfate. Quinine sulfate (LQ3281) was purchased from Hefei Bomei Biotechnology Co., Ltd. (Hefei, China). The LF concentration was calculated from a calibration curve of quinine sulfate and expressed as <italic>&#x000B5;</italic>g/mg body weight.</p></sec>
<sec>
<title>Measurement of the transcriptional levels of antioxidant enzymes</title>
<p>This experiment was designed to examine the effect of CSOL treatment on the mRNA levels of antioxidant genes in fruit flies. Male fruit flies (eclosion within 8 h) were randomly divided into 2 groups: the control and 0.06 mg/ml CSOL-treated group, and housed as described above. The fruit flies were collected on days 0, 15, 25, 35, 45 and 55. The mRNA levels of SOD1, SOD2 and CAT were quantified by quantitative PCR (qPCR) as described in our previous study (<xref rid="b19-ijmm-36-04-0939" ref-type="bibr">19</xref>). Briefly, total RNA was extracted using Trizol reagent (Invitrogen, Carlsbad, CA, USA), 2 <italic>&#x000B5;</italic>g RNA was reverse transcribed into cDNA using RNA reverse transcriptase (Promega, Madison, WI, USA), and qPCR was performed using an Option Monitor 3 Real-Time PCR System (Bio-Rad, Hercules, CA, USA) on an ABI 7500 PCR instrument (Applied Biosystems, Carlsbad, CA, USA) with SYBR Premix Ex Taq&#x02122; Mixture (Takara, Otsu, Japan) following the manufacturer's instructions. The primers used were as follows: SOD1 sense, 5&#x02032;-CTGCTCTGCTACGGTCACAC-3&#x02032; and antisense, 5&#x02032;-ACAGCTTTAACCACCATTTCG-3&#x02032;; SOD2 sense, 5&#x02032;-CCACATCAACC ACACCATCT-3&#x02032; and antisense, 5&#x02032;-CAGTTTGCCCGACTTCTTGT-3&#x02032;; CAT sense, 5&#x02032;-TTCGATGTCACCAAGGTCTG-3&#x02032; and antisense, 5&#x02032;-TGCTCCACCTCAGCAAAGTA-3&#x02032;; and RP49 sense, 5&#x02032;-ACTTCATCCGCCACCAGTC-3&#x02032; and antisense, 5&#x02032;-ATCT CGCCGCAGTAAACG-3&#x02032;. RP49 was used as an internal control. The results were analyzed using the 2<sup>&#x02212;&#x00394;&#x00394;Ct</sup> method.</p></sec></sec>
<sec>
<title>Determination of the effects of CSOL on fruit flies exposed to acute oxidative stress</title>
<sec>
<title>Survival time &#x0005B;hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>) exposure&#x0005D; assay</title>
<p>Oxygen-containing free radicals are considered to be involved in the mechanisms of aging (<xref rid="b20-ijmm-36-04-0939" ref-type="bibr">20</xref>). H<sub>2</sub>O<sub>2</sub> is usually used to mimic damage induced by oxidative stress (<xref rid="b21-ijmm-36-04-0939" ref-type="bibr">21</xref>). The present experiment was designed to examine the protective effects of CSOL against acute oxidative stress induced by H<sub>2</sub>O<sub>2</sub> in fruit flies. H<sub>2</sub>O<sub>2</sub> (lot: 20120601) was purchased from Sinopharm Chemical Regent Co., Ltd. Male fruit flies (eclosion within 8 h) were divided into groups and housed as described above. On day 25, the fruit flies were first starved for 2 h, and then transferred into new vials containing a filter paper saturated with 1 ml of 30% H<sub>2</sub>O<sub>2</sub>. The numbers of dead fruit flies was recorded every 4 h until all flies died.</p></sec>
<sec>
<title>Survival time (paraquat exposure) assay</title>
<p>Paraquat (1,1&#x02032;-dimethyl-4,4&#x02032;-bipyridinium dichloride; Sigma-Aldrich) has been reported to induce mitochondrial dysfunction and increase reactive oxygen species (ROS) production (<xref rid="b22-ijmm-36-04-0939" ref-type="bibr">22</xref>). The present experiment was designed to examine the protective effects of CSOL against acute oxidative stress induced by paraquat in fruit flies. Male fruit flies (eclosion within 8 h) were grouped and housed as described above. On day 25, the fruit flies were first starved for 2 h, and then transferred into new vials containing a filter paper saturated with 1 ml of 20 mM paraquat in a 6% glucose solution. The number of dead fruit flies was recorded every 4 h until all flies died.</p></sec>
<sec>
<title>Determination of the effects of CSOL on fruit flies under conditions of pathological aging induced by D-galactose</title>
<p>The chronic administration of D-galactose has been reported to accelerate aging (<xref rid="b23-ijmm-36-04-0939" ref-type="bibr">23</xref>) and is therefore, regarded as suitable for use in models of aging. The excessive intake of D-galactose may contribute to ROS generation through the oxidative metabolism of D-galactose and through the increased formation of advanced glycation end products (<xref rid="b24-ijmm-36-04-0939" ref-type="bibr">24</xref>). This experiment was carried out to examine the effects of CSOL on a fruit fly model of D-galactose-induced aging. D-galactose (SG075003) was purchased from Sigma-Aldrich.</p></sec>
<sec>
<title>Lifespan assay</title>
<p>Male fruit flies (eclosion within 8 h) were randomly divided into 5 groups as follows: the control group, the model group, and the groups treated with 0.02, 0.06 and 0.20 mg/ml CSOL. The fruit flies in the model group and the CSOL groups were exposed to culture medium containing 6.5% D-galactose for the duration of the experiment. The culture medium of the fruit flies in the CSOL-treated groups was supplemented with CSOL at a final concentration of 0.02, 0.06 and 0.20 mg/ml. The fruit flies in the control group were fed with basal culture medium. The daily treatment was the same as that described above. The lifespan curve, the median, mean and maximum lifespans were determined as described above.</p></sec>
<sec>
<title>Enzyme assays</title>
<p>The effects of CSOL on pathological aging induced by D-galactose were further evaluated, and thus, the activity of SOD1, SOD2 and CAT, and LF accumulation were detected. Male fruit flies (eclosion within 8 h) were divided into groups and housed as described above. On day 25, the fruit flies were collected to detect the enzyme activity. The detection methods were as described above.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Data are expressed as the means &#x000B1; SD. Comparisons among groups were made by analysis of variance (ANOVA) followed by Dunnett's t-test. The Log-rank test was used to evaluate the equality of the survival curves. P-values &lt;0.05 were considered to indicate statistically significant differences.</p></sec></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Effects of CSOL on fruit flies under physiological conditions Lifelong treatment with CSOL prolongs the lifespan of fruit flies</title>
<p>Lifelong treatment with CSOL at concentrations of 0.02, 0.06 and 0.20 mg/ml significantly prolonged the lifespan of the fruit flies (<xref rid="f2-ijmm-36-04-0939" ref-type="fig">Fig. 2</xref>). The median and mean lifespan parameters shown in <xref rid="tI-ijmm-36-04-0939" ref-type="table">Table I</xref> confirmed these results. Treatment with CSOL at 0.02, 0.06 and 0.20 mg/ml prolonged the mean lifespan of the fruit flies (vs. the control) by 25, 31 and 32%, respectively (<xref rid="tI-ijmm-36-04-0939" ref-type="table">Table I</xref>).</p></sec>
<sec>
<title>CSOL enhances the activity of most antioxidant enzymes</title>
<p>To eluciate the mechanisms responsible for the lifespan-prolonging effect of CSOL on fruit flies, we examined the effects of CSOL on the activity of the antioxidant enzymes, SOD1, SOD2 and CAT. Compared with the control group at the same time point, treatment with CSOL significantly enhanced the activity of SOD1 (<xref rid="f3-ijmm-36-04-0939" ref-type="fig">Fig. 3A</xref>) and CAT (<xref rid="f3-ijmm-36-04-0939" ref-type="fig">Fig. 3C</xref>), and inhibited LF accumulation (<xref rid="f3-ijmm-36-04-0939" ref-type="fig">Fig. 3D</xref>). CSOL had no significant effect on the activity of SOD2, although its activity was found to significantly decrease with age (<xref rid="f3-ijmm-36-04-0939" ref-type="fig">Fig. 3B</xref>).</p></sec>
<sec>
<title>CSOL has no effect on the transcriptional levels of antioxidant enzymes</title>
<p>To determine the effects of CSOL on the transcriptional levels of antioxidant enzymes, we measured the mRNA levels of SOD1, SOD2 and CAT in the fruit flies. Treatment with CSOL was found to have no effect on the mRNA levels of SOD1 (<xref rid="f4-ijmm-36-04-0939" ref-type="fig">Fig. 4A</xref>), SOD2 (<xref rid="f4-ijmm-36-04-0939" ref-type="fig">Fig. 4B</xref>) and CAT (<xref rid="f4-ijmm-36-04-0939" ref-type="fig">Fig. 4C</xref>). In the control group, the mRNA level of SOD2 was highest at eclosion, and then decreased to a relative low level from day 15 (<xref rid="f4-ijmm-36-04-0939" ref-type="fig">Fig. 4B</xref>).</p></sec>
<sec>
<title>CSOL prolongs the survival time of fruit flies subjected to H<sub>2</sub>O<sub>2</sub>- or paraquat-induced oxidative stress</title>
<sec>
<title>Exposure to H<sub>2</sub>O<sub>2</sub></title>
<p>The results revealed that treatment with CSOL significantly prolonged the survival time of the fruit flies exposed to H<sub>2</sub>O<sub>2</sub> (<xref rid="f5-ijmm-36-04-0939" ref-type="fig">Fig. 5A</xref>). Treatment with CSOL at concentrations of 0.06 and 0.20 mg/ml significantly prolonged the mean survival time by 13 and 16%, respectively, vs. the model group (<xref rid="tII-ijmm-36-04-0939" ref-type="table">Table II</xref>). Treatment with CSOL at a concentration of 0.02 mg/ml also prolonged the mean survival time of the fruit flies exposed to H<sub>2</sub>O<sub>2</sub>; however, no statistically significant difference was observed. These results suggest an obvious dose-effect relationship.</p></sec>
<sec>
<title>Exposure to paraquat</title>
<p>The results revealed that treatment with CSOL significantly prolonged the survival time of the fruit flies exposed to paraquat (<xref rid="f5-ijmm-36-04-0939" ref-type="fig">Fig. 5B</xref>). Treatment with CSOL at concentrations of 0.06 and 0.20 mg/ml, significantly prolonged the mean survival time by 24 and 15%, respectively, vs. the model group (<xref rid="tII-ijmm-36-04-0939" ref-type="table">Table II</xref>). Treatment with CSOL at a concentration of 0.02 mg/ml prolonged the mean survival time of the fruit flies exposed to paraquat; however, no statistically significant difference was observed.</p></sec>
<sec>
<title>CSOL prolongs the lifespan and inhibits oxidative stress in patholgically-aged fruit flies (induced by D-galactose)</title>
<p>The addition of D-galactose to the culture medium significantly shortened the maximum lifespan of the fruit flies from 72.2&#x000B1;5.7 days in the control group to 57.7&#x000B1;2.6 days in the model group (<xref rid="f6-ijmm-36-04-0939" ref-type="fig">Fig. 6A</xref> and <xref rid="tIII-ijmm-36-04-0939" ref-type="table">Table III</xref>). However, treatment with CSOL at concentrations of 0.02, 0.06 and 0.20 mg/ml, modestly inhibited the lifespan shortening effect by 6, 8 and 12%, respectively (<xref rid="tIII-ijmm-36-04-0939" ref-type="table">Table III</xref>). These results were supported by the parameters of the mean and maximum lifespans (<xref rid="tIII-ijmm-36-04-0939" ref-type="table">Table III</xref>).</p>
<p>Since we found that CSOL enhanced the activity of SOD1 and CAT, inhibited LF accumulation, and had no effect on the activity of SOD2, we measured the levels of these enzymes in fruit flies pathologically-aged by D-galactose in order to further confirm the effect of CSOL on oxidative stress under these conditions. SOD1 (<xref rid="f6-ijmm-36-04-0939" ref-type="fig">Fig. 6B</xref>) and CAT (<xref rid="f6-ijmm-36-04-0939" ref-type="fig">Fig. 6D</xref>) activity in the fruit fly model group decreased significantly compared to the control group. The content of LF (<xref rid="f6-ijmm-36-04-0939" ref-type="fig">Fig. 6E</xref>) increased significantly in the model group compared with the control group. Consistent with the results of our other experiments (described above), treatment with CSOL inhibited the decrease in SOD1 (<xref rid="f6-ijmm-36-04-0939" ref-type="fig">Fig. 6B</xref>) and CAT (<xref rid="f6-ijmm-36-04-0939" ref-type="fig">Fig. 6D</xref>) activity induced by D-galactose, and inhibited LF accumulation (<xref rid="f6-ijmm-36-04-0939" ref-type="fig">Fig. 6E</xref>). CSOL had no significant effect on the activity of SOD2 (<xref rid="f6-ijmm-36-04-0939" ref-type="fig">Fig. 6C</xref>).</p></sec></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>A suitable animal model is required for investigation of the anti-aging effects of CSOL. In the present study, we focused on the fruit fly <italic>D. melanogaster</italic>. It has been widely used as a model of aging for basic and applied research due to its advantages over mammalian models, such as high genus purity, strong reproductive capacity and a short lifespan (<xref rid="b25-ijmm-36-04-0939" ref-type="bibr">25</xref>). For these reasons, <italic>D. melanogaster</italic> was selected for use as a model organism in the study of the physiological and pathological processes affecting lifespan.</p>
<p>Our findings demonstrated that treatment with CSOL significantly prolonged the lifespan of the fruit flies. A previous study indicated that <italic>Cordyceps militaris</italic> extract possesses ROS scavenging activity which protects against premature senescence induced by oxidative stress (<xref rid="b26-ijmm-36-04-0939" ref-type="bibr">26</xref>). However, to the best of our knowledge, the present study used a model of physiological aging for the first time. This suggests that CSOL may have the potential to be exploited for anti-aging applications.</p>
<p>This prompted us to elucidate the mechanisms responsible for the lifespan-prolonging effects of CSOL. Oxidative stress has been implicated in aging and degenerative diseases (<xref rid="b27-ijmm-36-04-0939" ref-type="bibr">27</xref>). It is the result of increased ROS production (<xref rid="b28-ijmm-36-04-0939" ref-type="bibr">28</xref>), and causes progressive structural and functional alterations of cellular organelles. Antioxidants inhibit the process of aging (<xref rid="b29-ijmm-36-04-0939" ref-type="bibr">29</xref>). The continuous generation of ROS is also closely related to organism aging (<xref rid="b30-ijmm-36-04-0939" ref-type="bibr">30</xref>). There are two main assumptions of the free radical hypothesis of aging. Firstly, there are antioxidant defenses; organisms endogenously produce a group of antioxidant enzymes including SOD and CAT, which serve as the first line of defense against ROS. Secondly, a fraction of ROS escape elimination and are able to inflict molecular damage that accumulates with age, thereby causing the functional attrition associated with aging (<xref rid="b31-ijmm-36-04-0939" ref-type="bibr">31</xref>,<xref rid="b32-ijmm-36-04-0939" ref-type="bibr">32</xref>).</p>
<p>Since oxidative stress is one of the mechanisms responsible for aging, we investigated the anti-oxidative stress effect of CSOL in fruit flies to further elucidate the mechanisms through which CSOL exerts a lifespan-prolonging effect. The upregulation of SOD1 and CAT activity, and the inhibition of LF accumulation suggested that the anti-aging effects of CSOL in fruit flies were associated, at least in part, with the upregulation of endogenous antioxidant enzymes, as well as the inhibition of LF accumulation. However, the unaltered mRNA levels of SOD1, SOD2 and CAT implied that CSOL had no effect at the transcriptional level of antioxidant genes in fruit flies. Thus, subsequent experiments mainly focused on the anti-oxidative stress effect of CSOL on the enzymes rather than on their transcriptional levels.</p>
<p>To confirm the anti-oxidative stress effect of CSOL, fruit flies were exposed to acute oxidative stress induced by either H<sub>2</sub>O<sub>2</sub> or paraquat. The results, including the parameter of the mean survival time, further verified this effect.</p>
<p>To further examine the anti-oxidative stress effect of CSOL under pathological conditions, we selected a model of pathological aging induced by D-galactose in fruit flies. The results, including lifespan curves, and the mean and maximum lifespan parameters, confirmed the effects of CSOL. Additionally, the examination of SOD1 activity, CAT activity and the LF content in fruit flies, pathologically aged by D-galactose, further supported the theory that CSOL exerts an anti-aging effect through the anti-oxidative stress pathway under pathological conditions.</p>
<p>Taking into account these results, the anti-aging effect of CSOL, exerted through the anti-oxidative stress pathway, has been confirmed in both under physiological and pathological conditions in fruit flies.</p>
<p>In conclusion, our data demonstrated that CSOL prolonged the lifespan of fruit flies through an anti-oxidative stress pathway which involved the upregulation of the activity of SOD1 and CAT activity and the inhibition of LF accumulation. If the association between CSOL and anti-aging could be confirmed and the detailed mechanisms could be further clarified in future studies, it may provide a novel strategy for slowing the human aging process.</p></sec></body>
<back>
<ack>
<title>Acknowledgments</title>
<p>This study was supported by grants from the Natural Science Foundation of Shanghai City of China (no. 12ZR1444600 to Y.Z.) and the National Natural Science Foundation of China (no. 81402922 to Y.Z.).</p></ack>
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<floats-group>
<fig id="f1-ijmm-36-04-0939" position="float">
<label>Figure 1</label>
<caption>
<p>HPLC chromatograms of adenosine levels in <italic>Cordyceps sinensis</italic> oral liquid (CSOL) (20130906). This sample of CSOL was found to have an adenosine concentration of 3.94 mg/100 ml. (A) HPLC chromatogram of adenosine standard. (B) HPLC chromatogram of CSOL.</p></caption>
<graphic xlink:href="IJMM-36-04-0939-g00.jpg"/></fig>
<fig id="f2-ijmm-36-04-0939" position="float">
<label>Figure 2</label>
<caption>
<p>Lifelong treatment with <italic>Cordyceps sinensis</italic> oral liquid (CSOL) prolongs the lifespan of fruit flies (n=200). Fruit flies received lifelong treatment with CSOL at concentrations of 0.02, 0.06 and 0.20 mg/ml. Fruit flies in the control group were fed with basal culture medium. The number of dead flies was recorded every 3 days until all flies died. Data were analyzed by the log-rank test.</p></caption>
<graphic xlink:href="IJMM-36-04-0939-g01.JPG"/></fig>
<fig id="f3-ijmm-36-04-0939" position="float">
<label>Figure 3</label>
<caption>
<p>Effect of <italic>Cordyceps sinensis</italic> oral liquid (CSOL) on antioxidant enzyme activity in fruit flies. Fruit flies (eclosion within 8 h) were treated with culture medium containing 0.06 mg/ml of CSOL. Fruit flies in the control group were fed with basal culture medium. On days 0, 25 and 45, fruit flies were collected for the detection of the activity of the following antioxidant enzymes. Data are presented as the means &#x000B1; SD. Data were analyzed by ANOVA followed by Dunnett's t-test. n=6, <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. day 0; <sup>#</sup>P&lt;0.05 and <sup>##</sup>P&lt;0.01 vs. the control group at the same time point. (A) Treatment with CSOL enhanced the activity of superoxide dismutase (SOD)1 in fruit flies on day 25. (B) Treatment with CSOL had no effect on the activity of SOD2 in fruit flies. (C) Treatment with CSOL enhanced the activity of catalase (CAT) in fruit flies on days 25 and 45. (D) Lipofuscin (LF) accumulation increased with age, and treatment with CSOL significantly inhibited this accumulation on days 25 and 45.</p></caption>
<graphic xlink:href="IJMM-36-04-0939-g02.jpg"/></fig>
<fig id="f4-ijmm-36-04-0939" position="float">
<label>Figure 4</label>
<caption>
<p>Treatment with <italic>Cordyceps sinensis</italic> oral liquid (CSOL) has no effect on the mRNA levels of antioxidant genes in fruit flies. Fruit flies (eclosion within 8 h) were treated with culture medium containing 0.06 mg/ml CSOL. Fruit flies in the control group were fed with basal culture medium. On days 0, 15, 25, 35, 45 and 55, fruit flies were collected for the detection of the mRNA levels of antioxidant genes. (A) Relative superoxide dismutase (SOD)1 mRNA. (B) Relative SOD2 mRNA. (C) Relative catalase (CAT) mRNA. Data are presented as the means &#x000B1; SD. Data were analyzed by ANOVA. n=6, <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01.</p></caption>
<graphic xlink:href="IJMM-36-04-0939-g03.jpg"/></fig>
<fig id="f5-ijmm-36-04-0939" position="float">
<label>Figure 5</label>
<caption>
<p><italic>Cordyceps sinensis</italic> oral liquid (CSOL) inhibits damage induced by acute oxidative stress in fruit flies. Fruit flies (eclosion within 8 h) were treated with culture medium containing CSOL at concentrations of 0.02, 0.06 and 0.20 mg/ml. Fruit flies in the model group were fed with basal culture medium. On day 25, after starving for 2 h, fruit flies were transferred to new vials containing a filter paper saturated with 1 ml of 30% hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>), or with 1 ml of 20 mM paraquat diluted by 6% glucose solution, respectively. The number of dead flies were recorded every 4 h until all flies died. Data were analyzed by log-rank test. (A) CSOL inhibited damage induced by H<sub>2</sub>O<sub>2</sub>. Log-rank &#x003C7;<sup>2</sup>=27.677, P&lt;0.001, n=200. (B) CSOL inhibited damage induced by paraquat. Log-rank &#x003C7;<sup>2</sup>=33.705, P&lt;0.001, n=200.</p></caption>
<graphic xlink:href="IJMM-36-04-0939-g04.jpg"/></fig>
<fig id="f6-ijmm-36-04-0939" position="float">
<label>Figure 6</label>
<caption>
<p><italic>Cordyceps sinensis</italic> oral liquid (CSOL) inhibits pathological aging induced by D-galactose in fruit flies. Fruit flies (eclosion within 8 h) were treated with culture medium containing CSOL at concentrations of 0.02, 0.06 and 0.20 mg/ml. Fruit flies in the control group and the model group were fed with basal culture medium. (A) CSOL treatment inhibited D-galactose-induced aging of fruit flies. Data were analyzed by log-rank test. Log-rank &#x003C7;<sup>2</sup>=77.763, P&lt;0.001, n=200. (B) CSOL inhibited the decreasing activity of superoxide dismutase (SOD)1 induced by D-galactose. (C) CSOL had no effect on the activity of SOD2. (D) CSOL inhibited the decreasing activity of catalase (CAT) induced by D-galactose. (E) CSOL inhibited lipofuscin (LF) accumulation induced by D-galactose. (B, C, D and E) Fruit flies were collected on day 25 for the detection of the activity of antioxidant enzymes. Data are presented as the means &#x000B1; SD. Data were analyzed by ANOVA followed by Dunnett's t-test. n=6, <sup>&#x0002A;</sup>P&lt;0.05, <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. the control group; <sup>#</sup>P&lt;0.05, <sup>##</sup>P&lt;0.01 vs. the model group.</p></caption>
<graphic xlink:href="IJMM-36-04-0939-g05.jpg"/></fig>
<table-wrap id="tI-ijmm-36-04-0939" position="float">
<label>Table I</label>
<caption>
<p>Lifespan parameters in fruit flies following lifelong treatment with CSOL.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" align="left">Group (mg/ml)</th>
<th valign="bottom" align="center">Median lifespan (days)</th>
<th valign="bottom" align="center">Mean lifespan (days)</th>
<th valign="bottom" align="center">Change from control (%)</th>
<th valign="bottom" align="center">Log-rank (vs. control)</th>
<th valign="bottom" align="center">Maximum lifespan (days)</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">Control</td>
<td valign="top" align="center">38.0&#x000B1;1.0</td>
<td valign="top" align="center">35.3&#x000B1;0.8</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="left">57.8&#x000B1;5.8</td></tr>
<tr>
<td valign="top" align="left">0.02</td>
<td valign="top" align="center">45.0&#x000B1;1.5</td>
<td valign="top" align="center">44.2&#x000B1;1.0</td>
<td valign="top" align="center">25</td>
<td valign="top" align="center">&#x003C7;<sup>2</sup>=53.167, P&lt;0.001</td>
<td valign="top" align="left">67.3&#x000B1;3.5<sup>a</sup></td></tr>
<tr>
<td valign="top" align="left">0.06</td>
<td valign="top" align="center">47.0&#x000B1;1.1</td>
<td valign="top" align="center">46.1&#x000B1;1.0</td>
<td valign="top" align="center">31</td>
<td valign="top" align="center">&#x003C7;<sup>2</sup>=79.677, P&lt;0.001</td>
<td valign="top" align="left">69.0&#x000B1;3.4<sup>a</sup></td></tr>
<tr>
<td valign="top" align="left">0.20</td>
<td valign="top" align="center">49.0&#x000B1;0.8</td>
<td valign="top" align="center">46.6&#x000B1;0.9</td>
<td valign="top" align="center">32</td>
<td valign="top" align="center">&#x003C7;<sup>2</sup>=87.063, P&lt;0.001</td>
<td valign="top" align="left">66.7&#x000B1;5.0<sup>a</sup></td></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-ijmm-36-04-0939">
<p>Maximum lifespan was calculated as the average lifespan of the longest surviving 10% of fruit flies in each group (n=200; <sup>a</sup>P&lt;0.001 vs. the control group). CSOL, <italic>Cordyceps sinensis</italic> oral liquid.</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="tII-ijmm-36-04-0939" position="float">
<label>Table II</label>
<caption>
<p>Survival parameters in fruit flies exposed to H<sub>2</sub>O<sub>2</sub> or paraquat and treated with CSOL.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" align="left">Group (mg/ml)</th>
<th valign="bottom" align="center">Median survival time (h)</th>
<th valign="bottom" align="center">Mean survival time (h)</th>
<th valign="bottom" align="center">Change from model (%)</th>
<th valign="bottom" align="center">Log-rank (vs. model)</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">H<sub>2</sub>O<sub>2</sub></td>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/></tr>
<tr>
<td valign="top" align="left">&#x02003;Model</td>
<td valign="top" align="center">20.0&#x000B1;0.5</td>
<td valign="top" align="center">18.9&#x000B1;0.5</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td></tr>
<tr>
<td valign="top" align="left">&#x02003;0.02</td>
<td valign="top" align="center">20.0&#x000B1;0.7</td>
<td valign="top" align="center">19.5&#x000B1;0.5</td>
<td valign="top" align="center">3</td>
<td valign="top" align="left">&#x003C7;<sup>2</sup>=1.107, P=0.293</td></tr>
<tr>
<td valign="top" align="left">&#x02003;0.06</td>
<td valign="top" align="center">20.0&#x000B1;0.6</td>
<td valign="top" align="center">21.3&#x000B1;0.5</td>
<td valign="top" align="center">13</td>
<td valign="top" align="left">&#x003C7;<sup>2</sup>=11.170, P&lt;0.001</td></tr>
<tr>
<td valign="top" align="left">&#x02003;0.20</td>
<td valign="top" align="center">20.0&#x000B1;0.5</td>
<td valign="top" align="center">22.0&#x000B1;0.5</td>
<td valign="top" align="center">16</td>
<td valign="top" align="left">&#x003C7;<sup>2</sup>=21.605, P&lt;0.001</td></tr>
<tr>
<td valign="top" align="left">Paraquat</td>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/></tr>
<tr>
<td valign="top" align="left">&#x02003;Model</td>
<td valign="top" align="center">20.0&#x000B1;0.8</td>
<td valign="top" align="center">21.7&#x000B1;0.6</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td></tr>
<tr>
<td valign="top" align="left">&#x02003;0.02</td>
<td valign="top" align="center">20.0&#x000B1;0.9</td>
<td valign="top" align="center">22.3&#x000B1;0.6</td>
<td valign="top" align="center">3</td>
<td valign="top" align="left">&#x003C7;<sup>2</sup>=0.756, P=0.385</td></tr>
<tr>
<td valign="top" align="left">&#x02003;0.06</td>
<td valign="top" align="center">28.0&#x000B1;0.7</td>
<td valign="top" align="center">26.8&#x000B1;0.6</td>
<td valign="top" align="center">24</td>
<td valign="top" align="left">&#x003C7;<sup>2</sup>=27.739, P&lt;0.001</td></tr>
<tr>
<td valign="top" align="left">&#x02003;0.20</td>
<td valign="top" align="center">28.0&#x000B1;0.9</td>
<td valign="top" align="center">25.0&#x000B1;0.7</td>
<td valign="top" align="center">15</td>
<td valign="top" align="left">&#x003C7;<sup>2</sup>=13.091, P&lt;0.001</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn2-ijmm-36-04-0939">
<p>CSOL, <italic>Cordyceps sinensis</italic> oral liquid. Fruit flies (n=200).</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="tIII-ijmm-36-04-0939" position="float">
<label>Table III</label>
<caption>
<p>Lifespan parameters in pathologically-aged fruit flies (exposed to D-galactose) following lifelong treatment with CSOL.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" align="left">Group (mg/ml)</th>
<th valign="bottom" align="center">Median lifespan (day)</th>
<th valign="bottom" align="center">Mean lifespan (day)</th>
<th valign="bottom" align="center">Change from model (%)</th>
<th valign="bottom" align="center">Log-rank (vs. model)</th>
<th valign="bottom" align="center">Maximum lifespan (day)</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">Control</td>
<td valign="top" align="center">55.0&#x000B1;1.7</td>
<td valign="top" align="center">52.5&#x000B1;1.1</td>
<td valign="top" align="center">25</td>
<td valign="top" align="center">&#x003C7;<sup>2</sup>=74.033, P&lt;0.001</td>
<td valign="top" align="left">72.2&#x000B1;5.7<sup>a</sup></td></tr>
<tr>
<td valign="top" align="left">Model</td>
<td valign="top" align="center">44.0&#x000B1;1.4</td>
<td valign="top" align="center">42.1&#x000B1;0.8</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="left">57.7&#x000B1;2.6</td></tr>
<tr>
<td valign="top" align="left">0.02</td>
<td valign="top" align="center">44.0&#x000B1;1.8</td>
<td valign="top" align="center">44.7&#x000B1;1.0</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">&#x003C7;<sup>2</sup>=13.968, P&lt;0.001</td>
<td valign="top" align="left">64.4&#x000B1;3.4<sup>a</sup></td></tr>
<tr>
<td valign="top" align="left">0.06</td>
<td valign="top" align="center">50.0&#x000B1;1.8</td>
<td valign="top" align="center">45.6&#x000B1;1.0</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">&#x003C7;<sup>2</sup>=23.662, P&lt;0.001</td>
<td valign="top" align="left">65.2&#x000B1;4.5<sup>a</sup></td></tr>
<tr>
<td valign="top" align="left">0.20</td>
<td valign="top" align="center">50.0&#x000B1;2.5</td>
<td valign="top" align="center">47.2&#x000B1;1.2</td>
<td valign="top" align="center">12</td>
<td valign="top" align="center">&#x003C7;<sup>2</sup>=34.615, P&lt;0.001</td>
<td valign="top" align="left">67.0&#x000B1;2.3<sup>a</sup></td></tr></tbody></table>
<table-wrap-foot><fn id="tfn3-ijmm-36-04-0939">
<p>Maximum lifespan was calculated as the average lifespan of the longest surviving 10% of fruit flies in each group (n=200, <sup>a</sup>P&lt;0.001 vs. the model group). CSOL, <italic>Cordyceps sinensis</italic> oral liquid.</p></fn></table-wrap-foot></table-wrap></floats-group></article>
