<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "journalpublishing3.dtd">
<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Molecular Medicine Reports</journal-id>
<journal-title-group>
<journal-title>Molecular Medicine Reports</journal-title>
</journal-title-group>
<issn pub-type="ppub">1791-2997</issn>
<issn pub-type="epub">1791-3004</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/mmr.2017.6682</article-id>
<article-id pub-id-type="publisher-id">mmr-16-02-1537</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Acerogenin C from <italic>Acer nikoense</italic> exhibits a neuroprotective effect in mouse hippocampal HT22 cell lines through the upregulation of Nrf-2/HO-1 signaling pathways</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Kim</surname><given-names>Nam-Tae</given-names></name>
<xref rid="af1-mmr-16-02-1537" ref-type="aff">1</xref>
<xref rid="fn1-mmr-16-02-1537" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Lee</surname><given-names>Dong-Sung</given-names></name>
<xref rid="af2-mmr-16-02-1537" ref-type="aff">2</xref>
<xref rid="fn1-mmr-16-02-1537" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Chowdhury</surname><given-names>Anisuzzaman</given-names></name>
<xref rid="af2-mmr-16-02-1537" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Lee</surname><given-names>Hwan</given-names></name>
<xref rid="af2-mmr-16-02-1537" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Cha</surname><given-names>Byung-Yoon</given-names></name>
<xref rid="af3-mmr-16-02-1537" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Woo</surname><given-names>Je-Tae</given-names></name>
<xref rid="af3-mmr-16-02-1537" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Woo</surname><given-names>Eun Rhan</given-names></name>
<xref rid="af2-mmr-16-02-1537" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Jang</surname><given-names>Jun-Hyeog</given-names></name>
<xref rid="af1-mmr-16-02-1537" ref-type="aff">1</xref>
<xref rid="c1-mmr-16-02-1537" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-mmr-16-02-1537"><label>1</label>Department of Biochemistry, Inha University School of Medicine, Incheon 22212, Republic of Korea</aff>
<aff id="af2-mmr-16-02-1537"><label>2</label>College of Pharmacy, Chosun University, Gwangju 61452, Republic of Korea</aff>
<aff id="af3-mmr-16-02-1537"><label>3</label>Research Institute for Biological Functions, Chubu University, Kasugai, Aichi 487-8501, Japan</aff>
<author-notes>
<corresp id="c1-mmr-16-02-1537"><italic>Correspondence to</italic>: Professor Jun-Hyeog Jang, Department of Biochemistry, Inha University School of Medicine, 100 Inha Road, Incheon 22212, Republic of Korea, E-mail: <email>juhjang@inha.ac.kr</email></corresp>
<fn id="fn1-mmr-16-02-1537"><label>&#x002A;</label><p>Contributed equally</p></fn>
</author-notes>
<pub-date pub-type="ppub"><month>02</month><year>2017</year></pub-date>
<pub-date pub-type="epub"><day>02</day><month>06</month><year>2017</year></pub-date>
<volume>16</volume>
<issue>2</issue>
<fpage>1537</fpage>
<lpage>1543</lpage>
<history>
<date date-type="received"><day>17</day><month>10</month><year>2016</year></date>
<date date-type="accepted"><day>28</day><month>04</month><year>2017</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2017, Spandidos Publications</copyright-statement>
<copyright-year>2017</copyright-year>
</permissions>
<abstract>
<p>Oxidative stress contributes to neuronal death in the brain, and neuronal death can cause aging or neurodegenerative disease. Heme oxygenase 1 (HO-1) serves a vital role in the regulation of biological reactions, including oxidative stress associated with reactive oxygen species. In the present study, acerogenin C isolated from the Aceraceae plant <italic>Acer nikoense</italic>, which is used as a Japanese folk medicine for hepatic disorders and eye diseases. However, there have been no studies on the mechanisms underlying the antineurodegenerative biological activities of acerogenin C. In the present study, acerogenin C demonstrated neuroprotective action against glutamate-induced cell death in hippocampal HT22 cells through the upregulation of HO-1 expression. These effects were also associated with nuclear translocation of nuclear factor erythroid 2-related factor 2 (Nrf2) and the activation of phosphoinositide 3-kinase/protein kinase B. Taken together of the efficacy researches, this study determines that the Nrf2/HO-1 pathways denotes a biological mark and that acerogenin C might contribute to prevention of neurodegenerative disorders.</p>
</abstract>
<kwd-group>
<kwd>acerogenin C</kwd>
<kwd>HT22 cells</kwd>
<kwd>neuroprotective action</kwd>
<kwd>heme oxygenase 1</kwd>
<kwd>nuclear factor erythroid 2-related factor 2</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Neuronal death in the brain can cause Alzheimer&#x0027;s disease (AD), which is the most common irreparable and progressive neurodegenerative disease. In the human brain, increased oxidative stress associated with reactive oxygen species (ROS) can cause disorders of the central nervous system. In addition, oxidative stress is associated with diverse neurodegenerative diseases resulting in neurodegenerative processes (<xref rid="b1-mmr-16-02-1537" ref-type="bibr">1</xref>,<xref rid="b2-mmr-16-02-1537" ref-type="bibr">2</xref>). The most important ROS, superoxide and hydroxyl radicals, can cause oxidative stress to molecular organisms. Oxidative stress-associated apoptotic action is connected to neuronal cell death and critical neuronal disorders, including ischemia. A well-known neuronal transmitter, glutamate, is unduly released during neuroinflammation (<xref rid="b3-mmr-16-02-1537" ref-type="bibr">3</xref>). The irregular discharge of glutamate into the extracellular area inhibits the cysteine/glutamate antiporter, which transports cysteine into the cytoplasm while removing glutamate from the cells. This subsequently suppresses glutathione biosynthesis and can cause the increases in ROS (<xref rid="b4-mmr-16-02-1537" ref-type="bibr">4</xref>). In addition, nuclear factor erythroid 2-related factor 2 (Nrf2)/antioxidant response element (ARE) serve a key role against cellular oxidative stress (<xref rid="b5-mmr-16-02-1537" ref-type="bibr">5</xref>). Nrf2/ARE also activates downstream signaling through inducible antioxidant enzymes, including heme oxygenase 1 (HO-1) and reduced nicotinamide-adenine dinucleotide phosphate dehydrogenase [quinone] 1 (<xref rid="b6-mmr-16-02-1537" ref-type="bibr">6</xref>). Among these enzymes, HO-1 is recognized to be a protective gene against oxidative stress, which catalyzes the metabolism of heme to yield carbon monoxide, bilirubin/biliverdin and iron (<xref rid="b7-mmr-16-02-1537" ref-type="bibr">7</xref>). HO-1 is a stress-responsive enzyme generated by the stimulation of heat shocks, oxidants and heavy metals. HO-1 serves vital roles in the prevention of oxidative stress and inflammation in cells (<xref rid="b8-mmr-16-02-1537" ref-type="bibr">8</xref>). In HT22 cells, HO-1 exhibits a protective action against glutamate-associated neurotoxicity (<xref rid="b9-mmr-16-02-1537" ref-type="bibr">9</xref>,<xref rid="b10-mmr-16-02-1537" ref-type="bibr">10</xref>).</p>
<p>The Aceraceae plant <italic>Acer nikoense</italic> (commonly known as Nikko maple or megusurinoki in Japanese) is indigenous to Japan and the stem bark of <italic>A. nikoense</italic> is used in Japanese folk medicine for the treatment of hepatic sicknesses and eye diseases (<xref rid="b11-mmr-16-02-1537" ref-type="bibr">11</xref>). Furthermore, the stem bark of <italic>A. nikoense</italic> is ingested as a health food in Japan (<xref rid="b12-mmr-16-02-1537" ref-type="bibr">12</xref>). Various diarylheptanoids and multiple types of phenolic compounds have been identified from the stem bark (<xref rid="b13-mmr-16-02-1537" ref-type="bibr">13</xref>), and tannin, coumarins, lignans, triterpenes, flavonoids and sterols have been characterized in the leaves and wood of <italic>A. nikoense</italic> (<xref rid="b14-mmr-16-02-1537" ref-type="bibr">14</xref>). In addition, a number of bioactivities in <italic>A. nikoense</italic> extracts have been reported, including inhibition of the Na<sup>&#x002B;</sup>-glucose cotransporter (<xref rid="b15-mmr-16-02-1537" ref-type="bibr">15</xref>), inhibition of nitric oxide production (<xref rid="b16-mmr-16-02-1537" ref-type="bibr">16</xref>), anti-oxidant (<xref rid="b17-mmr-16-02-1537" ref-type="bibr">17</xref>), anti-inflammatory effects (<xref rid="b18-mmr-16-02-1537" ref-type="bibr">18</xref>), hepatoprotective effects (<xref rid="b19-mmr-16-02-1537" ref-type="bibr">19</xref>) and stimulating osteoblast differentiation (<xref rid="b20-mmr-16-02-1537" ref-type="bibr">20</xref>). Acerogenin C was isolated from <italic>A. nikoense</italic>, and previous studies have determined the estrogenic and antiproliferative activities of acerogenin C (<xref rid="b21-mmr-16-02-1537" ref-type="bibr">21</xref>,<xref rid="b22-mmr-16-02-1537" ref-type="bibr">22</xref>). However, there have been no studies on the mechanisms underlying the antineurodegenerative actions of acerogenin C. In the present study, the neuroprotective effects of acerogenin C on glutamate-stimulated toxicity in HT22 mouse hippocampal cells through Nrf2-associated HO-1 expression were investigated.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Chemicals and reagents</title>
<p>Acerogenin C was isolated from <italic>A. nikoense</italic> as previously described (<xref rid="b10-mmr-16-02-1537" ref-type="bibr">10</xref>). All cell culture-associated reagents were obtained from Gibco (Thermo Fisher Scientific, Inc., Waltham, MA, USA). Lipofectamine 2000&#x2122; was obtained from Invitrogen (Thermo Fisher Scientific, Inc.). The anti-HO-1 (catalog no. sc-10789), Nrf-2 (catalog no. sc-722), p-Akt (catalog no. sc-514032), Akt (catalog no. sc-5298), proliferating cell nuclear antigen (PCNA; catalog no. sc-56) and &#x03B2;-actin (catalog no. sc-1616) antibodies, and small interfering RNA (siRNA) were obtained from Santa Cruz Biotechnology, Inc. (Dallas, TX, USA). The HO-1 inducer cobalt protoporphyrin IX (CoPP) and all other chemical reagents were purchased from Sigma-Aldrich; Merck KGaA (Darmstadt, Germany).</p>
</sec>
<sec>
<title>HT22 cell culture</title>
<p>Mouse hippocampal HT22 cells were donated from Professor Youn-Chul Kim (Wonkwang University, Iksan, Korea). The cells (5&#x00D7;106 cells/dish) were cultured in Dulbecco&#x0027;s modified Eagle&#x0027;s medium containing streptomycin (100 &#x00B5;g/ml), 10&#x0025; fetal bovine serum (FBS), and penicillin G (100 U/ml) at 37&#x00B0;C in an atmosphere containing 5&#x0025; CO<sub>2</sub> and 95&#x0025; air.</p>
</sec>
<sec>
<title>HT22 cell viability assays</title>
<p>HT22 cells were maintained at 2&#x00D7;104 cells/well and treated with acerogenin C (1, 10, 20, 40 and 50 &#x00B5;M) for 48 h. Alternatively, HT22 cells were pretreated with acerogenin C (10, 20 and 40 &#x00B5;M) or trolox (50 &#x00B5;M) for 12 h, and then treated with glutamate (5 mM) for 12 h. In addition, HT22 cells were treated with acerogenin C (30 &#x00B5;M) in the presence or absence of 50 &#x00B5;M tin protoporphyrin XI (SnPP), (HO)-1 siRNA, or 10 &#x00B5;M LY294002, and then exposed to glutamate (5 mM) for 12 h. All incubations were performed at 37&#x00B0;C and 5&#x0025; CO<sub>2</sub>. Following incubation, the cell culture medium was removed from each well and replaced with fresh medium. Cells were incubated with 0.5 mg/ml MTT for 1 h and the formed formazan crystals were dissolved in 150 &#x00B5;l 99.7&#x0025; dimethyl sulfoxide. Optical density was measured at a wavelength of 590 nm on a microplate reader (Bio-Rad, Hercules, CA, USA).</p>
</sec>
<sec>
<title>Extraction of cytoplasmic and nuclear cells</title>
<p>HT22 cells homogenized in PER-Mammalian Protein Extraction buffer (Pierce; Thermo Fisher Scientific, Inc.) supplemented with 1 mM phenylmethylsulfonyl fluoride and protease inhibitor cocktail I (EMD Millipore, Billerica, MA, USA). Cytoplasmic and nuclear fractions were separated using NE-PER Nuclear and Cytoplasmic Extraction reagents (Pierce; Thermo Fisher Scientific, Inc.).</p>
</sec>
<sec>
<title>Western blot analysis</title>
<p>HT22 cells were incubated with acerogenin C (10, 20 and 40 &#x00B5;M) or CoPP (20 &#x00B5;M) for 12 h. Alternatively, HT22 cells were treated with 30 &#x00B5;M of acerogenin C for 0, 30, 60 and 120 min, and transiently transfected with Nrf2 siRNA and then treated with 30 &#x00B5;M acerogenin C for 12 h (<xref rid="f4-mmr-16-02-1537" ref-type="fig">Fig. 4B</xref>). In addition, HT22 cells were pre-incubated with or without 10 &#x00B5;M LY294002 for 1 h and then incubated in the absence or presence of 30 &#x00B5;M of acerogein C for 60 min (p-AKT) or 12 h (HO)-1. Pelleted HT22 cells were obtained by centrifugation at 200 &#x00D7; g for 3 min at room temperature. Following the washing of cells with PBS, they were lysed using Tris-HCl buffer (20 mM; pH 7.4) supplemented with a protease inhibitor mixture containing chymostatin (1 mg/ml), aprotinin (5 mg/ml), pepstatin A (5 mg/ml) and phenylmethylsulfonyl fluoride (0.1 mM). Equal amounts of protein were resolved using SDS-PAGE and transferred to a Hybond-enhanced chemiluminescence nitrocellulose membrane (Bio-Rad Laboratories, Inc., Hercules, CA, USA). The membrane was blocked with 5&#x0025; skimmed milk at room temperature for 1 h, and then incubated with anti-HO-1, anti-Nrf2, anti-p-Akt, anti-Akt, anti-PCNA, or anti-&#x03B2;-actin antibodies (all of which were used at a 1:1,000) at 4&#x00B0;C overnight. The membrane was subsequently incubated with horseradish peroxidase-conjugated anti-goat (catalog no. ap106p; 1:1,000), rabbit (catalog no. ap132p; 1:1,000) and mouse (catalog no. ap160p; 1:1,000) secondary antibodies, obtained from EMD Millipore, followed by Enhanced Chemiluminescence (GE Healthcare, Chicago, IL, USA) detection substrate. Secondary antibodies were diluted in 3&#x0025; skimmed milk in TBST buffer. The bands were quantified by densitometry (ImageJ software version 1.47; National Institutes of Health, Bethesda, MD, USA). Nuclear and cytoplasmic extracts of cells were prepared using NE-PER reagents, as per the manufacturer&#x0027;s protocol (Thermo Fisher Scientific, Inc.).</p>
</sec>
<sec>
<title>Transfection</title>
<p>Lipofectamine 2000&#x2122; (Invitrogen; Thermo Fisher Scientific, Inc.) containing Opti-MEM without FBS were used to temporarily transfect HT22 cells with 50 nM HO-1 siRNA (catalog no. sc-35554) and Nrf2 siRNA (catalog no. sc-37030) (both from Santa Cruz Biotechnology, Inc.) for 6 h. The cell culture medium was replaced with fresh medium with 10&#x0025; FBS.</p>
</sec>
<sec>
<title>Reverse transcription-quantitative polymerase chain reaction</title>
<p>Total RNA was isolated from the cells using TRIzol reagent (Invitrogen; Thermo Fisher Scientific, Inc.) and quantified spectrophotometrically at 260 nm (ND-1000; Thermo Fisher Scientific, Inc.), Total RNA (1 &#x00B5;g) was reverse-transcribed into cDNA using the High Capacity RNA kit (Applied Biosystems; Thermo Fisher Scientific, Inc.). The obtained cDNA was amplified using the SYBR Premix Ex Taq kit (Takara Biotechnology Co., Ltd., Dalian, China) and a StepOnePlus Real-Time PCR (Applied Biosystems). Reaction mixture contained diethyl pyrocarbonate-treated water, primer, and SYBR-Green PCR Master Mix. The sequences of primer were designed by PrimerQuest (Integrated DNA Technologies, Inc., Coralville, IA, USA). The primer sequences are: HO-1 forward, 5&#x2032;-CTCTTGGCTGGCTTCCTT-3&#x2032; and reverse, 5&#x2032;-GGCTCCTTCCTCCTTTCC-3&#x2032;; and GAPDH forward, 5&#x2032;-ACTTTGGTATCGTGGAAGGACT-3&#x2032; and reverse, 5&#x2032;-GTAGAGGCAGGGATGATGTTCT-3&#x2032;. The thermal cycling conditions used were as follows: Pre-denaturation at 95&#x00B0;C for 10 min, denaturation at 95&#x00B0;C for 15 sec and annealing at 60&#x00B0;C for 1 min. A total of 40 cycles were performed. The data was analyzed using StepOne software (version 2.3; Applied Biosystems; Thermo Fisher Scientific, Inc.), and the cycle number at the linear amplification threshold (quantification cycle; Cq) was recorded for the endogenous control gene and the target gene. Relative gene expression (target gene expression normalized to the expression of the endogenous control gene) was calculated using the comparative Cq method (2<sup>&#x2212;&#x0394;&#x0394;Cq</sup>) (<xref rid="b23-mmr-16-02-1537" ref-type="bibr">23</xref>).</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>All data were expressed as the mean &#x00B1; standard deviation from at least three independent experiments. To compare each experimental group, one-way analysis of variance was used followed by the Newman-Keuls post hoc test. Statistical analysis of all data was conducted using GraphPad Prism software (version 3.03; GraphPad Software, Inc., La Jolla, CA, USA). P&#x003C;0.05 was considered to indicate a statistically significant difference.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Effect of acerogenin C on cytotoxicy induced by glutamate and ROS generation in hippocampal HT22 cells</title>
<p>To verify the cytotoxic effects of acerogenin C (<xref rid="f1-mmr-16-02-1537" ref-type="fig">Fig. 1A</xref>), its effect on the viability of HT22 cells was analyzed using the MTT assay. There were no significant effects at 1&#x2013;50 &#x00B5;M acerogenin C; however, the viability notably decreased at 50 &#x00B5;M (<xref rid="f1-mmr-16-02-1537" ref-type="fig">Fig. 1B</xref>). In addition, the neuroprotective effect of acerogenin C on HT22 cells against glutamate-associated cytotoxicity and ROS generation was investigated. To demonstrate the neuroprotective effect of acerogenin C, HT22 cells pretreated with different concentrations of acerogenin C (10, 20 and 40 &#x00B5;M) for 3 h and 5 mM glutamate for 12 h were subject to an MTT assay. The results demonstrated that the viability of 20 and 40 &#x00B5;M acerogenin C-treated cells was significantly increased compared with untreated cells (<xref rid="f2-mmr-16-02-1537" ref-type="fig">Fig. 2</xref>). Trolox, well-known for its anti-oxidative effect, was used as a positive control and provided a notable cytoprotective effect at a concentration of 50 &#x00B5;M.</p>
</sec>
<sec>
<title>Effect of acerogenin C against cytotoxicy induced by glutamate via HO-1 in hippocampal HT22 cells</title>
<p>HO-1 expression serves a key cytoprotective role in HT22 cells. It catalyzes the oxygen-dependent degradation of heme, producing CO, free iron and bilirubin/biliverdin (<xref rid="b7-mmr-16-02-1537" ref-type="bibr">7</xref>). Consequently, the HO-1 induced protective effect in HT22 cells was investigated. HO-1 mRNA expression was evaluated following treatment with acerogenin C. Cobalt protoporphyrin (CoPP) was used as a positive control. CoPP is a well-known HO-1 inducer. Treatment with cerogenin C increased HO-1 mRNA and protein expression in HT22 cells in a dose-dependent manner (<xref rid="f3-mmr-16-02-1537" ref-type="fig">Fig. 3A and B</xref>). Subsequently it was demonstrated that tin protoporphyrin XI (SnPP), a known inhibitor of HO-1 expression, and HO-1 siRNA significantly blocked the protective effect of acerogenin C (<xref rid="f3-mmr-16-02-1537" ref-type="fig">Fig. 3C</xref>). These results suggest that HO-1 contributes to the cytoprotective effect of acerogenin C in HT22 cells.</p>
</sec>
<sec>
<title>Effect of acerogenin C on the nuclear translocation of Nrf2 in hippocamppal HT22 cells</title>
<p>The Nrf2/HO-1 pathway is important in the prevention of oxidative stress-induced damage. Under normal conditions, Nrf2 is located within cell cytoplasm. During oxidative stress, Nrf2 is phosphorylated and translocated into the nucleus, and binds to the specific ARE sequences (<xref rid="b5-mmr-16-02-1537" ref-type="bibr">5</xref>,<xref rid="b6-mmr-16-02-1537" ref-type="bibr">6</xref>). Therefore, the translocation of Nrf2 to nuclei in HT22 cells was observed. Cells were treated with acerogenin C for 0, 30, 60 and 120 min, and Nrf2 protein levels were detected by western blotting. Cytosolic Nrf2 levels were decreased; however, nuclear Nrf2 levels were increased following treatment with acerogenin C (<xref rid="f4-mmr-16-02-1537" ref-type="fig">Fig. 4A</xref>). PNCA is widely used as a control in antibody validation of nuclear protein. In addition, the role of Nrf2 in HO-1 activity was analyzed using Nrf2 siRNA. Hippocampal HT22 cells were temporarily transfected with Nrf2 siRNA and were treated with acerogenin C to induce HO-1 activity. Nrf2 siRNA inhibited the nuclear translocation of Nrf2 and transient transfections with Nrf2 siRNA also eliminated the induction of HO-1 expression by acerogenin C (<xref rid="f4-mmr-16-02-1537" ref-type="fig">Fig. 4B</xref>). These results demonstrated that HO-1 induction by acerogenin C is associated with the Nrf2 nuclear translocation pathway in HT22 cells.</p>
</sec>
<sec>
<title>Effect of acerogenin C on the phosphoinositide 3-kinase (PI3K)/protein kinase B (Akt) pathway in the induction of HO-1 expression</title>
<p>Multiple studies demonstrated that the PI3K/Akt pathway is associated with the expression of HO-1 (<xref rid="b24-mmr-16-02-1537" ref-type="bibr">24</xref>). Therefore, it was investigated whether acerogenin C induces expression of HO-1 via the PI3K/Akt signaling pathway. Following treatment with 40 &#x00B5;M acerogenin C, the levels of Akt were significantly increased (<xref rid="f5-mmr-16-02-1537" ref-type="fig">Fig. 5A</xref>). In addition, treatment with LY294002, a known inhibitor of PI3K, abolishes HO-1 expression and cytoprotection by acerogenin C (<xref rid="f5-mmr-16-02-1537" ref-type="fig">Fig. 5B and C</xref>). Therefore, acerogenin C-induced HO-1 expression is associated with the PI3K/Akt signaling pathway in HT22 cells.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Since the beginning of medicine, humans have depended on chemical compounds taken from animals, plants and micro-organisms to cure diseases. These are referred to &#x2018;natural products&#x2019;. Natural products have been the most useful sources of lead compounds in the development of drugs. The worth of these &#x2018;natural products&#x2019; can be measured using three criteria: Their frequency of use in treatment; the number of chemicals of wide structural variety they contain; and the number of diseases they treat or prevent (<xref rid="b25-mmr-16-02-1537" ref-type="bibr">25</xref>). Neurodegeneration is typically caused when the neuron loses its ability to function properly and its structures, and includes neuron damage. These neurodegenerative processes can be the cause of a number of neurodegenerative diseases, including Parkinson&#x0027;s disease, AD and Huntington&#x0027;s disease. In particular, brain tissue is susceptible to oxidative stress as well as inflammation which may occur through physiological or pathological processes (<xref rid="b26-mmr-16-02-1537" ref-type="bibr">26</xref>).</p>
<p>In previous studies, research was focused on the identification of different bioactive natural compounds, which regulate HO-1 specifically, and their molecular impression on neurodegenerative diseases (<xref rid="b27-mmr-16-02-1537" ref-type="bibr">27</xref>,<xref rid="b28-mmr-16-02-1537" ref-type="bibr">28</xref>). The hippocampus has a significant role in the formation of memory and spatial processing, as well as learning and pattern separation. An immortalized mouse hippocampal cell line, HT22, which resembles neuronal cells; however, lacks functional ionotropic glutamate receptors (<xref rid="b29-mmr-16-02-1537" ref-type="bibr">29</xref>). It is well known that high concentrations of glutamate do not activate glutamate receptors in these cells. HT22 cells are thus relevant to the independent study of oxidative glutamate toxicity (<xref rid="b30-mmr-16-02-1537" ref-type="bibr">30</xref>). In the present study, it was established that acerogenin C exhibits neuroprotective action against glutamate-induced cytotoxicity in HT22 cells. Acerogenin C repressed the generation of ROS induced by glutamate and glutamate-induced cell death in HT22 cells. Furthermore, the induction of HO-1 is involved in the cytoprotective effect of acerogenin C against oxidative stress induced by glutamate in HT22 cells (<xref rid="b31-mmr-16-02-1537" ref-type="bibr">31</xref>). Therefore, it was investigated whether acerogenin C stimulated HO-1 expression in a dose-dependent manner and suppressed the generation of ROS induced by glutamate. As a result, the cytoprotective effect of acerogenin C may be arbitrated by the induction of HO-1 expression.</p>
<p>The neuroprotective effect of acerogeninC in HT22 cells against cytotoxicity induced by glutamate was investigated. The results demonstrated that with acerogenin C (10&#x2013;40 &#x00B5;M) for 12 h suppressed glutamate-induced cell death in a dose-dependent manner. In a previous study, expression of HO-1 appeared to serve important roles in the protection of neuronal cells (<xref rid="b7-mmr-16-02-1537" ref-type="bibr">7</xref>). Therefore, in the present study it was determined whether acerogenin C-induced HO-1 expression. In HT22 cells, acerogenin C increased HO-1 mRNA expression. To corroborate the cytoprotective effect associated with acerogenin C-mediated HO-1 expression, it was investigated whether the effect of acerogenin C-mediated HO-1 expression was reversed by pretreatment with an inhibitor (SnPP) of HO-1. Furthermore, it is well-known that Nrf2 initiates antioxidant protein expression, including HO-1. It was demonstrated that treatment with acerogenin C induces Nrf2 translocation to the nuclei in HT22 cells and an associated decrease in Nrf2. Nrf2 siRNA completely inhibited nuclear translocation. Furthermore, temporary transfection with Nrf2 siRNA inhibited induction of HO-1 expression by acerogenin C in HT22 cells. These results demonstrated that the upregulation of HO-1 caused by treatment with acerogenin C is associated with the Nrf2 nuclear translocation pathway in HT22 cells. In addition, it was investigated whether upstream signaling pathways, including PI3K/Akt, were involved in the regulation of HO-1 protein. Therefore, it was hypothesized that the mechanism by which acerogenin C defends against anti-oxidative injury is mediated by Nrf2.</p>
<p>Nrf2 exhibits neuroprotective effects and serves a key role in phase II detoxification. Nrf2 a cap&#x2018;n&#x2019;collar transcription factor that regulates the production of multiple anti-oxidative enzymes (<xref rid="b32-mmr-16-02-1537" ref-type="bibr">32</xref>,<xref rid="b33-mmr-16-02-1537" ref-type="bibr">33</xref>). Nrf2 exhibits protective action in different organs and tissues, including the brain, heart and liver (<xref rid="b34-mmr-16-02-1537" ref-type="bibr">34</xref>&#x2013;<xref rid="b36-mmr-16-02-1537" ref-type="bibr">36</xref>). Nrf2 activation attenuates ROS and inhibits glutamate- and H<sub>2</sub>O<sub>2</sub>-induced neurotoxicity to protect neuronal cells (<xref rid="b6-mmr-16-02-1537" ref-type="bibr">6</xref>,<xref rid="b37-mmr-16-02-1537" ref-type="bibr">37</xref>). Nrf2 is significantly required for inducible protein expression, including HO-1 expression (<xref rid="b38-mmr-16-02-1537" ref-type="bibr">38</xref>). In the present study, it was demonstrated that acerogenin C initiates Nrf2 translocation into the nucleus and suggested that Nrf2 performs a vital function in the induction of HO-1 by acerogenin C. PI3K/Akt signaling is associated with the regulation of HO-1 via the activation of the Nrf2 signaling pathway (<xref rid="b39-mmr-16-02-1537" ref-type="bibr">39</xref>,<xref rid="b40-mmr-16-02-1537" ref-type="bibr">40</xref>). Stimulation of the PI3K/Akt signaling pathway may be associated with acerogenin C-induced HO-1 expression.</p>
<p>In conclusion, it was demonstrated that glutamate-induced oxidative stress was decreased by acerogenin C. Acerogenin C also exhibits inhibitory effects on ROS production in HT22 cells. Pretreatment with acerogenin C and LY294002 led to decreased HO-1 expression in HT22 cells. Therefore, acerogenin C induced HO-1 expression via the Nrf2 and PI3K/Akt signaling pathways in HT22 cells. In conclusion, the present study indicates that acerogenin C may be a potential candidate in the treatment of different neurodegenerative diseases.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The present study was supported by the Basic Science Research Program through the National Research Foundation of Korea funded by the Ministry of Education, Science and Technology (grant no. 2015R1C1A1A02036465).</p>
</ack>
<ref-list>
<title>References</title>
<ref id="b1-mmr-16-02-1537"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jazwa</surname><given-names>A</given-names></name><name><surname>Cuadrado</surname><given-names>A</given-names></name></person-group><article-title>Targeting heme oxygenase-1 for neuroprotection and neuroinflammation in neurodegenerative diseases</article-title><source>Curr Drug Targets</source><volume>11</volume><fpage>1517</fpage><lpage>1531</lpage><year>2010</year><pub-id pub-id-type="doi">10.2174/1389450111009011517</pub-id><pub-id pub-id-type="pmid">20704549</pub-id></element-citation></ref>
<ref id="b2-mmr-16-02-1537"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mosley</surname><given-names>RL</given-names></name><name><surname>Benner</surname><given-names>EJ</given-names></name><name><surname>Kadiu</surname><given-names>I</given-names></name><name><surname>Thomas</surname><given-names>M</given-names></name><name><surname>Boska</surname><given-names>MD</given-names></name><name><surname>Hasan</surname><given-names>K</given-names></name><name><surname>Laurie</surname><given-names>C</given-names></name><name><surname>Gendelman</surname><given-names>HE</given-names></name></person-group><article-title>Neuroinflammation, Oxidative Stress and the Pathogenesis of Parkinson&#x0027;s Disease</article-title><source>Clin Neurosci Res</source><volume>6</volume><fpage>261</fpage><lpage>281</lpage><year>2006</year><pub-id pub-id-type="doi">10.1016/j.cnr.2006.09.006</pub-id><pub-id pub-id-type="pmid">18060039</pub-id><pub-id pub-id-type="pmcid">1831679</pub-id></element-citation></ref>
<ref id="b3-mmr-16-02-1537"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Caceres</surname><given-names>LG</given-names></name><name><surname>Aon Bertolino</surname><given-names>L</given-names></name><name><surname>Saraceno</surname><given-names>GE</given-names></name><name><surname>Zubilete</surname><given-names>MA Zorrilla</given-names></name><name><surname>Uran</surname><given-names>SL</given-names></name><name><surname>Capani</surname><given-names>F</given-names></name><name><surname>Guelman</surname><given-names>LR</given-names></name></person-group><article-title>Hippocampal-related memory deficits and histological damage induced by neonatal ionizing radiation exposure. Role of oxidative status</article-title><source>Brain Res</source><volume>1312</volume><fpage>67</fpage><lpage>78</lpage><year>2010</year><pub-id pub-id-type="doi">10.1016/j.brainres.2009.11.053</pub-id><pub-id pub-id-type="pmid">19948150</pub-id></element-citation></ref>
<ref id="b4-mmr-16-02-1537"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Conrad</surname><given-names>M</given-names></name><name><surname>Sato</surname><given-names>H</given-names></name></person-group><article-title>The oxidative stress-inducible cystine/glutamate antiporter, system &#x00D7; (c) (&#x2212;): Cystine supplier and beyond</article-title><source>Amino Acids</source><volume>42</volume><fpage>231</fpage><lpage>246</lpage><year>2012</year><pub-id pub-id-type="doi">10.1007/s00726-011-0867-5</pub-id><pub-id pub-id-type="pmid">21409388</pub-id></element-citation></ref>
<ref id="b5-mmr-16-02-1537"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lim</surname><given-names>JL</given-names></name><name><surname>Wilhelmus</surname><given-names>MM</given-names></name><name><surname>de Vries</surname><given-names>HE</given-names></name><name><surname>Drukarch</surname><given-names>B</given-names></name><name><surname>Hoozemans</surname><given-names>JJ</given-names></name><name><surname>van Horssen</surname><given-names>J</given-names></name></person-group><article-title>Antioxidative defense mechanisms controlled by Nrf2: State-of-the-art and clinical perspectives in neurodegenerative diseases</article-title><source>Arch Toxicol</source><volume>88</volume><fpage>1773</fpage><lpage>1786</lpage><year>2014</year><pub-id pub-id-type="doi">10.1007/s00204-014-1338-z</pub-id><pub-id pub-id-type="pmid">25164826</pub-id></element-citation></ref>
<ref id="b6-mmr-16-02-1537"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ouyang</surname><given-names>Y</given-names></name><name><surname>Chen</surname><given-names>Z</given-names></name><name><surname>Tan</surname><given-names>M</given-names></name><name><surname>Liu</surname><given-names>A</given-names></name><name><surname>Chen</surname><given-names>M</given-names></name><name><surname>Liu</surname><given-names>J</given-names></name><name><surname>Pi</surname><given-names>R</given-names></name><name><surname>Fang</surname><given-names>J</given-names></name></person-group><article-title>Carvedilol, a third-generation &#x03B2;-blocker prevents oxidative stress-induced neuronal death and activates Nrf2/ARE pathway in HT22 cells</article-title><source>Biochem Biophys Res Commun</source><volume>441</volume><fpage>917</fpage><lpage>922</lpage><year>2013</year><pub-id pub-id-type="doi">10.1016/j.bbrc.2013.10.160</pub-id><pub-id pub-id-type="pmid">24216104</pub-id></element-citation></ref>
<ref id="b7-mmr-16-02-1537"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Haines</surname><given-names>DD</given-names></name><name><surname>Lekli</surname><given-names>I</given-names></name><name><surname>Teissier</surname><given-names>P</given-names></name><name><surname>Bak</surname><given-names>I</given-names></name><name><surname>Tosaki</surname><given-names>A</given-names></name></person-group><article-title>Role of haeme oxygenase-1 in resolution of oxidative stress-related pathologies: Focus on cardiovascular, lung, neurological and kidney disorders</article-title><source>Acta Physiol (Oxf)</source><volume>204</volume><fpage>487</fpage><lpage>501</lpage><year>2012</year><pub-id pub-id-type="doi">10.1111/j.1748-1716.2011.02387.x</pub-id><pub-id pub-id-type="pmid">22118298</pub-id></element-citation></ref>
<ref id="b8-mmr-16-02-1537"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ryter</surname><given-names>SW</given-names></name><name><surname>Otterbein</surname><given-names>LE</given-names></name><name><surname>Morse</surname><given-names>D</given-names></name><name><surname>Choi</surname><given-names>AM</given-names></name></person-group><article-title>Heme oxygenase/carbon monoxide signaling pathways: Regulation and functional significance</article-title><source>Mol Cell Biochem 234&#x2013;235</source><fpage>249</fpage><lpage>263</lpage><year>2002</year><pub-id pub-id-type="doi">10.1023/A:1015957026924</pub-id></element-citation></ref>
<ref id="b9-mmr-16-02-1537"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>DC</given-names></name><name><surname>Cho</surname><given-names>KH</given-names></name><name><surname>Ko</surname><given-names>W</given-names></name><name><surname>Yoon</surname><given-names>CS</given-names></name><name><surname>Sohn</surname><given-names>JH</given-names></name><name><surname>Yim</surname><given-names>JH</given-names></name><name><surname>Kim</surname><given-names>YC</given-names></name><name><surname>Oh</surname><given-names>H</given-names></name></person-group><article-title>Anti-inflammatory and cytoprotective effects of TMC-256C1 from marine-derived Fungus Aspergillus sp. SF-6354 via up-regulation of heme oxygenase-1 in murine hippocampal and microglial cell lines</article-title><source>Int J Mol Sci</source><volume>17</volume><fpage>529</fpage><year>2016</year><pub-id pub-id-type="doi">10.3390/ijms17040529</pub-id><pub-id pub-id-type="pmid">27070586</pub-id><pub-id pub-id-type="pmcid">4848985</pub-id></element-citation></ref>
<ref id="b10-mmr-16-02-1537"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname><given-names>DS</given-names></name><name><surname>Cha</surname><given-names>BY</given-names></name><name><surname>Woo</surname><given-names>JT</given-names></name><name><surname>Kim</surname><given-names>YC</given-names></name><name><surname>Jang</surname><given-names>JH</given-names></name></person-group><article-title>Acerogenin A from Acer nikoense Maxim prevents oxidative stress-induced neuronal cell death through Nrf2-mediated heme oxygenase-1 expression in mouse hippocampal HT22 cell line</article-title><source>Molecules</source><volume>20</volume><fpage>12545</fpage><lpage>12557</lpage><year>2015</year><pub-id pub-id-type="doi">10.3390/molecules200712545</pub-id><pub-id pub-id-type="pmid">26184139</pub-id></element-citation></ref>
<ref id="b11-mmr-16-02-1537"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nagai</surname><given-names>M</given-names></name><name><surname>Kubo</surname><given-names>M</given-names></name><name><surname>Fujita</surname><given-names>M</given-names></name><name><surname>Inoue</surname><given-names>T</given-names></name><name><surname>Matsuo</surname><given-names>M</given-names></name></person-group><article-title>Studies on the constituents of Aceraceae plants. II. Structure of aceroside I, a glucoside of a novel cyclic diarylheptanoid from Acer nikoense Maxim</article-title><source>Chem Pharm Bull</source><volume>26</volume><fpage>2805</fpage><lpage>2810</lpage><year>1978</year><pub-id pub-id-type="doi">10.1248/cpb.26.2805</pub-id></element-citation></ref>
<ref id="b12-mmr-16-02-1537"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Morikawa</surname><given-names>T</given-names></name><name><surname>Tao</surname><given-names>J</given-names></name><name><surname>Ueda</surname><given-names>K</given-names></name><name><surname>Matsuda</surname><given-names>H</given-names></name><name><surname>Yoshikawa</surname><given-names>M</given-names></name></person-group><article-title>Medicinal foodstuffs. XXXI. Structures of new aromatic constituents and inhibitors of degranulation in RBL-2H3 cells from a Japanese folk medicine, the stem bark of Acer nikoense</article-title><source>Chem Pharm Bull (Tokyo)</source><volume>51</volume><fpage>62</fpage><lpage>67</lpage><year>2003</year><pub-id pub-id-type="doi">10.1248/cpb.51.62</pub-id><pub-id pub-id-type="pmid">12520130</pub-id></element-citation></ref>
<ref id="b13-mmr-16-02-1537"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Inoue</surname><given-names>T</given-names></name><name><surname>Ishidate</surname><given-names>Y</given-names></name><name><surname>Fujita</surname><given-names>M</given-names></name><name><surname>Kubo</surname><given-names>M</given-names></name><name><surname>Fukushima</surname><given-names>M</given-names></name><name><surname>Nagai</surname><given-names>M</given-names></name></person-group><article-title>Studies on the constituents of Aceraceae plants</article-title><source>I. Constituents in the leaves and the stem bark of Acer nikoense Maxim. Yakugaku Zasshi</source><volume>98</volume><fpage>41</fpage><lpage>46</lpage><year>1978</year><comment>(In Japanese)</comment></element-citation></ref>
<ref id="b14-mmr-16-02-1537"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Furukawa</surname><given-names>N</given-names></name><name><surname>Nagumo</surname><given-names>S</given-names></name><name><surname>Inoue</surname><given-names>T</given-names></name><name><surname>Nagai</surname><given-names>M</given-names></name></person-group><article-title>Studies on the constituents of aceraceae plants VII. Coumarinolignans from the wood of Acer nikoense</article-title><source>Shoyakugaku Zasshi</source><volume>42</volume><fpage>163</fpage><lpage>165</lpage><year>1988</year></element-citation></ref>
<ref id="b15-mmr-16-02-1537"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Morita</surname><given-names>H</given-names></name><name><surname>Deguchi</surname><given-names>J</given-names></name><name><surname>Motegi</surname><given-names>Y</given-names></name><name><surname>Sato</surname><given-names>S</given-names></name><name><surname>Aoyama</surname><given-names>C</given-names></name><name><surname>Takeo</surname><given-names>J</given-names></name><name><surname>Shiro</surname><given-names>M</given-names></name><name><surname>Hirasawa</surname><given-names>Y</given-names></name></person-group><article-title>Cyclic diarylheptanoids as Na&#x002B;-glucose cotransporter (SGLT) inhibitors from Acer nikoense</article-title><source>Bioorg Med Chem Lett</source><volume>20</volume><fpage>1070</fpage><lpage>1074</lpage><year>2010</year><pub-id pub-id-type="doi">10.1016/j.bmcl.2009.12.036</pub-id><pub-id pub-id-type="pmid">20036535</pub-id></element-citation></ref>
<ref id="b16-mmr-16-02-1537"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Deguchi</surname><given-names>J</given-names></name><name><surname>Motegi</surname><given-names>Y</given-names></name><name><surname>Nakata</surname><given-names>A</given-names></name><name><surname>Hosoya</surname><given-names>T</given-names></name><name><surname>Morita</surname><given-names>H</given-names></name></person-group><article-title>Cyclic diarylheptanoids as inhibitors of NO production from Acer nikoense</article-title><source>J Nat Med</source><volume>67</volume><fpage>234</fpage><lpage>239</lpage><year>2013</year><pub-id pub-id-type="doi">10.1007/s11418-012-0660-0</pub-id><pub-id pub-id-type="pmid">22456895</pub-id></element-citation></ref>
<ref id="b17-mmr-16-02-1537"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Akazawa</surname><given-names>H</given-names></name><name><surname>Akihisa</surname><given-names>T</given-names></name><name><surname>Taguchi</surname><given-names>Y</given-names></name><name><surname>Banno</surname><given-names>N</given-names></name><name><surname>Yoneima</surname><given-names>R</given-names></name><name><surname>Yasukawa</surname><given-names>K</given-names></name></person-group><article-title>Melanogenesis inhibitory and free radical scavenging activities of diarylheptanoids and other phenolic compounds from the bark of Acer nikoense</article-title><source>Biol Pharm Bull</source><volume>29</volume><fpage>1970</fpage><lpage>1972</lpage><year>2006</year><pub-id pub-id-type="doi">10.1248/bpb.29.1970</pub-id><pub-id pub-id-type="pmid">16946520</pub-id></element-citation></ref>
<ref id="b18-mmr-16-02-1537"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Inoue</surname><given-names>T</given-names></name></person-group><article-title>Constituents of Acer nikoense and Myrica rubra</article-title><source>On diarylheptanoids. Yakugaku Zasshi</source><volume>113</volume><fpage>181</fpage><lpage>197</lpage><year>1993</year><comment>(In Japanese)</comment><pub-id pub-id-type="doi">10.1248/yakushi1947.113.3_181</pub-id></element-citation></ref>
<ref id="b19-mmr-16-02-1537"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Shinoda</surname><given-names>M</given-names></name><name><surname>Ohta</surname><given-names>S</given-names></name><name><surname>Kumasaka</surname><given-names>M</given-names></name><name><surname>Fujita</surname><given-names>M</given-names></name><name><surname>Nagai</surname><given-names>M</given-names></name><name><surname>Inoue</surname><given-names>T</given-names></name></person-group><article-title>Protective effect of the bark of Acer nikoense on hepatic injury induced by carbon tetrachloride in rats</article-title><source>Shoyakugaku Zasshi</source><volume>40</volume><fpage>177</fpage><lpage>181</lpage><year>1986</year></element-citation></ref>
<ref id="b20-mmr-16-02-1537"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kihara</surname><given-names>T</given-names></name><name><surname>Ichikawa</surname><given-names>S</given-names></name><name><surname>Yonezawa</surname><given-names>T</given-names></name><name><surname>Lee</surname><given-names>JW</given-names></name><name><surname>Akihisa</surname><given-names>T</given-names></name><name><surname>Woo</surname><given-names>JT</given-names></name><name><surname>Michi</surname><given-names>Y</given-names></name><name><surname>Amagasa</surname><given-names>T</given-names></name><name><surname>Yamaguchi</surname><given-names>A</given-names></name></person-group><article-title>Acerogenin A, a natural compound isolated from Acer nikoense Maxim, stimulates osteoblast differentiation through bone morphogenetic protein action</article-title><source>Biochem Biophys Res Commun</source><volume>406</volume><fpage>211</fpage><lpage>217</lpage><year>2011</year><pub-id pub-id-type="doi">10.1016/j.bbrc.2011.02.017</pub-id><pub-id pub-id-type="pmid">21303661</pub-id></element-citation></ref>
<ref id="b21-mmr-16-02-1537"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cha</surname><given-names>BY</given-names></name><name><surname>Wen</surname><given-names>LS</given-names></name><name><surname>Kotaro</surname><given-names>W</given-names></name><name><surname>Takayuki</surname><given-names>Y</given-names></name><name><surname>Toshiaki</surname><given-names>T</given-names></name><name><surname>Kiyotake</surname><given-names>K</given-names></name><name><surname>Yuichi</surname><given-names>I</given-names></name><name><surname>Shigeru</surname><given-names>N</given-names></name><name><surname>Kazuo</surname><given-names>N</given-names></name><name><surname>Woo</surname><given-names>JT</given-names></name></person-group><article-title>Antiproliferative activity of acerogenin C, a macrocyclicdiarylheptanoid, on PDGF-induced human aortic smooth muscle cells proliferation</article-title><source>Sci Res Publ</source><volume>6</volume><fpage>47</fpage><lpage>55</lpage><year>2015</year></element-citation></ref>
<ref id="b22-mmr-16-02-1537"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>JS</given-names></name><name><surname>Kim</surname><given-names>HJ</given-names></name><name><surname>Jung</surname><given-names>CL</given-names></name><name><surname>Nam</surname><given-names>DH</given-names></name><name><surname>Lim</surname><given-names>JS</given-names></name><name><surname>Han</surname><given-names>MY</given-names></name><name><surname>Hong</surname><given-names>YS</given-names></name></person-group><article-title>Estrogenic activity of acerogenin C isolated from Acer nikoense Maxim</article-title><source>FASEB J</source><volume>25</volume><fpage>771.10</fpage><year>2011</year></element-citation></ref>
<ref id="b23-mmr-16-02-1537"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Litvak</surname><given-names>KJ</given-names></name><name><surname>Schmittgen</surname><given-names>TD</given-names></name></person-group><article-title>Analysis of relative gene expression data using real-time quantitative PCR and the 2(&#x2212;Delta Delta C(T))</article-title><source>Methods</source><volume>25</volume><fpage>402</fpage><lpage>408</lpage><year>2001</year><pub-id pub-id-type="doi">10.1006/meth.2001.1262</pub-id><pub-id pub-id-type="pmid">11846609</pub-id></element-citation></ref>
<ref id="b24-mmr-16-02-1537"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Martin</surname><given-names>D</given-names></name><name><surname>Rojo</surname><given-names>AI</given-names></name><name><surname>Salinas</surname><given-names>M</given-names></name><name><surname>Diaz</surname><given-names>R</given-names></name><name><surname>Gallardo</surname><given-names>G</given-names></name><name><surname>Alam</surname><given-names>J</given-names></name><name><surname>De Galarreta</surname><given-names>CM</given-names></name><name><surname>Cuadrado</surname><given-names>A</given-names></name></person-group><article-title>Regulation of heme oxygenase-1 expression through the phosphatidylinositol 3-kinase/Akt pathway and the Nrf2 transcription factor in response to the antioxidant phytochemical carnosol</article-title><source>J Biol Chem</source><volume>279</volume><fpage>8919</fpage><lpage>8929</lpage><year>2004</year><pub-id pub-id-type="doi">10.1074/jbc.M309660200</pub-id><pub-id pub-id-type="pmid">14688281</pub-id></element-citation></ref>
<ref id="b25-mmr-16-02-1537"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Koehn</surname><given-names>FE</given-names></name><name><surname>Carter</surname><given-names>GT</given-names></name></person-group><article-title>Rediscovering natural products as a source of new drugs</article-title><source>Discov Med</source><volume>5</volume><fpage>159</fpage><lpage>164</lpage><year>2005</year><pub-id pub-id-type="pmid">20704903</pub-id></element-citation></ref>
<ref id="b26-mmr-16-02-1537"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hald</surname><given-names>A</given-names></name><name><surname>Lotharius</surname><given-names>J</given-names></name></person-group><article-title>Oxidative stress and inflammation in Parkinson&#x0027;s disease: Is there a causal link?</article-title><source>Exp Neurol</source><volume>193</volume><fpage>279</fpage><lpage>290</lpage><year>2005</year><pub-id pub-id-type="doi">10.1016/j.expneurol.2005.01.013</pub-id><pub-id pub-id-type="pmid">15869932</pub-id></element-citation></ref>
<ref id="b27-mmr-16-02-1537"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname><given-names>DS</given-names></name><name><surname>Jeong</surname><given-names>GS</given-names></name><name><surname>Li</surname><given-names>B</given-names></name><name><surname>Park</surname><given-names>H</given-names></name><name><surname>Kim</surname><given-names>YC</given-names></name></person-group><article-title>Anti-inflammatory effects of sulfuretin from Rhus verniciflua Stokes via the induction of heme oxygenase-1 expression in murine macrophages</article-title><source>Int Immunopharmacol</source><volume>10</volume><fpage>850</fpage><lpage>858</lpage><year>2010</year><pub-id pub-id-type="doi">10.1016/j.intimp.2010.04.019</pub-id><pub-id pub-id-type="pmid">20450988</pub-id></element-citation></ref>
<ref id="b28-mmr-16-02-1537"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname><given-names>DS</given-names></name><name><surname>Jeong</surname><given-names>GS</given-names></name></person-group><article-title>Arylbenzofuran isolated from Dalbergia odorifera suppresses lipopolysaccharide-induced mouse BV2 microglial cell activation, which protects mouse hippocampal HT22 cells death from neuroinflammation-mediated toxicity</article-title><source>Eur J Pharmacol</source><volume>728</volume><fpage>1</fpage><lpage>8</lpage><year>2014</year><pub-id pub-id-type="doi">10.1016/j.ejphar.2014.06.043</pub-id><pub-id pub-id-type="pmid">24485892</pub-id></element-citation></ref>
<ref id="b29-mmr-16-02-1537"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liao</surname><given-names>G</given-names></name><name><surname>Li</surname><given-names>R</given-names></name><name><surname>Chen</surname><given-names>X</given-names></name><name><surname>Zhang</surname><given-names>W</given-names></name><name><surname>Du</surname><given-names>S</given-names></name><name><surname>Yuan</surname><given-names>Y</given-names></name></person-group><article-title>Sodium valproate prevents radiation-induced injury in hippocampal neurons via activation of the Nrf2/HO-1 pathway</article-title><source>Neuroscience</source><volume>331</volume><fpage>40</fpage><lpage>51</lpage><year>2016</year><pub-id pub-id-type="doi">10.1016/j.neuroscience.2016.06.019</pub-id><pub-id pub-id-type="pmid">27328419</pub-id></element-citation></ref>
<ref id="b30-mmr-16-02-1537"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>B</given-names></name><name><surname>Liu</surname><given-names>H</given-names></name><name><surname>Yue</surname><given-names>L</given-names></name><name><surname>Li</surname><given-names>X</given-names></name><name><surname>Zhao</surname><given-names>L</given-names></name><name><surname>Yang</surname><given-names>X</given-names></name><name><surname>Wang</surname><given-names>X</given-names></name><name><surname>Yang</surname><given-names>Y</given-names></name><name><surname>Qu</surname><given-names>Y</given-names></name></person-group><article-title>Neuroprotective effects of pterostilbene against oxidative stress injury: Involvement of nuclear factor erythroid 2-related factor 2 pathway</article-title><source>Brain Res</source><volume>1643</volume><fpage>70</fpage><lpage>79</lpage><year>2016</year><pub-id pub-id-type="doi">10.1016/j.brainres.2016.04.048</pub-id><pub-id pub-id-type="pmid">27107941</pub-id></element-citation></ref>
<ref id="b31-mmr-16-02-1537"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>B</given-names></name><name><surname>Jeong</surname><given-names>GS</given-names></name><name><surname>Kang</surname><given-names>DG</given-names></name><name><surname>Lee</surname><given-names>HS</given-names></name><name><surname>Kim</surname><given-names>YC</given-names></name></person-group><article-title>Cytoprotective effects of lindenenyl acetate isolated from Lindera strychnifolia on mouse hippocampal HT22 cells</article-title><source>Eur J Pharmacol</source><volume>614</volume><fpage>58</fpage><lpage>65</lpage><year>2009</year><pub-id pub-id-type="doi">10.1016/j.ejphar.2009.04.056</pub-id><pub-id pub-id-type="pmid">19447102</pub-id></element-citation></ref>
<ref id="b32-mmr-16-02-1537"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname><given-names>DS</given-names></name><name><surname>Ko</surname><given-names>W</given-names></name><name><surname>Kim</surname><given-names>DC</given-names></name><name><surname>Kim</surname><given-names>YC</given-names></name><name><surname>Jeong</surname><given-names>GS</given-names></name></person-group><article-title>Cudarflavone B provides neuroprotection against glutamate-induced mouse hippocampal HT22 cell damage through the Nrf2 and PI3K/Akt signaling pathways</article-title><source>Molecules</source><volume>19</volume><fpage>10818</fpage><lpage>10831</lpage><year>2014</year><pub-id pub-id-type="doi">10.3390/molecules190810818</pub-id><pub-id pub-id-type="pmid">25061726</pub-id></element-citation></ref>
<ref id="b33-mmr-16-02-1537"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>B</given-names></name><name><surname>Liu</surname><given-names>H</given-names></name><name><surname>Yue</surname><given-names>L</given-names></name><name><surname>Li</surname><given-names>X</given-names></name><name><surname>Zhao</surname><given-names>L</given-names></name><name><surname>Yang</surname><given-names>X</given-names></name><name><surname>Wang</surname><given-names>X</given-names></name><name><surname>Yang</surname><given-names>Y</given-names></name><name><surname>Qu</surname><given-names>Y</given-names></name></person-group><article-title>Neuroprotective effects of pterostilbene against oxidative stress injury: Involvement of nuclear factor erythroid 2-related factor 2 pathway</article-title><source>Brain Res</source><volume>1643</volume><fpage>70</fpage><lpage>79</lpage><year>2016</year><pub-id pub-id-type="doi">10.1016/j.brainres.2016.04.048</pub-id><pub-id pub-id-type="pmid">27107941</pub-id></element-citation></ref>
<ref id="b34-mmr-16-02-1537"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sandberg</surname><given-names>M</given-names></name><name><surname>Patil</surname><given-names>J</given-names></name><name><surname>D&#x0027;Angelo</surname><given-names>B</given-names></name><name><surname>Weber</surname><given-names>SG</given-names></name><name><surname>Mallard</surname><given-names>C</given-names></name></person-group><article-title>NRF2-regulation in brain health and disease: Implication of cerebral inflammation</article-title><source>Neuropharmacology</source><volume>79</volume><fpage>298</fpage><lpage>306</lpage><year>2014</year><pub-id pub-id-type="doi">10.1016/j.neuropharm.2013.11.004</pub-id><pub-id pub-id-type="pmid">24262633</pub-id></element-citation></ref>
<ref id="b35-mmr-16-02-1537"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mann</surname><given-names>GE</given-names></name></person-group><article-title>Nrf2-mediated redox signalling in vascular health and disease</article-title><source>Free Radic Biol Med</source><volume>75</volume><supplement>Suppl 1</supplement><fpage>S1</fpage><year>2014</year><pub-id pub-id-type="doi">10.1016/j.freeradbiomed.2014.10.595</pub-id><pub-id pub-id-type="pmid">26461277</pub-id></element-citation></ref>
<ref id="b36-mmr-16-02-1537"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Krajka-Ku&#x017A;niak</surname><given-names>V</given-names></name><name><surname>Paluszczak</surname><given-names>J</given-names></name><name><surname>Baer-Dubowska</surname><given-names>W</given-names></name></person-group><article-title>Xanthohumol induces phase II enzymes via Nrf2 in human hepatocytes in vitro</article-title><source>Toxicol In Vitro</source><volume>27</volume><fpage>149</fpage><lpage>156</lpage><year>2013</year><pub-id pub-id-type="doi">10.1016/j.tiv.2012.10.008</pub-id><pub-id pub-id-type="pmid">23085367</pub-id></element-citation></ref>
<ref id="b37-mmr-16-02-1537"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Saw</surname><given-names>CL</given-names></name><name><surname>Guo</surname><given-names>Y</given-names></name><name><surname>Yang</surname><given-names>AY</given-names></name><name><surname>Paredes-Gonzalez</surname><given-names>X</given-names></name><name><surname>Ramirez</surname><given-names>C</given-names></name><name><surname>Pung</surname><given-names>D</given-names></name><name><surname>Kong</surname><given-names>AN</given-names></name></person-group><article-title>The berry constituents quercetin, kaempferol, and pterostilbene synergistically attenuate reactive oxygen species: Involvement of the Nrf2-ARE signaling pathway</article-title><source>Food Chem Toxicol</source><volume>72</volume><fpage>303</fpage><lpage>311</lpage><year>2014</year><pub-id pub-id-type="doi">10.1016/j.fct.2014.07.038</pub-id><pub-id pub-id-type="pmid">25111660</pub-id></element-citation></ref>
<ref id="b38-mmr-16-02-1537"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Oh</surname><given-names>GS</given-names></name><name><surname>Pae</surname><given-names>HO</given-names></name><name><surname>Lee</surname><given-names>BS</given-names></name><name><surname>Kim</surname><given-names>BN</given-names></name><name><surname>Kim</surname><given-names>JM</given-names></name><name><surname>Kim</surname><given-names>HR</given-names></name><name><surname>Jeon</surname><given-names>SB</given-names></name><name><surname>Jeon</surname><given-names>WK</given-names></name><name><surname>Chae</surname><given-names>HJ</given-names></name><name><surname>Chung</surname><given-names>HT</given-names></name></person-group><article-title>Hydrogen sulfide inhibits nitric oxide production and nuclear factor-kappaB via heme oxygenase-1 expression in RAW264.7 macrophages stimulated with lipopolysaccharide</article-title><source>Free Radic Biol Med</source><volume>41</volume><fpage>106</fpage><lpage>119</lpage><year>2006</year><pub-id pub-id-type="doi">10.1016/j.freeradbiomed.2006.03.021</pub-id><pub-id pub-id-type="pmid">16781459</pub-id></element-citation></ref>
<ref id="b39-mmr-16-02-1537"><label>39</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Alam</surname><given-names>J</given-names></name><name><surname>Stewart</surname><given-names>D</given-names></name><name><surname>Touchard</surname><given-names>C</given-names></name><name><surname>Boinapally</surname><given-names>S</given-names></name><name><surname>Choi</surname><given-names>AM</given-names></name><name><surname>Cook</surname><given-names>JL</given-names></name></person-group><article-title>Nrf2, a Cap&#x0027;n&#x0027;Collar transcription factor, regulates induction of the heme oxygenase-1 gene</article-title><source>J Biol Chem</source><volume>274</volume><fpage>26071</fpage><lpage>26078</lpage><year>1999</year><pub-id pub-id-type="doi">10.1074/jbc.274.37.26071</pub-id><pub-id pub-id-type="pmid">10473555</pub-id></element-citation></ref>
<ref id="b40-mmr-16-02-1537"><label>40</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Elbirt</surname><given-names>KK</given-names></name><name><surname>Whitmarsh</surname><given-names>AJ</given-names></name><name><surname>Davis</surname><given-names>RJ</given-names></name><name><surname>Bonkovsky</surname><given-names>HL</given-names></name></person-group><article-title>Mechanism of sodium arsenite-mediated induction of heme oxygenase-1 in hepatoma cells. Role of mitogen-activated protein kinases</article-title><source>J Biol Chem</source><volume>273</volume><fpage>8922</fpage><lpage>8931</lpage><year>1998</year><pub-id pub-id-type="doi">10.1074/jbc.273.15.8922</pub-id><pub-id pub-id-type="pmid">9535875</pub-id></element-citation></ref>
</ref-list>
</back>
<floats-group>
<fig id="f1-mmr-16-02-1537" position="float">
<label>Figure 1.</label>
<caption><p>Effect of acerogenin C on HT22 cell viability. (A) Chemical structure of acerogenin C. (B) Effects of 1&#x2013;50 &#x00B5;M acerogenin C on viability in HT22 cells following incubated for 48 h. Data are expressed as the mean &#x00B1; standard deviation of three independent experiments.</p></caption>
<graphic xlink:href="MMR-16-02-1537-g00.tif"/>
</fig>
<fig id="f2-mmr-16-02-1537" position="float">
<label>Figure 2.</label>
<caption><p>Effect of treatment with acerogenin C and glutamate on HT22 cell (A) viability and (B) morphology. HT22 cells were pretreated with acerogenin C and then treated with glutamate (5 mM) for 12 h. Trolox was used as a positive control. Data are expressed as the mean &#x00B1; standard deviation of three independent experiments. <sup>#</sup>P&#x003C;0.05 vs. treatment with glutamate alone; &#x002A;P&#x003C;0.05 vs. the untreated group. Scale bar represents 20 &#x00B5;m.</p></caption>
<graphic xlink:href="MMR-16-02-1537-g01.tif"/>
</fig>
<fig id="f3-mmr-16-02-1537" position="float">
<label>Figure 3.</label>
<caption><p>Effect of treatment with acerogenin on HO-1 (A) mRNA and (B) protein expression. (C) Effect of HO-1 siRNA on HT22 cell viability following treatment with acerogenin C and glutamate. CoPP was used as positive control and SnPP was used as inhibitor of HO-1. Data are expressed as the mean &#x00B1; standard deviation of three independent experiments. &#x002A;P&#x003C;0.05 vs. the untreated group. HO-1, heme oxygenase 1; siRNA, small interfering RNA; CoPP, cobalt protoporphyrin; SnPP, tin protoporphyrin XI.</p></caption>
<graphic xlink:href="MMR-16-02-1537-g02.tif"/>
</fig>
<fig id="f4-mmr-16-02-1537" position="float">
<label>Figure 4.</label>
<caption><p>Effect of treatment with acerogenin C on Nrf2 protein expression. (A) Western blot analysis and quantification of cytosolic and nuclear Nrf2 protein expression following treatment with acerogenin C. (B) Western blot analysis of nuclear Nrf2 protein expression following treatment with acerogenin C and Nrf2 siRNA. Data are expressed as the mean &#x00B1; standard deviation of three independent experiments. &#x002A;P&#x003C;0.05 vs. the untreated group. Nrf2, nuclear factor erythroid 2-related factor 2; siRNA, short interfering RNA; PCNA, proliferating cell nuclear antigen; HO-1, heme oxygenase 1.</p></caption>
<graphic xlink:href="MMR-16-02-1537-g03.tif"/>
</fig>
<fig id="f5-mmr-16-02-1537" position="float">
<label>Figure 5.</label>
<caption><p>Effect of treatment with acerogenin C on the phosphoinositide 3-kinase/Akt pathway. (A) Western blot analysis and quantification of Akt and p-Akt protein expression following treatment with acerogenin C. (B) Effect of treatment with acerogenin C and LY294002 on Akt, p-Akt and HO-1 protein expression. (C) Effect of LY294002 on HT22 cell viability following treatment with acerogenin C and glutamate. Data are expressed as the mean &#x00B1; standard deviation of three independent experiments. &#x002A;P&#x003C;0.05 vs. the untreated group. Akt, protein kinase B; p, phosphorylated; HO-1, heme oxygenase 1.</p></caption>
<graphic xlink:href="MMR-16-02-1537-g04.tif"/>
</fig>
</floats-group>
</article>