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<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.2017.7303</article-id>
<article-id pub-id-type="publisher-id">mmr-16-04-5143</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Protective effects of <italic>Cervus nippon</italic> Temminck velvet antler polypeptides against MPP<sup>&#x002B;</sup>-induced cytotoxicity in SH-SY5Y neuroblastoma cells</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Xin</surname><given-names>Ji-Le</given-names></name>
<xref rid="af1-mmr-16-04-5143" ref-type="aff">1</xref>
<xref rid="fn1-mmr-16-04-5143" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname><given-names>Yang</given-names></name>
<xref rid="af1-mmr-16-04-5143" ref-type="aff">1</xref>
<xref rid="fn1-mmr-16-04-5143" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Li</surname><given-names>Yan</given-names></name>
<xref rid="af2-mmr-16-04-5143" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname><given-names>Lian-Zhu</given-names></name>
<xref rid="af3-mmr-16-04-5143" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Lin</surname><given-names>Yong</given-names></name>
<xref rid="af4-mmr-16-04-5143" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author"><name><surname>Zheng</surname><given-names>Lian-Wen</given-names></name>
<xref rid="af5-mmr-16-04-5143" ref-type="aff">5</xref>
<xref rid="c1-mmr-16-04-5143" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-mmr-16-04-5143"><label>1</label>Department of Biopharmacy, School of Pharmaceutical Sciences, Jilin University, Changchun, Jilin 130022, P.R. China</aff>
<aff id="af2-mmr-16-04-5143"><label>2</label>Department of Rehabilitation, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200336, P.R. China</aff>
<aff id="af3-mmr-16-04-5143"><label>3</label>College of Life Sciences and Ecology, Hainan Tropical Ocean University, Sanya, Hainan 572000, P.R. China</aff>
<aff id="af4-mmr-16-04-5143"><label>4</label>Department of Neurology, Changchun Central Hospital, Changchun, Jilin 130051, P.R. China</aff>
<aff id="af5-mmr-16-04-5143"><label>5</label>Reproductive Medical Center, The Second Hospital of Jilin University, Changchun, Jilin 130041, P.R. China</aff>
<author-notes>
<corresp id="c1-mmr-16-04-5143"><italic>Correspondence to</italic>: Dr Lian-Wen Zheng, Reproductive Medical Center, The Second Hospital of Jilin University, 218 Ziqiang Street, Changchun, Jilin 130041, P.R. China, E-mail: <email>zhenglwjlu@sina.com</email></corresp>
<fn id="fn1-mmr-16-04-5143"><label>&#x002A;</label><p>Contributed equally</p></fn>
</author-notes>
<pub-date pub-type="ppub"><month>10</month><year>2017</year></pub-date>
<pub-date pub-type="epub"><day>21</day><month>08</month><year>2017</year></pub-date>
<volume>16</volume>
<issue>4</issue>
<fpage>5143</fpage>
<lpage>5150</lpage>
<history>
<date date-type="received"><day>07</day><month>05</month><year>2016</year></date>
<date date-type="accepted"><day>02</day><month>05</month><year>2017</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Xin et al.</copyright-statement>
<copyright-year>2017</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license>
</permissions>
<abstract>
<p>The aim of the present study was to examine the protective effects and mechanism of sika deer (<italic>Cervus nippon</italic> Temminck) velvet antler polypeptides (VAPs) against MPP<sup>&#x002B;</sup> exposure in the SH-SY5Y human neuroblastoma cell line. MPP<sup>&#x002B;</sup> cytotoxicity and the protective effects of VAPs on the SH-SY5Y cells were determined using an MTT assay. Cell apoptosis and mitochondrial membrane potential were detected using Hoechst 33342 and Rhodamine123 staining, respectively. Endoplasmic reticulum (ER) stress-related reactive oxygen species (ROS) production in the SH-SY5Y cells was detected using 2&#x2032;,7&#x2032;-dichlorodihydrofluorescein diacetate fluorescent probes. The expression levels of proteins, including caspase-12, glucose regulated protein 78 (GRP78), CCAAT/enhancer binding protein homologous protein (CHOP) and phosphorylated c-Jun N-terminal kinase (p-JNK) were detected using western blot analysis. The results showed that the half inhibitory concentration of MPP<sup>&#x002B;</sup> at 72 h was 120.9 &#x00B5;mol/l, and that 62.5, 125, and 250 &#x00B5;g/ml concentrations of VAPs protected the SH-SY5Y cells under MPP<sup>&#x002B;</sup> exposure. When exposed to 120.9 &#x00B5;mol/l MPP<sup>&#x002B;</sup>, changes in cell nucleus morphology, mitochondrial membrane potential and intracellular ROS were observed. VAPs at concentrations of 62.5, 125, 250 &#x00B5;g/ml reduced this damage. Western blot analysis showed that protein expression levels of caspase-12, GRP78 and p-JNK were upregulated in the SH-SY5Y cells exposed to 120.9 &#x00B5;mol/l MPP<sup>&#x002B;</sup> for 72 h. In addition, 62.5, 125, and 250 &#x00B5;g/ml VAPs downregulated the expression levels of caspase-12 and p-JNK in a concentration- dependent manner, particularly the p-JNK pathway. The effects of VAPs on GRP78 and CHOP were weak. In conclusion, MPP<sup>&#x002B;</sup>-induced SH-SY5Y cell death may be linked to ER stress. VAPs prevented MPP<sup>&#x002B;</sup>-induced SH-SY5Y cell death by affecting the p-JNK pathway and caspase-12-mediated apoptosis. These findings assist in understanding the mechanism underlying the protective effect of VAPs on neurons.</p>
</abstract>
<kwd-group>
<kwd>velvet antler polypeptides</kwd>
<kwd>neuroblastoma</kwd>
<kwd>endoplasmic reticulum stress</kwd>
<kwd>apoptosis</kwd>
<kwd>glucose regulated protein 78</kwd>
<kwd>caspase-12</kwd>
<kwd>c-Jun N-terminal kinase</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Velvet antler polypeptides (VAPs) of sika deer (<italic>Cervus nippon</italic> Temminck) are extracts obtained from the traditional Chinese medicine, sika deer velvet antler. VAPs have several biological benefits, including the perfect regeneration of neurons, blood vessels, connective tissue, cartilage and bones (<xref rid="b1-mmr-16-04-5143" ref-type="bibr">1</xref>&#x2013;<xref rid="b3-mmr-16-04-5143" ref-type="bibr">3</xref>), in addition to immunomodulatory effects (<xref rid="b4-mmr-16-04-5143" ref-type="bibr">4</xref>). However, their neuroprotective effects in neurodegenerative diseases remain to be reported.</p>
<p>Parkinson&#x0027;s disease (PD) is a general neurodegenerative disease affecting the aged population worldwide. The pathological features of PD involve the loss of dopaminergic neurons in the substantial nigra (<xref rid="b5-mmr-16-04-5143" ref-type="bibr">5</xref>,<xref rid="b6-mmr-16-04-5143" ref-type="bibr">6</xref>), causing decreased dopamine levels in the striata. Until now, the mechanism underlying the onset of PD remained to be fully elucidated. Studies have revealed the types of mechanisms involved in the pathogenesis of PD, including mitochondrial dysfunction, oxidative stress and the ubiquitin-proteasomal pathway (<xref rid="b7-mmr-16-04-5143" ref-type="bibr">7</xref>&#x2013;<xref rid="b10-mmr-16-04-5143" ref-type="bibr">10</xref>). Misfolded proteins associated with endoplasmic reticulum (ER) stress have been investigated in detail for their actions in PD-associated neuronal cell death (<xref rid="b11-mmr-16-04-5143" ref-type="bibr">11</xref>,<xref rid="b12-mmr-16-04-5143" ref-type="bibr">12</xref>). Accumulated misfolded proteins cause dysregulation of ER homeostasis, triggering ER stress. ER stress initiates the conserved cellular process of the unfolded protein response (UPR) to maintain a stable intracellular environment (<xref rid="b13-mmr-16-04-5143" ref-type="bibr">13</xref>,<xref rid="b14-mmr-16-04-5143" ref-type="bibr">14</xref>). In this process, a molecular chaperone, glucose-regulated protein 78 (GRP78), enables misfolded proteins to restore their naive structures and functions. If UPR protracts or fails to repair misfolded proteins, programmed ER stress-associated cell death occurs. The cell death pathways include the downstream PKR-like endoplasmic reticulum kinase (PERK), activating transcription factor 6 (ATF6) and type I transmembrane protein kinase/endoribonuclease (IRE-1) signaling pathways (<xref rid="b15-mmr-16-04-5143" ref-type="bibr">15</xref>,<xref rid="b16-mmr-16-04-5143" ref-type="bibr">16</xref>). In addition, ER stress-associated cell apoptosis involves changes in mitochondrial membrane potential at the initial stage of apoptosis.</p>
<p>Based on the above understanding, the 1-methyl-4-phenylpyridinium (MPP<sup>&#x002B;</sup>), a neurotoxin most commonly used for establishment of PD models <italic>in vitro</italic>, has been utilized to establish a PD model in SH-SY5Y human neuroblastoma cells (<xref rid="b17-mmr-16-04-5143" ref-type="bibr">17</xref>&#x2013;<xref rid="b19-mmr-16-04-5143" ref-type="bibr">19</xref>). In the present study, SH-SY5Y cells exposed to MPP<sup>&#x002B;</sup> were selected for comparison of the features of ER stress-mediated cell death. The neuroprotective effect of sika deer velvet antler polypeptides (VAPs) was evaluated to develop a potential therapeutic agent for the treatment of PD.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>VAPs</title>
<p>The VAPs of sika deer (<italic>Cervus nippon</italic> Temminck) were extracted according to the method described previously (<xref rid="b20-mmr-16-04-5143" ref-type="bibr">20</xref>). Briefly, 100 g fresh sika deer velvet antler (Institute of Special Animal and Plant Sciences of CAAS, Changchun, China) were cut into 0.5 cm-thick sections, washed with cold distilled water to remove blood, and then homogenized in ice-cold acetic acid solution (pH 3.5) using a colloid mill (Shanghai Nuoni Light Industrial Machinery Co., Ltd., Shanghai, China). The collected homogenates were centrifuged at 4,000 &#x00D7; g for 10 min at 4&#x00B0;C and the supernatants were collected. Following ammonium sulfate precipitation, dialysis was performed in a Spectra/Por dialysis membrane 1000 Da (Spectrum Laboratories, Inc., Rancho Dominguez, CA, USA). Gel filtration was performed on a Sephadex G-50 column (Sigma-Aldrich; Merck KGaA, Darmstadt, Germany) to remove salts in the VAP extracts. The VAPs were lyophilized and these VAPs consisted of a single chain of 32 amino-acid residues: VLSAT DKTNV LAAWG KVGGN APAFG AEALE RM (<xref rid="b20-mmr-16-04-5143" ref-type="bibr">20</xref>).</p>
</sec>
<sec>
<title>Cell culture</title>
<p>The SH-SY5Y human neuroblastoma cells were donated by the Second Hospital of Jilin University (Changchun, China) and cultured in Dulbecco&#x0027;s modified Eagle&#x0027;s medium (Thermo Fisher Scientific Inc., Waltham, MA, USA) containing 10&#x0025; fetal calf serum (Thermo Fisher Scientific Inc.), 100 U/ml penicillin and 100 &#x00B5;g/ml streptomycin at 37&#x00B0;C in a 5&#x0025; CO<sub>2</sub> atmosphere. The present study was approved by the Experimental Animal Management Committee of Jilin University (Changchun, China) and the Experimental Animal Welfare and Ethics Committee of Jilin University. All animal care and experimental procedures were in accordance with the Administration of Affairs Concerning Experimental Animals of the State Science and Technology Commission of the People&#x0027;s Republic of China (1988) (<xref rid="b21-mmr-16-04-5143" ref-type="bibr">21</xref>,<xref rid="b22-mmr-16-04-5143" ref-type="bibr">22</xref>).</p>
</sec>
<sec>
<title>MTT assay</title>
<p>Cell viability was measured using an MTT assay. Briefly, the SH-SY5Y cells were seeded into a 96-well plate with 5,000 cells per well. The half inhibitory concentration (IC<sub>50</sub>) of MPP<sup>&#x002B;</sup> in the SH-SY5Y cell lines was measured, which was 120.9 &#x00B5;mol/l. The cells were subsequently exposed to VAPs at concentrations of 0, 15.6, 31.2, 62.5, 125, 250, 500, 1,000 and 2,000 &#x00B5;g/ml, respectively, together with 120.9 &#x00B5;mol/l MPP<sup>&#x002B;</sup> for 72 h at 37&#x00B0;C. Subsequently 10 &#x00B5;l MTT solution (5 mg/ml; Sigma-Aldrich; Merck KGaA) was added into each well for a further 4 h. Finally, the medium was discarded and 200 &#x00B5;l DMSO was added into each well to dissolve the formazan. The absorbance was measured at 490 nm using a microplate reader (Tecan Austria GmbH, Gr&#x00F6;dig, Austria) and cellular viability was determined.</p>
</sec>
<sec>
<title>Hoechst 33342 staining</title>
<p>Hoechst 33342 is a fluorescent probe, which binds to the nucleus. The normal nuclei and condensed nuclei of apoptotic cells are distinguishable using Hoechst 33342 staining. In the present study, the SH-SY5Y cells were plated in a 24-well plate at a density of 10<sup>5</sup> cells per well. Following incubation overnight, the cells were exposed to 0, 62.5, 125 and 250 &#x00B5;g/ml VAPs, with or without 120.9 &#x00B5;mol/l MPP<sup>&#x002B;</sup> for 72 h. The cells were then incubated with 10 &#x00B5;g/ml Hoechst 33342 in the dark for 15 min at 37&#x00B0;C, following which they were washed 3 times with PBS and fixed in 1&#x0025; paraformaldehyde. Images were captured with a fluorescent microscope (Olympus Corporation, Tokyo, Japan). A total of 200 cells were counted in each image and the numbers of apoptotic cells were calculated using Image-Pro Plus software version 6.0 (Media Cybernetics, Inc, Rockville, MD, USA) in each image for measurement of apoptotic rate.</p>
</sec>
<sec>
<title>Rhodamine123 staining</title>
<p>Rhodamine123 is a fluorescent probe, which is used in the determination of mitochondrial membrane potential. The procedure for the Rhodamine123 staining was similar to that of the Hoechst 33342 staining section, although the cells were incubated with 0.1 &#x00B5;g/ml Rhodamine123. Images were captured with a fluorescent microscope (Olympus Corporation). The fluorescent intensity of each image was measured using ImageJ software version 1.37 (National Institutes of Health, Bethesda, MA, USA).</p>
<p><italic>2&#x2032;,7&#x2032;-dichlorodihydrofluorescein diacetate</italic> (<italic>H</italic><sub>2</sub><italic>DCFDA) staining</italic>. H<sub>2</sub>DCFDA is a fluorescent probe used to detect the production of ROS. The procedure used for the H<sub>2</sub>DCFDA staining in the present study was similar to that described above for the Hoechst 33342 staining section, however, the cells were incubated with 10 &#x00B5;mol/l H<sub>2</sub>DCFDA in the dark for 30 min at 37&#x00B0;C. The fluorescence intensity of the images was analyzed, as described for the Rhodamine123 staining above.</p>
</sec>
<sec>
<title>Western blot analysis</title>
<p>The SH-SY5Y cells were plated in a 6-well plate at a density of 2&#x00D7;10<sup>5</sup> cells/well. The cells were exposed to 0, 62.5, 125 and 250 &#x00B5;g/ml VAPs with 120.9 &#x00B5;mol/l MPP<sup>&#x002B;</sup> for 72 h. The expression of ER stress-related proteins was then detected using western blot analysis. Briefly, the cells were precipitated and suspended in ice-cold radioimmunoprecipitation assay lysis buffer containing 1 mmol/l phenylmethanesulfonyl fluoride (Sangon Biotech Co., Ltd., Shanghai, China). Following centrifugation at 12,000 &#x00D7; g for 30 min at 4&#x00B0;C, the supernatants were collected. The protein concentration was determined using the Bradford assay. The proteins were denatured at 100&#x00B0;C for 5 min. Equal amounts of extracted protein samples (40 &#x00B5;g) were separated by 10&#x0025; SDS-PAGE and transferred onto polyvinylidene difluoride membranes. The membranes were then incubated with the following primary antibodies (Thermo Fisher Scientific Inc., Rockford, IL, USA) at 4&#x00B0;C overnight: Anti-phosphorylated (p)-JNK/SAPK chicken polyclonal antibody (1:1,000; cat no. PA1-9594), anti-CHOP mouse monoclonal antibody (1:1,000; cat no. MA1-250), anti-Glucose regulated protein rabbit polyclonal antibody (1:100; cat no. PA5-40336), anti-caspase-12 rat monoclonal antibody (1:1,000; cat no. MA1-24704) or anti-&#x03B2;-actin antibody (1:5,000; cat no. bs-0061R; Beijing Biosynthesis Biotechnology Co., Ltd., Beijing, China). The membranes were then incubated with horseradish peroxidase-conjugated anti- mouse/rabbit immunoglobulin G (1:100; cat no. PV-6000; Beijing Zhong Shan-Golden Bridge Biological Technology Co. Ltd, Beijing, China) at room temperature for 2 h. Protein bands were visualized using SuperSignal West Pico Chemiluminescent Substrate (Thermo Fisher Scientific Inc.). Blots were semi-quantified by densitometry using Image-Pro Plus software version 6.0. &#x03B2;-actin was used as the loading control.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Data are presented as the mean &#x00B1; standard deviation of 3 independent experiments. SPSS software version 13.0 (SPSS, Inc., Chicago, IL, USA) was used for statistical analysis. The statistical significance of the differences between groups was assessed using one-way analysis of variance was performed followed by a post hoc Dunn&#x0027;s test for multiple comparisons. 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>VAPs protect SH-SY5Y cells against MPP<sup>&#x002B;</sup>-induced cytotoxicity</title>
<p>To measure the protective effects of VAPs against MPP<sup>&#x002B;</sup>-induced cytotoxicity, the viability of SH-SY5Y cells were determined using an MTT assay. The IC<sub>50</sub> of MPP<sup>&#x002B;</sup> reagent in SH-SY5Y cells was 120.9 &#x00B5;mol/l at 72 h. Following exposure to 120.9 &#x00B5;mol/l MPP<sup>&#x002B;</sup>, SH-SY5Y cell viability was markedly decreased. A series of VAP concentrations was then used to treat SH-SY5Y cells, together with 120.9 &#x00B5;mol/l MPP<sup>&#x002B;</sup>. Concentrations in the range of 0&#x2013;500 &#x00B5;g/ml protected the SH-SY5Y cells from MPP<sup>&#x002B;</sup>-induced damage, and the protective effects of 125, 250 and 500 &#x00B5;g/ml VAPs were significant (P&#x003C;0.05; <xref rid="f1-mmr-16-04-5143" ref-type="fig">Fig. 1</xref>). High VAP concentrations (1,000 and 2,000 &#x00B5;g/ml) resulted in poor protection. Therefore, VAP concentrations of 62.5, 125 and 250 &#x00B5;g/ml were used in the subsequent experiments.</p>
</sec>
<sec>
<title>VAPs suppress MPP<sup>&#x002B;</sup>-induced apoptosis</title>
<p>The normal nuclei of SH-SY5Y cells are shown in <xref rid="f2-mmr-16-04-5143" ref-type="fig">Fig. 2Aa</xref>. Following exposure of cells to 120.9 &#x00B5;mol/l MPP<sup>&#x002B;</sup>, marked nuclear condensation was observed in the SH-SY5Y cells (<xref rid="f2-mmr-16-04-5143" ref-type="fig">Fig. 2Ab</xref>), indicating severe apoptosis. VAPs at concentrations of 62.5, 125 and 250 &#x00B5;g/ml (<xref rid="f2-mmr-16-04-5143" ref-type="fig">Fig. 2Ac-e</xref>) relieved cell apoptosis in a concentration-dependent manner, of which 125 and 250 &#x00B5;g/ml VAPs decreased the number of apoptotic cells significantly (P&#x003C;0.05; <xref rid="f2-mmr-16-04-5143" ref-type="fig">Fig. 2B</xref>).</p>
</sec>
<sec>
<title>VAPs decrease MPP<sup>&#x002B;</sup>-induced mitochondrial membrane potential dissipation</title>
<p>The normal nuclei presented with bright intracellular fluorescence, as shown in <xref rid="f3-mmr-16-04-5143" ref-type="fig">Fig. 3Aa</xref>. Following exposure to 120.9 &#x00B5;mol/l MPP<sup>&#x002B;</sup>, dissipation of mitochondrial membrane potential was observed in SH-SY5Y cells, and this collapse was identified by a decrease of Rhodamine123 fluorescent intensity (<xref rid="f3-mmr-16-04-5143" ref-type="fig">Fig. 3Ab</xref>). Treatment with VAPs at concentrations of 62.5, 125 and 250 &#x00B5;g/ml (<xref rid="f3-mmr-16-04-5143" ref-type="fig">Fig. 3Ac-e</xref>) restored the mitochondrial membrane potential, partially or completely, in a concentration-dependent manner, of which 125 and 250 &#x00B5;g/ml restored the mitochondrial membrane potential significantly (P&#x003C;0.05; <xref rid="f3-mmr-16-04-5143" ref-type="fig">Fig. 3B</xref>).</p>
</sec>
<sec>
<title>VAPs suppress MPP<sup>&#x002B;</sup>-induced ROS production</title>
<p>Compared with normal SH-SY5Y cells (<xref rid="f4-mmr-16-04-5143" ref-type="fig">Fig. 4Aa</xref>), marked ROS production was observed in the MPP<sup>&#x002B;</sup>-treated SH-SY5Y cells (<xref rid="f4-mmr-16-04-5143" ref-type="fig">Fig. 4Ab</xref>). VAP concentrations of 62.5, 125 and 250 &#x00B5;g/ml (<xref rid="f4-mmr-16-04-5143" ref-type="fig">Fig. 4Ac-e</xref>) reduced the level of intracellular ROS in a concentration-dependent manner (<xref rid="f4-mmr-16-04-5143" ref-type="fig">Fig. 4B</xref>).</p>
</sec>
<sec>
<title>Expression of proteins</title>
<p>The SH-SY5Y cells were exposed to MPP<sup>&#x002B;</sup> at the same time as VAPs were added. The expression levels of ER stress-related proteins CHOP, GRP78, caspase-12 and p-JNK were detected using western blot analysis. The results of the western blot analysis are shown in <xref rid="f5-mmr-16-04-5143" ref-type="fig">Fig. 5</xref> and <xref rid="tI-mmr-16-04-5143" ref-type="table">Table I</xref>. Under exposure of MPP<sup>&#x002B;</sup> alone, the expression levels of caspase-12, GRP78 and p-JNK in the SH-SY5Y cells were upregulated, compared with those in the normal control, although no difference was observed in the expression of CHOP. VAPs intervention at concentrations of 62.5, 125 and 250 &#x00B5;g/ml reduced the expression levels of p-JNK in a concentration-dependent manner. The levels of GRP78 in the 62.5, 125 and 250 &#x00B5;g/ml VAP groups were marginally reduced, compared with those in the MPP<sup>&#x002B;</sup>-only group, in a concentration- dependent manner, however, they were higher than those in the normal control. The levels of caspase-12 in the 62.5, 125 and 250 &#x00B5;g/ml VAP groups were downregulated, compared with in the MPP<sup>&#x002B;</sup>-only group in a concentration-dependent manner. The level of caspase-12 in the 250 &#x00B5;g/ml VAP group was downregulated, compared with that in the MPP<sup>&#x002B;</sup>-only group control. VAP treatment had no significant effect on the expression of CHOP (<xref rid="f5-mmr-16-04-5143" ref-type="fig">Fig. 5</xref> and <xref rid="tI-mmr-16-04-5143" ref-type="table">Table I</xref>).</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>With the problems associated with an increasingly aging population, PD has become a socio-economic burden on society. Although certain pathological mechanisms are involved in the onset of the sporadic form of PD, dopamine replacement therapy (DRT) is the most effective treatment for PD (<xref rid="b23-mmr-16-04-5143" ref-type="bibr">23</xref>,<xref rid="b24-mmr-16-04-5143" ref-type="bibr">24</xref>). Levodopa (L-dopa) is the primary medicine used for the treatment of behavior disorders in patients with PD. The molecular mechanism of L-dopa treatment involves supplying dopamine to patients with PD suffering dopaminergic neuron loss (<xref rid="b25-mmr-16-04-5143" ref-type="bibr">25</xref>&#x2013;<xref rid="b27-mmr-16-04-5143" ref-type="bibr">27</xref>). However, DRT is unable to prevent the apoptosis of dopaminergic neurons, and DRT itself has adverse side-effect profiles, including on-off phenomena, resulting in a requirement for increased L-dopa dosage (<xref rid="b28-mmr-16-04-5143" ref-type="bibr">28</xref>&#x2013;<xref rid="b30-mmr-16-04-5143" ref-type="bibr">30</xref>). Therefore, novel therapeutic agents with lower adverse effects are required for the treatment of PD.</p>
<p>In the present study, VAPs separated from silka deer velvet antler were used to protect SH-SY5Y human dopaminergic neuroblastoma cells from cytotoxicity induced by MPP<sup>&#x002B;</sup> intervention. This was based on the rapid growth feature and abundance of growth factors of velvet antler (<xref rid="b31-mmr-16-04-5143" ref-type="bibr">31</xref>&#x2013;<xref rid="b34-mmr-16-04-5143" ref-type="bibr">34</xref>). Studies have shown that VAPs and velvet antler proteins facilitate the growth rate of neural stem cells, hippocampal neuronal cells and PC12 cells (<xref rid="b35-mmr-16-04-5143" ref-type="bibr">35</xref>&#x2013;<xref rid="b37-mmr-16-04-5143" ref-type="bibr">37</xref>). VAPs also exhibit neuroprotective effects against &#x03B2;-amyloid via regulating the expression of caspase-3 (<xref rid="b38-mmr-16-04-5143" ref-type="bibr">38</xref>). However, there are no reports regarding the potential protective effect of VAPs in a PD model. The present study observed a decrease in cell survival, collapse of mitochondrial membrane potential and elevated intracellular ROS in SH-SY5Y cells in response to MPP<sup>&#x002B;</sup> exposure. The VAPs protected the SH-SY5Y cells against MPP<sup>&#x002B;</sup>-induced cell death, mitochondrial potential collapse and ROS production, in a concentration- dependent manner. These data substantiated the protective activity of VAPs in neuronal cells. These results are the first, to the best of our knowledge, to show the neuroprotective effects of VAPs against a neurotoxin-induced PD model <italic>in vitro</italic>. In the present study, the cytotoxic effect of MPP<sup>&#x002B;</sup> at 72 h was determined as 120.9 &#x00B5;mol/l and the protective effects of VAPs were evident at 72 h.</p>
<p>Studies have shown that ER stress has a causative role in the pathogenesis of PD (<xref rid="b7-mmr-16-04-5143" ref-type="bibr">7</xref>,<xref rid="b39-mmr-16-04-5143" ref-type="bibr">39</xref>,<xref rid="b40-mmr-16-04-5143" ref-type="bibr">40</xref>). This has been confirmed by post-mortem investigations in patients with PD (<xref rid="b41-mmr-16-04-5143" ref-type="bibr">41</xref>,<xref rid="b42-mmr-16-04-5143" ref-type="bibr">42</xref>). A mild, early ER stress response is essential for cell defense against stimuli and misfolded/unfolded protein processing. However, prolonged ER stress leads to the activation of UPR and triggers cell death downstream signaling pathways, including the PERK, ATF6 and IRE-1 pathways. In turn, ER stress-related markers, for example, caspase-12, GRP 78, CHOP and JNK, are activated (<xref rid="b43-mmr-16-04-5143" ref-type="bibr">43</xref>,<xref rid="b44-mmr-16-04-5143" ref-type="bibr">44</xref>). In the present study, SH-SY5Y cells exposed to MPP<sup>&#x002B;</sup> expressed higher levels of caspase-12, GRP78 and p-JNK. VAP intervention downregulated caspase-12 and p-JNK in a concentration- dependent manner, particularly p-JNK, indicating that the VAPs had an effect on the p-JNK pathway and prevented caspase-12-mediated apoptosis in the SH-SY5Y cells. The marginal downregulation of GRP78 in the VAP treatment groups, compared with the MPP<sup>&#x002B;</sup>-only group was concentration-dependent, however, the levels of GRP78 in the VAPs groups remained higher, compared with that in the normal control, suggesting that VAPs had a weak effect on GRP78 signaling. No changes in the expression levels of CHOP were observed in the cells, which may be due to missing the optimal detection time point.</p>
<p>MPP<sup>&#x002B;</sup> is an inducing agent of ER stress, which can induce a rise in cytosolic Ca<sup>2&#x002B;</sup> and the production of ROS, triggering the activation of calpain (<xref rid="b45-mmr-16-04-5143" ref-type="bibr">45</xref>). There is evidence substantiating MPP<sup>&#x002B;</sup>-induced calpain activation in dopaminergic MN9D neuronal cells, the process of which was inhibited by Ca<sup>2&#x002B;</sup> chelator (<xref rid="b46-mmr-16-04-5143" ref-type="bibr">46</xref>). Therefore, it is possible that the Ca<sup>2&#x002B;</sup>-calpain-caspase-12 pathway is involved in the activation of caspase-12 in SH-SY5Y cells exposed to MPP<sup>&#x002B;</sup>, and that VAPs have protective effects. However, previous evidence also suggests that ER Ca<sup>2&#x002B;</sup> leakage-evoked cell apoptosis is independent of caspase-12 activation (<xref rid="b47-mmr-16-04-5143" ref-type="bibr">47</xref>). Therefore, the mechanism underlying the toxic effects of MPP<sup>&#x002B;</sup> in SH-SY5Y cells and the protective role of VAPs require further elucidation.</p>
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<title>Acknowledgements</title>
<p>The present study was supported by the National Natural Science Foundation of China (grant no. 81503412) and the Jilin Provincial Science and Technology Development Project (grant no. 20140204017YY). The authors would like to thank senior engineer Huaisheng Wang of Jilin Tianyao Science and Technology Co., Ltd. for his support in the velvet antler experiments and pharmacological evaluation. The authors would also like to thank Dr Lengxin Duan and Dr Shoumin Xi of the Medical School, Henan University of Science and Technology (Henan, China).</p>
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<floats-group>
<fig id="f1-mmr-16-04-5143" position="float">
<label>Figure 1.</label>
<caption><p>Protective effects of VAPs against MPP<sup>&#x002B;</sup>-induced cytotoxicity in SH-SY5Y human neuroblast cells. (A) Half inhibitory concentration of MPP<sup>&#x002B;</sup> was 120.9 &#x00B5;mol/l at 72 h. (B) SH-SY5Y cells were treated with 0, 15.6, 31.2, 62.5, 125, 250, 500, 1,000 and 2,000 &#x00B5;g/ml VAPs together with 120.9 &#x00B5;mol/l MPP<sup>&#x002B;</sup>. VAPs concentrations of 125, 250 and 500 &#x00B5;g/ml significantly increased cell viability. Data are presented as the mean &#x00B1; standard deviation (n=3). &#x002A;P&#x003C;0.05, compared with MPP<sup>&#x002B;</sup>-treated SH-SY5Y cells. MPP<sup>&#x002B;</sup>, 1-methyl-4-phenylpyridinium; VAPs, velvet antler polypeptides.</p></caption>
<graphic xlink:href="MMR-16-04-5143-g00.tif"/>
</fig>
<fig id="f2-mmr-16-04-5143" position="float">
<label>Figure 2.</label>
<caption><p>VAPs inhibit MPP<sup>&#x002B;</sup>-induced apoptosis in SH-SY5Y cells. (Aa) No apoptosis was observed in normal cells. (Ab) Following exposure to 120.9 &#x00B5;mol/l MPP<sup>&#x002B;</sup>, cells exhibited nuclear condensation and nuclear fragmentation. Exposure to VAPs concentrations of (Ac) 62.5, (Ad) 125 and (Ae) 250 &#x00B5;g/ml with 120.9 &#x00B5;mol/l MPP<sup>&#x002B;</sup> reduced the apoptotic rates to 40.2&#x00B1;6.9, 25.7&#x00B1;7.4 and 9.0&#x00B1;1.4&#x0025;, respectively. The white arrow indicates apoptotic cells. (B) Apoptotic rate of the cells following exposure to 120.9 &#x00B5;mol/l MPP<sup>&#x002B;</sup> was 55.7&#x00B1;11.4&#x0025;. <sup>#</sup>P&#x003C;0.05, compared with the normal control; <sup>&#x0394;</sup>P&#x003C;0.05, compared with the MPP<sup>&#x002B;</sup>-treated SH-SY5Y cells. Scale bar, 20 nm. MPP<sup>&#x002B;</sup>, 1-methyl-4-phenylpyridinium; VAPs, velvet antler polypeptides.</p></caption>
<graphic xlink:href="MMR-16-04-5143-g01.tif"/>
</fig>
<fig id="f3-mmr-16-04-5143" position="float">
<label>Figure 3.</label>
<caption><p>VAPs inhibit MPP<sup>&#x002B;</sup>-induced collapse of MMP in SH-SY5Y cells. (Aa) Normal cells served as normal controls. (Ab) 120.9 &#x00B5;mol/l MPP<sup>&#x002B;</sup> induced the loss of MMP. VAPs concentrations of (Ac) 62.5, (Ad) 125 and (Ae) 250 &#x00B5;g/ml attenuated MPP<sup>&#x002B;</sup>-induced loss of MMP. (B) Rhodamine 123 fluorescence was also detected using NIH Image J software. &#x002A;P&#x003C;0.05, compared with normal controls; <sup>&#x0394;</sup>P&#x003C;0.05, compared with the MPP<sup>&#x002B;</sup>-treated SH-SY5Y cells. MPP<sup>&#x002B;</sup>, 1-methyl-4- phenylpyridinium; VAPs, velvet antler polypeptides; MMP, mitochondria membrane potential.</p></caption>
<graphic xlink:href="MMR-16-04-5143-g02.tif"/>
</fig>
<fig id="f4-mmr-16-04-5143" position="float">
<label>Figure 4.</label>
<caption><p>VAPs prevent against MPP<sup>&#x002B;</sup>-induced ROS production in SH-SY5Y cells. (Aa) Normal cells were used as normal controls. (Ab) 120.9 &#x00B5;mol/l MPP<sup>&#x002B;</sup> induced intracellular ROS production, characterized by increased H<sub>2</sub>DCFDA metabolites showing DCF fluorescence. VAPs concentrations of (Ac) 62.5, (Ad) 125 and (e) 250 &#x00B5;g/ml reduced the levels of ROS in MPP<sup>&#x002B;</sup>-treated SH-SY5Y cells. (B) Reduction in ROS occurred in a concentration-dependent manner. &#x002A;P&#x003C;0.05, compared with the normal controls. MPP<sup>&#x002B;</sup>, 1-methyl-4-phenylpyridinium; VAPs, velvet antler polypeptides; ROS, reactive oxygen species.</p></caption>
<graphic xlink:href="MMR-16-04-5143-g03.tif"/>
</fig>
<fig id="f5-mmr-16-04-5143" position="float">
<label>Figure 5.</label>
<caption><p>Western blot analysis of the effects of VAPs on ER stress-related proteins, (A) caspase-12, (B) GRP78, (C) CHOP, (D) p-JNK and (E) &#x03B2;-actin in SH-SY5Y cells exposed to MPP<sup>&#x002B;</sup>. Cells were incubated with 62.5, 125 and 250 &#x00B5;g/ml VAPs together with 120.9 &#x00B5;mol/l MPP<sup>&#x002B;</sup>. MPP<sup>&#x002B;</sup> upregulated the protein expression levels of caspase-12, GRP78 and p-JNK. VAPs downregulated the expression of p-JNK in SH-SY5Y cells in a concentration-dependent manner. Levels of caspase-12 decreased rapidly up to a VAPs concentration of 250 &#x00B5;g/ml. Levels of GRP78 showed no marked reduction following exposure to VAPs. No changes in the expression of CHOP expressions were observed. MPP<sup>&#x002B;</sup>, 1-methyl-4-phenylpyridinium; VAPs, velvet antler polypeptides; GRP78, glucose regulated protein 78; CHOP, CCAAT/enhancer binding protein homologous protein; p-JNK, phosphorylated c-Jun N-terminal kinase.</p></caption>
<graphic xlink:href="MMR-16-04-5143-g04.tif"/>
</fig>
<table-wrap id="tI-mmr-16-04-5143" position="float">
<label>Table I.</label>
<caption><p>Results of western blot analysis showing relative grayscales, compared with &#x03B2;-actin.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">120.9 &#x00B5;mol/l MPP<sup>&#x002B;</sup></th>
<th align="center" valign="bottom">VAPs (&#x00B5;g/ml)</th>
<th align="center" valign="bottom">Caspase-12<sup><xref rid="tfn1-mmr-16-04-5143" ref-type="table-fn">a</xref></sup></th>
<th align="center" valign="bottom">GRP78</th>
<th align="center" valign="bottom">CHOP</th>
<th align="center" valign="bottom">p-JNK<sup><xref rid="tfn1-mmr-16-04-5143" ref-type="table-fn">a</xref></sup></th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">&#x2212;</td>
<td align="center" valign="top">&#x2212;</td>
<td align="center" valign="top">1.23</td>
<td align="center" valign="top">0.55</td>
<td align="center" valign="top">0.87</td>
<td align="center" valign="top">0.53</td>
</tr>
<tr>
<td align="left" valign="top">&#x002B;</td>
<td align="center" valign="top">&#x2212;</td>
<td align="center" valign="top">1.62</td>
<td align="center" valign="top">1.13</td>
<td align="center" valign="top">0.78</td>
<td align="center" valign="top">0.63</td>
</tr>
<tr>
<td align="left" valign="top">&#x002B;</td>
<td align="center" valign="top">62.5</td>
<td align="center" valign="top">1.51</td>
<td align="center" valign="top">1.09</td>
<td align="center" valign="top">0.88</td>
<td align="center" valign="top">0.47</td>
</tr>
<tr>
<td align="left" valign="top">&#x002B;</td>
<td align="center" valign="top">125.0</td>
<td align="center" valign="top">1.14</td>
<td align="center" valign="top">0.85</td>
<td align="center" valign="top">0.71</td>
<td align="center" valign="top">0.27</td>
</tr>
<tr>
<td align="left" valign="top">&#x002B;</td>
<td align="center" valign="top">250.0</td>
<td align="center" valign="top">0.61</td>
<td align="center" valign="top">0.73</td>
<td align="center" valign="top">0.78</td>
<td align="center" valign="top">0.23</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn1-mmr-16-04-5143"><label>a</label><p>P&#x003C;0.05, vs. cells treated with 120.9 &#x00B5;mol/l MPP<sup>&#x002B;</sup>. Significant change in protein levels was observed in VAPs in a concentration-dependent manner. MPP<sup>&#x002B;</sup>, 1-methyl-4-phenylpyridinium; VAPs, velvet antler polypeptides; GRP78, glucose regulated protein 78; CHOP, CCAAT/enhancer binding protein homologous protein; p-JNK, phosphorylated c-Jun N-terminal kinase.</p></fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</article>
