ETM Experimental and Therapeutic Medicine 1792-0981 1792-1015 D.A. Spandidos 10.3892/etm.2017.4545 ETM-0-0-4545 Articles Puerarin prevents tumor necrosis factor-α-induced apoptosis of PC12 cells via activation of the PI3K/Akt signaling pathway LiangFeng XieShenggao Department of Clinical Biochemistry, School of Laboratory Medicine, Hubei University of Chinese Medicine, Wuhan, Hubei 430065, P.R. China Correspondence to: Professor Shenggao Xie, Department of Clinical Biochemistry, School of Laboratory Medicine, Hubei University of Chinese Medicine, 1 Huangjiahu West Road, Wuhan, Hubei 430065, P.R. China, E-mail: xie-shenggao@outlook.com 07 2017 06 06 2017 14 1 813 818 30032016 03032017 Copyright © 2017, Spandidos Publications 2017

Tumor necrosis factor-α (TNF-α), a potential proinflammatory cytokine, is an important component involved in neuronal apoptosis associated with neuroinflammation in the central nervous system. It has been reported that puerarin possesses pharmacological effects, such as anti-apoptotic, antioxidant, anti-osteoporosis, anti-inflammatory, cardioprotective and neuroprotective actions. The aim of the present study was to explore the effect of puerarin on apoptosis induced by TNF-α (3×105 U/l) and its detailed mechanisms in PC12 cells. MTT and flow cytometric assays were performed to evaluate cell cytotoxicity and apoptosis, respectively. An enzymatic assay was used to detect the activity of caspase-3 and caspase-9. Western blot analysis was performed to assess changes in the levels of proteins, including B-cell lymphoma 2 (Bcl-2), Bcl-2-associated X protein (Bax), caspase-3, Akt and phosphorylated Akt. The results showed that puerarin (25 and 50 µM) significantly suppressed TNF-α-induced apoptosis in PC12 cells. The TNF-α-induced in crease in the Bax/Bcl-2 ratio was markedly inhibited by pre-treatment with puerarin for 2 h. In addition, puerarin decreased the level of TNF-α-induced cleaved caspase-3. Furthermore, puerarin inhibited the TNF-α-induced decrease in the phosphorylation of Akt, which was abolished by LY294002, a phosphatidylinositol 3-kinase (PI3K) inhibitor, suggesting that the PI3K/Akt pathway participated in the suppressive effect of puerarin. Taken together, these findings indicated that puerarin prevented TNF-α-induced apoptosis in PC12 cells via activating of the PI3K/Akt signaling pathway, suggesting that puerarin may be a potential neuroprotective drug in the clinical treatment of neuroinflammation via anti-apoptotic mechanisms.

 puerarin PC12 cells TNF-α apoptosis PI3K/Akt pathway Introduction

Neuroinflammation is defined as activation of the innate immune system of the brain in response to an inflammatory challenge and is characterized by microglial activation, astrogliosis and neuronal loss (1). In the central nervous system (CNS), tumor necrosis factor-α (TNF-α), a key proinflammatory cytokine, exerts homeostatic as well as pathophysiological effects. Under normal conditions, TNF-α exerts regulatory functions on physiological processes such as synaptic plasticity, synaptic transmission, learning and memory. Under pathological conditions, microglia and a proportion of astrocytes and oligodendrocytes secrete TNF-α, which is an important component of neuronal apoptosis associated with neuroinflammation (2). Neuronal apoptosis is the most crucial event in neuronal loss associated with neurological diseases and is regulated by pro- and anti-apoptotic factors (3). At present, it is urgent to seek the underlying molecular mechanisms of neuronal apoptosis induced by neuroinflammation.

PC12 cells, which originate from a rat adrenal medullary tumour (pheochromocytoma), have been widely used as a neuronal model system to assess processes such as neuronal differentiation, neurite outgrowth, neuronal toxicity and neuronal apoptosis (4–6). Puerarin, known as Ge-gen in Chinese, is isolated from Radix puerariae and has protective effects on the nervous and cardiovascular system to prevent osteoporosis, liver injury and inflammation (7). An increasing body of evidence has indicated that puerarin has anti-apoptotic effects and mitigated apoptosis in multiple cell types, including neurons, microglia, osteoblasts and cardiomyocytes (8–11). A previous study reported that puerarin protected PC12 cells against β-amyloid-induced cell injury, which was associated with its antioxidant effects (12). Another study confirmed that puerarin protected differentiated PC12 cells from H2O2-induced apoptosis via Akt phosphorylation (13). However, little is known regarding the effect of puerarin on PC12 cell apoptosis induced by TNF-α and its underlying mechanisms.

The present study demonstrated that puerarin prevented TNF-α-induced apoptosis in PC12 cells via activation of the phosphoinositide-3 kinase (PI3K)/Akt signaling pathway to provide potential mechanisms underlying the neuroprotective effect of puerarin, which may be used as a novel neuroprotective agent against neuroinflammation.

 Materials and methods <sec> <title>Materials

Rat PC12 (adrenal gland pheochromocytoma) cells were purchased from the Cell Bank of the Chinese Academy of Sciences (Shanghai, China). Rat TNF-α was obtained from R&D Systems (Minneapolis, MN, USA). The specific PI3K/Akt inhibitor LY294002 (10 µM) was from Sigma-Aldrich (Merck KGaA, Darmstadt, Germany). Puerarin (purity, >98%) was purchased from the National Institute for the Control of Pharmaceutical and Biological Products (Beijing, China) and dissolved in dimethylsulfoxide (DMSO) at 10 mM.

 PC12 cell culture

PC12 cells were cultured in Dulbecco's modified Eagle's medium (Hyclone; GE Healthcare, Chalfont, UK) supplemented with 10% fetal bovine serum (Gibco; Thermo Fisher Scientific, Inc., Waltham, MA, USA) and antibiotics (100 units/ml penicillin and 100 units/ml streptomycin; Gibco, Thermo Fisher Scientific, Inc.) at 37°C in a humidified incubator with 5% CO2. Cells were supplied with fresh medium three times per week, and were split at a 1:3 ratio twice per week.

 MTT assay

PC12 cells were seeded into 96-well plates at 1×104 cells/well. Puerarin was added at the desired concentration for 2 h prior to treatment with TNF-α, after which the cells were incubated for an additional 24 h. MTT (Sigma-Aldrich) working solution (0.5 mg/ml) was added to each well, followed by incubation for 4 h at 37°C. Subsequently, DMSO (Sigma-Aldrich) was added. The optical density (OD) was measured at a wavelength of 570 nm using a plate reader (Bio-Rad Laboratories, Inc., Hercules, CA, USA). The inhibitory rate of PC12 cell proliferation was calculated as follows: Inhibitory rate (%) = (ODcontrol group - ODtest group) × 100%/ODcontrol group.

 Flow cytometric analysis

Flow cytometric analysis was used to detect the apoptotic rate of cells processed with a fluorescein isothiocyanate (FITC) Apoptosis Detection kit (BD Pharmingen, San Jose, CA, USA). PC12 cells (5×105) were collected from 24-well culture plates at the end of the drug incubation. Cells were then washed and incubated in buffer containing 5 µl FITC-Annexin V and 5 µl propidium iodide (PI). The mixture was then incubated for 5 min at room temperature in the dark and immediately analyzed with a flow cytometer (BD FACSVerse) followed by analysis with BD FASCuite software (BD Biosciences, Franklin Lakes, NJ, USA).

 Enzymatic assay for caspase-3 and caspase-9 activity

Caspase activity was detected using the caspase-3 and caspase-9 Activity Assay kit (KeyGen Biotech Co., Ltd., Nanjing, China) according to standard procedures. Cells were collected and extracted on ice in lysis buffer. The protein content of the supernatant was subsequently measured using the bicinchoninic acid (BCA) method with an assay kit (Thermo Fisher Scientific, Inc.). An equal amount of protein (50 µg) was detected using reaction buffer containing chromogenic substrates at 37°C for 2 h in the dark. The absorbance values were measured at 405 nm with a spectrophotometer (Bio-Rad Laboratories, Inc.).

 Western blot analysis

PC12 cells (1×106) were collected, washed and lysed with radioimmunoprecipitation assay buffer. The protein concentration was determined using a BCA Protein Assay kit (Thermo Fisher Scientific, Inc.). The protein samples (30 µg) were separated by 10% SDS-PAGE and transferred to a polyvinylidene difluoride membrane (EMD Millipore, Billerica, MA, USA). After blocking with 5% nonfat dry milk, the membrane was incubated overnight at 4°C with primary antibodies [1:1,000 dilution; rabbit antibodies to cleaved-caspase-3 (9664), caspase-3 (9665), phosphorylated (p)-Akt (Ser473) (4058), Akt (4685) and GAPDH (5174); all from Cell Signaling Technology, Inc., Beverly, MA, USA; rabbit antibodies to Bax (ab32503) and Bcl-2 (ab59348); both from Abcam, Cambridge, MA, USA]. The blotted membranes were then washed and probed with horseradish peroxidase-conjugated secondary antibodies (1:2,000 dilution; anti-rabbit) (7074; Cell Signaling Technology, Inc.). Immunoreactive bands were visualized using an enhanced chemiluminescence kit (32106; Thermo Fisher Scientific, Inc.). Images were captured using a scanner (Amersham Life Science, Arlington Heights, IL, USA). Intensities of protein bands were quantified using Image J software version 1.44 (National Institutes of Health, Bethesda, MD, USA).

 Statistical analysis

Values are expressed as the mean ± standard deviation. Differences between two groups were evaluated using Student's t-test. One-way analysis of variance was used for multi-group comparison. P<0.05 was considered to indicate a statistically significant difference. Results were analyzed using SPSS 13.0 statistical software (SPSS, Inc., Chicago, IL, USA).

 Results <sec> <title>Puerarin attenuates TNF-α-induced cytotoxicity in PC12 cells

PC12 cells were treated with different concentrations of puerarin (1–100 µM) for 24 h. As shown in Fig. 1A, puerarin had no cytotoxicity on PC12 cells. Based on the inhibitory rate of TNF-α on PC12 cells (IC50=2.856×105 U/l; Table I), 3×105 U/l TNF-α was used to induce apoptosis in PC12 cells as an in vitro model of neuroinflammation-associated neuronal apoptosis. Of note, pre-treatment with puerarin (25 and 50 µM) significantly attenuated TNF-α-induced cytotoxicity (P<0.05; Fig. 1B).

 Puerarin prevents TNF-α-induced apoptosis in PC12 cells

As shown in Fig. 2, Annexin V/PI staining and flow cytometric analysis revealed that TNF-α obviously increased the apoptotic rate of PC12 cells (25.25±1.46 vs. 6.56±1.18% in the control group; P<0.001). Pre-treatment with puerarin at 25 or 50 µM significantly prevented TNF-α-induced apoptosis (apoptotic rate, 14.98±1.05 or 14.26±1.12 vs. 25.25±1.46% in TNF-α group; P<0.05; Fig. 2).

 Puerarin suppresses enzymatic activity of caspase-3 and −9

In line with the results on the apoptotic rate, the enzymatic activity of caspase-3, a marker of apoptosis, was found to be markedly increased in TNF-α-treated cells. Pre-treatment with puerarin (25 and 50 µM) significantly suppressed TNF-α-induced enzymatic activity of caspase-3 (Fig. 3A). Furthermore, the enzymatic activity of caspase-9 in TNF-α-treated PC12 cells was investigated. As shown in Fig. 3B, puerarin (50 µM) distinctly restrained TNF-α-induced activation of caspase-9, suggesting that the mitochondrial apoptotic pathway may be involved in the suppressive effect of puerarin.

 Puerarin inhibits TNF-α-induced increases in Bax/Bcl-2 ratio and caspase-3 activation

As shown in Fig. 4A, TNF-α significantly induced the expression of Bax and inhibited that of Bcl-2, which was consistent with the fact that TNF-α induced apoptosis in PC12 cells. The Bax/Bcl-2 ratio increased by ~25-fold upon treatment with TNF-α, while in cells that had been pre-treated with 25 or 50 µM puerarin, the Bax/Bcl-2 ratio was significantly decreased to ~16- and 3-fold of that in the control group, respectively (P<0.05). In addition, TNF-α evidently induced the activation of cleaved caspase-3 protein. Puerarin (25 and 50 µM) significantly decreased the levels of cleaved caspase-3, demonstrating its inhibitive function on TNF-α-induced apoptosis (P<0.05; Fig. 4B).

 Puerarin inhibits TNF-α-induced decreases of p-Akt (Ser473)

In addition, the detailed mechanism underlying the suppressive effect of puerarin was investigated. TNF-α significantly suppressed the phosphorylation of Akt (Ser473) compared with that in the control group (P<0.001). Conversely, pre-treatment with puerarin prior to exposure to TNF-α significantly promoted the activation of Akt by its phosphorylation at Ser473 (P<0.05; Fig. 5A). Of note, the PI3K inhibitor LY294002, applied to the cells prior to puerarin treatment, obviously reversed the p-Akt activation achieved by puerarin treatment (P<0.05), suggesting that puerarin prevented TNF-α-induced apoptosis in PC12 cells via activation of the PI3K/Akt signaling pathway (Fig. 5B).

 Discussion

It is well-known that TNF-α has an important role in the neuroinflammatory response linked with several neurodegenerative diseases, including Parkinson's disease, Alzheimer's disease and multiple sclerosis, which are associated with neuronal apoptosis (14). The present study suggested that puerarin prevented TNF-α-induced apoptosis in PC12 cells through anti-apoptotic mechanisms, including activation of the PI3K/Akt signaling pathway, suggesting its promising prospect as a neuroprotective drug candidate.

Puerarin, the major bioactive constituent of Radix puerariae, is widely used in China for the treatment of cardiovascular diseases and diabetes (15). The neuroprotective potential of puerarin has been comprehensively evaluated in cell cultures and rodent models of several neurodegenerative diseases (16). A previous study showed that puerarin suppressed 6-hydroxydopamine-induced nitric oxide (NO) production and neurotoxicity in PC12 cells and primary rat midbrain neurons, which was attributed to the activation of arginase-2 in the L-arginine-NO pathway (17). In addition, puerarin significantly prevented 1-methyl-4-phenylpyridinium (MPP+)-induced neurotoxicity in PC12 cells through inhibition of the c-Jun N-terminal kinase (JNK) signaling pathway (18). Furthermore, puerarin exerted a protective effect against epilepsy-induced brain injury through antioxidant and anti-apoptotic mechanisms (19). In line with these findings, puerarin also prevented amyloid β-induced neurotoxicity in PC12 cells. In the present study, various concentrations of puerarin (1–100 µM) showed no cytotoxicity (Fig. 1A), while TNF-α (3×105 U/l) obviously inhibited the proliferation of PC12 cells (Fig. 1B). Of note, puerarin (25 and 50 µM) significantly attenuated TNF-α-induced apoptosis of PC12 cells. To the best of our knowledge, the present study was the first to report that puerarin reduces TNF-α-induced neurotoxicity in PC12 cells.

Apoptosis is a programmed cell death and is induced via well-characterized intrinsic and extrinsic pathways. The intrinsic pathway is initiated in response to stress within the cell, such as DNA damage and endoplasmic reticulum stress. The extrinsic pathway is initiated through activation of pro-apoptotic receptors on the cell surface, which are activated by pro-apoptotic ligands (20). Accumulating evidence has indicated that puerarin exerts its neuroprotective effect by inhibition of neuronal apoptosis. In PC12 cells treated with amyloid β, suppression of apoptosis by puerarin was shown to involve modulation of the levels of pro- and anti-apoptotic proteins, including Bax, phosphorylated Bcl-2-associated death promoter and Bcl-2 (21). Puerarin significantly prevented MPP+-induced cytostatic activities, caspase-3 activation and DNA fragmentation in PC12 cells via suppressing the activation of caspase-9 and release of cytochrome c (22). Consistent with these previous findings, puerarin inhibited TNF-α-induced increases in the Bax/Bcl-2 ratio and caspase-3 activation in the present study. The suppressive effect of puerarin was further demonstrated by the decreased enzymatic activity of caspase-3, which acts as an essential executor and biomarker of apoptosis in mammalian cells. In addition, the involvement of enzymatic activity of caspase-9 suggested that TNF-α-induced neuronal apoptosis and its inhibition by puerarin proceed via the mitochondrial apoptotic pathway.

Although the precise molecular mechanisms by which puerarin exerts its anti-apoptotic effects remain to be fully clarified, the results of the present and previous studies indicated that the PI3K/Akt signaling pathway has a pivotal role in the process. A recent study indicated that puerarin restrained the progression of cardiac hypertrophy and apoptosis, which was probably mediated by the blockade of PI3K/Akt and JNK signaling pathways (23). In diabetic mice, puerarin exerted a protective effect on pancreatic β-cell function and survival, which was mediated via the PI3K/Akt pathway (24). Treatment with puerarin effectively inhibited lead-induced apoptosis in the kidney, which was associated with its antioxidant activity and its ability to modulate the PI3K/Akt/endothelial NO synthase signaling pathway (25). Furthermore, puerarin-mediated attenuation of amyloid β-induced microglial apoptosis was dependent upon activation of the PI3K survival pathway and phosphorylation of Akt (26). Puerarin inhibited lead acetate-induced oxidative stress in PC12 cells, associated with inhibiting PI3K and Akt phosphorylation, through increasing glutathione synthesis (27). In line with these results, the present study also showed that puerarin inhibited TNF-induced apoptosis and decreases of Akt activation in PC12 cells, which was associated with its neuroprotective effect.

In conclusion, the present study showed that puerarin prevented TNF-α-induced apoptosis of PC12 cells via the PI3K/Akt signaling pathway, resulting in inhibition of TNF-α-mediated caspase-3 activation and increases in the Bax/Bcl-2 ratio. These findings partly explained the mechanisms underlying the neuroprotective effect of puerarin, suggesting its potential application in the clinical treatment of neuroinflammation involved in neurodegenerative diseases such as Parkinson's disease, Alzheimer's disease and multiple sclerosis.

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Effect of puerarin on TNF-α-induced cytotoxicity in PC12 cells. (A) PC12 cells were treated with different concentrations of puerarin (1–100 µM) for 24 h. (B) PC12 cells were pre-treated with different concentrations of puerarin (1, 25 and 50 µM) for 2 h prior to exposure to TNF-α (3×105 U/l). Cell viability was determined by an MTT assay. Values are expressed as the mean ± standard deviation (n=3). **P<0.01 vs. control; #P<0.05 vs. TNF-α. TNF, tumor necrosis factor.

Effect of puerarin on TNF-α-induced apoptosis of PC12 cells. PC12 cells were pretreated with different concentrations of puerarin (1, 25 and 50 µM) for 2 h prior to exposure to TNF-α (3×105 U/l). Cell apoptosis was detected by flow cytometric analysis after staining with Annexin V and PI, and apoptotic cells (Annexin V+PI− and Annexin V+PI+) were shown. Values are expressed as the mean ± standard deviation (n=3). ***P<0.001 vs. control; #P<0.05 vs. TNF-α. TNF, tumor necrosis factor; PI, propidium iodide; FITC, fluorescein isothiocyanate.

Effect of puerarin on enzymatic activity of caspase-3 and −9. PC12 cells were pre-treated with various concentrations of puerarin (1, 25 and 50 µM) for 2 h prior to exposure to TNF-α (3×105 U/l). The activity of (A) caspase-3 and (B) caspase-9 activity was assessed via enzymatic assays. Values are expressed as the mean ± standard deviation (n=3). **P<0.01 vs. control; #P<0.05 vs. TNF-α. TNF, tumor necrosis factor.

Effect of puerarin on the expression of Bax/Bcl-2 and caspase-3 protein. PC12 cells were pre-treated with various concentrations of puerarin (1, 25 and 50 µM) for 2 h prior to exposure to TNF-α (3×105 U/l). (A) Protein expression of Bax and Bcl-2 was detected, and the Bax/Bcl-2 ratio was evaluated. (B) Protein levels of cleaved caspase-3 and pro-caspase-3 were detected by western blotting. Representative western blot images are shown. Values are expressed as the mean ± standard deviation (n=3). ***P<0.001 vs. control; #P<0.05, ##P<0.01 and ###P<0.001 vs. TNF-α. TNF, tumor necrosis factor; Bcl-2, B-cell lymphoma 2; Bax, Bcl-2-associated X protein.

Puerarin inhibits TNF-α-induced decreases in p-Akt (Ser473) in PC12 cells. PC12 cells were pre-treated with various concentrations of puerarin (1, 25 and 50 µM) for 2 h prior to exposure to TNF-α (3×105 U/l). (A) Protein levels of Akt and p-Akt (Ser473) were assessed by western blotting. (B) LY294002 (10 µM) was used prior to addition of puerarin for 2 h. In the presence of the phosphoinositide-3 kinase inhibitor LY294002, protein levels of Akt and p-Akt (Ser473) were detected by western blotting. The p-Akt/Akt ratio was determined. Values are expressed as the mean ± standard deviation (n=3). ***P<0.001 vs. control; #P<0.05, ##P<0.01 and ###P<0.001 vs. TNF-α. TNF, tumor necrosis factor; p-Akt, phosphorylated Akt.

Inhibitory rate of TNF-α on the proliferation of PC12 cells.

TNF-α (U/l) OD570 Inhibitory rate (%)
0 0.996±0.005 0
1×104 0.968±0.016 9.716±0.563
5×104 0.782±0.023 10.038±0.862
1×105 0.604±0.018 13.718±1.056
5×105 0.427±0.026 53.582±1.256
1×106 0.295±0.012 84.535±0.682

Values are expressed as the mean ± standard deviation. OD570, optical density at 570 nm; TNF, tumor necrosis factor.