ETM Experimental and Therapeutic Medicine 1792-0981 1792-1015 D.A. Spandidos 10.3892/etm.2017.4725 ETM-0-0-4725 Articles Allicin protects against H2O2-induced apoptosis of PC12 cells via the mitochondrial pathway LvRunxiao 1 * DuLili 2 * LuChunwen 3 4 WuJinhui 3 4 DingMuchen 3 4 WangChao 3 4 MaoNingfang 3 ShiZhicai 3 Department of Rehabilitation Medicine, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, P.R. China Department of Pathophysiology, College of Basic Medical Science, China Medical University, Shenyang, Liaoning 110122, P.R. China Department of Orthopedics, Changhai Hospital, The Second Military Medical University, Shanghai 200433, P.R. China Graduate Management Unit, The Second Military Medical University, Shanghai 200433, P.R. China Correspondence to: Dr Zhicai Shi, Department of Orthopedics, Changhai Hospital, The Second Military Medical University, 168 Changhai Road, Shanghai 200433, P.R. China, E-mail: zhicai_shizc@163.com

Contributed equally

 09 2017 09 07 2017 14 3 2053 2059 29012016 26012017 Copyright: © Lv et al. 2017 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, 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.

Allicin is a major bioactive ingredient of garlic and has a broad range of biological activities. Allicin has been reported to protect against cell apoptosis induced by H2O2 in human umbilical vein endothelial cells. The present study evaluated the neuroprotective effect of allicin on the H2O2-induced apoptosis of rat pheochromocytoma PC12 cells in vitro and explored the underlying mechanism involved. PC12 cells were incubated with increasing concentrations of allicin and the toxic effect of allicin was measured by MTT assay. The cells were pretreated for 24 h with low dose (L-), medium dose (M-) and high dose (H-) of allicin, followed by exposure to 200 µM H2O2 for 2 h, and the cell viability was examined by MTT assay. In addition, cell apoptosis rate was analyzed by Annexin V-FITC/PI assay, while intracellular reactive oxygen species (ROS) and mitochondrial transmembrane potential (∆ψm) were measured by flow cytometry. Bcl-2, Bax, cleaved-caspase-3 and cytochrome c (Cyt C) in the mitochondria were also examined by western blotting. The results demonstrated that 0.01 µg/ml (L-allicin), 0.1 µg/ml (M-allicin) and 1 µg/ml (H-allicin) were non-toxic doses of allicin. Furthermore, H2O2 reduced cell viability, promoted cell apoptosis, induced ROS production and decreased ∆ψm. However, allicin treatment reversed the effect of H2O2 in a dose-dependent manner. It was also observed that H2O2 exposure significantly decreased Bcl-2 and mitochondrial Cyt C, while it increased Bax and cleaved-caspase-3, which were attenuated by allicin pretreatment. The results revealed that allicin protected PC12 cells from H2O2-induced cell apoptosis via the mitochondrial pathway, suggesting the potential neuroprotective effect of allicin against neurological diseases.

 allicin H2O2 PC12 cells neuroprotection apoptosis mitochondrial pathway Introduction

Neurological diseases, including Parkinson's, Huntington's and Alzheimer's disease, as well as traumatic brain injury and stroke, are the leading cause of mortality worldwide (1). Oxidative stress, defined as an imbalance between antioxidants and prooxidants, serves a major role in numerous biological events. The cells of the central nervous system are highly sensitive to injuries induced by oxidative stress (2). Increasing evidence has revealed that apoptosis, inflammation and oxidative stress are correlated with these neurological diseases (3–5). Reactive oxygen species (ROS), including hydrogen peroxide (H2O2), hydroxyl radical (HO.) and superoxide radical (O2−), are byproducts of cellular processes and are primarily generated in the mitochondrion of the cells (6,7). Approximately 1–2% of the mitochondrial oxygen consumption is used to produce ROS (8). ROS are reported to serve a critical role in the release of pro-apoptotic proteins and cytochrome c (Cyt C), which activate caspase family members and induce cell apoptosis (9). Therefore, inhibiting oxidative stress-induced neuronal injury is considered as a therapeutic strategy in the treatment of neurological diseases (10).

Garlic possesses various biological properties, such as immunomodulatory, anticancer, antiaging, antimicrobial, antihypertensive and antiatherosclerotic effects (11–14). These properties are closely correlated with the bioactive ingredients of garlic (15). Allicin is the main compound extracted from garlic and has strong antioxidant activity (16,17). Chen et al have demonstrated that allicin protects human umbilical vein endothelial cells (HUVECs) from H2O2-induced cell apoptosis by inhibiting oxidative stress (18).

In the present study, H2O2 was used to establish an in vitro model of oxidative stress injury, and the intervention effect of allicin on the apoptosis of rat pheochromocytoma PC12 cells was evaluated. To the best of our knowledge, this is the first to evaluate the effect of allicin on H2O2-induced apoptosis of PC12 cells in vitro.

 Materials and methods

Cell culture. Rat pheochromocytoma PC12 cells were obtained from the Cell Bank at the Chinese Academy of Sciences (Shanghai, China). PC12 cells were maintained in RPMI 1640 medium (Gibco; Thermo Fisher Scientific, Inc., Waltham, MA, USA) supplemented with 10% fetal bovine serum (FBS; GE Healthcare Life Sciences, South Logan, Utah, USA). The cells were cultured in a 5% CO2 incubator at 37°C.

<sec> <title>Cytotoxicity of allicin

PC12 cells were cultured in 96-well plates (6×103 cells/well) for 24 h and incubated with increasing concentrations of allicin (0, 0.01, 0.1, 1, 10, 100 or 1,000 µg/ml; Yuanye Bio-Technology Co., Ltd., Shanghai, China) for a further 24 h. MTT (5 mg/ml, 20 µl; Sigma-Aldrich; Merck KGaA, Darmstadt, Germany) was added into each well and cultured at 37°C for 4 h to produce formazan crystals. After discarding the medium, the cells were treated with dimethyl sulfoxide (Sigma-Aldrich), and the absorbance was analyzed at 490 nm (BioTek Instruments, Inc., Winooski, VT, USA). Concentrations of allicin found to be non-toxic were selected for subsequent experiments.

 Cell treatment

After culturing for 24 h, PC12 cells were pretreated with 0.01 (low dose, L-allicin), 0.1 (medium dose, M-allicin) or 1 µg/ml (high dose, H-allicin) of allicin for 24 h and then exposed to 200 µM hydrogen peroxide (H2O2; Xilong Chemical Co., Ltd., Shenyang, China) for 2 h. Cells incubated only with 200 µM H2O2 for 2 h served as the H2O2 group, while untreated cells served as the control.

 Cell viability

Subsequent to incubation with H2O2 and allicin, the cell viability was determined by MTT (Sigma-Aldrich; Merck KGaA) assay as previously described (19). The absorbance of cells was detected with a microplate reader (BioTek Instruments, Inc.) at 490 nm.

 Cell apoptosis

AnnexinV-FITC/propidium iodide (PI) assay (catalogue no. WLA001b; Wanleibio, Shenyang, China) was performed to analyze cell apoptosis. Briefly, PC12 cells were washed with phosphate-buffered saline (PBS; Shanghai Double-helic Biology Science and Technology Co., Ltd., Shanghai, China) and resuspended in binding buffer (500 µl), followed by incubation with Annexin V-FITC (5 µl) and PI (5 µl) in the dark. After washing twice with PBS, the cells were collected and cell apoptosis was analyzed by a BD Accuri™ C6 flow cytometer (BD Biosciences, Franklin Lakes, NJ, USA). LL represents survival cells (Annexin V-/PI-). LR represents early apoptotic cells (Annexin V+/PI-). UR represents late apoptotic or necrotic cells (Annexin V+/PI+). UL represents dead cells (Annexin V-/PI+). The total apoptotic cell rate was calculated as follows: Early apoptotic cell rate + late apoptotic cell rate.

 Measurement of ROS level

Intercellular ROS level was measured according to the protocol of the Reactive Oxygen Species Assay kit (catalogue no. S0033; Beyotime Institute of Biotechnology, Haimen, China). Briefly, DCFH-DA (10 mM) supplied in the kit was diluted to 10 µM with serum-free medium. Subsequent to the indicated allicin and H2O2 treatment, the medium was discarded, and PC12 cells were incubated with the diluted DCFH-DA (2 ml) at 37°C for 20 min and washed three times with serum-free medium. Subsequently, the cells were washed twice with PBS and detected by flow cytometry (BD Biosciences) to determine the ROS levels.

 Measurement of mitochondrial transmembrane potential (∆ψm)

The ∆ψm was determined using a JC-1 Apoptosis Detection kit (catalogue no. KGA601; KeyGen Biotech Co., Ltd., Nanjing, China) according to the manufacturer's instructions. Briefly, the cells were collected following the indicated treatment and resuspended in 500 µl incubation buffer containing 1 µl JC-1 at 37°C for 20 min. Subsequent to centrifugation (550 × g for 5 min at room temperature), the cells were washed and resuspended in 1X incubation buffer (KeyGen Biotech Co., Ltd.). The cells were then subjected to flow cytometry (BD Biosciences) in order to determine the ∆ψm. UR represents normal cells. LR represents early apoptotic cells.

 Western blotting

The cells were cultured in 6-well plates at a density of 4×105 cells/well prior to being lysed in lysis buffer (Wanleibio) on ice and total proteins were obtained by centrifugation (10,005 × g for 10 min at 4°C). The cells were homogenized and mitochondrial proteins were isolated using a Mitochondrial Protein Extraction kit (catalogue no. WLA034; Wanleibio) according to the manufacturer's instructions. Protein concentration was measured using a BCA kit (catalogue no. WLA004; Wanleibio). Subsequently, 40 µg protein was separated by 7, 10 or 12% SDS-PAGE and transferred onto polyvinylidene fluoride membranes (EMD Millipore, Bedford, MA, USA). After blocking with non-fat milk for 1 h, the membranes were incubated with polyclonal antibodies against Bcl-2 (WL01556; 1:500 dilution; Wanleibio), Bax (WL01637; 1:500 dilution; Wanleibio), cleaved-caspase3 (WL01992; 1:500 dilution; Wanleibio), Cyt C (WL01571; 1:500 dilution; Wanleibio), COX IV (WL01794; 1:500 dilution; Wanleibio) and β-actin (WL01845; 1:1,000 dilution; Wanleibio). β-actin and COX IV served as the internal controls for total proteins and mitochondrial proteins, respectively. Subsequently, cells were incubated with goat anti-rabbit horseradish peroxidase-conjugated secondary antibody (WLA023; 1:5,000 dilution; Wanleibio). The protein bands were visualized using an enhanced chemiluminescence reagent (Wanleibio) and quantified with Gel-Pro-Analyzer version 4.0 software (Media Cybernetics, Bethesda, MD, USA).

 Statistical analysis

Results are expressed as the mean ± standard deviation. Statistical analysis was performed by Student's t test or one-way analysis of variance followed by Bonferroni's multiple comparison test using GraphPad Prism 5 (GraphPad Software, Inc., San Diego, CA, USA). Differences with a P<0.05 were considered as statistically significant.

 Results <sec> <title>Selection of the non-toxic concentrations of allicin

The cytotoxicity of various concentrations allicin was determined by MTT assay. As shown in Fig. 1, the allicin doses of 10 (P<0.05), 100 (P<0.01) and 1,000 µg/ml (P<0.01) significantly decreased the viability of PC12 cells compared with the untreated cells. However, the other three concentrations of allicin (0.01, 0.1 and 1 µg/ml) did not markedly affect the cell viability. Therefore, these three doses were named as the low (L-allicin; 0.01 µg/ml), medium (M-allicin; 0.1 µg/ml) and high dose groups (H-allicin; 1 µg/ml).

 Allicin attenuates H<sub>2</sub>O<sub>2</sub>-induced cell growth inhibition

To assess the protective effect of allicin on the cell proliferation of PC12 cells, the cells were pretreated with L-allicin, M-allicin or H-allicin for 24 h and then incubated with H2O2. Cell viability was determined by MTT assay. As shown in Fig. 2, H2O2 (200 µM) significantly impaired the cell viability of PC12 cells (P<0.01). However, allicin treatment markedly improved the decreased cell viability caused by H2O2 in a dose-dependent manner, with the medium and high doses having a significant effect (both P<0.01).

 Allicin protects PC12 cells against H<sub>2</sub>O<sub>2</sub>-induced cell apoptosis

Annexin V-FITC/PI assay was performed to evaluate the effect of allicin on H2O2-induced cell apoptosis. As shown in Fig. 3, incubation with H2O2 significantly increased the apoptosis rate to 24.43±2.07% compared with the control group (2.94±0.45%; P<0.01). However, allicin treatment significantly lowered the apoptosis rate in the L-allicin, M-allicin and H-allicin groups to 18.72±2.50, 6.87±1.03 and 6.15±0.47%, respectively, compared with the rate in the H2O2 group (P<0.05, P<0.01 and P<0.01, respectively).

 Allicin restores ROS level and ∆ψm in H<sub>2</sub>O<sub>2</sub>-treated PC12 cells

The study further evaluated the effect of allicin on H2O2-induced ROS generation using DCFH-DA (Fig. 4A-E). The intracellular ROS levels in the control and H2O2-treated cells were 8.27±1.26 and 34.39±2.77%, respectively. By contrast, the ROS levels in the allicin-treated cells were 28.03±2.70, 17.73±1.86 and 11.11±1.68%, respectively. These results showed that H2O2 treatment significantly elevated the intracellular ROS level (P<0.01; Fig. 4F). Notably, pretreatment with allicin inhibited H2O2-induced ROS production in a dose-dependent manner (L-allicin, P<0.05; M-allicin, P<0.01; H-allicin, P<0.01).

In order to determine the ∆ψm, PC12 cells were stimulated with H2O2 for 2 h and then stained with JC-1 prior to flow cytometric analysis (Fig. 5A-E). The results demonstrated that H2O2 exposure resulted in the loss of ∆ψm compared with the control group (P<0.01; Fig. 5F). However, allicin prevented the loss of ∆ψm in H2O2-stimulated PC12 cells in a dose-dependent manner (M-allicin, P<0.01; H-allicin, P<0.01).

 Effect of allicin on the expression of Bcl-2, Bax, cleaved-caspase-3 and mitochondrial Cyt C

The levels of Bcl-2, Bax, cleaved-caspase-3 and mitochondrial Cyt C were examined by western blotting subsequent to allicin and H2O2 treatment. As shown in Fig. 6, H2O2 exposure greatly decreased Bcl-2 and mitochondrial Cyt C levels, whereas it increased Bax and cleaved-caspase-3 levels when compared with the control group (P<0.01). Allicin pretreatment reversed the effect of H2O2 on the expression of Bcl-2 (M-allicin, P<0.05; H-allicin, P<0.01), Bax (H-allicin, P<0.01), cleaved-caspase-3 (M-allicin, P<0.05; H-allicin, P<0.01) and mitochondrial Cyt C (H-allicin, P<0.01).

 Discussion

Allicin, an active compound extracted from garlic, has antitumor, anti-inflammatory, anti-oxidative and anti-microbial activities (20,21). Oxidative stress serves a vital role in the neurodegeneration process, and H2O2 has been reported to be an inductor of ROS release, which contributes to the occurrence and progression of neurodegenerative diseases (22). Previous studies have observed that allicin exerts neuroprotective effects against traumatic brain injury in vitro and in vivo via the Akt/eNOS signaling pathway due to its anti-oxidative and anti-inflammatory activities (23,24). In addition, allicin administration alleviates learning and memory impairment in a mice model of Alzheimer's disease by inhibiting the p38 MAPK pathway (25).

To the best of our knowledge, the present study was the first to evaluate the neuroprotective effect of allicin in H2O2-stimulated rat pheochromocytoma PC12 cells. The effect of increasing concentrations of allicin on PC12 cell viability was evaluated, and three relative low concentrations of allicin (0.01, 0.1 and 1 µg/ml) were selected for further experiments. Next, the neuroprotective effect of allicin on cell viability, apoptosis, ROS generation, ∆ψm and the mitochondrial intrinsic pathway were further evaluated in H2O2-treated PC12 cells.

H2O2 treatment has been commonly used as a method to evaluate antioxidant efficiency or oxidative stress susceptibility of cells that are susceptible to oxidative injury (26). In the present study, we established an in vitro model of H2O2-induced oxidative injury in PC12 cells. It was observed that H2O2 promoted PC12 cell apoptosis, increased intracellular ROS levels, reduced ∆ψm, decreased mitochondrial Cyt C levels and Bcl-2 levels, and elevated Bax and cleaved-caspase-3 levels. These findings were in agreement with previous reports (27,28).

The degeneration of neurons in the brain or spinal cord is associated with neurodegenerative disease (29). In the present study, the effect of allicin on cell viability in the present of H2O2 was firstly investigated. It was demonstrated that allicin attenuated the inhibitory effect of H2O2 on cell proliferation in a dose-dependent manner. Apoptosis is a process of programmed cell death that is regulated by the extrinsic pathway and the intrinsic pathway (30). It has been reported that allicin suppressed the apoptosis of rat H9c2 cells and HUVECs induced by H2O2 (18,31). In the present study, the results of Annexin V-FITC/PI assay showed that H2O2 markedly promoted PC12 cell apoptosis, which was inhibited by allicin pretreatment in a dose-dependent manner. These findings indicate that allicin protected H2O2-treated PC12 cells by increasing cell viability and inhibiting cell apoptosis.

ROS functions in multiple intracellular signaling pathways as a secondary messenger and serves as a mediator in inflammation and oxidative injury (2). Mitochondria are the major ROS-producing organelle and the target of ROS (32). Apoptosis signals initially lead to the enhancement of mitochondrial permeability and the loss of ∆ψm. Cyt C is then translocated into the cytosol and caspase-3/9 is activated to induce cell apoptosis (33,34). The depolarization of ∆ψm, mitochondria swelling, the increase of malondialdehyde and ROS, and the decrease of superoxide dismutase are the characteristics of mitochondrial dysfunction (35). Zhu et al have demonstrated that allicin provides protection against spinal cord ischemia/reperfusion injury in rabbits through enhancing antioxidant enzyme activities and improving mitochondrial function (36). Furthermore, allicin alleviated H2O2-induced cytotoxicity in retinal pigmented epithelial cells by reducing ROS and oxidative stress (37). The current study results consistently demonstrated that allicin ameliorated H2O2-induced ROS generation and the collapse of ∆ψm in rat pheochromocytoma PC12 cells. The results indicate that allicin protected against H2O2-induced apoptosis by inhibiting the dysfunction of mitochondria.

The expression of Bcl-2 family members, Bcl-2 (an anti-apoptotic protein) and Bax (a pro-apoptotic protein), are known to be associated with the apoptotic process. In addition, the imbalance between Bcl-2 and Bax results in the release of Cyt C from the mitochondria, which in turn activates the downstream caspases (38,39). Caspases include various cysteine proteases that are responsible for cell apoptosis in eukaryotes (40). Caspase-3, also known as a molecular switch, belongs to the cysteine protease family and degrades downstream substrates during apoptosis (41). The results of the present study demonstrated that allicin reversed the effect of H2O2 on the expression of Bcl-2, Bax, cleaved-caspase-3 and mitochondrial Cyt C in PC12 cells (18), suggesting the involvement of the mitochondrial pathway in the neuroprotection of PC12 cells.

In conclusion, allicin protected PC12 cells against H2O2-induced oxidative injury via the mitochondrial pathway. The present study provides evidence for the clinical application of allicin as a candidate anti-oxidative drug for neuroprotection.

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Cytotoxicity of various concentrations of allicin (0, 0.01, 0.1, 1, 10, 100 or 1,000 µg/ml) in PC12 cells incubated for 24 h. Cell viability was examined by MTT assay. *P<0.05 and **P<0.01 vs. the control group.

Effect of allicin on cell viability. PC12 cells were pretreated with L-allicin (0.01 µg/ml), M-allicin (0.1 µg/ml) and H-allicin (1 µg/ml) for 24 h and then exposed to H2O2 for 2 h. MTT assay was conducted to determine the cell viability. **P<0.01 vs. the control group; ##P<0.01 vs. the H2O2 group.

Effect of allicin on cell apoptosis. Following treatment with allicin and H2O2, cell apoptosis was analyzed by Annexin V-FITC/propidium iodide staining. Flow cytometry findings of (A) control, (B) H2O2, (C) H2O2+L-allicin, (D) H2O2+M-allicin and (E) H2O2+H-allicin are presented. (F) Quantified results of apoptosis rate. **P<0.01 vs. the control group; #P<0.05 and ##P<0.01 vs. the H2O2 group. L-allicin, 0.01 µg/ml; M-allicin, 0.1 µg/ml; H-allicin, 1 µg/ml.

Effect of allicin on H2O2-induced ROS generation. PC12 cells were pretreated with allicin for 24 h, followed by exposure to H2O2 for 2 h. The ROS levels were measured using DCFH-DA and flow cytometry. Flow cytometry findings of (A) control, (B) H2O2, (C) H2O2+L-allicin, (D) H2O2+M-allicin and (E) H2O2+H-allicin are presented. (F) Quantified results of ROS generation. **P<0.01 vs. the control group; #P<0.05 and ##P<0.01 vs. the H2O2 group. L-allicin, 0.01 µg/ml; M-allicin, 0.1 µg/ml; H-allicin, 1 µg/ml; ROS, reactive oxygen species.

Effect of allicin on ∆ψm. After 24-h incubation in 6-well plate, the cells were subjected to H2O2 and allicin treatment. The ∆ψm of PC12 cells was analyzed by flow cytometry. Flow cytometry findings of (A) control, (B) H2O2, (C) H2O2+L-allicin, (D) H2O2+M-allicin, and (E) H2O2+H-allicin are presented. (F) Quantified results of ∆ψm. **P<0.01 vs. the control group; ##P<0.01 vs. the H2O2 group. L-allicin, 0.01 µg/ml; M-allicin, 0.1 µg/ml; H-allicin, 1 µg/ml; ∆ψm, mitochondrial transmembrane potential.

Effect of allicin on the expression of various mitochondrial pathway regulators. Subsequent to treatment, total proteins and mitochondrial proteins were extracted from the PC12 cells. The levels of Bax, Bcl-2, cleaved-caspase-3 and Cyt C in the mitochondria were quantified by western blot analysis. β-actin and COX IV served as the internal controls for total proteins and mitochondrial proteins, respectively. **P<0.01 vs. the control group; #P<0.05 and ##P<0.01 vs. the H2O2 group. L-allicin, 0.01 µg/ml; M-allicin, 0.1 µg/ml; H-allicin, 1 µg/ml; Cyt C, cytochrome c.