Molecular Medicine Reports Molecular Medicine Reports 1791-2997 1791-3004 D.A. Spandidos 10.3892/mmr.2019.10148 mmr-19-06-4890 Articles Sulforaphane prevents PC12 cells from oxidative damage via the Nrf2 pathway BaoBing ZhangMan-Qing ChenZhi-Ying WuXiang-Bing XiaZhong-Bing ChaiJing-Yan YinXiao-Ping Department of Neurology, The Affiliated Hospital of Jiujiang College, Jiujiang, Jiangxi 33200, P.R. China Correspondence to: Dr Xiao-Ping Yin, Department of Neurology, The Affiliated Hospital of Jiujiang College, 57 East Xunyang Road, Jiujiang, Jiangxi 33200, P.R. China, E-mail: xiaopingbuxiao@126.com 062019 10042019 19 6 4890 4896 07122018 03042019 Copyright: © Bao et al. 2019 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.

The aim of this study was to investigate the protective effect of sulforaphane (SFN) on 1-methyl-4-phenyl pyridine ion (MPP+)-induced cytotoxicity and to investigate its possible mechanisms. Methods: PC12 cell toxicity induced by MPP+ served as a cell model of Parkinson's diseases. The cell culture + experiments were divided into four groups based on the different treatments, namely, vehicle control, SFN, MPP+ and SFN pretreatment plus MPP+. Cell viability and apoptosis were examined by MTT assay and flow cytometry, respectively. Expressions of nuclear factor erythroid 2-related factor 2 (Nrf2), heme oxygenase 1 (HO-1) and nicotinamide quinone oxidoreductase 1 (NQO1) were detected using western blotting. Results: MPP+ reduced the survival rate of PC12 cells in a dose- and time-dependent manner. After 24-h treatment with 500 µmol/l MPP+, the survival rate of PC12 cells decreased to 58.2±0.03% of that in the control groups. Under the same conditions MPP+ resulted in significant apoptosis of PC12 cells (apoptosis rate: 30.4±0.6%). However, SFN pretreatment significantly attenuated the cell damage induced by MPP+. Furthermore, it was demonstrated that SFN reversed the reduction of Nrf2, HO-1 and NQO1 expression induced by MPP+. Conclusion: SFN may protect PC12 cells from MPP+-induced damage via activating the Nrf2-ARE (antioxidant responsive element) pathway.

 sulforaphane PC12 cells nuclear factor erythroid 2-related factor 2 1-methyl-4-phenyl pyridine ion oxidative stress Parkinson's disease Introduction

Parkinson's disease (PD) is a long-term degenerative disorder of the central nervous system. It is characterized by a progressive loss of dopaminergic neurons in the substantia nigra. PD affects ~6 million people worldwide and its prevalence is 1% in the population aged 60 or over (1). To date, studies demonstrated that PD may involve oxidative stress, mitochondrial dysfunction, lysosomal dysfunction and neuroinflammatory changes (1,2). Among them, oxidative stress serves a pivotal role in PD development (3–5). Neurotoxin-based models of PD (particularly, 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine; MPTP) are important in elucidating the molecular cascade of cell death in dopaminergic neurons (1). MPTP itself is not toxic, but its oxidized product, 1-methyl-4-phenyl pyridine ion (MPP+), is harmful. MPP+ interferes with oxidative phosphorylation in mitochondria by inhibiting complex I of the electron transport chain, resulting in the depletion of ATP and excessive formation of reactive oxygen species (ROS), ultimately leading to cell death (6). PC12 cells originate from a rat pheochromocytoma and exhibit the properties of neurosecretory cells and dopaminergic neurons (7). PC12 cells are commonly used for PD studies (8,9). In this study, PC12 cell damage induced by MPP+ served as a cell model of PD.

At present, PD treatments are symptomatic and no medication is available to reverse or prevent its progression. This has led to the search for a novel pharmacological and neuroprotective treatment. SFN, a natural phytochemical and a second enzyme inducer, has previously drawn increasing attention due to its beneficial effects on a number of medical conditions (10). Studies demonstrated that SFN has multiple anti-pathological actions including antitumor (11,12), antioxidant (13), immune regulation (14) and anti-inflammatory effects (15). A number of mechanisms and signal pathways are associated with the biological effects of SFN. Among them, Nrf2 is one of the critical signal molecules (16,17). As an important transcription factor, Nrf2 targets genes called antioxidant response element, which encodes several antioxidant enzymes including (HO-1) and nicotinamide quinone oxidoreductase 1 (NQO1). These enzymes are key players in the redox balance of cells and provide cytoprotection against prooxidant stimuli (18–22). In the present study, whether SFN protects PC12 cells against the toxicity of MPP+ was investigated and the possible mechanism was explored. The present study may provide evidence that SFN could be a potential compound to prevent PD progression.

 Materials and methods <sec> <title>Cell culture

PC12 cells (undifferentiated) were purchased from the Shanghai Cell Bank of Chinese Academy of Sciences and were cultured in DMEM high glucose medium (Hyclone, GE Healthcare) supplemented with 10% fetal bovine serum (Gibco; Thermo Fisher Scientific, Inc.), 1% penicillin-streptomycin mixture and 4 mmol/l L-glutamine. The culture was placed in a humidified incubator with 5% CO2 and 95% air at 37°C. The cells were subcultured every 3 days and cells at a logarithmic growth phase were used for the experiments.

 MTT colorimetric assay

The density of PC12 cells was adjusted to 5×105 cells/ml and the cells (100 µl/well) were seeded on a 96-well microplate. Following a total of 24 h of growth in a humidified incubator, the different compounds were added into the cultures. A total of 5 parallel wells were used for a specific treatment and the experiments were independently repeated three times. For the MPP+ group, the cells were treated with serial concentrations of MPP+ (100, 300, 500 and 700 µmol/l) and incubated for different periods of time (12, 24 and 48 h) (23). For the SFN group, the cells were incubated with SFN (0.5, 1.0, 2.5, 5.0 and 10 µmol/l) for 24 h. For the SFN plus MPP+ group, the cells were pretreated with different concentrations of SFN (0.5, 1.0, 2.5, 5.0 and 10 µmol/l) for 1 h, then MPP+ (500 µmol/l) was added and the cultures were continued for 24 h. Following the different treatments, cell viability was determined by MTT colorimetric assay as described previously (24). Briefly, 20 µl of MTT solution (5 mg/ml) was added into each well and incubated with the cells for 4 h at 37°C. Subsequently the medium was carefully replaced with 150 µl DMSO and a 10 min oscillation was applied to sufficiently dissolve the crystal. The absorbance value at 570 nm was measured with a microplate reader. The cell survival rate was calculated as the ratio of absorbance of the experimental groups to that of the control group.

 Flow cytometry analyses

Flow cytometry analyses were performed as described previously (25). In short, following the different treatments, PC12 cells were harvested and re-suspended in a 500 µl binding buffer. The cells were labeled with 5 µl Annexin V-FITC (Nanjing KeyGen Biotech. Co. Ltd.) and 5 µl of propidium iodide for 10 min in the dark. The apoptotic index was determined using a flow cytometer (BD Biosciences). All data were acquired and analyzed with Cellquest version 5.1 software (BD Biosciences).

 Western blotting

Protein expression was assessed by western blotting according to the authors' previous study (26). In brief, the cell pellets were lysed in a RIPA lysis buffer (cat. no. R0020; Beijing Solarbio Science & Technology Co., Ltd.) supplemented with proteinase and phosphatase inhibitor (Sigma-Aldrich; Merck KGaA). After centrifugation at 16,000 × g at 4°C for 15 min, the supernatant was harvested and the protein was quantified using the bicinchoninic acid protein assay (Merck KGaA). Equal amounts of protein (30–40 µg per well) were loaded on 12% SDS-PAGE and transferred to polyvinylidene fluoride membranes (EMD Millipore). The membrane was blocked with a 5% nonfat milk solution for 2 h at room temperature. Then the membrane was incubated with the primary antibodies overnight at 4°C (Santa Cruz Biotechnology, Inc.) against Nrf2 (1:100, sc-518036), HO-1 (1:100, sc-136960) and NQO1 (1:200, sc-376023), respectively. Following incubation with the secondary antibody (1:1,000, goat anti-mouse IgG-HRP, sc-2005, Santa Cruz Biotechnology, Inc.) for 2 h at room temperature, the blot bands were detected with ECL substrate (Clarity Max™, Bio-Rad Laboratories, Inc.). β-actin (1:500, sc-47778, Santa Cruz Biotechnology, Inc) was used as an internal control. The western blot images were analyzed with ImageJ software (v1.52, National Institutes of Health), and protein levels were expressed as the ratio of values of the detected protein bands to that of β-actin bands.

 Chemicals

SFN and MPP+ were purchased from Sigma-Aldrich and Merck KGaA.

 Statistical analysis

The data are presented as the mean ± standard error of mean and GraphPad Prism 7.0 (GraphPad Software, Inc.) was used to perform the statistical analysis. One-way or two-way analysis of variance was conducted to examine the differences among the multiple groups, followed by Turkey post-hoc analysis. P<0.05 were considered to indicate a statistically significant difference.

 Results <sec> <title>MPP+ reduces the survival rate of PC12 cells

In order to evaluate the toxic effects of MPP+ on PC12 cells, the cells were incubated with different concentrations of MPP+ and examined the cell viability at different time points. It was identified that MPP+ decreased the cell viability in a dose- and time-dependent manner (Fig. 1). The results of the present study are in line with previous studies that MPP+ caused significant damage to PC12 cells (27,28).

 SFN protects against the cytotoxicity induced by MPP+

Next whether SFN could protect PC12 cells against the cytotoxicity of the MPP+ was examined. As presented in Figs. 2A and 3, SFN alone did not affect the viability or apoptosis of PC12 cells. However, SFN (1–10 µmol/l) pretreatment significantly attenuated the toxic effects of MPP+ on PC12 cells in a dose-dependent fashion (P<0.01; Fig. 2B).

Consistent with the MTT experiments, flow cytometry data demonstrated that MPP+ significantly increased apoptosis of PC12 cells. After 24 h treatment, 500 µmol/l MPP+ resulted in 30.4±0.6% apoptotic cells (Fig. 3). In addition, it was found that SFN significantly reduced the apoptosis of PC12 cells induced by MPP+ (P<0.01; Fig. 3). At a concentration of 2.5 µmol/l, SFN decreased the apoptosis rate induced by MPP+ from 30.4±0.6 to 13.3±0.2% (Fig. 3). The results demonstrate that SFN can protect against MPP+ induced cytotoxicity.

 SFN upregulates the Nrf2 signaling pathway

To investigate the signaling pathways involved in the protective effect of SFN, the expression of Nrf2, which is reported to be pivotal for the biological effects of SFN was examined (29). As presented in Fig. 4, MPP+ treatment significantly decreased Nrf2 expression in PC12 cells by western blotting (P<0.01). Although SFN itself did not alter the expression of Nrf2, SFN pretreatment (2.5 µmol/l) significantly reversed the reduced expression of Nrf2 caused by MPP+ treatment. Nrf2 is an important transcription factor and can regulate the expression of several antioxidant proteins including HO-1 and NQO1 (30). Therefore the expression of HO-1 and NQO1 was examined. Notably, the expression of HO-1 and NQO1 proteins exhibited a parallel change (Figs. 5 and 6), namely, MPP+ significantly reduced the expression of HO-1 and NQO1 (P<0.05), while SFN restores their expression. It is well documented that the Nrf2 signaling pathway serves an important role in neuron survival (30), the results of the present study suggest that SFN may attenuate the cell toxicity by sustaining the expression of Nrf2 and its downstream antioxidant enzymes.

 Discussion

In the present study, using an MTT assay and flow cytometry, it was demonstrated that MPP+ dose-dependently caused damage to PC12 cells and SFN attenuated the detrimental effects of MPP+. Furthermore, it was identified that that the protective effects of SFN may act through restoring transcription factor Nrf2 signaling pathways.

Oxidative stress occurs due to an imbalance of free radical production and the antioxidant response system. The central nervous system is susceptible to oxidative stress because of its high rate of oxygen consumption and lipid-rich content (31). It is well established that oxidative stress is involved in a number neurodegenerative disorders including PD and Alzheimer disease (3). It has been long recognized that MPTP, a by-product of illegal heroin synthesis, can cause a parkinsonian syndrome among drug abusers (1). The nontoxic MPTP is converted to MPP+ by the enzyme of monoamine oxidase B. MPP+ accumulates in mitochondria and binds to complex I of the electron transport chain, leading to excessive production of ROS and therefore cell damage (1,19,23,27,32). In the present study, it was demonstrated that MPP+ caused PC12 cell injury and apoptosis using an MTT assay and flow cytometry. The results agree with the previous studies (32–34). For example, Hartley et al (32) demonstrated that MPP+ caused cell apoptosis at low concentrations but necrosis at high concentrations. It is worth noting that treatment with 500 µmol/l MPP+ for 24 h caused ~42% cell death by MTT assay, while under the same condition an apoptotic rate of ~30% was identified using flow cytometry. It seemed that there was a 12% difference in cell death between the two methods. Since the MTT assay can detect all kinds of cell death which include necrosis and apoptosis, the results of the present study suggest that the cell death induced by MPP+ was dominantly via apoptosis, but other mechanisms including necrosis may also contribute to cell death.

Notably, SFN was identified to dose-dependently prevent the cell damage induced by MPP+, although SFN itself did not affect the viability of PC12 cells. However, several studies demonstrated that SFN alone can induce apoptosis of breast and lung cancer cells (35–37), indicating that SFN may affect cell viability depending upon the cell types. SFN, an organosulfur compound derived from cruciferous vegetables, has recently gained attention for its multiple biological functions. Studies have demonstrated that SFN may be beneficial to a wide variety of diseases, including neurological degenerative disease (38,39), cancer (40–42), heart disease (43), obesity (44) and asthma (45). SFN efficacy occurs by activating signaling molecules including Nrf2 (16,17,46–49), uncoupling protein-1 (44) and programmed cell death 4 (50). Among all the SFN associated signaling pathways, Nrf2 is well-established and is identified to be associated with the protective effects of SFN on various diseases (16,17). The Nrf2-antioxidant response element (ARE) pathway serves a critical role in the regulation of the oxidative stress response in a number of cell types (51). When Nrf2 is activated, it enters the nucleus and binds to a specific site, ARE, to activate an array of the phase II enzymes and antioxidant enzymes including HO-1 and NQO1. These enzymes help to maintain intracellular redox balance and therefore protect cells from oxidative stress damage (18–22). The present study identified that SFN protected PC12 cells against the cytotoxicity of MPP+ and at the same time also restored the expression of Nrf2, HO-1 and NQO1 that was decreased by MPP+. Considering that these molecular signals are well-established cell protectors (21,22), the present study hypothesized that activation of Nrf2,-HO-1 and NQO1 may account for the protective effects of SFN. The present study only examined HO-1 and NQO1 expression. However, the Nrf2/ARE pathway can induce the expression of a wide variety of downstream phase II detoxifying and antioxidant enzymes. In addition, HO-1 and NQO1, a number of other enzymes may also be activated, including GST, superoxide dismutase 3 and glucuronosyltransferase-1a6 (52). Further studies are required to elucidate the entire pathway for SFN protection.

Studies have demonstrated that SFN can regulate certain neurotransmitters and their receptors (53,54). For example, Mastrangelo et al (53) identified that SFN inhibited the secretion of serotonin and downregulated the expression of its receptors in human colorectal adenocarcinoma cells. While Lee et al (54) demonstrated that SFN increased acetylcholine production and its receptor expression in primary cortical neurons. Progressive degeneration of dopaminergic neurons in the substantia nigra is the main mechanism of PD. However, reductions in dopamine content and uptake indices have also been documented in PD (55,56). The present study demonstrated that SFN prevented PC12 cell death induced by MPP+. In addition, it would be also interesting to determine whether SFN affects dopamine production or the expression of its receptors/transporters in dopaminergic neurons.

It should be noted that one limitation of the present study is that ROS production was not measured during the treatments with different compounds. Although several studies have demonstrated that ROS is a critical mediator in the MPP+-induced cell injury, the evaluation of ROS productions in this study would more definitively elucidate the interrelation between the Nrf2/ARE pathway and ROS.

In conclusion, SFN, a naturally occurring compound, protected PC12 cells from MPP+-induced damage and the protective effects are in part due to the activation of the Nrf2-ARE signaling pathway. The results imply that certain plant-derived supplements including SFN can assist in modifying various biochemical and physiological risk factors in neurodegenerative diseases like PD, particularly environmentally induced symptoms of PD. Further studies are needed to examine the efficacy of SFN on animal models and ultimately in patients with neurological diseases including PD.

 Acknowledgements

The authors sincerely thank Dr Meiling Joiner, Department of Physiology the University of Iowa, for her diligent proofreading of the manuscript.

 Funding

The present study was supported by the National Natural Science Foundation of China (awarded to XPY and ZYC; grant nos. 81760221 and 81260211), National Science & Technology Fundational Resource Investigation Program of China (awarded to XPY; grant no. 2018FY100900) and Youth Project of Education Department of Jiangxi Province (awarded to BB; grant no. 151007).

 Availability of data and materials

All data generated or analyzed during this study are included in this published article.

 Authors' contributions

BB, MQZ and XPY conceived and planned the experiments. BB, MQZ, ZYC, XBW, ZBX and JYC performed the experiments. BB, MQZ, ZYC, XBW, ZBX, JYC and XPY interpreted and analyzed the data. BB and XPY wrote the manuscript.

 Ethics approval and consent to participate

Not applicable.

 Patient consent for publication

Not applicable.

 Competing interests

The authors declare that they have no competing interests.

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Effects of increasing concentrations of MPP+ on the viability of PC12 cells. MPP+, 1-methyl-4-phenyl pyridine ion.

Effects of SFN or combination of SFN and MPP+ on the viability of PC12 cells. (A) Cell viability in the presence of increasing concentrations of SFN. (B) Cell viability with combination of 500 µmol/l MPP+ and increasing concentration of SFN. **P<0.01 vs. 0 µmol/l SFN. A one-way analysis of variance was used to analyze the data. SFN, sulforaphane; MPP+, 1-methyl-4-phenyl pyridine ion.

Apoptosis rate of PC12 cells is determined by flow cytometry using the annexin V-FITC/PI apoptosis assay following different treatments. (A) Representative scatter plots demonstrating apoptosis by Annexin V-FITC and PI staining and flow cytometry. UL, dead cells; UR, late apoptotic cells; LL, viable cells; LR, early apoptotic cells. (B) Summary data for apoptosis rate of PC12 cells treated with SFN, MPP+, or SFN and MPP+ together. **P<0.01 vs. the control group. One-way analysis of variance was used to analyze the data. SFN, sulforaphane; MPP+, 1-methyl-4-phenyl pyridine ion; PI, propidium iodide; FITC, fluorescein isothiocyanate.

Nrf2 expression in PC12 cells was determined by western blot assay. (A) Representative bands of Nrf2 in PC12 cells treated with SFN, MPP+, or SFN and MPP+ together. (B) Normalized Nrf2 expression in PC12 cells. **P<0.01 vs. the control group; &&P<0.01 vs. the SFN; ##P<0.01 vs. the SFN+MPP+ group. One-way analysis of variance was used to analyze the data. SFN, sulforaphane; MPP+, 1-methyl-4-phenyl pyridine ion; Nrf2, nuclear factor erythroid 2-related factor 2.

HO-1 expression in the PC12 cells determined by western blot assay. (A) Representative bands of HO-1 in PC12 cells treated with SFN, MPP+, or SFN and MPP+ together. (B) Normalized HO-1 expression in PC12 cells. *P<0.05 vs. the control group; **P<0.01 vs. the control group; &&P<0.01 vs. SFN; ##P<0.01 vs. SFN+MPP+ group. One-way analysis of variance was used to analyze the data. SFN, sulforaphane; MPP+, 1-methyl-4-phenyl pyridine ion; HO-1, heme oxygenase 1.

NQO1 expression in the PC12 cells determined by western blot assay. (A) Representative bands of NQO1 in PC12 cells treated with SFN, MPP+, or SFN and MPP+. (B) Normalized NQO1 expression in PC12 cells. *P<0.05 vs. the control group; **P<0.01 vs. the control group; &&P<0.01 vs. SFN; #P<0.05 vs. SFN+MPP+ group. One-way analysis of variance was used to analyze the data. SFN, sulforaphane; MPP+, 1-methyl-4-phenyl pyridine ion; NQO1, nicotinamide quinone oxidoreductase 1.