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<?release-delay 0|0?>
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">OL</journal-id>
<journal-title-group>
<journal-title>Oncology Letters</journal-title>
</journal-title-group>
<issn pub-type="ppub">1792-1074</issn>
<issn pub-type="epub">1792-1082</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ol.2016.4849</article-id>
<article-id pub-id-type="publisher-id">OL-0-0-4849</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Daphnetin protects oxidative stress-induced neuronal apoptosis via regulation of MAPK signaling and HSP70 expression</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Qi</surname><given-names>Zhilin</given-names></name>
<xref rid="af1-ol-0-0-4849" ref-type="aff">1</xref>
<xref rid="c1-ol-0-0-4849" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Qi</surname><given-names>Shimei</given-names></name>
<xref rid="af1-ol-0-0-4849" ref-type="aff">1</xref>
<xref rid="c1-ol-0-0-4849" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Gui</surname><given-names>Lin</given-names></name>
<xref rid="af2-ol-0-0-4849" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Shen</surname><given-names>Lei</given-names></name>
<xref rid="af3-ol-0-0-4849" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Feng</surname><given-names>Zunyong</given-names></name>
<xref rid="af4-ol-0-0-4849" ref-type="aff">4</xref></contrib>
</contrib-group>
<aff id="af1-ol-0-0-4849"><label>1</label>Department of Biochemistry, Wannan Medical College, Wuhu, Anhui 241002, P.R. China</aff>
<aff id="af2-ol-0-0-4849"><label>2</label>Department of Microbiology and Immunology, Wannan Medical College, Wuhu, Anhui 241002, P.R. China</aff>
<aff id="af3-ol-0-0-4849"><label>3</label>Jiangsu Key Laboratory for Molecular and Medical Biotechnology, College of Life Science, Nanjing Normal University, Nanjing, Jiangsu 210046, P.R. China</aff>
<aff id="af4-ol-0-0-4849"><label>4</label>Anhui Province Key Laboratory of Active Biological Macromolecules, Wannan Medical College, Wuhu, Anhui 241002, P.R. China</aff>
<author-notes>
<corresp id="c1-ol-0-0-4849"><italic>Correspondence to</italic>: Dr Zhilin Qi or Dr Shimei Qi, Department of Biochemistry, Wannan Medical College, 22 Wenchang West Road, Wuhu, Anhui 241002, P.R. China, E-mail: <email>422627721@qq.com</email>, E-mail: <email>juliaqi@163.com</email></corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>09</month>
<year>2016</year></pub-date>
<pub-date pub-type="epub">
<day>12</day>
<month>07</month>
<year>2016</year></pub-date>
<volume>12</volume>
<issue>3</issue>
<fpage>1959</fpage>
<lpage>1964</lpage>
<history>
<date date-type="received"><day>07</day><month>05</month><year>2015</year></date>
<date date-type="accepted"><day>16</day><month>06</month><year>2016</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2016, Spandidos Publications</copyright-statement>
<copyright-year>2016</copyright-year>
</permissions>
<abstract>
<p>Neurodegenerative disorders are characterized by progressive degeneration and loss of neurons in the brain. Oxidative stress is implicated in the pathogenesis of neurological disorders, although the pathological mechanism remains unelucidated. Daphnetin, an active ingredient extracted from <italic>Changbai daphne</italic> (Daphne Korean Nakai), exhibits various pharmacological effects, including anti-inflammatory, anti-oxidative and anti-tumor effects. However, the neuroprotective effects, as well as the specific mechanisms of daphnetin, remain unclear. Neuronal-like rat pheochromocytoma PC12 cells were pretreated with daphnetin for 2 h, then treated with or without H<sub>2</sub>O<sub>2</sub> for various times. Cell morphology was detected using an inverted microscope, the apoptotic ratio was determined by Annexin V fluorescein isothiocyanate/propidium iodide assay, nuclear morphology was observed and photographed using a fluorescence microscope following 4&#x2032;,6-diamidino-2-phenylindole staining. The levels of pro-caspase 3, cleavage of poly ADP-ribose polymerase and caspase 3 were detected by western blotting. In addition, the activation of mitogen-activated protein kinase (MAPK) signal pathway and the expression of HSP70 were detected by western blotting. The present study demonstrated that daphnetin attenuated hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>)-induced apoptosis in a concentration-dependent manner, reduced the cleavage of poly ADP ribose polymerase and caspase 3, and inhibited the phosphorylation of p38 MAPK and c-Jun N-terminal kinases (JNK) in H<sub>2</sub>O<sub>2</sub>-induced PC12 cells. In addition, daphnetin induced the expression of HSP70 in a dose- and time-dependent manner, and daphnetin-induced HSP70 expression was reduced by extracellular signal-regulated kinase (ERK) 1/2 inhibitor U0126 in PC12 cells. Therefore, the present results indicate that daphnetin protects PC12 cells against oxidative stress injury by regulating p38 MAPK and JNK signaling and increasing the expression of HSP70 via ERK signaling. This suggests that daphnetin may have the potential to treat certain neurodegenerative diseases. The present results not only provide insight into the potential use of daphnetin in H<sub>2</sub>O<sub>2</sub>-induced PC12 cell apoptosis, but also highlight the potential role of HSP70 in neuroprotection.</p>
</abstract>
<kwd-group>
<kwd>daphnetin</kwd>
<kwd>oxidative stress</kwd>
<kwd>apoptosis</kwd>
<kwd>MAPK</kwd>
<kwd>HSP70</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Oxidative stress is associated with the pathogenesis of neurological disorders, including dysautonomia, Alzheimer&#x0027;s disease and Parkinson&#x0027;s disease (<xref rid="b1-ol-0-0-4849" ref-type="bibr">1</xref>,<xref rid="b2-ol-0-0-4849" ref-type="bibr">2</xref>). Hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>), which is one of the major reactive oxygen species, is considered as a major cause of neuronal cell death (<xref rid="b3-ol-0-0-4849" ref-type="bibr">3</xref>). Therefore, pharmacological approaches for intervening in oxidative stress may be potential therapeutic strategies for neurodegenerative disorders (<xref rid="b4-ol-0-0-4849" ref-type="bibr">4</xref>).</p>
<p>Natural antioxidants with neuroprotective potential are being considered as a promising approach to prevent or slow the effects of neurological illness, due to their low toxicity and absence of clear side effects. It has been reported that numerous natural antioxidants, including resveratrol, celastrol and salidroside, may protect neurons from oxidative stress injury (<xref rid="b5-ol-0-0-4849" ref-type="bibr">5</xref>&#x2013;<xref rid="b7-ol-0-0-4849" ref-type="bibr">7</xref>).</p>
<p>Daphnetin (7,8-dihydroxycoumarin), an active ingredient extracted from <italic>Changbai daphne</italic> (Daphne Korean Nakai), exhibits various pharmacological effects, including anti-inflammatory, anti-oxidative and anti-tumor effects (<xref rid="b8-ol-0-0-4849" ref-type="bibr">8</xref>,<xref rid="b9-ol-0-0-4849" ref-type="bibr">9</xref>). However, whether daphnetin exerts neuroprotection against H<sub>2</sub>O<sub>2</sub>-induced neuronal-like rat pheochromocytoma PC12 cell apoptosis, and the mechanisms responsible for this effect, remains unclear.</p>
<p>Inducible heat shock protein (HSP) 70, a member of the HSP superfamily, is an important protective protein induced by various stimuli that prevents cell apoptosis (<xref rid="b10-ol-0-0-4849" ref-type="bibr">10</xref>,<xref rid="b11-ol-0-0-4849" ref-type="bibr">11</xref>). A previous study has suggested that HSP70 is protective in neurodegenerative diseases, including Parkinson&#x0027;s disease, through its chaperone and direct antiapoptotic role (<xref rid="b11-ol-0-0-4849" ref-type="bibr">11</xref>). It has also been reported that natural antioxidants, including celastrol, protect nerve cell damage by inducing the expression of HSP70 (<xref rid="b12-ol-0-0-4849" ref-type="bibr">12</xref>).</p>
<p>The present study investigated the activity of daphnetin in neuronal apoptosis and the underlying mechanisms of this effect. The present study demonstrated that daphnetin dose-dependently attenuated H<sub>2</sub>O<sub>2</sub>-induced PC12 cell apoptosis via suppression of p38 and c-Jun N-terminal kinases (JNK) phosphorylation. In addition, the present study revealed that HSP70 expression was elevated in daphnetin-treated PC12 cells, and HSP70 expression was regulated by extracellular signal-regulated kinase (ERK) signaling. Overall, the present study concluded that daphnetin attenuates p38 and JNK activation and upregulates HSP70 expression in H<sub>2</sub>O<sub>2</sub>-treated PC12 cells. These two mechanisms reduce H<sub>2</sub>O<sub>2</sub>-induced PC12 apoptosis, and are protective in oxidative stress-induced neuronal injury.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Antibodies and reagents</title>
<p>Daphnetin (purity &#x003E;98&#x0025;) was obtained from Sigma-Aldrich (St. Louis, MO, USA), and the ERK inhibitor U0126 was purchased from Cell Signaling Technology, Inc. (Danvers, MA, USA). H<sub>2</sub>O<sub>2</sub> (30&#x0025;) was purchased from Beyotime Institute of Biotechnology (Shanghai, China). Rabbit monoclonal antibodies against &#x03B2;-actin (catalog no., 4970S), Akt, phospho (p)-Akt (Ser 473; catalog no., 9272S), p38 mitogen-activated protein kinase (MAPK; catalog no., 8690S), p-p38 MAPK (Thr180/Tyr182; catalog no., 4511S), ERK (catalog no., 4695S), p-ERK (Thr202/Tyr204; catalog no., 4376S), JNK/stress-activated protein kinase (SAPK; catalog no., 9258S), p-JNK/SAPK (Thr183/Tyr185; catalog no., 4668S), poly ADP-ribose polymerase (PARP; catalog no., 9532S), cleaved-caspase 3 (catalog no., 9664S; 1:500), pro-caspase 3 (catalog no., 9665S) and HSP70 (catalog no., 4872S) were all purchased from Cell Signaling Technology, Inc and used at 1:1,000 dilution, unless otherwise specified. Rabbit polyclonal antibody against glyceraldehyde 3-phosphate dehydrogenase (catalog no., AP0063; 1:1,000) was purchased from Bioworld Technology, Inc. (St. Louis Park, MN, USA). Secondary antibodies coupled to IRDye800 fluorophore (catalog no., 926-32211; dilution, 1:5,000) for use with the Odyssey<sup>&#x00AE;</sup> Infrared Imaging System (LI-COR Biosciences, Lincoln, NE, USA) were purchased from LI-COR Biosciences.</p>
</sec>
<sec>
<title>Cell culture</title>
<p>Rat pheochromocytoma PC12 cells were obtained from the American Type Culture Collection (Manassas, VA, USA) and cultured in Dulbecco&#x0027;s modified Eagle&#x0027;s medium (Invitrogen&#x2122;; Thermo Fisher, Scientific, Inc., Waltham, MA, USA) supplemented with 10&#x0025; (v/v) heat-inactivated horse serum, 5&#x0025; fetal bovine serum and 1&#x0025; antibiotics (100 U/ml penicillin and 100 &#x00B5;g/ml streptomycin) (Hyclone&#x2122;; GE Healthcare Life Sciences, Logan, UT, USA) at 37&#x00B0;C in 5&#x0025; CO<sub>2</sub>/95&#x0025; air humidified atmosphere. Culture medium was changed every 2&#x2013;3 days.</p>
</sec>
<sec>
<title>Cell viability assay</title>
<p>Cell viability was detected using Cell Counting Kit-8 (CCK-8; KeyGen Biotech Corp., Ltd., Nanjing, China). Briefly, PC12 cells were plated onto 96-well plates at a density of 2&#x00D7;10<sup>4</sup> cells per well 24 h prior to treatment. Cells were treated with various concentrations of daphnetin (0, 2.5, 5.0, 10.0 and 20.0 &#x00B5;M) for 2 h, then stimulated with H<sub>2</sub>O<sub>2</sub> (200 &#x00B5;&#x039C;) for 24 h, followed by incubation with 10 &#x00B5;l CCK-8 working solution at 37&#x0025; for 4 h. The absorbance of each well at 450 nm was measured using a Multiskan&#x2122; GO Microplate Spectrophotometer (Thermo Fisher Scientific, Inc.). Three repeats were performed for each of the different treatments.</p>
</sec>
<sec>
<title>Annexin V-fluorescein isothiocyanate (FITC)/propidium iodide (PI) assay</title>
<p>The apoptotic ratio was analyzed using Annexin-V/PI Double Staining Assay (KeyGen Biotech Corp., Ltd.), according to the manufacturer&#x0027;s protocol. Briefly, the cells were washed, trypsinized and resuspended with 500 &#x00B5;l binding buffer, then stained with Annexin V-FITC (5 &#x00B5;l) and PI (5 &#x00B5;l). The stained cells were visualized directly using a Guava EasyCyte&#x2122; System (EMD Millipore, Billerica, MA, USA), and the data were analyzed using Guava TUNEL ExpressPro version 8.0 software (EMD Millipore).</p>
</sec>
<sec>
<title>Western blotting</title>
<p>Cells were rinsed twice with ice-cold phosphate-buffered saline (PBS) and lysed on ice in a lysis buffer containing 20 mM Tris (pH 7.5), 2 mM EDTA, 135 mM NaCl, 2 mM DTT, 2 mM sodium pyrophosphate, 25 mM &#x03B2;-glycerophosphate, 10&#x0025; glycerol, 1&#x0025; Triton X-100, 1 mM Na<sub>3</sub>VO<sub>4</sub>, 10 mM NaF, 10 &#x00B5;g/ml leupeptin, 10 &#x00B5;g/ml aprotinin and 1 mM PMSF, supplemented with a complete protease inhibitor cocktail (Roche Diagnostics, Indianapolis, IN, USA) for 30 min. Lysates were centrifuged at 12,500 &#x00D7; g for 15 min at 4&#x00B0;C. Equal amounts of proteins were subjected to 12&#x0025; SDS-PAGE, and then transferred onto nitrocellulose membranes (GE Healthcare Life Sciences, Chalfont, UK). The membrane was blocked with 5&#x0025; skimmed milk for 1 h at room temperature, washed with Tris-buffered saline with Tween 20 three times, then incubated with the indicated primary antibodies at 4&#x00B0;C overnight. Subsequently, the membranes were incubated with secondary antibodies for 1 h at room temperature. The antibody-antigen complexes were visualized by the Odyssey Infrared Imaging System using IRDye800 fluorophore-conjugated antibodies (LI-CORBiosciences).</p>
</sec>
<sec>
<title>Morphological observation</title>
<p>PC12 cells were pretreated with various concentrations of daphnetin (5, 10 and 20 &#x00B5;M) for 2 h, then stimulated with H<sub>2</sub>O<sub>2</sub> (200 &#x00B5;&#x039C;) for 24 h. Subsequently, cell morphology was observed using an inverted microscope (DP72; Olympus Corporation, Tokyo, Japan).</p>
</sec>
<sec>
<title>Immunofluorescence microscopy and 4&#x2032;,6-diamidino-2-phenylindole (DAPI) staining</title>
<p>Cells were pre-incubated with daphnetin for 2 h, then stimulated with H<sub>2</sub>O<sub>2</sub> for 24 h. Cells were fixed with 4&#x0025; paraformaldehyde for 20 min at room temperature, permeabilized in 0.2&#x0025; Triton X-100 and then incubated with DAPI (1 &#x00B5;g/ml) for 5 min in the dark. Subsequent to washing with PBS, nuclear morphology was observed and photographed using a fluorescence microscope (DP72; Olympus Corporation).</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Data are expressed as the mean &#x00B1; standard deviation. One-way analysis of variance was used to determine the significance of the difference between two groups. P&#x003C;0.05 was considered to indicate a statistically significant difference. Statistical analysis was performed using SPSS version 17.0 software (SPSS, Inc., Chicago, IL, USA).</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Effect of daphnetin on H<sub>2</sub>O<sub>2</sub>-induced cell viability</title>
<p>PC12 cells were treated with various concentrations of H<sub>2</sub>O<sub>2</sub> (50, 100, 200, 400 and 600 &#x00B5;M) for 24 h, and subsequently cell viability was determined using CCK-8. As shown in <xref rid="f1-ol-0-0-4849" ref-type="fig">Fig. 1A</xref>, H<sub>2</sub>O<sub>2</sub> reduced cell viability in a dose-dependent manner (P&#x003C;0.05 vs. control). For the cells treated with 200 &#x00B5;M H<sub>2</sub>O<sub>2</sub>, the cell viability was 48.75&#x00B1;1.63&#x0025;. Since, the cell viability was reduced by ~50&#x0025; with 200 &#x00B5;M H<sub>2</sub>O<sub>2</sub> at 24 h, in subsequent experiments these variables were selected as the standard dose and time point for the induction of PC12 cell apoptosis. In PC12 cells treated with various doses of daphnetin and then stimulated with 200 &#x00B5;M H<sub>2</sub>O<sub>2</sub>, cell viability was increased in a daphnetin dose-dependent manner (P&#x003C;0.05 vs. H<sub>2</sub>O<sub>2</sub>-treated group; <xref rid="f1-ol-0-0-4849" ref-type="fig">Fig. 1B</xref>).</p>
</sec>
<sec>
<title>Daphnetin attenuated H<sub>2</sub>O<sub>2</sub>-induced PC12 cell apoptosis</title>
<p>Observation of cell morphology revealed that untreated PC12 cells exhibited typical long fusiform-like morphology. By contrast, H<sub>2</sub>O<sub>2</sub>-treated (200 &#x00B5;M; 24 h) PC12 cells were shrunken, scattered and floating. Pretreating cells with daphnetin significantly reversed the apoptotic morphological alterations observed with H<sub>2</sub>O<sub>2</sub>-treated cells (<xref rid="f2-ol-0-0-4849" ref-type="fig">Fig. 2A</xref>). To further determine the role of daphnetin in suppressing H<sub>2</sub>O<sub>2</sub>-induced PC12 cell apoptosis, the apoptotic ratio was determined by Annexin V-FITC/PI assay. As shown in <xref rid="f2-ol-0-0-4849" ref-type="fig">Fig. 2B</xref>, cells exposed to H<sub>2</sub>O<sub>2</sub> for 24 h had an apoptotic ratio of 55.6&#x0025;. However, the number of apoptotic cells, when cells were pretreated with various concentrations of daphnetin, was significantly reduced; the apoptotic ratio was 34.6, 31.3, 26.6&#x0025;, for 5, 10 and 20 &#x00B5;M daphnetin, respectively.</p>
<p>The activation of apoptosis-associated proteins was detected using western blotting to confirm the occurrence of apoptosis. Daphnetin pretreated cells clearly attenuated the H<sub>2</sub>O<sub>2</sub>-induced cleavage of PARP and caspase 3, and enhanced the level of pro-caspase 3 (<xref rid="f2-ol-0-0-4849" ref-type="fig">Fig. 2C</xref>) compared with cells not pretreated with daphnetin. DAPI staining was used to determine the apoptotic status of the PC12 cells. Staining with DAPI revealed that the round nuclei of normal cells was homogeneous, and when exposed to 200 &#x00B5;M H<sub>2</sub>O<sub>2</sub> for 24 h cells underwent nuclear condensation and fragmentation. However, these alterations in nuclear morphology were significantly attenuated by pretreatment with daphnetin (<xref rid="f2-ol-0-0-4849" ref-type="fig">Fig. 2D</xref>). Overall, these results suggest that daphnetin has a protective effect in H<sub>2</sub>O<sub>2</sub>-induced PC12 cell apoptosis.</p>
</sec>
<sec>
<title>Daphnetin reduced the activation of p38 MAPK and JNK induced by H<sub>2</sub>O<sub>2</sub></title>
<p>To determine the mechanism by which daphnetin inhibits H<sub>2</sub>O<sub>2</sub>-induced apoptosis, the phosphorylation levels of MAPKs in PC12 cells were investigated. PC12 cells were stimulated with 200 &#x00B5;M H<sub>2</sub>O<sub>2</sub> for various times, and the phosphorylation levels of p38, ERK and JNK were detected by western blotting. The results showed that stimulation of PC12 cells with H<sub>2</sub>O<sub>2</sub> resulted in an increase in phosphorylation of JNK, p38 and ERK (<xref rid="f3-ol-0-0-4849" ref-type="fig">Fig. 3A</xref>). The enhanced phosphorylation of JNK and p38 was significantly attenuated by daphnetin pretreatment in a dose-dependent manner (<xref rid="f3-ol-0-0-4849" ref-type="fig">Fig. 3B</xref>). However in the presence of daphnetin, increased ERK phosphorylation observed with H<sub>2</sub>O<sub>2</sub> stimulation was not attenuated. In addition, with daphnetin stimulation, phosphorylation of ERK was clearly elevated, but ERK activation had no additive effect on daphnetin and H<sub>2</sub>O<sub>2</sub> stimulation (<xref rid="f3-ol-0-0-4849" ref-type="fig">Fig. 3B</xref>).</p>
</sec>
<sec>
<title>Daphnetin induced HSP70 expression in PC12 cells</title>
<p>In order to determine other mediators in daphnetin neuroprotection, HSP70, a well-known chaperone with cytoprotective effects, was investigated. PC12 cells were stimulated with daphnetin, and total cellular protein was extracted and subjected to western blotting with an anti-HSP70 antibody. The present results revealed that the level of HSP70 was increased upon daphnetin stimulation in a dose- and time-dependent manner (<xref rid="f4-ol-0-0-4849" ref-type="fig">Fig. 4A and B</xref>). The level of HSP70 peaked at 12 h.</p>
</sec>
<sec>
<title>ERK signaling is involved in daphnetin-induced HSP70 expression</title>
<p>The phosphorylation of upstream kinases was examined to investigate the possible signal transduction pathways involved in daphnetin-induced HSP70 expression. PC12 cells were treated with daphnetin (20 &#x00B5;M) for various times and the phosphorylation level of ERK and Akt was detected by western blotting. As shown in <xref rid="f5-ol-0-0-4849" ref-type="fig">Fig. 5A</xref>, the activation of ERK was enhanced in a time-dependent manner following daphnetin stimulation. ERK activation peaked at 12 h, which is consistent with the expression of HSP70. By contrast, Akt phosphorylation was not significantly different compared with unstimulated PC12 cells. Overall, these observations suggested that ERK signaling activation may be involved in daphnetin-induced HSP70 expression.</p>
<p>To test this hypothesis, U0126, a specific inhibitor of ERK, was used to verify the activation of ERK in daphnetin-induced HSP70 expression. PC12 cells were pretreated with 20 &#x00B5;M U0126 for 2 h, and then exposed to 20 &#x00B5;M daphnetin for a further 12 h, and the expression of HSP70 and phosphorylated ERK were detected using western blotting. As shown in <xref rid="f5-ol-0-0-4849" ref-type="fig">Fig. 5B</xref>, attenuation of ERK activation by U0126 clearly reduced the protein expression level of HSP70. Therefore, the present data suggest that HSP70 is involved in daphnetin-mediated cytoprotection via ERK signaling.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Oxidative stress has been widely implicated in neuronal cell death, and is associated with a variety of chronic neurodegenerative diseases, including Parkinson&#x0027;s, Alzheimer&#x0027;s and Huntington&#x0027;s disease. H<sub>2</sub>O<sub>2</sub> is a strong oxidant, which reduces cell viability and increases cell apoptosis (<xref rid="b13-ol-0-0-4849" ref-type="bibr">13</xref>). Currently, great effort is being made to identify potent natural antioxidants with neuroprotective potential, due to their low toxicity and absence of clear side effects. Daphnetin, a natural antioxidant, exhibits a variety of biological effects, including anti-inflammatory and antitumor effects (<xref rid="b14-ol-0-0-4849" ref-type="bibr">14</xref>). Recently, studies have demonstrated that daphnetin exhibits a neurotrophic effect on peripheral nerve regeneration by suppressing nuclear factor-&#x03BA;B expression (<xref rid="b15-ol-0-0-4849" ref-type="bibr">15</xref>), provides a neuroprotective effect against glutamate-induced toxicity in immortalized mouse hippocampal HT22 cells and ischemic brain injury (<xref rid="b16-ol-0-0-4849" ref-type="bibr">16</xref>), and prevents excitotoxicity by inhibiting the N-methyl D-aspartate receptor subtype 2B -containing receptors and the subsequent calcium overload in cultured cortical neurons (<xref rid="b17-ol-0-0-4849" ref-type="bibr">17</xref>). These studies suggest that daphnetin has a neuroprotective effect, which is consistent with the present findings. The present study confirmed that treating PC12 cells with H<sub>2</sub>O<sub>2</sub> resulted in suppression of cell viability in a dose-dependent manner; however, pretreatment of these cells with various concentrations (5, 10, 20 &#x00B5;M) of daphnetin significantly increased PC12 cell viability (<xref rid="f1-ol-0-0-4849" ref-type="fig">Fig. 1</xref>). The present study further investigated whether daphnetin has protective effects against H<sub>2</sub>O<sub>2</sub>-induced nerve cell apoptosis. Cell morphology analysis revealed that untreated PC12 cells exhibited typical long fusiform-like morphology, while treatment with H<sub>2</sub>O<sub>2</sub> (200 &#x00B5;M) for 24 h resulted in shrunken, scattered and floating cells. However, pre-incubation with daphnetin clearly reversed the morphology induced by H<sub>2</sub>O<sub>2</sub> (<xref rid="f2-ol-0-0-4849" ref-type="fig">Fig. 2A</xref>). The cell apoptotic ratio was detected using flow cytometry, and the present data revealed that the number of apoptotic cells was significantly reduced in daphnetin-pretreated PC12 cells compared with cells stimulated with H<sub>2</sub>O<sub>2</sub> (<xref rid="f2-ol-0-0-4849" ref-type="fig">Fig. 2B</xref>). The present study also examined the activation of apoptotic proteins by immunoblotting, in order to confirm the occurrence of apoptosis. Upon H<sub>2</sub>O<sub>2</sub> stimulation, cleavage of PARP and caspase 3 were clearly enhanced in PC12 cells; however, pretreatment with daphnetin significantly decreased the cleavage of PARP and caspase 3 in a concentration-dependent manner (<xref rid="f2-ol-0-0-4849" ref-type="fig">Fig. 2C</xref>). DAPI staining of H<sub>2</sub>O<sub>2</sub>-treated cells revealed typical apoptotic morphology. However, pre-incubation with daphnetin clearly attenuated these morphological alterations (<xref rid="f2-ol-0-0-4849" ref-type="fig">Fig. 2D</xref>). These results suggest that daphnetin exerts its neuroprotective effect via inhibition of PC12 cell apoptosis.</p>
<p>Certain studies have revealed that oxidative stress-induced toxicity is associated with intracellular signaling, including the activation of JNK and p38 signaling pathways (<xref rid="b7-ol-0-0-4849" ref-type="bibr">7</xref>,<xref rid="b13-ol-0-0-4849" ref-type="bibr">13</xref>). In addition, it has been reported that the activation of ERK may protect neurons from oxidative stress-induced cell death (<xref rid="b18-ol-0-0-4849" ref-type="bibr">18</xref>). The present study hypothesized that daphnetin may protect PC12 cells against H<sub>2</sub>O<sub>2</sub>-induced apoptosis via the MAPK signaling pathway. Western blotting revealed that p38, ERK and JNK were phosphorylated upon H<sub>2</sub>O<sub>2</sub> stimulation, and ERK was activated earlier than p38 MAPK and JNK activation. Additionally, the enhanced phosphorylation of JNK and p38 observed following stimulation with H<sub>2</sub>O<sub>2</sub> was clearly attenuated by daphnetin pre-treatment in a dose-dependent manner. However, phosphorylation of ERK upon H<sub>2</sub>O<sub>2</sub> stimulation was not attenuated by daphnetin treatment (<xref rid="f3-ol-0-0-4849" ref-type="fig">Fig. 3</xref>). Furthermore, daphnetin was demonstrated to induce ERK activation, and ERK activation had no cumulative effect in PC12 cells stimulated with daphnetin and H<sub>2</sub>O<sub>2</sub>. Therefore, the present study hypothesized that ERK activation reached the maximum when PC12 cells were treated with daphnetin. These results suggest that daphnetin protects PC12 cells by suppressing p38 MAPK and JNK, and enhances ERK signaling.</p>
<p>HSP70 is induced in cells in response to a wide variety of chemical and physiological stresses, and its expression provides protection against cell death (<xref rid="b10-ol-0-0-4849" ref-type="bibr">10</xref>,<xref rid="b19-ol-0-0-4849" ref-type="bibr">19</xref>,<xref rid="b20-ol-0-0-4849" ref-type="bibr">20</xref>). A previous study also suggested that HSP70 is protective in nervous system diseases (<xref rid="b21-ol-0-0-4849" ref-type="bibr">21</xref>), and HSP70 protects against neuronal, apoptosis at least in part, by inhibiting caspase-dependent and caspase-independent programmed cell-death pathways (<xref rid="b22-ol-0-0-4849" ref-type="bibr">22</xref>). Therefore, the present study investigated the effect of daphnetin on the expression of HSP70 in PC12 cells. The present data revealed that daphnetin clearly upregulates HSP70 expression in a dose- and time-dependent manner, which reached its maximum at 12 h (<xref rid="f4-ol-0-0-4849" ref-type="fig">Fig. 4A and B</xref>).</p>
<p>To further determine the possible signal transduction pathway involved in daphnetin-induced HSP70 expression, the present study investigated pro-survival signaling protein activation, including Akt and ERK, upon daphnetin treatment. The activation of ERK was enhanced time-dependently upon daphnetin stimulation (<xref rid="f5-ol-0-0-4849" ref-type="fig">Fig. 5A</xref>). By contrast, Akt phosphorylation did not exhibit a significant difference compared with unstimulated PC12 cells. Furthermore, a specific inhibitor of ERK revealed that ERK significantly suppressed HSP70 protein expression (<xref rid="f5-ol-0-0-4849" ref-type="fig">Fig. 5B</xref>). These data confirmed that ERK, but not Akt, signaling is involved in daphnetin-mediated HSP70 expression.</p>
<p>In conclusion, the present study elucidated that daphnetin protects PC12 cells against H<sub>2</sub>O<sub>2</sub>-induced apoptosis by suppressing p38 MAPK and JNK signaling activation and increasing HSP70 expression via ERK signaling. Overall, the present results suggest that daphnetin may be a potential candidate for the treatment of neurodegenerative diseases. However, daphnetin should be further tested in animal models mimicking neurodegenerative diseases prior to being considered as a candidate for a clinical trial to prevent neurodegenerative disease progression in humans.</p>
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</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The present study was supported by the Natural Science Research Project of Anhui Colleges and Universities (grant no. KJ2016SD59), Outstanding Young Talent Support Program Key Projects in Anhui Colleges and Universities (grant no. gxyqZD2016173), National Nature Science Foundation of China (grant no. 31301171), Natural Science Research Project of Anhui Provincial Education Department (grant no. KJ2013B311) and Anhui Province Key Laboratory of Active Biological Macro-molecules (grant no. 1306C083008).</p>
</ack>
<glossary>
<def-list>
<title>Abbreviations</title>
<def-item><term>DAPI</term><def><p>4&#x2032;,6-diamidino-2-phenylindole</p></def></def-item>
<def-item><term>H<sub>2</sub>O<sub>2</sub></term><def><p>hydrogen peroxide</p></def></def-item>
<def-item><term>HSP</term><def><p>heat shock protein</p></def></def-item>
</def-list>
</glossary>
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<floats-group>
<fig id="f1-ol-0-0-4849" position="float">
<label>Figure 1.</label>
<caption><p>DAP enhanced H<sub>2</sub>O<sub>2</sub>-induced cell viability. (A) Rat pheochromocytoma PC12 cells were treated with various concentrations of H<sub>2</sub>O<sub>2</sub> for 24 h, (B) PC12 cells were pretreated with various doses of DAP for 2 h, then stimulated with H<sub>2</sub>O<sub>2</sub> (200 &#x00B5;M) for 24 h. Cell viability was determined by Cell Counting Kit-8. Experiments were independently repeated three times. (A) &#x002A;P&#x003C;0.05 vs. control; (B) &#x002A;P&#x003C;0.05 vs. H<sub>2</sub>O<sub>2</sub>-treated group. H<sub>2</sub>O<sub>2</sub>, hydrogen peroxide; DAP, daphnetin.</p></caption>
<graphic xlink:href="ol-12-03-1959-g00.jpg"/>
</fig>
<fig id="f2-ol-0-0-4849" position="float">
<label>Figure 2.</label>
<caption><p>DAP attenuated H<sub>2</sub>O<sub>2</sub>-induced apoptosis in rat pheochromocytoma PC12 cells. PC12 cells were pretreated with various concentrations of daphnetin for 2 h, then stimulated with H<sub>2</sub>O<sub>2</sub> (200 &#x00B5;&#x039C;) for 24 h. (A) Cell morphology was detected using an inverted microscope. (B) The apoptotic ratio was determined by Annexin V-FITC/PI assay. (C) Cleavage of PARP (89/116 kDa) and caspase 3 (17/19 kDa), and the level of pro-caspase 3 (35 kDa) were detected by western blotting (&#x03B2;-actin, 45 kDa). (D) Cells were stained with 4&#x2032;,6-diamidino-2-phenylindole, and nuclear morphology was observed and photographed using a fluorescence microscope. H<sub>2</sub>O<sub>2</sub>, hydrogen peroxide; DAP, daphnetin; FITC, fluorescein isothiocyanate; PI, propidium iodide; PARP, poly ADP-ribose polymerase.</p></caption>
<graphic xlink:href="ol-12-03-1959-g01.jpg"/>
</fig>
<fig id="f3-ol-0-0-4849" position="float">
<label>Figure 3.</label>
<caption><p>DAP reduced H<sub>2</sub>O<sub>2</sub>-induced p38 mitogen-activated protein kinase and JNK activation. (A and B) The phosphorylation level of p38 (43 kDa), ERK (42/44 kDa) and JNK (46/54 kDa) was detected by western blotting in (A) rat pheochromocytoma PC12 cells stimulated with 200 &#x00B5;M H<sub>2</sub>O<sub>2</sub> for various times and (B) PC12 cells pretreated with DAP (5, 10, 20 &#x00B5;M) for 2 h, then stimulated with H<sub>2</sub>O<sub>2</sub> (200 &#x00B5;&#x039C;) for 30 min. Equal protein loading was confirmed by GAPDH (37 kDa) and &#x03B2;-actin (45 kDa). H<sub>2</sub>O<sub>2</sub>, hydrogen peroxide; DAP, daphnetin; JNK, c-Jun N-terminal kinases; ERK, extracellular signal-regulated kinase; p-phospho; GAPDH, glyceraldehyde 3-phosphate dehydrogenase.</p></caption>
<graphic xlink:href="ol-12-03-1959-g02.jpg"/>
</fig>
<fig id="f4-ol-0-0-4849" position="float">
<label>Figure 4.</label>
<caption><p>DAP induced HSP70 expression in rat pheochromocytoma PC12 cells. (A and B) PC12 cells were stimulated with (A) 20 &#x00B5;M DAP for 2, 4, 8, 12 h or (B) various concentrations of DAP for 12 h. Total cellular protein were extracted and subjected to western blotting probed with an anti-HSP70 (70 kDa) antibody. Equal protein loading was confirmed by &#x03B2;-actin (45 kDa). DAP, daphnetin; HSP, heat shock protein.</p></caption>
<graphic xlink:href="ol-12-03-1959-g03.jpg"/>
</fig>
<fig id="f5-ol-0-0-4849" position="float">
<label>Figure 5.</label>
<caption><p>ERK signaling is involved in DAP-induced HSP70 expression. (A) Rat pheochromocytoma PC12 cells were stimulated with 20 &#x00B5;M daphnetin for 2, 4, 8 and 12 h, and total cellular protein was extracted and subjected to western blotting with p-Akt (60 kDa), Akt (60 kDa), p-ERK (42/44 kDa) and ERK (42/44 kDa) antibodies. (B) PC12 cells were pretreated with U0126 for 2 h, then treated with daphnetin for 12 h. Cell lysates were prepared and subjected to western blotting using HSP70 (70 kDa), p-ERK and ERK antibodies. Equal protein loading was confirmed by &#x03B2;-actin (45 kDa). DAP, daphnetin; HSP, heat shock protein; ERK, extracellular signal-regulated kinase; p, phospho.</p></caption>
<graphic xlink:href="ol-12-03-1959-g04.jpg"/>
</fig>
</floats-group>
</article>
