<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "journalpublishing3.dtd">
<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<?release-delay 0|0?>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Molecular Medicine Reports</journal-id>
<journal-title-group>
<journal-title>Molecular Medicine Reports</journal-title>
</journal-title-group>
<issn pub-type="ppub">1791-2997</issn>
<issn pub-type="epub">1791-3004</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/mmr.2024.13244</article-id>
<article-id pub-id-type="publisher-id">MMR-30-1-13244</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Protective effect of luteolin against oxidative stress‑mediated cell injury via enhancing antioxidant systems</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Fernando</surname><given-names>Pincha Devage Sameera Madushan</given-names></name>
<xref rid="af1-mmr-30-1-13244" ref-type="aff"/>
<xref rid="fn1-mmr-30-1-13244" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Ko</surname><given-names>Dong Ok</given-names></name>
<xref rid="af1-mmr-30-1-13244" ref-type="aff"/>
<xref rid="fn1-mmr-30-1-13244" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Piao</surname><given-names>Mei Jing</given-names></name>
<xref rid="af1-mmr-30-1-13244" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Kang</surname><given-names>Kyoung Ah</given-names></name>
<xref rid="af1-mmr-30-1-13244" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Herath</surname><given-names>Herath Mudiyanselage Udari Lakmini</given-names></name>
<xref rid="af1-mmr-30-1-13244" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Hyun</surname><given-names>Jin Won</given-names></name>
<xref rid="af1-mmr-30-1-13244" ref-type="aff"/>
<xref rid="c1-mmr-30-1-13244" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-mmr-30-1-13244">Department of Biochemistry, College of Medicine, and Jeju Research Center for Natural Medicine, Jeju National University, Jeju 63243, Republic of Korea</aff>
<author-notes>
<corresp id="c1-mmr-30-1-13244"><italic>Correspondence to</italic>: Professor Jin Won Hyun, Department of Biochemistry, College of Medicine, and Jeju Research Center for Natural Medicine, Jeju National University, 102 Jeju Daehak, Jeju 63243, Republic of Korea, E-mail: <email>jinwonh@jejunu.ac.kr ypingfly@126.com </email></corresp>
<fn id="fn1-mmr-30-1-13244"><label>&#x002A;</label><p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="collection">
<month>07</month>
<year>2024</year></pub-date>
<pub-date pub-type="epub">
<day>15</day>
<month>05</month>
<year>2024</year></pub-date>
<volume>30</volume>
<issue>1</issue>
<elocation-id>121</elocation-id>
<history>
<date date-type="received"><day>21</day><month>11</month><year>2023</year></date>
<date date-type="accepted"><day>09</day><month>04</month><year>2024</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; 2024 Fernando et al.</copyright-statement>
<copyright-year>2024</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license>
</permissions>
<abstract>
<p>Physiological stress such as excessive reactive oxygen species (ROS) production may contribute normal fibroblasts activation into cancer-associated fibroblasts, which serve a crucial role in certain types of cancer such as pancreatic, breast, liver and lung cancer. The present study aimed to examine the cytoprotective effects of luteolin (3&#x2032;,4&#x2032;,5,7-tetrahydroxyflavone) against hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>)-generated oxidative stress in lung fibroblasts. To examine the effects of luteolin against H<sub>2</sub>O<sub>2</sub>-induced damages, cell viability, sub-G<sub>1</sub> cell population, nuclear staining with Hoechst 33342, lipid peroxidation and comet assays were performed. To evaluate the effects of luteolin on the protein expression level of apoptosis, western blot assay was performed. To assess the antioxidant effects of luteolin, detection of ROS using H<sub>2</sub>DCFDA staining, O<sub>2</sub><sup>&#x2212;</sup> and &#x00B7;OH using electron spin resonance spectrometer and antioxidant enzyme activity was performed. In a cell-free chemical system, luteolin scavenges superoxide anion and hydroxyl radical generated by xanthine/xanthine oxidase and the Fenton reaction (FeSO<sub>4</sub>/H<sub>2</sub>O<sub>2</sub>). Furthermore, Chinese hamster lung fibroblasts (V79-4) treated with H<sub>2</sub>O<sub>2</sub> showed a significant increase in cellular ROS. Intracellular ROS levels and damage to cellular components such as lipids and DNA in H<sub>2</sub>O<sub>2</sub>-treated cells were significantly decreased by luteolin pretreatment. Luteolin increased cell viability, which was impaired following H<sub>2</sub>O<sub>2</sub> treatment and prevented H<sub>2</sub>O<sub>2</sub>-mediated apoptosis. Luteolin suppressed active caspase-9 and caspase-3 levels while increasing Bcl-2 expression and decreasing Bax protein levels. Additionally, luteolin restored levels of glutathione that was reduced in response to H<sub>2</sub>O<sub>2</sub>. Moreover, luteolin enhanced the activity and protein expressions of superoxide dismutase, catalase, glutathione peroxidase, and heme oxygenase-1. Overall, these results indicated that luteolin inhibits H<sub>2</sub>O<sub>2</sub>-mediated cellular damage by upregulating antioxidant enzymes.</p>
</abstract>
<kwd-group>
<kwd>luteolin</kwd>
<kwd>lung fibroblast</kwd>
<kwd>apoptosis</kwd>
<kwd>oxidative stress</kwd>
<kwd>antioxidant enzyme</kwd>
</kwd-group>
<funding-group>
<award-group>
<funding-source>National Research Foundation of Korea</funding-source>
</award-group>
<award-group>
<funding-source>Ministry of Education</funding-source>
<award-id>RS-2023-00270936</award-id>
</award-group>
<award-group>
<funding-source>Ministry of Science and ICT</funding-source>
<award-id>NRF-2023R1A2C1002770</award-id>
</award-group>
<funding-statement>The present study was supported by the National Research Foundation of Korea, funded by the Ministry of Education (grant no. RS-2023-00270936) and the Ministry of Science and ICT (grant no. NRF-2023R1A2C1002770).</funding-statement>
</funding-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Reactive oxygen species (ROS), such as superoxide anion (O<sub>2</sub><sup>&#x2212;</sup>), hydroxyl radical (&#x00B7;OH), and hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>), are natural byproducts of oxygen metabolism that serve key roles in cell proliferation and immune responses (<xref rid="b1-mmr-30-1-13244" ref-type="bibr">1</xref>,<xref rid="b2-mmr-30-1-13244" ref-type="bibr">2</xref>). Excessive ROS can damage cellular molecules, leading to DNA damage, lipid peroxidation and protein oxidation. These processes are key in the development of various diseases, including cancer and lung fibrosis (<xref rid="b3-mmr-30-1-13244" ref-type="bibr">3</xref>&#x2013;<xref rid="b5-mmr-30-1-13244" ref-type="bibr">5</xref>). Cells contain a range of antioxidant enzymes, including superoxide dismutase (SOD), catalase (CAT), and glutathione peroxidase (GPx) and non-enzymatic antioxidants, such as reduced glutathione (GSH), for defense against ROS (<xref rid="b6-mmr-30-1-13244" ref-type="bibr">6</xref>,<xref rid="b7-mmr-30-1-13244" ref-type="bibr">7</xref>). SOD, a metalloenzyme, catalyzes the conversion of O<sub>2</sub><sup>&#x2212;</sup> to molecular O<sub>2</sub> and H<sub>2</sub>O<sub>2</sub> and functions as a key component of the cellular antioxidant defense mechanism (<xref rid="b8-mmr-30-1-13244" ref-type="bibr">8</xref>). CAT breaks H<sub>2</sub>O<sub>2</sub> into O<sub>2</sub> and H<sub>2</sub>O and GPx uses GSH as an electron donor to convert H<sub>2</sub>O<sub>2</sub> into its corresponding alcohol or water (<xref rid="b9-mmr-30-1-13244" ref-type="bibr">9</xref>,<xref rid="b10-mmr-30-1-13244" ref-type="bibr">10</xref>). In addition, heme oxygenase-1 (HO-1) serves as a catalyst for the oxidative transformation of heme to carbon monoxide, iron and biliverdin, which is then transformed into bilirubin by biliverdin reductase (<xref rid="b11-mmr-30-1-13244" ref-type="bibr">11</xref>). Furthermore, ROS levels are notably boosted by exposure to environmental stressors, such as ultraviolet light, pollutants and heavy metals (<xref rid="b12-mmr-30-1-13244" ref-type="bibr">12</xref>).</p>
<p>Lung fibroblasts serve a major role in lung development, such as alveolar unit development, aid production of extracellular matrix, and facilitate wound healing and tissue repair (<xref rid="b13-mmr-30-1-13244" ref-type="bibr">13</xref>). Physiological stresses (ROS and disrupted metabolism) may turn normal fibroblasts into cancer-associated fibroblasts (CAFs) (<xref rid="b14-mmr-30-1-13244" ref-type="bibr">14</xref>). CAFs are key factors in the tumor microenvironment and serve a crucial role in non-small cell lung cancer drug resistance (<xref rid="b15-mmr-30-1-13244" ref-type="bibr">15</xref>). Therefore, the present study aimed to identify a potent antioxidant compound capable of ameliorating oxidative stress-mediated cellular defects in fibroblasts.</p>
<p>Luteolin (3&#x2032;,4&#x2032;,5,7-tetrahydroxyflavone) is a flavonoid found abundantly in vegetables and fruits, including green pepper and chamomile tea (<xref rid="b16-mmr-30-1-13244" ref-type="bibr">16</xref>). It exhibits antitumor effects against gastric, ovarian, and hepatocellular carcinomas (<xref rid="b17-mmr-30-1-13244" ref-type="bibr">17</xref>&#x2013;<xref rid="b20-mmr-30-1-13244" ref-type="bibr">20</xref>). Luteolin also possesses numerous biological benefits, such as anti-inflammatory, anti-allergic, and antioxidant properties (<xref rid="b21-mmr-30-1-13244" ref-type="bibr">21</xref>). Given its wide range of therapeutic potentials, the present study aimed to evaluate cytoprotective effects of luteolin on lung fibroblasts via the initiation of antioxidant enzyme activity.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Reagents and antibodies</title>
<p>Luteolin, 5,5-dimethyl-1-pyrroline-N-oxide (DMPO), xanthine, xanthine oxidase, 2&#x2032;,7&#x2032;-dichlorodihydrofluorescein diacetate (H<sub>2</sub>DCFDA), MTT, thiobarbituric acid (TBA), Hoechst 33342, N-acetyl cysteine (NAC), and propidium iodide (PI) were obtained from Sigma-Aldrich (Merck KGaA). Additionally, 7-amino-4-chloromethylcoumarin (CMAC) and diphenyl-1-pyrenylphosphine (DPPP) were purchased from Molecular Probes (Thermo Fisher Scientific, Inc.) The primary Bax, Bcl-2, GPx, CAT and HO-1 antibodies were obtained from Santa Cruz Biotechnology, Inc.; primary &#x03B2;-actin, phosphorylated (phospho)-H2A histone family member X (H2A.X), H2A.X, caspase-3 and caspase-9 antibodies were obtained from Cell Signaling Technology, Inc.; primary &#x03B3;-glutamylcysteine ligase (&#x03B3;-GCL) antibody was obtained from Thermo Fisher Scientific, Inc.; primary Cu/Zn SOD was obtained from Enzo Life Science.</p>
</sec>
<sec>
<title>Cell culture</title>
<p>Chinese hamster lung fibroblasts (V79-4) were purchased from American Type Culture Collection and cultured in Dulbecco&#x0027;s modified Eagle medium (Gibco; Thermo Fisher Scientific, Inc.), supplemented with 10&#x0025; heat-inactivated fetal calf serum, at 37&#x00B0;C in a humidified incubator with 5&#x0025; CO<sub>2</sub>.</p>
</sec>
<sec>
<title>MTT assay</title>
<p>Cells (1.5&#x00D7;10<sup>5</sup> cells/ml) were treated with 0.625, 1.250, 2.500, 5.000 or 10.000 &#x00B5;g/ml luteolin for 24 h at 37&#x00B0;C. To investigate the cytoprotective effect of luteolin against H<sub>2</sub>O<sub>2</sub> exposure, cells were pretreated with 2.5 &#x00B5;g/ml luteolin for 1 h before exposure to 1 mM H<sub>2</sub>O<sub>2</sub> for 24 h, all at 37&#x00B0;C. The MTT assay was performed and formazan crystals were dissolved in dimethyl sulfoxide, then absorbance was measured using a scanning multi-well spectrophotometer at 540 nm, as previously described (<xref rid="b22-mmr-30-1-13244" ref-type="bibr">22</xref>).</p>
</sec>
<sec>
<title>Evaluation of ROS levels</title>
<p>Cells were exposed to luteolin (0.625, 1.250, 2.500, 5.000 or 10.000 &#x00B5;g/ml, respectively) and 2 mM NAC for 30 min, followed by 1 mM H<sub>2</sub>O<sub>2</sub> treatment for 1 h, all at 37&#x00B0;C. Following staining with 25 &#x00B5;M H<sub>2</sub>DCFDA at 37&#x00B0;C for 10 min, the fluorescence was monitored and quantified using a spectrofluorometer (PerkinElmer FL 6500 Fluorescence Spectrometer with Spectrum FL Software 1.1 version, PerkinElmer Inc.) or a confocal microscope (Zeiss LSM 510 confocal microscope with Zen 2.5 version, Carl Zeiss Inc.), as previously described (<xref rid="b23-mmr-30-1-13244" ref-type="bibr">23</xref>) using 40&#x00D7; magnification.</p>
</sec>
<sec>
<title>Detection of superoxide anion</title>
<p>The xanthine/xanthine oxidase system was used to produce O<sub>2</sub><sup>&#x2212;</sup>, which was captured by the nitrone spin trap, DMPO. The resulting DMPO/&#x00B7;OOH adducts were identified using electron spin resonance (ESR) spectrometer (JEOL, Ltd.) as previously described (<xref rid="b23-mmr-30-1-13244" ref-type="bibr">23</xref>).</p>
</sec>
<sec>
<title>Detection of hydroxyl radical</title>
<p>Hydroxyl radical was generated by the Fenton reaction (H<sub>2</sub>O<sub>2</sub> &#x002B; FeSO<sub>4</sub>) and detected by capturing with DMPO to form DMPO/&#x00B7;OH adducts, measured using ESR spectrometer as previously described (<xref rid="b23-mmr-30-1-13244" ref-type="bibr">23</xref>).</p>
</sec>
<sec>
<title>Assessment of lipid peroxidation</title>
<p>Following cell treatment with 5 &#x00B5;M DPPP at 37&#x00B0;C for 30 min, a fluorescence microscope (Zeiss LSM 510 confocal microscope with Zen 2.5 version; 20&#x00D7; magnification) was used to assess images of DPPP fluorescence. The cells were rinsed with cold PBS, scraped and homogenized in ice-cold 1.15&#x0025; KCl, resulted cell lysate was subjected to further assessment. For the detection of TBA reactive substances (TBARS), 100 &#x00B5;l cell lysates were mixed with 0.2 ml sodium dodecyl sulfate (SDS, 8.1&#x0025;), 1.5 ml 20&#x0025; acetic acid (pH 3.5) and 1.5 ml TBA (0.8&#x0025;) and combined with 5 ml 15:1 (v/v) n-butanol and pyridine solutions. The resulting supernatant absorbance was measured using a spectrophotometer at 532 nm.</p>
</sec>
<sec>
<title>Comet assay</title>
<p>Following treatment with luteolin and H<sub>2</sub>O<sub>2</sub>, cells were collected and centrifuged at 15,000 &#x00D7; g for 5 min, following washing with PBS to obtain cell pellets. Cell pellets on 1&#x0025; agarose-coated slides were subjected to gel electrophoresis at 300 mA and 25 V for 20 min in darkness at 20&#x00B0;C. Ethidium bromide (20 &#x00B5;g/ml) stained slides at 20&#x00B0;C for 5 min were examined under a fluorescence microscope (Komet 7 with Zyla 5.5 USB 3.0 sCMOS camera, Andor Technology; 20&#x00D7; magnification). Each slide contained 50 cells and data on tail length and total fluorescence percentages were analyzed using Komet version 5.5 image analyzer software (Andor Technology).</p>
</sec>
<sec>
<title>Western blot analysis</title>
<p>Total proteins from the cells was extract by using PRO-PREP&#x2122; protein extraction solution (iNtRON Biotechnology). Thereafter total protein levels were estimated by protein assay reagent kit (Bio-Rad). A total of 30 &#x00B5;g/lane cell lysates were subjected to electrophoresis on a 10&#x0025; SDS-polyacrylamide gel, transferred to nitrocellulose membranes, subjected for blocking with 3&#x0025; bovine serum albumin (Bovogen Biologicals Pty Ltd.) for 1 h at 20&#x00B0;C, and then incubated with the corresponding primary antibodies whereas phospho-H2A.X (cat. #9718), H2A.X (cat. #2595), &#x03B2;-actin (cat. #4967), Bax (cat. sc-7480), Bcl-2 (cat. sc-7382), caspase-9 (cat. #9508), caspase-3 (cat. #9662), &#x03B3;-GCL (cat. #RB-1697-P0, -P1), Cu/Zn SOD (cat. ADI-SOD-100), CAT (cat. sc-34285), GPx (cat. sc-22145), HO-1 (cat. sc-10789) (all 1:1,000 ratio, respectively) and for overnight at 4&#x00B0;C subsequently treated with the relevant secondary (diluted 1:10,000, respectively) goat anti-rabbit IgG (H&#x002B;L) Secondary antibody, HRP (cat. #31460) and goat anti-mouse IgG (H&#x002B;L) secondary antibody, HRP (cat. #31430; Thermo Fisher Scientific, Inc.) at 20&#x00B0;C for 1 h. Each corresponding protein band was observed on an X-ray film following treat with enhanced chemiluminescence western blotting detection kit (Amersham) as previously described (<xref rid="b23-mmr-30-1-13244" ref-type="bibr">23</xref>).</p>
</sec>
<sec>
<title>Hoechst 33342 nuclear staining</title>
<p>Cells were stained with Hoechst 33342, a DNA-specific probe, at 37&#x00B0;C for 10 min. The degree of nuclear condensation was evaluated using a fluorescence microscope (BH2-RFL-T3; Olympus; 20&#x00D7; magnification) fitted with a CoolSNAP-Pro color digital camera (Media Cybernetics) to observe stained cells.</p>
</sec>
<sec>
<title>Detection of sub-G<sub>1</sub> cells</title>
<p>Cells were fixed with 70&#x0025; ethanol at 4&#x00B0;C for 30 min, subjected for washing with PBS, mixed in 1 ml PBS containing 100 &#x00B5;g PI solution and 100 &#x00B5;g RNase A and incubated in dark conditions at 37&#x00B0;C for 30 min. The percentage of apoptotic sub-G<sub>1</sub> cells was determined using FACSCalibur flow cytometer with CellQuest pro software 4.02 (Becton Dickinson).</p>
</sec>
<sec>
<title>GSH detection</title>
<p>Cells were incubated with 5 &#x00B5;M CMAC at 37&#x00B0;C, a GSH-sensitive fluorescent dye, for 30 min. Images of CMAC fluorescence in response to GSH were analyzed using a fluorescence microscope (BH2-RFL-T3; Olympus; 10&#x00D7; magnification) (<xref rid="b23-mmr-30-1-13244" ref-type="bibr">23</xref>).</p>
</sec>
<sec>
<title>Assessment of SOD activity</title>
<p>Collected cells were sonicated twice for 15 sec in 10 mM phosphate buffer (pH 7.5) on ice to lyse. 1&#x0025; Triton X-100 was added to the lysates and incubated on ice for 10 min. After centrifugation at 5,000 &#x00D7; g for 10 min at 4&#x00B0;C, the lysates were cleared of debris and the protein concentration of the supernatant was measured utilizing using the Bradford method. Cell lysates were mixed with 500 mM phosphate buffer (pH 10.2) and 1 mM epinephrine at 20&#x00B0;C, which auto-oxidizes to form adrenochrome, and the reactants were measured at 480 nm using a ultraviolet/visible spectrophotometer in kinetic mode. SOD activity was calculated as unit/mg protein as previously described (<xref rid="b23-mmr-30-1-13244" ref-type="bibr">23</xref>).</p>
</sec>
<sec>
<title>Assessment of CAT activity</title>
<p>Harvested cells were suspended in 10 mM phosphate buffer (pH 7.5) and sonicated twice for 15 sec on ice. After adding 1&#x0025; TritonX-100 to the lysates, they were incubated on ice for 10 min. Protein content was measured after centrifuging lysates at 5,000 &#x00D7; g for 30 min at 4&#x00B0;C to eliminate cellular debris. Then cell lysates were reacted with 50 mM phosphate buffer (pH 7) and 100 mM H<sub>2</sub>O<sub>2</sub>, at 37&#x00B0;C for 2 min. Absorbance changes at 240 nm over 5 min were measured by spectrophotometer (X-ma 1000; Human Corporation) to determine the rate of H<sub>2</sub>O<sub>2</sub> decomposition.</p>
</sec>
<sec>
<title>Assessment of GPx activity</title>
<p>Cells were lysed by sonicating twice for 15 sec in 10 mM phosphate buffer (pH 7.5) on ice. 1&#x0025; Triton X-100 was added to lysates and incubated on ice for 10 min. After centrifugation at 5,000 &#x00D7; g for 10 min at 4&#x00B0;C, debris was removed and protein concentration was assessed using the Bradford technique. Then cell lysates were mixed with 25 mM phosphate buffer (pH 7.5), 1 mM EDTA, NaN<sub>3</sub>, GSH, 0.25 units of glutathione reductase, and 0.1 mM NADPH. Following 10 min incubation at 37&#x00B0;C, 1 mM H<sub>2</sub>O<sub>2</sub> was added for 1 min at 37&#x00B0;C and absorbance was measured using spectrophotometer (X-ma 1000, Human Co.) at 340 nm for 5 min.</p>
</sec>
<sec>
<title>Assessment of HO-1 activity</title>
<p>Cells were washed with PBS, collected in PBS (pH 7.4), allowed to 15 min incubation on ice facilitating brief sonication and added sucrose solution obtaining 0.25 M sucrose as final concentration. Homogenates were centrifuged 10 min at 1,000 &#x00D7; g at 4&#x00B0;C. The supernatants were centrifuged at 12,000 &#x00D7; g for 15 min at 4&#x00B0;C and afterward at 105,000 &#x00D7; g for 60 min at 4&#x00B0;C. Resulted pellet was resuspended in 50 mM PBS (pH 7.4) and protein concentration was measured using the Bradford technique. Cell lysates were suspended in a reaction mixture containing 0.2 mM hemin, 0.5 mg/ml rat liver cytosol (supplying biliverdin reductase; Creative Bioarray; cat. no. DDM-M063), 2 mM glucose-6-phosphate, 1 unit/ml glucose-6-phosphate dehydrogenase, 1 mM NADPH and 50 mM PBS (pH 7.4) for 2 h at 37&#x00B0;C. The chloroform-extracted layer was assessed using a spectrophotometer at 464 and 530 nm.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>All experiments were performed in triplicate, with results presented as the mean &#x00B1; standard error. Data were analyzed using one way analysis of variance, followed by Tukey&#x0027;s post hoc test to determine the differences using SigmaStat 3.5 version software (Systat Software Inc.). P&#x003C;0.05 was considered to indicate a statistically significant difference.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Effect of luteolin on ROS scavenging</title>
<p>Luteolin exhibited no cytotoxicity toward V79-4 cells at concentrations of 0.625, 1.25 and 2.5 &#x00B5;g/ml. Cytotoxic effects were observed at concentrations of 5 and 10 &#x00B5;g/ml (<xref rid="f1-mmr-30-1-13244" ref-type="fig">Fig. 1A</xref>). Fluorescence spectrometry indicated that luteolin scavenged intracellular ROS in a dose-dependent manner, decreasing ROS by 31&#x0025; at 0.625, 51&#x0025; at 1.250, 58&#x0025; at 2.500, 68&#x0025; at 5.000 and 75&#x0025; at 10.000 &#x00B5;g/ml (<xref rid="f1-mmr-30-1-13244" ref-type="fig">Fig. 1B</xref>). The ROS scavenger NAC, serving as a positive control, eliminated 72&#x0025; of ROS. Given its cell viability and ROS-scavenging ability, 2.5 &#x00B5;g/ml luteolin was selected as the optimal dose for further evaluation. ESR spectrometry was used to quantify the superoxide anion generated by the xanthine/xanthine oxidase system. ESR measurement revealed an elevation in the superoxide anion signal to 902 in this system. However, when the superoxide anion was treated with luteolin, the superoxide anion signal was reduced to 573, indicating the direct scavenging effect of luteolin on the superoxide anion produced via the xanthine/xanthine oxidase pathway (<xref rid="f2-mmr-30-1-13244" ref-type="fig">Fig. 2A</xref>). Furthermore, ESR spectrometry was used to detect the hydroxyl radical produced via the Fenton reaction. ESR measurement demonstrated that neither the control nor luteolin at 2.5 &#x00B5;g/ml exhibited a signal, whereas the signal of the hydroxyl radical increased to 2,621 in the Fenton reaction system. Treatment with luteolin markedly decreased the hydroxyl radical signal to 237, indicating the capacity of luteolin to directly mitigate the hydroxyl radical generated through the Fenton reaction system (<xref rid="f2-mmr-30-1-13244" ref-type="fig">Fig. 2B</xref>). Additionally, confocal microscopy images from the H<sub>2</sub>DCFDA assay showed that luteolin suppressed red fluorescence intensity, which increased in response to H<sub>2</sub>O<sub>2</sub> treatment in association with elevated ROS levels (<xref rid="f2-mmr-30-1-13244" ref-type="fig">Fig. 2C</xref>).</p>
</sec>
<sec>
<title>Effect of luteolin on H<sub>2</sub>O<sub>2</sub>-induced lipid peroxidation</title>
<p>The capacity of luteolin to counteract membrane lipid peroxidation in cells exposed to H<sub>2</sub>O<sub>2</sub> was assessed. Lipid peroxidation, evidenced by formation of the highly fluorescent compound DPPP oxide upon DPPP stoichiometric reaction with lipid hydroperoxides, was assessed (<xref rid="b24-mmr-30-1-13244" ref-type="bibr">24</xref>). H<sub>2</sub>O<sub>2</sub> treatment enhanced DPPP fluorescence intensity, indicating the elevation of lipid peroxidation levels (<xref rid="f3-mmr-30-1-13244" ref-type="fig">Fig. 3A</xref>). However, this increase was notably attenuated by treatment with 2.5 &#x00B5;g/ml luteolin. Additionally, protective effect of luteolin against lipid peroxidation was demonstrated by TBARS formation in H<sub>2</sub>O<sub>2</sub>-treated V79-4 cells whereas luteolin significantly decreased H<sub>2</sub>O<sub>2</sub>-induced TBARS formation (<xref rid="f3-mmr-30-1-13244" ref-type="fig">Fig. 3B</xref>).</p>
</sec>
<sec>
<title>Effect of luteolin against DNA damage</title>
<p>The comet assay, a sensitive technique for measuring DNA damage (<xref rid="b25-mmr-30-1-13244" ref-type="bibr">25</xref>), demonstrated that H<sub>2</sub>O<sub>2</sub> resulted in a 77&#x0025; increase in the length and quantity of DNA in the comet tail, signifying considerable DNA damage; however, pretreatment with luteolin reduced this increase to 51&#x0025; (<xref rid="f4-mmr-30-1-13244" ref-type="fig">Fig. 4A</xref>). Furthermore, evaluation of phospho-H2A.X, a marker for DNA double-strand breaks (<xref rid="b25-mmr-30-1-13244" ref-type="bibr">25</xref>), showed that luteolin pretreatment diminished expression levels of phospho-H2A.X in H<sub>2</sub>O<sub>2</sub>-exposed cells (<xref rid="f4-mmr-30-1-13244" ref-type="fig">Fig. 4B</xref>). There was no change in total H2A.X expression.</p>
</sec>
<sec>
<title>Effect of luteolin on cell survival following H<sub>2</sub>O<sub>2</sub> treatment</title>
<p>Pretreatment with 2.5 &#x00B5;g/ml luteolin in conjunction with H<sub>2</sub>O<sub>2</sub> significantly increased cell viability to 77&#x0025; compared with 54&#x0025; in cells treated solely with H<sub>2</sub>O<sub>2</sub> (<xref rid="f5-mmr-30-1-13244" ref-type="fig">Fig. 5A</xref>). The cytoprotective effect of luteolin against H<sub>2</sub>O<sub>2</sub>-induced apoptosis was determined by staining nuclei of cells with Hoechst 33342 and observing them under a microscope. H<sub>2</sub>O<sub>2</sub>-treated cells showed considerable nuclear fragmentation and apoptotic morphology; however, luteolin pretreatment alleviated H<sub>2</sub>O<sub>2</sub>-induced cellular apoptosis (<xref rid="f5-mmr-30-1-13244" ref-type="fig">Fig. 5B</xref>). The proportion of sub-G<sub>1</sub> in H<sub>2</sub>O<sub>2</sub>-treated cells was 33&#x0025; (a 31&#x0025; increase relative to the control; <xref rid="f5-mmr-30-1-13244" ref-type="fig">Fig. 5C</xref>); however, pretreatment with luteolin decreased the sub-G<sub>1</sub> apoptotic cells to 12&#x0025;. Pretreatment with luteolin led to an alleviation of H<sub>2</sub>O<sub>2</sub>-induced pro-apoptotic protein Bax expression and increased the anti-apoptotic Bcl-2 protein expression, which was decreased by H<sub>2</sub>O<sub>2</sub> (<xref rid="f5-mmr-30-1-13244" ref-type="fig">Fig. 5D</xref>). Furthermore, luteolin alleviated H<sub>2</sub>O<sub>2</sub>-mediated activation of caspase-9 and caspase-3 (<xref rid="f5-mmr-30-1-13244" ref-type="fig">Fig. 5D</xref>).</p>
</sec>
<sec>
<title>Effect of luteolin on antioxidant systems</title>
<p>Confocal microscopy showed a notable reduction in GSH level in H<sub>2</sub>O<sub>2</sub>-treated cells, showing lower fluorescence intensity than that of the control. However, an increase in GSH levels was observed in the luteolin-pretreated group (<xref rid="f6-mmr-30-1-13244" ref-type="fig">Fig. 6A</xref>). As GSH synthesis involves &#x03B3;-GCL and GSH synthase (<xref rid="b26-mmr-30-1-13244" ref-type="bibr">26</xref>), &#x03B3;-GCL expression was evaluated via western blotting. The expression of &#x03B3;-GCL was notably downregulated by H<sub>2</sub>O<sub>2</sub>-treated cells but upregulated by luteolin pretreatment (<xref rid="f6-mmr-30-1-13244" ref-type="fig">Fig. 6B</xref>). Moreover, enzymatic assays demonstrated that luteolin pretreatment enhanced activities of SOD, CAT, GPx, and HO-1 to 29, 17 and 17 unit/mg protein and 7,162 pmol bilirubin/mg protein, respectively, compared with diminished activities in cells treated with H<sub>2</sub>O<sub>2</sub>-alone (23, 9, and 9 unit/mg protein and 4,987 pmol bilirubin/mg protein, respectively; <xref rid="f6-mmr-30-1-13244" ref-type="fig">Fig. 6C and D</xref>). Also, the levels of SOD, CAT, GPx and HO-1 were reduced in H<sub>2</sub>O<sub>2</sub>-treated cells; however, luteolin partially restored expression of these proteins (<xref rid="f6-mmr-30-1-13244" ref-type="fig">Fig. 6E</xref>).</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Flavonoids are categorized based on their molecular structures into flavan-3-ols, flavones, flavonols, flavanones, isoflavones, and anthocyanins (<xref rid="b27-mmr-30-1-13244" ref-type="bibr">27</xref>). These substances are abundantly found in coffee, fruit, vegetables and cocoa-containing products (<xref rid="b28-mmr-30-1-13244" ref-type="bibr">28</xref>). Flavonoids are known for broad therapeutic benefits, including anticancer, antioxidant, anti-inflammatory, anti-microbial and antiangiogenic effects (<xref rid="b29-mmr-30-1-13244" ref-type="bibr">29</xref>). Extensive research, including our prior studies, has demonstrated that luteolin induces apoptosis in various types of cancer cells, such as human colon, melanoma, lung, cervical, monocytic leukemia and breast cancer cells (<xref rid="b23-mmr-30-1-13244" ref-type="bibr">23</xref>,<xref rid="b30-mmr-30-1-13244" ref-type="bibr">30</xref>&#x2013;<xref rid="b32-mmr-30-1-13244" ref-type="bibr">32</xref>). Notably, Liu <italic>et al</italic> (<xref rid="b33-mmr-30-1-13244" ref-type="bibr">33</xref>) reported the protective effects of luteolin against angiotensin II-induced renal damage in apolipoprotein E-deficient mice. The present study evaluated the antioxidant potential of luteolin against H<sub>2</sub>O<sub>2</sub>-induced oxidative stress in lung fibroblasts and demonstrated that luteolin inhibited H<sub>2</sub>O<sub>2</sub>-mediated cellular damage by upregulating antioxidant enzymes.</p>
<p>ROS induce cellular damage and cause disease progression, including chronic obstructive pulmonary disease (COPD) and pulmonary fibrosis (<xref rid="b34-mmr-30-1-13244" ref-type="bibr">34</xref>,<xref rid="b35-mmr-30-1-13244" ref-type="bibr">35</xref>). Here, luteolin showed potent scavenging capabilities for O<sub>2</sub><sup>&#x2212;</sup> and &#x00B7;OH in a cell-free system. Additionally, pretreatment with luteolin resulted in a significant decrease in intracellular levels of ROS. Given its efficacy in neutralizing ROS, including O<sub>2</sub><sup>&#x2212;</sup> and &#x00B7;OH, luteolin may serve as a promising therapeutic agent for management and treatment of conditions such as COPD and pulmonary fibrosis.</p>
<p>ROS-induced lipid peroxidation compromises cellular membranes (<xref rid="b36-mmr-30-1-13244" ref-type="bibr">36</xref>). Polyunsaturated fatty acids, particularly those vulnerable to ROS, undergo peroxidation, leading to a cascade of free radical reactions (<xref rid="b34-mmr-30-1-13244" ref-type="bibr">34</xref>,<xref rid="b37-mmr-30-1-13244" ref-type="bibr">37</xref>,<xref rid="b38-mmr-30-1-13244" ref-type="bibr">38</xref>). Here, H<sub>2</sub>O<sub>2</sub> strongly promoted lipid peroxidation and TBARS production; however, luteolin inhibited lipid peroxidation in the cell membranes. GPx catalyzes conversion of H<sub>2</sub>O<sub>2</sub> into water and lipid peroxides into their corresponding alcohols (<xref rid="b6-mmr-30-1-13244" ref-type="bibr">6</xref>). Moreover, bilirubin, a product of HO-1 activity, offers protection against lipid peroxidation (<xref rid="b39-mmr-30-1-13244" ref-type="bibr">39</xref>). The present study indicates that luteolin directly scavenges ROS and upregulates antioxidant enzymes such as GPx and HO-1, thereby mitigating lipid peroxidation. Additionally, luteolin decreased DNA damage and phospho-H2A.X protein levels that were elevated by H<sub>2</sub>O<sub>2</sub> treatment. The present study investigated proteins associated with the mitochondrial cell death pathway to gain insight into the mechanisms of apoptosis as mitochondria-mediated apoptosis can be induced in response to H<sub>2</sub>O<sub>2</sub> exposure (<xref rid="b40-mmr-30-1-13244" ref-type="bibr">40</xref>,<xref rid="b41-mmr-30-1-13244" ref-type="bibr">41</xref>). Luteolin suppressed active caspase-9 and caspase-3 while lowering the levels of the pro-apoptotic protein Bax and increasing the levels of anti-apoptotic protein Bcl-2. As luteolin attenuated cellular lipid peroxidation and DNA damage and inhibits H<sub>2</sub>O<sub>2</sub>-mediated cell apoptosis in the present study, we focused on the antioxidant capacity of luteolin to decrease the adverse effect of H<sub>2</sub>O<sub>2</sub>.</p>
<p>The cellular antioxidant system, comprising enzymes such as SOD, CAT, GPx, and HO-1, serves a crucial role in mitigating oxidative stress-induced cellular damage (<xref rid="b42-mmr-30-1-13244" ref-type="bibr">42</xref>,<xref rid="b43-mmr-30-1-13244" ref-type="bibr">43</xref>). As evidenced by CMAC staining and western blotting, luteolin pretreatment restored H<sub>2</sub>O<sub>2</sub> mitigated GSH and &#x03B3;-GCL levels. H<sub>2</sub>O<sub>2</sub> treatment reduced levels and enzymatic activity of SOD, CAT, GPx, and HO-1 proteins, which were subsequently restored by luteolin pretreatment. Previous research has indicated that luteolin upregulates NRF2 and HO-1 expression, thereby decreasing H<sub>2</sub>O<sub>2</sub>-induced oxidative damage in intestinal epithelial cells (<xref rid="b44-mmr-30-1-13244" ref-type="bibr">44</xref>). Additionally, luteolin is known to promote autophagy and antioxidant processes via activation of the p62/KEAP1/NRF2 pathway, which has been identified for its neuroprotective effect (<xref rid="b45-mmr-30-1-13244" ref-type="bibr">45</xref>). Luteolin scavenges ROS by enhancing antioxidant enzymes by regulating the NRF2 signaling pathway (<xref rid="b46-mmr-30-1-13244" ref-type="bibr">46</xref>,<xref rid="b47-mmr-30-1-13244" ref-type="bibr">47</xref>). The NRF2 signaling pathway is integral to cellular antioxidant defenses and maintenance of redox homeostasis, regulating the expression of antioxidant and drug-metabolizing enzymes such as SOD, CAT, GPx, and HO-1 (<xref rid="b48-mmr-30-1-13244" ref-type="bibr">48</xref>). The present study demonstrates that luteolin activates these antioxidant enzymes to counteract H<sub>2</sub>O<sub>2</sub>-induced oxidative stress, suggesting induction of these enzymes via the NRF2 signaling pathway. Taken together, the present results suggested that luteolin can prevent ROS generation by mitigating cellular damage and improving antioxidant enzyme activity.</p>
<p>In conclusion, luteolin inhibited H<sub>2</sub>O<sub>2</sub>-induced lipid peroxidation, DNA damage, and cell apoptosis while augmenting the activity of cellular antioxidant enzymes (CAT, SOD, GPx, and HO-1), thus safeguarding V79-4 cells from oxidative harm. These properties position luteolin as a potential agent for protecting lung fibroblasts against oxidative damage, warranting further clinical investigation to assess its efficacy in alleviating oxidative stress-associated pulmonary conditions.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>Not applicable.</p>
</ack>
<sec sec-type="data-availability">
<title>Availability of data and materials</title>
<p>All data generated or analyzed during this study are included in this published article.</p>
</sec>
<sec>
<title>Authors&#x0027; contributions</title>
<p>PDSMF, DOK, and JWH conceived and designed the study and wrote the manuscript. DOK, HMULH, MJP, and KAK performed the experiments and data analysis and interpretation. PDSMF and JWH confirm the authenticity of all the raw data. PDSMF, DOK, HMULH, and JWH revised the manuscript for important intellectual content. All authors have read and approved the final manuscript.</p>
</sec>
<sec>
<title>Ethics approval and consent to participate</title>
<p>Not applicable.</p>
</sec>
<sec>
<title>Patient consent for publication</title>
<p>Not applicable.</p>
</sec>
<sec sec-type="COI-statement">
<title>Competing interests</title>
<p>The authors declare that they have no competing interests.</p>
</sec>
<ref-list>
<title>References</title>
<ref id="b1-mmr-30-1-13244"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Shah</surname><given-names>S</given-names></name><name><surname>Sun</surname><given-names>A</given-names></name><name><surname>Chu</surname><given-names>XP</given-names></name></person-group><article-title>Modulation of ASIC1a by reactive oxygen species through JFK signaling</article-title><source>Int J Physiol Pathophysiol Pharmacol</source><volume>14</volume><fpage>276</fpage><lpage>280</lpage><year>2022</year><pub-id pub-id-type="pmid">36161255</pub-id></element-citation></ref>
<ref id="b2-mmr-30-1-13244"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Banerjee</surname><given-names>S</given-names></name><name><surname>Ghosh</surname><given-names>S</given-names></name><name><surname>Mandal</surname><given-names>A</given-names></name><name><surname>Ghosh</surname><given-names>N</given-names></name><name><surname>Sil</surname><given-names>PC</given-names></name></person-group><article-title>ROS-associated immune response and metabolism: A mechanistic approach with implication of various diseases</article-title><source>Arch Toxicol</source><volume>94</volume><fpage>2293</fpage><lpage>2317</lpage><year>2020</year><pub-id pub-id-type="doi">10.1007/s00204-020-02801-7</pub-id><pub-id pub-id-type="pmid">32524152</pub-id></element-citation></ref>
<ref id="b3-mmr-30-1-13244"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Meher</surname><given-names>PK</given-names></name><name><surname>Mishra</surname><given-names>KP</given-names></name></person-group><article-title>Radiation oxidative stress in cancer induction and prevention</article-title><source>J Radiat Cancer Res</source><volume>8</volume><fpage>44</fpage><lpage>52</lpage><year>2017</year><pub-id pub-id-type="doi">10.4103/jrcr.jrcr_10_17</pub-id></element-citation></ref>
<ref id="b4-mmr-30-1-13244"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Martins</surname><given-names>SG</given-names></name><name><surname>Zilh&#x00E3;o</surname><given-names>R</given-names></name><name><surname>Thorsteinsd&#x00F3;ttir</surname><given-names>S</given-names></name><name><surname>Carlos</surname><given-names>AR</given-names></name></person-group><article-title>Linking oxidative stress and DNA damage to changes in the expression of extracellular matrix components</article-title><source>Front Genet</source><volume>12</volume><fpage>673002</fpage><year>2021</year><pub-id pub-id-type="doi">10.3389/fgene.2021.673002</pub-id><pub-id pub-id-type="pmid">34394183</pub-id></element-citation></ref>
<ref id="b5-mmr-30-1-13244"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sakai</surname><given-names>T</given-names></name><name><surname>Takagaki</surname><given-names>H</given-names></name><name><surname>Yamagiwa</surname><given-names>N</given-names></name><name><surname>Ui</surname><given-names>M</given-names></name><name><surname>Hatta</surname><given-names>S</given-names></name><name><surname>Imai</surname><given-names>J</given-names></name></person-group><article-title>Effects of the cytoplasm and mitochondrial specific hydroxyl radical scavengers TA293 and mitoTA293 in bleomycin-induced pulmonary fibrosis model mice</article-title><source>Antioxidants (Basel)</source><volume>10</volume><fpage>1398</fpage><year>2021</year><pub-id pub-id-type="doi">10.3390/antiox10091398</pub-id><pub-id pub-id-type="pmid">34573030</pub-id></element-citation></ref>
<ref id="b6-mmr-30-1-13244"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ighodaro</surname><given-names>OM</given-names></name><name><surname>Akinloye</surname><given-names>OA</given-names></name></person-group><article-title>First line defence antioxidants-superoxide dismutase (SOD), catalase (CAT) and glutathione peroxidase (GPX): Their fundamental role in the entire antioxidant defence grid</article-title><source>Alexandria J Med</source><volume>54</volume><fpage>287</fpage><lpage>293</lpage><year>2018</year><pub-id pub-id-type="doi">10.1016/j.ajme.2017.09.001</pub-id></element-citation></ref>
<ref id="b7-mmr-30-1-13244"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Averill-Bates</surname><given-names>DA</given-names></name></person-group><article-title>The antioxidant glutathione</article-title><source>Vitam Horm</source><volume>121</volume><fpage>109</fpage><lpage>141</lpage><year>2023</year><pub-id pub-id-type="doi">10.1016/bs.vh.2022.09.002</pub-id><pub-id pub-id-type="pmid">36707132</pub-id></element-citation></ref>
<ref id="b8-mmr-30-1-13244"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Saxena</surname><given-names>P</given-names></name><name><surname>Selvaraj</surname><given-names>K</given-names></name><name><surname>Khare</surname><given-names>SK</given-names></name><name><surname>Chaudhary</surname><given-names>N</given-names></name></person-group><article-title>Superoxide dismutase as multipotent therapeutic antioxidant enzyme: Role in human diseases</article-title><source>Biotechnol Lett</source><volume>44</volume><fpage>1</fpage><lpage>22</lpage><year>2022</year><pub-id pub-id-type="doi">10.1007/s10529-021-03200-3</pub-id><pub-id pub-id-type="pmid">34734354</pub-id></element-citation></ref>
<ref id="b9-mmr-30-1-13244"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kaushal</surname><given-names>J</given-names></name><name><surname>Mehandia</surname><given-names>S</given-names></name><name><surname>Singh</surname><given-names>G</given-names></name><name><surname>Raina</surname><given-names>A</given-names></name><name><surname>Arya</surname><given-names>SK</given-names></name></person-group><article-title>Catalase enzyme: Application in bioremediation and food industry</article-title><source>Biocatal Agric Biotechnol</source><volume>16</volume><fpage>192</fpage><lpage>199</lpage><year>2018</year><pub-id pub-id-type="doi">10.1016/j.bcab.2018.07.035</pub-id></element-citation></ref>
<ref id="b10-mmr-30-1-13244"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sharapov</surname><given-names>MG</given-names></name><name><surname>Gudkov</surname><given-names>SV</given-names></name><name><surname>Lankin</surname><given-names>VZ</given-names></name></person-group><article-title>Hydroperoxide-reducing enzymes in the regulation of free-radical processes</article-title><source>Biochemistry (Mosc)</source><volume>86</volume><fpage>1256</fpage><lpage>1274</lpage><year>2021</year><pub-id pub-id-type="doi">10.1134/S0006297921100084</pub-id><pub-id pub-id-type="pmid">34903155</pub-id></element-citation></ref>
<ref id="b11-mmr-30-1-13244"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ryter</surname><given-names>SW</given-names></name></person-group><article-title>Therapeutic potential of heme oxygenase-1 and carbon monoxide in acute organ injury, critical illness, and inflammatory disorders</article-title><source>Antioxidants (Basel)</source><volume>9</volume><fpage>1153</fpage><year>2020</year><pub-id pub-id-type="doi">10.3390/antiox9111153</pub-id><pub-id pub-id-type="pmid">33228260</pub-id></element-citation></ref>
<ref id="b12-mmr-30-1-13244"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pizzino</surname><given-names>G</given-names></name><name><surname>Irrera</surname><given-names>N</given-names></name><name><surname>Cucinotta</surname><given-names>M</given-names></name><name><surname>Pallio</surname><given-names>G</given-names></name><name><surname>Mannino</surname><given-names>F</given-names></name><name><surname>Arcoraci</surname><given-names>V</given-names></name><name><surname>Squadrito</surname><given-names>F</given-names></name><name><surname>Altavilla</surname><given-names>D</given-names></name><name><surname>Bitto</surname><given-names>A</given-names></name></person-group><article-title>Oxidative stress: Harms and benefits for human health</article-title><source>Oxid Med Cell Longev</source><volume>2017</volume><fpage>8416763</fpage><year>2017</year><pub-id pub-id-type="doi">10.1155/2017/8416763</pub-id><pub-id pub-id-type="pmid">28819546</pub-id></element-citation></ref>
<ref id="b13-mmr-30-1-13244"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nova</surname><given-names>Z</given-names></name><name><surname>Skovierova</surname><given-names>H</given-names></name><name><surname>Calkovska</surname><given-names>A</given-names></name></person-group><article-title>Alveolar-capillary membrane-related pulmonary cells as a target in endotoxin-induced acute lung injury</article-title><source>Int J Mol</source><volume>20</volume><fpage>831</fpage><year>2019</year><pub-id pub-id-type="doi">10.3390/ijms20040831</pub-id></element-citation></ref>
<ref id="b14-mmr-30-1-13244"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sahai</surname><given-names>E</given-names></name><name><surname>Astsaturov</surname><given-names>I</given-names></name><name><surname>Cukierman</surname><given-names>E</given-names></name><name><surname>DeNardo</surname><given-names>DG</given-names></name><name><surname>Egeblad</surname><given-names>M</given-names></name><name><surname>Evans</surname><given-names>RM</given-names></name><name><surname>Fearon</surname><given-names>D</given-names></name><name><surname>Greten</surname><given-names>FR</given-names></name><name><surname>Hingorani</surname><given-names>SR</given-names></name><name><surname>Hunter</surname><given-names>T</given-names></name><etal/></person-group><article-title>A framework for advancing our understanding of cancer-associated fibroblasts</article-title><source>Nat Rev Cancer</source><volume>20</volume><fpage>174</fpage><lpage>186</lpage><year>2020</year><pub-id pub-id-type="doi">10.1038/s41568-019-0238-1</pub-id><pub-id pub-id-type="pmid">31980749</pub-id></element-citation></ref>
<ref id="b15-mmr-30-1-13244"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>C</given-names></name><name><surname>Hou</surname><given-names>J</given-names></name><name><surname>Yu</surname><given-names>S</given-names></name><name><surname>Li</surname><given-names>W</given-names></name><name><surname>Wang</surname><given-names>X</given-names></name><name><surname>Sun</surname><given-names>H</given-names></name><name><surname>Qin</surname><given-names>T</given-names></name><name><surname>Claret</surname><given-names>FX</given-names></name><name><surname>Guo</surname><given-names>H</given-names></name><name><surname>Liu</surname><given-names>Z</given-names></name></person-group><article-title>Role of cancer-associated fibroblasts in the resistance to antitumor therapy, and their potential therapeutic mechanisms in non-small cell lung cancer</article-title><source>Oncol Lett</source><volume>21</volume><fpage>413</fpage><year>2021</year><pub-id pub-id-type="doi">10.3892/ol.2021.12674</pub-id><pub-id pub-id-type="pmid">33841574</pub-id></element-citation></ref>
<ref id="b16-mmr-30-1-13244"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tan</surname><given-names>X</given-names></name><name><surname>Liu</surname><given-names>B</given-names></name><name><surname>Lu</surname><given-names>J</given-names></name><name><surname>Li</surname><given-names>S</given-names></name><name><surname>Baiyun</surname><given-names>R</given-names></name><name><surname>Lv</surname><given-names>Y</given-names></name><name><surname>Lu</surname><given-names>Q</given-names></name><name><surname>Zhang</surname><given-names>Z</given-names></name></person-group><article-title>Dietary luteolin protects against HgCl2-induced renal injury via activation of Nrf2-mediated signaling in rat</article-title><source>J Inorg Biochem</source><volume>179</volume><fpage>24</fpage><lpage>31</lpage><year>2018</year><pub-id pub-id-type="doi">10.1016/j.jinorgbio.2017.11.010</pub-id><pub-id pub-id-type="pmid">29156292</pub-id></element-citation></ref>
<ref id="b17-mmr-30-1-13244"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lu</surname><given-names>J</given-names></name><name><surname>Li</surname><given-names>G</given-names></name><name><surname>He</surname><given-names>K</given-names></name><name><surname>Jiang</surname><given-names>W</given-names></name><name><surname>Xu</surname><given-names>C</given-names></name><name><surname>Li</surname><given-names>Z</given-names></name><name><surname>Wang</surname><given-names>H</given-names></name><name><surname>Wang</surname><given-names>W</given-names></name><name><surname>Wang</surname><given-names>H</given-names></name><name><surname>Teng</surname><given-names>X</given-names></name><name><surname>Teng</surname><given-names>L</given-names></name></person-group><article-title>Luteolin exerts a marked antitumor effect in cMet-overexpressing patient-derived tumor xenograft models of gastric cancer</article-title><source>J Transl Med</source><volume>13</volume><fpage>42</fpage><year>2015</year><pub-id pub-id-type="doi">10.1186/s12967-015-0398-z</pub-id><pub-id pub-id-type="pmid">25638174</pub-id></element-citation></ref>
<ref id="b18-mmr-30-1-13244"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>H</given-names></name><name><surname>Luo</surname><given-names>Y</given-names></name><name><surname>Qiao</surname><given-names>T</given-names></name><name><surname>Wu</surname><given-names>Z</given-names></name><name><surname>Huang</surname><given-names>Z</given-names></name></person-group><article-title>Luteolin sensitizes the antitumor effect of cisplatin in drug-resistant ovarian cancer via induction of apoptosis and inhibition of cell migration and invasion</article-title><source>J Ovarian Res</source><volume>11</volume><fpage>93</fpage><year>2018</year><pub-id pub-id-type="doi">10.1186/s13048-018-0468-y</pub-id><pub-id pub-id-type="pmid">30454003</pub-id></element-citation></ref>
<ref id="b19-mmr-30-1-13244"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yu</surname><given-names>Q</given-names></name><name><surname>Zhang</surname><given-names>M</given-names></name><name><surname>Ying</surname><given-names>Q</given-names></name><name><surname>Xie</surname><given-names>X</given-names></name><name><surname>Yue</surname><given-names>S</given-names></name><name><surname>Tong</surname><given-names>B</given-names></name><name><surname>Wei</surname><given-names>Q</given-names></name><name><surname>Bai</surname><given-names>Z</given-names></name><name><surname>Ma</surname><given-names>L</given-names></name></person-group><article-title>Decrease of AIM2 mediated by luteolin contributes to non-small cell lung cancer treatment</article-title><source>Cell Death Dis</source><volume>10</volume><fpage>218</fpage><year>2019</year><pub-id pub-id-type="doi">10.1038/s41419-019-1447-y</pub-id><pub-id pub-id-type="pmid">30833546</pub-id></element-citation></ref>
<ref id="b20-mmr-30-1-13244"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname><given-names>H</given-names></name><name><surname>Yang</surname><given-names>T</given-names></name><name><surname>Liu</surname><given-names>X</given-names></name><name><surname>Tian</surname><given-names>Y</given-names></name><name><surname>Chen</surname><given-names>X</given-names></name><name><surname>Yuan</surname><given-names>R</given-names></name><name><surname>Su</surname><given-names>S</given-names></name><name><surname>Lin</surname><given-names>X</given-names></name><name><surname>Du</surname><given-names>G</given-names></name></person-group><article-title>Luteolin synergizes the antitumor effects of 5-fluorouracil against human hepatocellular carcinoma cells through apoptosis induction and metabolism</article-title><source>Life Sci</source><volume>144</volume><fpage>138</fpage><lpage>147</lpage><year>2016</year><pub-id pub-id-type="doi">10.1016/j.lfs.2015.12.002</pub-id><pub-id pub-id-type="pmid">26656468</pub-id></element-citation></ref>
<ref id="b21-mmr-30-1-13244"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Imran</surname><given-names>M</given-names></name><name><surname>Rauf</surname><given-names>A</given-names></name><name><surname>Abu-Izneid</surname><given-names>T</given-names></name><name><surname>Nadeem</surname><given-names>M</given-names></name><name><surname>Shariati</surname><given-names>MA</given-names></name><name><surname>Khan</surname><given-names>IA</given-names></name><name><surname>Imran</surname><given-names>A</given-names></name><name><surname>Orhan</surname><given-names>IE</given-names></name><name><surname>Rizwan</surname><given-names>M</given-names></name><name><surname>Atif</surname><given-names>M</given-names></name><etal/></person-group><article-title>Luteolin, a flavonoid, as an anticancer agent: A review</article-title><source>Biomed Pharmacother</source><volume>112</volume><fpage>108612</fpage><year>2019</year><pub-id pub-id-type="doi">10.1016/j.biopha.2019.108612</pub-id><pub-id pub-id-type="pmid">30798142</pub-id></element-citation></ref>
<ref id="b22-mmr-30-1-13244"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fernando</surname><given-names>PDSM</given-names></name><name><surname>Piao</surname><given-names>MJ</given-names></name><name><surname>Zhen</surname><given-names>AX</given-names></name><name><surname>Ahn</surname><given-names>MJ</given-names></name><name><surname>Yi</surname><given-names>JM</given-names></name><name><surname>Choi</surname><given-names>YH</given-names></name><name><surname>Hyun</surname><given-names>JW</given-names></name></person-group><article-title>Extract of cornus officinalis protects keratinocytes from particulate matter-induced oxidative stress</article-title><source>Int J Med Sci</source><volume>17</volume><fpage>63</fpage><lpage>70</lpage><year>2020</year><pub-id pub-id-type="doi">10.7150/ijms.36476</pub-id><pub-id pub-id-type="pmid">31929739</pub-id></element-citation></ref>
<ref id="b23-mmr-30-1-13244"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kang</surname><given-names>KA</given-names></name><name><surname>Piao</surname><given-names>MJ</given-names></name><name><surname>Ryu</surname><given-names>YS</given-names></name><name><surname>Hyun</surname><given-names>YJ</given-names></name><name><surname>Park</surname><given-names>JE</given-names></name><name><surname>Shilnikova</surname><given-names>K</given-names></name><name><surname>Zhen</surname><given-names>AX</given-names></name><name><surname>Kang</surname><given-names>HK</given-names></name><name><surname>Koh</surname><given-names>YS</given-names></name><name><surname>Jeong</surname><given-names>YJ</given-names></name><name><surname>Hyun</surname><given-names>JW</given-names></name></person-group><article-title>Luteolin induces apoptotic cell death via antioxidant activity in human colon cancer cells</article-title><source>Int J Oncol</source><volume>51</volume><fpage>1169</fpage><lpage>1178</lpage><year>2017</year><pub-id pub-id-type="doi">10.3892/ijo.2017.4091</pub-id><pub-id pub-id-type="pmid">28791416</pub-id></element-citation></ref>
<ref id="b24-mmr-30-1-13244"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cinelli</surname><given-names>G</given-names></name><name><surname>Sbrocchi</surname><given-names>G</given-names></name><name><surname>Iacovino</surname><given-names>S</given-names></name><name><surname>Ambrosone</surname><given-names>L</given-names></name><name><surname>Ceglie</surname><given-names>A</given-names></name><name><surname>Lopez</surname><given-names>F</given-names></name><name><surname>Cuomo</surname><given-names>F</given-names></name></person-group><article-title>Red wine-enriched olive oil emulsions: Role of wine polyphenols in the oxidative stability</article-title><source>Colloid Interfac</source><volume>3</volume><fpage>59</fpage><year>2019</year><pub-id pub-id-type="doi">10.3390/colloids3030059</pub-id></element-citation></ref>
<ref id="b25-mmr-30-1-13244"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Herath</surname><given-names>HMUL</given-names></name><name><surname>Piao</surname><given-names>MJ</given-names></name><name><surname>Kang</surname><given-names>KA</given-names></name><name><surname>Zhen</surname><given-names>AX</given-names></name><name><surname>Fernando</surname><given-names>PDSM</given-names></name><name><surname>Kang</surname><given-names>HK</given-names></name><name><surname>Yi</surname><given-names>JM</given-names></name><name><surname>Hyun</surname><given-names>JW</given-names></name></person-group><article-title>Hesperidin exhibits protective effects against PM2.5-mediated mitochondrial damage, cell cycle arrest, and cellular senescence in human HaCaT keratinocytes</article-title><source>Molecules</source><volume>27</volume><fpage>4800</fpage><year>2022</year><pub-id pub-id-type="doi">10.3390/molecules27154800</pub-id><pub-id pub-id-type="pmid">35956749</pub-id></element-citation></ref>
<ref id="b26-mmr-30-1-13244"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kang</surname><given-names>KA</given-names></name><name><surname>Zhang</surname><given-names>R</given-names></name><name><surname>Chae</surname><given-names>S</given-names></name><name><surname>Lee</surname><given-names>SJ</given-names></name><name><surname>Kim</surname><given-names>J</given-names></name><name><surname>Kim</surname><given-names>J</given-names></name><name><surname>Jeong</surname><given-names>J</given-names></name><name><surname>Lee</surname><given-names>J</given-names></name><name><surname>Shin</surname><given-names>T</given-names></name><name><surname>Lee</surname><given-names>NH</given-names></name><name><surname>Hyun</surname><given-names>JW</given-names></name></person-group><article-title>Phloroglucinol (1,3,5-trihydroxybenzene) protects against ionizing radiation-induced cell damage through inhibition of oxidative stress in vitro and in vivo</article-title><source>Chem Biol Interact</source><volume>185</volume><fpage>215</fpage><lpage>226</lpage><year>2010</year><pub-id pub-id-type="doi">10.1016/j.cbi.2010.02.031</pub-id><pub-id pub-id-type="pmid">20188716</pub-id></element-citation></ref>
<ref id="b27-mmr-30-1-13244"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dias</surname><given-names>MC</given-names></name><name><surname>Pinto</surname><given-names>DCGA</given-names></name><name><surname>Silva</surname><given-names>AMS</given-names></name></person-group><article-title>Plant flavonoids: Chemical characteristics and biological activity</article-title><source>Molecules</source><volume>26</volume><fpage>5377</fpage><year>2021</year><pub-id pub-id-type="doi">10.3390/molecules26175377</pub-id><pub-id pub-id-type="pmid">34500810</pub-id></element-citation></ref>
<ref id="b28-mmr-30-1-13244"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rudrapal</surname><given-names>M</given-names></name><name><surname>Chetia</surname><given-names>D</given-names></name></person-group><article-title>Plant flavonoids as potential source of future antimalarial leads</article-title><source>Sys Rev Pharm</source><volume>8</volume><fpage>13</fpage><lpage>18</lpage><year>2017</year><pub-id pub-id-type="doi">10.5530/srp.2017.1.4</pub-id></element-citation></ref>
<ref id="b29-mmr-30-1-13244"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ullah</surname><given-names>A</given-names></name><name><surname>Munir</surname><given-names>S</given-names></name><name><surname>Badshah</surname><given-names>SL</given-names></name><name><surname>Khan</surname><given-names>N</given-names></name><name><surname>Ghani</surname><given-names>L</given-names></name><name><surname>Poulson</surname><given-names>BG</given-names></name><name><surname>Emwas</surname><given-names>AH</given-names></name><name><surname>Jaremko</surname><given-names>M</given-names></name></person-group><article-title>Important flavonoids and their role as a therapeutic agent</article-title><source>Molecules</source><volume>25</volume><fpage>5243</fpage><year>2020</year><pub-id pub-id-type="doi">10.3390/molecules25225243</pub-id><pub-id pub-id-type="pmid">33187049</pub-id></element-citation></ref>
<ref id="b30-mmr-30-1-13244"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kang</surname><given-names>KA</given-names></name><name><surname>Zhang</surname><given-names>R</given-names></name><name><surname>Piao</surname><given-names>MJ</given-names></name><name><surname>Zhen</surname><given-names>AX</given-names></name><name><surname>Herath</surname><given-names>HMUL</given-names></name><name><surname>Fernando</surname><given-names>PDSM</given-names></name><name><surname>Hyun</surname><given-names>JW</given-names></name></person-group><article-title>Luteolin triggered apoptosis in human colon cancer cells mediated by endoplasmic reticulum stress signaling</article-title><source>Food Suppl Biomater Health</source><volume>2</volume><fpage>e24</fpage><year>2022</year><pub-id pub-id-type="doi">10.52361/fsbh.2022.2.e24</pub-id></element-citation></ref>
<ref id="b31-mmr-30-1-13244"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kang</surname><given-names>KA</given-names></name><name><surname>Piao</surname><given-names>MJ</given-names></name><name><surname>Hyun</surname><given-names>YJ</given-names></name><name><surname>Zhen</surname><given-names>AX</given-names></name><name><surname>Cho</surname><given-names>SJ</given-names></name><name><surname>Ahn</surname><given-names>MJ</given-names></name><name><surname>Yi</surname><given-names>JM</given-names></name><name><surname>Hyun</surname><given-names>JW</given-names></name></person-group><article-title>Luteolin promotes apoptotic cell death via upregulation of Nrf2 expression by DNA demethylase and the interaction of Nrf2 with p53 in human colon cancer cells</article-title><source>Exp Mol Med</source><volume>51</volume><fpage>1</fpage><lpage>14</lpage><year>2019</year><pub-id pub-id-type="doi">10.1038/s12276-019-0345-9</pub-id></element-citation></ref>
<ref id="b32-mmr-30-1-13244"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Park</surname><given-names>J</given-names></name><name><surname>Kang</surname><given-names>KA</given-names></name><name><surname>Zhang</surname><given-names>R</given-names></name><name><surname>Piao</surname><given-names>MJ</given-names></name><name><surname>Park</surname><given-names>S</given-names></name><name><surname>Kim</surname><given-names>JS</given-names></name><name><surname>Kang</surname><given-names>SS</given-names></name><name><surname>Hyun</surname><given-names>JW</given-names></name></person-group><article-title>Antioxidant and cytotoxicity effects of luteolin</article-title><source>Toxicol Res</source><volume>22</volume><fpage>391</fpage><lpage>395</lpage><year>2006</year></element-citation></ref>
<ref id="b33-mmr-30-1-13244"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>YS</given-names></name><name><surname>Yang</surname><given-names>Q</given-names></name><name><surname>Li</surname><given-names>S</given-names></name><name><surname>Luo</surname><given-names>L</given-names></name><name><surname>Liu</surname><given-names>HY</given-names></name><name><surname>Li</surname><given-names>XY</given-names></name><name><surname>Gao</surname><given-names>ZN</given-names></name></person-group><article-title>Luteolin attenuates angiotensin II-induced renal damage in apolipoprotein E-deficient mice</article-title><source>Mol Med Rep</source><volume>23</volume><fpage>157</fpage><year>2021</year><pub-id pub-id-type="doi">10.3892/mmr.2020.11796</pub-id><pub-id pub-id-type="pmid">33355379</pub-id></element-citation></ref>
<ref id="b34-mmr-30-1-13244"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Boukhenouna</surname><given-names>S</given-names></name><name><surname>Wilson</surname><given-names>MA</given-names></name><name><surname>Bahmed</surname><given-names>K</given-names></name><name><surname>Kosmider</surname><given-names>B</given-names></name></person-group><article-title>Reactive oxygen species in chronic obstructive pulmonary disease</article-title><source>Oxid Med Cell Longev</source><volume>2018</volume><fpage>5730395</fpage><year>2018</year><pub-id pub-id-type="doi">10.1155/2018/5730395</pub-id><pub-id pub-id-type="pmid">29599897</pub-id></element-citation></ref>
<ref id="b35-mmr-30-1-13244"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Son</surname><given-names>B</given-names></name><name><surname>Kwon</surname><given-names>T</given-names></name><name><surname>Lee</surname><given-names>S</given-names></name><name><surname>Han</surname><given-names>I</given-names></name><name><surname>Kim</surname><given-names>W</given-names></name><name><surname>Youn</surname><given-names>H</given-names></name><name><surname>Youn</surname><given-names>B</given-names></name></person-group><article-title>CYP2E1 regulates the development of radiation-induced pulmonary fibrosis via ER stress-and ROS-dependent mechanisms</article-title><source>Am J Physiol Lung Cell Mol Physiol</source><volume>313</volume><fpage>L916</fpage><lpage>L929</lpage><year>2017</year><pub-id pub-id-type="doi">10.1152/ajplung.00144.2017</pub-id><pub-id pub-id-type="pmid">28798253</pub-id></element-citation></ref>
<ref id="b36-mmr-30-1-13244"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Su</surname><given-names>LJ</given-names></name><name><surname>Zhang</surname><given-names>JH</given-names></name><name><surname>Gomez</surname><given-names>H</given-names></name><name><surname>Murugan</surname><given-names>R</given-names></name><name><surname>Hong</surname><given-names>X</given-names></name><name><surname>Xu</surname><given-names>D</given-names></name><name><surname>Jiang</surname><given-names>F</given-names></name><name><surname>Peng</surname><given-names>ZY</given-names></name></person-group><article-title>Reactive oxygen species-induced lipid peroxidation in apoptosis, autophagy, and ferroptosis</article-title><source>Oxid Med Cell Longev</source><volume>2019</volume><fpage>5080843</fpage><year>2019</year><pub-id pub-id-type="doi">10.1155/2019/5080843</pub-id><pub-id pub-id-type="pmid">31737171</pub-id></element-citation></ref>
<ref id="b37-mmr-30-1-13244"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname><given-names>JS</given-names></name><name><surname>Kim</surname><given-names>YR</given-names></name><name><surname>Song</surname><given-names>IG</given-names></name><name><surname>Ha</surname><given-names>SJ</given-names></name><name><surname>Kim</surname><given-names>YE</given-names></name><name><surname>Baek</surname><given-names>NI</given-names></name><name><surname>Hong</surname><given-names>EK</given-names></name></person-group><article-title>Cyanidin-3-glucoside isolated from mulberry fruit protects pancreatic &#x03B2;-cells against oxidative stress-induced apoptosis</article-title><source>Int J Mol Med</source><volume>35</volume><fpage>405</fpage><lpage>412</lpage><year>2015</year><pub-id pub-id-type="doi">10.3892/ijmm.2014.2013</pub-id><pub-id pub-id-type="pmid">25435295</pub-id></element-citation></ref>
<ref id="b38-mmr-30-1-13244"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Upadhyay</surname><given-names>S</given-names></name><name><surname>Vaish</surname><given-names>S</given-names></name><name><surname>Dhiman</surname><given-names>M</given-names></name></person-group><article-title>Hydrogen peroxide-induced oxidative stress and its impact on innate immune responses in lung carcinoma A549 cells</article-title><source>Mol Cell Biochem</source><volume>450</volume><fpage>135</fpage><lpage>147</lpage><year>2019</year><pub-id pub-id-type="doi">10.1007/s11010-018-3380-2</pub-id><pub-id pub-id-type="pmid">29938378</pub-id></element-citation></ref>
<ref id="b39-mmr-30-1-13244"><label>39</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Campbell</surname><given-names>NK</given-names></name><name><surname>Fitzgerald</surname><given-names>HK</given-names></name><name><surname>Dunne</surname><given-names>A</given-names></name></person-group><article-title>Regulation of inflammation by the antioxidant haem oxygenase 1</article-title><source>Nat Rev Immunol</source><volume>21</volume><fpage>411</fpage><lpage>425</lpage><year>2021</year><pub-id pub-id-type="doi">10.1038/s41577-020-00491-x</pub-id><pub-id pub-id-type="pmid">33514947</pub-id></element-citation></ref>
<ref id="b40-mmr-30-1-13244"><label>40</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Park</surname><given-names>C</given-names></name><name><surname>Lee</surname><given-names>H</given-names></name><name><surname>Noh</surname><given-names>JS</given-names></name><name><surname>Jin</surname><given-names>CY</given-names></name><name><surname>Kim</surname><given-names>GY</given-names></name><name><surname>Hyun</surname><given-names>JW</given-names></name><name><surname>Leem</surname><given-names>SH</given-names></name><name><surname>Choi</surname><given-names>YH</given-names></name></person-group><article-title>Hemistepsin a protects human keratinocytes against hydrogen peroxide-induced oxidative stress through activation of the Nrf2/HO-1 signaling pathway</article-title><source>Arch Biochem Biophys</source><volume>691</volume><fpage>108512</fpage><year>2020</year><pub-id pub-id-type="doi">10.1016/j.abb.2020.108512</pub-id><pub-id pub-id-type="pmid">32712291</pub-id></element-citation></ref>
<ref id="b41-mmr-30-1-13244"><label>41</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hua</surname><given-names>W</given-names></name><name><surname>Li</surname><given-names>S</given-names></name><name><surname>Luo</surname><given-names>R</given-names></name><name><surname>Wu</surname><given-names>X</given-names></name><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Liao</surname><given-names>Z</given-names></name><name><surname>Song</surname><given-names>Y</given-names></name><name><surname>Wang</surname><given-names>K</given-names></name><name><surname>Zhao</surname><given-names>K</given-names></name><name><surname>Yang</surname><given-names>S</given-names></name><name><surname>Yang</surname><given-names>C</given-names></name></person-group><article-title>Icariin protects human nucleus pulposus cells from hydrogen peroxide-induced mitochondria-mediated apoptosis by activating nuclear factor erythroid 2-related factor 2</article-title><source>Biochim Biophys Acta Mol Basis Dis</source><volume>1866</volume><fpage>165575</fpage><year>2020</year><pub-id pub-id-type="doi">10.1016/j.bbadis.2019.165575</pub-id><pub-id pub-id-type="pmid">31666206</pub-id></element-citation></ref>
<ref id="b42-mmr-30-1-13244"><label>42</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Oh</surname><given-names>Y</given-names></name><name><surname>Ahn</surname><given-names>CB</given-names></name><name><surname>Nam</surname><given-names>KH</given-names></name><name><surname>Kim</surname><given-names>YK</given-names></name><name><surname>Yoon</surname><given-names>NY</given-names></name><name><surname>Je</surname><given-names>JY</given-names></name></person-group><article-title>Amino acid composition, antioxidant, and cytoprotective effect of blue mussel (Mytilus edulis) hydrolysate through the inhibition of caspase-3 activation in oxidative stress-mediated endothelial cell injury</article-title><source>Mar Drugs</source><volume>17</volume><fpage>135</fpage><year>2019</year><pub-id pub-id-type="doi">10.3390/md17020135</pub-id><pub-id pub-id-type="pmid">30823522</pub-id></element-citation></ref>
<ref id="b43-mmr-30-1-13244"><label>43</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>EN</given-names></name><name><surname>Lee</surname><given-names>HS</given-names></name><name><surname>Jeong</surname><given-names>GS</given-names></name></person-group><article-title>Cudratricusxanthone O inhibits H<sub>2</sub>O<sub>2</sub>-induced cell damage by activating Nrf2/HO-1 pathway in human chondrocytes</article-title><source>Antioxidants (Basel)</source><volume>9</volume><fpage>788</fpage><year>2020</year><pub-id pub-id-type="doi">10.3390/antiox9090788</pub-id><pub-id pub-id-type="pmid">32854434</pub-id></element-citation></ref>
<ref id="b44-mmr-30-1-13244"><label>44</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xia</surname><given-names>Y</given-names></name><name><surname>Tan</surname><given-names>W</given-names></name><name><surname>Yuan</surname><given-names>F</given-names></name><name><surname>Lin</surname><given-names>M</given-names></name><name><surname>Luo</surname><given-names>H</given-names></name></person-group><article-title>Luteolin attenuates oxidative stress and colonic hypermobility in water avoidance stress rats by activating the Nrf2 signaling pathway</article-title><source>Mol Nutr Food Res</source><volume>68</volume><fpage>e2300126</fpage><year>2024</year><pub-id pub-id-type="doi">10.1002/mnfr.202300126</pub-id><pub-id pub-id-type="pmid">38037466</pub-id></element-citation></ref>
<ref id="b45-mmr-30-1-13244"><label>45</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tan</surname><given-names>X</given-names></name><name><surname>Yang</surname><given-names>Y</given-names></name><name><surname>Xu</surname><given-names>J</given-names></name><name><surname>Zhang</surname><given-names>P</given-names></name><name><surname>Deng</surname><given-names>R</given-names></name><name><surname>Mao</surname><given-names>Y</given-names></name><name><surname>He</surname><given-names>J</given-names></name><name><surname>Chen</surname><given-names>Y</given-names></name><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Ding</surname><given-names>J</given-names></name><etal/></person-group><article-title>Luteolin exerts neuroprotection via modulation of the p62/Keap1/Nrf2 pathway in intracerebral hemorrhage</article-title><source>Front Pharmacol</source><volume>10</volume><fpage>1551</fpage><year>2020</year><pub-id pub-id-type="doi">10.3389/fphar.2019.01551</pub-id><pub-id pub-id-type="pmid">32038239</pub-id></element-citation></ref>
<ref id="b46-mmr-30-1-13244"><label>46</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rajput</surname><given-names>SA</given-names></name><name><surname>Shaukat</surname><given-names>A</given-names></name><name><surname>Wu</surname><given-names>K</given-names></name><name><surname>Rajput</surname><given-names>IR</given-names></name><name><surname>Baloch</surname><given-names>DM</given-names></name><name><surname>Akhtar</surname><given-names>RW</given-names></name><name><surname>Raza</surname><given-names>MA</given-names></name><name><surname>Najda</surname><given-names>A</given-names></name><name><surname>Rafa&#x0142;</surname><given-names>P</given-names></name><name><surname>Albrakati</surname><given-names>A</given-names></name><etal/></person-group><article-title>Luteolin alleviates aflatoxinB1-induced apoptosis and oxidative stress in the liver of mice through activation of Nrf2 signaling pathway</article-title><source>Antioxidants (Basel)</source><volume>10</volume><fpage>1268</fpage><year>2021</year><pub-id pub-id-type="doi">10.3390/antiox10081268</pub-id><pub-id pub-id-type="pmid">34439516</pub-id></element-citation></ref>
<ref id="b47-mmr-30-1-13244"><label>47</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>L</given-names></name><name><surname>Luo</surname><given-names>W</given-names></name><name><surname>Qian</surname><given-names>Y</given-names></name><name><surname>Zhu</surname><given-names>W</given-names></name><name><surname>Qian</surname><given-names>J</given-names></name><name><surname>Li</surname><given-names>J</given-names></name><name><surname>Jin</surname><given-names>Y</given-names></name><name><surname>Xu</surname><given-names>X</given-names></name><name><surname>Liang</surname><given-names>G</given-names></name></person-group><article-title>Luteolin protects against diabetic cardiomyopathy by inhibiting NF-&#x03BA;B-mediated inflammation and activating the Nrf2-mediated antioxidant responses</article-title><source>Phytomedicine</source><volume>59</volume><fpage>152774</fpage><year>2019</year><pub-id pub-id-type="doi">10.1016/j.phymed.2018.11.034</pub-id><pub-id pub-id-type="pmid">31009852</pub-id></element-citation></ref>
<ref id="b48-mmr-30-1-13244"><label>48</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mapuskar</surname><given-names>KA</given-names></name><name><surname>Pulliam</surname><given-names>CF</given-names></name><name><surname>Zepeda-Orozco</surname><given-names>D</given-names></name><name><surname>Griffin</surname><given-names>BR</given-names></name><name><surname>Furqan</surname><given-names>M</given-names></name><name><surname>Spitz</surname><given-names>DR</given-names></name><name><surname>Allen</surname><given-names>BG</given-names></name></person-group><article-title>Redox regulation of Nrf2 in cisplatin-induced kidney injury</article-title><source>Antioxidants (Basel)</source><volume>12</volume><fpage>1728</fpage><year>2023</year><pub-id pub-id-type="doi">10.3390/antiox12091728</pub-id><pub-id pub-id-type="pmid">37760031</pub-id></element-citation></ref>
</ref-list>
</back>
<floats-group>
<fig id="f1-mmr-30-1-13244" position="float">
<label>Figure 1.</label>
<caption><p>Effect of luteolin on cytotoxicity and ROS scavenging following H<sub>2</sub>O<sub>2</sub> treatment. (A) Cells were treated with luteolin for 24 h. Cell viability was determined using the MTT assay. &#x002A;P&#x003C;0.05 vs. 0. (B) Cells were pretreated with luteolin, followed by treatment with 1 mM H<sub>2</sub>O<sub>2</sub> after 30 min. Following H<sub>2</sub>DCFDA treatment, intracellular ROS levels were evaluated by spectrofluorometry. The antioxidant NAC was employed as the positive control. &#x002A;P&#x003C;0.05 vs. 0. ROS, reactive oxygen species; NAC, N-acetyl cysteine.</p></caption>
<graphic xlink:href="mmr-30-01-13244-g00.tif"/>
</fig>
<fig id="f2-mmr-30-1-13244" position="float">
<label>Figure 2.</label>
<caption><p>Effect of luteolin on scavenging of superoxide anion, hydroxyl radical and intracellular ROS. (A) Superoxide anion produced through xanthine and xanthine oxidase interacted with DMPO. The resulting DMPO/&#x00B7;OOH adducts were identified via ESR spectrometry. (B) Hydroxyl radical interacted with DMPO and the resulting DMPO/&#x00B7;OH adducts were identified by ESR spectrometry. (C) 2&#x2032;,7&#x2032;-Dichlorodihydrofluorescein diacetate technique was utilized to estimate intracellular ROS levels. ROS, reactive oxygen species; DMPO, 5,5-dimethyl-1-pyrroline-N-oxide; ESR, electron spin resonance.</p></caption>
<graphic xlink:href="mmr-30-01-13244-g01.tif"/>
</fig>
<fig id="f3-mmr-30-1-13244" position="float">
<label>Figure 3.</label>
<caption><p>Protective ability of luteolin on H<sub>2</sub>O<sub>2</sub>-induced cellular lipid peroxidation. Cellular lipid peroxidation was determined via (A) diphenyl-1-pyrenylphosphine staining and (B) TBARS assay. &#x002A;P&#x003C;0.05 vs. control; <sup>#</sup>P&#x003C;0.05 vs. H<sub>2</sub>O<sub>2</sub>. TBARS, thiobarbituric acid reactive substances.</p></caption>
<graphic xlink:href="mmr-30-01-13244-g02.tif"/>
</fig>
<fig id="f4-mmr-30-1-13244" position="float">
<label>Figure 4.</label>
<caption><p>Cytoprotective effect of luteolin on H<sub>2</sub>O<sub>2</sub>-induced DNA damage. (A) Alkaline comet assay was used for the identification of DNA damage. Representative pictures and cellular DNA damage (&#x0025; fluorescence in the tail) are presented. &#x002A;P&#x003C;0.05 vs. control; <sup>#</sup>P&#x003C;0.05 vs. H<sub>2</sub>O<sub>2</sub>. (B) Western blot analysis with antibody against total and phospho-H2A.X was performed. &#x03B2;-actin was used as the loading control. Phospho-H2A.X, phosphorylated-histone H2A histone family member X.</p></caption>
<graphic xlink:href="mmr-30-01-13244-g03.tif"/>
</fig>
<fig id="f5-mmr-30-1-13244" position="float">
<label>Figure 5.</label>
<caption><p>Cytoprotective effect of luteolin on H<sub>2</sub>O<sub>2</sub>-induced apoptosis. (A) MTT assay was used to assess cell viability. &#x002A;P&#x003C;0.05 vs. control; <sup>#</sup>P&#x003C;0.05 vs. H<sub>2</sub>O<sub>2</sub>. (B) Apoptotic bodies (arrow) were revealed by Hoechst 33342 staining. (C) Sub-G<sub>1</sub> cells, which is indicative of apoptosis, were identified by flow cytometry. (D) Western blot analysis with antibodies against Bax, Bcl-2, active caspase-9 and caspase-3 was performed. &#x03B2;-actin was employed as a loading control.</p></caption>
<graphic xlink:href="mmr-30-01-13244-g04.tif"/>
</fig>
<fig id="f6-mmr-30-1-13244" position="float">
<label>Figure 6.</label>
<caption><p>Effect of luteolin on antioxidant systems. (A) 7-Amino-4-chloromethylcoumarin dye was used to detect intracellular GSH levels. (B) Western blot analysis with antibody against &#x03B3;-GCL was assessed. (C) The activities of SOD, CAT, and GPx were presented as unit per mg of protein. (D) HO-1 enzyme activity was shown as pmol bilirubin/mg protein. (E) Western blotting analysis with antibodies for Cu/Zn SOD, CAT, GPx and HO-1. &#x03B2;-actin was employed as a loading control. &#x002A;P&#x003C;0.05 vs. control; <sup>#</sup>P&#x003C;0.05 vs. H<sub>2</sub>O<sub>2</sub>. GSH, glutathione; &#x03B3;-GCL, &#x03B3;-glutamylcysteine ligase; SOD, superoxide dismutase; CAT, catalase; GPx, glutathione peroxidase; HO-1, heme oxygenase-1.</p></caption>
<graphic xlink:href="mmr-30-01-13244-g05.tif"/>
</fig>
</floats-group>
</article>
