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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">BR</journal-id>
<journal-title-group>
<journal-title>Biomedical Reports</journal-title>
</journal-title-group>
<issn pub-type="ppub">2049-9434</issn>
<issn pub-type="epub">2049-9442</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">BR-22-4-01942</article-id>
<article-id pub-id-type="doi">10.3892/br.2025.1942</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Protective effects of harpagoside on mitochondrial functions in rotenone‑induced cell models of Parkinson&#x0027;s disease</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Lang</surname><given-names>Juan</given-names></name>
<xref rid="af1-BR-22-4-01942" ref-type="aff">1</xref>
<xref rid="c1-BR-22-4-01942" ref-type="corresp"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Xiong</surname><given-names>Zhongkui</given-names></name>
<xref rid="af2-BR-22-4-01942" ref-type="aff">2</xref>
<xref rid="af3-BR-22-4-01942" ref-type="aff">3</xref>
<xref rid="c1-BR-22-4-01942" ref-type="corresp"/>
</contrib>
</contrib-group>
<aff id="af1-BR-22-4-01942"><label>1</label>Department of Pathology, Shaoxing People&#x0027;s Hospital, Shaoxing, Zhejiang 312000, P.R. China</aff>
<aff id="af2-BR-22-4-01942"><label>2</label>Department of Radiation Oncology, Shaoxing Second Hospital, Shaoxing, Zhejiang 312000, P.R. China</aff>
<aff id="af3-BR-22-4-01942"><label>3</label>Department of Medical Imaging, School of Medicine, Shaoxing University, Shaoxing, Zhejiang 312000, P.R. China</aff>
<author-notes>
<corresp id="c1-BR-22-4-01942"><italic>Correspondence to:</italic> Miss Juan Lang, Department of Pathology, Shaoxing People&#x0027;s Hospital, 568 North Zhongxing Road, Shaoxing, Zhejiang 312000, P.R. China <email>langjuancn@yeah.ne xiongzk@yeah.net </email></corresp>
<fn><p>Dr Zhongkui Xiong, Department of Radiation Oncology, Shaoxing Second Hospital, 123 Yan&#x0027;an Road, Shaoxing, Zhejiang 312000, P.R. China <email>xiongzk@yeah.net</email></p></fn>
</author-notes>
<pub-date pub-type="collection">
<month>04</month>
<year>2025</year></pub-date>
<pub-date pub-type="epub">
<day>11</day>
<month>02</month>
<year>2025</year></pub-date>
<volume>22</volume>
<issue>4</issue>
<elocation-id>64</elocation-id>
<history>
<date date-type="received">
<day>29</day>
<month>05</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>16</day>
<month>12</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; 2025 Lang and Xiong.</copyright-statement>
<copyright-year>2025</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>Parkinson&#x0027;s disease (PD) is the second most common neurodegenerative disease after Alzheimer&#x0027;s disease. Currently, no radical treatment is available for this disease. Harpagoside is a proposed neuroprotective iridoid active ingredient that can be derived from <italic>Scrophulariae buergeriana, Scrophularia striata and Harpagophytum procumbens</italic>. The present study aimed to investigate the effects of harpagoside on mitochondrial functions in rotenone-induced cell models of Parkinson&#x0027;s disease (PD). Neuro-2A (N2A) cells were treated with rotenone to establish <italic>in vitro</italic> cell models of PD. Cell viability and survival were measured using a Cell Counting Kit-8 assay. Biochemical assays with spectrophotometry were used to measure complex I activity, mitochondrial swelling and caspase 3 activity. The cell survival rate was first found to be significantly decreased by rotenone (20 nmol/l) treatment. However, intervention with harpagoside (10 &#x00B5;mol/l) was found to increase the cell survival rate of rotenone-induced N2A cell models differentiated with 1 mmol/l of dibutyryl-cAMP. At &#x2265;0.1 &#x00B5;mol/l concentration, harpagoside significantly alleviated rotenone-induced mitochondrial swelling, whereas at 1 &#x00B5;mol/l it significantly counteracted the inhibitory effects of rotenone on complex I activity. At 10 &#x00B5;mol/l harpagoside significantly inhibited rotenone-induced caspase 3 activation. These results suggest that harpagoside has the potential to protect mitochondrial functions against rotenone-induced injury in N2A cell models of PD.</p>
</abstract>
<kwd-group>
<kwd>harpagoside</kwd>
<kwd>Parkinson&#x0027;s disease</kwd>
<kwd>mitochondrial function</kwd>
<kwd>rotenone</kwd>
</kwd-group>
<funding-group>
<funding-statement><bold>Funding:</bold> The present study was supported by the Medical Science and Technology Project of Zhejiang Province (grant no. 2019KY730).</funding-statement>
</funding-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Parkinson&#x0027;s disease (PD) is a neurodegenerative disorder that is common in the elderly, ranking second only to Alzheimer&#x0027;s disease worldwide (<xref rid="b1-BR-22-4-01942" ref-type="bibr">1</xref>), with an incidence of &#x007E;1&#x0025; in individuals aged &#x003E;60 years and &#x007E;3&#x0025; in individuals aged &#x003E;80 years in developed countries (<xref rid="b2-BR-22-4-01942" ref-type="bibr">2</xref>,<xref rid="b3-BR-22-4-01942" ref-type="bibr">3</xref>). The pathological features of primary PD include a reduction in dopamine (DA) neurons in the dense region of the substantia nigra and degeneration and spherical eosinophilic granule Lewy bodies in the cytoplasm (<xref rid="b4-BR-22-4-01942" ref-type="bibr">4</xref>,<xref rid="b5-BR-22-4-01942" ref-type="bibr">5</xref>). A number of studies have previously found that mitochondria serve an important role in the pathogenesis of PD (<xref rid="b6-BR-22-4-01942" ref-type="bibr">6</xref>,<xref rid="b7-BR-22-4-01942" ref-type="bibr">7</xref>). Levodopa is a dopamine precursor, the tablet of which is widely regarded to be the gold standard treatment for PD worldwide (<xref rid="b8-BR-22-4-01942" ref-type="bibr">8</xref>). The current treatment paradigms for PD remain focused on symptomatic management and has not reached the ideal clinical therapeutic effects (<xref rid="b9-BR-22-4-01942" ref-type="bibr">9</xref>,<xref rid="b10-BR-22-4-01942" ref-type="bibr">10</xref>). However, various neuroprotective agents, such as hyperoside (<xref rid="b11-BR-22-4-01942" ref-type="bibr">11</xref>), walnut oil (<xref rid="b12-BR-22-4-01942" ref-type="bibr">12</xref>), tribuli fructus (<xref rid="b13-BR-22-4-01942" ref-type="bibr">13</xref>) and nutraceuticals (Betanin) (<xref rid="b14-BR-22-4-01942" ref-type="bibr">14</xref>), are currently at the preclinical research phase (<xref rid="b11-BR-22-4-01942 b12-BR-22-4-01942 b13-BR-22-4-01942 b14-BR-22-4-01942" ref-type="bibr">11-14</xref>). Although there is currently no cure for PD, pharmacological interventions, surgical treatments (deep brain stimulation, spinal cord stimulation for gait symptoms) (<xref rid="b15-BR-22-4-01942" ref-type="bibr">15</xref>) and other therapeutic approaches, such as magnetic resonance-guided focused ultrasound (<xref rid="b15-BR-22-4-01942" ref-type="bibr">15</xref>) and stem cell therapies (<xref rid="b16-BR-22-4-01942" ref-type="bibr">16</xref>), can alleviate motor (such as resting tremor, myotonia and bradykinesia) and non-motor (such as sensory impairments, autonomic nervous system dysfunction and psychoemotional disorders) symptoms effectively (<xref rid="b17-BR-22-4-01942" ref-type="bibr">17</xref>).</p>
<p>Although the etiology of PD has not been fully elucidated, genetic and environmental factors are considered to serve key roles in its development. Among the environmental factors, pesticide exposure is an important candidate for PD pathogenesis, including rotenone (<xref rid="b18-BR-22-4-01942" ref-type="bibr">18</xref>). Previous studies found that a rat model treated with rotenone injected intramuscularly could replicate two signature pathological features of PD, including the degeneration of substantia nigra DA neurons, formation of Lewy bodies in surviving substantia nigra neurons and PD-like dyskinesia (<xref rid="b19-BR-22-4-01942" ref-type="bibr">19</xref>,<xref rid="b20-BR-22-4-01942" ref-type="bibr">20</xref>). In addition, paraquat, 6-hydroxydopamine, 1-methyl-4-phenylpyridinium (MPP<sup>+</sup>) have been utilized to treat Neuro-2A (N2A) cells for the construction of <italic>in vitro</italic> PD models (<xref rid="b21-BR-22-4-01942" ref-type="bibr">21</xref>,<xref rid="b22-BR-22-4-01942" ref-type="bibr">22</xref>). Subsequent studies have demonstrated that rodent models treated with rotenone exhibit extranigral pathological and non-motor symptom changes, such as hyposmia, gastrointestinal dysfunction, sleep disturbances, circadian dysfunction, cognitive decline, depression and anxiety (<xref rid="b19-BR-22-4-01942" ref-type="bibr">19</xref>,<xref rid="b23-BR-22-4-01942" ref-type="bibr">23</xref>,<xref rid="b24-BR-22-4-01942" ref-type="bibr">24</xref>).</p>
<p>Harpagoside is an iridoid active ingredient that can be derived from <italic>Scrophulariae buergeriana, Scrophularia striata</italic> and <italic>Harpagophytum procumbens</italic> (HP) (<xref rid="b25-BR-22-4-01942 b26-BR-22-4-01942 b27-BR-22-4-01942" ref-type="bibr">25-27</xref>). It was previously found to have neuroprotective effects. Numerous studies have previously demonstrated the neuroprotective effects of plant extracts containing harpagoside against damage in both cultured cell models and animal models. <italic>Radix Scrophulariae</italic>, dried roots of <italic>Scrophularia ningpoensis Hemsl</italic>, was reported to exert neuroprotection against cerebral ischemia and reperfusion injury through the ERK1/2 and p38 MAPK pathways (<xref rid="b25-BR-22-4-01942" ref-type="bibr">25</xref>). Furthermore, <italic>Scrophularia buergeriana</italic> extracts (SBE) demonstrated neuroprotective properties against glutamate-induced cytotoxicity in SH-SY5Y cell models through its antioxidant and anti-apoptotic mechanisms (<xref rid="b26-BR-22-4-01942" ref-type="bibr">26</xref>). SBE also attenuated neuroinflammation in BV-2 microglial cells induced by lipopolysaccharide and promoted neuroprotection in SH-SY5Y neuroblastoma cells treated with lipopolysaccharide-induced BV-2 conditioned media according to another previous study (<xref rid="b27-BR-22-4-01942" ref-type="bibr">27</xref>). The application of SBE to SH-SY5Y cells significantly improved their viability in the presence of glutamate by promoting the expression of various antioxidant proteins, such as superoxide dismutase (SOD)1, SOD2 and glutathione peroxidase-1, in addition to directly augmenting total glutathione levels (<xref rid="b26-BR-22-4-01942" ref-type="bibr">26</xref>). In addition, SBE was observed to reduce DNA damage and diminish the activation of Bcl-2-associated X protein, cleaved caspase-3 and cleaved poly&#x005B;adenosine diphosphate (ADP)-ribose&#x005D; polymerase (<xref rid="b26-BR-22-4-01942" ref-type="bibr">26</xref>). SBE also increased Bcl-2 expression in a glutamate-induced SH-SY5Y cell model through p38 MAPKs (<xref rid="b26-BR-22-4-01942" ref-type="bibr">26</xref>). <italic>Scrophularia striata</italic> exhibited antioxidant and neuroprotective properties against neurotoxicity in PC12 cells treated with H<sub>2</sub>O<sub>2</sub> (<xref rid="b28-BR-22-4-01942" ref-type="bibr">28</xref>). The high-polarity methanolic fraction of the aerial parts of <italic>Scrophularia striata</italic> demonstrated significant neuroprotective activity against glutamate-induced neurotoxicity in rat cerebellar granule neurons in a dose-dependent manner in a previous <italic>in vitro</italic> study (<xref rid="b29-BR-22-4-01942" ref-type="bibr">29</xref>). Aerial parts of the plant were air-dried, powdered and macerated with an 80&#x0025; ethanol solution for 3 days with three changes of the solution (<xref rid="b29-BR-22-4-01942" ref-type="bibr">29</xref>). In addition, harpagide derived from <italic>Scrophularia</italic> protected rat cortical neurons against injury induced by oxygen-glucose deprivation and subsequent reoxygenation through the reduction of endoplasmic reticulum stress (<xref rid="b30-BR-22-4-01942" ref-type="bibr">30</xref>). Harpagoside was also effective in restoring both spatial learning and memory in addition to fear memory impairments in rats with chronic cerebral hypoperfusion (<xref rid="b31-BR-22-4-01942" ref-type="bibr">31</xref>). Additionally, harpagoside enhanced the activity of Akt whilst inhibiting the activity of GSK-3&#x03B2; in the hippocampal homogenates of rats with chronic cerebral hypoperfusion, which are downstream effectors of PTEN (<xref rid="b31-BR-22-4-01942" ref-type="bibr">31</xref>). Sun <italic>et al</italic> (<xref rid="b32-BR-22-4-01942" ref-type="bibr">32</xref>) previously found that harpagoside alleviated 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)/MPP<sup>+</sup>-induced DA neurodegenerative changes and movement disorders by enhancing the expression of glial cell line-derived neurotrophic factor (GDNF) in both cultured mesencephalic neurons induced by MPP<sup>+</sup> and a chronic MPTP-treated mouse model.</p>
<p>Blocking the GDNF signaling pathway partially, rather than completely blocking, all of the anti-PD effects of harpagoside on TH-positive neurons in the cultured mesencephalic neurons induced by MPP<sup>+</sup> (<xref rid="b32-BR-22-4-01942" ref-type="bibr">32</xref>,<xref rid="b33-BR-22-4-01942" ref-type="bibr">33</xref>). Therefore, there may be other pathways involved. Numerous studies have demonstrated that mitochondria serve an important role in PD pathogenesis (<xref rid="b34-BR-22-4-01942" ref-type="bibr">34</xref>,<xref rid="b35-BR-22-4-01942" ref-type="bibr">35</xref>). Li <italic>et al</italic> (<xref rid="b36-BR-22-4-01942" ref-type="bibr">36</xref>) previously found that harpagoside regulated mitochondrial function with concomitant of diminished mitochondrial oxidative damage and recovered mitophagy flux through p53/Parkin-mediated mitophagy in a model of doxorubicin-induced cardiotoxicity. Consequently, the present study hypothesized that the mitochondrial pathway may be one of the routes in which harpagoside can exert its effects on neurons. The present study investigated the effects of harpagoside on rotenone-induced mitochondrial damage in N2A cells.</p>
</sec>
<sec sec-type="Materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Cells</title>
<p>N2A cells (Cat. no. TCM29) were obtained from the The Cell Bank of Type Culture Collection of The Chinese Academy of Sciences.</p>
</sec>
<sec>
<title>Main reagents</title>
<p>Harpagoside (<xref rid="f1-BR-22-4-01942" ref-type="fig">Fig. 1</xref>) was obtained from Chengdu Pusen Biotechnology Co. Ltd, China. Rotenone and db-cAMP were obtained from the Sigma-Aldrich; Merk KGaA. Minimum Essential Medium (MEM), FBS and trypsin were acquired from Invitrogen; Thermo Fisher Scientific, Inc. The mitochondrial isolation kit (cat. no. C3601) and caspase 3 detection kits (cat. no. C1115) were obtained from Beyotime Institute of Biotechnology, China. Cell Counting Kit-8 (CCK-8) was procured from the Dojindo Laboratories, Inc. NADH, potassium ferricyanide, Triton X-100 and HEPES were obtained from Shanghai Aladdin Biochemical Technology Co., Ltd, China.</p>
</sec>
<sec>
<title>Methods. N2A cell culture and differentiation</title>
<p>N2A cells, a neuroblastoma cell line originally derived from the spontaneous brain tumor of the mouse neural crest (<xref rid="b37-BR-22-4-01942" ref-type="bibr">37</xref>), were cultured in MEM containing 50 U/ml penicillin, 50 &#x00B5;g/ml streptomycin and 10&#x0025; FBS. Depending on the experimental requirements, cells were seeded at a specific density in 96- or 6-well cell culture plates and incubated at 37&#x02DA;C in a 5&#x0025; CO<sub>2</sub> cell culture incubator with saturated humidity. Since N2A cells exhibit distinct tumorigenic characteristics and lack certain features of dopaminergic neurons (<xref rid="b37-BR-22-4-01942" ref-type="bibr">37</xref>,<xref rid="b38-BR-22-4-01942" ref-type="bibr">38</xref>), it is necessary to induce their differentiation (<xref rid="b37-BR-22-4-01942" ref-type="bibr">37</xref>,<xref rid="b39-BR-22-4-01942" ref-type="bibr">39</xref>) for PD modelling. According to previous studies (<xref rid="b37-BR-22-4-01942" ref-type="bibr">37</xref>,<xref rid="b40-BR-22-4-01942" ref-type="bibr">40</xref>), N2A cell differentiation was induced by reducing FBS concentrations in the presence/absence of retinoic acid or dibutyryl-cAMP (db-cAMP). FBS concentration in the medium was reduced from 10 to 0.5&#x0025;, whilst 1 mmol/l of db-cAMP was added to culture system overnight at 37&#x02DA;C to obtain differentiated N2A cells, which were confirmed by the enhanced expression of tyrosine hydroxylase (TH) as demonstrated by immunocytochemistry (<xref rid="b37-BR-22-4-01942" ref-type="bibr">37</xref>) and utilized for subsequent experimental investigations.</p>
<p><italic>Establishment of cell models induced by rotenone.</italic> N2A cells were seeded on a 96-well plate at a density of 5x10<sup>4</sup> cells/ml. Each well contained 200 &#x00B5;l cell suspension. After overnight incubation at 37&#x02DA;C to allow cell attachment, cells were treated at 37&#x02DA;C with 20 nmol/l rotenone for 48 h to establish cell models.</p>
<p><italic>Cell viability assay.</italic> Cell viability was determined using an assay kit, according to the manufacturer&#x0027;s instructions. After the N2A cells were incubated for 48 h at 37&#x02DA;C, 10 &#x00B5;l CCK-8 reagent was added to each well and cultured in a 5&#x0025; CO<sub>2</sub> incubator at 37&#x02DA;C for 2 h. A measurement wavelength of 450 nm and a reference wavelength of 620 nm were measured using a microplate reader. The cell survival rate was calculated using the following formula: Cell survival=(As-Ab)/(Ac-Ab). In this formula, As represents the test cell medium, CCK-8 and cytotoxic substances, Ac represents the control cell culture medium, CCK-8 and no cytotoxic substances. By contrast, Ab represents the blank well, with no cells or toxic substances but with cell culture medium and CCK-8. Three independent replicate experiments were performed.</p>
<p><italic>Effects of harpagoside on rotenone-induced N2A cells.</italic> The experiment was divided into the following five groups: Control, Model, model with low, medium and high doses of harpagoside. N2A cells were seeded in a 96-well plate at a density of 5x10<sup>4</sup> cells/ml. Each well contained 200 &#x00B5;l cell suspension. After 12 h incubation at 37&#x02DA;C, different harpagoside concentrations (0.1, 1 and 10 &#x00B5;mol/l) were added and incubated at 37&#x02DA;C for 2 h. Rotenone (20 nmol/l) was then added and incubated at 37&#x02DA;C for 48 h. The model group received only rotenone for injury induction, whereas the control group did not receive rotenone or harpagoside treatment. Cell viability was then assessed using the CCK-8 reagent.</p>
<p><italic>Effects of harpagoside on rotenone-induced mitochondrial complex I activity in N2A cells.</italic> For cell culture, N2A cells were seeded at a density of 5x10<sup>4</sup> cells/ml. After 48 h incubation at 37&#x02DA;C, 2x10<sup>7</sup> cells were collected for mitochondrial preparation. For mitochondrial preparation, cells were gently suspended in ice-cold PBS, centrifuged at 600 x g at 4&#x02DA;C for 5 min and the supernatant was removed. For pre-treatment, phenylmethyl sulfonyl fluoride was mixed with the mitochondrial isolation reagent before being added to the cell pellet. The cells were suspended and incubated on ice for 15 min, before homogenization, where the cell suspension was transferred to a glass homogenizer and homogenized &#x007E;20 times. The homogenization efficiency was then determined. After homogenization for 10 times, 2 &#x00B5;l homogenized solution was added to 30 &#x00B5;l Trypan Blue staining solution and mixed, before the proportion of blue-stained cells (positively stained) was observed under a light microscope. If &#x003C;50&#x0025; of the cells were positively stained, homogenization would be increased five times and observed again. If &#x2265;50&#x0025; cells were positively stained, homogenization would be stopped, since excessive homogenization may cause mechanical damage to mitochondria. The number of homogenizations used for the subsequent experiments was then recorded. The cell lysate was then centrifuged at 600 x g and 4&#x02DA;C for 10 min. The supernatant was transferred to another centrifuge tube and centrifuged again at 11,000 x g and 4&#x02DA;C for 10 min. The supernatant was discarded and the pellet contained isolated mitochondria.</p>
<p>For the measurement of mitochondrial complex I activity, the experiment was divided into four groups: Control, Model, model with low and high doses of harpagoside. The final harpagoside concentrations were 0.1 and 1 &#x00B5;mol/l in the model group treated with low- and high-dose harpagoside, respectively. Buffer for mitochondrial complex I activity measurement contained NADH (0.17 mmol/l), potassium ferricyanide (0.6 mmol/l) and Triton X-100 (1 ml/l), dissolved in PBS (pH 7.4). The mitochondrial complex I activity measurement reaction system contained 35 &#x00B5;l detection buffer, 5 &#x00B5;l mitochondrial lysate, 5 &#x00B5;l ubiquinone solution and 5 &#x00B5;l rotenone. The addition of mitochondria served as the starting time for the reaction, followed by incubation at 30&#x02DA;C in a water bath for 10 min. The absorbance of NADH was measured at 340 nm using a spectrophotometer. A standard curve was simultaneously obtained. The unit definition for mitochondrial complex I activity is the number of nmol NADH oxidized per min per mg mitochondrial proteins. The levels of mitochondrial proteins were determined by BCA protein assay kit.</p>
<p><italic>Effect of harpagoside on rotenone-induced mitochondrial swelling in N2A cells.</italic> For cell culture, the experiment was divided into the following six groups: Control, Model and model containing 0.01, 0.1, 1 and 10 &#x00B5;mol/l harpagoside. N2A cells were seeded at a density of 1x10<sup>6</sup> cells/ml in a six-well plate at 2 ml/well. After 12 h of incubation at 37&#x02DA;C, harpagoside was added at final concentrations of 0.01, 0.1, 1 and 10 &#x00B5;mol/l. After 2 h of incubation at 37&#x02DA;C, rotenone (20 nmol/l) was added and the cells were cultured for 9 h at 37&#x02DA;C.</p>
<p>To detect mitochondrial swelling, cells were collected to prepare mitochondrial samples using a buffer solution for swelling detection. Solutions A and B were then used. Solution A contained 125 mmol/l sucrose, 65 mmol/l KCl, 10 mmol/l HEPES/KOH (pH 7.4) and 5 mmol/l potassium succinate. Solution B contained 10 mmol/l CaCl<sub>2</sub>. The reaction system for this detection consisted of the ratios of Solution A: Solution B: samples=50:10:40 &#x00B5;l, which was utilized at room temperature. Absorbance was then measured at 540 nm, starting with adding CaCl<sub>2</sub> and readings were obtained every 2 min for 10 min. Mitochondrial swelling was estimated as a decrease in absorbance within 10 min.</p>
<p><italic>Effect of harpagoside on rotenone-induced caspase 3 activity in N2A cells.</italic> The experiment was divided into the following four groups: Control, Model, Model treated with low and high doses of harpagoside. Harpagoside concentrations were 1 and 10 &#x00B5;M in the low-dose and high-dose groups, respectively. A density of 2x10<sup>5</sup> cells/ml N2A cells was seeded into six-well plates. After 12 h of incubation at 37&#x02DA;C, harpagoside was administered at predetermined concentrations. After 2 h of incubation at 37&#x02DA;C, rotenone (20 nmol/l) was added and the cells were cultured for 24 h at 37&#x02DA;C.</p>
<p>For sample processing, N2A cells were collected using a cell scraper and centrifuged at 600 x g and 4&#x02DA;C for 5 min. The cells were washed with PBS and centrifuged under identical conditions to obtain cell pellets. Subsequently, 100 &#x00B5;l cell lysis buffer (cat. no. C1115-1; contained within the kit) obtained from Beyotime Institute of Biotechnology, was added to cell pellets. The cell pellets were then resuspended, lysed in an ice bath for 15 min and centrifuged at 16,000 x g and 4&#x02DA;C for 10 min. The supernatant was analyzed to measure the caspase 3 activity using the caspase-3 activity assay. The Caspase 3 activity detection kit is based on the ability of caspase 3 to catalyze the substrate acetyl-Asp-Glu-Val-Asp-p-nitroanilide (Ac-DEVD-pNA), resulting in yellow p-nitroaniline (pNA) production. Consequently, the enzymatic activity of caspase 3 was quantified by measuring the absorbance, since pNA exhibited strong absorption at &#x007E;405 nm. The reaction system setup included adding detection buffer (80 &#x00B5;l), sample to be tested (10 &#x00B5;l) and substrate Ac-DEVD-pNA (2 mmol/l; also added as 10 &#x00B5;l), resulting in a total volume of 100 &#x00B5;l. First, the detection buffer was added, before the sample was introduced to ensure proper mixing without bubbles before adding Ac-DEVD-pNA. The mixture was incubated at 37&#x02DA;C for 120 min. The blank control was substituted with a detection buffer for the sample. Second, the absorbance was measured at 405 nm. The absorbance of pNA catalyzed by caspase 3 in the sample was calculated by subtracting the absorbance of the blank control from that of the sample. Third, caspase-3 enzyme activity was calculated as the quantity of enzyme required to catalyze 1 nmol Ac-DEVD-pNA to pNA per h at 37&#x02DA;C, defined as one unit of enzyme activity.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Statistical analysis was performed using the SPSS (version 18.0; SPSS, Inc.). Data are presented as mean &#x00B1; standard error of the mean. Multiple groups were compared using a one-way analysis of variance. If there was statistical significance, pairwise comparisons were conducted using the Tukey method. 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>Protective effect of harpagoside on rotenone-induced N2A cells</title>
<p><xref rid="f2-BR-22-4-01942" ref-type="fig">Fig. 2</xref> presents the effect of harpagoside on rotenone-induced N2A cells. The cell survival rate, one of the key indicators of cell viability, was 1.000&#x00B1;0.039 in the control group, which was decreased by 65.8&#x0025; to 0.342&#x00B1;0.042 (P&#x003C;0.05) after rotenone (20 nmol/l) treatment. Intervention with harpagoside (10 &#x00B5;mol/l) significantly increased the cell survival rate, to 0.738&#x00B1;0.030 (P&#x003C;0.05), compared that in the model group. However, cell survival rates did not differ significantly between the model group and those treated with low and medium doses of harpagoside (0.1 or 1 &#x00B5;mol/l).</p>
</sec>
<sec>
<title>Effect of harpagoside on mitochondrial complex I activity in rotenone-induced N2A cells</title>
<p><xref rid="f3-BR-22-4-01942" ref-type="fig">Fig. 3</xref> illustrates the effect of harpagoside on mitochondrial complex I activity in rotenone-treated N2A cells. Rotenone (2.5 &#x00B5;mol/l) significantly inhibited mitochondrial complex I enzyme activity, decreasing from 29.04&#x00B1;0.92 in the control group to 19.93&#x00B1;2.31 U/mg in the model group, resulting in a 31.37&#x0025; decrease (P&#x003C;0.05). Harpagoside (1 &#x00B5;mol/l) significantly reversed the rotenone-induced inhibitory effects on complex I, increasing its enzyme activity from 19.93&#x00B1;2.31 to 29.03&#x00B1;0.38 U/mg (P&#x003C;0.05). However, treatment with lower doses of harpagoside (0.1 &#x00B5;mol/l) did not significantly affect the rotenone-induced inhibition of complex I.</p>
</sec>
<sec>
<title>Effect of harpagoside on rotenone-induced mitochondrial swelling in N2A cells</title>
<p><xref rid="f4-BR-22-4-01942" ref-type="fig">Fig. 4</xref> presents the effects of harpagoside on rotenone-induced mitochondrial swelling in N2A cells. CaCl<sub>2</sub> solution was added to the mitochondrial swelling detection system for the mitochondrial swelling detection experiment. If the permeability of the mitochondria was strong, the absorbance at 540 nm would then be gradually decreased with a larger magnitude. The detection interval was 10 min and the degree of mitochondrial swelling was expressed as optical density (OD; 10 min)/OD (0 min) at the end of the measurement. A smaller ratio indicated a greater degree of swelling. In the control group, the OD (10 min)/OD (0 min) was 0.842&#x00B1;0.046, whilst treatment with rotenone (20 nmol/l) for 9 h resulted in a decreased ratio of 0.366&#x00B1;0.019 (P&#x003C;0.05). Pre-treatment with harpagoside (0.1, 1 or 10 &#x00B5;mol/l) for 2 h significantly increased the rotenone-induced mitochondrial OD (10 min)/OD (0 min) from 0.366&#x00B1;0.019 to 0.831&#x00B1;0.090, 0.861&#x00B1;0.139 and 0.907&#x00B1;0.006, respectively (all P&#x003C;0.05, respectively). Harpagoside (0.01 &#x00B5;mol/l) did not affect the degree of rotenone-induced mitochondrial swelling.</p>
</sec>
<sec>
<title>Effect of harpagoside on rotenone-induced caspase 3 activity in N2A cells</title>
<p><xref rid="f5-BR-22-4-01942" ref-type="fig">Fig. 5</xref> presents the effect of harpagoside on rotenone-induced caspase 3 activity in N2A cells. The caspase 3 enzyme activity was 0.95&#x00B1;0.15 U/mg in the control group. However, treatment with rotenone for 24 h significantly increased caspase 3 activity to 5.36&#x00B1;0.69 U/mg (P&#x003C;0.05). Pre-treatment with harpagoside (10 &#x00B5;mol/l) for 2 h significantly inhibited rotenone-induced caspase 3 activation (P&#x003C;0.05), reducing its enzyme activity to 2.68&#x00B1;0.44 U/mg. After intervention with harpagoside (1 &#x00B5;mol/l), the caspase 3 enzyme activity was 4.02&#x00B1;0.43 U/mg, but no significant difference compared with that in the model group could be found.</p>
</sec>
</sec>
</sec>
<sec sec-type="Discussion">
<title>Discussion</title>
<p>The pathogenesis of PD is complex. Oxidative stress, mitochondrial dysfunction and abnormal protein overexpression and aggregation have all been documented to be involved in the degeneration and deletion of substantia nigra DA neurons and the reduction of striatum DA levels (<xref rid="b41-BR-22-4-01942" ref-type="bibr">41</xref>,<xref rid="b42-BR-22-4-01942" ref-type="bibr">42</xref>). In particular, mitochondria-dependent apoptosis is a key factor in PD-related DA neurodegeneration. Age-related mitochondrial changes, including those in mitochondrial DNA, are strongly associated with PD (<xref rid="b43-BR-22-4-01942" ref-type="bibr">43</xref>). Mitochondrial energy disturbances and changes in mitochondrial distribution in neurons are also important factors in PD pathogenesis (<xref rid="b44-BR-22-4-01942" ref-type="bibr">44</xref>,<xref rid="b45-BR-22-4-01942" ref-type="bibr">45</xref>). Previous PD genomics studies have revealed that mitochondrial dysfunctions caused by bioenergetic defects, mutations in mitochondrial DNA, nuclear DNA gene mutations linked to mitochondria, are important aspects of the pathogenesis of PD (<xref rid="b46-BR-22-4-01942" ref-type="bibr">46</xref>,<xref rid="b47-BR-22-4-01942" ref-type="bibr">47</xref>). A number of familial PD-related pathogenic proteins can interact directly or indirectly with mitochondria (<xref rid="b48-BR-22-4-01942" ref-type="bibr">48</xref>,<xref rid="b49-BR-22-4-01942" ref-type="bibr">49</xref>). The proteins encoded by several PD-related genes, including &#x03B1;-synuclein, Parkin, PTEN-induced kinase 1, protein deglycase, leucine-rich repeat kinase 2 and serotonin receptor 2A, can be localized to the mitochondria. The aggregation of these proteins may cause mitochondrial DNA damage and dysfunction (<xref rid="b50-BR-22-4-01942" ref-type="bibr">50</xref>). It has been previously proposed that the decreased activity of complex I in the mitochondrial respiratory chain in patients with PD and neurotoxin rotenone injury can cause abnormal energy production function, oxidative stress and mitochondria-dependent apoptosis in rat models of PD (<xref rid="b46-BR-22-4-01942" ref-type="bibr">46</xref>,<xref rid="b51-BR-22-4-01942" ref-type="bibr">51</xref>).</p>
<p>N2A cells have been extensively utilized to investigate neuronal differentiation, axonal growth and associated signaling pathways (<xref rid="b37-BR-22-4-01942" ref-type="bibr">37</xref>,<xref rid="b52-BR-22-4-01942" ref-type="bibr">52</xref>). A notable feature of this cell type is their capacity to differentiate into neurons within a matter of days (<xref rid="b37-BR-22-4-01942" ref-type="bibr">37</xref>,<xref rid="b52-BR-22-4-01942" ref-type="bibr">52</xref>). Although various treatments, such as serum deprivation, retinoids and bone morphogenetic proteins, can be used to generate N2A neurons, only db-cAMP can significantly promote the formation of DA neurons (<xref rid="b37-BR-22-4-01942" ref-type="bibr">37</xref>). Treatment of N2A cells with 1-4 mmol/l dbcAMP resulted in extensive differentiation and neurite outgrowth (<xref rid="b53-BR-22-4-01942" ref-type="bibr">53</xref>). Both TH and DA levels were previously demonstrated to significantly elevate in the presence of db-cAMP, as demonstrated by Western blotting (WB), immunocytochemistry and high-performance liquid chromatography (HPLC) (<xref rid="b37-BR-22-4-01942" ref-type="bibr">37</xref>). Specifically, WB analysis revealed that TH was endogenously expressed in N2A cells at detectable levels, where it was significantly (&#x003E;2.5-fold) enhanced upon treatment with db-cAMP (<xref rid="b37-BR-22-4-01942" ref-type="bibr">37</xref>). The immunohistochemistry results indicated that strong TH expression was noted in individual N2A cells, which formed large colonies upon db-cAMP treatment for 3 days (<xref rid="b37-BR-22-4-01942" ref-type="bibr">37</xref>). The HPLC detection results revealed that N2A cells expressed significant levels of DA, which was further augmented upon db-cAMP treatment (<xref rid="b37-BR-22-4-01942" ref-type="bibr">37</xref>). N2A cells has been extensively used to study PD (<xref rid="b54-BR-22-4-01942" ref-type="bibr">54</xref>,<xref rid="b55-BR-22-4-01942" ref-type="bibr">55</xref>). N2A exhibited greater sensitivity to the lethal effects of MPP<sup>+</sup> compared with human SH-SY5Y cells with a half lethal concentration (LC<sub>50</sub>) &#x007E;10X lower and rat PC-12 cells (with a LC<sub>50</sub> &#x007E;2X lower) (<xref rid="b52-BR-22-4-01942" ref-type="bibr">52</xref>). Rotenone is prevalently utilized as a trigger to induce neurodegenerative alterations in both <italic>in vitro</italic> and <italic>in vivo</italic> experimental models of PD (<xref rid="b56-BR-22-4-01942" ref-type="bibr">56</xref>,<xref rid="b57-BR-22-4-01942" ref-type="bibr">57</xref>). Intracellular calcium, rather than oxidative stress, constitutes a major factor for rotenone-induced apoptosis in neuronal cells (<xref rid="b58-BR-22-4-01942" ref-type="bibr">58</xref>).</p>
<p>A previous study has found that the cell viability of N2A cells is decreased after treatment with 10 nmol/l deguelin for 24-72 h in a time-dependant manner or after the treatment of 0.01-1 &#x00B5;mol/l deguelin for 48 h in a dose-dependant manner, with IC<sub>50</sub> of 16 nmol/l (<xref rid="b59-BR-22-4-01942" ref-type="bibr">59</xref>). Rotenine is a structural analogue of degulin in terms of its chemical composition (<xref rid="b60-BR-22-4-01942" ref-type="bibr">60</xref>). The cell survival rate was found to be 1.000&#x00B1;0.039 in the control group and decreased by 65.8&#x0025; to 0.342&#x00B1;0.042 after rotenone (20 nmol/l) treatment. Elevated concentrations of rotenone resulted in increased cell death (<xref rid="b59-BR-22-4-01942" ref-type="bibr">59</xref>). After the pre-experiment of cell viability, the concentration of rotenone (20 nmol/l) was established in the present cellular experiments. Significant inhibition of mitochondrial complex I activities by 5 &#x00B5;mol/l rotenone in SK-N-MC cells was reported by Sherer <italic>et al</italic> (<xref rid="b61-BR-22-4-01942" ref-type="bibr">61</xref>). In the experiment of the mitochondrial complex I assay, 2.5 &#x00B5;mol/l rotenone was introduced to isolated mitochondria instead of to N2A cells. In all the experiments apart from the mitochondrial complex I assay, 20 nmol/l rotenone was administered to N2A cells. The concentration of rotenone utilized in the mitochondrial complex I assay was significantly higher compared with that employed in the other assays. This discrepancy arises from the fact that, in the mitochondrial complex I assay, rotenone acted on the mitochondria isolated from N2A cells for 10 min. By contrast, during the other experiments, rotenone continued to exert its effects on N2A cells over a duration of 48 h.</p>
<p>The secondary root extract of HP is rich in bioactive iridoid glycosides, specifically known as harpagoside (<xref rid="b62-BR-22-4-01942" ref-type="bibr">62</xref>). Extracts of HP have demonstrated a concentration-dependent inhibition of lipid peroxidation in brain homogenates induced by different pro-oxidants (Fe<sup>2+</sup> or sodium nitroprusside) (<xref rid="b63-BR-22-4-01942" ref-type="bibr">63</xref>). In addition, the ethyl acetate fraction of HP exhibited the most pronounced antioxidant effects by either reducing lipid peroxidation and cellular damage or restoring thiol levels and catalase activity in brain cortical slices induced by different pro-oxidants (<xref rid="b63-BR-22-4-01942" ref-type="bibr">63</xref>). HP extracts have also been reported to upregulate brain-derived neurotrophic factor gene expression and downregulating TNF-&#x03B1; gene expression in rat cortex synaptosomes treated with amyloid &#x03B2;-peptide (<xref rid="b64-BR-22-4-01942" ref-type="bibr">64</xref>). Furthermore, the extracts mitigated amyloid &#x03B2;-peptide-induced stimulation of malondialdehyde and 3-hydroxykynurenine levels and attenuated the reduction in DA, norepinephrine and serotonin concentrations in the rat cortex treated with amyloid &#x03B2;-peptide (<xref rid="b64-BR-22-4-01942" ref-type="bibr">64</xref>). Harpagoside was demonstrated to be effective in providing promotion of axonal outgrowth in primary spinal cord neurons under reactive oxygen species-insulting conditions induced by ferrous sulfate (<xref rid="b65-BR-22-4-01942" ref-type="bibr">65</xref>). In addition, previous studies have found that harpagoside (0.1-10 &#x00B5;mol/l) isolated from <italic>Scrophulariae</italic> can protect against glutamate-induced cortical neuronal injury in rats (<xref rid="b66-BR-22-4-01942" ref-type="bibr">66</xref>), improve memory in mice injured by scopolamine and exhibit antioxidant activity (<xref rid="b67-BR-22-4-01942" ref-type="bibr">67</xref>). According to Li <italic>et al</italic> (<xref rid="b68-BR-22-4-01942" ref-type="bibr">68</xref>), harpagoside alleviated amyloid-&#x03B2;-induced cognitive disorders in rats by upregulating brain-derived neurotrophic factor expression and the MAPK/PI3K signaling pathway. Harpagoside reduced neuroinflammation-induced neuronal damage by inhibiting the Toll-like receptor 4/molecule myeloid differentiation factor 88/NF-&#x03BA;B pathway (<xref rid="b69-BR-22-4-01942" ref-type="bibr">69</xref>,<xref rid="b70-BR-22-4-01942" ref-type="bibr">70</xref>). In another study, harpagoside suppressed the overactivation of PTEN induced by chronic cerebral hypoperfusion. Specifically, harpagoside increased the activity of Akt and inhibited the activity of GSK-3&#x03B2;, a downstream effector of PTEN (<xref rid="b31-BR-22-4-01942" ref-type="bibr">31</xref>). Sun <italic>et al</italic> (<xref rid="b32-BR-22-4-01942" ref-type="bibr">32</xref>) previously found that harpagoside can alleviate the symptoms of MPTP/MPP<sup>+</sup>-induced DA neurodegenerative changes and movement disorders by increasing GDNF mRNA and GDNF protein expession levels. Li <italic>et al</italic> (<xref rid="b36-BR-22-4-01942" ref-type="bibr">36</xref>) found that harpagoside protected against doxorubicin-induced cardiotoxicity through p53/Parkin-mediated mitophagy. Harpagoside influences the p53/Parkin-mediated cascade involving mitophagy deficiency, mitochondrial dyshomeostasis and apoptosis through a novel interaction between p53 and Parkin (<xref rid="b36-BR-22-4-01942" ref-type="bibr">36</xref>), whereby harpagoside promoted Parkin translocation to mitochondria and substantially restored Parkin-mediated mitophagy by inhibiting the binding of p53 and Parkin. In the present study, harpagoside (10 &#x00B5;mol/l) exerted a significant protective effect on rotenone-induced N2A cells. When the harpagoside concentrations were &#x2265;0.1 &#x00B5;mol/l, they significantly prevented rotenone-induced mitochondrial damage in N2A cells and relieved rotenone-induced mitochondrial swelling. However, harpagoside (1 &#x00B5;mol/l) significantly antagonized the rotenone-induced inhibition of complex I. The harpagoside (10 &#x00B5;mol/l) significantly inhibited rotenone-induced caspase 3 activation.</p>
<p>To conclude, results from the present study suggests that harpagoside can protect against a rotenone-induced pseudo-PD cell model through the mitochondrial protection pathway. However, it must be noted that experiments in the present study were performed using spectrophotometry, without support using other research methods or further delving into the impact on other genes/proteins, including cytochrome <italic>c</italic>, pro-apoptotic genes/proteins and caspase 9. In future studies, experimental investigations into mitochondrial-related signaling pathways should be performed by incorporating additional detection methods, such as WB. In addition, whether harpagoside can regulate the mitochondrial pathway through its influence on oxidative stress and determine whether harpagoside can exert an impact on mitochondria-dependent apoptotic signaling should be assessed.</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>The data generated in the present study may be requested from the corresponding author.</p>
</sec>
<sec>
<title>Authors&#x0027; contributions</title>
<p>ZX was the main contributor to writing the manuscript. JL and ZX designed the experiments and were responsible for the statistical and data analysis. JL and ZX drafted and revised the original manuscript. JL and ZX confirmed the authenticity of all original data and interpreted the results of the study and gave the final approval for the forthcoming version. JL and ZX 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>
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<floats-group>
<fig id="f1-BR-22-4-01942" position="float">
<label>Figure 1</label>
<caption><p>Chemical structural formula of harpagoside.</p></caption>
<graphic xlink:href="br-22-04-01942-g00.tif" />
</fig>
<fig id="f2-BR-22-4-01942" position="float">
<label>Figure 2</label>
<caption><p>Protective effects of harpagoside on rotenone-induced effects in N2A cells. Data are expressed as mean &#x00B1; standard error of the mean (n=4). Representative image of N2A cell cultures under a light microscopy. (A) Control group, (B) Rotenone-treated group, Group treated with rotenone and (C) 0.1, (D) 1 or (E) 10 &#x00B5;mol/l harpagoside respectively. (F) Cell Survival Rate. <sup>&#x0023;</sup>P&#x003C;0.05 vs. Control; <sup>&#x002A;</sup>P&#x003C;0.05 vs. Model group.</p></caption>
<graphic xlink:href="br-22-04-01942-g01.tif" />
</fig>
<fig id="f3-BR-22-4-01942" position="float">
<label>Figure 3</label>
<caption><p>Effects of harpagoside on rotenone-induced mitochondrial complex I activity. Data are expressed as mean &#x00B1; standard error of the mean (n=3). <sup>&#x0023;</sup>P&#x003C;0.05 vs. Control; <sup>&#x002A;</sup>P&#x003C;0.05 vs. Model group.</p></caption>
<graphic xlink:href="br-22-04-01942-g02.tif" />
</fig>
<fig id="f4-BR-22-4-01942" position="float">
<label>Figure 4</label>
<caption><p>Effects of harpagoside on rotenone-induced mitochondrial swelling. Data are expressed as mean &#x00B1; standard error of the mean (n=3). <sup>&#x0023;</sup>P&#x003C;0.05 vs. Control; <sup>&#x002A;</sup>P&#x003C;0.05 vs. Model group. OD, optical density; prot, protein.</p></caption>
<graphic xlink:href="br-22-04-01942-g03.tif" />
</fig>
<fig id="f5-BR-22-4-01942" position="float">
<label>Figure 5</label>
<caption><p>Effects of harpagoside on rotenone-induced caspase 3 activities. Data are expressed as mean &#x00B1; standard error of the mean (n=3). <sup>&#x0023;</sup>P&#x003C;0.05 vs. Control; <sup>&#x002A;</sup>P&#x003C;0.05 vs. Model group. Prot, protein.</p></caption>
<graphic xlink:href="br-22-04-01942-g04.tif" />
</fig>
</floats-group>
</article>
