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American Journal of Translational Research logoLink to American Journal of Translational Research
. 2019 Jan 15;11(1):142–159.

Osthole protects against Ang II-induced endotheliocyte death by targeting NF-κB pathway and Keap-1/Nrf2 pathway

Luyuan Tao 1, Xingjian Gu 1, Enguo Xu 1, Shijia Ren 1, Li Zhang 1, Wenhua Liu 1, Xiaofeng Lin 1, Jianguang Yang 1, Changgong Chen 1
PMCID: PMC6357313  PMID: 30787975

Abstract

Osthole, the main active constituents in traditional Chinese medicine fructus cnidii, has anti-inflammatory and anti-oxidant activities. Apoptosis of vascular endothelial cells is an important cause of cardiovascular disease. Inflammation and oxidative stress are two key factors in injury of endotheliocyte. In this study, we investigated the effect of osthole on Ang II-induced apoptosis of rat aortic endothelial cells (RAECs) and explored the underlying mechanisms. In the present study, the protective effects of osthole on RAECs induced by Ang II in vitro were tested. Additionally, molecular docking and molecular dynamics (MD) simulations were utilized to investigate the potential binding mode of osthole to NF-κB and Keap1. Our results showed osthole remarkably attenuates Ang II-induced apoptosis of RAECs via alleviating inflammation and oxidative stress. Molecular docking and MD simulations revealed the potential interaction of osthole bind to the P65 subunit of NF-κB and the Keap1 protein, an adaptor for the degradation of Nrf2. We further found that osthole decreased Ang II-induced inflammation and oxidative stress through respectively modulating NF-κB and Nrf2 pathways in RAECs. These studies provide evidence that osthole may represent a potential therapeutic agent for the treatment of vascular injury.

Keywords: Osthole, Ang II, inflammation, oxidative stress, rat aortic endothelial cells

Introduction

High blood pressure (BP), or hypertension, is the leading risk factor for global disease burden [1]. Hypertension is associated with vascular injury that results in increased vascular resistance, which contributes to further development of hypertension and end organ damage [2]. It is well known that is associated with elevated circulating angiotensin II (Ang II) which has an important role in the biological process leading to vascular injury [3,4]. In addition to its physiological role in arterial blood pressure regulation (ie, via vasoconstriction and retention of sodium and water), Ang II directly induces vascular injury through activating inflammation and oxidative stress [5]. Many studies support the observation that Ang II has direct effects on vascular endothelial cells, including inflammation, hypertrophy, fibrosis, apoptosis, and accumulation of extracellular matrix [4-7]. Thus, an agent targeting Ang II-induced vascular injury may provide a new strategy for the treatment of vascular diseases.

Ang II can increase the expression of pro-inflammatory cytokines and induce cellular oxidative stress. It has been shown in vivo and in vitro that Ang II can activate the canonical pro-inflammatory nuclear factor-κB (NF-κB) pathway [8,9]. Acute increases in plasma Ang II levels activated NF-κB in endothelial cells [10], therefore increasing expression of several pro-inflammatory cytokines including interleukins (IL) 1-β and -6 in the mouse’s abdominal aorta as well as an increase recruitment of monocyte [11]. Ang II-induced apoptosis has been well demonstrated in a number of culture studies [12-14]. These studies have also reported that increased Ang II may be active in the cellular oxidation-reduction reactions resulting in the formation of excess free radicals [12,13]. The concept that emerges from these observations is that elevated plasma Ang II levels, either as a result of hypertension, can produce a combined state of low grade inflammation and oxidative stress in various organs including the vascular, which leading to cell apoptosis [14]. The potential roles of inflammation and oxidative stress in cardiovascular disorders suggest that molecules with anti-inflammatory and anti-oxidant properties may enhance the efficacy of treatment protocols designed to mitigate Ang II-induced injury.

Osthole (also known as osthol), is a natural coumarin first derived from Cnidium plant. High content of osthole is found in the mature fruit of Cnidium monnieri (Fructus Cnidii), which is commonly applied in clinical practice of Traditional Chinese Medicine (TCM) [15]. It has several pharmacological and biological properties such as being an antioxidant, anticancer, anti-inflammatory, antimicrobial, hepatoprotective and immunomodulatory agent [16-18]. Plenty of studies revealed that osthole exerts a powerful reactive oxygen species scavenging effect with potent anti-inflammatory effects [19]. Its anti-inflammatory activity is mediated through multiple mechanisms involving inhibition of various transcription factors such as NF-κB/MAPK pathway and down-regulation of pro-inflammatory cytokines such as TNF-α and IL-6 [20,21]. In addition, accumulating experimental evidences have shown osthole up-regulate the expression and activity of nuclear factor erythroid 2 (Nrf2), whose downstream proteins were shown to have important protective functions against oxidative stress [22]. Osthole also has vasorelaxant properties and cardiovascular benefits [15]. However, the effect of osthole on Ang II-stimulated apoptosis of endothelial cells is unclear and the direct target of osthole is still unknown.

In the present study, we explored the effect and mechanism of osthole against Ang II-stimulated endothelial cells and further utilizing molecular docking technology investigated the anti-inflammatory and antioxidant target of osthole. Our results demonstrated that osthole can attenuate Ang II-induced endothelial cells by reducing inflammation and ROS in rat aortic endothelial cells. The beneficial actions of osthole are closely associated with its ability to increase Nrf2 expression and inhibit NF-κB activation.

Material and methods

Chemicals

Osthole (Ost) was purchased from Sigma-Aldrich (St. Louis, MO). Before used to the biological experiments, compounds were purified by re-crystallization or silica gel chromatography to reach the purity higher than 97.0%. Compound was dissolved in DMSO for in vitro experiments.

Cell culture

Rat aortic endothelial cells (RAECs) were derived from male Sprague-Dawley rat (180-200 g, Wenzhou Medical University, China) aortic endothelium. RAECs were isolated as described earlier [23]. In brief, segments of thoracic aortae (18-24 mm) were excised and immediately put in cold Hanks’ Balanced Salt Solution (HBSS). The blood residues in the lumen of the vessels were flushed with HBSS. 1 mg/ml collagenase (Sigma) was used to fill the lumen of vessels and incubated in HBSS at 37°C for 20 min. The effluent from the lumen of vessels was collected and centrifuged at 2800 rpm for 5 min. The pellet was washed and suspended in EGM-2 with 2% fetal bovine serum (FBS) at 37°C in a 95% air/5% CO2 incubator. Experiments were performed on cells at passages 5-8. All dishes were coated with 3% Collagen Type I (BD Biosciences) during the RAECs cultures.

MTT assay

After treatments with Ost (10 μM) or Ang II (1 μM) for 24 h, cells were washed for three times, changed medium into 1 mg/mL MTT solution (100 μL/well, Sigma), and then incubated at 37°C for 4 h. Cell viability was determined by measuring the absorbance by a microplate reader (BioTek SYNERGYTM 4, USA) at 570 nm.

Western blot analysis

RAECs pretreated with osthole (10 μM) for 1 h were incubated with Ang II (1 μM) for 30 mins, 1 h, 8 h or 24 h. Cells were lysated and fifty micrograms of lysates were separated by 10% SDS-PAGE and electrotransferred to a PVDF membrane. Each membrane was preincubated for 1.5 h at room temperature in Tris-buffered saline, pH 7.6, containing 0.05% Tween 20 and 5% non-fat milk. Each PVDF membrane was incubated with specific antibodies. Immunoreactive bands were then detected by incubating with a secondary antibody conjugated with horseradish peroxidase and visualizing using enhanced chemiluminescence reagents (Bio-Rad, Hercules, CA). The amounts of the proteins were analyzed using Image J analysis software version 1.38e and normalized to their respective control. Antibodies for Bax, Bcl-2, cleaved caspase 3, NF-κB P65, lamin B p-IκB-α IκBα, GAPDH, Nrf2, HO-1, and NQO-1. the secondary horseradish peroxidase-conjugated antibody were obtained from Santa Cruz Technology (Santa Cruz, CA). In all western bolt analysis, GAPDH was used as a loading control protein. Figure S1 shows original western images for relevant western blots.

Real-time quantitative qPCR

RAECs pretreated with osthole (10 μM) for 1 h were incubated with Ang II (1 μM) for 6 h, then the cells were collected. Total RNA was isolated from cells using TRIZOL (Invitrogen, Carlsbad, CA) according to the manufacturer’s instructions. Reverse transcription and quantitative PCR were performed using M-MLV Platinum RT-qPCR Kit (Invitrogen, Carlsbad, CA). Real-time qPCR was carried out using the Eppendorf Real plex 4 instruments (Eppendorf, Hamburg, Germany). Primers for genes including Bax, Bcl-2, TNF-α, IL-6, ICAM-1, VACM-1, MCP-1, IL-1β, Nrf2, HO-1, NQO-1 and β-actin were synthesized in Invitrogen (Invitrogen, Shanghai, China). The primer sequences used were shown in Table 1. The relative amount of each gene was normalized to the amount of β-actin.

Table 1.

Primers used for real-time qPCR assay

Gene Species Primers (FW) Primers (RW)
Bax Rat TGAAGACAGGGGCCTTTTTG AATTCGCCGGAGACACTCG
Bcl-2 Rat ATGCCTTTGTGGAACTATATGGC GGTATGCACCCAGAGTGATGC
TNF-α Rat TACTCCCAGGTTCTCTTCAAGG GGAGGCTGACTTTCTCCTGGTA
IL-6 Rat GAGTTGTGCAATGGCAATTC ACTCCAGAAGACCAGAGCAG
ICAM-1 Rat AGATCATACGGGTTTGGGCTTC TATGACTCGTGAAAGAAATCAGCTC
VCAM-1 Rat TTTGCAAGAAAAGCCAACATGAAAG TCTCCAACAGTTCAGACGTTAGC
β-actin Rat AAGTCCCTCACCCTCCCAAAAG AAGCAATGCTGTCACCTTCCC
MCP-1 Rat GTCACCAAGCTCAAGAGAGAGA GAGTGGATGCATTAGCTTCAGA
IL-1β Rat CACCTCTCAAGCAGAGCACAG GGGTTCCATGGTGAAGTCAAC
Nrf2 Rat ACTGTCCCCAGCCCAGAGGC CCAGGCGGTGGGTCTCCGTA
HO-1 Rat TCTATCGTGCTCGCATGAAC CAGCTCCTCAAACAGCTCAA
NQO-1 Rat ACTACGATCCGCCCCCAACTTCTG CTTCGGCTCCCCTGTGATGTCGT

siRNA-induced gene silencing

Gene silencing in cells was achieved using specific siRNA sequences. NF-κB or Nrf2 siRNAs were purchased from Gene Pharma Co. LTD. (Shanghai, China). Specific siRNA sequences were 5’-CUGGAUGACAUCUUAAACUTT-3’ for Rat NF-κB, and 5’-GGGAGGAGC UAUUAUCCAUTT-3’ for Rat Nrf2. Transfection of RAECs cells with siRNA was carried out using LipofectAMINE™ 2000 (Invitrogen, Carlsbad, CA), according to the manufacturer’s instruction.

TUNEL staining

RAECs pretreated with osthole (10 μM) for 1 h were incubated with Ang II (1 μM) for 24 h and then cells were harvested. Terminal deoxynucleotidyl-transferase-mediated dUTPnick-end labeling (TUNEL) staining was performed on formalin-fixed, paraffinembedded cells with Apoptosis Detection Kit C1086 (Beyotime, China) according to the manufacturer’s instruction. Positively stained apoptotic cells were counted in at least five random microscopic fields belonging to each experimental group recorded with Nikon Eclipse E600 microscopy. The percentages of TUNEL positive cells relative to each group were presented. (200 × amplification; Nikon, Japan).

Measurement of apoptosis by flow cytometry

RAECs pretreated with osthole (10 μM) for 1 h were incubated with Ang II (1 μM) for 24 h. To determine cell apoptosis, we harvested cells following treatments washed twice with precooled PBS, and suspended in 1 × loading buffer to achieve the concentration 1 × 106 cells per ml. Cells were stained with 5 μl FITC Annexin V and 1 μl PI at room temperature for 15 min in the dark. The apoptosis cell rate was then measured with use of FACS calibur flow cytometry (BD Biosciences, CA).

Immunofluorescence staining

RAECs pretreated with osthole (10 μM) for 1 h were incubated with Ang II (1 μM) for 1 h and then cells were harvested. Immunofluorescent detection for NF-κB was carried out by fixing cells in 100% methanol at -20°C for 5 min. After fixation and permeabilization, cells were washed twice with PBS containing 1% bovine serum albumin (BSA), and incubated with anti-p65 antibody (1:200) overnight at 4°C. TRITC-conjugated secondary antibody (1:200) was used for detection. The stained sections were then viewed under the Nikon fluorescence microscope (200 × amplification; Nikon, Japan).

Determination of IL-6 and TNF-α by enzyme-linked immunosorbent assay (ELISA)

RAECs pretreated with osthole (10 μM) for 1 h were incubated with Ang II (1 μM) for 24 h. The IL-6 and TNF-α levels in medium of rat aortic endothelial cells were determined with an ELISA kit (Bioscience, San Diego, CA) according to the manufacturer’s instructions. The total amount of IL-6 and TNF-α in the cell medium was normalized to the total amount of protein in the viable cell pellets.

H2O2 and O2 - staining

RAECs pretreated with osthole (10 μM) for 1 h were incubated with Ang II (1 μM) for 12 h. In order to analyze the ROS generation, various subtypes of ROS such as superoxide (O2 -) and hydrogen peroxide (H2O2) were detected using 5 μM DHE and 2 μM DAF-2DA, respectively, as described previously [13]. The fluorescence intensity for 10,000 events was acquired using FACS, and cellular images were captured under the Nikon fluorescence microscope (200 × amplification; Nikon, Japan).

Determination of ROS generation by flow cytometry

RAECs pretreated with osthole (10 μM) for 1 h were incubated with Ang II (1 μM) for 12 h. The cellular hydrogen peroxide (H2O2) was detected using dichloro dihydro fluorescent (DCF) as described previously [24]. The fluorescence intensity for 10,000 events was acquired using FACS.

Molecular docking

To investigate the probable binding mode of osthole to Keap1 and NF-κB as the potential inhibitor, molecular docking was utilized to construct the Keap1/osthole and NF-κB/osthole models by the latest version of AutoDock 4.2.6 package [25]. The crystal structures of Keap1 (PDB entry: 4L7B) and NF-κB (PDB entry: 1NFK) were obtained from Protein Data Bank [26,27]. Before the docking step, AutoDock4 atomic radii were assigned to the proteins of Keap1 and NF-κB protein. Thereafter, Gasteiger partial charges were assigned to osthole. The binding site of inhibitors for human Keap1 and NF-κB has been well characterized based on previous reported studies [26,28-30]. The docking protocol were as follows: trials of 200 dockings, population size of 300, maximum number of evaluation 25000000 and other parameters were set as default.

Molecular dynamics (MD) simulations

The results from molecular docking were used as the initial structures for the MD simulations. The partial charges of osthole were employ by restrained electrostatic potential (RESP) fitting method based on the electrostatic potentials computed at Hartree-Fock (HF) SCF/6-31G* level of theory [31]. The proteins and osthole were described by the Amber ff14SB force field and generalized Amber force field (GAFF) by LEaP modules in Amber 16 program [32]. Then, each system was immersed in a water box of the TIP3P water mode with at least a 15 Å distance around the complex. Lastly, an appropriate number of counter ions were added to ensure the electro-neutrality for each system. Before the MD productive simulations, an equilibration protocol was performed. Initially, energy minimization was carried out for each system by three steps, including minimization of all the water molecules, side chains of proteins, all the molecules in the water box. In each step, energy minimization was performed by the 2500 steps of steepest descent algorithm and 2500 steps of conjugated gradient algorithm with a non-bonded cutoff of 10 Å. Thereafter, each system was heated to 300 K using at constant volume over a period of 200 ps. Then, each system was equilibrated at constant pressure for 1 ns. Ultimately, each system was submitted to 100 ns conventional MD simulation in the NTP ensemble without any restrain. Temperature were maintained using the Langevin temperature scalings [33]. Particle Mesh Ewald (PME) algorithm was utilized to consider the long-range electrostatic interactions of a periodic box with cutoff of 8.0 Å and bond lengths involving hydrogen atoms were constrained by the SHAKE algorithm [34,35]. A time step of 2 fs was performed and coordinates were saved every 10 ps for further analysis.

Binding free energy calculations

MM/GBSA methodology calculate the binding free energy (ΔG bind) by utilizing a thermodynamic cycle that combines the molecular mechanical (MM) energies with the continuum solvent approaches [36]. The ΔG bind in this study was calculated by using the following equations:

ΔGbind = ΔG comp - (ΔG rec + ΔG lig) (1)

ΔGbind = ΔE MM + ΔG sol - TΔS (2)

ΔE MM = ΔE int + ΔE vdW + ΔE elec (3)

ΔG sol = ΔG GB + ΔG SA (4)

Where ΔG comp, ΔG rec, and ΔG lig are the free energies of receptor-ligand complex, receptor, and ligand, respectively (equation 1). ΔE MM and ΔG sol represent the MM interaction energy and solvation energy. TΔS, represents the change of the conformational entropy upon ligand binding at temperature T. In equation 3, ΔE MM can be split into three terms: intermolecular interaction energy (ΔE int), van der Waals energy (ΔE vdW), and electrostatic energy (ΔE elec). The ΔG sol includes the polar (ΔG GB) and nonpolar (ΔG SA) parts (equation 4). In this study, the ΔG GB was calculated using a Generalized-Boltzmann (GB) model at igb = 2 [37]. Dielectric constants of 80.0 and 1.0 were used for solvent and solute, respectively. The ΔGSA was estimated by relating it to the solvent accessible surface area (SASA) with coefficient of 0.0072. Trajectories from MD simulations between 80 and 100 ns with 500 snapshots were utilized to binding free energy calculations and free energy decompositions. TΔS was not estimated due to the high computational demand and low prediction accuracy [38].

Statistical analysis

Each in vitro experiment was performed in a group size of n>3 independent samples. Representative images from 3 independent experiments were shown. Data were presented as means ± SEMs. The statistical significance of differences between groups was obtained by ANOVA multiple comparisons in GraphPad Pro 5.0 (GraphPad, San Diego, CA). Differences were considered to be significant at P<0.05.

Results

Osthole have no effect on cell viability

The chemical structure of osthole is shown in Figure 1A. We initially determined the effect of osthole on cell viability. RACEs were incubated with 10 μM osthole or Ang II for 24 h, and then proliferation of cell was examined by MTT assay. As Figure 1B shown, Ang II induced apoptosis of RAECs, but osthole had no obvious effect on viability of RAECs. Pretreatment of RAECs with osthole (10 μM) significantly decreased apoptotic cells.

Figure 1.

Figure 1

The structure of osthole and osthole have no effect on cell viability. A. The structure of osthole. B. Effect of osthole on cell viability was detected by MTT assay as described in the Materials and methods section. (n = 4 independent experiments, ns, no significance vs DMSO).

Osthole attenuates Ang II-induced inflammation in RAECs by inhibiting activation of NF-κB signaling pathway

Endothelial inflammation damage is an important cause of ECs apoptosis in the development and progression of chronic disease [39]. Our next objective was to determine whether osthole exhibits anti-inflammatory activity in Ang II-treated RAECs. Accordingly, we examined whether osthole altered Ang II-induced pro-inflammatory cytokine release. As Figure 2A, 2B showed, Ang II induced the secretion of tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6) in medium. In addition, real-time qPCR analysis also showed that there were marked increases in the expression of pro-inflammatory genes including TNF-α, IL-6, IL-1β, VCAM-1, ICAM-1 and MCP-1 in RAECs exposed to Ang II (Figure 2C-H). Upon treatment with 10 μM osthole, these overproductions were significantly attenuated (Figure 2A-H).

Figure 2.

Figure 2

Osthole attenuates Ang II-induced inflammation in RAECs. (A, B) Enzyme-linked immunosorbent assay for pro-inflammatory cytokines. The levels of IL-6 (A) and TNF-α (B) in the cultural medium were detected by ELISA. (C-H) mRNA expression of pro-inflammatory cytokines, including TNF-α (C), IL-6 (D), ICAM-1 (E), VCAM-1 (F), MCP-1 (G) and IL-1β (H), were detected by real-time qPCR assay using β-actin as a control gene. (n = 4 independent experiments, #P<0.05, ##P<0.01, ###P<0.001, vs DMSO; *P<0.05, **P<0.01, ***P<0.001, vs Ang II).

It has been found that NF-κB play a critical role in mediating inflammatory response [40]. The degradation of IκB, a key step in the activation of NF-κB signaling pathway, exposes the nuclear localization sequence of NF-κB and enters the nuclear to initiate transcription [41]. Immunofluorescence assay for NF-κB p65 showed that Ang II incubation for 1 h in RAECs remarkably induced translocation of NF-κB p65 subunit from the cytosol to the nucleus (Figure 3A, 3B). Similar results were obtained by western blot (Figure 3C). In addition, Incubation with Ang II for 30 min in RAECs significantly induced IκB-α degradation (Figure 3D). Nonetheless, these changes were reversed by pretreating with osthole (Figure 3A-D).

Figure 3.

Figure 3

Osthole inhibits activation of NF-κB signaling pathway in RAECs. (A, B) Immunofluorescence assay for NF-κB p65 nuclear translocation as described in the Materials and methods section. Representative images for Immunofluorescence were shown (A) with the quantitative column figure for NF-κB p65 nuclear translocation in means ± SE from 3 independent experiments (B) (200 × amplification; Nikon, Japan). (C) Nuclear NF-κB p65 was detected by western blot analysis with Lamin B as a loading control. (D) p-IκB-α, and IκB-α were detected by western blot analysis with GAPDH as a loading control. (n = 4 independent experiments, #P<0.05, ###P<0.001, vs DMSO; *P<0.05, **P<0.01, ***P<0.001, vs Ang II).

To further investigate the interaction relationship of osthole and NF-κB, molecular docking and MD simulation were applied. The reported crystal structure of NF-κB consists of two p65 subunits and one DNA molecule connected by a linker. One of p65 subunits was separated from its homo-dimeric for molecular modeling. The root mean square deviations (RMSDs) of the protein backbone atoms and osthole were calculated to monitor the dynamic stability of the initial docked conformation. As shown in Figure 4A, the RMSDs of protein were very large during 100 ns MD simulation. On the contrary, the RMSD curves of osthole were relative stable during the whole simulation. The alignment of starting (yellow) and final (purple) structures showed significantly different. These findings suggested large conformational change occurred when p65 subunit bind to osthole (Figure 4B). Furthermore, the energy decomposition was carried out to determine the roles of individual residues in determining protein-ligand interactions. The result showed that the top 5 contributing residues were Gln-128, Gln-132, Ala-129, Val-102, Glu-89 (Figure 4C, 4D). To confirm the anti-inflammation action of osthole is NF-κB-dependent in Ang II-challenged RAECs, we knocked down the expression of NF-κB prior to Ang II exposure. Compared with control group, transfection of cells with specific siRNA reduced protein abundance by more than 70% (Figure 4E). Silencing NF-κB down-regulate IL-6 (Figure 4F) and TNF-α (Figure 4G) secretion in Ang II-induced RAECs, while, osthole was not able to reduce Ang II-induced secretion of IL-6 (Figure 4F) and TNF-α (Figure 4G) in NF-κB-knockdown RAECs. Overall, these results suggest that osthole attenuates Ang II-induced inflammation in RAECs by inhibiting directly activation of NF-κB signaling pathway.

Figure 4.

Figure 4

Molecular modeling analysis of NF-κB bind to osthole. (A) Time evolution of the RMSD of NF-κB and osthole; (B) The alignments of starting (yellow) and final (purple) structures from MD simulations; (C) Per-residue top 5 contributors to the binding effective energy of osthole in NF-κB; (D) Structure analysis of top 5 contributed residues of osthole in NF-κB. (E) Western blot analysis for silencing NF-κB. (F, G) Enzyme-linked immunosorbent assay for the levels of IL-6 (F) and TNF-α (G) in NF-κB-knockdown RAECs. (n = 4 independent experiments, ##P<0.01, vs DMSO; **P<0.01, vs Ang II; ns, no significance, vs siNF-κB+Ang II).

Osthole attenuates Ang II-induced oxidative stress in RAECs by activating Nrf2 signaling pathway

Oxidative stress is considered to be a major ingredient contributing to damage of endothelial cells, and is an important component of the etiology of vascular injury [42]. Signaling pathways regulated by oxidative stress is increasingly recognized as an important contributor to the pathophysiology of vascular injury [43]. We examined the direct effects of osthole on Ang II-induced oxidative stress in RAECs. Evidences from Figure 5A-D, Ang II increased the production of H2O2 (Figure 5A, 5B) and O2 - (Figure 5C, 5D), which was prevented by osthole in RAECs. Treatment with osthole using a 10 μM concentration significantly decreased ROS production with a confirmation using flow cytometry. The mean fluorescent intensity (MFI) values showed that osthole significantly reduced Ang II-induced increases in ROS-positive cells (Figure 5E, 5F). To further investigate the potential mechanism involved in osthole-mediated oxidative stress regulation, we examined Nrf2 signaling pathways. Pretreatment of RAECs with osthole (10 μM) significantly increased Nrf2 expression (Figure 6A, 6B). In consistent with Nrf2 activation, the expression of Nrf2-downstream anti-oxidant genes including heme oxygenase-1 (HO-1) and NADPH quinine oxidoreductase (NQO-1) were significantly up-regulated in RAECs exposed to Ang II for 12 h by pretreating with osthole (10 μM) (Figure 6A, 6C, 6D). Similar results were obtained by real-time qPCR analysis (Figure 6E-G). In general, Nrf2 is retained unactivated in the cytoplasm by binding with its inhibitor named kelch-like ECH-associated protein-1 (Keap1), which serves as an adaptor for the degradation of Nrf2. Increasing evidences have demonstrated that the Nrf2/Keap1 signaling path way plays important roles in maintaining the balance of cellular redox homeostasis, and has become a vital target for the prevention and treatment of oxidative stress-related diseases. Previous studies indicated that the potential interacting of small molecular inhibitors with Nrf2 binding site in the Keap1 protein [28-30]. To insight into the binding mode of osthole to Keap1, molecular docking and MD simulation were carried out. The RMSDs of the protein backbone atoms and osthole were calculated to investigate the dynamic stability of the initial docked conformation. As shown in Figure 7A, the RMSDs of Keap1 and osthole were quite small during 100 ns MD simulation. The alignment of starting (yellow) and final (purple) structures showed high similarity with appropriate adjustment (Figure 7B). It can be concluded that the stable binding of Keap1 to osthole may occupied the portion of the Nrf-2, which was responsible for osthole-mediated oxidative stress regulation (Figure 7B). Furthermore, the energy decomposition was applied to determine the roles of individual residues in determining protein-ligand interactions. The result showed that the top 5 contributing residues were Tyr-525, Ser-555, Arg-415, Gln-530, Ile-461 (Figure 7C, 7D). To confirm the anti-oxidant action of osthole is Nrf2-dependent in Ang II-challenged RAECs, we knocked down the expression of Nrf2 prior to Ang II exposure. Compared with control group, transfection of cells with specific siRNA reduced protein abundance by more than 70% (Figure 7E). Compared with control group, silencing Nrf2 has no significant difference in Ang II-induced H2O2 level of RAECs, while, osthole was not able to reduce Ang II-induced H2O2 level in Nrf2-knockdown RAECs (Figure 7F, 7G). Consequently, osthole attenuates Ang II-induced oxidative stress in RAECs by activating Nrf2 signaling pathway.

Figure 5.

Figure 5

Osthole attenuates Ang II-induced oxidative stress in RAECs. (A-D) Representative staining images for H2O2 (A) and O2 - (C) levels. The quantitative data in means ± SE from 3 independent experiments (B and D) (200 × amplification; Nikon, Japan). (E, F) Flow cytometry assay for H2O2 levels. Positive cells were detected using flow cytometry with mean fluorescence intensity (MFI) value of each group (E) and the quantitative data in means ± SE from 3 independent experiments (F). (n = 4 independent experiments, ##P<0.01, ###P<0.001, vs DMSO; **P<0.01, ***P<0.001, vs Ang II).

Figure 6.

Figure 6

Osthole activated Nrf2 signaling pathway in RAECs. (A) Western blot analysis for the expression of Nrf2, HO-1, and NQO-1. Cells were lysated and the protein extracts were processed for western blot analysis with GAPDH as a loading control. (B-D) Densitometric quantifications of blots from A for the expression of Nrf2 (B), HO-1 (C), and NQO-1 (D). (E-G) Real-time qPCR analysis for Nrf2 gene (E) and downstream gene expression, HO-1 (F) and NQO-1 (G). (n = 4 independent experiments, #P<0.05, ##P<0.01, vs DMSO; *P<0.05, **P<0.01, ***P<0.001, vs Ang II).

Figure 7.

Figure 7

Molecular modeling analysis of Keap1 bind to osthole. (A) Time evolution of the RMSD of Keap1 and osthole; (B) The alignments of starting (yellow) and final (green) structures from MD simulations; (C) Per-residue top 5 contributors to the binding effective energy of osthole in Keap1; (D) Structure analysis of top 5 contributed residues of osthole in Keap1. (E) Western blot analysis for silencing Nrf2 (F, G) Flow cytometry assay for H2O2 levels in Nrf2-knockdown RAECs. Positive cells were detected using flow cytometry with mean fluorescence intensity (MFI) value of each group (F) and the quantitative data (G) in means ± SE from 3 independent experiments. (n = 4 independent experiments, ##P<0.01, vs DMSO; ns, no significance, vs Ang II).

Osthole attenuates Ang II-induced apoptosis in RAECs

Ang II-induced damage to endothelial cells (ECs) plays a crucial role in the pathogenesis of vascular disease [44]. ECs apoptosis leads to endothelium dysfunction, which impenetrating in the process of vascular remodeling and injury [45]. We further determined the protective effects of osthole on Ang II-induced RAECs apoptosis. As Figure 8A, 8B shown, Ang II induced RAECs apoptosis after 24 h exposure by TUNEL Staining. We then assayed for annexin V/PI to show that the relative percent of apoptotic cells and the number of annexin V positive cells were significantly higher in Ang II treated cells (Figure 8C, 8D). Treatment with osthole at 10 μM profoundly decreased the number of apoptotic cells as evidenced by TUNEL Staining and flow cytometry (Figure 8A-D). Furthermore, Ang II treatment increased the expression of important apoptosis-related protein such as Bax (Figure 8E) and cleaved caspase 3 (Figure 8F) and decreased the expression of Bcl-2, an anti-apoptotic protein (Figure 8G). The ration of Bax/Bcl-2 was also increased after 6 h Ang II treatment (Figure 8H). Pretreatment with osthole at 10 μM significantly reversed these changes in apoptosis-related genes induced by Ang II (Figure 8E-H). These results show that osthole protected against Ang II-induced RAECs apoptosis.

Figure 8.

Figure 8

Osthole attenuates Ang II-induced apoptosis in RAECs. (A, B) Representative images for TUNEL staining. Representative images for TUNEL staining were shown (A) with the quantitative column figure for TUNEL positive cells in means ± SE from 3 independent experiments (B) (200 × amplification; Nikon, Japan). (C, D) Flow cytometry assay for cell apoptosis. Representative flow cytometry images were shown (C) with the quantitative column figure for apoptotic cells in means ± SE from 3 independent experiments (D). (E) Real-time qPCR assay for mRNA expression for Bax and Bcl-2. (F-H) Western bolt analysis and densitometric quantifications for Bax (F), Bcl-2 (G), and cleaved-casepase 3 (H). The extracted total proteins were processed for western blot analysis with GAPDH as a loading control. (n = 4 independent experiments, ##P<0.01, ###P<0.001, vs DMSO; *P<0.05, **P<0.01, ***P<0.001, vs Ang II).

Discussion

Hypertension-induced vascular injury assumes a more rapid course, eventually resulting in premature cardiovascular disease, including stroke, myocardial infarction and peripheral artery disease as well as vascular dementia [46]. Hypertension is associated with vascular changes characterized by endothelial dysfunction and vascular remodeling [2]. However, cellular and molecular mechanisms underlying hypertension-associated changes of the vascular system has been unclear. Recent studies have emphasized that oxidative stress and chronic inflammatory processes are important in the pathophysiology of hypertension-related cardiovascular disorder [47]. Uncontrolled production of ROS and inflammatory cytokines induced by Ang II, the major effector in renin-angiotensin-aldosterone system, impairs cellular functions and causes cell apoptosis in a variety of tissues including the blood vessel [47]. Therefore, elucidating the mechanism by which Ang II causes vascular injury and discovering novel therapeutic agents are timely.

Natural products will be helpful in identifying the bioactive lead compounds and develop them into drugs for the treatment of oxidative and inflammatory diseases. Many phytochemicals, especially polyphenolic compounds, possess anti-oxidant and anti-inflammatory bioactivity and have been shown to exhibit protective effect on vascular and circulatory system. Plenty of experimental results have revealed that disease prevention and therapeutics of osthole are associated with its anti-oxidant and anti-inflammatory properties [15]. Recently, Fusi.F and his colleagues showed anti-hypertensive effect of osthole in animal models of hypertension [48]. However, the molecular mechanism of antihypertensive effect of osthole still remains unclear and we devised this study to offer insight in its regulatory functions.

Several reports have shown that hypertension is associated with a state of chronic, low-grade inflammation, suggesting that inflammation may be a potential mechanism whereby hypertension leads to cardiovascular disorder [5]. Ang II elicits many of its (patho) physiological actions by stimulating reactive oxygen species (ROS) generation and inflammatory cytokine expression in cultured aortic smooth muscle cells and endothelial cells [49,50]. Reports also showed that both circulation Ang II and tissue-based Ang II may affect vascular functions [46,51]. Recently, a large number of experimental studies have shown that Ang II mediates several key events of the inflammatory processes [52]. In cultured mesangial and vascular smooth muscle, Ang II trigger inflammatory responses via increasing expression of toll-like receptor 4, which promotes inflammatory gene expression by triggering NF-κB activation [53]. Among the intracellular signaling system involved in the regulation of inflammatory responses, the transcriptional factor NF-κB has a special position. The upstream IKKα interacts with IκB-α and specifically phosphorylates IκB-α to promote its degradation. The dissociation of IκB-α from the inactive cytoplasmic complex leads to the translocation of the active subunit NF-κB p65 from the cytosolic to nuclear fractions, which binds to certain DNA sites and triggers inflammatory gene expression. Osthole treatment has been associated with a positive outcome in many chronic inflammatory diseases, which exerts anti-inflammatory activity via several mechanisms [15]. For instance, osthole inactivates NF-κB, resulting in the decreased expression of TNF-α, IL-8 and IL-6 in chronic kidney failure (CKF) [54]. Our studies showed that Ang II increase p65 translocation and NF-κB activity in cultured RAECs (Figure 3A-C). Osthole significantly inhibited NF-κB activation induced by Ang II thus alleviating the expression of inflammatory cytokines like TNF-α, IL-6, IL-1β, MCP-1, and adhesion molecules (Figure 2). Molecular modeling further suggests that osthole can bind to the p65 subunit of NF-κB and trigger the conformational change of p65 subunit, resulting in prevention of the specific DNA binding (Figure 4A-D). These findings indicate that osthole inhibits Ang II-induced endothelial inflammation via inactivation of NF-κB.

Ang II has its greatest effect on ROS generation, which may be an important signaling element of hypertension and other delirious action of Ang II [51]. The mechanisms of Ang II-induced ROS actions are not fully understood, yet effective anti-oxidant therapy often attenuates vascular effects of Ang II and hypertension. Here, we observed a significant augmentation of ROS and oxidative stress, when RAECs were exposed to Ang II (Figure 5). Many genes involved in oxidative stress response have been shown to regulate Nrf2 directly or indirectly [55]. When activated, Nrf2 is bound to antioxidant transcription elements in the promoter regions of phase 2 detoxification enzyme genes and certain anti-oxidant genes. Nrf2 increases their expression, and leads to cellular resistance to oxidative stress [55]. Li et al. have reported that Nrf2 deficiency exacerbated ROS production in Ang II-induced pathogenesis of cardiac hypertrophy, suggesting that Nrf2 may be a major mediator in Ang II-induced oxidative stress [56]. Interestingly, osthole has an anti-oxidant effect and in vivo and in vitro studies have indicated its action on triggering Nrf2 signaling, which protect against ROS-mediated damage [19,22]. However, it is remains unknown whether osthole protects Ang II-induced endothelial injury via Nrf2 activation. Our studies showed that treating with osthole increased the expression of Nrf2 in RAECs (Figure 6A, 6B, 6E). In addition, we found that the expression of Nrf2-downstream genes HO-1 and NQO-1 are also significantly increased by osthole treatment (Figure 6A, 6C, 6D, 6F, 6G). Our molecular modeling studies further suggest the potential interaction of osthole bind to the P65 subunit of NF-κB and Keap1 protein (Figure 7). Overall, these results suggest that osthole-induced Nrf2 activation by prevent the binding of Keap1 and Nrf2 is a possible mechanism against Ang II-induced oxidative stress to attenuate endothelial injury.

It is well known that oxidative stress and inflammation in cells are strongly associated with the induction of apoptosis [57]. An in vitro study revealed that osthole protects PC12 cells against apoptosis through inhibition of ROS production [58]. As a result of oxidative damage and inflammation, we showed that RAECs undergo apoptosis which was evidenced by the enhanced number of apoptotic cells, with increasing expression of Bax and cleaved caspase 3 and the decreased expression of anti-apoptotic protein Bcl-2 (Figure 8). These findings prove the anti-apoptosis activity of osthole in Ang II-induced endothelial injury. It is reasonable to speculate osthole reduced apoptosis by alleviating the oxidative stress and inhibiting the NF-κB activation.

Importantly, inflammatory and oxidative stress are closely interrelated in the process of vascular injury. Thus, agents with both anti-oxidant and anti-inflammatory properties may attract more attention for treating the disease. The findings of the present study demonstrate the preventive role of osthole against oxidative stress, inflammation, and apoptosis in Ang II-treated RAECs. The beneficial actions of osthole are closely associated with its ability to inhibit Ang II-induced oxidative stress and inflammation via activating Nrf2 and inhibiting NF-κB, respectively. Although continued research is needed to examine the underlying molecular target of osthole, this clearly suggests the potential therapeutic application of osthole in the treatment of hypertension-associated disease including vascular injury. In addition, these findings indicated that Nrf2 and NF-κB, regulating the oxidative stress and inflammation respectively, may be important therapeutic targets for hypertension-associated disease.

Disclosure of conflict of interest

None.

Supporting Information

ajtr0011-0142-f9.pdf (829.2KB, pdf)

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