Abstract
Cholesterol overloading stress damages normal cellular functions in hepatocytes and induces metabolic disorders to facilitate the development of multiple diseases, including cardiovascular diseases, which seriously degrades the life quality of human beings. Recent data suggest that the Berberis vulgaris L. extract berberine is capable of regulating cholesterol homeostasis, which is deemed as potential therapeutic drug for the treatment of cholesterol overloading–associated diseases, but its detailed functions and molecular mechanisms are still largely unknown. In the present study, we evidenced that berberine suppressed cell apoptosis in high-cholesterol-diet mice liver and cholesterol-overloaded mice hepatocytes. Also, cholesterol overloading promoted reactive oxygen species (ROS) generation to trigger oxidative damages in hepatocytes, which were reversed by co-treating cells with both berberine and the ROS scavenger N-acetylcysteine (NAC). Moreover, the underlying mechanisms were uncovered, and we validated that berberine downregulated Keap1, and upregulated Nrf2 to activate the anti-oxidant Nrf2/HO-1 signaling pathway in cholesterol overloading–treated hepatocytes, and both Keap1 upregulation and Nrf2 downregulation abrogated the suppressing effects of berberine on cell apoptosis in the hepatocytes with cholesterol exposure. Taken together, we concluded that berberine activated the anti-oxidant Keap1/Nrf2/HO-1 pathway to eliminate cholesterol overloading–induced oxidative stress and apoptotic cell death in mice hepatocytes, and those evidences hinted that berberine might be used as putative therapeutic drug for the treatment of cholesterol overloading–associated cardiovascular diseases.
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All the involved data had been included in the manuscript, and the original data could be obtained from the corresponding author upon reasonable request.
References
Benito-Vicente A, Uribe KB, Jebari S, Galicia-Garcia U, Ostolaza H, Martin C (2018) Familial hypercholesterolemia: the most frequent cholesterol metabolism disorder caused disease. Int J Mol Sci 19(11). https://doi.org/10.3390/ijms19113426
Cambre MH, Holl NJ, Wang B, Harper L, Lee HJ, Chusuei CC, Hou FYS, Williams ET, Argo JD, Pandey RR, Huang YW (2020) Cytotoxicity of NiO and Ni(OH)(2) nanoparticles is mediated by oxidative stress-induced cell death and suppression of cell proliferation. Int J Mol Sci 21(7). https://doi.org/10.3390/ijms21072355
Cao P, Sun J, Sullivan MA, Huang X, Wang H, Zhang Y, Wang N, Wang K (2018) Angelica sinensis polysaccharide protects against acetaminophen-induced acute liver injury and cell death by suppressing oxidative stress and hepatic apoptosis in vivo and in vitro. Int J Biol Macromol 111:1133–1139
Carson JAS, Lichtenstein AH, Anderson CAM, Appel LJ, Kris-Etherton PM, Meyer KA, Petersen K, Polonsky T, Van Horn L (2020) Dietary Cholesterol and cardiovascular risk: a science advisory from the American Heart Association. Circulation 141:e39–e53
Chang CC, Huang TY, Chen HY, Huang TC, Lin LC, Chang YJ, Hsia SM (2018) Protective effect of melatonin against oxidative stress-induced apoptosis and enhanced autophagy in human retinal pigment epithelium cells. Oxid Med Cell Longev 2018:9015765
Chen Y, Kong J, Wu S (2015) Cholesterol gallstone disease: focusing on the role of gallbladder. Lab Investig 95:124–131
Deng Y, Tang K, Chen R, Nie H, Liang S, Zhang J, Zhang Y, Yang Q (2019) Berberine attenuates hepatic oxidative stress in rats with non-alcoholic fatty liver disease via the Nrf2/ARE signalling pathway. Exp Ther Med 17:2091–2098
Di Ciaula A, Wang DQ, Portincasa P (2019) Cholesterol cholelithiasis: part of a systemic metabolic disease, prone to primary prevention. Expert Rev Gastroenterol Hepatol 13:157–171
Dinesh P, Rasool M (2017) Berberine, an isoquinoline alkaloid suppresses TXNIP mediated NLRP3 inflammasome activation in MSU crystal stimulated RAW 264.7 macrophages through the upregulation of Nrf2 transcription factor and alleviates MSU crystal induced inflammation in rats. Int Immunopharmacol 44:26–37
Domanski MJ, Tian X, Wu CO, Reis JP, Dey AK, Gu Y, Zhao L, Bae S, Liu K, Hasan AA, Zimrin D, Farkouh ME, Hong CC, Lloyd-Jones DM, Fuster V (2020) Time course of LDL cholesterol exposure and cardiovascular disease event risk. J Am Coll Cardiol 76:1507–1516
Duran EK, Aday AW, Cook NR, Buring JE, Ridker PM, Pradhan AD (2020) Triglyceride-rich lipoprotein cholesterol, small dense LDL cholesterol, and incident cardiovascular disease. J Am Coll Cardiol 75:2122–2135
Dyck PA, Hoda F, Osmer ES, Green RM (2003) Microarray analysis of hepatic gene expression in gallstone-susceptible and gallstone-resistant mice. Mamm Genome 14:601–610
Funakoshi T, Aki T, Tajiri M, Unuma K, Uemura K (2016) Necroptosis-like neuronal cell death caused by cellular cholesterol accumulation. J Biol Chem 291:25050–25065
Guo Q, Wu Y, Hou Y, Liu Y, Liu T, Zhang H, Fan C, Guan H, Li Y, Shan Z, Teng W (2018) Cytokine secretion and pyroptosis of thyroid follicular cells mediated by enhanced NLRP3, NLRP1, NLRC4, and AIM2 inflammasomes are associated with autoimmune thyroiditis. Front Immunol 9:1197
Han C, Wei Y, Cui Y, Geng Y, Bao Y, Shi W (2020) Florfenicol induces oxidative stress and hepatocyte apoptosis in broilers via Nrf2 pathway. Ecotoxicol Environ Saf 191:110239
Han CY, Sun TT, Xv GP, Wang SS, Gu JG, Liu CY (2019) Berberine ameliorates CCl4-induced liver injury in rats through regulation of the Nrf2-Keap1-ARE and p53 signaling pathways. Mol Med Rep 20:3095–3102
Hassanein EHM, Shalkami AS, Khalaf MM, Mohamed WR, Hemeida RAM (2019) The impact of Keap1/Nrf2, P(38)MAPK/NF-κB and Bax/Bcl2/caspase-3 signaling pathways in the protective effects of berberine against methotrexate-induced nephrotoxicity. Biomed Pharmacother 109:47–56
He J, Zhang G, Pang Q, Yu C, Xiong J, Zhu J, Chen F (2017) SIRT6 reduces macrophage foam cell formation by inducing autophagy and cholesterol efflux under ox-LDL condition. FEBS J 284:1324–1337
He R, Cui M, Lin H, Zhao L, Wang J, Chen S, Shao Z (2018) Melatonin resists oxidative stress-induced apoptosis in nucleus pulposus cells. Life Sci 199:122–130
Holzbach RT (1984) Animal models of cholesterol gallstone disease. Hepatology (Baltimore, Md) 4:191s–198s
Hu L, Xu Y, Wang Q, Liu M, Meng L, Yan D, Hu H, Xiao M, Yin Z, Li Y, Kang X (2021) Yiqi Huoxue Recipe inhibits cardiomyocyte apoptosis caused by heart failure through Keap1/Nrf2/HIF-1α signaling pathway. Bioengineered 12:969–978
Jin X, Xu Z, Fan R, Wang C, Ji W, Ma Y, Cai W, Zhang Y, Yang N, Zou S, Zhou X, Li Y (2017) HO-1 alleviates cholesterol-induced oxidative stress through activation of Nrf2/ERK and inhibition of PI3K/AKT pathways in endothelial cells. Mol Med Rep 16:3519–3527
Kaminsky-Kolesnikov Y, Rauchbach E, Abu-Halaka D, Hahn M, García-Ruiz C, Fernandez-Checa JC, Madar Z, Tirosh O (2020) Cholesterol induces Nrf-2- and HIF-1α-dependent hepatocyte proliferation and liver regeneration to ameliorate bile acid toxicity in mouse models of NASH and fibrosis. Oxid Med Cell Longev 2020:5393761
Kong W, Wei J, Abidi P, Lin M, Inaba S, Li C, Wang Y, Wang Z, Si S, Pan H, Wang S, Wu J, Wang Y, Li Z, Liu J, Jiang JD (2004) Berberine is a novel cholesterol-lowering drug working through a unique mechanism distinct from statins. Nat Med 10:1344–1351
Kumar M, Irungbam K, Kataria M (2018) Depletion of membrane cholesterol compromised caspase-8 imparts in autophagy induction and inhibition of cell migration in cancer cells. Cancer Cell Int 18:23
Larson-Casey JL, Deshane JS, Ryan AJ, Thannickal VJ, Carter AB (2016) Macrophage Akt1 kinase-mediated mitophagy modulates apoptosis resistance and pulmonary fibrosis. Immunity 44:582–596
Li CH, Tang SC, Wong CH, Wang Y, Jiang JD, Chen Y (2018) Berberine induces miR-373 expression in hepatocytes to inactivate hepatic steatosis associated AKT-S6 kinase pathway. Eur J Pharmacol 825:107–118
Liu Q, Wang Q, Xu C, Shao W, Zhang C, Liu H, Jiang Z, Gu A (2017) Organochloride pesticides impaired mitochondrial function in hepatocytes and aggravated disorders of fatty acid metabolism. Sci Rep 7:46339
Lu KL, Wang LN, Zhang DD, Liu WB, Xu WN (2017) Berberine attenuates oxidative stress and hepatocytes apoptosis via protecting mitochondria in blunt snout bream Megalobrama amblycephala fed high-fat diets. Fish Physiol Biochem 43:65–76
Lu X, Liu J, Hou F, Liu Z, Cao X, Seo H, Gao B (2011) Cholesterol induces pancreatic β cell apoptosis through oxidative stress pathway. Cell Stress Chaperones 16:539–548
Luo R, Liao Z, Song Y, Yin H, Zhan S, Li G, Ma L, Lu S, Wang K, Li S, Zhang Y, Yang C (2019) Berberine ameliorates oxidative stress-induced apoptosis by modulating ER stress and autophagy in human nucleus pulposus cells. Life Sci 228:85–97
Qi B, He L, Zhao Y, Zhang L, He Y, Li J, Li C, Zhang B, Huang Q, Xing J, Li F, Li Y, Ji L (2020) Akap1 deficiency exacerbates diabetic cardiomyopathy in mice by NDUFS1-mediated mitochondrial dysfunction and apoptosis. Diabetologia 63:1072–1087
Rana R, Shearer AM, Fletcher EK, Nguyen N, Guha S, Cox DH, Abdelmalek M, Wang Y, Baleja JD, Covic L, Kuliopulos A (2019) PAR2 controls cholesterol homeostasis and lipid metabolism in nonalcoholic fatty liver disease. Mol Metab 29:99–113
Rink JS, Lin A, McMahon KM, Calvert AE, Yang S, Taxter T, Moreira J, Chadburn A, Behdad A, Karmali R, Thaxton CS, Gordon LI (2021) Targeted reduction of cholesterol uptake in cholesterol-addicted lymphoma cells blocks turnover of oxidized lipids to cause ferroptosis. J Biol Chem 296:100100. https://doi.org/10.1074/jbc.RA120.014888
Rizwan H, Pal S, Sabnam S, Pal A (2020) High glucose augments ROS generation regulates mitochondrial dysfunction and apoptosis via stress signalling cascades in keratinocytes. Life Sci 241:117148
Seo E, Kang H, Choi H, Choi W, Jun HS (2019) Reactive oxygen species-induced changes in glucose and lipid metabolism contribute to the accumulation of cholesterol in the liver during aging. Aging Cell 18:e12895
Song XY, Xu S, Hu JF, Tang J, Chu SF, Liu H, Han N, Li JW, Zhang DM, Li YT, Chen NH (2015) Piperine prevents cholesterol gallstones formation in mice. Eur J Pharmacol 751:112–117
Sozen E, Ozer NK (2017) Impact of high cholesterol and endoplasmic reticulum stress on metabolic diseases: an updated mini-review. Redox Biol 12:456–461
Sozen E, Yazgan B, Tok OE, Demirel T, Ercan F, Proto JD, Ozer NK (2020) Cholesterol induced autophagy via IRE1/JNK pathway promotes autophagic cell death in heart tissue. Metabolism 106:154205
Sun H, Li JJ, Feng ZR, Liu HY, Meng AG (2020) MicroRNA-124 regulates cell pyroptosis during cerebral ischemia-reperfusion injury by regulating STAT3. Exp Ther Med 20:227
Sun H, Liu Q, Hu H, Jiang Y, Shao W, Wang Q, Jiang Z, Gu A (2018) Berberine ameliorates blockade of autophagic flux in the liver by regulating cholesterol metabolism and inhibiting COX2-prostaglandin synthesis. Cell Death Dis 9:824
Sun J, Shi L, Xiao T, Xue J, Li J, Wang P, Wu L, Dai X, Ni X, Liu Q (2021) microRNA-21, via the HIF-1α/VEGF signaling pathway, is involved in arsenite-induced hepatic fibrosis through aberrant cross-talk of hepatocytes and hepatic stellate cells. Chemosphere 266:129177
Sun Y, Yuan X, Zhang F, Han Y, Chang X, Xu X, Li Y, Gao X (2017) Berberine ameliorates fatty acid-induced oxidative stress in human hepatoma cells. Sci Rep 7:11340
Tomita K, Teratani T, Suzuki T, Shimizu M, Sato H, Narimatsu K, Okada Y, Kurihara C, Irie R, Yokoyama H, Shimamura K, Usui S, Ebinuma H, Saito H, Watanabe C, Komoto S, Kawaguchi A, Nagao S, Sugiyama K, Hokari R, Kanai T, Miura S, Hibi T (2014) Free cholesterol accumulation in hepatic stellate cells: mechanism of liver fibrosis aggravation in nonalcoholic steatohepatitis in mice. Hepatology (Baltimore, Md) 59:154–169
Wang Y, Liu C, Hu L (2019) Cholesterol regulates cell proliferation and apoptosis of colorectal cancer by modulating miR-33a-PIM3 pathway. Biochem Biophys Res Commun 511:685–692
Widenmaier SB, Snyder NA, Nguyen TB, Arduini A, Lee GY, Arruda AP, Saksi J, Bartelt A, Hotamisligil GS (2017) NRF1 is an ER membrane sensor that is central to cholesterol homeostasis. Cell 171:1094-1109.e1015
Wu Z, Wang H, Fang S, Xu C (2018) Roles of endoplasmic reticulum stress and autophagy on H2O2-induced oxidative stress injury in HepG2 cells. Mol Med Rep 18:4163–4174
Yang SS, Yu CB, Luo Z, Luo WL, Zhang J, Xu JX, Xu WN (2019) Berberine attenuates sodium palmitate-induced lipid accumulation, oxidative stress and apoptosis in grass carp(Ctenopharyngodon idella)hepatocyte in vitro. Fish Shellfish Immunol 88:518–527
Yue SJ, Liu J, Wang WX, Wang AT, Yang XY, Guan HS, Wang CY, Yan D (2019) Berberine treatment-emergent mild diarrhea associated with gut microbiota dysbiosis. Biomed Pharmacother 116:109002
Zhou J, Ding J, Ma X, Zhang M, Huo Z, Yao Y, Li D, Wang Z (2020) The NRF2/KEAP1 pathway modulates nasopharyngeal carcinoma cell radiosensitivity via ROS elimination. Onco Targets Ther 13:9113–9122
Zhu L, Wei M, Yang N, Li X (2021) Glycyrrhizic acid alleviates the meconium-induced acute lung injury in neonatal rats by inhibiting oxidative stress through mediating the Keap1/Nrf2/HO-1 signal pathway. Bioengineered 12:2616–2626
Funding
This study was financially supported by Basic Research Program of Yunnan Science and Technology Department (Joint Specialized Project of Kunming Medical University, No. 202101AY070001-085) and the Doctoral Research Fund of First Affiliated Hospital of Kunming Medical University (No. 2018BS006).
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Zhengchen Ye conducted most of the investigations, drafted the manuscript, and was the main author of this manuscript. Qiang Wang, Shupeng Dai, Xiang Ji, Pingli Cao, and Chenglei Xu were co-authors; they provided technical supports, and helped to analyze and visualize the data. Guoqing Bao was the corresponding author of this work, and was responsible for conception, guidance, manuscript proofreading, and funding acquisition.
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All the experiments in the present study were approved by the guidelines of the Ethics Committee affiliated to our hospital (No. KMMU2020495) in August 17, 2020.
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Ye, Z., Wang, Q., Dai, S. et al. The Berberis vulgaris L. extract berberine exerts its anti-oxidant effects to ameliorate cholesterol overloading–induced cell apoptosis in the primary mice hepatocytes: an in vitro study. In Vitro Cell.Dev.Biol.-Animal 58, 855–866 (2022). https://doi.org/10.1007/s11626-022-00737-z
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DOI: https://doi.org/10.1007/s11626-022-00737-z