Limonene, a Monoterpene, Mitigates Rotenone-Induced Dopaminergic Neurodegeneration by Modulating Neuroinflammation, Hippo Signaling and Apoptosis in Rats
Abstract
:1. Introduction
2. Results
2.1. Behavioral Assessment of the Impact of Limonene on ROT-Induced Neurodegeneration
2.2. Limonene Preserves Dopaminergic Neurons against ROT-Induced Neurodegeneration
2.3. Effect of Limonene on Brain-Derived Neurotrophic Factor (BDNF) and α-Synuclein Expression in the Striatum of Rats
2.4. Limonene Attenuates Lipid Peroxidation and Enhances the Activities/Concentrations of Enzymatic and Non-Enzymatic Antioxidant Status in the Midbrain of ROT-Induced Neurodegeneration
2.5. Limonene Attenuates Proinflammatory Cytokines in the Midbrain of ROT-Induced Neurodegeneration
2.6. Limonene Attenuates Activation of Microglia and Astrocytes in ROT-Induced Neurodegeneration
2.7. Limonene Treatment Inhibits Expression of Inflammatory Mediators and NF-κB/IκB Activation in the Striatum of ROT-Induced Neurodegeneration
2.8. Limonene Treatment Reduces Phosphorylation of MAPK Signaling Proteins in the Striatum of ROT-Induced Neurodegeneration
2.9. Limonene Inhibits ROT-Induced Mitochondrial Complex-I Inhibition in the Striatum
2.10. Limonene Treatment Attenuates Apoptosis and Hippo Signaling in ROT-Injected Rats
3. Discussion
4. Materials and Methods
4.1. Drugs and Chemicals
4.2. Experimental Animals
4.3. Experimental Protocol and Study Groups
4.4. Tissue Collection and Preparation
4.5. Biochemical Studies
4.6. Rotarod Test
4.7. Immunofluorescence Staining for Glial Fibrillary Acidic Protein (GFAP) and Ionized Calcium-Binding Adapter Molecule 1 (Iba-1)
4.8. Assessment of Activated GFAP and Iba-1
4.9. Immunohistochemistry of Tyrosine Hydroxylase (TH)
4.10. Determination of Tyrosine Hydroxylase-Immunoreactive (TH-ir) Dopaminergic Neurons and TH-ir Nerve Fibers Loss
4.11. Western Blotting Analysis
4.12. Protein Estimation
4.13. Assessment of Enzymatic and Non-Enzymatic Antioxidant Status
4.14. Malondialdehyde (MDA) Assay
4.15. Assessment of Proinflammatory Cytokines
4.16. Mitochondrial Extraction from the Striatum
4.17. Statistical Analysis
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Meireles, J.; Massano, J. Cognitive impairment and dementia in Parkinson’s disease: Clinical features, diagnosis, and management. Front. Neurol. 2012, 3, 88. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Obeso, J.A. Modeling clinical features of neurodegeneration. Nat. Med. 2010, 16, 1372. [Google Scholar] [CrossRef] [PubMed]
- Gibson, G.E.; Huang, H.M. Mitochondrial enzymes and endoplasmic reticulum calcium stores as targets of oxidative stress in neurodegenerative diseases. J. Bioenerg. Biomembr. 2004, 36, 335–340. [Google Scholar] [CrossRef] [PubMed]
- Liddelow, S.A.; Guttenplan, K.A.; Clarke, L.E.; Bennett, F.C.; Bohlen, C.J.; Schirmer, L.; Bennett, M.L.; Münch, A.E.; Chung, W.S.; Peterson, T.C.; et al. Neurotoxic reactive astrocytes are induced by activated microglia. Nature 2017, 541, 481–487. [Google Scholar] [CrossRef] [Green Version]
- Ramesh, G.; MacLean, A.G.; Philipp, M.T. Cytokines and chemokines at the crossroads of neuroinflammation, neurodegeneration, and neuropathic pain. Mediat. Inflamm. 2013, 2013, 480739. [Google Scholar] [CrossRef] [Green Version]
- Luo, Y.; Hoffer, A.; Hoffer, B.; Qi, X. Mitochondria: A therapeutic target for Parkinson’s disease? Int. J. Mol. Sci. 2015, 16, 20704–20730. [Google Scholar] [CrossRef] [Green Version]
- Zhang, X.; Du, L.; Zhang, W.; Yang, Y.; Zhou, Q.; Du, G. Therapeutic effects of baicalein on rotenone-induced Parkinson’s disease through protecting mitochondrial function and biogenesis. Sci. Rep. 2017, 7, 9968. [Google Scholar] [CrossRef] [Green Version]
- Xilouri, M.; Brekk, O.R.; Stefanis, L. Autophagy and Alpha-Synuclein: Relevance to Parkinson’s Disease and Related Synucleopathies. Mov. Disord. 2016, 31, 178–192. [Google Scholar] [CrossRef]
- He, J.; Zhu, G.; Wang, G.; Zhang, F. Oxidative Stress and Neuroinflammation Potentiate Each Other to Promote Progression of Dopamine Neurodegeneration. Oxid. Med. Cell Longev. 2020, 2020, 6137521. [Google Scholar] [CrossRef]
- Cookson, M.R. alpha-Synuclein and neuronal cell death. Mol. Neurodegener. 2009, 4, 9. [Google Scholar] [CrossRef] [Green Version]
- Anusha, C.; Sumathi, T.; Joseph, L.D. Protective role of apigenin on rotenone induced rat model of Parkinson’s disease: Suppression of neuroinflammation and oxidative stress mediated apoptosis. Chem. Biol. Interact. 2017, 269, 67–79. [Google Scholar] [CrossRef] [PubMed]
- Dauncey, M.J. Genomic and epigenomic insights into nutrition and brain disorders. Nutrients 2013, 5, 887–914. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Amaral de Brito, A.P.; Galvão de Melo, I.; El-Bachá, R.S.; Guedes, R.C.A. Valeriana officinalis Counteracts Rotenone Effects on Spreading Depression in the Rat Brain in vivo and Protects Against Rotenone Cytotoxicity Toward Rat Glioma C6 Cells in vitro. Front. Neurosci. 2020, 14, 759. [Google Scholar] [CrossRef] [PubMed]
- Johnson, M.E.; Bobrovskaya, L. An update on the rotenone models of Parkinson’s disease: Their ability to reproduce the features of clinical disease and model gene–environment interactions. Neurotoxicology 2015, 46, 101–116. [Google Scholar] [CrossRef]
- Zhang, N.; Dou, D.; Ran, X.; Kang, T. Neuroprotective effect of arctigenin against neuroinflammation and oxidative stress induced by rotenone. RSC Adv. 2018, 8, 2280–2292. [Google Scholar] [CrossRef] [Green Version]
- Shin, M.; Liu, Q.F.; Choi, B.; Shin, C.; Lee, B.; Yuan, C.; Song, Y.J.; Yun, H.S.; Lee, I.S.; Koo, B.S.; et al. Neuroprotective Effects of Limonene (+) against Aβ42-Induced Neurotoxicity in a Drosophila Model of Alzheimer’s Disease. Biol. Pharm. Bull 2020, 43, 409–417. [Google Scholar] [CrossRef] [Green Version]
- Wang, X.; Li, G.; Shen, W. Protective effects of D-Limonene against transient cerebral ischemia in stroke-prone spontaneously hypertensive rats. Exp. Ther. Med. 2018, 15, 699–706. [Google Scholar] [CrossRef] [Green Version]
- Sadeghimanesh, A.; Khalaji-Pirbalouty, V.; Lorigooini, Z.; Rafieian-Kopaei, M.; Torki, A.; Rabiei, Z. Phytochemical and neuroprotective evaluation of Citrus aurantium essential oil on cerebral ischemia and reperfusion. Bangladesh J. Pharmacol. 2018, 13, 353–361. [Google Scholar] [CrossRef]
- Eddin, L.B.; Jha, N.K.; Meeran, M.F.N.; Kesari, K.K.; Beiram, R.; Ojha, S. Neuroprotective Potential of Limonene and Limonene Containing Natural Products. Molecules 2021, 26, 4535. [Google Scholar] [CrossRef]
- Yu, X.; Lin, H.; Wang, Y.; Lv, W.; Zhang, S.; Qian, Y.; Deng, X.; Feng, N.; Yu, H.; Qian, B. d-limonene exhibits antitumor activity by inducing autophagy and apoptosis in lung cancer. Onco Targets 2018, 11, 1833–1847. [Google Scholar] [CrossRef] [Green Version]
- Kim, Y.W.; Kim, M.J.; Chung, B.Y.; Bang, D.Y.; Lim, S.K.; Choi, S.M.; Lim, D.S.; Cho, M.C.; Yoon, K.; Kim, H.S.; et al. Safety evaluation and risk assessment of d-Limonene. J. Toxicol. Env. Health B Crit. Rev. 2013, 16, 17–38. [Google Scholar] [CrossRef]
- Almeida, A.A.C.; Ferreira, J.R.O.; de Carvalho, R.B.F.; Rizzo, M.D.S.; Lopes, L.D.S.; Dittz, D.; Castro, E.S.J.M.; Ferreira, P.M.P. Non-clinical toxicity of (+)-limonene epoxide and its physio-pharmacological properties on neurological disorders. Naunyn Schmiedebergs Arch. Pharm. 2020, 393, 2301–2314. [Google Scholar] [CrossRef]
- Chen, H.; Chan, K.K.; Budd, T. Pharmacokinetics of d-limonene in the rat by GC-MS assay. J. Pharm. Biomed Anal. 1998, 17, 631–640. [Google Scholar] [CrossRef]
- Igimi, H.; Nishimura, M.; Kodama, R.; Ide, H. Studies on the metabolism of d-limonene (p-mentha-1,8-diene). I. The absorption, distribution and excretion of d-limonene in rats. Xenobiotica 1974, 4, 77–84. [Google Scholar] [CrossRef]
- Vigushin, D.M.; Poon, G.K.; Boddy, A.; English, J.; Halbert, G.W.; Pagonis, C.; Jarman, M.; Coombes, R.C. Phase I and pharmacokinetic study of D-limonene in patients with advanced cancer. Cancer Research Campaign Phase I/II Clinical Trials Committee. Cancer Chemother. Pharm. 1998, 42, 111–117. [Google Scholar] [CrossRef]
- Magrinelli, F.; Picelli, A.; Tocco, P.; Federico, A.; Roncari, L.; Smania, N.; Zanette, G.; Tamburin, S. Pathophysiology of Motor Dysfunction in Parkinson’s Disease as the Rationale for Drug Treatment and Rehabilitation. Park. Dis. 2016, 2016, 9832839. [Google Scholar] [CrossRef] [Green Version]
- Nijkrake, M.J.; Keus, S.H.; Quist-Anholts, G.W.; Overeem, S.; De Roode, M.H.; Lindeboom, R.; Mulleners, W.; Bloem, B.R.; Munneke, M. Evaluation of a Patient-Specific Index as an outcome measure for physiotherapy in Parkinson’s disease. Eur. J. Phys. Rehabil. Med. 2009, 45, 507–512. [Google Scholar]
- von Wrangel, C.; Schwabe, K.; John, N.; Krauss, J.K.; Alam, M. The rotenone-induced rat model of Parkinson’s disease: Behavioral and electrophysiological findings. Behav. Brain Res. 2015, 279, 52–61. [Google Scholar] [CrossRef]
- Betarbet, R.; Sherer, T.B.; MacKenzie, G.; Garcia-Osuna, M.; Panov, A.V.; Greenamyre, J.T. Chronic systemic pesticide exposure reproduces features of Parkinson’s disease. Nat. Neurosci. 2000, 3, 1301–1306. [Google Scholar] [CrossRef] [Green Version]
- Nagatsu, T.; Nakashima, A.; Ichinose, H.; Kobayashi, K. Human tyrosine hydroxylase in Parkinson’s disease and in related disorders. J. Neural Transm (Vienna) 2019, 126, 397–409. [Google Scholar] [CrossRef]
- Mohammadi, A.; Amooeian, V.G.; Rashidi, E. Dysfunction in Brain-Derived Neurotrophic Factor Signaling Pathway and Susceptibility to Schizophrenia, Parkinson’s and Alzheimer’s Diseases. Curr. Gene 2018, 18, 45–63. [Google Scholar] [CrossRef] [PubMed]
- Wang, Y.; Liu, H.; Zhang, B.S.; Soares, J.C.; Zhang, X.Y. Low BDNF is associated with cognitive impairments in patients with Parkinson’s disease. Park. Relat. Disord. 2016, 29, 66–71. [Google Scholar] [CrossRef] [PubMed]
- Fink, A.L. The aggregation and fibrillation of alpha-synuclein. Acc. Chem. Res. 2006, 39, 628–634. [Google Scholar] [CrossRef] [PubMed]
- Sharma, L.K.; Lu, J.; Bai, Y. Mitochondrial respiratory complex I: Structure, function and implication in human diseases. Curr. Med. Chem. 2009, 16, 1266–1277. [Google Scholar] [CrossRef] [Green Version]
- Higgins, G.C.; Beart, P.M.; Shin, Y.S.; Chen, M.J.; Cheung, N.S.; Nagley, P. Oxidative stress: Emerging mitochondrial and cellular themes and variations in neuronal injury. J. Alzheimers Dis. 2010, 20 (Suppl. 2), S453–S473. [Google Scholar] [CrossRef] [Green Version]
- Martinez, T.N.; Greenamyre, J.T. Toxin models of mitochondrial dysfunction in Parkinson’s disease. Antioxid. Redox Signal 2012, 16, 920–934. [Google Scholar] [CrossRef] [Green Version]
- Jenner, P.; Olanow, C.W. Oxidative stress and the pathogenesis of Parkinson’s disease. Neurology 1996, 47, S161–S170. [Google Scholar] [CrossRef]
- Litteljohn, D.; Mangano, E.; Clarke, M.; Bobyn, J.; Moloney, K.; Hayley, S. Inflammatory mechanisms of neurodegeneration in toxin-based models of Parkinson’s disease. Park. Dis. 2011, 2011, 713517. [Google Scholar] [CrossRef] [Green Version]
- Indo, H.P.; Yen, H.C.; Nakanishi, I.; Matsumoto, K.; Tamura, M.; Nagano, Y.; Matsui, H.; Gusev, O.; Cornette, R.; Okuda, T.; et al. A mitochondrial superoxide theory for oxidative stress diseases and aging. J. Clin. Biochem. Nutr. 2015, 56, 1–7. [Google Scholar] [CrossRef] [Green Version]
- Roberto, D.; Micucci, P.; Sebastian, T.; Graciela, F.; Anesini, C. Antioxidant activity of limonene on normal murine lymphocytes: Relation to H2O2 modulation and cell proliferation. Basic Clin. Pharm. Toxicol. 2010, 106, 38–44. [Google Scholar] [CrossRef]
- Shah, B.; Mehta, A. In vitro evaluation of antioxidant activity of D-Limonene. Asian J. Pharm. Pharmacol. 2018, 4, 883–887. [Google Scholar] [CrossRef]
- Wang, S.; Chu, C.H.; Stewart, T.; Ginghina, C.; Wang, Y.; Nie, H.; Guo, M.; Wilson, B.; Hong, J.S.; Zhang, J. α-Synuclein, a chemoattractant, directs microglial migration via H2O2-dependent Lyn phosphorylation. Proc. Natl. Acad. Sci. USA 2015, 112, E1926–E1935. [Google Scholar] [CrossRef] [Green Version]
- Le, W.; Wu, J.; Tang, Y. Protective Microglia and Their Regulation in Parkinson’s Disease. Front. Mol. Neurosci. 2016, 9, 89. [Google Scholar] [CrossRef] [Green Version]
- Lorigooini, Z.; Boroujeni, S.N.; Sayyadi-Shahraki, M.; Rahimi-Madiseh, M.; Bijad, E.; Amini-Khoei, H. Limonene through Attenuation of Neuroinflammation and Nitrite Level Exerts Antidepressant-Like Effect on Mouse Model of Maternal Separation Stress. Behav. Neurol. 2021, 2021, 8817309. [Google Scholar] [CrossRef]
- He, J.; Zhong, W.; Zhang, M.; Zhang, R.; Hu, W. P38 Mitogen-activated Protein Kinase and Parkinson’s Disease. Transl. Neurosci. 2018, 9, 147–153. [Google Scholar] [CrossRef]
- Corrêa, S.A.; Eales, K.L. The Role of p38 MAPK and Its Substrates in Neuronal Plasticity and Neurodegenerative Disease. J. Signal Transduct. 2012, 2012, 649079. [Google Scholar] [CrossRef] [Green Version]
- Karunakaran, S.; Ravindranath, V. Activation of p38 MAPK in the substantia nigra leads to nuclear translocation of NF-κB in MPTP-treated mice: Implication in Parkinson’s disease. J. Neurochem. 2009, 109, 1791–1799. [Google Scholar] [CrossRef]
- Tak, P.P.; Firestein, G.S. NF-κB: A key role in inflammatory diseases. J. Clin. Investig. 2001, 107, 7–11. [Google Scholar] [CrossRef]
- Erekat, N.S. Apoptosis and its Role in Parkinson’s Disease. In Parkinson’s Disease: Pathogenesis and Clinical Aspects; Stoker, T.B., Greenland, J.C., Eds.; Codon Publications Copyright: Brisbane, Australia, 2018. [Google Scholar]
- Zhou, Q.; Liu, C.; Liu, W.; Zhang, H.; Zhang, R.; Liu, J.; Zhang, J.; Xu, C.; Liu, L.; Huang, S.; et al. Rotenone induction of hydrogen peroxide inhibits mTOR-mediated S6K1 and 4E-BP1/eIF4E pathways, leading to neuronal apoptosis. Toxicol. Sci. 2015, 143, 81–96. [Google Scholar] [CrossRef] [Green Version]
- Choi, K.C.; Kim, S.H.; Ha, J.Y.; Kim, S.T.; Son, J.H. A novel mTOR activating protein protects dopamine neurons against oxidative stress by repressing autophagy related cell death. J. Neurochem. 2010, 112, 366–376. [Google Scholar] [CrossRef]
- Mercado, G.; Castillo, V.; Soto, P.; Sidhu, A. ER stress and Parkinson’s disease: Pathological inputs that converge into the secretory pathway. Brain Res. 2016, 1648, 626–632. [Google Scholar] [CrossRef] [PubMed]
- Ahn, E.H.; Kang, S.S.; Qi, Q.; Liu, X.; Ye, K. Netrin1 deficiency activates MST1 via UNC5B receptor, promoting dopaminergic apoptosis in Parkinson’s disease. Proc. Natl. Acad. Sci. USA 2020, 117, 24503–24513. [Google Scholar] [CrossRef] [PubMed]
- Sahu, M.R.; Mondal, A.C. The emerging role of Hippo signaling in neurodegeneration. J. Neurosci. Res. 2020, 98, 796–814. [Google Scholar] [CrossRef] [PubMed]
- Silva, R.M.; Ries, V.; Oo, T.F.; Yarygina, O.; Jackson-Lewis, V.; Ryu, E.J.; Lu, P.D.; Marciniak, S.J.; Ron, D.; Przedborski, S.; et al. CHOP/GADD153 is a mediator of apoptotic death in substantia nigra dopamine neurons in an in vivo neurotoxin model of parkinsonism. J. Neurochem. 2005, 95, 974–986. [Google Scholar] [CrossRef] [Green Version]
- Liu, W.; Wu, J.; Xiao, L.; Bai, Y.; Qu, A.; Zheng, Z.; Yuan, Z. Regulation of neuronal cell death by c-Abl-Hippo/MST2 signaling pathway. PLoS ONE 2012, 7, e36562. [Google Scholar] [CrossRef] [Green Version]
- de Souza, M.C.; Vieira, A.J.; Beserra, F.P.; Pellizzon, C.H.; Nóbrega, R.H.; Rozza, A.L. Gastroprotective effect of limonene in rats: Influence on oxidative stress, inflammation and gene expression. Phytomedicine 2019, 53, 37–42. [Google Scholar] [CrossRef]
- Yu, L.; Yan, J.; Sun, Z. D-limonene exhibits anti-inflammatory and antioxidant properties in an ulcerative colitis rat model via regulation of iNOS, COX-2, PGE2 and ERK signaling pathways. Mol. Med. Rep. 2017, 15, 2339–2346. [Google Scholar] [CrossRef] [Green Version]
- Chi, G.; Wei, M.; Xie, X.; Soromou, L.W.; Liu, F.; Zhao, S. Suppression of MAPK and NF-κB pathways by limonene contributes to attenuation of lipopolysaccharide-induced inflammatory responses in acute lung injury. Inflammation 2013, 36, 501–511. [Google Scholar] [CrossRef]
- Younis, N.S. D-Limonene mitigate myocardial injury in rats through MAPK/ERK/NF-κB pathway inhibition. Korean J. Physiol. Pharmacol. 2020, 24, 259–266. [Google Scholar] [CrossRef]
- Pereira, E.W.M.; Heimfarth, L.; Santos, T.K.; Passos, F.R.S.; Siqueira-Lima, P.; Scotti, L.; Scotti, M.T.; Almeida, J.; Campos, A.R.; Coutinho, H.D.M.; et al. Limonene, a citrus monoterpene, non-complexed and complexed with hydroxypropyl-β-cyclodextrin attenuates acute and chronic orofacial nociception in rodents: Evidence for involvement of the PKA and PKC pathway. Phytomedicine 2022, 96, 153893. [Google Scholar] [CrossRef]
- Bacanlı, M.; Anlar, H.G.; Aydın, S.; Çal, T.; Arı, N.; Ündeğer Bucurgat, Ü.; Başaran, A.A.; Başaran, N. d-limonene ameliorates diabetes and its complications in streptozotocin-induced diabetic rats. Food Chem. Toxicol. 2017, 110, 434–442. [Google Scholar] [CrossRef] [PubMed]
- Zhou, W.; Yoshioka, M.; Yokogoshi, H. Sub-Chronic Effects of <i>s</i>-Limonene on Brain Neurotransmitter Levels and Behavior of Rats. J. Nutr. Sci. Vitaminol. 2009, 55, 367–373. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Urbach, Y.K.; Bode, F.J.; Nguyen, H.P.; Riess, O.; von Hörsten, S. Neurobehavioral tests in rat models of degenerative brain diseases. Methods Mol. Biol. 2010, 597, 333–356. [Google Scholar] [CrossRef] [PubMed]
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Eddin, L.B.; Azimullah, S.; Jha, N.K.; Nagoor Meeran, M.F.; Beiram, R.; Ojha, S. Limonene, a Monoterpene, Mitigates Rotenone-Induced Dopaminergic Neurodegeneration by Modulating Neuroinflammation, Hippo Signaling and Apoptosis in Rats. Int. J. Mol. Sci. 2023, 24, 5222. https://doi.org/10.3390/ijms24065222
Eddin LB, Azimullah S, Jha NK, Nagoor Meeran MF, Beiram R, Ojha S. Limonene, a Monoterpene, Mitigates Rotenone-Induced Dopaminergic Neurodegeneration by Modulating Neuroinflammation, Hippo Signaling and Apoptosis in Rats. International Journal of Molecular Sciences. 2023; 24(6):5222. https://doi.org/10.3390/ijms24065222
Chicago/Turabian StyleEddin, Lujain Bader, Sheikh Azimullah, Niraj Kumar Jha, Mohamed Fizur Nagoor Meeran, Rami Beiram, and Shreesh Ojha. 2023. "Limonene, a Monoterpene, Mitigates Rotenone-Induced Dopaminergic Neurodegeneration by Modulating Neuroinflammation, Hippo Signaling and Apoptosis in Rats" International Journal of Molecular Sciences 24, no. 6: 5222. https://doi.org/10.3390/ijms24065222
APA StyleEddin, L. B., Azimullah, S., Jha, N. K., Nagoor Meeran, M. F., Beiram, R., & Ojha, S. (2023). Limonene, a Monoterpene, Mitigates Rotenone-Induced Dopaminergic Neurodegeneration by Modulating Neuroinflammation, Hippo Signaling and Apoptosis in Rats. International Journal of Molecular Sciences, 24(6), 5222. https://doi.org/10.3390/ijms24065222