PMID- 28983604 OWN - NLM STAT- MEDLINE DCOM- 20180625 LR - 20211204 IS - 1791-3004 (Electronic) IS - 1791-2997 (Print) IS - 1791-2997 (Linking) VI - 16 IP - 6 DP - 2017 Dec TI - Sanggenon C protects against cardiomyocyte hypoxia injury by increasing autophagy. PG - 8130-8136 LID - 10.3892/mmr.2017.7646 [doi] AB - Sanggenon C is isolated from Morus alba, a plant that has been used for anti‑inflammatory purposes in Oriental medicine. Little is known about the effect of Sanggenon C on cardiomyocyte hypoxia injury. This study, using H9c2 rat cardiomyoblasts, was designed to determine the effects of Sanggenon C on cardiomyocyte hypoxia injury. Inflammatory cytokine levels were measured by reverse transcription‑polymerase chain reaction, reactive oxygen species were measured by 2',7'‑dichloro fl uorescin diacetate fluorescent probe, autophagy was detected using the LC3II/I ratio and cell apoptosis was detected by TUNEL staining. The molecular mechanisms underlying Sanggenon C‑induced cyto‑protection were also determined by western blotting, especially the possible involvement of autophagy and AMP‑activated protein kinase (AMPK). Results indicated that samples pretreated with different concentrations of Sanggenon C (1, 10 and 100 microM) reduced the expression levels of pro‑inflammatory cytokines, including tumor necrosis factor alpha, interleukin (IL)‑1 and IL‑6, under hypoxia. The beneficial effects of Sanggenon C were also associated with reduced levels of reactive oxygen species generation and increased levels of antioxidant nitric oxide and superoxide dismutase. Sanggenon C enhanced hypoxia‑induced autophagy as evidenced by the increased expression levels of autophagy‑associated proteins Beclin and autophagy related 5 as well as the decreased the accumulation of p62, and increased the LC3II/I ratio. Sanggenon C also reduced hypoxia‑induced apoptosis as detected by TUNEL staining and the expression of Bcl‑2 proteins. The beneficial effects of Sanggenon C were associated with enhanced activation level of AMPKalpha and suppressed hypoxia‑induced mechanistic target of rapamycin (mTOR) and forkhead box O3a (FOXO3a) phosphorylation. The AMPK inhibitor Compound C (CpC) was used, and the anti‑apoptotic and pro‑autophagy effects of Sanggenon C in response to hypoxia were abolished by CpC. In conclusion, the current study demonstrated that Sanggenon C possessed direct cytoprotective effects against hypoxia injury in cardiac cells via signaling mechanisms involving the activation of AMPK and concomitant inhibition of mTOR and FOXO3a. FAU - Gu, Yang AU - Gu Y AD - Department of Cardiology, Huai'an First People's Hospital, Nanjing Medical University, Huai'an, Jiangsu 223300, P.R. China. FAU - Gao, Lu AU - Gao L AD - Department of Cardiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, P.R. China. FAU - Chen, Yu AU - Chen Y AD - Department of Cardiology, Huai'an First People's Hospital, Nanjing Medical University, Huai'an, Jiangsu 223300, P.R. China. FAU - Xu, Zhuo AU - Xu Z AD - Department of Cardiology, Huai'an First People's Hospital, Nanjing Medical University, Huai'an, Jiangsu 223300, P.R. China. FAU - Yu, Kun AU - Yu K AD - Department of Cardiology, Huai'an First People's Hospital, Nanjing Medical University, Huai'an, Jiangsu 223300, P.R. China. FAU - Zhang, Dongying AU - Zhang D AD - Department of Cardiology, Huai'an First People's Hospital, Nanjing Medical University, Huai'an, Jiangsu 223300, P.R. China. FAU - Zhang, Gang AU - Zhang G AD - Department of Cardiology, Huai'an First People's Hospital, Nanjing Medical University, Huai'an, Jiangsu 223300, P.R. China. FAU - Zhang, Xiwen AU - Zhang X AD - Department of Cardiology, Huai'an First People's Hospital, Nanjing Medical University, Huai'an, Jiangsu 223300, P.R. China. LA - eng PT - Journal Article DEP - 20170927 PL - Greece TA - Mol Med Rep JT - Molecular medicine reports JID - 101475259 RN - 0 (Antioxidants) RN - 0 (Benzofurans) RN - 0 (Chromones) RN - 0 (Forkhead Box Protein O3) RN - 0 (Protective Agents) RN - 0 (Reactive Oxygen Species) RN - 80651-76-9 (sanggenone C) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) SB - IM MH - AMP-Activated Protein Kinases/metabolism MH - Animals MH - Antioxidants/metabolism MH - Apoptosis MH - Autophagy/drug effects MH - Benzofurans/*pharmacology MH - Cell Hypoxia/drug effects MH - Chromones/*pharmacology MH - Forkhead Box Protein O3/metabolism MH - Myocytes, Cardiac/*drug effects/*metabolism MH - Oxidative Stress/drug effects MH - Protective Agents/*pharmacology MH - Rats MH - Reactive Oxygen Species/metabolism MH - TOR Serine-Threonine Kinases/metabolism PMC - PMC5779897 EDAT- 2017/10/07 06:00 MHDA- 2018/06/26 06:00 PMCR- 2017/09/27 CRDT- 2017/10/07 06:00 PHST- 2017/01/09 00:00 [received] PHST- 2017/08/04 00:00 [accepted] PHST- 2017/10/07 06:00 [pubmed] PHST- 2018/06/26 06:00 [medline] PHST- 2017/10/07 06:00 [entrez] PHST- 2017/09/27 00:00 [pmc-release] AID - mmr-16-06-8130 [pii] AID - 10.3892/mmr.2017.7646 [doi] PST - ppublish SO - Mol Med Rep. 2017 Dec;16(6):8130-8136. doi: 10.3892/mmr.2017.7646. Epub 2017 Sep 27.