PMID- 36586206 OWN - NLM STAT- MEDLINE DCOM- 20230130 LR - 20230201 IS - 1618-095X (Electronic) IS - 0944-7113 (Linking) VI - 110 DP - 2023 Feb TI - Neocryptotanshinone protects against myocardial ischemia-reperfusion injury by promoting autolysosome degradation of protein aggregates via the ERK1/2-Nrf2-LAMP2 pathway. PG - 154625 LID - S0944-7113(22)00712-7 [pii] LID - 10.1016/j.phymed.2022.154625 [doi] AB - BACKGROUND: Aggrephagy is a critical compensatory mechanism for the elimination of misfolded proteins resulting from stress and depends on the autolysosome degradation of protein aggregates. However, there have been few mechanism research related to aggrephagy in myocardial ischemia/reperfusion (I/R) injury. Neocryptotanshinone (NCTS) is a fat-soluble active compound extracted from Salvia miltiorrhiza, and may be cardioprotective against I/R. However, the efficacy and specific mechanism of NCTS on I/R have not been studied. PURPOSE: The current study aimed to investigate the molecular mechanism of NCTS involved in the therapeutic effect on I/R, with a special emphasis on the up-regulation of the ERK1/2-Nrf2-LAMP2 pathway to increase autolysosomal degradation during aggrephagy. METHODS: A rat model of myocardial I/R injury was constructed by left anterior descending (LAD) ligation-reperfusion. To verify cardiac protection, autolysosome clearance of protein aggregates, and their intracellular biological mechanism, an oxygen-glucose deprivation/recovery (OGD/R)-induced H9c2 cardiomyocyte model was created. RESULTS: NCTS was found to have a significant cardioprotective effect in I/R rats as evidenced by remarkably improved pathological anatomy, decreased myocardial damage indicators, and substantially enhanced cardiac performance. Mechanistically, NCTS might boost the levels of LAMP2 mRNA and protein, total and Ser40 phosphorylated Nrf2, and (Thr202/Tyr204)p-ERK1/2 protein. Simultaneously, the cytoplasmic Nrf2 level was reduced after NCTS administration, which was contrary to the total Nrf2 content. However, these beneficial changes were reversed by the co-administration with ERK1/2 inhibitor, PD98059. NCTS therapy up-regulated Rab7 protein content, Cathepsin B activity, and lysosomal acidity, while down-regulating autophagosome numbers, Ubiquitin (Ub), and autophagosome marker protein accumulations through the above signaling pathway. This might indicate that NCTS enhanced lysosomal fusion and hydrolytic capacity. It was also found that NCTS intervention limited oxidative stress and cellular apoptosis both in vivo and in vitro. CONCLUSIONS: We reported for the first time that NCTS promoted the autolysosome removal of protein aggregation both in vivo and in vitro, to exert the therapeutic advantages of myocardial I/R injury. This was reliant on the up-regulation of the ERK1/2-Nrf2-LAMP2 signaling pathway. CI - Copyright (c) 2022 Elsevier GmbH. All rights reserved. FAU - Yang, Ye AU - Yang Y AD - Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China; Key Laboratory of TCM Syndrome and Formula (Beijing University of Chinese Medicine), Ministry of Education, Beijing 100700, China. FAU - Shao, Mingyan AU - Shao M AD - Key Laboratory of TCM Syndrome and Formula (Beijing University of Chinese Medicine), Ministry of Education, Beijing 100700, China; School of Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, China. FAU - Yao, Junkai AU - Yao J AD - Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China; Key Laboratory of TCM Syndrome and Formula (Beijing University of Chinese Medicine), Ministry of Education, Beijing 100700, China. FAU - Yang, Shuangjie AU - Yang S AD - School of Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, China. FAU - Cheng, Wenkun AU - Cheng W AD - Key Laboratory of TCM Syndrome and Formula (Beijing University of Chinese Medicine), Ministry of Education, Beijing 100700, China; School of Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, China. FAU - Ma, Lin AU - Ma L AD - Key Laboratory of TCM Syndrome and Formula (Beijing University of Chinese Medicine), Ministry of Education, Beijing 100700, China; School of Life Sciences, Beijing University of Chinese Medicine, Beijing 100029, China. FAU - Li, Weili AU - Li W AD - Key Laboratory of TCM Syndrome and Formula (Beijing University of Chinese Medicine), Ministry of Education, Beijing 100700, China; School of Life Sciences, Beijing University of Chinese Medicine, Beijing 100029, China. FAU - Cao, Jing AU - Cao J AD - Key Laboratory of TCM Syndrome and Formula (Beijing University of Chinese Medicine), Ministry of Education, Beijing 100700, China; School of Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, China. FAU - Zhang, Yawen AU - Zhang Y AD - Key Laboratory of TCM Syndrome and Formula (Beijing University of Chinese Medicine), Ministry of Education, Beijing 100700, China; School of Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, China. FAU - Hu, Yueyao AU - Hu Y AD - Key Laboratory of TCM Syndrome and Formula (Beijing University of Chinese Medicine), Ministry of Education, Beijing 100700, China; School of Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, China. FAU - Li, Chun AU - Li C AD - Key Laboratory of TCM Syndrome and Formula (Beijing University of Chinese Medicine), Ministry of Education, Beijing 100700, China; Modern Research Center for Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China. Electronic address: lichun19850204@163.com. FAU - Wang, Yong AU - Wang Y AD - Key Laboratory of TCM Syndrome and Formula (Beijing University of Chinese Medicine), Ministry of Education, Beijing 100700, China; School of Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, China. Electronic address: doctor_wangyong@163.com. FAU - Wang, Wei AU - Wang W AD - Key Laboratory of TCM Syndrome and Formula (Beijing University of Chinese Medicine), Ministry of Education, Beijing 100700, China; Guangzhou University of Chinese Medicine, Guangzhou 510006, China. Electronic address: wangwei26960@126.com. LA - eng PT - Journal Article DEP - 20221224 PL - Germany TA - Phytomedicine JT - Phytomedicine : international journal of phytotherapy and phytopharmacology JID - 9438794 RN - 0 (NF-E2-Related Factor 2) RN - 0 (Protein Aggregates) RN - 0 (Nfe2l2 protein, rat) RN - 0 (Lysosomal-Associated Membrane Protein 2) SB - IM MH - Animals MH - Rats MH - Apoptosis MH - Lysosomes/metabolism MH - MAP Kinase Signaling System MH - *Myocardial Reperfusion Injury/metabolism MH - Myocytes, Cardiac/metabolism MH - NF-E2-Related Factor 2/metabolism MH - Oxidative Stress MH - Protein Aggregates MH - Lysosomal-Associated Membrane Protein 2 OTO - NOTNLM OT - Aggrephagy OT - Autolysosme OT - ERK1/2-Nrf2 OT - LAMP2 OT - Myocardial I/R injury OT - Neocryptotanshinone COIS- Declaration of Competing Interest The authors have no conflict of interest to declare. EDAT- 2023/01/01 06:00 MHDA- 2023/01/25 06:00 CRDT- 2022/12/31 18:09 PHST- 2022/07/21 00:00 [received] PHST- 2022/12/04 00:00 [revised] PHST- 2022/12/23 00:00 [accepted] PHST- 2023/01/01 06:00 [pubmed] PHST- 2023/01/25 06:00 [medline] PHST- 2022/12/31 18:09 [entrez] AID - S0944-7113(22)00712-7 [pii] AID - 10.1016/j.phymed.2022.154625 [doi] PST - ppublish SO - Phytomedicine. 2023 Feb;110:154625. doi: 10.1016/j.phymed.2022.154625. Epub 2022 Dec 24.