Abstract

Baicalein, a widely-distributed natural flavonoid, exhibits antioxidative activity in mice with type-2 diabetes. However, the underlying mechanisms remain partially elucidated. In this study, we investigated the effect of baicalein on protein kinase R-like ER kinase (PERK)/nuclear factor erythroid-2-related factor 2 (Nrf2) pathway for the alleviation of oxidative stress and apoptosis. Human liver HL-7702 cells were stimulated with 60.5 mM of glucose to induce oxidative stress and treated with baicalein. The apoptosis was determined by fluorescence microscopy and flow cytometry. The regulation of the PERK/Nrf2 pathway by baicalein was determined by immunoblotting in both HL-7702 cells and liver tissues from diabetic mice. We found that baicalein significantly alleviated the oxidative stress and apoptosis in HL-7702 cells stimulated with glucose. Mechanistic studies showed that baicalein downregulated PERK and upregulated Nrf2, two key proteins involved in endoplasmic reticulum stress, in both HL-7702 cells and liver tissues from diabetic mice receiving baicalein treatment. Furthermore, the subcellular localization of Nrf2 and the regulation of downstream proteins including heme oxygenase-1 and CCAAT-enhancer-binding protein homologous protein (CHOP) by baicalein were also investigated. Our results suggest that the regulation of the PERK/Nrf2 pathway is one of the mechanisms contributing to the bioactivities of baicalein to improve diabetes-associated complications.

Highlights

  • Diabetes mellitus (DM) is one of the most prevalent metabolic disorders in the 21st century, augmenting the health burden throughout the world

  • We first determined the dose of glucose and baicalein to be used in the assays for the evaluation of the cytoprotective activity of baicalein

  • The anti-oxidative activity of baicalein is attributed to its regulation of the protein kinase R-like endoplasmic reticulum (ER) kinase (PERK)/nuclear factor erythroid-2-related factor 2 (Nrf2) signaling pathway

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Summary

Introduction

Diabetes mellitus (DM) is one of the most prevalent metabolic disorders in the 21st century, augmenting the health burden throughout the world. According to the data from the International Diabetes Federation, a total of 463 million adults are suffering from diabetes as of 2019, with 374 million at risk [1]. This number will reach 629 million by 2045 [1]. The ERS, if left uncontrolled, results in the apoptosis of the microvascular endothelium cells [5] This will lead to the injury of the peripheral blood vessels, contributing to multiple microvascular complications of diabetes, including diabetic nephrosis, diabetic pedopathy, and diabetic cardiomyopathy [6,7]

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