Abstract

Protein C, a member of the zymogen family of serine proteases in plasma, is one of the several vitamin K dependent glycoproteins known to induce anti-apoptotic activity. However, the target molecule involved in the mechanism needs to be investigated. We sought to investigate the pathways involved in the anti-apoptotic role of activated protein C (APC) on oxygen-glucose deprivation (OGD) induced ischemic conditions in in-vitro SH-SY5Y cells. SH-SY5Y cells were exposed to OGD in an airtight chamber containing 95% N2 and 5% CO2 and media deprived of glucose for 4 h following 24 h of reoxygenation. The cell toxicity, viability, expression of receptors such as endothelial cell protein C receptor (EPCR), protease-activated receptor (PAR)1, PAR3, and apoptosis-related proteins B-cell lymphoma 2 (BCL-2), BCL-2-like protein 4 (Bax), Poly [ADP-ribose] polymerase-1 (PARP-1) were assessed. Administration of APC decreased the cellular injury when compared to the OGD exposed group in a dose-dependent manner and displayed increased expression of PAR-1, PAR-3, and EPCR. The APC treatment leads to a reduction in PARP-1 expression and cleavage and apoptosis-inducing factor (AIF) expression. The reduction of caspase-3 activity and PARP-1 and AIF expression following APC administration results in restoring mitochondrial function with decreased cellular injury and apoptosis. Our results suggested that APC has potent protective effects against in-vitro ischemia in SH-SY5Y cells by modulating mitochondrial function.

Highlights

  • Ischemic stroke is the second leading cause of death and the leading cause of long-term adult disability worldwide [1]

  • Increase in cell death was in Figure consecutive gradual decrease in cell viability percentage was continued in all observed at 2 h oxygen-glucose deprivation (OGD) exposure compared to the control group, as depictedfurther in

  • apoptosis-inducing factor (AIF) expression, both of which are reported as contributing to ischemic injury, which leads to apoptosis

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Summary

Introduction

Ischemic stroke is the second leading cause of death and the leading cause of long-term adult disability worldwide [1]. A number of clinical trials have been carried out to investigate the potential neuroprotective compounds of ischemic strokes [2]. The researchers have targeted the development of multi-target strategies to protect neuronal cells following ischemic injury. Protein C, a member of the zymogen family of serine proteases in plasma, is one of several vitamin K dependent glycoproteins. Cleavage of protein C at Arg169 by thrombin removes the activation peptide and generates activated protein C (APC) [3]. The anticoagulant characteristics of APC have been well-studied [4,5].

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