Alpinia officinarum Hance extract relieved sepsis-induced myocardial ferroptosis and inflammation by inhibiting lncRNA MIAT/TRAF6/NF-κB axis

Main Article Content

Yao Shi
Xiaobo Yang
Hong Jiang
Shanxia Wu
Yan Hong
Wei Su
Xuan Wang

Keywords

Alpinia officinarum Hance, sepsis, ferroptosis, MIAT, TRAF6/NF-κB axis

Abstract

Sepsis is generally triggered by a dysfunctional host response to infection, and it can result in life-threatening organ dysfunction. Alpinia officinarum Hance (AO) exhibits regulatory functions in some diseases. However, whether AO extract (AOE) plays a promoting role in sepsis--triggered myocardial injury is unclear. This study was aimed at investigating the regulatory effects of AOE on myocardial ferroptosis and inflammation in sepsis, and the regulation effects on the lncRNA MIAT/TRAF6/NF-κB axis. Lipopolysaccharide (LPS) was used to treat mice for establishing an in vivo sepsis model. The pathological changes in heart tissues were observed through hematoxylin-eosin (HE) staining. The levels of CK-MB, cTnl, MDA, SOD, IL-1β, IL-18, IL-6, and TNF-α in serum were detected through enzyme-linked immunosorbent assay (ELISA). The level of Fe2+ was assessed, and the protein expressions (ACSL4, GPX4, TRAF6, p-P65, and P65) were examined through western blot. The expressions of lncRNA MIAT and TRAF6 were measured through real-time quantitative polymerase chain reaction (RT-qPCR). Our results demonstrated that AOE treatment ameliorated sepsis-triggered myocardial damage by reducing the disordered cardiomyocytes, the destroyed sarcolemma, and the CK-MB and cTnl levels. In addition, AOE treatment inhibited sepsis-induced myocardial ferroptosis and inflammation by regulating Fe2+, ACSL4, GPX4, IL-1β, IL-18, IL-6, and TNF-α levels. Moreover, the improvement effect of AOE was strengthened with the increase in the dose of AOE (25, 50, 100 mg/kg). It was also revealed that AOE treatment retarded the lncRNA MIAT/TRAF6/NF-κB axis. Rescue assays manifested that overexpression of MIAT reduced the cardioprotective effect of AOE. In conclusion, AOE relieved sepsis-induced myocardial ferroptosis and inflammation by inhibiting lncRNA MIAT/TRAF6/NF-κB axis. These findings may provide a potential therapeutic drug for the treatment of sepsis.

Abstract 35 | PDF Downloads 52 HTML Downloads 0 XML Downloads 2

References

1. Gotts JE, Matthay MA. Sepsis: Pathophysiology and clinical management. BMJ. 2016;353:i1585. 10.1136/bmj.i1585

2. Ackerman MH, Ahrens T, Kelly J, Pontillo A. Sepsis Crit Care Nurs Clin North Am. 2021;33(4):407–18. 10.1016/j.cnc.2021.08.003

3. Yang X, Gong J, Cai X, Yuan Y. Overexpression of HIC1 plays a protective effect on renal cell injury caused by lipopolysaccharide by inhibiting IL-6/STAT3 pathway. Signa Vitae. 2022;18(2):147–53.

4. Mayr FB, Yende S, Angus DC. Epidemiology of severe sepsis. Virulence. 2014;5(1):4–11. 10.4161/viru.27372

5. Plevin R, Callcut R. Update in sepsis guidelines: What is really new? Trauma Surg Acute Care Open. 2017;2(1):e000088. 10.1136/tsaco-2017-000088

6. Li X, Wang J. Recent application of metabolomics in the diagnosis, pathogenesis, treatment, and prognosis of sepsis. Signa Vitae. 2023;19(1):15–22.

7. Kakihana Y, Ito T, Nakahara M, Yamaguchi K, Yasuda T. Sepsis-induced myocardial dysfunction: Pathophysiology and management. J Intensive Care. 2016;4:22. 10.1186/s40560-016-0148-1

8. Sun Y, Yao X, Zhang QJ, Zhu M, Liu ZP, Ci B, et al. Beclin-1-dependent autophagy protects the heart during sepsis. Circulation. 2018;138(20):2247–62. 10.1161/CIRCULATIONAHA.117.032821

9. Ho J, Yu J, Wong SH, Zhang L, Liu X, Wong WT, et al. Autophagy in sepsis: Degradation into exhaustion? Autophagy. 2016;12(7):1073–82. 10.1080/15548627.2016.1179410

10. Xiong X, Lu L, Wang Z, Ma J, Shao Y, Liu Y, et al. Irisin attenuates sepsis-induced cardiac dysfunction by attenuating inflammation-induced pyroptosis through a mitochondrial ubiquitin ligase-dependent mechanism. Biomed Pharmacother. 2022;152:113199. 10.1016/j.biopha.2022.113199

11. Zhang T, Yan T, Du J, Wang S, Yang H. Apigenin attenuates heart injury in lipopolysaccharide-induced endotoxemic model by suppressing sphingosine kinase 1/sphingosine-1-phosphate signaling pathway. Chem Biol Interact. 2015;233:46–55. 10.1016/j.cbi.2014.12.021

12. Chang X, He Y, Wang L, Luo C, Liu Y, Li R. Puerarin alleviates LPS-induced H9C2 cell injury by inducing mitochondrial autophagy. J Cardiovasc Pharmacol. 2022;80(4):600–8. 10.1097/FJC.0000000000001315

13. Xie L, Wu Y, Zhou C, Tan Z, Xu H, Chen G, et al. Piceatannol protects against sepsis-induced myocardial dysfunction via direct inhibition of JAK2. Int Immunopharmacol. 2021;96:107639. 10.1016/j.intimp.2021.107639

14. Lin LY, Peng CC, Yeh XY, Huang BY, Wang HE, Chen KC, et al. Antihyperlipidemic bioactivity of Alpinia officinarum (Hance) Farw Zingiberaceae can be attributed to the coexistence of curcumin, polyphenolics, dietary fibers and phytosterols. Food Funct. 2015;6(5):1600–10. 10.1039/C4FO00901K

15. Lee JJ, Lee JH, Yim NH, Han JH, Ma JY. Application of galangin, an active component of Alpinia officinarum Hance (Zingiberaceae), for use in drug-eluting stents. Sci Rep. 2017;7(1):8207. 10.1038/s41598-017-08410-2

16. Li CY, Cheng SE, Wang SH, Wu JY, Hsieh CW, Tsou HK, et al. The anti-inflammatory effects of the bioactive compounds isolated from Alpinia officinarum Hance mediated by the suppression of NF-kappaB and MAPK signaling. Chin J Physiol. 2021;64(1):32–42. 10.4103/CJP.CJP_81_20

17. Su Y, Chen Y, Liu Y, Yang Y, Deng Y, Gong Z, et al. Antiosteoporotic effects of Alpinia officinarum Hance through stimulation of osteoblasts associated with antioxidant effects. J Orthop Translat. 2016;4:75–91. 10.1016/j.jot.2015.09.009

18. Ma X, You P, Xu Y, Ye X, Tu Y, Liu Y, et al. Anti-helicobacter pylori-associated gastritis effect of the ethyl acetate extract of Alpinia officinarum Hance through MAPK signaling pathway. J Ethnopharmacol. 2020;260:113100. 10.1016/j.jep.2020.113100

19. Jiang X, Stockwell BR, Conrad M. Ferroptosis: Mechanisms, biology and role in disease. Nat Rev Mol Cell Biol. 2021;22(4):266–82. 10.1038/s41580-020-00324-8

20. Liang D, Minikes AM, Jiang X. Ferroptosis at the intersection of lipid metabolism and cellular signaling. Mol Cell. 2022;82(12): 2215–27. 10.1016/j.molcel.2022.03.022

21. Chen X, Li J, Kang R, Klionsky DJ, Tang D. Ferroptosis: Machinery and regulation. Autophagy. 2021;17(9):2054–81. 10.1080/15548627.2020.1810918

22. Wu B, Song H, Fan M, You F, Zhang L, Luo J, et al. Luteolin attenuates sepsis induced myocardial injury by enhancing autophagy in mice. Int J Mol Med. 2020;45(5):1477–87. 10.3892/ijmm.2020.4536

23. Fang X, Fu W, Zou B, Zhang F. Tectorigenin relieved sepsis-induced myocardial ferroptosis by inhibiting the expression of Smad3. Toxicol Res (Camb). 2023;12(3):520–6. 10.1093/toxres/tfad038

24. Qin S, Ren Y, Feng B, Wang X, Liu J, Zheng J, et al. ANXA1sp protects against sepsis-induced myocardial injury by inhibiting ferroptosis-induced cardiomyocyte death via SIRT3-mediated p53 deacetylation. Mediators Inflamm. 2023;2023:6638929. 10.1155/2023/6638929

25. Liu C, Zou Q, Tang H, Liu J, Zhang S, Fan C, et al. Melanin nanoparticles alleviate sepsis-induced myocardial injury by suppressing ferroptosis and inflammation. Bioact Mater. 2023;24:313–21. 10.1016/j.bioactmat.2022.12.026

26. Jiao Y, Zhang Q, Zhang J, Zha Y, Wang J, Li Y, et al. Platelet-rich plasma ameliorates lipopolysaccharide-induced cardiac injury by inflammation and ferroptosis regulation. Front Pharmacol. 2022;13:1026641. 10.3389/fphar.2022.1026641

27. Yang T, Liu H, Yang C, Mo H, Wang X, Song X, et al. Galangin attenuates myocardial ischemic reperfusion-induced ferroptosis by targeting Nrf2/Gpx4 signaling pathway. Drug Des Devel Ther. 2023;17:2495–511. 10.2147/DDDT.S409232

28. Mercer TR, Dinger ME, Mattick JS. Long non-coding RNAs: Insights into functions. Nat Rev Genet. 2009;10(3):155–9. 10.1038/nrg2521

29. Xing PC, An P, Hu GY, Wang DL, Zhou MJ. LncRNA MIAT promotes inflammation and oxidative stress in sepsis-induced cardiac injury by targeting miR-330-5p/TRAF6/NF-κB axis. Biochem Genet. 2020;58(5):783–800. 10.1007/s10528-020-09976-9

30. Chen H, Meng S, Liu C, Liu F, Ding F, Hu Y, et al. Silencing of long noncoding RNA MIAT contributes to relieving sepsis--induced myocardial depression via the NF-κB axis. J Surg Res. 2022;278:282–92. 10.1016/j.jss.2022.03.030

31. Chen D, Wang H, Cai X. Curcumin interferes with sepsis--induced cardiomyocyte apoptosis via TLR1 inhibition. Rev Port Cardiol. 2023;42(3):209–21. 10.1016/j.repc.2023.01.013

32. Emel A, Hilal Y. Antioxidant and antiinflammatory efficacy of curcumin on lung tissue in rats with sepsis. J Tradit Chin Med. 2020;40(5):820–6.

33. Ouyang S, Zhang O, Xiang H, Yao YH, Fang ZY. Curcumin improves atherosclerosis by inhibiting the epigenetic repression of lncRNA MIAT to miR-124. Vascular. 2022;30(6):1213–23. 10.1177/17085381211040974

34. Yang X, Jiang H, Shi Y. Upregulation of heme oxygenase-1 expression by curcumin conferring protection from hydrogen peroxide-induced apoptosis in H9c2 cardiomyoblasts. Cell & Bioscience. 2017;7:20. 10.1186/s13578-017-0146-6