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Artesunate protects pancreatic beta cells against cytokine-induced damage via SIRT1 inhibiting NF-κB activation

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Abstract

Aim

Artesunate (ART) has been known as the most effective and safe reagents to treat malaria for many years. In this study, we explored whether ART could protect pancreatic beta-cell against cytokine-induced damage.

Materials and methods

The production of nitrite (NO) was detected with the Griess Assay Kit. SIRT1 and inducible nitric oxide synthase (iNOS) expression were determined with Western blot. The transcriptional activity of NF-κB was evaluated by luciferase reporter assay. The expression of Sirt1 was silenced by RNA interference. Glucose-stimulated insulin secretion (GSIS) and potassium-stimulated insulin secretion (KSIS) assays were performed to measure the effect of ART on pancreatic beta-cells’ function. The effect of ART on beta-cells apoptosis was evaluated by using Hochest/PI staining and TUNEL assay.

Results

ART enhanced GSIS (KSIS) and reduced apoptosis of pancreatic beta-cells induced by IL-1β. Further study showed that ART inhibited IL-1β-induced increase of NF-κB activity, iNOS expression, and NO production. Moreover, ART up-regulated SIRT1 expression in INS-1 cells and islets exposed to IL-1β. Inhibition of SIRT1 expression could partially abolished the inhibitory effect of ART on NF-κB activity in IL-1β-treated beta-cells. More importantly, the protective effect of ART on cytokine-induced damage was reversed by silencing SIRT1 expression.

Conclusions

ART can elicit a protective effect on beta-cells exposed to IL-1β by stimulating SIRT1 expression, which resulted in the decrease of NF-κB activity, iNOS expression, and NO production. Hence, ART might be an effective drug for diabetes.

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Abbreviations

ART:

Artesunate

GSIS:

Glucose-stimulates insulin secretion

KSIS:

Potassium-stimulated insulin secretion

KRB:

Krebs-Ringer bicarbonate

MTT:

3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide

iNOS:

Inducible nitric oxide synthase

NO:

Nitrite

References

  1. Bernardo AS, Hay CW, Docherty K (2008) Pancreatic transcription factors and their role in the birth, life and survival of the pancreatic beta cell. Mol Cell Endocrinol 294:1–9

    Article  CAS  PubMed  Google Scholar 

  2. Potter KJ, Westwell-Roper CY, Klimek-Abercrombie AM, Warnock GL, Verchere CB (2014) Death and dysfunction of transplanted β-cells: lessons learned from type 2 diabetes? Diabetes 63:12–19

    Article  CAS  PubMed  Google Scholar 

  3. Morgan D, Oliveira-Emilio HR, Keane D et al (2007) Glucose, palmitate and pro-inflammatory cytokines modulate production and activity of aphagocyte-like NADPH oxidase in rat pancreatic islets and a clonal beta cell line. Diabetologia 50:359–369

    Article  CAS  PubMed  Google Scholar 

  4. Cnop M, Welsh N, Jonas JC, Jörns A, Lenzen S, Eizirik DL (2005) Mechanisms of pancreatic beta-cell death in type 1 and type 2 diabetes: many differences, few similarities. Diabetes 54(Suppl 2):S97–S107

    Article  CAS  PubMed  Google Scholar 

  5. Donath MY, Størling J, Berchtold LA, Billestrup N, Mandrup-Poulsen T (2008) Cytokines and beta-cell biology: from concept to clinical translation. Endocr Rev 29:334–350

    Article  CAS  PubMed  Google Scholar 

  6. Ortis F, Cardozo AK, Crispim D, Störling J, Mandrup-Poulsen T, Eizirik DL (2006) Cytokine-induced proapoptotic gene expression in insulin-producing cells is related to rapid, sustained, and nonoscillatory nuclear factor-kappaB activation. Mol Endocrinol 20:1867–1879

    Article  CAS  PubMed  Google Scholar 

  7. Heimberg H, Heremans Y, Jobin C et al (2001) Inhibition of cytokine-induced NF-kappaB activation by adenovirus-mediated expression of a NF-kappaB super-repressor prevents beta-cell apoptosis. Diabetes 50:2219–2224

    Article  CAS  PubMed  Google Scholar 

  8. Monteiro JP, Cano MI (2011) SIRT1 deacetylase activity and the maintenance of protein homeostasis in response tostress: an overview. Protein Pept Lett 18:167–173

    Article  CAS  PubMed  Google Scholar 

  9. Yang H, Zhang W, Pan H et al (2012) SIRT1 activators suppress inflammatory responses through promotion of p65 deacetylation and inhibition of NF-κB activity. PLoS One 7:e46364

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Lai CS, Tsai ML, Badmaev V, Jimenez M, Ho CT, Pan MH (2012) Xanthigen suppresses preadipocyte differentiation and adipogenesis through down-regulation of PPARγ and C/EBPs and modulation of SIRT-1, AMPK, and FoxO pathways. J Agric Food Chem 60:1094–1101

    Article  CAS  PubMed  Google Scholar 

  11. Kitada M, Koya D (2013) SIRT1 in type 2 diabetes: mechanisms and therapeutic potential. Diabetes Metab J 37:315–325

    Article  PubMed  PubMed Central  Google Scholar 

  12. Bordone L, Motta MC, Picard F (2006) Sirt1 regulates insulin secretion by repressing UCP2 in pancreatic beta cells. PLoS Biol 4:e31

    Article  PubMed  PubMed Central  Google Scholar 

  13. Lee JH, Song MY, Song EK et al (2009) Overexpression of SIRT1 protects pancreatic beta-cells against cytokine toxicity by suppressing the nuclear factor-kappaB signaling pathway. Diabetes 58:344–351

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Teja-Isavadharm P, Watt G, Eamsila C et al (2001) Comparative pharmacokinetics and effect kinetics of orally administered artesunate in healthy volunteers and patients with uncomplicated falciparum malaria. Am J Trop Med Hyg 65:717–721

    CAS  PubMed  Google Scholar 

  15. Price RN (2000) Artemisinin drugs: novel antimalarial agents. Expert Opin Investig Drugs 9:1815–1827

    Article  CAS  PubMed  Google Scholar 

  16. He RR, Zhou HJ (2008) Progress in research on the anti-tumor effect of artesunate. Chin J Integr Med 14:312–316

    Article  CAS  PubMed  Google Scholar 

  17. Efferth T, Romero MR, Wolf DG, Stamminger T, Marin JJ, Marschall M (2008) The antiviral activities of artemisinin and artesunate. Clin Infect Dis 47:804–811

    Article  CAS  PubMed  Google Scholar 

  18. Miranda AS, Brant F, Rocha NP (2013) Further evidence for an anti-inflammatory role of artesunate in experimental cerebral malaria. Malar J 12:388

    Article  PubMed  PubMed Central  Google Scholar 

  19. Su D, Zhang N, He J et al (2007) Angiopoietin-1 production in islets improves islet engraftment and protects islets from cytokine-induced apoptosis. Diabetes 56:2274–2283

    Article  CAS  PubMed  Google Scholar 

  20. Chen F, Zhu Y, Tang X (2011) Dynamic regulation of PDX-1 and FoxO1 expression by FoxA2 in dexamethasone-induced pancreatic β-cells dysfunction. Endocrinology 152:1779–1788

    Article  CAS  PubMed  Google Scholar 

  21. Jia L, Xing J, Ding Y et al (2013) Hyperuricemia causes pancreatic β-cell death and dysfunction through NF-κB signaling pathway. PLoS One 8:e78284

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Han X, Sun Y, Scott S, Bleich D (2001) Tissue inhibitor of metalloproteinase-1 prevents cytokine-mediated dysfunction and cytotoxicity in pancreatic islets and beta-cells. Diabetes 50:1047–1055

    Article  CAS  PubMed  Google Scholar 

  23. Dejardin E (2006) The alternative NF-kappaB pathway from biochemistry to biology: pitfalls and promises for future drug development. Biochem Pharmacol 72:1161–1179

    Article  CAS  PubMed  Google Scholar 

  24. May MJ, Ghosh S (1998) Signal transduction through NF-kappa B. Immunol Today 19:80–88

    Article  CAS  PubMed  Google Scholar 

  25. Bordone L, Motta MC, Picard F et al (2006) Sirt1 regulates insulin secretion by repressing UCP2 in pancreatic beta cells. PLoS Biol 4:e31

    Article  PubMed  PubMed Central  Google Scholar 

  26. Kim SJ, Ao Z, Warnock G, McIntosh CH (2013) Incretin-stimulated interaction between β-cell Kv1.5 and Kvβ2 channel proteins involves acetylation/deacetylation by CBP/SirT1. Biochem J 451:227–234

    Article  CAS  PubMed  Google Scholar 

  27. Li T, Chen H, Wei N (2012) Anti-inflammatory and immunomodulatory mechanisms of artemisinin on contact hypersensitivity. Int Immunopharmacol 12:144–150

    Article  CAS  PubMed  Google Scholar 

  28. Jin O, Zhang H, Gu Z et al (2009) A pilot study of the therapeutic efficacy and mechanism of artesunate in the MRL/lpr murine model of systemic lupus erythematosus. Cell Mol Immunol 6:461–467

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Thanaketpaisarn O, Waiwut P, Sakurai H, Saiki I (2011) Artesunate enhances TRAIL-induced apoptosis in human cervical carcinoma cells through inhibition of the NF-κB and PI3K/Akt signaling pathways. Int J Oncol 39:279–285

    CAS  PubMed  Google Scholar 

  30. Corbett JA, Sweetland MA, Wang JL, Lancaster JR Jr, McDaniel ML (1993) Nitric oxide mediates cytokine-induced inhibition of insulin secretion by human islets of langerhans. Proc Natl Acad Sci 90:1731–1735

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Andersson AK, Börjesson A, Sandgren J, Sandler S (2005) Cytokines affect PDX-1 expression, insulin and proinsulin secretion from iNOS deficient murine islets. Mol Cell Endocrinol 240:50–57

    Article  CAS  PubMed  Google Scholar 

  32. Huxford T, Huang DB, Malek S, Ghosh G (1998) The crystal structure of the IkappaBalpha/NF-kappaB complex reveals mechanisms of NF-kappaB inactivation. Cell 95:759–770

    Article  CAS  PubMed  Google Scholar 

  33. Xu H, He Y, Yang X et al (2007) Anti-malarial agent artesunate inhibits TNF-alpha-induced production of proinflammatory cytokines via inhibition of NF-kappaB and PI3 kinase/Akt signal pathway in human rheumatoid arthritis fibroblast-like synoviocytes. Rheumatology (Oxford) 46:920–926

    Article  CAS  Google Scholar 

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This study was carried out in accordance with the guidelines of the Institutional Animal Care and Use Committee at Nanjing Medical University and was approved by the Committee on the Ethics of Animal Experiments of Nanjing Medical University.

Informed consent

This study does not involve human subjects.

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Corresponding authors

Correspondence to D. Su or C. Yan.

Additional information

L. Yu and J. Chen contributed equally to this work.

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Yu, L., Chen, J.F., Shuai, X. et al. Artesunate protects pancreatic beta cells against cytokine-induced damage via SIRT1 inhibiting NF-κB activation. J Endocrinol Invest 39, 83–91 (2016). https://doi.org/10.1007/s40618-015-0328-1

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