Neuroprotective Effects of Palmatine via the Enhancement of Antioxidant Defense and Small Heat Shock Protein Expression in Aβ-Transgenic Caenorhabditis elegans

Palmatine is a naturally occurring isoquinoline alkaloid that has been reported to display neuroprotective effects against amyloid-β- (Aβ-) induced neurotoxicity. However, the mechanisms underlying the neuroprotective activities of palmatine remain poorly characterized in vivo. We employed transgenic Caenorhabditis elegans models containing human Aβ1-42 to investigate the effects and possible mechanisms of palmatine-mediated neuroprotection. Treatment with palmatine significantly delayed the paralytic process and reduced the elevated reactive oxygen species levels in Aβ-transgenic C. elegans. In addition, it increased oxidative stress resistance without affecting the lifespan of wild-type C. elegans. Pathway analysis suggested that the differentially expressed genes were related mainly to aging, detoxification, and lipid metabolism. Real-time PCR indicated that resistance-related genes such as sod-3 and shsp were significantly upregulated, while the lipid metabolism-related gene fat-5 was downregulated. Further studies demonstrated that the inhibitory effects of palmatine on Aβ toxicity were attributable to the free radical-scavenging capacity and that the upregulated expression of resistance-related genes, especially shsp, whose expression was regulated by HSF-1, played crucial roles in protecting cells from Aβ-induced toxicity. The research showed that there were significantly fewer Aβ deposits in transgenic CL2006 nematodes treated with palmatine than in control nematodes. In addition, our study found that Aβ-induced toxicity was accompanied by dysregulation of lipid metabolism, leading to excessive fat accumulation in Aβ-transgenic CL4176 nematodes. The alleviation of lipid disorder by palmatine should be attributed not only to the reduction in fat synthesis but also to the inhibition of Aβ aggregation and toxicity, which jointly maintained metabolic homeostasis. This study provides new insights into the in vivo neuroprotective effects of palmatine against Aβ aggregation and toxicity and provides valuable targets for the prevention and treatment of AD.


Introduction
Once there is an imbalance between the production and clearance of amyloid-β peptide (Aβ), the accumulation of Aβ initiates self-assembly and the self-assembled Aβ then turns into toxic oligomers, large Aβ fibrils, and plaques associated with the onset and progression of Alzheimer's disease (AD) [1,2]. Considerable research evidence suggests that oxidative stress is an early event in the development of AD, preceding the classic formation of fibrils that are even-tually deposited as insoluble Aβ plaques and neurofibrillary tangles [3,4]. Meanwhile, the aggregation and deposition of Aβ further increase oxidative stress and aggravate the inflammatory response, thereby causing progressive damage to neurons [5]. Therefore, the complex pathological mechanisms of AD include the aggregation of monomeric Aβ into oligomers or fibrils and Aβ-mediated oxidative stress. Prevention of these processes requires the regulation of signaling pathways to inhibit Aβ aggregation and excessive free radical release in order to maintain cellular homeostasis.
Heat shock factor 1 (HSF-1) is an essential regulator of both proteotoxicity and aging [6]. Small heat shock proteins (sHSP), which constitute one type of HSP regulated by HSF-1, act as the front line of defense for preventing or reversing abnormal protein aggregation [7,8]. More importantly, some of them have been found to exert neuroprotective functions. Specifically, they interact with misfolded and damaging protein aggregates, such as Aβ, in AD to reduce the accumulation of misfolded proteins, block oxidative stress, and attenuate neuroinflammation and neuronal apoptosis; thus, they hold great potential as promising therapeutic agents in neurodegenerative diseases [9,10]. Oxidative damage is a common and prominent feature of various neurodegenerative diseases and is implicated in the pathogenesis of AD [11]. Studies have shown that AD and other neurodegenerative diseases are associated with elevated levels of oxidative stress biomarkers and impaired antioxidant defense systems in the brain and peripheral tissues [12]. Active compounds with antioxidant properties exert neuroprotective effects by augmenting antioxidant defense and inhibiting Aβ-induced toxicity, which can normalize biomarkers related to oxidant/antioxidant imbalance [13][14][15].
Although organisms can respond to endogenous and exogenous stressors continuously and attempt to maintain homeostasis, they need externally supplied active substances, particularly when they are facing persistent and overwhelming stress, to adjust the molecular network in order to rebuild a steady state [16]. Otherwise, diseases can occur. Natural products, such as alkaloids, polyphenols, and saponins, have a variety of pharmacological activities [17,18]. The neuroprotective activity of natural products that can inhibit Aβ aggregation and toxicity by inducing antioxidant and anti-inflammatory responses, regulating stress-related signaling, and modulating Aβ production and clearance has been extensively studied and used in the prevention and treatment of AD [19]. Alkaloids, which form a class of natural nitrogen-containing secondary metabolites, are important active components in Chinese Herbal Medicines. These compounds exert neuroprotective effects through suppression of oxidative stress, neuroinflammation, and apoptosis; reduction of Aβ aggregation; and enhancement of Aβ clearance. Through these effects, the compounds improve functional outcomes in AD [20][21][22][23]. Thus, they have great application value for the development of therapeutic agents for the treatment of AD. Although studies have confirmed that many alkaloids potentially exhibit anti-AD effects in vitro and in vivo, the molecular mechanisms responsible for these effects still need further study.
Palmatine, an isoquinoline alkaloid, has been reported to possess extensive biological functions, such as antioxidant, anti-inflammatory, neuroprotective, and blood lipidregulating functions [21,24]. In particular, studies have shown that palmatine might display anti-AD effects by inhibiting the activity of cholinesterase, decreasing Aβ aggregation, reducing the generation of high levels of reactive oxygen species (ROS), and attenuating oxidative damage [24][25][26][27]. Nevertheless, little is known about the inhibitory effects of palmatine on Aβ aggregation and toxicity in vivo and the signaling pathways that exert the neuroprotective effects of palmatine are also not well understood. Due to advantageous features such as a short lifespan, rapid generation time, tractable genetic manipulation, and fully sequenced genome [28], the model species Caenorhabditis elegans has been widely used to study aging and aging-related neurodegenerative diseases and was therefore employed to investigate the action mechanisms of palmatine-mediated neuroprotective effects. The experiments indicated that palmatine inhibits Aβ aggregation and toxicity by enhancing antioxidant defense and sHSP expression to maintain homeostasis in C. elegans. This study provides insights into the neuroprotective effects of palmatine in vivo and provides valuable targets for the prevention and treatment of AD.  ::let-851 3 ′ UTR) + rol-6(su1006)]}, the transgenic CF1553 containing sod-3p::GFP {muIs84 [(pAD76) sod-3p::GFP + rol-6(su1006)]}, and CL2070 containing hsp-16.2p::GFP {dvIs70 [hsp-16.2p::GFP + rol-6(su1006)]}. This work was approved by the experimental animal ethics committee of Guangdong Pharmaceutical University with the approval number gdpulac2019015. Escherichia coli, such as OP50, NA22, and HT115 strains, were selected to feed worms based on different experimental conditions. All C. elegans were provided by the Caenorhabditis Genetics Center. The Aβ-transgenic CL2006 and CL4176 worms and the wild-type N2, CF1553, and CL2070 worms were cultured and maintained on nematode-growing medium (NGM) plates at 15°C and 20°C, respectively. The synchronous population was prepared by treatment of gravid adults with alkaline hypochlorite and hatched overnight.

Food Clearance and Body Length Assays.
To select the suitable concentration range of palmatine, the wild-type nematodes were used to conduct food clearance and body length assays. In food clearance, 20 μL of S medium on NGM plates at 20°C for two days and anesthetized on microscope slides for observation and determination of sod-3p::GFP and hsp-16.2p::GFP expression. Images were captured by using an Mshot MF52 inverted fluorescence microscope coupled with digital software, and the expression of the respective genes was ascertained by assessing the GFP signal using ImageJ software. 3 Oxidative Medicine and Cellular Longevity 2.9. Detection of SOD and CAT Activity Levels. The wild-type strain was synchronized as described above, and L1-stage worms were cultured at 20°C for two days on NGM solid plates with or without palmatine (0.2 mM). Approximately 2000 worms were gathered and lysed in PBST buffer. The activity levels of SOD and CAT were detected with SOD and CAT assay kits, respectively, and a BCA protein assay kit was used to determine the protein concentration.
2.10. RNA Interference. In an RNAi-mediated gene knockdown experiment, E. coli HT115 was chosen as a food source for the worms as previously described with some changes [30]. An RNAi plasmid was built by partially cloning the hsf-1 cDNA sequence into the L4440 empty vector. The primer sequences with restriction sites for XbaI (TCTA GA) and KpnI (GGTACC) are displayed in Table 1. L1stage CL2006 worms were cultured with or without palmatine at 15°C on NGM solid plates seeded with HT115 containing the L4440 empty plasmid or the hsf-1 recombinant plasmid for 45 h. The worms (approximately 100 per group) were then transferred to NGM plates and fed HT115 (containing the L4440 empty plasmid or the hsf-1 recombinant plasmid) in the presence of 5-FUdR (75 μg/mL) and palmatine (0.2 mM) at 20°C to induce Aβ peptide expression. Worm paralysis was observed, and the paralyzed worms were counted microscopically every day until all worms were palsied.
2.11. ThS Staining Assay. The wild-type and Aβ-transgenic CL2006 strains were used for the assay as described previously [32]. Here, wild-type worms were stained as negative control. L1-stage Aβ-transgenic CL2006 worms were cultured at 20°C for 90 h on NGM plates with or without palmatine (0.2 mM). In another group, CL2006 worms were continuously cultured at 15°C for 90 h and used for comparative analysis. All worms were collected and fixed at 4°C for one day in 4% paraformaldehyde (PFA). After PFA fixation, the worms were incubated at 37°C for one day in permeabilization solution including β-mercaptoethanol (5%), Triton X-100 (1%), and Tris−HCl (125 mM). The worms were washed and soaked in ThS solution (containing 0.125% ThS and 50% ethanol) at ambient temperature for 2 min and then decolorized with 50% ethanol until the staining agent in the solution completely disappeared. Images of the anterior pharyngeal bulb were acquired by using an Mshot MF52 inverted microscope.
2.12. Fat Staining. Fat staining was performed by using Oil Red O and Sudan black B as previously described [33,34]. Briefly, L1-stage N2 and CL4176 strains were cultured on solid NGM plates seeded with OP50 with or without palmatine (0.2 mM). The N2 worms were cultured at 20°C for three days, while the CL4176 worms were cultured at 15°C for 36 h and shifted to 23°C for another 36 h. The worms used for Oil Red O staining were fixed at 4°C for 30 min in 4% PFA and subjected to three freeze-thaw cycles. The worms were dehydrated for 15 min in 60% isopropanol and stained for 6 h in an Oil Red O staining solution containing 40% water and 60% Oil Red O stock solution. For Sudan black B staining, the worms were first fixed in 4% PFA, subjected to 3 freezethaw cycles, dehydrated in 25, 50, and 70% ethanol, and then dyed for 12 h in a 50% saturated Sudan Black B solution (70% ethanol). The images were obtained by using an Mshot MF52 inverted microscope, and ImageJ software was used for quantitative analysis.
2.13. Statistical Analysis. The data were analyzed by using GraphPad Prism version 7.0 for Windows (San Diego, California, USA). The t-test and one-way analysis of variance (ANOVA) were selected as the analytical methods. The survival and lifespan curves were created with the Kaplan-Meier method, and a log-rank test was selected to evaluate the statistical significance. The primers were designed by using Primer 3 version 0.4.0 software, and β-actin was used as the reference gene. All experiments were carried out at least three times, and a p value of <0.05 was considered to indicate statistical significance.

Inhibition of Aβ Toxicity by Palmatine in Aβ-transgenic
Nematodes. C. elegans is a powerful model organism with which to research the molecular mechanisms of neurodegenerative diseases and screen effective neuroprotective drugs [28]. In this work, we studied the neuroprotective effects of palmatine in the Aβ-transgenic C. elegans CL2006 and CL4176 strains (Figure 1(a)), which express human Aβ 1-42 in constitutive and inducible manners and show progressive and rapid paralytic phenotypes, respectively. The concentration of palmatine was confirmed through food clearance and body length assays, which indicated that a concentration of ≤0.2 mM was suitable in wildtype worms (Figures 1(b) and 1(c)). Therefore, according to the experimental design in Figure 1(d), we preliminarily tested the effects of palmatine against Aβ toxicity at concentrations of 0.1 and 0.2 mM. As shown in Figure 1(e), palmatine at 0.1 and 0.2 mM effectively protected against Aβ toxicity in progressively paralyzed CL2006 nematodes. A beneficial effect of palmatine was also observed in rapidly paralyzed CL4176 nematodes (Figure 1(f)). It is worth noting that palmatine at 0.2 mM showed a more effective protective effect against Aβ toxicity than palmatine at 0.1 mM and significantly delayed the paralytic process. In summary, these results suggest that palmatine exhibits neuroprotective activity against Aβ toxicity in Aβ-transgenic nematode models.

Alleviation of Oxidative Stress Rather Than Prolongation of Lifespan.
There is considerable evidence to suggest that Aβ toxicity increases oxidative stress and free radical formation, which are closely associated with the progression of AD [11]. Since palmatine inhibited Aβ toxicity in vivo, as demonstrated above, we investigated the effects of palmatine on the oxidative status using transgenic CL4176 nematodes. As shown in Figure 2(a), the ROS level was significantly higher in the homogenate of Aβ-induced worms at 23°C than in the homogenate of the control worms at 15°C. However, the ROS level was significantly lower in the homogenate of worms 4 Oxidative Medicine and Cellular Longevity  Oxidative Medicine and Cellular Longevity treated with palmatine at 23°C than in the homogenate of the untreated worms. These data suggest that palmatine plays a positive role in ROS scavenging and improves stress tolerance in Aβ-transgenic CL4176 worms. Next, we detected the protective effects of palmatine against oxidative stress through the assessment of paraquat-induced oxidative damage in wild-type nematodes. In Figure 2(b), the survival of the worms treated with palmatine prior to paraquat damage was significantly higher than that of the control worms, indicating the antioxidative stress activity of palmatine. However, as shown in Figure 2(c), palmatine did not significantly change the lifespan of the worms. Taken together, these findings show that the ROS-reducing capability of palmatine may contribute to its protection against Aβ toxicity.

Transcriptome-Based Discovery of Genes and Pathways
Related to the Effects of Palmatine against Aβ Toxicity. Gene expression profiles can be used as signatures to search for the signaling pathways and downstream target genes of active compounds [35]. To understand the transcriptomic responses to palmatine, transcriptome sequencing was carried out on the Illumina MiSeq platform for wild-type nematodes treated with or without palmatine (0.2 mM) for 48 h. The raw RNA-Seq reads reported in this paper are found in the NCBI Sequence Read Archive (accession number PRJNA667515). Principal component analysis (PCA) was used to assess the clustering of the samples, which manifested an obvious distinction between the control and palmatine-treated groups (Figure 3(a)). After treatment with palmatine, 602 DEGs were detected, including 522 upregulated genes and 80 downregulated genes. In Figure 3(b), the patterns of the changes in transcript abundance are shown in the heatmap of the DEGs, which were identified using an FDR cutoff of 0.05 and a fold change threshold of 2. To retrieve the functional information on the DEGs in the experimental group, coregulated genes were further classified into different categories, including lipid metabolism, biodegradation and detoxification, signal transduction, transport and catabolism, and aging of the endocrine system (Figure 3(c)). Furthermore, in pathway enrichment analysis (Figure 3(d)), the genes regulated by palmatine treatment were associated mainly with the aging regulation pathway, detoxification, and fatty acid degradation.

Validation of Gene Expression Levels by Real-time PCR.
Among the RNA-sequencing data, we focused on the data for some signaling pathways related to stress resistance, such as aging, detoxification, and lipid metabolism pathways. To further validate the gene expression profiles, the gene expression levels of six representative candidate genes were analyzed via real-time PCR. The regulation patterns for the selected genes, including sod-3, hsp-16.11, hsp-16.2, hsp-  Oxidative Medicine and Cellular Longevity 16.49, and fat-5, were consistent with the RNA-sequencing data; only marginal differences in the relative fold changes were observed. However, the fat-7 gene did not show statistically significant differences among the control and palmatine-treated groups. As shown in Figure 4, special attention should be given to the shsp genes, which were significantly upregulated in the worms treated with palmatine compared with the normal control worms. Overall, the find-ings show that palmatine treatment can activate resistancerelated genes to inhibit Aβ toxicity.
3.5. Enhancement of sod-3p::GFP Expression and SOD and CAT Activity Levels. Since SOD is a key antioxidant enzyme for ROS scavenging, we employed the CF1553 strain containing a sod-3p::GFP transgenic reporter to explore the effects of palmatine on the transcriptional change of the     Oxidative Medicine and Cellular Longevity sod-3 gene. When treated with palmatine for two days, the fluorescence level of sod-3p::GFP in the worms fed palmatine was markedly higher than that in the normal control worms, indicating that palmatine has the ability to enhance the expression of sod-3 in this nematode strain (Figures 5(a)-5(c)). In addition, we measured the enzyme activity of SOD in wild-type worms fed with or without palmatine (0.2 mM). As shown in Figure 5(d), the level of the SOD enzyme was significantly higher in the worms fed palmatine than in the normal control worms, further demonstrating that palmatine upregulated SOD expression. In addition, CAT is an essential antioxidant enzyme that can prevent cells from being poisoned by H 2 O 2 ; we further examined the enzyme activity of CAT in wild-type worms fed palmatine (0.2 mM). As presented in Figure 5(e), the level of the CAT enzyme was significantly higher in the worms fed palmatine than in the normal control worms. In summary, these results indicate that palmatine has the ability to enhance antioxidant defense against oxidative stress caused by endogenous or exogenous stressors.
3.6. Involvement of the HSF-1 Transcription Factor in the Inhibition of Aβ Toxicity by Palmatine. There is abundant evidence that the enhancement of protein folding and antiapoptotic capacity induced by elevations in HSP levels has the potential to improve therapeutic efficacy in neurodegenerative diseases [36,37]. As shown by the transcriptomebased discovery of genes and pathways, the induced expression of sHSP may play the most important role in the inhibition of Aβ toxicity by palmatine. Therefore, we used the transgenic CL2070 strain expressing an hsp-16.2p::GFP transgenic reporter to explore the effects of palmatine on the transcriptional change of the hsp-16.2 gene. After treatment with palmatine for two days, the fluorescence level of hsp-16.2p::GFP in the worms fed palmatine was significantly higher than that in the normal control worms, indicating that palmatine enhanced the expression of hsp-16.2 in this worm model (Figures 6(a)-6(c)). It is well known that the transcription factor HSF-1 coordinately activates the expression of shsp genes [36]. Thus, we further determined the protective effects of palmatine in C. elegans after hsf-1 RNAi to assess whether its inhibition of Aβ toxicity involved HSF-1. As presented in Figure 6(d), palmatine significantly alleviated the toxicity induced by Aβ when HT115 bacteria transformed with the empty vector L4440 were used, yet the alleviation of Aβ-induced toxicity disappeared when recombinant hsf-1 RNAi bacteria were used, indicating that the inhibition of Aβ toxicity by palmatine was mainly dependent on HSF-1. In summary, these results suggest that palmatine-mediated suppression of Aβ-induced toxicity relies on the regulator HSF-1 and subsequent upregulation of the expression of its target genes, such as hsp-12.11, hsp-16.2, and hsp-16.49.

Reductions in Aβ Deposits.
To investigate the inhibitory effects of palmatine on Aβ aggregation, ThS staining was performed in transgenic CL2006 nematodes to detect Aβ deposition, and then, the Aβ deposits in the worm head region were counted. Consistent with previous findings [32], the wild-type nematodes, used as negative controls, lacked ThS fluorescence because of the lack of Aβ deposition (Figure 7(a)). When Aβ-transgenic CL2006 worms were continuously cultured at 15°C, small amounts of Aβ deposits were formed due to the constitutive expression of the Aβ peptide in this strain (Figure 7(b)). After the worms were shifted to 20°C to induce Aβ peptide expression, the number of Aβ deposits per nematode was significantly increased compared to that in the worms incubated at 15°C, suggesting that elevated temperature can significantly enhance the expression of the Aβ peptide (Figure 7(c)). Compared to that in untreated CL2006 nematodes, Aβ deposition in nematodes treated with palmatine was obviously inhibited in the Aβ-transgenic worms (Figure 7(d)). The quantification of Aβ deposits also revealed significantly fewer deposits in palmatine-treated worms than in untreated worms (Figure 7(e)). Combined with the above experimental results indicating that palmatine can effectively delay the paralytic process of the CL2006 strain, these results indicate that palmatine can effectively inhibit Aβ aggregation and alleviate Aβ-induced toxicity.

Mitigation of the Aβ-mediated Lipid Metabolism
Disorder. Since transcriptome analysis suggested that lipid synthesis was obviously repressed by palmatine treatment, we used Oil Red O and Sudan Black B staining to detect the fat content in intestinal and hypodermal cells in wildtype and transgenic CL4176 nematodes (Figures 8(a)-8(d), staining with Oil Red O; Figure S1(a), S1(b), S1(c) and S1(d), staining with Sudan Black B) [33,34]. Surprisingly, the content of lipid droplets was significantly increased after Aβ peptide expression was induced in transgenic  Figure 4: The verification of indicated target genes from RNA-Seq analysis by qPCR. L1-stage wild-type worms were cultured at 20°C for 48 h on NGM plates with or without palmatine (0.2 mM). Three independent biological replicates for each group were collected for real-time PCR. The result is presented as mean ± SD, and the statistical analysis was carried out with unpaired t-test. ns: no significant difference; * p < 0:05; * * p < 0:01; * * * p < 0:001.

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Oxidative Medicine and Cellular Longevity CL4176 worms compared with normal wild-type worms (Figure 8(e), staining with Oil Red O; Figure S1(e), staining with Sudan Black B), suggesting that Aβ aggregation and toxicity were accompanied by dysregulated lipid metabolism that caused excessive fat accumulation in Aβ-transgenic CL4176 nematodes. In addition, the effects of palmatine on fat accumulation in wild-type and transgenic CL4176 strains were evaluated. The palmatine-treated nematodes exhibited a lower lipid content than the wild-type nematodes (Figure 8(f), staining with Oil Red O; Figure S1(f), staining with Sudan Black B). Supplementation with palmatine in Aβtransgenic CL4176 nematodes also significantly decreased the lipid content, as revealed by Oil Red O and Sudan Black B staining (Figure 8(g) and Figure S1(g)). These results indicate that palmatine reduces fat synthesis in wild-type nematodes and effectively inhibits lipid metabolism disorder induced by Aβ aggregation and toxicity in transgenic CL4176 nematodes.

Discussion
Although there is continuing debate about the Aβ hypothesis, the accumulated evidence supports the idea that steady-state imbalance between the production and clearance of Aβ is one of the important initiating events in the development of AD [38]. Elevated levels of Aβ oligomers have been found to drive the development of oxidative stress, neuroinflammation, synaptic loss, and nerve cell death [4]. Therefore, there is considerable interest in finding active compounds that can reduce Aβ aggregation and alleviate Aβ-induced toxicity [19,21,39]. Alkaloids are a large group of structurally complex natural products that exhibit a for two days on NGM plates with or without palmatine (0.2 mM). The images were obtained by using a Mshot MF52 inverted fluorescence microscope. Quantified sod-3p::GFP intensity was done by ImageJ software. The result was displayed as mean ± SD (n = 20-25), and the statistical analysis was carried out with unpaired t-test. * * * p < 0:001. (d) The effect of palmatine on the enzyme activity of SOD in wild-type worms. (e) The effect of palmatine on the enzyme activity of CAT in wild-type worms. Wild-type worms were cultured from L1-to L4-stage at 20°C on NGM plates with or without palmatine (0.2 mM), and then, the worms were lysed to detect the enzyme activities of SOD and CAT. The result was displayed as mean ± SD, and the statistical analysis was done by unpaired t-test. * p < 0:05; * * p < 0:01.

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Oxidative Medicine and Cellular Longevity wide range of biological effects, including antioxidant and anti-inflammatory effects and Aβ production-and clearance-regulated effects [40][41][42]. In the present study, we confirmed that palmatine, a naturally occurring isoquinoline alkaloid, significantly suppressed Aβ-induced paralysis and displayed neuroprotective effects in the Aβ-transgenic CL2006 and CL4176 strains. The inhibition of the paralytic process was related to a reduction in Aβ oligomerization and alleviation of Aβ-induced toxicity [32]. Therefore, if there are similar mechanisms in humans and other species, the protective effects of palmatine against Aβ aggregation and toxicity may provide a rationale for its beneficial effects in humans.
The hallmarks of AD, such as Aβ oligomerization and neurofibrillary tangle formation, are intertwined with excessive ROS levels and elevated oxidative stress, which are considered to be the common effectors of the cascade of degenerative events [14,43]. Previous research has shown that palmatine has the potential to inhibit oxidative stress by scavenging free radicals [27,42]. In our study, palmatine reduced the elevated ROS levels derived from Aβ toxicity in the CL4176 strain. It is known that abiotic stresses, such as exposure to paraquat, often cause oxidative stress damage in organisms via overproduction of ROS [30,31]. In the paraquat-induced oxidative damage model, we further  . L1-stage wild-type strain was cultured at 20°C for three days on NGM plates with or without palmatine (0.2 mM). Meanwhile, L1-stage CL4176 strain was cultured at 15°C for 36 h on NGM plates containing with or without palmatine (0.2 mM) and then placed at 23°C for another 36 h. The wild-type and CL4176 worms were collected and used for Oil Red O staining, respectively. The images were obtained by using a Mshot MF52 inverted fluorescence microscope. Quantified intensities were performed using ImageJ software. The results were displayed as mean ± SD (n = 30), and the statistical analyses were done by using an unpaired t-test. * p < 0:05; * * * p < 0:001.

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Oxidative Medicine and Cellular Longevity demonstrated that palmatine treatment enhances resistance to oxidative stress. These results suggest that palmatine has an antioxidant effect against Aβ toxicity by reducing ROS production. However, palmatine did not affect the lifespan of wild-type nematodes, indicating that the protective mechanisms against oxidative stress may be distinct from mechanisms that delay senescence. By transcriptome sequencing, we obtained candidate pathways and genes related to the effects of palmatine, including genes/pathways related to aging, detoxification, and lipid metabolism. In particular, the results highlighted that the expression of shsp was significantly upregulated by palmatine. These genes play important roles in modulating Aβ aggregation and toxicity [9,10]. In addition, antioxidant-related genes, such as sod-3, were also activated, which may have enhanced antioxidant defense to protect cells from oxidative damage [44]. Palmatine has been shown to reduce the ROS level in the transgenic CL4176 strain and alleviate the oxidative damage caused by paraquat-induced oxidative stress. The elimination of excessive ROS is mediated by a range of antioxidant defense systems, which require the participation of antioxidant enzymes such as SOD and CAT [44,45]. Our study confirmed that palmatine increases the fluorescence intensity of sod-3p::GFP in transgenic CF1553 nematodes and the activities of SOD and CAT in wild-type nematodes. These results agree with previous findings that alkaloids might activate the cellular antioxidant defense system against oxidative insults [20,46,47]. Together, these studies suggest that palmatine reduces the oxidative stress caused by Aβ toxicity by eliminating ROS and indicate a correlation between the enhancement of antioxidant defense and the alleviation of Aβ toxicity in transgenic nematodes.
Protein aggregation is one of the important characteristics of neurodegenerative diseases such as AD [43,48]. HSP family members are the key cellular components that maintain protein homeostasis under unfavorable conditions, which might effectively block the formation of protein aggregates and prevent the occurrence and development of neurodegenerative diseases [10,49]. Studies have indicated that a lack of sHSP aggravates the AD phenotype, whereas increased expression improves the symptoms of AD [50]. In the present study, palmatine upregulated the expression of shsp genes, including hsp-16.11, hsp-16.2, and hsp-16.49, in wild-type nematodes and enhanced the hsp-16.2p::GFP fluorescence intensity in transgenic CL2070 nematodes. As such, it is possible that the increased expression of sHSP suppressed protein aggregation and alleviated Aβ toxicity, suggesting that sHSP plays important roles in the neuroprotective effects of palmatine. It is known that the expression of sHSP is primarily determined by the transcription factor HSF-1, while decreased activity of HSF-1 has been shown to be a key part of the deleterious cascade in neurodegenerative disease [36,37]. Our study showed that knockdown of hsf-1 using RNAi not only significantly accelerated the process of paralysis but also completely abolished palmatineinduced inhibition of Aβ toxicity in transgenic CL2006 nematodes. These results are in accordance with previous studies showing that HSF-1 participates in the inhibition of Aβ tox-icity [6,37] and suggest that the increased resistance of worms treated with palmatine is closely related to HSF-1. Therefore, palmatine-mediated inhibition of Aβ toxicity involves the regulator HSF-1 and regulation of the expression of its target genes, such as hsp-16.11, hsp-16.2, and hsp-16. 49.
Research has indicated that alkaloids have the potential to inhibit and prevent AD through both cholinesterase and Aβ pathways and through improvement of antioxidant capacity [20][21][22][23]42]. It is worth noting that unlike the activation of antioxidant defense to alleviate Aβ-induced oxidative stress, the palmatine-induced upregulation of sHSP is associated with the inhibition of Aβ aggregation and breakdown of toxic oligomers [37,51]. Research has shown the occurrence of a series of morphological transitions of aggregation, including the assembly of Aβ monomers into oligomers and fibrils and the eventual formation of extracellular Aβ plaque deposits [52]. Among the aggregates, Aβ oligomers have been identified as potent cytotoxins that initiate pathological events in AD [5]. Active substances, such as Ginkgo biloba extract EGb 761 and ginkgolide A, may convert toxic Aβ oligomers into nontoxic Aβ monomers to delay the paralysis of Aβ-transgenic nematodes [32]. It has been reported that palmatine chloride treatment in vitro can suppress the aggregation of tau and break down preformed tau aggregates [53]. In this work, palmatine delayed the process of paralysis and reduced Aβ deposition in transgenic CL2006 nematodes, suggesting that its neuroprotective effects in vivo may be achieved via effects on the early stages of the linear pathway, especially the formation of toxic Aβ oligomers.
Palmatine is reported to have the ability to regulate lipid metabolism and to exert anti-obesity effects [24,27]. In this work, our study found that the aggregation of Aβ in transgenic CL4176 nematodes not only led to a paralytic phenotype but also accompanied excessive fat accumulation caused by Aβ toxicity-induced lipid metabolism disorder. Notably, palmatine markedly decreased the fat content both in the wild-type worms and in the Aβ-transgenic worms with high fat accumulation. A previous study has indicated that oleic acid is the substrate for the production of triacylglycerol and cholesteryl ester and that inhibiting the conversion of saturated stearic acid to oleic acid can contribute to reducing the fat content [54]. The current research showed that palmatine downregulated the expression of a stearoyl-CoA desaturase, fat-5, in wild-type worms, which is believed to play a critical role in the transformation of stearic acid into oleic acid [55]. However, overall, considering the modulation of antioxidant defense and sHSP expression, the alleviation of lipid disorder by palmatine is likely attributable not only to the reduction in fat synthesis but also to the inhibition of Aβ aggregation and toxicity, which jointly maintain metabolic homeostasis in transgenic CL4176 nematodes.

Conclusion
In the present study, palmatine suppressed Aβ-induced paralysis and reduced the elevated ROS levels in Aβ-transgenic nematodes, thus exhibiting neuroprotective effects against Aβ toxicity. Based on DEG analysis, real-time PCR, and verification in transgenic CF1553 and CL2070 strains, our study demonstrated that the inhibition of Aβ toxicity by palmatine was attributable to the free radical-scavenging capacity and to the upregulation of the expression of resistance-related genes such as sod-3 and shsp. In particular, the expression of shsp, which requires the involvement of the transcription factor HSF-1, played important roles in protecting cells from Aβ toxicity. In addition, we found that palmatine reduced Aβ deposition and mitigated excessive fat accumulation in the Aβ-transgenic CL2006 and CL4176 strains, respectively. In summary, these studies suggest that palmatine exerts neuroprotective effects through the modulation of antioxidant defense and sHSP expression to support homeostasis in Aβ-transgenic nematodes. The findings provide valuable targets for the prevention and treatment of AD.

Data Availability
The data that used to support the findings of this work are obtained from the corresponding author on reasonable request.