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- Table of Contents
Evidence-Based Complementary and Alternative Medicine
Volume 2013 (2013), Article ID 354840, 9 pages
Evodiamine Induces Transient Receptor Potential Vanilloid-1-Mediated Protective Autophagy in U87-MG Astrocytes
1Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
2Department of Neurosurgery, Taipei City Hospital Ren-Ai Branch, Taipei, Taiwan
3Department of Biochemistry, School of Medicine, Taipei Medical University, 250 Wu-Hsing Street, Taipei 110, Taiwan
4Graduate Institute of Medical Sciences, College of Medicine, Taipei Medical University, Taipei, Taiwan
5Department of Neurosurgery, Taipei Municipal Wan-Fang Hospital, Taipei, Taiwan
6Department of Surgery, College of Medicine, Taipei Medical University, Taiwan
7Division of Cardiac Surgery, Cathy General Hospital, Taipei, Taiwan
8Traditional Herbal Medicine Research Center, Taipei Medical University Hospital, Taipei, Taiwan
Received 21 October 2013; Accepted 23 November 2013
Academic Editor: Joen-Rong Sheu
Copyright © 2013 Ann-Jeng Liu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cerebral ischemia is a leading cause of mortality and morbidity worldwide, which results in cognitive and motor dysfunction, neurodegenerative diseases, and death. Evodiamine (Evo) is extracted from Evodia rutaecarpa Bentham, a plant widely used in Chinese herbal medicine, which possesses variable biological abilities, such as anticancer, anti-inflammation, antiobesity, anti-Alzheimer’s disease, antimetastatic, antianoxic, and antinociceptive functions. But the effect of Evo on ischemic stroke is unclear. Increasing data suggest that activation of autophagy, an adaptive response to environmental stresses, could protect neurons from ischemia-induced cell death. In this study, we found that Evo induced autophagy in U87-MG astrocytes. A scavenger of extracellular calcium and an antagonist of transient receptor potential vanilloid-1 (TRPV-1) decreased the percentage of autophagy accompanied by an increase in apoptosis, suggesting that Evo may induce calcium-mediated protective autophagy resulting from an influx of extracellular calcium. The same phenomena were also confirmed by a small interfering RNA technique to knock down the expression of TRPV1. Finally, Evo-induced c-Jun N-terminal kinases (JNK) activation was reduced by a TRPV1 antagonist, indicating that Evo-induced autophagy may occur through a calcium/c-Jun N-terminal kinase (JNK) pathway. Collectively, Evo induced an influx of extracellular calcium, which led to JNK-mediated protective autophagy, and this provides a new option for ischemic stroke treatment.
Brain ischemia, a restriction of the blood supply to tissues, causing a shortage of oxygen and glucose needed for cellular metabolism, is the leading cause of death and disability worldwide. Tissue plasminogen activator (tPA) therapy is the major treatment for ischemic stroke. However, the window for tPA treatment is within 0~3 h after onset of a stroke, which limits its clinical use. Accumulating evidence demonstrating that protective autophagy is induced in a stroke mode since blockade of autophagy results in an increase in cell death  suggests an agent possessing autophagy-inducing ability which may provide a new option for ischemic stroke treatment.
Evodiamine (Evo) is a quinozole alkaloid isolated from Evodia rutaecarpa Bentham which is widely used in Chinese herbal medicine with variable effects, such as anticancer, anti-inflammation, anti-obesity, anti-Alzheimer’s disease, antimetastatic, antianoxic, and anti-nociceptive functions . An in vitro study showed that Evo has an endothelium-dependent vasodilatory effect on isolated rat mesenteric arteries . Furthermore, Evo may serve as an antiatherosclerosis agent since it can inhibit oxidative stress-induced production of chemokine receptor (CCR)-1, CCR2, and intracellular adhesion molecule (ICAM)-1 [4, 5], suggesting that Evo may possess anticardiovascular disease activity. It was reported that Evo protected rats from myocardial ischemia-reperfusion injury . However, the effect of Evo on ischemic stroke in the brain is not well understood.
Evo is considered a transient receptor potential vanilloid-1 (TRPV1) agonist . TRPV1, a ligand-gated calcium ion channel activated by vanilloids, protons, and various environmental stresses, was implicated as a pain-sensing transducer and plays a key role in regulating cell death. Capsaicin, a well-known TRPV1 agonist, extracted from hot chili peppers, was shown to lead to human nasopharyngeal carcinoma cell death through mitochondrial and endoplasmic reticular (ER) stress . Furthermore, capsaicin induced apoptosis in glioma cells through a p38-mediated signal pathway . However, capsazepine (CPZ), a TRPV1 antagonist potentiated the anticancer effect of tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) through upregulation of death receptors . Therefore, the role of TRPV1 in regulating apoptosis is controversial, and the effect of TRPV1 on autophagy needs to be investigated.
Autophagy, an evolutionarily conserved mechanism regulating the turnover of long-lived proteins and damaged organelles, is also considered type II programmed cell death. Autophagy is characterized by the formation of double-membrane vesicles (autophagosomes) and the processing of microtubule-associated protein 1 light chain 3 (LC3). Dysfunction of autophagy may lead to cancer development, bacterial and viral infections, neurodegenerative disorders, and cardiovascular diseases [11, 12]. The role of autophagy in ischemia has been widely investigated. Rapamycin, an autophagy inducer, protected against hypoxia-induced brain injury through induction of autophagy . Superoxide dismutase (SOD)-2 knockdown led to ischemic brain damage under a hyperglycemic condition through induction of oxidative stress, which was associated with a reduction in autophagy . Furthermore, melatonin-induced neuronal protection against cell death resulting from glucose-oxygen deprivation was abolished by the autophagy inhibitor, 3-methyladenine (3-MA) . All of the above suggest that autophagy may play a protective role in ischemia-induced neuronal damage.
Human U87-MG astrocytes (obtained from a Caucasian strain) classified as grade IV glioblastoma were employed as a cell model in this study. We found that Evo induced protective autophagy of astrocytes. Treatment with a TRPV1 antagonist was able to increase intracellular calcium level and block Evo-induced c-Jun N-terminal kinase (JNK) activation which results in suppression of autophagy. Combined with our previous report , we demonstrated that Evo induced an increase in intracellular calcium resulting from an influx of extracellular calcium through the TRPV1 channel, which led to JNK-mediated protective autophagy.
2. Materials and Methods
2.1. Cell Culture, Treatment, and Chemicals
Human U87-MG astrocytes (obtained from a Caucasian strain) classified as grade IV glioblastoma were purchased from the American Type Culture Collection (Manassas, VA) and grown at 37°C in culture medium consisting of Dulbecco’s modified Eagle’s medium (DMEM) supplemented with 10% heat-inactivated fetal bovine serum (FBS), 200 mM L-glutamine, 100 U/mL penicillin, 100 μg/mL streptomycin, 100 mM sodium pyruvate, and 1% nonessential amino acids. The mixture was kept in a humidified atmosphere containing 5% CO2. For the drug-response experiments, cells were either pretreated (treatment group) or not (control group) with the indicated inhibitor for 1 h and then incubated with 6 μM Evo for the rest of the experimental period . DMEM, FBS, and nonessential amino acids were purchased from Hyclone (Logan, UT), and phenol red-free RPMI, L-glutamine, penicillin-streptomycin, and sodium pyruvate were obtained from Gibco (Grand Island, NY). Evo, bovine serum albumin (BSA), acridine orange (AO), Fluo-3 AM, 5,5,6,6,-tetrachloro-1,1,3,3,-tetraethylbenzimidazolylcarbocyanine iodide (JC-1), ethylene glycol tetra-acetic acid (EGTA), CPZ, and 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) were purchased from Sigma (St. Louis, MO). Propidium iodide (PI) was purchased from Calbiochem (San Diego, CA). The Annexin-V-FITC reagent was supplied by Biovision (Mountain View, CA). Rabbit polyclonal anti-LC3 was obtained from MBL International (Nagoya, Japan). Rabbit polyclonal anti-GAPDH and anti-TRPV1 were obtained from Cell Signaling (Beverly, MA). Secondary anti-bodies, including horseradish peroxidase- (HRP-) conjugated goat anti-rabbit immunoglobulin G (IgG), were purchased from Pierce (Rockford, IL). Polyvinylidene difluoride (PVDF) membranes were supplied by Millipore (Bedford, MA), and the Protein Assay Dye Reagent was from Bio-Rad (Hercules, CA).
2.2. Measurement of Acidic Vesicular Organelles (AVOs)
Autophagy was analyzed by flow cytometry with AO dye according to published procedures . After the indicated treatment, cells were stained with AO (1 μg/mL) for a period of 20 min. Trypsinized adherent cells and cells suspended in the medium were collected in phenol red-free RPMI medium. Green (510~530 nm) and red (650 nm) fluorescence emissions from 104 cells illuminated with blue (488 nm) excitation light were measured on a flow cytometer using CellQuest software (Becton Dickinson, San Jose, CA). The percentage of autophagy was summed across the upper-left and upper-right quadrants.
2.3. Measurement of Apoptosis
Apoptosis was evaluated by flow cytometry using two-color analysis of FITC-labeled annexin V/PI doublestaining, as described in our previous publication . Trypsinized adherent cells and suspended cells in the medium were collected in HEPES buffer containing 10 mM HEPES (pH 7.4), 140 mM NaCl, and 2.5 mM CaCl2. Subsequently, cells were stained with annexin V (1 μg/mL) and PI (0.2 ng/mL) for 15 min and then analyzed on a flow cytometer using CellQuest software (Becton Dickinson). The percentage of total apoptosis was the sum of primary apoptosis (annexin V+/PI−) and late apoptosis (annexin V+/PI+).
2.4. Measurement of Intracellular Calcium
After treatment, astrocytes were harvested and incubated with 500 nM Fluo-3 AM dye for 30 min at 37°C and then were immediately analyzed on a flow cytometer (530 nm) using FL-1 as a detector. Relative intracellular calcium concentrations were calculated from the ratio of the geometric mean values of the FL-1 peak generated from Evo-treated cells against each respective control, as indicated in the figure legends.
2.5. Western Blot Analysis
Adherent cells and suspended cells were collected and lysed with 50 μL of lysis buffer containing 25 mM HEPES, 1.5% Triton X-100, 0.1% sodium dodecyl sulfate (SDS), 0.5 M NaCl, 5 mM EDTA, 0.1 mM sodium deoxycholate, and a protease inhibitor cocktail (Roche, Boehringer Mannheim, Germany) . We then added sampling buffer (60 mM Tris-HCl at pH 6.8, 2% SDS, 10% glycerol, and 140 mM β-mercaptoethanol) to each lysate, and the mixture was sonicated using Microson Ultrasonic Cell Disruptor (Misonix Inc, Farmingdale, NY), subsequently boiled for 7 min, and centrifuged at 15,000 g for 5 min. The amount of protein was determined using the Bio-Rad Protein Assay Dye Reagent. Proteins electrotransferred onto PVDF membranes were immunoblotted with anti-LC3, anti-GAPDH, and anti-TRPV1 anti-bodies. Detection was performed with appropriate HRP-conjugated secondary anti-bodies and enhanced chemiluminescence reagent (Pierce). The band density was quantified by Gel-Pro Analyzer densitometry software (Media Cybernetics, Silver Spring, MD).
2.6. Knockdown of TRPV1
Astrocytes were transfected with 50 nM of small interfering (si)RNA using the Lipofectamine RNAiMAX reagent (Invitrogen, San Diego, CA) according to the manufacturer’s instructions. In brief, cells were incubated with lipofectamine RNAimax reagent and 50 nM TRPV1 siRNA (Santa Cruz Biotechnology, Santa Cruz, CA) for 6 h, and then the medium was refreshed, followed by incubation for a further 42 h. Transfected cells were treated with Evo for the indicated time and analyzed by flow cytometry with AO staining or annexin V/PI double-staining.
2.7. Statistical Analysis
Values are expressed as the mean ± standard deviation (SD). Statistical analysis was performed using Student’s -test (for two groups) or a one-way analysis of variance (ANOVA) followed by Duncan’s multiple-range test (for three or more groups). values of <0.05 were considered statistically significant.
3.1. Evo Triggers Calcium-Mediated Protective Autophagy in Astrocytes
To investigate the effect of Evo in astrocytes, immunoblotting was applied to detect variations in LC3, a hallmark of autophagy. As demonstrated in Figure 1(a), the protein level of LC3-II increased after treatment with Evo for 16 h. Furthermore, flow cytometry with AO dye and annexin V/PI double dye was, respectively, applied to determine levels of autophagy and apoptosis. As shown in Figure 1(b), the percentage of cells containing autophagosomes increased and reached a maximum of 52% at 24 h. But the percentage of cells undergoing apoptosis (indicated in the upper-right quadrant) increased in a dose-dependent manner and reached 27% after 48 h of treatment with Evo (Figure 1(c)).
Our previous report demonstrated that Evo induced release of calcium from the ER, which led to induction of autophagy and apoptosis. However, the role of extracellular calcium in Evo-induced autophagy is unclear. In this study, a scavenger of extracellular calcium (EGTA) was used to detect the involvement of extracellular calcium. Using flow cytometry with Fluo-3 AM dye, we investigated the variation in intracellular calcium. As shown in Figure 2(a), Evo induced an elevation in intracellular calcium at 8 h, which increased 3.1-fold compared to the control. Cells pretreated with EGTA were resistant to Evo, suggesting that an influx of extracellular calcium was involved in the Evo-induced increase in intracellular calcium. Furthermore, EGTA also reduced Evo-induced autophagy accompanied by an increase in apoptosis (Figures 2(b) and 2(c)). These results indicated that Evo induced elevation of intracellular calcium resulting from an influx of extracellular calcium, which led to the formation of protective autophagy against apoptosis.
3.2. Evo Induces TRPV1-Mediated Autophagy
TRPV1 is a ligand-gated calcium ion channel, which plays a key role in regulating cell death. It was reported that Evo can activate the TRPV1 channel, but the effect of TRPV1 on autophagy is unclear. In this study, we investigated the role of TRPV1 in Evo-induced autophagy. As indicated in Figure 3(a), the Evo-induced increase in intracellular calcium was reduced by treatment with a TRPV1 antagonist (CPZ) in a dose-dependent manner. Furthermore, the percentage of cells that underwent autophagy was reduced in CPZ-treated astrocytes (Figure 3(b)). In contrast, Evo-induced apoptosis was further enhanced by treatment with CPZ at 48 h (Figure 3(c)), suggesting that Evo-induced calcium-dependent protective autophagy may have been due to activation of the TRPV1 channel.
To further confirm the role of TRPV1 in Evo-induced autophagy, cells were treated with siRNA against the TRPV1 coding sequence. Using immunoblotting, we observed that levels of the TRVP1 protein were significantly reduced after being transfected with TRPV1 siRNA (Figure 4(a)). TRPV1 knockdown resulted in reductions in levels of intracellular calcium and autophagy after treatment with Evo (Figures 4(b) and 4(c)). However, the percentage of apoptosis further increased in cells with TRPV1 knockdown after treatment with Evo (Figure 4(d)). Collectively, these findings suggest that Evo-induced protective autophagy in astrocytes is mediated by the TRPV1 signaling pathway.
3.3. Evo Induces TRPV1-Mediated JNK Activation
In our previous report, we found that Evo could induce JNK-mediated protective autophagy since blockade of JNK resulted in an increase in apoptosis . Furthermore, Evo-induced JNK activation resulted from an increase in intracellular calcium released from the ER. However, the role of extracellular calcium was not mentioned. In this study, using a TRPV1 antagonist, we examined the role of TRPV1 in Evo-induced JNK activation. As demonstrated in Figure 5, Evo-induced JNK activation was reduced after treatment with CPZ, indicating that Evo-induced JNK activation was affected by both calcium released from the ER and an influx of extracellular calcium.
Ischemic stroke, a leading cause of mortality and morbidity worldwide, leads to severe cognitive and motor dysfunction, neurodegenerative diseases, and death . The only therapy for acute cerebral ischemia is tPA treatment within a 1~3 h time window after onset of a stroke. Therefore, identifying novel therapeutic targets is a challenge in this field. In this study, we found that Evo induced protective autophagy in astrocytes. Furthermore, a scavenger of extracellular calcium resulted in a reduction in autophagy and an increase in apoptosis. An inhibitor of TRPV1 also suppressed Evo-induced autophagy and intracellular calcium elevation accompanied by an increase in apoptosis, suggesting that Evo-induced protective autophagy may have resulted from extracellular calcium influx through the TRPV1 channel. The same phenomena were also confirmed using an siRNA technique against TRPV1. Finally, inhibition of TRPV1 by treatment with CPZ decreased Evo-induced JNK activation. Collectively, Evo induced an influx of extracellular calcium through the TRPV1 channel, which subsequently led to JNK activation and induction of protective autophagy.
TRPV1 is expressed by astrocytes, and Evo induced a TRPV1-dependent increase in intracellular calcium, which was responsible for JNK-mediated protective autophagy. Consistent with our results, capsaicin induced reactive oxygen species (ROS)/AMPK-mediated protective autophagy in thymocytes . Furthermore, capsaicin also enhanced hepatic PPARδ and autophagy-related proteins to reduce hepatic inflammatory factor in wild-type but not TRPV1−/− mice , suggesting that TRPV1 activation may induce survival autophagy. However, it was reported that capsaicin induced cell cycle arrest and apoptosis in urothelial bladder cancer cells through TRPV1 activation . In this report, we observed that Evo induced apoptosis in a time-dependent manner, which was not reduced by treatment with CPZ. Moreover, blockade of calcium release from the ER by treatment with an IP3R channel inhibitor reduced Evo-induced apoptosis , indicating that Evo-induced apoptosis may have been due to an imbalance in ER resulting from opening of a calcium channel, but not TRPV1 activation.
Autophagy was found in neurons and glial cells in an ischemia-mimicking animal model , suggesting that glial cells may serve as one of the damage targets in stroke. 3-MA was shown to possess the ability to reduce the stroke-induced infarct volume, brain edema, and motor deficits [25, 26]. Furthermore, postischemic intracerebroventricular injections of 3-MA reduced the lesion volume after initiation of ischemia . However, rapamycin and a GSK-3β inhibitor both activated autophagy to reduce ischemia-induced neuroinflammation and necrosis of neurons [13, 28]. An autophagy inhibitor reduced melatonin-mediated neuroprotection , suggesting that autophagy may play a survival role in response to ischemia-induced environmental stress. Therefore, the role of autophagy in stroke is controversial. The reasons for this difference may have been due to the chemical agents used, such as 3-MA and rapamycin, both of which are nonspecific inhibitors of autophagy. Thus, the effects resulting from blockade of autophagy using these agents must be carefully considered. In this study, we found that a natural compound, Evo, could activate JNK-mediated protective autophagy in astrocytes, suggesting that activation of TRPV1 may be a possible target for application in treating acute cerebral ischemia, but the detailed molecular mechanism and its significance in the clinic remain to be further investigated.
Disturbance of intracellular calcium levels was shown to be involved in regulating cell death. Our previous reports demonstrated that Evo could induce the release of calcium from the ER, which led to autophagy and apoptosis, since blockade of the calcium channel of ER resulted in reductions in apoptosis and autophagy . In this study, we found that a scavenger of extracellular calcium and an inhibitor of TRPV1 both reduced Evo-induced intracellular calcium elevation and autophagy but increased the levels of apoptosis, suggesting that Evo-induced elevation of intracellular calcium may be due to release of calcium by ER and an influx of extracellular calcium. It was reported that a TRPV1 agonist could induce cell death through an ER stress pathway . Furthermore, reduction of ER stress by an IP3R inhibitor decreased β-amyloid-induced neurotoxic effects on astrocytes , suggesting that Evo-induced apoptosis may result from induction of ER stress, but not an elevation of intracellular calcium. Collectively, the Evo-induced increase in intracellular calcium led to the induction of autophagy, which may be an adaptive response to protect astrocytes from cell death resulting from ER stress.
Currently, there is no effective therapy for cerebral ischemia, which causes cognitive and motor dysfunction, neurodegenerative diseases, and even acute death. In this study, we found that Evo, extracted from E. rutaecarpa, has the ability to induce survival autophagy in astrocytes through TRPV1-dependent signaling, which may provide a possible option for ischemia treatment.
Conflict of Interests
The authors declare that there is no conflict of interests regarding the publication of this paper.
This study was sponsored by Grants from the National Science Council (NSC99-2320-B08-008-MY3) and Cathy General Hospital (101CGH-TMU-05), Taipei, Taiwan, Chwen to Ming Shih.
- M. Papadakis, G. Hadley, M. Xilouri, et al., “Tsc1 (hamartin) confers neuroprotection against ischemia by inducing autophagy,” Natural Medicine, vol. 19, no. 3, pp. 351–357, 2013.
- H. Yu, H. Jin, W. Gong, and Z. Wang, “Pharmacological actions of multi-target-directed evodiamine,” Molecules, vol. 18, no. 2, pp. 1826–1843.
- W.-F. Chiou, J.-F. Liao, and C.-F. Chen, “Comparative study on the vasodilatory effects of three quinazoline alkaloids isolated from Evodia rutaecarpa,” Journal of Natural Products, vol. 59, no. 4, pp. 374–378, 1996.
- W.-Q. Rang, Y.-H. Du, C.-P. Hu et al., “Protective effects of evodiamine on myocardial ischemia-reperfusion injury in rats,” Planta Medica, vol. 70, no. 12, pp. 1140–1143, 2004.
- C.-P. Hu, L. Xiao, H.-W. Deng, and Y.-J. Li, “The cardioprotection of rutaecarpine is mediated by endogenous calcitonin related-gene peptide through activation of vanilloid receptors in guinea-pig hearts,” Planta Medica, vol. 68, no. 8, pp. 705–709, 2002.
- S.-K. Heo, H.-J. Yun, H.-S. Yi, E.-K. Noh, and S.-D. Park, “Evodiamine and rutaecarpine inhibit migration by LIGHT via suppression of NADPH oxidase activation,” Journal of Cellular Biochemistry, vol. 107, no. 1, pp. 123–133, 2009.
- Z. Wang, L. Sun, H. Yu, et al., “Binding mode prediction of evodiamine within vanilloid receptor TRPV1,” International Journal of Molecular Sciences, vol. 13, no. 7, pp. 8958–8969, 2012.
- S. W. Ip, S. H. Lan, H. F. Lu, et al., “Capsaicin mediates apoptosis in human nasopharyngeal carcinoma NPC-TW 039 cells through mitochondrial depolarization and endoplasmic reticulum stress,” Human and Experimental Toxicology, vol. 31, no. 6, pp. 539–549, 2012.
- C. Amantini, M. Mosca, M. Nabissi et al., “Capsaicin-induced apoptosis of glioma cells is mediated by TRPV1 vanilloid receptor and requires p38 MAPK activation,” Journal of Neurochemistry, vol. 102, no. 3, pp. 977–990, 2007.
- B. Sung, S. Prasad, J. Ravindran, V. R. Yadav, and B. B. Aggarwal, “Capsazepine, a TRPV1 antagonist, sensitizes colorectal cancer cells to apoptosis by TRAIL through ROS-JNK-CHOP-mediated upregulation of death receptors,” Free Radical Biology and Medicine, vol. 53, no. 10, pp. 1977–1987, 2012.
- T. Shintani and D. J. Klionsky, “Autophagy in health and disease: a double-edged sword,” Science, vol. 306, no. 5698, pp. 990–995, 2004.
- M. M. Hippert, P. S. O'Toole, and A. Thorburn, “Autophagy in cancer: good, bad, or both?” Cancer Research, vol. 66, no. 19, pp. 9349–9351, 2006.
- S. Carloni, G. Buonocore, and W. Balduini, “Protective role of autophagy in neonatal hypoxia-ischemia induced brain injury,” Neurobiology of Disease, vol. 32, no. 3, pp. 329–339, 2008.
- S. L. Mehta, Y. Lin, W. Chen et al., “Manganese superoxide dismutase deficiency exacerbates ischemic brain damage under hyperglycemic conditions by altering autophagy,” Translational Stroke Research, vol. 2, no. 1, pp. 42–50, 2011.
- Y. Guo, J. Wang, Z. Wang, Y. Yang, X. Wang, and Q. Duan, “Melatonin protects N2a against ischemia/reperfusion injury through autophagy enhancement,” Journal of Huazhong University of Science and Technology, vol. 30, no. 1, pp. 1–7, 2010.
- A. J. Liu, S. H. Wang, K. C. Chen, et al., “Evodiamine, a plant alkaloid, induces calcium/JNK-mediated autophagy and calcium/mitochondria-mediated apoptosis in human glioblastoma cells,” Chemico-Biological Interactions, vol. 205, no. 1, pp. 20–28, 2013.
- S. H. Wang, Y. L. Shih, W. C. Ko, Y. H. Wei, and C. M. Shih, “Cadmium-induced autophagy and apoptosis are mediated by a calcium signaling pathway,” Cellular and Molecular Life Sciences, vol. 65, no. 22, pp. 3640–3652, 2008.
- C.-M. Shih, J.-S. Wu, W.-C. Ko et al., “Mitochondria-mediated caspase-independent apoptosis induced by cadmium in normal human lung cells,” Journal of Cellular Biochemistry, vol. 89, no. 2, pp. 335–347, 2003.
- S. Simizu, M. Takada, K. Umezawa, and M. Imoto, “Requirement of caspase-3(-like) protease-mediated hydrogen peroxide production for apoptosis induced by various anticancer drugs,” Journal of Biological Chemistry, vol. 273, no. 41, pp. 26900–26907, 1998.
- G. A. Donnan, M. Fisher, M. Macleod, and S. M. Davis, “Stroke,” The Lancet, vol. 371, no. 9624, pp. 1612–1623, 2008.
- V. Farfariello, C. Amantini, and G. Santoni, “Transient receptor potential vanilloid 1 activation induces autophagy in thymocytes through ROS-regulated AMPK and Atg4C pathways,” Journal of Leukocyte Biology, vol. 92, no. 3, pp. 421–431, 2012.
- Q. Li, L. Li, F. Wang, et al., “Dietary capsaicin prevents nonalcoholic fatty liver disease through transient receptor potential vanilloid 1-mediated peroxisome proliferator-activated receptor δ activation,” Pflügers Archiv, vol. 465, no. 9, pp. 1303–1316, 2013.
- C. Amantini, P. Ballarini, S. Caprodossi et al., “Triggering of transient receptor potential vanilloid type 1 (TRPV1) by capsaicin induces Fas/CD95-mediated apoptosis of urothelial cancer cells in an ATM-dependent manner,” Carcinogenesis, vol. 30, no. 8, pp. 1320–1329, 2009.
- A.-P. Qin, C.-F. Liu, Y.-Y. Qin et al., “Autophagy was activated in injured astrocytes and mildly decreased cell survival following glucose and oxygen deprivation and focal cerebral ischemia,” Autophagy, vol. 6, no. 6, pp. 738–753, 2010.
- Y.-D. Wen, R. Sheng, L.-S. Zhang et al., “Neuronal injury in rat model of permanent focal cerebral ischemia is associated with activation of autophagic and lysosomal pathways,” Autophagy, vol. 4, no. 6, pp. 762–769, 2008.
- C. Kubota, S. Torii, N. Hou et al., “Constitutive reactive oxygen species generation from autophagosome/lysosome in neuronal oxidative toxicity,” Journal of Biological Chemistry, vol. 285, no. 1, pp. 667–674, 2010.
- J. Puyal, A. Vaslin, V. Mottier, and P. G. H. Clarke, “Postischemic treatment of neonatal cerebral ischemia should target autophagy,” Annals of Neurology, vol. 66, no. 3, pp. 378–389, 2009.
- X. Zhou, J. Zhou, X. Li, C. Guo, T. Fang, and Z. Chen, “GSK-3β inhibitors suppressed neuroinflammation in rat cortex by activating autophagy in ischemic brain injury,” Biochemical and Biophysical Research Communications, vol. 411, no. 2, pp. 271–275, 2011.
- E. Alberdi, A. Wyssenbach, M. Alberdi, et al., “Ca2+-dependent endoplasmic reticulum stress correlates with astrogliosis in oligomeric amyloid β-treated astrocytes and in a model of Alzheimer's disease,” Aging Cell, vol. 12, no. 2, pp. 292–302, 2012.