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Artemisinin inhibits neuronal ferroptosis in Alzheimer's disease models by targeting KEAP1
Peng-xi Deng1,2; Marta Silva1; Na Yang3; Qing Wang4; Xin Meng1,5; Ke-qiang Ye5; Hong-chang Gao2; ZHENG WENHUA1
2024-09-09
Source PublicationActa Pharmacologica Sinica
ISSN1671-4083
Abstract

Ferroptosis, a form of cell death characterized by lipid peroxidation, is involved in neurodegenerative diseases such as Alzheimer´s disease (AD). Recent studies have shown that a first-line antimalarial drug artemisinin is effective to counteract AD pathology. In this study, we investigated the protective effect of artemisinin against neuronal ferroptosis and the underlying mechanisms. In hippocampal HT22 cells, pretreatment with artemisinin dose-dependently protected against Erastin-induced cell death with an EC50 value of 5.032 µM, comparable to the ferroptosis inhibitor ferrostatin-1 (EC50=4.39 µM). We demonstrated that artemisinin (10 μM) significantly increased the nuclear translocation of Nrf2 and upregulated SLC7A11 and GPX4 in HT22 cells. Knockdown of Nrf2, SLC7A11 or GPX4 prevented the protective action of artemisinin, indicating that its anti-ferroptosis effect is mediated by the Nrf2-SLC7A11-GPX4 pathway. Molecular docking and Co-Immunoprecipitation (Co-IP) analysis revealed that artemisinin competitively binds with KEAP1, promoting the dissociation of KEAP1-Nrf2 complex and inhibiting the ubiquitination of Nrf2. Intrahippocampal injection of imidazole-ketone-Erastin (IKE) induced ferroptosis in mice accompanied by cognitive deficits evidenced by lower preference for exploration of new objects and new object locations in the NOR and NOL tests. Artemisinin (5, 10 mg/kg, i.p.) dose-dependently inhibited IKE-induced ferroptosis in hippocampal CA1 region and ameliorated learning and memory impairments. Moreover, we demonstrated that artemisinin reversed Aβ1-42-induced ferroptosis, lipid peroxidation and glutathione depletion in HT22 cells, primary hippocampal neurons, and 3×Tg mice via the KEAP1-Nrf2 pathway. Our results demonstrate that artemisinin is a novel neuronal ferroptosis inhibitor that targets KEAP1 to activate the Nrf2-SLC7A11-GPX4 pathway.

KeywordAlzheimer's Disease Artemisinin Ferroptosis Keap1 Nrf2 Hippocampus
DOI10.1038/s41401-024-01378-6
URLView the original
Indexed BySCIE
WOS Research AreaChemistry ; Pharmacology & Pharmacy
WOS SubjectChemistry, Multidisciplinary ; Pharmacology & Pharmacy
WOS IDWOS:001308269800001
Scopus ID2-s2.0-85203358191
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Document TypeJournal article
CollectionDEPARTMENT OF PHARMACEUTICAL SCIENCES
Corresponding AuthorHong-chang Gao; ZHENG WENHUA
Affiliation1.Department of Pharmaceutical Sciences, Faculty of Health Sciences, University of Macau, Taipa 999078, Macao, China
2.Oujiang Laboratory (Zhejiang Lab for Regenerative Medicine, Vision and Brain Health); Institute of Metabonomics & Medical NMR, School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou 325035, China
3.Department of Cardiology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai 200040, China
4.Department of Neurology, Zhujiang Hospital of Southern Medical University, Guangzhou 510280, China
5.Faculty of Life and Health Sciences, Shenzhen Institutes of Advanced Technology (SIAT), Chinese Academy of Sciences, Shenzhen 518055, China
First Author AffilicationFaculty of Health Sciences
Corresponding Author AffilicationFaculty of Health Sciences
Recommended Citation
GB/T 7714
Peng-xi Deng,Marta Silva,Na Yang,et al. Artemisinin inhibits neuronal ferroptosis in Alzheimer's disease models by targeting KEAP1[J]. Acta Pharmacologica Sinica, 2024.
APA Peng-xi Deng., Marta Silva., Na Yang., Qing Wang., Xin Meng., Ke-qiang Ye., Hong-chang Gao., & ZHENG WENHUA (2024). Artemisinin inhibits neuronal ferroptosis in Alzheimer's disease models by targeting KEAP1. Acta Pharmacologica Sinica.
MLA Peng-xi Deng,et al."Artemisinin inhibits neuronal ferroptosis in Alzheimer's disease models by targeting KEAP1".Acta Pharmacologica Sinica (2024).
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