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Original Research ARTICLE Provisionally accepted The full-text will be published soon. Notify me

Front. Pharmacol. | doi: 10.3389/fphar.2019.01013

Panax notoginseng saponins (PNS) protects cardiac myocytes against endoplasmic reticulum (ER) stress and associated apoptosis through mediation of intracellular calcium homeostasis

Jun Chen1,  Rui Xue1, Li Li1, Lili Xiao1, JIahong Shangguan1, Wenjing Zhang1, Xueyang Bai1,  Gangqiong Liu1* and Ling Li1*
  • 1Department of Cardiology, The First Affiliated Hospital of Zhengzhou University, China

Endoplasmic reticulum (ER) stress has been demonstrated to play important roles in the pathogenesis of various cardiovascular diseases. ER stress pathway is therefore a promising therapeutic target in cardiovascular disease. Although panax notoginseng saponins (PNS) is one of the patent medicines, which are traditionally used as the treatment for cardiovascular disorders, its effects on ER stress remains unexploited so far. This study investigates the effects of PNS on ER stress and its associated cell apoptosis along with the related mechanism. PNS compounds were identified via high performance liquid chromatograph (HPLC) assay. PNS pretreated H9c2 and HL-1 cells were stimulated with thapsigargin (TG) to induce ER stress response and apoptosis. ER stress response was tested by immunofluorescence or immunoblot of the ER protein chaperones – calnexin, BiP and CHOP. Cell viability was tested by methyl thiazolyl tetrazolium (MTT) assay. Cell apoptosis was detected by immunoblot of cleaved caspase-3 and flow cytometry analysis of Annexin V/Propidium Iodide (PI) staining. Cytosolic, mitochondrial and ER calcium dynamics were investigated by calcium imaging. Moreover, ryanodine receptor type-2 (RyR2) overexpression stable cell line was generated to verify the mechanism of RyR2 involved in PNS on the inhibition of ER stress and cell apoptosis. We demonstrate here that PNS protected cardiac myocytes from ER stress response and associated cell death in a concentration-dependent manner. Importantly, PNS reduced the elevation of cytosolic calcium, mitochondria calcium as well as ER calcium in response to either TG or histamine treatment. PNS protection of ER stress was regulated by RyR2 expression. In summary, PNS protection against TG-induced ER stress response and its associated cell apoptosis is calcium dependent. Through the regulation of ER calcium release medicated by RyR2, a novel mechanism for PNS in the prevention of cardiovascular diseases is thereby identified.

Keywords: Panax notoginseng saponins (PNS), Endoplasmic reticulum (ER) stress, Apoptosis, intracellular calcium homeostasis, Ryanodine receptor (RyR)

Received: 11 Mar 2019; Accepted: 08 Aug 2019.

Edited by:

Lin-Hua Jiang, School of Biomedical Sciences, Faculty of Biological Sciences, University of Leeds, United Kingdom

Reviewed by:

Jing Li, Guangzhou University of Chinese Medicine, China
Piruthivi Sukumar, University of Leeds, United Kingdom  

Copyright: © 2019 Chen, Xue, Li, Xiao, Shangguan, Zhang, Bai, Liu and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Prof. Gangqiong Liu, Department of Cardiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 96299, Henan Province, China,
Prof. Ling Li, Department of Cardiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 96299, Henan Province, China,