RETRACTED: Resveratrol attenuates lipopolysaccharide-induced dysfunction of blood-brain barrier in endothelial cells via AMPK activation

Min Hu; Bo Liu

doi:10.4196/kjpp.2016.20.4.325

Journal List > Korean J Physiol Pharmacol > v.20(4) > 1026100

Go to TopGo to Top Go to BottomGo to Bottom

This article has been retracted. See "Retraction notice to: Resveratrol attenuates lipopolysaccharide-induced dysfunction of blood-brain barrier in endothelial cells via AMPK activation" in Volume 21 on page 277.

Hu and Liu: Resveratrol attenuates lipopolysaccharide-induced dysfunction of blood-brain barrier in endothelial cells via AMPK activation

Original Article

The Korean Journal of Physiology & Pharmacology : Official Journal of the Korean Physiological Society and the Korean Society of Pharmacology 2016; 20(4): 325-332.

Published online: 23 June 2016

DOI: https://doi.org/10.4196/kjpp.2016.20.4.325

RETRACTED: Resveratrol attenuates lipopolysaccharide-induced dysfunction of blood-brain barrier in endothelial cells via AMPK activation

Min Hu¹, Bo Liu²

¹Department of Biomedical Engineering, College of Engineering, Peking University, Beijing 100871, China.

²Deapartment of Orthopaedics, The Third Xiangya Hospital, Central South University, Changsha 410013, China.

Correspondence: Min Hu. hu15084737958@139.com

Correspondence: Bo Liu. Liu1367251@163.com

Received 7 November 2013 Revised 8 July 2015 Accepted 3 January 2016

(open-access, http://creativecommons.org/licenses/by-nc/4.0):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Resveratrol, a phytoalexin, is reported to activate AMP-activated protein kinase (AMPK) in vascular cells. The blood-brain barrier (BBB), formed by specialized brain endothelial cells that are interconnected by tight junctions, strictly regulates paracellular permeability to maintain an optimal extracellular environment for brain homeostasis. The aim of this study was to elucidate the effects of resveratrol and the role of AMPK in BBB dysfunction induced by lipopolysaccharide (LPS). Exposure of human brain microvascular endothelial cells (HBMECs) to LPS (1 µg/ml) for 4 to 24 hours week dramatically increased the permeability of the BBB in parallel with lowered expression levels of occluding and claudin-5, which are essential to maintain tight junctions in HBMECs. In addition, LPS significantly increased the reactive oxygen species (ROS) productions. All effects induced by LPS in HBVMCs were reversed by adenoviral overexpression of superoxide dismutase, inhibition of NAD(P) H oxidase by apocynin or gain-function of AMPK by adenoviral overexpression of constitutively active mutant (AMPK-CA) or by resveratrol. Finally, upregulation of AMPK by either AMPK-CA or resveratrol abolished the levels of LPS-enhanced NAD(P)H oxidase subunits protein expressions. We conclude that AMPK activation by resveratrol improves the integrity of the BBB disrupted by LPS through suppressing the induction of NAD(P)H oxidase-derived ROS in HBMECs.

Go to :

Keywords: AMPK, Blood -brain barrier, LPS, NAD(P)H oxidase, Resveratrol

INTRODUCTION

The polyphenol resveratrol is enriched in the skins of red grapes [1 2]. It has attracted increasing scientific attention due to its cardiovascular benefits and potent antitumor activity [3 4]. In obese rodents, resveratrol treatment produces various health benefits, including enhanced vascular function, decreased restenosis and hypertension, reduced inflammation and a gene expression pattern resembling that which occurs during caloric restriction [5 6 7]. Despite the significance of resveratrol for protecting against cardiovascular diseases, whether and how resveratrol produces these beneficial effects are still poorly understood.

The blood-brain barrier (BBB) protects the brain from potentially neurotoxic substances and facilitates the exchange of nutrients and waste products between the brain and the blood, thus maintaining an optimal extracellular environment for neuronal function [8]. A major role of the BBB is strict regulation of paracellular permeability. This is primarily mediated by the tight junctions between endothelial cells of the capillary, which restrict paracellular movement of solutes, ions, and water. Tight junctions are dynamic and highly regulated structures, and decreased tight-junction protein expression or variations in subcellular localization are associated with alterations in paracellular permeability [9 10].

The AMP-activated protein kinase (AMPK) is a heterotrimeric protein composed of α, β, and γ subunits [11]. The β subunit imparts catalytic activity, while the γ subunit contains a glycogen-binding domain that also regulates the activity and the γ subunit forms the broad base of the protein and is required for AMP binding. AMPK is well-conserved among eukaryotic cells [12 13]. Previous studies indicated that AMPK can be activated by resveratrol [14] and its activation counteracts oxidative stress by suppressing NAD(P)H oxidase-derived reactive oxygen species (ROS) production in endothelial cells [15 16]. At present, the specific signaling pathways within brain endothelial cells that target disengagement of the tight junction remain elusive. We hypothesized that AMPK activation via suppression of ROS contributes to the maintenance of the BBB integrity. Here we provide evidences that LPS regulates tight-junction dynamics in brain endothelial cells via NAD(P)H oxidase-derived ROS and show that AMPK activation by protects tight-junction proteins, and consequently BBB integrity, by suppressing the expression of NAD(P)H oxidase.

Go to :

METHODS

Reagents

Human brain microvascular endothelial cells (HBMECs), cell culture media, and growth supplements were obtained from Sciencell (Carlsbad, CA, USA). Primary antibodies against phospho-AMPKα (Thr-172), AMPKα, GAPDH, and all secondary antibodies were obtained from Cell Signaling Technology (Danvers, MA, USA). Antibodies against occludin and anti-claudin-5 were from Invitrogen Life Technologies (Carlsbad, CA, USA). Antibodies against the NAD(P)H oxidase subunits (p47^phox, p67^phox) were from Santa Cruz Biotechnology (Santa Cruz, CA, USA). FITC-dextran was from Sigma–Aldrich (St. Louis, MO, USA). A stock solution of LPS (Escherichia coli O111:B4; Calbiochem, Germany) was prepared in PBS. The concentration of LPS was selected to mimic sepsis [17].

Cell culture

HBMECs were cultured in endothelial cell medium mixed with astrocyte-conditioned medium (1:1). All cells were incubated at 37℃ in a humidified atmosphere of 5% CO₂ and 95% air. Confluent cells were maintained in 1% fetal calf serum and exposed to LPS after overnight starvation. In all experiments, cells were used between passages 3 and 8.

Adenovirus infection

HBMECs were infected with adenoviruses encoding Cu-Zn-SOD, green fluorescent protein (GFP), or constitutively active AMPK (AMPK-CA) (multiplicity of infection 50) as described previously [16]. Under these conditions, the infection efficiency was typically >80% as determined by green fluorescent protein expression.

Measurement of ROS

Intracellular ROS was measured using the dihydroethidium fluorescence/HPLC assay with minor modifications [18]. Briefly, before the end of experiment, HBMECs were incubated with 0.5 µM dihydroethidium for 30 min. After incubation, the cells were harvested and extracted with methanol. Oxyethidium (a product of dihydroethidium and superoxide anions) and ethidium (a product of dihydroethidium autoxidation) were separated and quantified by C-18 HPLC column (mobile phase: gradient of acetonitrile and 0.1% trifluoroacetic acid) coupled with a fluorescence detector. Superoxide anion production was determined by the conversion of dihydroethidium into oxyethidium.

Permeability of the BBB in vitro

HBMECs were cultured on Costar Transwell filters (pore size 0.4 µm; Corning, NY, USA) that were coated on the upper side with fibronectin (Sigma–Aldrich) in endothelial cell growth medium mixed with astrocyte-conditioned medium at a 1:1 ratio as described previously [19]. Permeability for FITC-dextran (150 kDa) was assayed as described previously. At various time points after LPS treatment, samples were collected from the acceptor chambers for measurement of fluorescence intensity at excitation 485 nm and emission 520 nm using a microplate reader (Synergy HT; BioTek Instruments, Winooski, VT, USA).

Determination of trans-endothelial electrical resistance

Determination of trans-endothelial electrical resistance across the monolayer of HBMECs was measured using the Millicell-ERS (Millipore). Briefly, 250 µl of cell suspension (8×10⁵ cells/ml) was seeded in each collagen-coated well. When confluent monolayer reached maximum resistance (150 Ω/cm²), the endothelial integrity of HBMECs treated with or without LPS was measured in real time as described previously [19]. Values are presented as Ω/cm² of culture well. The trans-endothelial electrical resistance of cell-free wells was subtracted from the obtained values.

Western blotting

Cells were washed with phosphate-buffered saline (PBS) and homogenized in RIPA lysis buffer (Cell Signaling Technology). Cell lysates were sonicated twice for 10 s in an ultrasonic dismembrator with 10% output (Model 500; Fisher Scientific) and centrifuged at 14,000 g for 20 min at 4℃. The supernatants were subjected to Western blot analysis, as described previously. GAPDH was used as an internal control.

Measurement of NAD(P)H oxidase activity

NAD(P)H oxidase activity was measured as described pre viously [19]. Briefly, 20 µg protein was incubated with dihydroethidium (10 µM) and DNA (1.25 µg/ml) in PBS with the addition of NAD(P)H (50 µM), in a final volume of 120 µl. Incubations were performed for 30 min at 37℃ in the dark. Fluorescence intensity was recorded in a microplate reader (excitation 490 nm and emission 590 nm).

Statistical analysis

Data are expressed as means±SEM of the mean unless otherwise noted. Statistical comparison was performed using a one-way analysis of variance followed the Student-Newman-Keuls test using SPSS 10.0 software. Differences were considered significant at p<0.05.

Go to :

RESULTS

LPS disrupted BBB integrity

We first determined the effect of LPS on the paracellular permeability in cultured HBMEC monolayer on Transwell filters. As depicted in Fig. 1A, 1 µg/ml LPS significantly increased the leakage of FITC-dextran of 150 kDa from 8 hours and reached the maximal effect at 24 hours.

Fig. 1

LPS decreases blood-brain barrier integrity and reduces the expression of tight-junction proteins in human brain microvascular endothelial cells (HBMECs).

(A) Confluent monolayer of HBMECs was cultured on Transwell filters and the diffusion of FITC-conjugated dextran (150 kDa; 100 µg/ml) in LPS (1 µg/ml) was measured at various time points. Control was set up as 100%. Data are expressed as the mean±SEM. N is 5 in each group. ^*p<0.05 vs control. (B) Trans-endothelial electrical resistance was measured in real time in confluent monolayer of HBMECs. Control was set up as 100%. Data are expressed as the mean±SEM. N is 5 in each group. ^*p<0.05 vs control. (C) Representative Western blot of tight-junction proteins (occludin and claudin-5). The blot is representative of three blots from three independent experiments. ^*p<0.05 vs control.

To investigate the influence of LPS on the integrity of the BBB in vitro, trans-endothelial electrical resistance of confluent human brain endothelial monolayer was measured at various time points after LPS exposure. As shown in Fig. 1B, LPS reduced trans-endothelial electrical resistance across a monolayer of human brain microvascular endothelial cells in a time-dependent manner.

LPS reduced expressions of tight-junction proteins

BBB integrity is mainly dependent on the presence of tight junctions [20]. Therefore, LPS-induced alterations in tight junctions may be responsible for the increased BBB permeability. To determine the effects of LPS on tight junctions in brain endothelium, we measured real-time dynamics of the expression of the tight-junction proteins, such as occludin and claudin-5, which are essential for tight-junction maintenance. As shown in Fig. 1C, expression levels of claudin-5 and occludin were significantly decreased by LPS from 8 hours treatment. These results suggest that BBB leakage under sepsis condition was due to the loss of tight-junction proteins.

LPS increased production of superoxide anions

Evidences have indicated that ROS disrupts endothelial cell tight junctions, resulting in increased paracellular permeability [21]. To determine whether ROS caused the tight-junction alterations induced by LPS, we next assayed superoxide anion levels in HBMECs after exposure to LPS. Exposure to LPS time-dependently caused a greater production of superoxide anions in HBMECs (Fig. 2A).

Fig. 2

Reactive oxygen species (ROS) mediates LPS-reduced tight-junction protein expressions in human brain microvascular endothelial cells (HBMECs).

(A) Confluent monolayer of HBMECs were cultured in LPS (1 µg/ml) was measured at various time points. ROS productions were assayed by DHE fluorescence. Data are expressed as the mean±SEM. N is 5 in each group. ^*p<0.05 vs control. (B and C) Cultured HBMECs were infected with adenovirus containing superoxide dismutase (SOD) for 48 hours and then exposure to LPS of 1 µg/ml for 24 hours. (B) Superoxide anion productions and (C) levels of occludin and claudin-5 expression were measured. N is 5 in each group. ^*p<0.05 vs control.

Overexpression of SOD prevented LPS-induced reduction of tight-junction proteins

To further confirm whether the loss of tight-junction proteins was induced by ROS, HBMECs were infected with adenoviruses encoding Cu-Zn-SOD, a major antioxidant enzyme. In Fig. 2B and 2C, overexpression of Cu-Zn-SOD abolished the reduction of occludin and claudin-5 expressions in LPS-treated HBMECs, as well as increased ROS production. Taken together, these results suggest that the suppression of tight-junction proteins by LPS is mediated by superoxide anions.

Inhibition of NAD(P)H oxidase attenuated LPS-induced reduction of tight-junction proteins

To study the role of NAD(P)H oxidase in ROS-induced tight-junction alterations, we measured NAD(P)H oxidase activity in HBMECs after exposure to LPS. As shown in Fig. 3A, the activity of NAD(P)H oxidase was markedly increased by LPS. Apocynin, a potent pharmacologic inhibitor of NAD(P)H oxidase, significantly reduced the LPS-induced increase in ROS productions (Fig. 3B).

Fig. 3

LPS decreases tight-junction protein levels via upregulation of NAD(P)H oxidase in microvascular endothelial cells.

(A) Confluent monolayer of HBMECs were cultured in LPS (1 µg/ml) was measured at various time points. NAD(P)H oxidase activity was was assayed by DHE fluorescence. Data are expressed as the mean±SEM. N is 5 in each group. ^*p<0.05 vs control. (B and C) Cultured HBMECs were pretreated with apocynin (10 µM) for 30 mins and then co-incubated with LPS (1 µg/ml) for 24 hours. (B) ROS productions were detected by DHE. N is 5 in each group. ^*p<0.05 vs control. NS indicates no significance. (C) Levels of occludin and claudin-5 expression were measured by Western blot. The blot is representative of three blots from three independent experiments. ^*p<0.05 vs control. ^#p<0.05 vs LPS alone.

We further determined whether pharmacological inhibition of NAD(P)H oxidase affected the levels of tight-junction proteins. As expected, apocynin significantly attenuated the reduction in occludin and claudin-5 caused by LPS (Fig. 3C). Taken together, these results suggest that LPS reduces the level of tight-junction proteins via NAD(P)H oxidase.

AMPK activation by resveratrol inhibited LPS-induced oxidative stress in HBMECs

AMPK is reported to play a key role in maintaining redox homeostasis in endothelial cells, and inhibition of AMPK causes aberrant oxidative stress [22 23]. We therefore examined whether alteration of AMPK activity affected ROS productions after exposure of HBMECs to LPS. As expected, resveratrol, which is a known AMPK activator [24], significantly increased AMPK and ACC phosphorylations (Fig. 4A), consistent with other reports [25 26]. Importantly, AMPK activation by resveratrol attenuated the LPS-induced elevation of ROS productions (Fig. 4B). Consistently, adenoviral overexpression of AMPK-CA mutants, but not the GFP control, significantly decreased the induction of superoxide anions by LPS (Fig. 4C).

Fig. 4

AMPK activation by resveratrol reduces LPS-enhanced production of reactive oxygen species in HBMECs.

(A) Cultured HBMECs were treated with resveratrol (10 µM) for 24 hours. The levels of pAMPK and pACC were measured by Western blotting. The picture is a representative picture from 3 independent experiments. (B) Cultured HBMECs were pretreated with resveratrol (10 µM) for 30 min and then co-incubated with LPS (1 µg/ml) for 24 hours. ROS productions were measured by DHE/HPLC. Data are expressed as the mean±SEM. N is 5 in each group. ^*p<0.05 vs control. ^#p<0.05 vs LPS alone. (C) Cultured HBMECs were infected with adenovirus containing constitutively active AMPK (AMPK-CA) mutant for 48 hours and then incubated with LPS (1 µg/ml) for 24 hours. ROS productions were measured by DHE/HPLC. Data are expressed as the mean±SEM. N is 5 in each group. ^*p<0.05 vs GFP alone. ^#p<0.05 vs LPS alone.

Resveratrol via AMPK activation prevented LPS-induced reduction in tight-junction proteins

Next, we examined the effects of resveratrol on tight-junction proteins. To determine whether AMPK activation by resveratrol can prevent loss of tight-junction proteins, we tested the effects of resveratrol on the expression of occludin and claudin-5 after LPS exposure. As expected, resveratrol significantly alleviated the LPS-induced loss of tight-junction proteins (Fig. 5A), and improved the morphology of tight junction as determined by staining F-actin (Fig. 5B).

Fig. 5

AMPK activation by resveratrol prevents LPS-induced loss of tight-junction proteins.

(A~C) Cultured HBMECs were pretreated with resveratrol (10 µM) for 30 min and then co-incubated with LPS (1 µg/ml) for 24 hours. (A) Expressions of tight junction protein, occludin and claudin-5, were measured by Western blot. Data are expressed as the mean±SEM. N is 3 in each group. ^*p<0.05 vs control. ^#p<0.05 vs LPS alone. NS indicates no significance. (B)The morphology of tight-junction was determined by using staining F-actin. (C) Double-labeled immunofluorescence analysis of E-Cadherin (green) and N-Cadherin (red) proteins. Blue, DAPI stained nucleus. (D) Cultured HBMECs were infected with adenovirus containing constitutively active AMPK (AMPK-CA) mutant for 48 hours and then incubated with LPS (1 µg/ml) for 24 hours. Expressions of tight junction protein, occludin and claudin-5, were measured by Western blot. Data are expressed as the mean±SEM. N is 3 in each group. ^*p<0.05 vs GFP alone. NS indicates no significance.

The cadherin family, E-cadherin and N-cadherin, share many structural and functional features, which establish Ca²⁺-dependent homophilic cell-cell adhesion with their extracellular domains and connect with catenin at their intracellular domains [27]. In this study, the effects of resveratrol on expression and distribution of E-cadherin and N-cadherin were examined by immunofluorescence. As shown in Fig. 5C, resveratrol could markedly increase the expression of E-cadherin, but did not affect N-cadherin expression. There are no obvious changes of localization could be found.

To exclude potential off-target effects of resveratrol, we also investigated the effects of AMPK on tight-junction proteins using genetic approaches. Adenoviral overexpression of AMPK-CA mutants accentuated the reduction in tight-junction proteins caused by LPS (Fig. 5D).

AMPK activation prevented LPS-induced upregulation of NAD(P)H oxidase

NAD(P)H oxidase consists of membrane-bound gp91^phox and p22^phox as well as cytosolic subunits such as p47^phox, p67^phox, and small GTPase Rac1 [16 28 29]. As AMPK activation suppressed LPS-induced ROS productions and the loss of tight junctions in HBMECs, we next determined whether these effects of AMPK were mediated by decreasing NAD(P)H oxidase. As expected, activation of AMPK with resveratrol significantly alleviated the increased expressions of the essential subunits of p67^phox and p47^phox caused by LPS in HBMECs (Fig. 6A). Consistently, overexpression of AMPK-CA prevented LPS-induced upregulations of p67^phox and p47^phox (Fig. 6B). Taken together, these data suggest that AMPK activation maintains the levels of tight-junction proteins in HBMECs by inhibiting LPS-enhanced NAD(P)H oxidase expression.

Fig. 6

AMPK activation prevents LPS-induced upregulation of NAD(P)H oxidase subunits.

(A) Cultured HBMECs were pretreated with resveratrol (10 µM) for 30 min and then co-incubated with LPS (1 µg/ml) for 24 hours. Expressions of NAD(P)H oxidase subunits, p47phox and p67phox, were measured by Western blot. Data are expressed as the mean±SEM. N is 3 in each group. ^*p<0.05 vs control. ^#p<0.05 vs LPS alone. NS indicates no significance. (B) Cultured HBMECs were infected with adenovirus containing constitutively active AMPK (AMPK-CA) mutant for 48 hours and then incubated with LPS (1 µg/ml) for 24 hours. Expressions of NAD(P)H oxidase subunits, p47^phox and p67^phox, were measured by Western blot. Data are expressed as the mean±SEM. N is 3 in each group. ^*p<0.05 vs GFP alone. NS indicates no significance. (C) Proposed molecular mechanism for protective effect of AMPK activation on BBB integrity.

Go to :

DISCUSSION

The most important findings of this study is that LPS reduces the levels of tight-junction proteins. Additionally, we found that LPS significantly increased levels of ROS and that adenoviral overexpression of SOD significantly attenuated the LPS-induced suppression of tight-junction proteins. Thus, it is likely that the LPS-induced reduction in tight-junction proteins is mediated by endogenous ROS. Our observations are consistent with previous studies indicating that oxidative stress disrupts endothelial tight junctions, resulting in increased paracellular permeability [30]. In this study, we also found that administration of LPS to monolayer of HBMECs induced a time-dependent decrease in the trans-endothelial electrical resistance, accompanied by an enhanced permeability of the monolayer to the hydrophilic model compound FITC-dextran. Tight-junction proteins are the main determinants of low permeability and high electrical resistance in vitro. Consistently, our studies revealed that treatment of HBMEC monolayer with LPS resulted in a time-dependent decrease in tight-junction protein expression, which paralleled the decreased trans-endothelial electrical resistance and the increased amount of FITC-dextran that crossed the monolayer. Indeed, published studies [28 29] have shown that diseases of the periphery, such as diabetes, have deleterious effects on the BBB that may contribute to the increased risk of cerebrovascular disease and neurodegeneration associated with these conditions.

Another important finding of this study is that resveratrol prevents LPS-induced BBB dysfunction. AMPK is known to play a key role in endothelial cell biology. In this study, we found that AMPK activity declined upon long-term exposure to LPS. Activation of AMPK by resveratrol suppressed ROS productions and reversed the tight-junction protein levels. Moreover, we have identified NAD(P)H oxidase as the main source of ROS induced by LPS. Our data showed that expression of NAD(P)H oxidase subunits was unregulated in the presence of LPS. Accordingly, inhibition of NAD(P)H oxidase abolished ROS productions and consequently significantly reversed the level of tight-junction proteins. Importantly, resveratrol markedly decreased the unregulated expression of NAD(P)H oxidase subunits, suggesting that the effects of resveratrol on tight-junction protein levels are directly mediated by inhibition of NAD(P)H oxidase-derived ROS. Indeed, recent studies suggest that AMPK activation improves endothelial function by counteracting oxidative stress in endothelial cells [31].

In summary, our results suggest that LPS disrupts the expression of tight-junction proteins in the BBB via production of ROS and that activation of AMPK by resveratrol helps to maintain the integrity of the BBB by suppression of NAD(P) H oxidase (Fig. 6C). Thus, AMPK might be important in maintaining the integrity of the BBB in patients with sepsis and AMPK inhibition might play an important role in the initiation and progression of neurological disorders in diabetes.

Go to :

Notes

CONFLICTS OF INTEREST: The authors declare no conflicts of interest.

Author contributions: M.H. performed all experiments, analyzed the data, and wrote the manuscript. B.L. conceived the project and revised the manuscript.

Go to :

References

1. Lee BH, Choi SH, Hwang SH, Kim HJ, Lee JH, Nah SY. Resveratrol inhibits GABAC ρ receptor-mediated ion currents expressed in xenopus oocytes. Korean J Physiol Pharmacol. 2013; 17:175–180. PMID: 23626481.

2. Xu Q, Si LY. Resveratrol role in cardiovascular and metabolic health and potential mechanisms of action. Nutr Res. 2012; 32:648–658. PMID: 23084637.

3. Signorelli P, Ghidoni R. Resveratrol as an anticancer nutrient: molecular basis, open questions and promises. J Nutr Biochem. 2005; 16:449–466. PMID: 16043028.

4. Jang M, Cai L, Udeani GO, Slowing KV, Thomas CF, Beecher CW, Fong HH, Farnsworth NR, Kinghorn AD, Mehta RG, Moon RC, Pezzuto JM. Cancer chemopreventive activity of resveratrol, a natural product derived from grapes. Science. 1997; 275:218–220. PMID: 8985016.

5. Hamza SM, Dyck JR. Systemic and renal oxidative stress in the pathogenesis of hypertension: modulation of long-term control of arterial blood pressure by resveratrol. Front Physiol. 2014; 5:292. PMID: 25140155.

6. Cheng PW, Ho WY, Su YT, Lu PJ, Chen BZ, Cheng WH, Lu WH, Sun GC, Yeh TC, Hsiao M, Tseng CJ. Resveratrol decreases fructose-induced oxidative stress, mediated by NADPH oxidase via an AMPK-dependent mechanism. Br J Pharmacol. 2014; 171:2739–2750. PMID: 24547812.

7. Rahman MA, Kim NH, Kim SH, Oh SM, Huh SO. Antiproliferative and cytotoxic effects of resveratrol in mitochondria-mediated apoptosis in rat b103 neuroblastoma cells. Korean J Physiol Pharmacol. 2012; 16:321–326. PMID: 23118555.

8. Hawkins BT, Davis TP. The blood-brain barrier/neurovascular unit in health and disease. Pharmacol Rev. 2005; 57:173–185. PMID: 15914466.

9. Matter K, Balda MS. Signalling to and from tight junctions. Nat Rev Mol Cell Biol. 2003; 4:225–236. PMID: 12612641.

10. Feldman GJ, Mullin JM, Ryan MP. Occludin: structure, function and regulation. Adv Drug Deliv Rev. 2005; 57:883–917. PMID: 15820558.

11. Wang S, Xu J, Song P, Viollet B, Zou MH. In vivo activation of AMP-activated protein kinase attenuates diabetes-enhanced degradation of GTP cyclohydrolase I. Diabetes. 2009; 58:1893–1901. PMID: 19528375.

12. Wang S, Zhang C, Zhang M, Liang B, Zhu H, Lee J, Viollet B, Xia L, Zhang Y, Zou MH. Activation of AMP-activated protein kinase α2 by nicotine instigates formation of abdominal aortic aneurysms in mice in vivo. Nat Med. 2012; 18:902–910. PMID: 22561688.

13. Kim SJ, Lee JH, Chung HS, Song JH, Ha J, Bae H. Neuroprotective effects of AMP-activated protein kinase on scopolamine induced memory impairment. Korean J Physiol Pharmacol. 2013; 17:331–338. PMID: 23946693.

14. Price NL, Gomes AP, Ling AJ, Duarte FV, Martin-Montalvo A, North BJ, Agarwal B, Ye L, Ramadori G, Teodoro JS, Hubbard BP, Varela AT, Davis JG, Varamini B, Hafner A, Moaddel R, Rolo AP, Coppari R, Palmeira CM, de Cabo R, Baur JA, Sinclair DA. SIRT1 is required for AMPK activation and the beneficial effects of resveratrol on mitochondrial function. Cell Metab. 2012; 15:675–690. PMID: 22560220.

15. Song P, Wang S, He C, Wang S, Liang B, Viollet B, Zou MH. AMPKα2 deletion exacerbates neointima formation by upregulating Skp2 in vascular smooth muscle cells. Circ Res. 2011; 109:1230–1239. PMID: 21980125.

16. Wang S, Zhang M, Liang B, Xu J, Xie Z, Liu C, Viollet B, Yan D, Zou MH. AMPKalpha2 deletion causes aberrant expression and activation of NAD(P)H oxidase and consequent endothelial dysfunction in vivo: role of 26S proteasomes. Circ Res. 2010; 106:1117–1128. PMID: 20167927.

17. Cardoso FL, Kittel A, Veszelka S, Palmela I, Tóth A, Brites D, Deli MA, Brito MA. Exposure to lipopolysaccharide and/or unconjugated bilirubin impair the integrity and function of brain microvascular endothelial cells. PLoS One. 2012; 7:e35919. PMID: 22586454.

18. Wang S, Xu J, Song P, Wu Y, Zhang J, Chul Choi H, Zou MH. Acute inhibition of guanosine triphosphate cyclohydrolase 1 uncouples endothelial nitric oxide synthase and elevates blood pressure. Hypertension. 2008; 52:484–490. PMID: 18645049.

19. Liu C, Wu J, Zou MH. Activation of AMP-activated protein kinase alleviates high-glucose-induced dysfunction of brain microvascular endothelial cell tight-junction dynamics. Free Radic Biol Med. 2012; 53:1213–1221. PMID: 22796592.

20. Liu WY, Wang ZB, Zhang LC, Wei X, Li L. Tight junction in blood-brain barrier: an overview of structure, regulation, and regulator substances. CNS Neurosci Ther. 2012; 18:609–615. PMID: 22686334.

21. Schreibelt G, Kooij G, Reijerkerk A, van Doorn R, Gringhuis SI, van der Pol S, Weksler BB, Romero IA, Couraud PO, Piontek J, Blasig IE, Dijkstra CD, Ronken E, de Vries HE. Reactive oxygen species alter brain endothelial tight junction dynamics via RhoA, PI3 kinase, and PKB signaling. FASEB J. 2007; 21:3666–3676. PMID: 17586731.

22. Song P, Zou MH. Regulation of NAD(P)H oxidases by AMPK in cardiovascular systems. Free Radic Biol Med. 2012; 52:1607–1619. PMID: 22357101.

23. Salminen A, Hyttinen JM, Kaarniranta K. AMP-activated protein kinase inhibits NF-κB signaling and inflammation: impact on healthspan and lifespan. J Mol Med (Berl). 2011; 89:667–676. PMID: 21431325.

24. Guo S, Yao Q, Ke Z, Chen H, Wu J, Liu C. Resveratrol attenuates high glucose-induced oxidative stress and cardiomyocyte apoptosis through AMPK. Mol Cell Endocrinol. 2015; 412:85–94. PMID: 26054749.

25. Yoshino J, Conte C, Fontana L, Mittendorfer B, Imai S, Schechtman KB, Gu C, Kunz I, Rossi Fanelli F, Patterson BW, Klein S. Resveratrol supplementation does not improve metabolic function in nonobese women with normal glucose tolerance. Cell Metab. 2012; 16:658–664. PMID: 23102619.

26. Penumathsa SV, Thirunavukkarasu M, Zhan L, Maulik G, Menon VP, Bagchi D, Maulik N. Resveratrol enhances GLUT-4 translocation to the caveolar lipid raft fractions through AMPK/Akt/eNOS signalling pathway in diabetic myocardium. J Cell Mol Med. 2008; 12:2350–2361. PMID: 18266981.

27. Gumbiner BM. Regulation of cadherin-mediated adhesion in morphogenesis. Nat Rev Mol Cell Biol. 2005; 6:622–634. PMID: 16025097.

28. Pasquier F, Boulogne A, Leys D, Fontaine P. Diabetes mellitus and dementia. Diabetes Metab. 2006; 32:403–414. PMID: 17110895.

29. Ristow M. Neurodegenerative disorders associated with diabetes mellitus. J Mol Med (Berl). 2004; 82:510–529. PMID: 15175861.

30. Li GX, Wang XM, Jiang T, Gong JF, Niu LY, Li N. Berberine prevents intestinal mucosal barrier damage during early phase of sepsis in rat through the toll-like receptors signaling pathway. Korean J Physiol Pharmacol. 2015; 19:1–7. PMID: 25605990.

31. Wang S, Song P, Zou MH. AMP-activated protein kinase, stress responses and cardiovascular diseases. Clin Sci (Lond). 2012; 122:555–573. PMID: 22390198.

Go to :