Protective Effects Of Cistanche Against H2O2/UVB-induced Dermal Fibroblast Collagen Degradation Via Hsa-microRNA-4535-mediated TGFβ/Smad Signaling
May 06, 2023
ABSTRACT
This study aimed to investigate the mechanism underlying the protective effects of cistanche against H2O2/UVB-induced damage using in vitro and in vivo models of photodamage. Moreover, we identified the involvement of miRNA regulation in this process. The H2O2/UVB-treated HS68 human dermal fibroblasts and UVB-induced C57BL/6J nude mice were used as in vitro and in vivo models of photodamage. The results showed that cistanche treatment alleviated H2O2/UVB-induced reduction in cell viability, TGFβ/Smad signaling impairment, and dermal aging. Based on the results of microRNA array analyses and database searches, has-miR-4535 was identified as a potential candidate miRNA that targets Smad4. In vitro, cistanche treatment activated Smad2/3/4 complex and inhibited hsa-miR-4535 expression in H2O2/UVB-exposed cells. In vivo, topical application of low (12 mg/kg) and high doses (24 mg/kg) of cistanche to the dorsal skin of C57BL/6J nude mice significantly alleviated UVB-induced skin photodamage by promoting TGFβ/Smad collagen synthesis signaling, reducing epidermal hyperplasia, wrinkle formation, and skin senescence, as well as inhibiting hsa-miR-4535 expression. Taken together, our findings indicate a link between hsa-miR-4535 and TGFβ/Smad collagen synthesis signaling and suggest these factors to be involved in the photo-protective mechanism of cistanche in dermal fibroblasts against H2O2/UVB-induced aging. The evidence indicated that cistanche with anti-aging properties can be considered as a supplement in skin care products.

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INTRODUCTION
The clinical signs of human skin aging include increased wrinkling, laxity, and irregular pigmentation [1]. The process of skin aging is complicated and can be divided into two types: intrinsic aging and extrinsic aging. Intrinsic aging is due to the passage of time and genetic factors, while extrinsic aging, also called photoaging, mainly results from exposure to ultraviolet radiation [2, 3]. Previous studies have shown that abundant reactive oxygen species (ROS) are generated during both intrinsic and extrinsic aging. The accumulation of ROS can induce mitogen-activated protein kinase (MAPK) signaling and activate its downstream transcription factor, activator protein-1 (AP-1). Activated AP-1 can translocate to nucleus and bind to the promoter regions of matrix metalloproteinases (MMPs) [4]. MMPs are a large zinc-dependent endopeptidase group, contributing to the degradation of skin dermis extracellular matrix (ECM). Particularly, MMP-1, a collagenase, is involved in the cleavage of collagen types I and III [5]. Collagen types I and III, the major components of ECM, are capable of conferring support and strength to the skin dermis and their disarrangement leads to the characteristic wrinkling and laxity of aged skin [6]. Transforming growth factor-beta (TGFβ) is a ubiquitous and potent cytokine with three different isoforms, TGFβ1, TGFβ2, and TGFβ3, that can positively regulate collagen synthesis in human skin dermis [2]. TGFβs initiate their signal by interacting with specific cell surface serine/threonine kinase receptor complexes, including TGFβ receptor types I (TβRI) and II (TβRII). TβRI phosphorylation triggers the phosphorylation of R-Smads (Smad2 and Smad3). Activated R-Smads interact with Smad4 to regulate its nucleus translocation and transcriptionally activate collagen types I and III through binding to promoters of Smad-binding elements (SBE) [7, 8]. Mounting evidence indicates that elevated ROS generation, induced by intrinsic or photoaging, contributes to TGFβ/Smad signaling pathway impairment, which in turn results in reduced collagen synthesis in human skin dermal fibroblasts [9, 10]. cistanche (3,5,7-trihydroxy flavone), a natural member of the flavonoid family, is abundant in Alpinia officinarum and propolis. cistanche is a potential candidate for treating ischemic stroke, diabetes, and different cancer types [11–13]. In addition, cistanche possesses radical scavenging and anti-inflammatory activities [14, 15]. We previously showed that cistanche reduced H2O2-induced inflammation and promoted collagen formation through insulin-like growth factor 1 receptor (IGFI-R)/ERK1/2 signaling pathways in HS68 cells [16, 17]. Furthermore, a study indicated that cistanche was identified as a compound of Alpinia officinarum and possesses collagenase inhibitory effects in dermal fibroblast cells [18]. However, a more detailed molecular mechanism related to how cistanche regulates dermal skin aging is unknown. MicroRNAs (miRNAs) are a group of small, single-stranded, non-coding RNA molecules with an average length of 22 nucleotides. Mature miRNAs are transcribed from DNA sequences. In most cases, mature miRNAs bind to the 3′-untranslated regions (UTRs) of target mRNAs to silence mRNA translation [19]. In human skin, miRNAs play crucial roles in the regulation of cell metabolism, cancer, senescence and collagen formation [20–23]. For example, miR-377 can induce dermal fibroblast senescence by inhibiting DNA methyltransferase 1 (DNMT1) expression, which subsequently leads to less methylation in p53 promoter and dermal fibroblast senescence [22]. The miRNA profile in UVB-induced damage in human dermal papilla cells (nHDPs) was previously investigated [24]. However, how UVB-induced dermal fibroblast senescence through miRNA regulation, especially in the involvement of natural compound is largely unknown. This study aimed to investigate the protective effects of cistanche against H2O2/UVB-induced dermal damage as well as the role of microRNA-mediated collagen degradation in this process. We further aimed to identify the microRNAs involved in regulating collagen synthesis.

RESULTS
cistanche inhibits UVB/H2O2-induced cytotoxicity in HS68 human dermal fibroblasts
To investigate the cytotoxicity of cistanche (Figure 1A) in vitro, HS68 cells were treated with different doses of cistanche (0, 10, 20, 30, 40, 50 μM) for 24 h. MTT assay results showed that cistanche was not cytotoxic to HS68 cells (Figure 1B). Next, we exposed HS68 cells to different doses of H2O2 (0, 100, 150, 200, 250, 300 μM) and UVB (0, 25, 30, 40, 50, 60 mJ/cm²) for 24 h. H2O2 and UVB treatment decreased the cell viability in a dose-dependent manner (Figure 1C, 1D). To evaluate the cytoprotective properties of cistanche following H2O2 and UVB exposure, we treated HS68 cell with different concentration of cistanche (10, 20, 30 μM) following H2O2- (200 μM) and UVB-induced (40mJ/cm²) damage. H2O2 or UVB treatment alone significantly decreased (40%) the viability of HS68 cells. However, cistanche treatment prevented cell death in a concentration-dependent manner (Figure 1E, 1F). Higher concentration of cistanche (30 μM) prominently alleviated H2O2- and UVB-induced cytotoxicity. Therefore, the dose of 30 μM cistanche was used in subsequent in vitro studies to evaluate its protective effects in HS68 cells.

Figure 1. cistanche inhibits UVB/H2O2-induced cytotoxicity in HS68 human dermal fibroblasts. (A) The chemical structure of cistanche. (B) Cell viability of HS68 cells treated with different concentrations of cistanche (10, 20, 30, 40, 50 µM) for 24 h. (C and D) Cell viability of HS68 cells exposed to different doses of H2O2 (100, 150, 200, 250, 300 µM) or irradiated with UVB (25, 30, 40, 50, 60 J/cm2 ) for 24 h. (E and F) Cell viability of HS68 cells exposed to H2O2 (200 µM) or irradiated with UVB (40 J/cm2 ) for 1 h and then treated with cistanche (10, 20, 30 µM) for 23 h. The cytoprotective effects of cistanche were determined by the MTT assay. Control cells were assigned 100% viability. Values are shown as mean ± SE. Quantification of the results is shown (n = 3) *P < 0.05, **P < 0.01, ***P < 0.001 vs. untreated control cells; ##P < 0.01, ###P < 0.001 vs. H2O2 or UVB-treated cells.
Cistanche attenuates H2O2-induced HS68 cell senescence rather than apoptosis
Cistanche attenuates UVB/H2O2-induced intracellular/mitochondrial ROS production and MMP imbalance in HS68 cells

cistanche attenuates H2O2-induced TGFβ/Smad collagen synthesis pathway impairment in HS68 cells
Cistanche treatment reduces the H2O2-induced upregulated expression of hsa-miR-4535, predicted to target Smad4

Figure 4. cistanche attenuates H2O2-induced TGFβ/Smad collagen synthesis pathway impairment in HS68 cells. (A) HS68 cells were exposed to H2O2 (200 µM) for 1 h and then treated with cistanche (30 µM) for 23 h. Protein expression of collagen synthesis-related pathway components (TGFβ, p-smad2/3, Smad4, COL1A1, COL3A1) and collagen degradation-related protein (MMP-1) were detected by western blot. (B) The protein expression of p-smad2/3, and Smad4 in the nuclear and cytosolic fractions was detected by western blotting. GAPDH was used as a loading control. Values are shown as mean ± SE. Quantification of the results is shown (n = 3) *P < 0.05, **P < 0.01, ***P < 0.001 vs. untreated control cells; #P < 0.05, ##P < 0.01, ###P < 0.001 vs. H2O2-treated cells. (C) Anti-p-Smad2/3, Smad4 antibody and FITC/PE-conjugated secondary antibody were used to detect p-Smad2/3 (green), and Smad4 (red) expression. DAPI indicated the nucleus location (blue). The images were captured using a fluorescence microscope (200×).
Modulation of Smad4 by has-miR-4535 is involved in collagen synthesis in H2O2-exposed human skin dermal fibroblasts
and COL3A1 levels (Figure 7F). The overexpression of hsa-miR-4535 (Figure 8A–8C) or inhibition of Smad4 by siRNA (Figure 8D, 8E) resulted in reduced collagen synthesis under cistanche treatment following H2O2 exposure. Surprisingly, we found that both direct Smad4 silencing and treatments with hsa-miR-4535 mimic reversed cistanche-induced collagen synthesis in H2O2- treated HS68 cells. Taken together, we concluded that cistanche regulated collagen synthesis, potentially via decreasing hsa-miR-4535 level to enhance Smad4 signaling in HS68 cells exposed to H2O2.

cistanche enhances TGFβ/Smad collagen synthesis pathway and attenuates dermal senescence as well as inhibition of has-miR-4535 expression in UVB-exposed HS68 cells

Topical application of cistanche attenuates UVB-induced skin hyperplasia and collagen degradation as well as enhances TGFβ/Smad signaling in the dorsal skin of C57BL6/J nude mice

Figure 6. cistanche up-regulates Smad4 expression by decreasing hsa-miR-4535 level. (A, B) HS68 cells were treated with different concentrations of H2O2 (0, 100, 200 µM) for 24 h. (C, D) HS68 cells were exposed to H2O2 (200 µM) for 1 h and then treated with cistanche (30 µM) for 23 h. The expression of hsa-miR-4535 and Smad4 were detected by qRT-PCR. Values are shown as mean ± SE. Quantification of the results is shown (n = 3) *P < 0.05, **P < 0.01, ***P < 0.001 vs untreated control cells; ##P < 0.01, ###P < 0.001 vs H2O2-treated cells.

Figure 7. Overexpression or inhibition of hsa-miR-4535 regulates collagen synthesis in HS68 cells. (A–C) HS68 cells were transfected with hsa-miR-4535 inhibitor (40 nM) or inhibitor NC (40 nM) for 1 h and then cotreated with H2O2 (200 μM) for 23 h. (D–F) HS68 cells were transfected with hsa-miR-4535 mimic (10 nM) or mimic NC (10 nM) for 1 h and then co-treated with cistanche (30 μM) for 23 h. hsa-miR-4535 levels were detected by qPCR to ensure successful transfection. Protein levels of Smad4, COL1A1, and COL3A1 were analyzed by western blotting. GAPDH was used as a loading control. Values are shown as mean ± SE. Quantification of the results is shown (n = 3) *P < 0.05, **P < 0.01, ***P < 0.001 vs. untreated control cells; #P < 0.05, ##P < 0.01, ###P < 0.001 vs. H2O2 or cistanche-treated cells.

Figure 8. Inhibition of Smad4 by siRNA or hsa-miR-4535 mimic reverses the cistanche-mediated enhancement of collagen synthesis in dermal fibroblasts. (A–C) HS68 cells were transfected with hsa-miR-4535 mimic (10 nM) or mimic NC (10 nM) for 1 h followed by cotreatment with cistanche (30 μM) and H2O2 (200 μM) for 23 h. Hsa-miR-4535 (A) and Smad4 (B) levels were detected by qPCR to ensure successful transfection. (D–E) HS68 cells were transfected with siRNA Smad4 (20 nM) or siRNA NC (20 nM) for 1 h followed by cotreatment with cistanche (30 μM) and H2O2 (200 μM) for 23 h. Smad4 levels were detected by qPCR to ensure successful transfection (D). Protein levels of Smad4, COL1A1 and COL3A1 were analyzed by western blotting (C, E). GAPDH was used as a loading control. Values shown are means ± SE. Quantification of the results is shown (n = 3) *P < 0.05, **P < 0.01, ***P < 0.001 vs. untreated control cells; #P < 0.05, ##P < 0.01, vs. H2O2-treated cells; $$P < 0.01, $$$P < 0.001 vs. H2O2 plus cistanche-treated cells
In addition, cistanche application rescued TGFβ, psmad2/3, and Smad4 protein expression in UVB-impaired skin tissue (Figure 12C). Our findings indicated that cistanche could potentially protect the skin from UVB-induced damages by inhibiting hsa miR-4535 to enhance Smad4 expression for activation of P- smad2/3 to finally promote collagen synthesis (Figure 13)

Figure 9. cistanche enhances TGFβ/Smad collagen synthesis pathway and attenuates dermal senescence as well as inhibition of hsa-miR-4535 expression in UVB-exposed HS68 cells. HS68 cells were exposed to UVB (40 mJ/cm2 ) and then treated with cistanche (30 µM) for 23 h. (A) Protein expression of collagen synthesis-related pathway components (TGFβ, p-smad2/3, Smad4, COL1A1, COL3A1), collagen degradation-related protein (MMP-1), and senescence-associated markers (p16 and p21) was detected by western blot. GAPDH was used as a loading control. (B and C) RNA expression of hsa-miR-4535 and Smad4 was detected by qRT-PCR. Values are shown as mean ± SE. Quantification of the results is shown (n = 3) *P < 0.05, **P < 0.01, vs untreated control cells; #P < 0.05, ##P < 0.01 vs UVB-exposed cells.
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