Select compounds that function as PPARγ agonists and the food sources.
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More than half of the publishers listed alongside IntechOpen (18 out of 30) are Social Science and Humanities publishers. IntechOpen is an exception to this as a leader in not only Open Access content but Open Access content across all scientific disciplines, including Physical Sciences, Engineering and Technology, Health Sciences, Life Science, and Social Sciences and Humanities.
\\n\\nOur breakdown of titles published demonstrates this with 47% PET, 31% HS, 18% LS, and 4% SSH books published.
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\\n\\nWe are honored to be among such prestigious publishers and we hope to continue to spearhead that growth in our quest to promote Open Access as a true pioneer in OA book publishing.
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Simba Information has released its Open Access Book Publishing 2020 - 2024 report and has again identified IntechOpen as the world’s largest Open Access book publisher by title count.
\n\nSimba Information is a leading provider for market intelligence and forecasts in the media and publishing industry. The report, published every year, provides an overview and financial outlook for the global professional e-book publishing market.
\n\nIntechOpen, De Gruyter, and Frontiers are the largest OA book publishers by title count, with IntechOpen coming in at first place with 5,101 OA books published, a good 1,782 titles ahead of the nearest competitor.
\n\nSince the first Open Access Book Publishing report published in 2016, IntechOpen has held the top stop each year.
\n\n\n\nMore than half of the publishers listed alongside IntechOpen (18 out of 30) are Social Science and Humanities publishers. IntechOpen is an exception to this as a leader in not only Open Access content but Open Access content across all scientific disciplines, including Physical Sciences, Engineering and Technology, Health Sciences, Life Science, and Social Sciences and Humanities.
\n\nOur breakdown of titles published demonstrates this with 47% PET, 31% HS, 18% LS, and 4% SSH books published.
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\n\nAdditionally, each book published by IntechOpen contains original content and research findings.
\n\nWe are honored to be among such prestigious publishers and we hope to continue to spearhead that growth in our quest to promote Open Access as a true pioneer in OA book publishing.
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\r\n\tAt present days the expeditious growth of technology and the global population leads to the intemperance of natural gas and fossil fuels. The adequate solution to this issue is energy conversion. Renewable energy resources such as hydropower, wind, tribo, geothermal are most sustainable. In most cases, the wasted energy in day-to-day living is effectively converted into a consumable form of energy. For example, scavenging electrical energy from small-scale physical change with the help of a triboelectric nanogenerator. A greater number of techniques facilitate energy conversion in both the macro and nano units. Hydroelectric, geothermal, electrochemical conversion is widely used energy conversion methods. Meanwhile piezoelectric, triboelectric are blooming techniques in nano energy conversion. This book will intend to provide an overview of existing energy conversion techniques and prominently focus on the development of nano energy conversion to overcome small-scale energy exhaustion. Also features the importance of energy conversion and energy storage systems
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Member of Royal Society of Chemistry and holder of 3 Korean registered patents.",coeditorOneBiosketch:null,coeditorTwoBiosketch:null,coeditorThreeBiosketch:null,coeditorFourBiosketch:null,coeditorFiveBiosketch:null,editors:[{id:"226215",title:"Prof.",name:"Arunkumar",middleName:null,surname:"Chandrasekhar",slug:"arunkumar-chandrasekhar",fullName:"Arunkumar Chandrasekhar",profilePictureURL:"https://mts.intechopen.com/storage/users/226215/images/system/226215.jfif",biography:"Arunkumar Chandrasekhar, Ph.D., is currently an Assistant Professor in the Department of Sensors and Biomedical Technology, Vellore Institute of Technology, India. He worked as a postdoctoral researcher at the Nanomaterials and Systems Laboratory, South Korea. He obtained his Ph.D. in Mechatronics Engineering from Jeju National University, South Korea, where he was a recipient of a scholarship from the Korean Government Scholarship Program. Dr. Chandrasekhar also received the prestigious Brain Korea 21+ Business Research Award from the Ministry of Education for excellence in research work. 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The mechanism of organelle autophagy in cells undergoing macro-autophagy (from here on termed autophagy) is poorly understood. Cytoplasm, misfolded protein aggregates, dysfunctional mitochondria and stressed endoplasmic reticulum (ER) are engulfed by the formation of a double membrane forming an autophagosome [1,2]. The formation of the autophagosome double membrane structure within the cytoplasm is thought to be formed from pre-existing membranes within the cell, although it is unknown whether the Golgi apparatus, endoplasmic reticulum (ER) or mitochondria are used preferentially to form the autophagosome structure [1,2]. During the formation of the autophagosome structure, organelles such as mitochondria, parts of the ER and Golgi apparatus are engulfed by the autophagosome with the final closure of the double membrane structure occurring next. This then fuses with nearby lysosomes, giving rise to an autolysosome, where the intracellular components are degraded by hydrolytic enzymes [1,3-5]. This process generates ATP, which may delay cell death if the cell is under nutrient depleted conditions leading to the survival of the cell. Thus it is unclear whether the process protects or causes diseases such as cancer and neurodegenerative disorders [6,7].
The process of autophagy is a cell survival mechanism that occurs when the cell is under stress, via external environmental pressures, including the lack of nutrients, or via the internal microenvironment of the cell, including the replacement of old and defective organelles such as mitochondria [8,9]. Autophagy is also induced by the formation and collection of misfolded proteins in the endoplasmic reticulum (ER) which causes ER-stress within the cell [10]. Prolonged adverse conditions results in the death of the cell by the autophagic process. The ER is responsible for the folding and then delivery of proteins via the secretory pathway to a functional site. Misfolded proteins accumulate in the lumen of the ER due to high protein folding demand on the ER [10]. Only properly folded proteins are secreted with maintenance of the plasma membrane structure and ER folding capacity being under ER homeostatic control [10,11]. Once a threshold of misfolded protein accumulation has been reached, a signal activates the ER to nucleus signalling pathway or the Unfolded Protein Response (UPR) causing ER chaperone proteins to be synthesised which refold the misfolded proteins and translocate these proteins to the cytoplasm for degradation by the proteasome [10,11]. This process results in an increase of the ER capacity to fold proteins and maintain ER homeostasis. This increase in ER capacity is physically achieved by an increase in size of the ER at early stages of autophagy [12]. If the protein folding demand continues to increase, this will ultimately result in the phagy of the ER itself which can be caused by ER stress (induced
Mitochondria are pivotal organelles in energy conversion. They act as the cell’s power producers and are the site of cellular respiration, which ultimately generates fuel for the cell’s activities. However, they are crucial for cell division, growth as well as cell death. As a major source of reactive oxygen species they consume cytosolic ATP when dysfunctional. It is, therefore pivotal for a cell to maintain of a cohort of healthy mitochondria. A sophisticated process called mitophagy, a selective process of autophagy, is responsible for the degradation of damaged organelles. In response to the triggers of mitophagy, mitochondria fragment, which sends out signals, which result in the engulfment by the autophagosomes [9,13]. Malfunctioning mitochondria are also generated through the process of aging or by having a high level of mutations in the mitochondrial DNA (mtDNA) induced by high levels of ROS. Mitochondrial DNA has 10-20 times more mutations than nuclear DNA [9]. Mitochondria reproduce by the process of fission, this produces two daughter mitochondria one of which hosts the damaged parts with reduced inner membrane potential of the original mitochondria but also a fully functional daughter [8]. The fission process can also stop excessive enlargement of mitochondria [8]. Conversely, mitochondrial fusion of damaged mitochondria dilutes the individual mitochondrion level of damaged macromolecules, and can prevent the early removal of such mitochondria [14]. Mitophagy is a physiological process which occurs during erythrocyte differentiation and during nutrient starvation [14]. The level of relative mitochondrial fusion and fission within cells maintains mitochondrial homoeostasis. Thus mitophagy provides a mechanism by which aged or ROS damaged mitochondria are ultimately removed resulting in the survival of the cell in question.
Different agents/stimuli induce autophagy via different signalling routes and thus may preferentially cause mitophagy or if the ER is stressed by such stimuli, ER phagy or ER enlargement may be detectable at specific time points during each treatment. To this end we have employed organelle mass dyes to measure the relative size of mitochondria and ER during nutrient starvation, rapamycin, and chloroquine treatments. We have previously developed and modified the technique employed by Ramdzan
Methods for monitoring autophagy started with the initial discovery of the process by the use of electron microscopy showing the presence of double and single membrane structures termed the autophagosome and autolysosome or autophagolysosome respectively [4,5]. Other techniques have also obviously centred upon the formation of the autophagic machinery by measurement of LC3B, such as by Western Blotting which can be used to quantitate the degree of autophagy in cells by measuring LC3B which is normally located in the cytoplasm in the form of LC3I but when incorporated into the autophagosome is cleaved and lipidated by phosphotidylethanolamine, to form LC3II [17-19]. Anti-LC3B antibody labelling of LC3B has also been employed to measure autophagosomes and autolysosomes by image and flow cytometric analysis [20-22]. The increase in number and intensity of fluorescently labelled LC3B autophagosomes-autolysosomes can be quantitated by time-consuming image analysis, whereas increase in MFI of LC3B antigen levels measured flow cytometrically makes the process significantly less burdensome [21,23]. Here we describe a protocol to determine the presence of autophagy by the determination of LC3B levels in normal growing cells and those undergoing autophagy.
Use of techniques to estimate the degree of loss of dysfunctional cell organelles has been more limited than those techniques investigating the development of the autophagic process. Previous studies have used ER Tracker and MitoTracker mass probes from Invitrogen to estimate ER and mitochondrial size based on median fluorescence intensity [16]. In experimental conditions different inducers of autophagy such as rapamycin, chloroquine, serum and total nutrient starvation may result in the different types of cell organelles being preferentially targeted by the autophagic process. Here we describe quantitative flow cytometric methods, which can be employed in the study of cell organelle-phagy. We show that a range of inducers cause the phagy of specific organelles and that this process is also cell type dependent. This article will highlight ways of monitoring the contribution of distinctive cell organelles in vitro to the autophagic process and highlight its diversity in different cell types.
Jurkat T and K562 cell lines were grown in RMPI-1640 with L-glutamine (Cat No 21875-034, Invitrogen, Paisley, UK) supplemented with 10% foetal bovine serum (FBS, Cat No 10500-064, Invitrogen, Paisley, UK) and penicillin and streptomycin (Cat No 15140-122, Invitrogen, Paisley, UK) in the presence of 5% CO2 at 37oC.
Jurkat and K562 cells were grown in <1% FBS-RPMI, <1% FBS-Phosphate Buffered Saline (PBS) (PBS, Cat No 14190-094 Invitrogen, Paisley, UK) or treated with chloroquine, (CQ) at 50μM, (Cat No C6628-25G, Sigma, Poole, UK), rapamycin (80nM, Cat No PHZ1233, Invitrogen, Paisley, UK). Time points analysed were 48h, (n=3) as described in the section below.
Jurkat and K562 cells with or without treatment were pelleted and resuspended in 100 μl of Solution A fixative for 15 min at room temperature (RT) (Cat No GAS-002A-1, Caltag UK). Cells were then washed in PBS buffer Cell pellets were then permeabilised with 0.25% Triton X-100 (Cat No X100-500ML, Sigma Chemicals, Poole, UK) for 15 min at RT. Cells were washed in PBS buffer. Anti-LC3B polyclonal antibody (0.25 μg) (Cat No L10382, Invitrogen, Paisley, UK) or rabbit immunoglobulin (0.25 μg) (Cat No I5006, Sigma Chemicals, Poole, UK) was used as an isotype control and incubated for 0.5h at RT. Cells were then washed in PBS buffer. Cells were then labelled with 0.125 μg of secondary fluorescent conjugate Alexa Flour 647 goat anti-rabbit IgG (Cat No A21244, Invitrogen, Paisley, UK) for 30 min at RT. Cells were then washed in PBS buffer and resuspended in 400 μl of PBS. Analysis of LC3B-Alexa Fluor647 signal was achieved by determining the MFI of the whole histogram signal for previously gated cells from a FSC versus SSC dot-plot and compared to the corresponding isotype control sample in an overlaid histogram. 10,000 events were collected by flow cytometry.
Jurkat and K562 cells with or without treatment were counted and adjusted to the same number per volume and loaded with 40nM MitoTracker Green (MTG) (Cat No M7514, Invitrogen, Paisley, UK) or 100nM ER Tracker Green (ERTG) (Cat No L7526, Invitrogen, Paisley, UK) by incubating cells with dyes for 15 or 30 minutes at 37oC respectively. Cells were then washed in PBS buffer and resuspended in 400 μl of PBS, in the presence of DNA viability dye, DAPI (200 ng/ml) (Cat No D9542, Sigma Chemicals, Poole, UK). Live cells were analysed for MTG or ERTG MFI levels by firstly gating on all cell material except small debris in the origin of a FSC versus SSC dot-plot. This data was then analysed on a DAPI versus FSC dot-plot with live cells being DAPI-ve. The 530/30nm channel on a BD FACS Canto II was set to linear and the width parameter activated. Doublet discrimination was then achieved by gating on single cells on a 530/30nm width and area plot. Median fluorescence Intensity (MFI) of MTG-Area or ERTG-Area signals from samples was then compared by histogram analysis of untreated and treated cells.
Single colour controls for MTG, or ERTG and DAPI were used to set compensations. MTG or ERTG were detected in the 530/30nm channel on the argon laser octagon (BD FACSCanto II); DAPI was detected in the 440/40nm channel on the violet diode trigon (BD FACSCanto II). No compensation was required. LC3B-Alexa Fluor-647 was detected on the 660/20nm channel on the Red HeNe trigon (BD FACSCanto II).
Cells (10,000) were analysed on a Becton Dickinson FACSCanto II fitted with a 488nm Ti-Sapphire Argon laser, red HeNe 633nm laser and violet diode 405nm with FACSDiva Software ver 6.1.3. All data were analysed on FlowJo (ver 8.8.7, Treestar Inc, CA) in the form of list-mode data files version FCS 3.00 using the default bi-exponential transformation. Optical filters and mirrors in the BD FACSCanto II were fitted in 2008.
Student
Cells treated to induce autophagy were first shown to be autophagic by immunofluorescent labelling of LC3B which is located in the autophagosome of cells undergoing autophagy. These were compared to resting control cells and positivity determine by use of an rabbit immunoglobulin isotype control labelled with the same secondary Alexa Fluor-647 conjugate permitting the demonstration that LC3B levels have been up-regulated in cell samples undergoing autophagy treatments. Figure 1 shows the LC3B signals from Jurkat and K562 cells after 48h of treatment compared to resting control levels. Resting cells do show a detectable LC3B compared to isotype controls (Figure 1). Jurkat cells showed a high level of LC3B compared to resting cells when treated with 80nM rapamycin and grown in low serum conditions (<1% FBS/RPMI, Figure 1A). In contrast CQ showed a lower level (half) of LC3B up-regulation compared to cells grown in nutrient free (<1% FBS) conditions (Figure 1B). K562 cell up-regulation of LC3B was shown to be at a similar level of that of Jurkat cells, when treated with rapamycin and grown in low serum conditions (<1% FBS/RPMI, Figure 1C). CQ and nutrient free (<1% FBS) treatment of K562 cells showed a similar LC3B response to that of Jurkat cells (Figure 1D).
Rapamycin was shown to significantly up-regulate LC3B by 4-5 fold after 24 and 48h (P=<0.001, P=<0.005) in both cell lines (Figure 2A, B). In contrast low serum conditions caused a 5-6 fold increase in Jurkat LC3B only at 48h (P=<0.001, Figure 2A). Whilst, K562 responded to low serum treatment by a lower but significant 2-3 fold increase in LC3B levels at 24 and 48h (P=<0.005, P=<0.05, Figure 2B). Likewise nutrient depletion of K562 cells caused a 2 fold increase in LC3B at 24 and 48h (P=<0.01, P=NS, Figure 2B). Whilst nutrient depletion of Jurkat cells showed a significant 5-6 fold increase at 24h, reduced to a significant 2 fold increase above controls at 48h (P=<0.005, Figure 2A). CQ (50μM) in contrast to rapamycin induced a 50-100% increase in LC3B levels in Jurkat cells at 24 and 48h respectively (P=<0.05, P=NS, Figure 2A). Whilst K562 cells responded to CQ treatment (50μM) by doubling LC3B levels at 24h and falling back to control levels at 48h respectively (P=NS, Figure 2B).
Demonstration of autophagy in Jurkat and K562 cells by measurement of LC3B levels by flow cytometry, see Materials & Methods. Resting Jurkat cell LC3B-Alexa Fluor-647 levels were compared after 48h treatment with 80nM rapamycin and low serum/RPMI LC3B levels A). Resting Jurkat cell LC3B-Alexa Fluor-647 levels were compared after 48h treatment of low serum/nutrient free conditions and CQ (50μM) LC3B levels B). Resting K562 cell LC3B-Alexa Fluor-647 levels were compared after 48h treatment with 80nM rapamycin and low serum/RPMI LC3B levels C). Resting K562 cell LC3B-Alexa Fluor-647 levels were compared after 48h treatment of low serum/nutrient free conditions and CQ (50μM) LC3B levels D).
Mitophagy was determined by linear flow cytometric analysis of the MTG signal in Jurkat and K562 cells by the following procedure. After gating on cells from a FSC v SSC dot-plot (Figure 3A), live cells were gated upon from a FSC v DAPI dot-plot (Figure 3B), DAPI negative cells being alive. Doublet discrimination was determined from an MTG Area v Width parameter plot (Figure 3C) and MFI of control and test samples compared on an overlaid histogram (Figure 3D). In this example the Jurkat cell control gave an MFI of 142,000 compared to a 50μM CQ test showing an MFI of 100,000 or a 30% reduction in the mitochondrial mass of live Jurkat cells.
Demonstration of autophagy in Jurkat and K562 cells by measurement of MFI LC3B levels by flow cytometry, see Materials & Methods. Resting Jurkat cell MFI LC3B-Alexa Fluor-647 levels were compared after 24 and 48h treatment with 80nM rapamycin, low serum/RPMI, low serum/nutrient free conditions and CQ (50μM) LC3B levels A). Resting K562 cell MFI LC3B-Alexa Fluor-647 levels were compared after 24 and 48h treatment with 80nM rapamycin, low serum/RPMI, low serum/nutrient free conditions and CQ (50μM) LC3B levels A). T-test statistical analysis NS-not significant, * P=<0.05, ** P=<0.01, *** P=<0.005, **** P=<0.001.
Likewise ER-phagy was determined by linear flow cytometric analysis of the ERTG signal in Jurkat and K562 cells by the following procedure. After gating on cells from a FSC v SSC dot-plot (Figure 4A), live cells were gated upon from a FSC v DAPI dot-plot (Figure 4B), DAPI negative cells being alive. Doublet discrimination was determined from an ERTG Area v Width parameter plot (Figure 4C) and MFI of control and test samples compared on an overlaid histogram (Figure 4D). In this example the K562 cell control gave an MFI of 159,000 compared to a 40nM rapamycin test showing an MFI of 262,000 or a 65% increase in the ER mass of live K562 cells.
Jurkat cells were untreated (control) or treated with 50μM CQ for 48h. These cell cultures were then counted and adjusted to be the same number per volume and loaded with 40nM MTG for 15 minutes at 37oC. Cells were washed and adjusted to 0.5ml volume containing DAPI at 200ng/ml. Cells were then analysed on a BD Canto II according to Materials & Methods. Cells were gated upon except the small debris in the origin of a FSC versus SSC dot-plot (A). There data were then analysed on a DAPI versus FSC dot-plot with live cells being DAPI-ve (B). The 530/30nm channel on a BD FACS Canto II was set to linear and the width parameter activated. Doublet discrimination was then achieved by gating on single cells on a 530/30nm width and area plot (C). The MFI of MTG-Area signals from samples were then compared by histogram analysis of untreated, MFI 142,000 and CQ treated cells, MFI 100,000 (D).
K562 cells were untreated (control) or treated with 40nM rapamycin (R) for 48h. These cell cultures were then counted and adjusted to be the same number per volume and loaded with 100nM ERTG for 30 minutes at 37oC. Cells were washed and adjusted to 0.5ml volume containing DAPI at 200ng/ml. Cells were then analysed on a BD Canto II according to Materials & Methods. Cells were gated upon except the small debris in the origin of a FSC versus SSC dot-plot (A). These data were then analysed on a DAPI versus FSC dot-plot with live cells being DAPI-ve (B). The 530/30nm channel on a BD FACS Canto II was set to linear and the width parameter activated. Doublet discrimination was then achieved by gating on single cells on a 530/30nm width and area plot (C). The MFI of ERTG-Area signals from samples were then compared by histogram analysis of untreated, MFI 159,000 and rapamycin treated cells, MFI 262,000 (D).
Induction of autophagy by the rapamycin mTOR signalling pathway induced a detectable mitophagy (34% reduction in mitochondrial mass) in Jurkat cells (Figure 5A). Whilst K562 cells displayed an ER stress response in that the ER mass was increased by 50% with rapamycin treatment without any mitophagy (Figure 5B). Like rapamycin, chloroquine induction of autophagy in Jurkat cells displayed a similar level of mitophagy (29%), whilst there was no significant organelle phagy displayed by K562 cells (Figure 5A, B). In contrast to rapamycin treatment of Jurkat cells, low serum/RPMI treatment caused a 19% increase in mitochondrial mass as opposed to a mitophagy. Under the same conditions Jurkat cells significantly increased (37%,
Jurkat (A) and K562 (B) cells were untreated (control) or treated 80nM rapamycin, low serum (<1% FBS) RPMI, nutrient free PBS (<1% FBS) or with 50μM CQ for 48h. These cell cultures were then counted and adjusted to be the same number per volume and loaded with 40nM MTG or 100nM ERTG for 15 or 30 minutes at 37oC respectively. Cells were washed and adjusted to 0.5ml volume containing DAPI at 200ng/ml. The MFI of MTG or ERTG-Area signals from samples were then compared by histogram analysis of untreated or treated cells. T-test statistical analysis NS-not significant, * P=<0.05, ** P=<0.01, *** P=<0.005, **** P=<0.001.
Modulation of autophagy may be important in preventing or treating neurodegenerative conditions and cancers. It is, therefore, pivotal to understand the underlying mechanisms. Numerous new techniques have been developed to show that cells are undergoing the autophagic process; these include LC3B semi-quantification by image and flow cytometric analysis by the use of GFP tagged proteins or antibody labelling [17-22,24-30]. Here we demonstrate by flow cytometric measurement of anti-LC3B-Alexa Fluor-647 signals that rapamycin significantly up-regulated LC3B in Jurkat and K562 cells, whilst CQ at 50μM, induced in comparison a small degree of detectable up-regulated LC3B in both cell lines employed in this study. Nutrient depletion studies, including reduced serum <1% and lack of nutrients induced a low level of LC3B up-regulation in K562 cells compared to the high level (similar to rapamycin) detected in Jurkat cells.
Different drugs or treatments induce autophagy via different signalling routes in different cell types resulting in varying types and degrees of organelle phagy. Rapamycin although induced a similar LC3B up-regulation in the two cell lines employed in this study resulted in different organelle phagy responses. Jurkat cells showed a mitophagy whilst K562 cells did not. This was in contrast to the lack of an effect of rapamycin upon Jurkat ER mass, whilst K562 cells showed an increase in ER mass, indicating protein mis-folding within the ER, even though rapamycin caused little cell death over the 48h period studied [10,11]. This increase in ER size after 48h of rapamycin treatment may ultimately result in a measurable ER-phagy at a later time point.
Chloroquine induced apoptosis, death, low level autophagy (as indicated by mild LC3B up-regulation) and mitophagy as indicated by the reduction in mitochondrial mass in Jurkat cells, whilst no organelles were targeted in K562 cells [31]. Thus both rapamycin and chloroquine act upon Jurkat cells to produce a mitophagy with no significant affect upon ER mass; whilst K562 cell response to these autophagy inducers was to show an increase in ER mass.
Nutrient starvation commonly employed by removing serum from media in the study of autophagy caused protein mis-folding in both cell lines as indicated by an increase in ER mass and also of mitochondria in Jurkat cells [22]. In contrast total nutrient starvation which again caused varying degrees of up-regulation of LC3B levels in both cell lines as well as resulting in a large reduction in cell numbers caused a decrease in ER mass in both cell lines and a mitophagy in K562 cells. This again indicated that drug induction of autophagy may result in different organelle phagy in different cell types.
Thus the combination of measuring the induction of autophagy via LC3B flow cytometric measurements and the technique of organelle mass semi-quantification gives the investigator more information about the autophagic process occurring within the cell not only in terms of autophagic flux signals but also the degree and type of organelle phagy occurring during the autophagic process. This technique of organelle mass semi-quantification by flow cytometry on live cells permits researchers in the field to measure not only the degree of autophagy but also live cell functions such as mitochondrial membrane potential during the autophagic process giving an insight to the more precise mechanism of action of the wide variety of stimuli that can be employed in the study of the autophagic process. This area warrants further study as it holds new therapeutic and diagnostic potential.
Peroxisome proliferator-activated receptor gamma (PPARγ) is a transcription factor that is activated by ligand binding as well as via ligand-independent activation. PPARγ plays an active role in regulation of glucose and lipid metabolism but more recently has been examined for its role in numerous disease states including: diabetes, cardiovascular disease, cancer, inflammation, angiogenesis and metastasis [1, 2, 3, 4, 5, 6]. Some research also suggests it provides potential for anti-aging activity [7]. Prior to the discovery of the thiazolidinedione (TZD) drugs used for treatment of diabetes, the general consensus was that PPARγ was subject only to ligand-independent activation [8]. It was the discovery of these drugs that suggested that PPARγ was also sensitive to ligand-dependent activation [8, 9, 10, 11]. The goal of the first generation TZDs was to target insulin sensitivity and although the drugs were successful with this they were not without toxicity concerns. The focus more recently has looked to natural methods to accomplish therapeutic level results and PPARγ provides a viable target with multiple mechanisms available for activation and a variety of functional food sources for PPARγ ligands.
PPARγ is a member of the nuclear receptors gene subfamily and is found on chromosome 3. Other members of the gene family include PPARα and PPARβ/δ. In addition due to alternative splicing, there are multiple isoforms of PPARγ, known as PPARγ1 and PPARγ2 [12, 13]. PPARγ1 is expressed at high levels in white and brown adipose tissue, however, lower levels of expression of PPARγ1 are found in all tissues as well as the immune cells. PPARγ2 is expressed only in white and brown adipose tissue [14]. Although disease states are sometimes related to changes in expression of these isoforms and inefficient signaling associated with the pathway, some research has demonstrated that specific variants have been linked to early onset type 2 diabetes. Nearly half of these patients had a variant in PPARγ2 resulting in an amino acid substitution of tyrosine to cysteine in the activation function domain 1 (AF1). Of note is also that of these patients, 83% also had diabetic kidney disease [15]. Another study demonstrated that loss of function mutation of arginine 288 to histidine in the ligand-binding domain (LBD) resulted in significant conformational changes in the protein that lead to blunting of the activation via prostaglandins [16].
Mouse studies have shown that knockout of PPARγ2 results in insulin resistance [13]. In contrast, it was demonstrated that activation of PPARγ in mouse adipocytes improves insulin sensitivity [17]. Together these studies support the effects of PPARγ activity on insulin resistance and type 2 diabetes in addition to its known role in adipocyte differentiation [12, 18]. PPARγ also controls the expression of the skeletal muscle and adipose glucose transporter (GLUT4), and adipose tissue based hormones adiponectin, resistin and leptin [19, 20, 21]. It is clear from these studies that modulation of PPARγ activity plays a significant role in patient wellness considering the effects of activation on glucose homeostasis, lipid metabolism and adipocyte differentiation. These effects strongly suggest that activation of PPARγ in a controlled fashion provide strong potential for improvement of patient quality of life. Nutraceuticals offer this type of low level controlled activation that may benefit the patient even beyond the potential for the synthetic drugs targeting PPARγ activation.
The structure of PPARγ contains multiple protein domains of importance as shown in Figure 1. The individual domains are separated based on function and can themselves be modified in most cases. The activation function domain 1 (AF1) is on the N-terminus and is subject to phosphorylation, and small ubiquitin like modifiers (SUMOylation). In general SUMOylation leads to suppression of transcriptional activity while ubiquitination increase transcriptional activity. Phosphorylation can increase or decrease transcriptional activity depending on the site of phosphorylation and the enzyme catalyzing the phosphorylation event. In general deacetylation by Sirt-1, the histone deacetylase leads to dissociation of the nuclear receptor corepressor (NCoR) and increased transcriptional activity [22]. The next domain is the DNA binding domain (DBD) responsible for interacting with the DNA in conjunction with the retinoid c receptor (RXR). RXR houses a binding site for 9-cis-retinoic acid, which when bound allows RXR to complex with the PPARγ complex and interaction with DNA [23]. The HD domain is a regulatory domain named due to the histidine (H)-aspartate (D) amino acids conserved in the region. The HD domain interacts with either the coactivator, peroxisome proliferator-activated receptor gamma coactivator (PGC-1α) or the corepressors NCoR and silencing mediator of retinoid and thyroid hormone receptors (SMRT) [24]. On the C-terminal end is the ligand binding domain (LBD) that when ligand bound by an activator, stimulates transcription. When no ligand is bound, and the corepressor is bound, transcription is limited. The LBD is also subject to phosphorylation, ubiquitination, SUMOylation and acetylation. Each of these affect the likelihood of ligand activation. Of interest are the histone deacetylase enzyme (HDAC) which deacetylate the ligand binding domain. Inhibition of this HDAC, limits deacetylation of the LBD and leads towards PPARγ activation via the ligand independent pathway [25].
The structure of PPARγ. AF-1 is the activated function 1 domain. A/B houses a SUMOylation (S) and phosphorylation (P) site. DBD is the DNA binding domain. HD is the conserved protein domain with histidine and aspartate that interacts with the coactivator PGC-1α. The ligand binding domain (LBD) is attached via a hinge region and houses a SUMOylation, phosphorylation, ubiquitination (Ub) and two acetylation (Ac) sites. AF-2 is the activated function.
The PPARγ pathway involves several overlapping cellular functions. Activation of PPARγ, either ligand-independent or ligand dependent, leads to change in the immune system, metabolic organs including skeletal muscle and adipose tissue [26, 27, 28]. For example in the immune system macrophages and regular T cells, activation of PPARγ in general will decrease inflammation. Inflammation is decreased in the heart and brain but lipid storage is increased in the heart as well as growth. In white adipose tissue lipid metabolism and glucose homeostasis is improved with activation. Of particular interest is the fact that activation of PPARγ increases remodeling and browning of white adipose tissue, a benefit that will likely lead to better ability for patients to manage weight (ref). It is clear that there are strong benefits to PPARγ activation, but potential side effects such as lipid storage in the heart, sodium and fluid retention and increased desire for food can also result in unwanted effects [22].
It is important to consider how PPARγ activation can be achieved while minimizing the potentially harmful side effects. A benefit also exists to activate PPARγ in a ligand dependent fashion versus the ligand independent activation. Endogenous ligands to PPARγ are typically fairly weak agonists while the TZDs are strong agonists [8, 29]. The first generation TZD troglitazone was pulled from the market in the US approximately 3 years after first becoming available because it resulted in severe or fatal hepatotoxicity in numerous cases [30, 31, 32, 33, 34]. Other TZDs were taken off the European market and restricted in the US markets due to potentially dangerous side effects including myocardial infarction, heart failure, hepatic failure [35, 36, 37, 38]. It is still currently believed that these side effects resulted in part to the full PPARγ activation rather than the moderate activation offered by the weaker ligand agonists [29]. Gene expression, especially expression of genes involved in metabolic process that are sensitive to endogenous ligands as well, should be tightly controlled with an effective regulatory method that allows frequent adjustment of expression levels in response to the environment. Altering expression of genes fully by fully activating PPARγ poses several concerns, especially since there is so much overlap within the PPARγ activation pathway. Thus, an increased emphasis on natural and less specific activators is warranted. Natural ligands are particularly useful in this situation because the full and permanent activation is not desired. Given the range of disease state linked to PPARγ signaling, exploring the potential natural food based ligands is an essential tool in moving patient wellness forward.
Several herbs and foods have been used medicinally for centuries, although mechanism of action was not known and in some cases remains unclear. Many of the compounds found in common herbs and foods have been discovered to be ligands of the nuclear receptors such as PPARγ. A variety of studies presented summarize the compound identified to harbor therapeutic potential as a PPARγ ligand resulting in partial activation of the transcription factor and expression of a variety of metabolic and growth genes. Many of these compounds are found in overlapping herbs or spices. For example, cinnamon contains numerous compounds that are demonstrated ligands including: 2-hydroxychalcone, cinnamaldehyde, catechin, eugenol, ethylcinnamate, epicatechin, and cinnaminc acid. As expected, cinnamon has been used medicinally to treat digestive disorders and metabolic problems for decades.
Given the large number of compounds that function as PPARγ ligands, detailed discussion of each is warranted, but an overall summary is also important. Table 1 identifies several of the compounds of interest, their food sources and conveniently lists references that pertain to the studies. Apigenin acts as a partial agonist for PPARγ, inducing an effect of agonism in the absence of a full agonist, and antagonism in the presence of a full agonist. This is due to the low binding affinity that apigenin has for PPARγ itself [6, 39]. However, even with this low binding affinity, it has shown to still produce beneficial effects through this pathway. Due to its interactions with PPARγ, apigenin has anti-inflammatory effects, and has been used for treatment of colitis, or inflammation of the intestines. However, beyond its interactions with PPARγ, apigenin has also been shown to decrease food-intake, and help with weight loss [39]. Apigenin has a lot of potential clinical use and application, and can be found in marjoram, sage, thyme, holy basil, parsley, and alfalfa [6, 39].
PPAR𝛾 agonists | Food Sources | References |
---|---|---|
Apigenin | Marjoram, sage, thyme, holy basil, parsley, alfalfa | [6, 39] |
2-Hydroxychalcone | Cinnamon | [6, 39] |
Luteolin | Marjoram, sage, rosemary, tarragon, thyme, parsley, alfalfa | [6, 39] |
Rosmarinic Acid | Marjoram, sage, rosemary, lavender, thyme, oregano | [6, 39] |
Cinnamaldehyde, Cinnamic Acid | Cinnamon, clove | [6, 39] |
Resveratrol | Bilberries (European blueberries), peanuts, grapes, wine | [5, 6, 32] |
Quercetin | Dill, bay leaves, oregano, pomegranate fruit, apples, tarragon, parsley, chive, lovage | [6, 39] |
Catechin | Apples, marjoram, sage, rosemary, cinnamon, pomegranate fruit, cacao, green tea, grapes, apricots, cherries | [4, 6, 40, 41] |
Eugenol | Cinnamon, clove | [6, 39] |
Epicatechin | Cacao, tea, cinnamon, thyme, apples, grapes | [6, 42, 43] |
Select compounds that function as PPARγ agonists and the food sources.
2-Hydroxychalcone is another example of a partial agonist for PPARγ. Similar to apigenin, this partial agonism of PPARγ leads to anti-inflammatory effects induced by 2-Hydroxychalcone. Although the pathways for these effects are not yet understood in the case of 2-Hydroxychalcone, it is an example of a PPARγ ligand that has shown anti-inflammatory effects [4, 6, 39]. As for food sources of 2-Hydroxychalcone, it is primarily found in cinnamon [6, 39].
Luteolin acts as a partial agonist for PPARγ, thus affecting PPARγ-dependent gene expression and causing agonism, or an increase in gene expression in the absence of a full agonist, and causing antagonism, or a decrease in gene expression in the presence of a full agonist. However, luteolin uniquely acts as a full agonist for the gene expression of insulin dependent glucose transporters (GLUT-4) in the 3 T3-L1 mouse cell model [4]. Currently it is unclear if this effect is also seen in humans, however it is a potential target for future research. Luteolin also has an effect on inflammation through its effect on proinflammatory cytokines such as interleukin-8 (IL-8) [4]. Although the clinical implications are still unclear for luteolin, recent studies have started to uncover some of the potential beneficial effects it may have. In an in vitro study in human intestinal cells, luteolin has shown to prevent the damage caused by chemotherapeutic treatment. As for the sources of luteolin, luteolin has been shown to be present in marjoram, sage, rosemary, tarragon, thyme, parsley, and alfalfa [6, 39].
Similar to luteolin, rosmarinic acid also acts as a partial agonist for PPARγ, allowing for weak agonism in the absence of a full agonist, and antagonism in the presence of a full agonist [6]. Rosmarinic acid has shown to have anti-inflammatory activity in cell culture assays, however its clinical applications should still be further explored and elaborated on. Rosmarinic acid does however have a poor bioavailability, so its application in humans may be limited regardless of its ability to bind to PPARγ [39]. It still has shown activity as a PPARγ ligand though, so it may be worth further investigation. As far as where rosmarinic acid can be found, it is seen in marjoram, oregano, rosemary, sage, thyme, and lavender [6, 39].
Cinnamic acid and cinnamaldehyde work very similarly. Cinnamaldehyde acts as a partial agonist for PPARγ, allowing for weak agonism in the absence of a full agonist, and antagonism in the presence of a full agonist. Cinnamic acid functions in a similar way, but with a much higher binding affinity for PPARγ [6, 44]. They have both shown a plethora of beneficial effects related to its effect on PPARγ. These include, but are not limited to reducing amyloid-β plaques in Alzheimer’s disease, anti-inflammatory effects, as well as improving glucose and lipid levels as well as insulin sensitivity in Diabetes [39, 44, 45]. Although not all of these effects have been shown in humans yet, some have, and there is great potential for clinical application of cinnamaldehyde. As far as the sources of cinnamaldehyde and cinnamic acid, they can both be found in cinnamon as well as clove [6, 39].
Similar to luteolin, resveratrol also acts as a partial agonist for PPARγ-dependent gene expression, which leads to slight agonism in the absence of a full agonist, and antagonism in the presence of a full agonist. Resveratrol affects both glucose and lipid metabolism, and can also have an effect on inflammation in animal models. Resveratrol has also been shown to improve insulin sensitivity in human patients, which is a contributing factor for Type 2 Diabetes, and can help in control of that disease state beyond metabolism of foods consumed. These mechanisms indicate Resveratrol as potentially beneficial in patients with Type 2 Diabetes, as it can help with glucose metabolism, insulin action, and the storage of fat, potentially lowering their risk of cardiovascular events associated with fats [4]. As for the sources of resveratrol, resveratrol has been shown to be present in foods such as bilberries (European blueberries), grapes, wines, and peanuts [5, 6].
Quercetin acts as a partial agonist for PPARγ-dependent gene expression, causing agonism, or an increase in gene expression in the absence of a full agonist, and causing antagonism, or a decrease in gene expression in the presence of a full agonist [4, 6]. Quercetin has also been shown in a mouse fibroblast cell model (3 T3-L1), that it promotes glucose uptake through insulin-dependent glucose transporters (GLUT-4), however does not affect the production of lipid stores through adipogenesis [4]. Additionally quercetin has shown anti-inflammatory effects in vivo, and is very similar in this regard to resveratrol [4, 39, 46, 47]. Quercetin is also fairly abundant in food sources, and can be found in dill, bay leaves, oregano, pomegranate fruit, apples, tarragon, parsley, chive, and lovage [6, 39].
Catechin too binds to PPARγ, however unlike the previous compounds mentioned, catechin acts as a full agonist for PPARγ-dependent gene expression, and as such does not provide antagonism [4]. This being said, the effects of catechin are expected to differ from the other compounds mentioned previously. One of these differences seen is that the negative enantiomer of catechin promotes the differentiation of mesenchymal stem cells into adipocytes, or fat cells [40]. Alternatively, the positive enantiomer of catechin has anti-inflammatory properties, similar to those previously mentioned [41]. Altogether, both enantiomers of catechin appear to have beneficial effects in terms of health, and both appear to affect the PPARγ pathways. Additionally, the sources of catechin are plentiful, as it can be found in apples, marjoram, sage, rosemary, cinnamon, pomegranate fruit, cacao, green tea, grapes, apricots, and cherries [4, 6, 40, 41].
Although the activities of eugenol through PPARγ are not yet well-defined, it is known to bind to PPARγ with a greater affinity than that of catechin, which acts as a full agonist [4, 6]. Eugenol is also a compound that has been demonstrated to increase insulin sensitivity, and has seen use in essential oils for that purpose [39]. Eugenol has also shown anti-inflammatory effects, like all of the other compounds discussed in this chapter [39]. As for where eugenol is found though, it is seen mostly in clove and cinnamon [6, 39].
Ethyl cinnamate is very similar to cinnamic acid and cinnamaldehyde. It too works similarly in terms of agonism, but has a binding affinity more similar to that of cinnamic acid as opposed to cinnamaldehyde [6]. Additionally, as a PPARγ agonist, it shows the same anti-inflammatory effects that all of the other compounds previously mentioned exhibit [39]. In terms of food sources for ethyl cinnamate though, it is seen in mainly cinnamon and clove [6, 39].
Epicatechin is very similar to the compound discussed earlier, catechin. They both have great binding affinities for PPARγ, and have very similar effects [6]. Like catechin, epicatechin has anti-inflammatory properties. However unlike catechin, epicatechin has also been shown to inhibit PPARγ signaling as well as adipogenesis, or the development of fat stores. Altogether, epicatechin has many positive effects, whether related to its actions on PPARγ, or it’s other bioactivities, and has great promise for medicinal application [42, 43]. In terms of sources of epicatechin, it can be found most prominently in cacao, but also in tea, cinnamon, thyme, apples, grapes, and many other fruits and vegetables [6, 42, 43].
As presented there are several natural sources of PPARγ ligands found in spices and food that are commonly consumed. The degree of activation varies on whether the ligand acts as a full agonist or simply as a partial agonist. Molecules that demonstrate a low binding affinity, less than 100 μM, include apigenin, 2-hydoxylchalcone, luteolin, rosmarinic acid, cinnamaldehyde and cinnamic acid, resveratrol and quercetin. Those with moderate binding affinities of 100 to 500 μM, are catechin and eugenol. Those with higher binding affinities include ethylcinnamate and epicatechin. It is important to note that many of these compounds have also been shown to interact in other signaling pathways in the body that could lead to an altered therapeutic response. Together these provide a variety of sources to treat diseases related to PPARγ activity such as inflammation, diabetes, and heart disease.
The authors declare no conflict of interest.
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Although POP can occur in younger women, it is commonly seen in aging population with a prevalence of 45–50%. Older terms describing pelvic organ prolapse (e.g., cystocele, urethrocele, rectocele) have been replaced because they do not provide complete information regarding the structures on the other side of the vaginal bulge, especially in women who have had previous pelvic organ prolapse surgery. Therefore, a thorough history and performing a careful physical examination with dignity and care, using some basic tools that aid in the accurate evaluation of anatomical and functional defects, should be conducted. 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