Hesperetin, a Promising Dietary Supplement for Preventing the Development of Calcific Aortic Valve Disease

Background: No effective therapeutic agents for calcific aortic valve disease (CAVD) are available currently. Dietary supplementation has been proposed as a novel treatment modality for various diseases. As a flavanone, hesperetin is widely abundant in citrus fruits and has been proven to exert prot...

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Main Authors: Hengli Zhao, Gaopeng Xian, Jingxin Zeng, Guoheng Zhong, Dongqi An, You Peng, Dongtu Hu, Yingwen Lin, Juncong Li, Shuwen Su, Yunshan Ning, Dingli Xu, Qingchun Zeng
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Antioxidants
Subjects:
Online Access:https://www.mdpi.com/2076-3921/11/11/2093
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author Hengli Zhao
Gaopeng Xian
Jingxin Zeng
Guoheng Zhong
Dongqi An
You Peng
Dongtu Hu
Yingwen Lin
Juncong Li
Shuwen Su
Yunshan Ning
Dingli Xu
Qingchun Zeng
author_facet Hengli Zhao
Gaopeng Xian
Jingxin Zeng
Guoheng Zhong
Dongqi An
You Peng
Dongtu Hu
Yingwen Lin
Juncong Li
Shuwen Su
Yunshan Ning
Dingli Xu
Qingchun Zeng
author_sort Hengli Zhao
collection DOAJ
description Background: No effective therapeutic agents for calcific aortic valve disease (CAVD) are available currently. Dietary supplementation has been proposed as a novel treatment modality for various diseases. As a flavanone, hesperetin is widely abundant in citrus fruits and has been proven to exert protective effects in multiple diseases. However, the role of hesperetin in CAVD remains unclear. Methods: Human aortic valve interstitial cells (VICs) were isolated from aortic valve leaflets. A mouse model of aortic valve stenosis was constructed by direct wire injury (DWI). Immunoblotting, immunofluorescence staining, and flow cytometry were used to investigate the roles of sirtuin 7 (Sirt7) and nuclear factor erythroid 2-related factor 2 (Nrf2) in hesperetin-mediated protective effects in VICs. Results: Hesperetin supplementation protected the mice from wire-injury-induced aortic valve stenosis; in vitro, hesperetin inhibited the lipopolysaccharide (LPS)-induced activation of NF-κB inflammatory cytokine secretion and osteogenic factors expression, reduced ROS production and apoptosis, and abrogated LPS-mediated injury to the mitochondrial membrane potential and the decline in the antioxidant levels in VICs. These benefits of hesperetin may have been obtained by activating Nrf2–ARE signaling, which corrected the dysfunctional mitochondria. Furthermore, we found that hesperetin could directly bind to Sirt7 and that the silencing of Sirt7 decreased the effects of hesperetin in VICs and potently abolished the ability of hesperetin to increase Nrf2 transcriptional activation. Conclusions: Our work demonstrates that hesperetin plays protective roles in the aortic valve through the Sirt7–Nrf2–ARE axis; thus, hesperetin might be a potential dietary supplement that could prevent the development of CAVD.
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spelling doaj.art-dfe433cd7d9f4ca1b5ad66d99802e2932023-11-24T03:29:06ZengMDPI AGAntioxidants2076-39212022-10-011111209310.3390/antiox11112093Hesperetin, a Promising Dietary Supplement for Preventing the Development of Calcific Aortic Valve DiseaseHengli Zhao0Gaopeng Xian1Jingxin Zeng2Guoheng Zhong3Dongqi An4You Peng5Dongtu Hu6Yingwen Lin7Juncong Li8Shuwen Su9Yunshan Ning10Dingli Xu11Qingchun Zeng12State Key Laboratory of Organ Failure Research, Department of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, ChinaState Key Laboratory of Organ Failure Research, Department of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, ChinaState Key Laboratory of Organ Failure Research, Department of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, ChinaState Key Laboratory of Organ Failure Research, Department of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, ChinaDepartment of Cardiovascular Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, ChinaDivision of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, ChinaState Key Laboratory of Organ Failure Research, Department of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, ChinaState Key Laboratory of Organ Failure Research, Department of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, ChinaState Key Laboratory of Organ Failure Research, Department of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, ChinaState Key Laboratory of Organ Failure Research, Department of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, ChinaSchool of Laboratory Medicine and Biotechnology, Southern Medical University, Guangzhou 510515, ChinaState Key Laboratory of Organ Failure Research, Department of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, ChinaState Key Laboratory of Organ Failure Research, Department of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, ChinaBackground: No effective therapeutic agents for calcific aortic valve disease (CAVD) are available currently. Dietary supplementation has been proposed as a novel treatment modality for various diseases. As a flavanone, hesperetin is widely abundant in citrus fruits and has been proven to exert protective effects in multiple diseases. However, the role of hesperetin in CAVD remains unclear. Methods: Human aortic valve interstitial cells (VICs) were isolated from aortic valve leaflets. A mouse model of aortic valve stenosis was constructed by direct wire injury (DWI). Immunoblotting, immunofluorescence staining, and flow cytometry were used to investigate the roles of sirtuin 7 (Sirt7) and nuclear factor erythroid 2-related factor 2 (Nrf2) in hesperetin-mediated protective effects in VICs. Results: Hesperetin supplementation protected the mice from wire-injury-induced aortic valve stenosis; in vitro, hesperetin inhibited the lipopolysaccharide (LPS)-induced activation of NF-κB inflammatory cytokine secretion and osteogenic factors expression, reduced ROS production and apoptosis, and abrogated LPS-mediated injury to the mitochondrial membrane potential and the decline in the antioxidant levels in VICs. These benefits of hesperetin may have been obtained by activating Nrf2–ARE signaling, which corrected the dysfunctional mitochondria. Furthermore, we found that hesperetin could directly bind to Sirt7 and that the silencing of Sirt7 decreased the effects of hesperetin in VICs and potently abolished the ability of hesperetin to increase Nrf2 transcriptional activation. Conclusions: Our work demonstrates that hesperetin plays protective roles in the aortic valve through the Sirt7–Nrf2–ARE axis; thus, hesperetin might be a potential dietary supplement that could prevent the development of CAVD.https://www.mdpi.com/2076-3921/11/11/2093hesperetincalcified aortic valve diseaseSirt7Nrf2
spellingShingle Hengli Zhao
Gaopeng Xian
Jingxin Zeng
Guoheng Zhong
Dongqi An
You Peng
Dongtu Hu
Yingwen Lin
Juncong Li
Shuwen Su
Yunshan Ning
Dingli Xu
Qingchun Zeng
Hesperetin, a Promising Dietary Supplement for Preventing the Development of Calcific Aortic Valve Disease
Antioxidants
hesperetin
calcified aortic valve disease
Sirt7
Nrf2
title Hesperetin, a Promising Dietary Supplement for Preventing the Development of Calcific Aortic Valve Disease
title_full Hesperetin, a Promising Dietary Supplement for Preventing the Development of Calcific Aortic Valve Disease
title_fullStr Hesperetin, a Promising Dietary Supplement for Preventing the Development of Calcific Aortic Valve Disease
title_full_unstemmed Hesperetin, a Promising Dietary Supplement for Preventing the Development of Calcific Aortic Valve Disease
title_short Hesperetin, a Promising Dietary Supplement for Preventing the Development of Calcific Aortic Valve Disease
title_sort hesperetin a promising dietary supplement for preventing the development of calcific aortic valve disease
topic hesperetin
calcified aortic valve disease
Sirt7
Nrf2
url https://www.mdpi.com/2076-3921/11/11/2093
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