Cited by 92Intracerebral and Subarachnoid Hemorrhage ResearchMangiferin and Mango ExtractsHeme Oxygenase-1 and Carbon Monoxide

Nrf2/HO-1 mediates the neuroprotective effect of mangiferin on early brain injury after subarachnoid hemorrhage by attenuating mitochondria-related apoptosis and neuroinflammation

Open access
Wang, Zefeng, Guo, Songxue, Wang, Junxing, Shen, Yuanyuan, Zhang, Jianmin, Wu, Qun·2017·Scientific Reports

Abstract

Early brain injury (EBI) is involved in the process of cerebral tissue damage caused by subarachnoid hemorrhage (SAH), and multiple mechanisms, such as apoptosis and inflammation, participate in its development. Mangiferin (MF), a natural C-glucoside xanthone, has been reported to exert beneficial effects against several types of organ injury by influencing various biological progresses. The current study aimed to investigate the potential of MF to protect against EBI following SAH via histological and biological assessments. A rat perforation model of SAH was established, and MF was subsequently administered via intraperitoneal injection at a low and a high dose. High-dose MF significantly lowered the mortality of SAH animals and ameliorated their neurological deficits and brain edema. MF also dose-relatedly attenuated SAH-induced oxidative stress and decreased cortical cell apoptosis by influencing mitochondria-apoptotic proteins. In addition, MF downregulated the activation of the NLRP3 inflammasome and NF-κ B as well as the production of inflammatory cytokines, and the expression of Nrf2 and HO-1 was upregulated by MF. The abovementioned findings indicate that MF is neuroprotective against EBI after SAH and Nrf2/HO-1 cascade may play a key role in mediating its effect through regulation of the mitochondrial apoptosis pathway and activation of the NLRP3 inflammasome and NF-κ B.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1038/s41598-017-12160-6

Cites

8 of 8 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Mangiferin exerts neuroprotective effects against EBI by promoting the Nrf2/HO-1 cascade in the mitochondrial apoptosis pathway, as well as through NLRP3 inflammasome activation and NF-κB inhibition.

    “Mechanism analysis of mangiferin demonstrated that it exerts its neuroprotective effects against EBI by promoting the nuclear factor erythroid 2-related factor 2 (Nrf2)/HO-1 cascade in the mitochondrial apoptosis pathway, as well as through NLRP3 inflammasome activation and NF-κB inhibition (74).”

    From Mangiferin: An effective therapeutic agent against several disorders (Review) (2018) · cites this paper as [74]

    The Results (page not available) support mangiferin’s effects on mitochondrial apoptosis and NF-κB inhibition in rats with early brain injury after subarachnoid hemorrhage. But the NLRP3 Results state the opposite of the claim’s 'NLRP3 inflammasome activation': mangiferin inhibited its activation. (LLM, conf=0.92)

    Checked by a reasoning model — may be wrong.

    Experimental — accuracy not yet measured
  • Mangiferin decreases mortality of animals with SAH, ameliorates neurological deficits and brain edema, attenuates SAH-induced oxidative stress and decreases cortical cell apoptosis in a dose-dependent manner.

    “It was demonstrated that mangiferin decreases the mortality of animals with SAH, ameliorates neurological deficits and brain edema, attenuates SAH-induced oxidative stress and decreases cortical cell apoptosis in a dose-dependent manner.”
  • Mangiferin effectively protects against early brain injury involved in cerebral tissue damage induced by subarachnoid hemorrhage.

    “Furthermore, mangiferin effectively protects against early brain injury (EBI) that is involved in the process of cerebral tissue damage induced by subarachnoid hemorrhage (SAH) (74).”

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 59

  1. [1]Dong Y Melatonin attenuated early brain injury induced by subarachnoid hemorrhage via regulating NLRP3 inflammasome and apoptosis signaling J. Pineal Res. 2016 60 253 262 10.1111/jpi.12300 26639408 · DOI · Paper page
  2. [2]Tian Y Topiramate attenuates early brain injury following subarachnoid haemorrhage in rats via duplex protection against inflammation and neuronal cell death Brain Research 2015 1622 174 185 10.1016/j.brainres.2015.06.007 26086367 · DOI
  3. [3]Chen S Controversies and evolving new mechanisms in subarachnoid hemorrhage Progress in Neurobiology 2014 115 64 91 10.1016/j.pneurobio.2013.09.002 24076160 PMC3961493 · DOI
  4. [4]Fujii M Early Brain Injury, an Evolving Frontier in Subarachnoid Hemorrhage Research Transl. Stroke Res. 2013 4 432 446 10.1007/s12975-013-0257-2 23894255 PMC3719879 · DOI
  5. [5]Park S Neurovascular Protection Reduces Early Brain Injury After Subarachnoid Hemorrhage Stroke 2004 35 2412 2417 10.1161/01.STR.0000141162.29864.e9 15322302 · DOI
  6. [6]Sehba FA Hou J Pluta RM Zhang JH The importance of early brain injury after subarachnoid hemorrhage Progress in Neurobiology 2012 97 14 37 10.1016/j.pneurobio.2012.02.003 22414893 PMC3327829 · DOI
  7. [7]Ostrowski RP Colohan AR Zhang JH Molecular mechanisms of early brain injury after subarachnoid hemorrhage Neurological Research 2006 28 399 414 10.1179/016164106X115008 16759443 · DOI
  8. [8]Jyotshna KP Shanker K Mangiferin: A review of sources and interventions for biological activities Biofactors 2016 42 504 514 10.1002/biof.1308 27658353 · DOI
  9. [9]Ehianeta TS Laval S Yu B Bio- and chemical syntheses of mangiferin and congeners Biofactors 2016 42 445 458 10.1002/biof.1279 27774668 · DOI · Paper page
  10. [10]Saha S Sadhukhan P Sil PC Mangiferin: A xanthonoid with multipotent anti-inflammatory potential Biofactors 2016 42 459 474 10.1002/biof.1292 27219011 · DOI · Paper page
  11. [12]Pan C-W Mangiferin alleviates lipopolysaccharide and D-galactosamine-induced acute liver injury by activating the Nrf2 pathway and inhibiting NLRP3 inflammasome activation European Journal of Pharmacology 2016 770 85 91 10.1016/j.ejphar.2015.12.006 26668000 · DOI · Paper page
  12. [14]Benard O Chi Y Medicinal properties of mangiferin, structural features, derivative synthesis, pharmacokinetics and biological activities Mini Rev Med Chem 2015 15 582 594 10.2174/1389557515666150401111410 25827900 · DOI
  13. [15]He L Mangiferin attenuate sepsis-induced acute kidney injury via antioxidant and anti-inflammatory effects Am. J. Nephrol. 2014 40 441 450 10.1159/000369220 25427663 · DOI
  14. [16]Fomenko EV Chi Y Mangiferin modulation of metabolism and metabolic syndrome Biofactors 2016 42 492 503 10.1002/biof.1309 27534809 PMC5077701 · DOI
  15. [18]Núñez Selles AJ Daglia M Rastrelli L The potential role of mangiferin in cancer treatment through its immunomodulatory, anti-angiogenic, apoptopic, and gene regulatory effects Biofactors 2016 42 475 491 10.1002/biof.1299 27219221 · DOI · Paper page
  16. [19]Telang M Dhulap S Mandhare A Hirwani R Therapeutic and cosmetic applications of mangiferin: a patent review Expert Opin Ther Pat 2013 23 1561 1580 10.1517/13543776.2013.836182 24066838 · DOI · Paper page
  17. [20]Liu, Y.-W. et al. Mangiferin Upregulates Glyoxalase 1 Through Activation of Nrf2/ARE Signaling in Central Neurons Cultured with High Glucose. Molecular Neurobiology 1–11, doi:10.1007/s12035-016-9978-z (2016). 27318675 · DOI
  18. [21]Bulugonda RK Mangiferin from Pueraria tuberosa reduces inflammation via inactivation of NLRP3 inflammasome Sci Rep. 2017 7 42683 10.1038/srep42683 28218280 PMC5316935 · DOI · Paper page
  19. [22]Yang Z Weian C Susu H Hanmin W Protective effects of mangiferin on cerebral ischemia–reperfusion injury and its mechanisms European Journal of Pharmacology 2016 771 145 151 10.1016/j.ejphar.2015.12.003 26656757 · DOI · Paper page
  20. [23]Márquez L García-Bueno B Madrigal JLM Leza JC Mangiferin decreases inflammation and oxidative damage in rat brain after stress Eur J Nutr 2011 51 729 739 10.1007/s00394-011-0252-x 21986672 · DOI · Paper page
  21. [24]Cahill, J. & Zhang, J. H. Pre-vasospasm: early brain injury. Acta Neurochirurgica Supplementum104, 7–10 (Springer Vienna, 2008).
  22. [25]Kusaka, G., Ishikawa, M., Nanda, A., Granger, D. N. & Zhang, J. H. Signaling Pathways for Early Brain Injury After Subarachnoid Hemorrhage. J Cereb Blood Flow Metab, doi:10.1097/01.WCB.0000125886.48838.7E 916–925 (2004). 15362722 · DOI
  23. [26]Yatsushige H Calvert JW Cahill J Zhang JH Limited role of inducible nitric oxide synthase in blood-brain barrier function after experimental subarachnoid hemorrhage Journal of Neurotrauma 2006 23 1874 1882 10.1089/neu.2006.23.1874 17184195 · DOI
  24. [27]Sehba FA Pluta RM Zhang JH Metamorphosis of subarachnoid hemorrhage research: from delayed vasospasm to early brain injury Molecular Neurobiology 2011 43 27 40 10.1007/s12035-010-8155-z 21161614 PMC3023855 · DOI
  25. [28]Fu Y Mangiferin regulates cognitive deficits and heme oxygenase-1 induced by lipopolysaccharide in mice International Immunopharmacology 2015 29 950 956 10.1016/j.intimp.2015.10.035 26558697 · DOI · Paper page
  26. [30]Jangra A Lukhi MM Sulakhiya K Baruah CC Lahkar M Protective effect of mangiferin against lipopolysaccharide-induced depressive and anxiety-like behaviour in mice European Journal of Pharmacology 2014 740 337 345 10.1016/j.ejphar.2014.07.031 25064341 · DOI · Paper page
  27. [31]Li C Jackson RM Reactive species mechanisms of cellular hypoxia-reoxygenation injury AJP: Cell Physiology 2002 282 C227 C241 11788333
  28. [32]Granger DN Kvietys PR Reperfusion injury and reactive oxygen species: The evolution of a concept Redox Biology 2015 6 524 551 10.1016/j.redox.2015.08.020 26484802 PMC4625011 · DOI
  29. [33]Munro D Treberg JR A radical shift in perspective: mitochondria as regulators of reactive oxygen species J. Exp. Biol. 2017 220 1170 1180 10.1242/jeb.132142 28356365 · DOI
  30. [34]Inupakutika MA Sengupta S Devireddy AR Azad RK Mittler R The evolution of reactive oxygen species metabolism J. Exp. Bot. 2016 67 5933 5943 10.1093/jxb/erw382 27742750 · DOI
  31. [35]Zhang X-S Amelioration of oxidative stress and protection against early brain injury by astaxanthin after experimental subarachnoid hemorrhage Journal of Neurosurgery 2014 121 42 54 10.3171/2014.2.JNS13730 24724856 · DOI
  32. [36]Li J Minocycline Protects Against NLRP3 Inflammasome-Induced Inflammation and P53-Associated Apoptosis in Early Brain Injury After Subarachnoid Hemorrhage Molecular Neurobiology 2015 53 2668 2678 10.1007/s12035-015-9318-8 26143258 · DOI
  33. [37]Hao, X.-K. et al. Ghrelin alleviates early brain injury after subarachnoid hemorrhage via the PI3K/Akt signaling pathway. Brain Research 1–8, doi:10.1016/j.brainres.2014.08.069 (2014). 25199591 · DOI
  34. [38]Zhang X-S Astaxanthin Alleviates Early Brain Injury Following Subarachnoid Hemorrhage in Rats: Possible Involvement of Akt/Bad Signaling Astaxanthin Alleviates Early Brain Injury Following Subarachnoid Hemorrhage in Rats: Possible Involvement of Akt/Bad Signaling Marine Drugs 2014 12 4291 4310 10.3390/md12084291 25072152 PMC4145317 · DOI
  35. [39]Zhang J Zhu Y Zhou D Wang Z Chen G Recombinant human erythropoietin (rhEPO) alleviates early brain injury following subarachnoid hemorrhage in rats: possible involvement of Nrf2-ARE pathway Cytokine 2010 52 252 257 10.1016/j.cyto.2010.08.011 20864352 · DOI
  36. [40]Wang Z Melatonin activates the Nrf2-ARE pathway when it protects against early brain injury in a subarachnoid hemorrhage model J. Pineal Res. 2012 53 129 137 10.1111/j.1600-079X.2012.00978.x 22304528 · DOI
  37. [41]Matkowski A Kuś P Góralska E Woźniak D Mangiferin - a bioactive xanthonoid, not only from mango and not just antioxidant Mini Rev Med Chem 2013 13 439 455 23190031
  38. [42]Benard O Chi Y Medicinal Properties of Mangiferin, Structural Features, Derivative Synthesis, Pharmacokinetics and Biological Activities Mini Rev Med Chem 2015 15 582 594 10.2174/1389557515666150401111410 25827900 · DOI
  39. [43]Pardo-Andreu GL Fe(III) shifts the mitochondria permeability transition-eliciting capacity of mangiferin to protection of organelle Journal of Pharmacology and Experimental Therapeutics 2007 320 646 653 10.1124/jpet.106.112003 17068204 · DOI
  40. [44]Zhang B-P Mangiferin activates Nrf2-antioxidant response element signaling without reducing the sensitivity to etoposide of human myeloid leukemia cells in vitro: a novel Nrf2 activator without a ‘dark side’ Sci Rep. 2013 35 257 266 PMC4651226 24374812
  41. [45]Li H Zhou X Zhang J Induction of heme oxygenase-1 attenuates lipopolysaccharide-induced inflammasome activation in human gingival epithelial cells Int J Mol Med 2014 34 1039 1044 10.3892/ijmm.2014.1865 25069505 · DOI
  42. [46]Nath KA Heme oxygenase-1: a provenance for cytoprotective pathways in the kidney and other tissues Kidney International 2006 70 432 443 10.1038/sj.ki.5001565 16775600 · DOI
  43. [47]Zubkov AY Ogihara K Bernanke DH Parent AD Zhang J Apoptosis of endothelial cells in vessels affected by cerebral vasospasm Surgical Neurology 2000 53 260 266 10.1016/S0090-3019(99)00187-1 10773259 · DOI
  44. [51]Prabhu S Jainu M Sabitha KE Shyamala Devi CS Effect of mangiferin on mitochondrial energy production in experimentally induced myocardial infarcted rats Vascul. Pharmacol. 2006 44 519 525 10.1016/j.vph.2006.03.012 16697266 · DOI · Paper page
  45. [52]Song J Mangiferin protects mitochondrial function by preserving mitochondrial hexokinase-II in vessel endothelial cells BBA - Molecular Basis of Disease 2017 1863 1829 1839 10.1016/j.bbadis.2017.05.001 28478227 · DOI
  46. [53]Zhong Z-Y Tang Y Upregulation of Periostin Prevents High Glucose-Induced Mitochondrial Apoptosis in Human Umbilical Vein Endothelial Cells via Activation of Nrf2/HO-1 Signaling Cell Physiol Biochem 2016 39 71 80 10.1159/000445606 27322610 · DOI
  47. [54]Wang Y Inhibition of beta-amyloid-induced neurotoxicity by pinocembrin through Nrf2/HO-1 pathway in SH-SY5Y cells J. Neurol. Sci. 2016 368 223 230 10.1016/j.jns.2016.07.010 27538638 · DOI
  48. [55]Wang, Y. et al. ZnPP reduces autophagy and induces apoptosis, thus aggravating liver ischemia/reperfusion injury in vitro. Int J Mol Med, doi:10.3892/ijmm.2014.1968 1–10 (2014). 25319231 · DOI
  49. [56]Kasbe P Jangra A Lahkar M Mangiferin ameliorates aluminium chloride-induced cognitive dysfunction via alleviation of hippocampal oxido-nitrosative stress, proinflammatory cytokines and acetylcholinesterase level Journal of Trace Elements in Medicine and Biology 2015 31 107 112 10.1016/j.jtemb.2015.04.002 26004900 · DOI
  50. [57]Hong Y Beneficial effect of hydrogen-rich saline on cerebral vasospasm after experimental subarachnoid hemorrhage in rats J. Neurosci. Res. 2012 90 1670 1680 10.1002/jnr.22739 22589232 · DOI
  51. [58]Yoshida K PKR induces the expression of NLRP3 by regulating the NF-κB pathway in Porphyromonas gingivalis-infected osteoblasts Experimental Cell Research 2017 354 57 64 10.1016/j.yexcr.2017.03.028 28341446 · DOI
  52. [59]Kim S-J Lee S-M NLRP3 inflammasome activation in D-galactosamine and lipopolysaccharide-induced acute liver failure: role of heme oxygenase-1 Free Radical Biology and Medicine 2013 65 997 1004 10.1016/j.freeradbiomed.2013.08.178 23994575 · DOI
  53. [60]Liu, Q., Ci, X., Wen, Z. & Peng, L. Diosmetin Alleviates Lipopolysaccharide-Induced Acute Lung Injury through Activating the Nrf2 Pathway and Inhibiting the NLRP3 Inflammasome. Biomol Ther (Seoul), doi:10.4062/biomolther.2016.234 (2017). PMC5839494 28365974 · DOI
  54. [61]Luo Y-P Hemin inhibits NLRP3 inflammasome activation in sepsis-induced acute lung injury, involving heme oxygenase-1 International Immunopharmacology 2014 20 24 32 10.1016/j.intimp.2014.02.017 24583148 · DOI
  55. [62]Bak S-U Heme oxygenase-1 (HO-1)/carbon monoxide (CO) axis suppresses RANKL-induced osteoclastic differentiation by inhibiting redox-sensitive NF-κB activation BMB Rep 2017 50 103 108 10.5483/BMBRep.2017.50.2.220 28088947 PMC5342874 · DOI
  56. [63]Abdel-Raheem IT Omran GAE-H Induction of heme oxygenase-1 attenuates chemotherapy-induced pulmonary toxicity in rats: A possible link between heme oxygenase-1 and NF-κB Pak J Pharm Sci 2016 29 685 694 27113308
  57. [65]Ostrowski RP Colohan ART Zhang JH Mechanisms of hyperbaric oxygen-induced neuroprotection in a rat model of subarachnoid hemorrhage J Cereb Blood Flow Metab 2005 25 554 571 10.1038/sj.jcbfm.9600048 15703702 · DOI
  58. [66]Pardo-Andreu GL Mangiferin, a naturally occurring glucoxilxanthone improves long-term object recognition memory in rats European Journal of Pharmacology 2010 635 124 128 10.1016/j.ejphar.2010.03.011 20303935 · DOI
  59. [67]Saleh S El-Maraghy N Reda E Barakat W Modulation of diabetes and dyslipidemia in diabetic insulin-resistant rats by mangiferin: role of adiponectin and TNF-α An. Acad. Bras. Cienc. 2014 86 1935 1948 10.1590/0001-3765201420140212 25590730 · DOI · Paper page

Cited by

Sorted by citations

Authors
Wang, Z., Guo, S., Wang, J., Shen, Y., Zhang, J., & Wu, Q.
Affiliations
Second Affiliated Hospital of Zhejiang University (CN)
Corresponding author
Wu, Qun
Venue
Scientific Reports
Published
2017-09-19
Volume
7
Issue
1
Pages
11883-11883
ISSN
2045-2322 (ISSN-L)
OpenAlex
W2754836087
Cited by
92
References
8
Citations by year
2026: 4 · 2025: 6 · 2024: 7 · 2023: 9 · 2022: 10 · 2021: 19 · 2020: 13 · 2019: 9 · 2018: 12 · 2017: 1 · 2016: 1
FWCI
6.67
Type
journal article
Language
en
Open access
Locations
  • Scientific Reports (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
National Natural Science Foundation of China (81671909)
Topics
  • Health Sciences › Medicine › Neurology › Intracerebral and Subarachnoid Hemorrhage Research
  • Health Sciences › Medicine › Complementary and alternative medicine › Mangiferin and Mango Extracts
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Heme Oxygenase-1 and Carbon Monoxide
Keywords
mangiferin, subarachnoid hemorrhage, early brain injury, neuroprotection, Nrf2/HO-1 pathway, mitochondrial apoptosis, NLRP3 inflammasome, NF-κB, neuroinflammation, oxidative stress, cerebral edema, xanthones
MeSH terms
Animals, Brain Injuries, Heme Oxygenase (Decyclizing), Inflammation, Male, Mitochondria, Subarachnoid Hemorrhage, Rats, Sprague-Dawley, Apoptosis, Neuroprotective Agents, Xanthones, NF-E2-Related Factor 2, Rats

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review