A Novel Supplement Attenuates Oxidative Stress-Induced TDP-43-Related Pathogenesis in TDP-43-Expressed Cells

Eun Jin Yang1

  • 1KM Medicine Science Research Division, Korea Institute of Oriental Medicine, 1672 Yuseong-Daero, Yuseong-Gu, Daejeon 305811, Republic of Korea.

Insights

This study shows that combining Bojungikgi-tang with riluzole may help treat amyotrophic lateral sclerosis (ALS). The treatment reduced cell death and protein aggregation, offering potential for neurodegenerative disease therapy.

Area of Science:

  • Neuroscience
  • Pharmacology
  • Cell Biology

Background:

  • Amyotrophic lateral sclerosis (ALS) involves motor neuron loss and muscle atrophy, with increasing incidence and limited effective treatments.
  • Current approved therapies for ALS, riluzole and edaravone, have limitations, necessitating novel therapeutic strategies.
  • Transactive response DNA-binding protein 43 (TDP-43) aggregation and oxidative stress are key pathological mechanisms in ALS.

Purpose of the Study:

  • To investigate the synergistic effects of combined Bojungikgi-tang and riluzole treatment on TDP-43 stress granule cells.
  • To evaluate the impact of this combined treatment on oxidative stress-induced cell death and TDP-43 aggregation.
  • To explore the potential of this combination therapy for regulating autophagy in neurodegenerative diseases.

Main Methods:

  • Cell viability was assessed using the CCK8 assay.
  • Protein expression of oxidative stress markers and TDP-43 was analyzed via Western blot.
  • Reactive oxygen species (ROS) levels were quantified using 2,7-diacetyl dichlorofluorescein diacetate.
  • TDP-43 aggregation was examined using immunofluorescence and immunoblotting.

Main Results:

  • The combined treatment significantly alleviated oxidative stress-induced cell death.
  • Expression of antioxidant proteins, including heme oxygenase-1 and BCL-2-associated X protein, was increased.
  • The treatment reduced TDP-43 aggregation and decreased levels of autophagy-related proteins (p62, LC3B, ATG8).

Conclusions:

  • Combined Bojungikgi-tang and riluzole treatment demonstrates a protective effect against oxidative stress and TDP-43 aggregation in motor neuron models.
  • This synergistic approach shows promise for managing ALS pathology by modulating oxidative stress and protein aggregation.
  • The findings suggest potential therapeutic benefits for autophagy regulation in neurodegenerative diseases beyond ALS.

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