<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article article-type="research-article" dtd-version="2.3" xml:lang="EN" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell Dev. Biol.</journal-id>
<journal-title>Frontiers in Cell and Developmental Biology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell Dev. Biol.</abbrev-journal-title>
<issn pub-type="epub">2296-634X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">1491740</article-id>
<article-id pub-id-type="doi">10.3389/fcell.2024.1491740</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cell and Developmental Biology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Kaempferol enhances intestinal repair and inhibits the hyperproliferation of aging intestinal stem cells in <italic>Drosophila</italic>
</article-title>
<alt-title alt-title-type="left-running-head">Zhao et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fcell.2024.1491740">10.3389/fcell.2024.1491740</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Zhao</surname>
<given-names>Liusha</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>&#x2020;</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
</contrib>
<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Luo</surname>
<given-names>Ting</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>&#x2020;</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
<role content-type="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/"/>
</contrib>
<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Zhang</surname>
<given-names>Hong</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1849047/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
<role content-type="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fan</surname>
<given-names>Xinxin</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
<role content-type="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Qiaoqiao</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/project-administration/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
<role content-type="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Chen</surname>
<given-names>Haiyang</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1390525/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/funding-acquisition/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
<role content-type="https://credit.niso.org/contributor-roles/visualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Center of Gerontology and Geriatrics and Laboratory of Stem Cell and Anti-Aging Research</institution>, <institution>National Clinical Research Center for Geriatrics and State Key Laboratory of Respiratory Health and Multimorbidity</institution>, <institution>West China Hospital</institution>, <institution>Sichuan University</institution>, <addr-line>Chengdu</addr-line>, <addr-line>Sichuan</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Gastroenterology and Hepatology and Laboratory of Inflammatory Bowel</institution>, <institution>West China Hospital</institution>, <institution>Sichuan University</institution>, <addr-line>Chengdu</addr-line>, <addr-line>Sichuan</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Department of Gastroenterology</institution>, <institution>Affiliated Hospital of North Sichuan Medical College</institution>, <addr-line>Nanchong</addr-line>, <addr-line>Sichuan</addr-line>, <country>China</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Frontiers Science Center for Disease-Related Molecular Network</institution>, <institution>State Key Laboratory of Respiratory Health and Multimorbidity and National Clinical Research Center for Geriatrics</institution>, <institution>West China Hospital</institution>, <institution>Sichuan University</institution>, <addr-line>Chengdu</addr-line>, <addr-line>Sichuan</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1513845/overview">Finosh Thankam</ext-link>, Western University of Health Sciences, United States</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2235092/overview">Xiaolei Li</ext-link>, University of Pennsylvania, United States</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2667500/overview">Megha Agarwal</ext-link>, Stanford University, United States</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Haiyang Chen, <email>chenhy82@scu.edu.cn</email>
</corresp>
<fn fn-type="equal" id="fn001">
<label>
<sup>&#x2020;</sup>
</label>
<p>These authors have contributed equally to this work</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>10</day>
<month>10</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>12</volume>
<elocation-id>1491740</elocation-id>
<history>
<date date-type="received">
<day>05</day>
<month>09</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>23</day>
<month>09</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2024 Zhao, Luo, Zhang, Fan, Zhang and Chen.</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Zhao, Luo, Zhang, Fan, Zhang and Chen</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>Intestinal stem cells (ISCs) are crucial for tissue repair and homeostasis because of their ability to self-renew and differentiate. However, their functionality declines significantly with age, resulting in reduced tissue regeneration and a higher risk of age-related diseases. Addressing this decline in ISC performance during aging presents a substantial challenge. The specific impact of nutrients or dietary elements on ISC adaptive resizing is urgent to explore.</p>
</sec>
<sec>
<title>Methods</title>
<p>
<italic>Drosophila</italic> ISCs are an ideal model for studying development and aging because of their genetic richness, ease of manipulation, and similarity to mammalian tissues. As the primary mitotically active cells in the <italic>Drosophila</italic> gut, ISCs are flexible in response to dietary and stress signals. Manipulating signaling pathways or dietary restrictions has shown promise in regulating ISC functions and extending lifespan in flies, these approaches face broader applications for aging research.</p>
</sec>
<sec>
<title>Results</title>
<p>Kaempferol is well-regarded for its antioxidant, anti-inflammatory, and potential anticancer effects. However, its impacts on ISCs and the associated mechanisms remain inadequately understood. Our findings indicate that Kaempferol accelerates gut recovery after damage and improves the organism&#x2019;s stress tolerance. Moreover, Kaempferol suppresses the hyperproliferation of aging ISCs in <italic>Drosophila</italic>. Further investigation revealed that the regulatory effects of Kaempferol on ISCs are mediated through the reduction of endoplasmic reticulum (ER) stress in aging flies and the modulation of excessive reactive oxygen species (ROS) levels via ER-stress pathways. Furthermore, Kaempferol exerts regulatory effects on the insulin signaling pathway, thereby contributing to the attenuation of ISC senescence.</p>
</sec>
<sec>
<title>Discussion</title>
<p>This study reveals that Kaempferol promotes intestinal homeostasis and longevity in aging flies by targeting ER stress and insulin signaling pathways, though the exact molecular mechanisms require further exploration. Future research will aim to dissect the downstream signaling events involved in these pathways to better understand how Kaempferol exerts its protective effects at the molecular level.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Kaempferol</kwd>
<kwd>intestinal stem cell</kwd>
<kwd>ROS</kwd>
<kwd>
<italic>Drosophila</italic>
</kwd>
<kwd>aging</kwd>
</kwd-group>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Stem Cell Research</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Intestinal stem cells (ISCs) play a critical role in gut repair, aging support, and the maintenance of homeostasis, owing to their proliferative capacity and self-renewal abilities (<xref ref-type="bibr" rid="B8">de Morree and Rando, 2023</xref>; <xref ref-type="bibr" rid="B12">Ermolaeva et al., 2018</xref>). However, their functionality declines significantly with age, resulting in reduced tissue regeneration and a higher risk of age-related diseases (<xref ref-type="bibr" rid="B7">Brunet et al., 2023</xref>; <xref ref-type="bibr" rid="B12">Ermolaeva et al., 2018</xref>; <xref ref-type="bibr" rid="B37">Lopez-Otin et al., 2023</xref>). Addressing this decline in ISC performance during aging presents a substantial challenge. <italic>Drosophila</italic> ISCs are an ideal model for studying development and aging because of their genetic richness, ease of manipulation, and similarity to mammalian tissues (<xref ref-type="bibr" rid="B29">Jasper, 2020</xref>). As the primary mitotically active cells in the <italic>Drosophila</italic> gut, ISCs show considerable flexibility in response to dietary and stress signals. They can divide symmetrically to produce more ISCs or asymmetrically to generate progenitor cells, such as EnteroBlasts (EBs), EnteroEndocrine cells (EEs), or large polyploid EnteroCytes (ECs) (<xref ref-type="bibr" rid="B23">Guo and Ohlstein, 2015</xref>). Although manipulating signaling pathways or dietary restrictions has shown promise in regulating ISC functions and extending lifespan in animal models, these approaches face practical limitations for broader application. Additionally, the specific impact of nutrients or dietary elements on ISC adaptive resizing is still not well understood (<xref ref-type="bibr" rid="B11">Du et al., 2020</xref>; <xref ref-type="bibr" rid="B13">Fan et al., 2023</xref>; <xref ref-type="bibr" rid="B14">Fang et al., 2019</xref>; <xref ref-type="bibr" rid="B30">Kim et al., 2022</xref>; <xref ref-type="bibr" rid="B46">Qin et al., 2024</xref>; <xref ref-type="bibr" rid="B56">Yan et al., 2022</xref>).</p>
<p>Kaempferol, a naturally occurring flavonoid prevalent in fruits and vegetables, emerges as a strong candidate for dietary interventions (<xref ref-type="bibr" rid="B19">Gidaro et al., 2016</xref>). Its widespread dietary availability, minimal toxicity, cost-efficiency, and ease of daily incorporation make it well-suited for extensive use (<xref ref-type="bibr" rid="B19">Gidaro et al., 2016</xref>; <xref ref-type="bibr" rid="B57">Yang et al., 2023</xref>). Numerous studies have demonstrated kaempferol&#x2019;s wide-ranging pharmacological benefits, including anticancer (<xref ref-type="bibr" rid="B34">Lee and Kim, 2016</xref>; <xref ref-type="bibr" rid="B39">Luo et al., 2012</xref>; <xref ref-type="bibr" rid="B40">Luo et al., 2011</xref>; <xref ref-type="bibr" rid="B50">Shrestha et al., 2021</xref>), anti-inflammatory (<xref ref-type="bibr" rid="B54">Wang et al., 2020</xref>), anti-obesity (<xref ref-type="bibr" rid="B24">Han et al., 2021</xref>), antiviral (<xref ref-type="bibr" rid="B3">Bangar et al., 2023</xref>; <xref ref-type="bibr" rid="B16">Gao et al., 2023</xref>), antioxidant (<xref ref-type="bibr" rid="B21">Guo et al., 2015</xref>; <xref ref-type="bibr" rid="B53">Wang et al., 2018</xref>), immune-modulatory (<xref ref-type="bibr" rid="B3">Bangar et al., 2023</xref>), and neuroprotective effects (<xref ref-type="bibr" rid="B9">Dong et al., 2023</xref>; <xref ref-type="bibr" rid="B28">Holland et al., 2020</xref>; <xref ref-type="bibr" rid="B58">Yuan et al., 2021</xref>). However, the specific effects of kaempferol on ISC aging and injury, along with its underlying mechanisms, remain inadequately explored. During the processes of aging and injury, reactive oxygen species (ROS) and endoplasmic reticulum (ER) stress can adversely affect ISC function and adaptability (<xref ref-type="bibr" rid="B10">Du et al., 2021</xref>; <xref ref-type="bibr" rid="B56">Yan et al., 2022</xref>). Given kaempferol&#x2019;s capacity to neutralize ROS, reduce inflammation, and provide anticancer benefits (<xref ref-type="bibr" rid="B21">Guo et al., 2015</xref>; <xref ref-type="bibr" rid="B24">Han et al., 2021</xref>; <xref ref-type="bibr" rid="B34">Lee and Kim, 2016</xref>; <xref ref-type="bibr" rid="B39">Luo et al., 2012</xref>; <xref ref-type="bibr" rid="B40">Luo et al., 2011</xref>; <xref ref-type="bibr" rid="B53">Wang et al., 2018</xref>; <xref ref-type="bibr" rid="B54">Wang et al., 2020</xref>). We aim to investigate its potential to slow ISC aging and enhance damage recovery in <italic>Drosophila</italic>.</p>
<p>In this research, we demonstrate that Kaempferol serves as a potent natural compound by effectively curbing ISC hyperproliferation during aging. Notably, Kaempferol extends the lifespan of aged <italic>Drosophila</italic> by regulating gut function and sustaining homeostasis. Mechanistically, it mitigates ISC hyperproliferation by reducing ER stress through the upregulation of UPRER-related genes. Additionally, Kaempferol controls the excessive accumulation of ROS via ER-stress signaling and concurrently suppresses the insulin signaling pathway, contributing to delayed aging. Overall, we have identified Kaempferol as a novel natural phenolic compound that slows ISC aging and offers protective effects against damage.</p>
</sec>
<sec sec-type="results" id="s2">
<title>Results</title>
<sec id="s2-1">
<title>Kaempferol inhibits the hyperproliferation of ISCs in aging <italic>Drosophila</italic>
</title>
<p>Recent research has identified certain molecules with anti-aging properties in <italic>Drosophila</italic>, which have also shown similar benefits in mammals (<xref ref-type="bibr" rid="B11">Du et al., 2020</xref>; <xref ref-type="bibr" rid="B14">Fang et al., 2019</xref>; <xref ref-type="bibr" rid="B55">Wu et al., 2022</xref>). Building on these insights, we aimed to identify compounds in vegetables and fruits that could potentially extend lifespan. Several vegetable and fruit extracts have been reported to have such effects on <italic>Drosophila</italic>. Among these, Kaempferol, a flavonoid-rich in vegetables and fruits, drew our attention due to its well-documented health benefits and disease-preventing capabilities (<xref ref-type="bibr" rid="B2">An and Kim, 2015</xref>; <xref ref-type="bibr" rid="B3">Bangar et al., 2023</xref>; <xref ref-type="bibr" rid="B9">Dong et al., 2023</xref>; <xref ref-type="bibr" rid="B16">Gao et al., 2023</xref>; <xref ref-type="bibr" rid="B19">Gidaro et al., 2016</xref>; <xref ref-type="bibr" rid="B21">Guo et al., 2015</xref>; <xref ref-type="bibr" rid="B24">Han et al., 2021</xref>; <xref ref-type="bibr" rid="B28">Holland et al., 2020</xref>; <xref ref-type="bibr" rid="B34">Lee and Kim, 2016</xref>; <xref ref-type="bibr" rid="B39">Luo et al., 2012</xref>; <xref ref-type="bibr" rid="B40">Luo et al., 2011</xref>; <xref ref-type="bibr" rid="B50">Shrestha et al., 2021</xref>). To evaluate Kaempferol&#x2019;s potential to inhibit ISC aging, we employed the <italic>esg</italic>-GFP/CyO reporter line, where green fluorescent protein (GFP) is regulated by the escargot (<italic>esg</italic>) gene (<xref ref-type="bibr" rid="B32">Korzelius et al., 2014</xref>), to assess its impact on ISC proliferation.</p>
<p>Previous research has indicated that in young <italic>Drosophila</italic>, ISCs either self-renew or differentiate into ECs and EEs (<xref ref-type="bibr" rid="B23">Guo and Ohlstein, 2015</xref>) (<xref ref-type="fig" rid="F1">Figure 1A</xref>). With aging, These cells undergo aberrant proliferation and differentiation, leading to the excessive proliferation of ISCs and progenitor cells (<xref ref-type="bibr" rid="B29">Jasper, 2020</xref>). To examine this, we first fed <italic>Drosophila</italic> normal food for 26&#xa0;days, then supplemented their diet with different concentrations of Kaempferol (0.2, 1.5, 20, 50&#xa0;&#x3bc;M) for 14&#xa0;days (<xref ref-type="fig" rid="F1">Figures 1B, C</xref>). We assessed the number of ISCs and progenitor cells marked by <italic>esg</italic>-GFP<sup>&#x2b;</sup>, pH3<sup>&#x2b;</sup> (a proliferation marker), and Dl<sup>&#x2b;</sup> (an ISC marker). Flies treated with 20&#xa0;&#x3bc;M Kaempferol had fewer <italic>esg</italic>-GFP<sup>&#x2b;</sup>, pH3<sup>&#x2b;</sup> (<xref ref-type="fig" rid="F1">Figures 1C&#x2013;E</xref>), and Dl<sup>&#x2b;</sup> cells (<xref ref-type="fig" rid="F1">Figures 1F, G</xref>) compared to those fed diets added DMSO. At 50&#xa0;&#x3bc;M, Kaempferol&#x2019;s ability to reduce age-related ISC hyperproliferation diminished, suggesting potential side effects at higher concentrations (<xref ref-type="fig" rid="F1">Figures 1C&#x2013;E</xref>). TUNEL staining confirmed that the reduced ISC proliferation was not due to apoptosis of <italic>esg</italic>-GFP<sup>&#x2b;</sup> cells (<xref ref-type="fig" rid="F1">Figure 1H</xref>). We also examined the impact of Kaempferol on ECs (marked with pros<sup>&#x2b;</sup>) and EEs (marked with NRE<sup>&#x2b;</sup>), which showed similar effects in aged flies (<xref ref-type="sec" rid="s12">Supplementary Figures S1A&#x2013;D</xref>). Overall, our data indicate that Kaempferol exerts a potent inhibitory effect on ISC hyperproliferation and attenuates gut hyperplasia in aged <italic>Drosophila</italic>.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Kaempferol Modulates the hyperproliferation of ISCs in a concentration-dependent manner during aging. <bold>(A)</bold> ISC division and differentiation model: ISCs (marked as Dl<sup>&#x2b;</sup> and esg<sup>&#x2b;</sup>) undergo symmetric division for self-renewal and asymmetric division to produce enteroendocrine progenitor cells pre-EEs (marked as esg<sup>&#x2b;</sup> and Pros<sup>&#x2b;</sup>) or EBs (marked as esg<sup>&#x2b;</sup> and NRE<sup>&#x2b;</sup>). Pre-EEs differentiate into EEs (marked as Pros<sup>&#x2b;</sup>), while EBs develop into ECs (marked as Pdm1<sup>&#x2b;</sup>). <bold>(B)</bold> Model of Kaempferol feeding in aging <italic>Drosophila</italic>: Mock refers to flies hatched for 10&#xa0;days and fed a standard diet. Kae indicates flies given Kaempferol. <bold>(C)</bold> Model of Kaempferol feeding in aging <italic>Drosophila</italic>: &#x201c;Mock&#x201d; denotes flies hatched for 10&#xa0;days and fed a standard diet. &#x201c;Kae&#x201d; refers to flies treated with Kaempferol. <bold>(D)</bold> The proportion of esg-GFP<sup>&#x2b;</sup> cells to DAPI-stained cells per region of interest (ROI) in <italic>Drosophila</italic> midguts treated with varying concentrations of Kaempferol (0.2, 1, 5, 20, and 50&#xa0;&#xb5;M) compared to untreated controls. <bold>(E)</bold> The number of pH3<sup>&#x2b;</sup> cells per gut in 40-day-old <italic>Drosophila</italic> midguts, treated with varying concentrations of Kaempferol (0.2, 1, 5, 20, and 50&#xa0;&#xb5;M) or without treatment. <bold>(F)</bold> Representative images of immunofluorescence staining showing ISCs in <italic>Drosophila</italic> midguts, treated and untreated with 20&#xa0;&#xb5;M Kaempferol. Nuclei stained with DAPI (blue) Dl (red) marked ISCs. The top images represent the merged images and the bottom images represent ISCs. <bold>(G)</bold> The proportion of Dl<sup>&#x2b;</sup> cells to DAPI<sup>&#x2b;</sup> cells per ROI without or with 20&#xa0;&#xb5;M Kaempferol treatment. <bold>(H)</bold> Representative immunofluorescence images of ISCs in <italic>Drosophila</italic> midguts, with or without 20&#xa0;&#xb5;M Kaempferol treatment. Nuclei are stained with DAPI (blue), and ISCs are labeled with Dl (red). The top images show merged images; the bottom images highlight ISCs. Scale bars denote 25&#xa0;&#x3bc;m <bold>(C, F, H)</bold>. Error bars show SD. Statistical significance was assessed with Student&#x2019;s t-tests: &#x2a;<italic>p</italic> &#x3c; 0.05, &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01, &#x2a;&#x2a;&#x2a;<italic>p</italic> &#x3c; 0.001; ns indicates <italic>p</italic> &#x3e; 0.05.</p>
</caption>
<graphic xlink:href="fcell-12-1491740-g001.tif"/>
</fig>
</sec>
<sec id="s2-2">
<title>Kaempferol promotes the repair of the intestine under injury conditions and improves stress tolerance in <italic>Drosophila</italic>
</title>
<p>Previous studies have indicated that <italic>Drosophila</italic> midguts undergo continuous turnover and can regenerate after tissue damage (<xref ref-type="bibr" rid="B38">Lucchetta and Ohlstein, 2012</xref>). Chemical damage, such as from bleomycin (BLM), triggers ISC proliferation. Given Kaempferol&#x2019;s positive effects on <italic>Drosophila</italic> gut health (<xref ref-type="bibr" rid="B1">Amcheslavsky et al., 2009</xref>), we examined whether it could enhance the gut&#x2019;s resistance to injury. After a 1-day BLM treatment, the flies were placed on normal food for a 2-day recovery (<xref ref-type="fig" rid="F2">Figure 2A</xref>). Surprisingly, 2&#xa0;days post-injury, <italic>Drosophila</italic> treated with Kaempferol showed a more significant reduction in ISC numbers (marked by <italic>esg</italic> and Dl) and pH3<sup>&#x2b;</sup> cells compared to controls, indicating that Kaempferol supports intestinal repair and limits ISC hyperproliferation under stress (<xref ref-type="fig" rid="F2">Figures 2B&#x2013;E</xref>). Additionally, Paraquat (PQ), known to induce oxidative stress by increasing ROS production, is commonly used to cause intestinal damage in <italic>Drosophila</italic> (<xref ref-type="bibr" rid="B51">Szafra&#x144;ska et al., 2016</xref>). Kaempferol notably extended the lifespan of both female and male <italic>Drosophila</italic> exposed to PQ/BLM treatment (<xref ref-type="fig" rid="F2">Figures 2F, G</xref>; <xref ref-type="sec" rid="s12">Supplementary Figures S2A, B</xref>). In conclusion, these findings imply that Kaempferol safeguards ISCs from damage while improving <italic>Drosophila</italic>&#x2019;s resilience to stress.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Kaempferol promotes injury repair in the intestinal and enhances healthspan under injury conditions. <bold>(A)</bold> Model of Kaempferol feeding in <italic>Drosophila</italic> during BLM treatment. <bold>(B)</bold> Immunofluorescence images of <italic>Drosophila</italic> midguts fed with 25&#xa0;&#x3bc;g/mL BLM, with or without the addition of 20&#xa0;&#xb5;M Kaempferol. Nuclei are stained with DAPI (blue), GFP highlights ISCs and progenitor cells (green), and Dl identifies ISCs (red). The top images show merged images, the middle images highlight ISCs and progenitor cells, and the bottom images focus on ISCs. <bold>(C)</bold> The proportion of esg-GFP<sup>&#x2b;</sup> cells to DAPI<sup>&#x2b;</sup> cells per ROI in midguts treated with BLM, with or without Kaempferol supplementation. <bold>(D)</bold> The proportion of DI<sup>&#x2b;</sup> cells to DAPI<sup>&#x2b;</sup> cells per ROI in midguts treated with BLM, with or without Kaempferol supplementation. <bold>(E)</bold> The number of pH3<sup>&#x2b;</sup> cells per fly gut, with or without 20&#xa0;&#xb5;M Kaempferol, under PQ/BLM treatment conditions. <bold>(F, G)</bold> Survival rates of female wild-type flies treated with DMSO (blue curve) or Kaempferol (red curve) under 20&#xa0;mM PQ <bold>(F)</bold> or 5&#xa0;&#x3bc;g/mL BLM <bold>(G)</bold> conditions. Data from three independent experiments are shown.</p>
</caption>
<graphic xlink:href="fcell-12-1491740-g002.tif"/>
</fig>
</sec>
<sec id="s2-3">
<title>Kaempferol prevents intestinal dysfunction and extends lifespan in aging <italic>Drosophila</italic>
</title>
<p>Ensuring the intestinal barrier remains intact is essential for upholding epithelial balance, shielding against pathogens, and supporting immune tolerance to beneficial bacteria (<xref ref-type="bibr" rid="B17">Gervais and Bardin, 2017</xref>; <xref ref-type="bibr" rid="B43">Naszai et al., 2015</xref>). The decline in ISC functionality and genetic integrity is a key factor in the deterioration of tissue function with aging (<xref ref-type="bibr" rid="B5">Biteau et al., 2008</xref>; <xref ref-type="bibr" rid="B17">Gervais and Bardin, 2017</xref>; <xref ref-type="bibr" rid="B43">Naszai et al., 2015</xref>). Since Kaempferol has shown promise in preventing age-related and injury-induced ISC decline, we further examined its potential to protect intestinal functions in <italic>Drosophila</italic> during aging. To assess this, we analyzed the copper cell region (CCR) condition in both young and old <italic>Drosophila</italic>. The CCR&#x2019;s function decreases with age, disrupting intestinal acid-base balance (<xref ref-type="bibr" rid="B35">Li et al., 2016</xref>). In the <italic>Drosophila</italic> midgut, the CCR secretes acid, which is detected using bromophenol blue, a pH indicator. When intestinal homeostasis deteriorates and acid secretion decreases, the CCR remains blue. In contrast, if acid secretion improves and homeostasis is restored, the CCR turns yellow. Our results indicate that Kaempferol supplementation effectively maintains food intake and intestinal acid-base balance in aged <italic>Drosophila</italic> (<xref ref-type="fig" rid="F3">Figures 3A&#x2013;C</xref>). Additionally, Kaempferol improves intestinal function and enhances excretion in these flies (<xref ref-type="fig" rid="F3">Figures 3D, E</xref>). Considering previous research and our findings that highlight the importance of intestinal regeneration for lifespan extension (<xref ref-type="bibr" rid="B6">Biteau et al., 2010</xref>), we also investigated Kaempferol&#x2019;s impact on lifespan. Our data show that Kaempferol feeding extends lifespan in both male and female <italic>Drosophila</italic> (<xref ref-type="fig" rid="F3">Figures 3F, G</xref>). In summary, Kaempferol supplementation counteracts the decline in intestinal function associated with aging and enhances the lifespan of <italic>Drosophila</italic>.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Kaempferol maintains gut homeostasis and extends the lifespan of <italic>Drosophila</italic>. <bold>(A)</bold> Images of intestinal acid-base regulation and non-feeding intestines. The black box highlights the CCR. &#x201c;Non-eating&#x201d; indicates wild-type flies that did not consume food, with the CCR shown in white. &#x201c;Eating&#x201d; refers to flies consuming bromophenol blue. &#x201c;Homeostasis&#x201d; shows the CCR in yellow, while &#x201c;Perturbed&#x201d; depicts it in blue. <bold>(B)</bold> The percentage of eating intestines in this experiment <bold>(A)</bold>. Data from three independent experiments are shown. <bold>(C)</bold> The percentage of homeostasis intestines in this experiment <bold>(A)</bold>. Data from three independent experiments are shown. <bold>(D)</bold> Representative images of waste deposits in flies treated with or without Kaempferol. Three separate experiments were conducted. <bold>(E)</bold> Deposits per field in experiment <bold>(D)</bold>. Results are obtained from three independent experiment data. <bold>(F, G)</bold> Survival rates of female and male wild-type flies with DMSO (blue line) or Kaempferol (red line) treatment starting at 10&#xa0;days old. Results are based on three independent trials.</p>
</caption>
<graphic xlink:href="fcell-12-1491740-g003.tif"/>
</fig>
</sec>
<sec id="s2-4">
<title>Kaempferol inhibits the hyperproliferation of ISCs through ER-stress response</title>
<p>The proliferation of ISCs is tightly controlled by gene expression (<xref ref-type="bibr" rid="B23">Guo and Ohlstein, 2015</xref>). To understand how Kaempferol influences ISC proliferation, we conducted the RNA-seq on midguts from flies treated with Kaempferol compared to controls. Principal component analysis (PCA) highlighted significant differences between the two groups (<xref ref-type="fig" rid="F4">Figure 4A</xref>). Gene Ontology (GO) enrichment analysis indicated a dramatic increase in genes associated with the unfolded protein response (UPR) in flies treated with Kaempferol (<xref ref-type="fig" rid="F4">Figure 4B</xref>). The UPRER refers to a subset of UPR genes activated by ER stress, which occurs when the ER becomes overwhelmed with misfolded proteins (<xref ref-type="bibr" rid="B47">Rath et al., 2012</xref>). To suppress ER stress, the UPR triggers its target genes to alleviate the accumulation of unfolded proteins by enhancing the production of several stress-responsive chaperones (<xref ref-type="bibr" rid="B10">Du et al., 2021</xref>; <xref ref-type="bibr" rid="B26">Hetz, 2012</xref>). GO enrichment analysis revealed significant differences in UPRER expression between Kaempferol-treated and control flies. We analyzed URPER-related genes and created a volcano plot to highlight the significance and fold changes of differentially expressed genes. The results showed that UPRER genes, such as <italic>Hsp23</italic> and <italic>HSP68</italic>, were upregulated in the midguts of 40-day-old wild-type flies treated with Kaempferol compared to controls (<xref ref-type="fig" rid="F4">Figure 4C</xref>). Heatmap analysis further identified UPR target genes (<italic>Hsp70Bbb</italic>, <italic>Hsp70Ab</italic>, <italic>HSC70-5</italic>, <italic>Hsp70Bb</italic>, <italic>Hsp68</italic>, <italic>Hsp70Bc</italic>, <italic>Hsp23</italic>, and <italic>Hsp70Aa</italic>) with markedly higher expression levels in the aged midguts of <italic>Drosophila</italic> treated with Kaempferol compared to untreated flies (<xref ref-type="fig" rid="F4">Figure 4D</xref>). The UPRER is known to be crucial in regulating ISC hyperproliferation associated with aging (<xref ref-type="bibr" rid="B10">Du et al., 2021</xref>). Drawing on prior research and our current data, we propose that Kaempferol addresses aging-related gut hyperplasia through pathways involving UPRER genes. Moreover, we analyzed the expression levels of p-eIF2&#x3b1;, an essential transcription factor in the ATF4 ER stress pathway (<xref ref-type="bibr" rid="B41">Mao et al., 2019</xref>). Phosphorylated eIF2&#x3b1; (p-eIF2&#x3b1;) serves as a reliable biomarker for evaluating ER stress levels in cells (<xref ref-type="bibr" rid="B47">Rath et al., 2012</xref>), In <italic>Drosophila</italic> ISCs, p-eIF2&#x3b1; was significantly reduced (<xref ref-type="fig" rid="F4">Figure 4E</xref>). This finding suggests that Kaempferol likely mitigates ISC aging by alleviating ER stress, as evidenced by the increased expression of UPRER target genes in aged flies treated with Kaempferol. Immunostaining further demonstrated that Kaempferol effectively lowered elevated p-eIF2&#x3b1; levels in these cells (<xref ref-type="fig" rid="F4">Figure 4E</xref>). To validate Kaempferol&#x2019;s effect on ER-stress signaling, we conducted RT-qPCR analyses, which revealed decreased levels of ER-stress-related genes (<xref ref-type="bibr" rid="B31">Ko and Brandizzi, 2024</xref>; <xref ref-type="bibr" rid="B33">Kumar and Maity, 2021</xref>). ER-stress-related genes (<italic>ATF6</italic>, <italic>ATF4</italic>, and <italic>XBP1</italic>) were reduced in the guts of aged <italic>Drosophila</italic> treated with Kaempferol (<xref ref-type="fig" rid="F4">Figure 4F</xref>). These results suggest that Kaempferol may affect ISC proliferation by modulating ER-stress signaling.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Kaempferol inhibits ISC hyperproliferation through the ER-stress signaling. <bold>(A)</bold> PCA of midguts from 40-day-old wild-type flies: one cohort was treated with 20&#xa0;&#xb5;M Kaempferol, and the other with DMSO only. <bold>(B)</bold> GO pathway enrichment analysis was performed on upregulated and downregulated genes in a pair-wise comparison between 40-day-old <italic>Drosophila</italic> midguts treated with or without Kaempferol. <bold>(C)</bold> The volcano plot displays genes that are differentially expressed in 40-day-old <italic>Drosophila</italic> midguts with Kaempferol treatment compared to those without. Red dots highlight genes that are remarkably upregulated, blue dots mark genes that are remarkably downregulated, and gray dots indicate genes with no significant change. <bold>(D)</bold> The differential gene expression of UPRER in midguts of flies with Kaempferol feeding compared to the control group is shown in the heatmap. <bold>(E)</bold> Representative immunofluorescence images of p-eIF2&#x3b1; staining in midguts with or without Kaempferol treatment. The top images show merged images, while the bottom images focus on p-eIF2&#x3b1; signals. Three independent experiments were conducted. <bold>(F)</bold> RT-qPCR was used to measure the mRNA levels of ER-stress-related genes in the midguts of 40-day-old wild-type <italic>Drosophila</italic>, comparing those with and without Kaempferol treatment (administered starting at 26&#xa0;days). Three independent experiments were conducted.</p>
</caption>
<graphic xlink:href="fcell-12-1491740-g004.tif"/>
</fig>
</sec>
<sec id="s2-5">
<title>Kaempferol suppresses the hyperproliferation of ISCs partly through its antioxidant function in aged <italic>Drosophila</italic>
</title>
<p>To further understand Kaempferol&#x2019;s impact on aging ISCs, we reviewed existing studies, revealing that Kaempferol can inhibit antioxidant activity (<xref ref-type="bibr" rid="B53">Wang et al., 2018</xref>; <xref ref-type="bibr" rid="B54">Wang et al., 2020</xref>). It also impacts the expression of genes involved in ER-stress signaling (<xref ref-type="fig" rid="F4">Figures 4B&#x2013;D, F</xref>). ER stress is closely linked to ROS accumulation (<xref ref-type="bibr" rid="B52">Uddin et al., 2021</xref>). ER stress can lead to ROS production through mitochondrial DNA damage. Connecting ROS to mitochondrial stress as a consequence of ER signaling (<xref ref-type="bibr" rid="B48">Salminen and Kaarniranta, 2010</xref>). To investigate whether Kaempferol&#x2019;s antioxidant effects are preserved in <italic>Drosophila</italic>, we measured the expression of antioxidant-related genes via RT-qPCR. Results showed increased levels of <italic>Catalase</italic> (<italic>Cat</italic>), <italic>Sod1</italic>, and <italic>Sod2</italic> in aged <italic>esg</italic>
<sup>&#x2b;</sup> cells treated with Kaempferol (<xref ref-type="fig" rid="F5">Figure 5A</xref>). Additionally, Using the fluorescent probe DHE, we evaluated ROS levels in <italic>esg</italic>
<sup>&#x2b;</sup> cells. The results indicated a dramatic decrease in ROS in aged flies that received Kaempferol (<xref ref-type="fig" rid="F5">Figures 5B, C</xref>). To examine Kaempferol&#x2019;s role in ISC homeostasis, we overexpressed <italic>Cat</italic> and used <italic>Keap1</italic> RNAi in <italic>esg</italic>
<sup>&#x2b;</sup> cells with a temperature-sensitive system (<italic>esg</italic>
<sup>
<italic>ts</italic>
</sup>), as <italic>Cat</italic> and <italic>Keap1</italic> are key regulators of intracellular redox balance (<xref ref-type="bibr" rid="B27">Hochmuth et al., 2011</xref>). This approach revealed that <italic>Cat</italic> overexpression and <italic>Keap1</italic> RNAi reduced ROS levels and ISC hyperproliferation, as shown by fewer <italic>esg</italic>
<sup>&#x2b;</sup> and pH3<sup>&#x2b;</sup> cells in 40-day-old <italic>Drosophila</italic> (<xref ref-type="fig" rid="F5">Figures 5D&#x2013;F</xref>). Importantly, Kaempferol also decreased ISC proliferation in <italic>Drosophila</italic> with <italic>Cat</italic> overexpression and <italic>Keap1</italic> depletion (<xref ref-type="fig" rid="F5">Figures 5D&#x2013;F</xref>), suggesting its role extends beyond antioxidant activity to regulating ISC homeostasis.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Kaempferol prevents ISC hyperproliferation through its antioxidative functions during aging. <bold>(A)</bold> RT-qPCR utilized to measure the mRNA levels of ROS-related genes (sod1, sod2 and Cat) in the midguts of 40-day-old wild-type <italic>Drosophila</italic>, comparing those with and without Kaempferol treatment (administered starting at 26&#xa0;days). Three independent experiments were completed. <bold>(B)</bold> Representative images of DHE staining are provided. esg-GFP<sup>&#x2b;</sup> cells (green) and DHE staining (red) are highlighted by white dashed lines. The top images show merged images, while the bottom images focus on DHE staining. DHE fluorescence intensity was measured in esg-GFP<sup>&#x2b;</sup> cells, with each dot representing a single cell. <bold>(C)</bold> Quantitation of DHE fluorescence intensity in esg-GFP<sup>&#x2b;</sup> cells from this experiment. <bold>(D)</bold> Kaempferol further inhibited ISC proliferation in Uas-LacZ, Cat-overexpressed, and Keap1-depleted aged ISCs (starting from day 26). The top images show merged images, and the bottom images highlight esg<sup>&#x2b;</sup> cells, labeled with GFP. <bold>(E)</bold> The proportion of esg-GFP<sup>&#x2b;</sup> cells to DAPI<sup>&#x2b;</sup> cells per ROI in experiment <bold>(C)</bold>. <bold>(F)</bold> The number of pH3<sup>&#x2b;</sup> cells per gut in experiment <bold>(C)</bold>.</p>
</caption>
<graphic xlink:href="fcell-12-1491740-g005.tif"/>
</fig>
</sec>
<sec id="s2-6">
<title>Kaempferol maintains ISC homeostasis partly by inhibiting the insulin signaling pathway</title>
<p>Kaempferol&#x2019;s ability to further inhibit ISC proliferation in <italic>Drosophila</italic> with <italic>Keap1</italic> RNAi and <italic>Cat</italic> overexpression suggests it might engage other pathways in its mechanism. Although lifespan varies greatly among species, fundamental genetic pathways that control longevity are conserved (<xref ref-type="bibr" rid="B20">Green et al., 2022</xref>; <xref ref-type="bibr" rid="B22">Guo et al., 2016</xref>; <xref ref-type="bibr" rid="B25">Hartl, 2016</xref>; <xref ref-type="bibr" rid="B29">Jasper, 2020</xref>; <xref ref-type="bibr" rid="B42">Melzer et al., 2020</xref>). A well-known example is the insulin/IGF-1 signaling (IIS) pathway (<xref ref-type="bibr" rid="B18">Giannakou and Partridge, 2007</xref>; <xref ref-type="bibr" rid="B44">Partridge, 2001</xref>). RNA-seq data show that Kaempferol significantly affects insulin signaling (<xref ref-type="fig" rid="F4">Figure 4B</xref>). This pathway contains the insulin/IGF-1 receptor tyrosine kinase, and the serine/threonine kinase AKT (<xref ref-type="bibr" rid="B18">Giannakou and Partridge, 2007</xref>; <xref ref-type="bibr" rid="B49">Serrano et al., 2009</xref>). To investigate the impact of Kaempferol on this pathway, we measured insulin signaling activity by assessing levels of phosphorylated Akt (pAKT). Immunostaining results indicated that Kaempferol decreased pAKT levels in ISCs of aged flies (<xref ref-type="fig" rid="F6">Figures 6A, B</xref>). Further validation was performed by inhibiting the insulin pathway using either <italic>InR</italic> RNAi (insulin-like receptor) or a dominant-negative (DN) form of <italic>InR</italic>, leading to a reduction in <italic>esg</italic>-GFP<sup>&#x2b;</sup> and pH3<sup>&#x2b;</sup> cells compared to controls (<xref ref-type="fig" rid="F6">Figures 6C&#x2013;E</xref>). Kaempferol supplementation also reduced these cell populations in aged flies, likely due to its antioxidant properties related to ER stress. These discoveries indicated that Kaempferol supports ISC homeostasis in aging <italic>Drosophila</italic> by partially inhibiting the insulin signaling pathway.</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>Kaempferol inhibits the hyperproliferation of ISCs in aging via the insulin signaling pathway. <bold>(A)</bold> p-AKT staining (red) in aged esg-GFP<sup>&#x2b;</sup> cells of <italic>Drosophila</italic> midguts, visualized through immunofluorescence imaging, comparing samples with and without Kaempferol treatment. The top images show merged images and the bottom images display p-AKT signals. <bold>(B)</bold> Quantitation of p-AKT fluorescence intensity in esg-GFP<sup>&#x2b;</sup> cells. Each dot indicates one esg-GFP<sup>&#x2b;</sup> cell. <bold>(C)</bold> Immunofluorescence images of ISCs in UAS-LacZ, UAS-InRDN, and InR RNAi <italic>Drosophila</italic> midguts, with or without Kaempferol treatment (starting from day 26). The top images show merged images, while the bottom images display esg<sup>&#x2b;</sup> cells. <bold>(D)</bold> The proportion of esg-GFP<sup>&#x2b;</sup> cells to DAPI<sup>&#x2b;</sup> cells per ROI in experiment <bold>(C)</bold>. <bold>(E)</bold> The number of pH3<sup>&#x2b;</sup> cells per fly gut.</p>
</caption>
<graphic xlink:href="fcell-12-1491740-g006.tif"/>
</fig>
</sec>
<sec id="s2-7">
<title>Kaempferol suppresses ISC proliferation through the insulin and ROS signaling pathways</title>
<p>As mentioned, ER stress produces ROS in mitochondria through mitochondrial DNA damage (<xref ref-type="bibr" rid="B15">Forgie et al., 2022</xref>). This process highlights the link between ER stress and mitochondrial stress. To explore how Kaempferol influences proliferation via ROS and insulin signaling, we conducted experiments involving <italic>Keap1</italic> RNAi or <italic>Cat</italic> overexpression, combined with the expression of a DN form of <italic>InR</italic> to suppress the insulin signaling pathway in 40-day-old ISCs. The findings indicated a notable reduction in both <italic>esg</italic>-GFP<sup>&#x2b;</sup> and pH3<sup>&#x2b;</sup> cells in these flies when compared to the control group (<xref ref-type="fig" rid="F7">Figures 7A&#x2013;C</xref>). Interestingly, Kaempferol did not increase these effects any further (<xref ref-type="fig" rid="F7">Figures 7A&#x2013;C</xref>). These results indicated that Kaempferol suppresses age-related hyperproliferation ISC by modulating both the insulin and ROS signaling pathways (<xref ref-type="fig" rid="F7">Figure 7D</xref>).</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption>
<p>Kaempferol regulates ROS and insulin signaling pathways to inhibit the hyperproliferation of aging ISC. <bold>(A)</bold> Immunofluorescence images of ISCs in UAS-LacZ, UAS-Cat overexpressed, UAS-InRDN, and Keap1RNAi with UAS-InRDN <italic>Drosophila</italic> midguts, with or without Kaempferol treatment (administered from day 26). The top images display merged images, and the bottom images show esg<sup>&#x2b;</sup> cells. <bold>(B)</bold> The proportion of esg-GFP<sup>&#x2b;</sup> cells to DAPI<sup>&#x2b;</sup> cells per ROI in experiment <bold>(A)</bold>. <bold>(C)</bold> The number of pH3<sup>&#x2b;</sup> cells per fly gut <bold>(A)</bold>. <bold>(D)</bold> Model of Kaempferol suppresses ISC hyperproliferation via insulin signaling pathway conjunction with ER-stress and ROS.</p>
</caption>
<graphic xlink:href="fcell-12-1491740-g007.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="s3">
<title>Discussion</title>
<p>In recent years, researchers in injury repair and aging have concentrated on understanding the underlying mechanisms and devising advanced treatments to improve tissue repair and combat age-related diseases. A key area of interest has been the effect of natural substances on tissue damage and aging. Kaempferol, a compound found in various fruits, vegetables, and dietary supplements, has garnered attention for its potential health benefits (<xref ref-type="bibr" rid="B3">Bangar et al., 2023</xref>). Its neuroprotective, antioxidant, anti-inflammatory, anti-cancer, and immune-modulatory properties have been documented in both <italic>in vitro</italic> and <italic>in vivo</italic> studies, showing promise against conditions like stroke, Alzheimer&#x2019;s, and cancer (<xref ref-type="bibr" rid="B9">Dong et al., 2023</xref>; <xref ref-type="bibr" rid="B16">Gao et al., 2023</xref>; <xref ref-type="bibr" rid="B19">Gidaro et al., 2016</xref>; <xref ref-type="bibr" rid="B21">Guo et al., 2015</xref>; <xref ref-type="bibr" rid="B24">Han et al., 2021</xref>; <xref ref-type="bibr" rid="B34">Lee and Kim, 2016</xref>; <xref ref-type="bibr" rid="B39">Luo et al., 2012</xref>; <xref ref-type="bibr" rid="B40">Luo et al., 2011</xref>; <xref ref-type="bibr" rid="B53">Wang et al., 2018</xref>; <xref ref-type="bibr" rid="B54">Wang et al., 2020</xref>). Our research further emphasizes Kaempferol&#x2019;s role in repairing ISC damage and reducing ISC hyperproliferation related to aging. We found that Kaempferol effectively mitigates ISC dysfunction, prevents gut hyperplasia, preserves intestinal PH balance, and enhances food consumption and excretion in aged <italic>Drosophila</italic>. Additionally, Kaempferol supplementation significantly improved ISC recovery from injury and increased survival rates of <italic>Drosophila</italic> under stress.</p>
<p>Our investigation into the mechanisms of Kaempferol revealed its ability to mitigate ER stress, regulate ROS levels in ISCs, and influence insulin signaling. The ER plays a vital role in eukaryotic cells, managing protein synthesis, folding, and transport. Disruptions to ER function can lead to an accumulation of unfolded or misfolded proteins, which causes ER stress and activates the UPR to reestablish cellular equilibrium (<xref ref-type="bibr" rid="B4">Bhattarai et al., 2020</xref>). Aging affects ER chaperones and folding enzymes, impairing proteostasis and causing an accumulation of misfolded proteins. Ineffective UPR activation worsens ER stress by hindering the removal of these proteins (<xref ref-type="bibr" rid="B52">Uddin et al., 2021</xref>). Moreover, aging is associated with increased ER stress and elevated ROS levels (<xref ref-type="bibr" rid="B48">Salminen and Kaarniranta, 2010</xref>). ROS, reactive molecules derived from oxygen, serve as signaling agents in normal physiological processes but can cause oxidative stress when present in excess, contributing to aging and associated diseases (<xref ref-type="bibr" rid="B56">Yan et al., 2022</xref>).</p>
<p>Kaempferol affects ISC aging by modulating the IIS pathway, which is conserved from <italic>Drosophila</italic> to mammals and regulates numerous physiological functions, including growth, metabolism, reproduction, stress responses, and aging (<xref ref-type="bibr" rid="B18">Giannakou and Partridge, 2007</xref>). The <italic>Drosophila</italic> genome includes eight insulin/IGF-like peptide paralogs (<xref ref-type="bibr" rid="B45">Post et al., 2019</xref>). Studies show that decreased IIS can extend lifespan across various species, such as worms, <italic>Drosophila</italic>, mice, and humans. Meanwhile, increased IIS is associated with a shorter lifespan and a higher risk of age-related diseases (<xref ref-type="bibr" rid="B18">Giannakou and Partridge, 2007</xref>; <xref ref-type="bibr" rid="B45">Post et al., 2019</xref>). Moreover, the IIS pathway is vital for stem cell homeostasis, with <italic>Drosophila</italic> insulin-like peptides, which act through insulin receptors, being crucial for the regulation of stem cell proliferation (<xref ref-type="bibr" rid="B36">Li and Geng, 2010</xref>).</p>
<p>Aging leads to defects in ISCs across various tissues, impairing their ability to repair damage and maintain homeostasis (<xref ref-type="bibr" rid="B7">Brunet et al., 2023</xref>; <xref ref-type="bibr" rid="B12">Ermolaeva et al., 2018</xref>). Our study reveals that Kaempferol inhibits excessive ISC proliferation by modulating ROS and insulin signaling pathways during aging. However, the specific molecular mechanisms through which Kaempferol influences these pathways in aging ISCs and tissue repair require further investigation. It is possible that Kaempferol directly interacts with certain targets to regulate these pathways. Additional research is needed to clarify Kaempferol&#x2019;s precise role in ISC function and its potential effects on ISC differentiation in the context of aging.</p>
</sec>
<sec sec-type="conclusion" id="s4">
<title>Conclusion</title>
<p>In summary, Kaempferol is a potent dietary agent with significant anti-aging effects and promotes tissue repair. It extends the lifespan and health span of <italic>Drosophila</italic>, offering a range of health benefits for aging individuals through several mechanisms.</p>
</sec>
<sec sec-type="materials|methods" id="s5">
<title>Materials and methods</title>
<sec id="s5-1">
<title>Materials availability</title>
<p>Any unique or stable reagents and materials discussed in this study can be synthesized using the protocols provided in the Materials and Methods section or can be requested from the lead contact.</p>
</sec>
<sec id="s5-2">
<title>
<italic>Drosophila</italic> stocks</title>
<p>
<italic>Drosophila</italic> was maintained at 25&#xb0;C with a 12-h light-dark cycle in controlled incubators and was provided with standard cornmeal/yeast medium. For conditional expression studies, the flies were initially kept at 18&#xb0;C. To activate temperature-sensitive transgenes, flies were Switched to 29&#xb0;C for the necessary period; otherwise, they were aged at 25&#xb0;C. Only mated females were used for midgut studies.</p>
</sec>
<sec id="s5-3">
<title>Kaempferol and bleomycin</title>
<p>Dissolution of Kaempferol in Dimethyl sulfoxide (DMSO) and added to the normal food medium. Female flies, collected within 3&#xa0;days of eclosion, were evenly distributed into tubes containing the diet enriched with Kaempferol. The control diet was prepared with the same volume of DMSO.</p>
<p>A4 paper was cut into strips measuring 3&#xa0;cm &#xd7; 5&#xa0;cm and soaked in a 25&#xa0;&#x3bc;g/mL solution of bleomycin (Aladdin, B107423). Flies were first hungered for 2&#xa0;h in empty tubes, then placed in tubes containing the bleomycin solution. After 24&#xa0;h, the flies were moved to new tubes with food supplemented with 20&#xa0;&#x3bc;mol/L Kaempferol, while DMSO was used as a control.</p>
</sec>
<sec id="s5-4">
<title>
<italic>Drosophila</italic> stocks and fly genetics</title>
<p>All <italic>Drosophila</italic> genotypes and their sources used in this study are listed in <xref ref-type="sec" rid="s12">Supplementary Table S4</xref>.</p>
</sec>
<sec id="s5-5">
<title>Lifespan and survival experiments</title>
<p>In the lifespan study, 100 mated wild-type females and 100 males of the same genetic background were separated 10&#xa0;days after eclosion and distributed into five tubes, each with about 20 males and 20 females. Each tube contained food supplemented with either 20&#xa0;mM PQ (Aladdin, M106760) and 5&#xa0;&#xb5;g BLM (Aladdin, B107423), added with 20&#xa0;mM Kaempferol (MCE, HY-14590) or DSMO. Sacrificed flies were counted and recorded every 2&#xa0;days, and the food in each vial was also replaced every 2&#xa0;days. The experiment was conducted three times to confirm the results&#x2019; reliability and reproducibility.</p>
<p>For the Kaempferol lifespan study, 100 mated wild-type females and 100 males of the same genetic background were placed into five tubes, each containing around 20 males and 20 females, 3&#xa0;days after eclosion. The control group was fed with food mixed with DMSO, while the experimental group received Kaempferol-mixed food. Sacrificed flies were counted and recorded every 2&#xa0;days, and the food in each vial was also replaced every 2&#xa0;days. The experiment was conducted three times to confirm the results&#x2019; reliability and reproducibility.</p>
</sec>
<sec id="s5-6">
<title>RNA-seq</title>
<p>Total RNA was extracted from 30 midguts dissected from wild-type female <italic>Drosophila</italic> for RNA sequencing. The samples were immediately frozen in liquid nitrogen and processed by Shenzhen Chengqi Biotechnology Co., LTD (China). Sequencing was performed on the Illumina NovaSeq 6000 platform (San Diego, US) with 150 bp paired-end reads, yielding over 20 million reads per sample. Initial quality checks of the raw FASTQ files were done using FastQC (v0.11.9, <ext-link ext-link-type="uri" xlink:href="http://www.bioinformatics.babraham.ac.uk/projects/fastqc/">http://www.bioinformatics.babraham.ac.uk/projects/fastqc/</ext-link>). The processed reads were aligned to the <italic>Drosophila</italic> reference genome (Ensembl build BDGP6, <ext-link ext-link-type="uri" xlink:href="https://support.illumina.com/sequencing/sequencing_software/igenome.html">https://support.illumina.com/sequencing/sequencing_software/igenome.html</ext-link>), Gene symbols were annotated based on the <italic>Drosophila</italic> BDGP6 genome from Ensembl. Differential gene expression was assessed using DESeq2 (v1.26.0) with default parameters, focusing on genes with an absolute log2 fold change exceeding 0.5 between modified (e.g., RNAi) and control samples, and a <italic>p</italic>-value of less than 0.05. Pathway analysis was performed with a cluster Profiler.</p>
</sec>
<sec id="s5-7">
<title>RNA purification and RT-qPCR</title>
<p>One hundred dissected midguts from 100 wild-type female <italic>Drosophila</italic> were placed in 4&#xb0;C DEPC-PBS. The samples were then incubated in 1&#xa0;mg/mL elastase (Sigma, cat. no. E0258) in DEPC-PBS at 25&#xb0;C, with gentle mixing every 15&#xa0;min. After incubation, the samples were centrifuged at 600 &#xd7; <italic>g</italic> for 15&#xa0;min at 4&#xb0;C and resuspended in cold DEPC-PBS. They were then filtered through 70&#xa0;&#xb5;m filters and sorted using a FACS Aria II Sorter (BD Biosciences, USA). Three biological replicates were performed. For subsequent analyses, samples were lysed with a lysis buffer, and total RNA was extracted using the Cell Total RNA Isolation Kit (FOREGENE, RE-03111) following the manufacturer&#x2019;s instructions. Reverse transcription was performed with oligo dT using the PrimeScript RT Reagent Kit (Vazyme, R312-01), and the first-strand cDNA was diluted tenfold with water for real-time PCR analysis (Vazyme, Q711-02). Expression levels were quantified using the 2<sup>&#x2212;&#x394;&#x394;CT</sup> method and normalized to RpL15, with the control sample&#x2019;s expression set to Primer sequences for qPCR are listed in <xref ref-type="sec" rid="s12">Supplementary Table S3</xref>.</p>
</sec>
<sec id="s5-8">
<title>TUNEL assay</title>
<p>Dissected midguts of the flies were placed in cold PBS and fixed in 4% paraformaldehyde for 30&#x2013;35&#xa0;min. They were then washed twice times with 0.1% PBST (PBS with Triton X-100), each wash lasting 10&#xa0;min. Apoptosis was detected using the colorimetric TUNEL Apoptosis Assay Kit (Beyotime, C1098) following the instructions.</p>
</sec>
<sec id="s5-9">
<title>DHE staining</title>
<p>The midguts of adult female <italic>Drosophila</italic> should be immersed in PBS after dissection and incubated with 20&#x2013;30&#xa0;&#x3bc;M DHE (MCE, HY-D0079) in the dark for 5&#xa0;min. After washing the samples three times with PBS, they were immediately imaged using confocal microscopy. Signal intensities in the intestinal epithelium were analyzed with LAS-X software, and cells were identified based on fluorescence.</p>
</sec>
<sec id="s5-10">
<title>Immunofluorescence microscopy for midguts</title>
<p>Dissected midguts of adult female <italic>Drosophila</italic> deposited in cold PBS. After dissection, remove the PBS and add a mixture of 4% paraformaldehyde and n-heptane (1:1) for 30&#xa0;min at 25&#xb0;C (room temperature). After fixation, the samples were washed twice with methanol for 5&#xa0;min each. They were then subjected to three washes with PBS containing 0.1% Triton, each wash lasting 10&#xa0;min. Then, overnight incubation of the midguts at 4&#xb0;C was performed using primary antibodies diluted in wash buffer. The primary antibodies used in this study were listed in <xref ref-type="sec" rid="s12">Supplementary Table S5</xref>.</p>
<p>The next day, the midguts were subjected to three washes with 0.1% PBST, each lasting 10&#x2013;15&#xa0;min. Subsequently, incubated with secondary antibodies and DAPI (Sigma) for 2&#x2013;3&#xa0;h at 25&#xb0;C (Alexa 488 and Alexa 568, Invitrogen) were used at a 1:2,000 attenuation. Confocal imaging was conducted using a Leica TCS-SP8 microscope, and the results were analyzed by LAS X software.</p>
</sec>
<sec id="s5-11">
<title>Fluorescence intensity statistics</title>
<p>Confocal microscopy was used to examine immunofluorescence images. Fluorescence intensity was measured from z-stacks using LAS X software. Images were captured with a Leica TCS-SP8 microscope and analyzed using Leica Application Suite X, Adobe Illustrator, Photoshop, and ImageJ.</p>
</sec>
<sec id="s5-12">
<title>Bromophenol blue treatment</title>
<p>To categorize <italic>Drosophila</italic> midguts, 200&#xa0;&#xb5;L of 2% Bromophenol blue was first added to the food tubes (using a pipette tip to pierce the food, creating holes to ensure thorough absorption). After a 2-h fasting period, the flies were switched into the tubes for 24&#xa0;h. The flies were then promptly dissected to capture images.</p>
</sec>
<sec id="s5-13">
<title>Fly excretion measurement</title>
<p>200&#xa0;&#xb5;L of 2% Bromophenol blue was first added to the food tubes (using a pipette tip to pierce the food, creating holes to ensure thorough absorption). A4 paper strips (3&#xa0;cm &#xd7; 5&#xa0;cm) were rolled and placed inside. Flies were hungered for 2&#xa0;h, then exposed to the solution for 24&#xa0;h. Afterward, the paper was imaged and analyzed for deposits.</p>
</sec>
<sec id="s5-14">
<title>Software availability</title>
<p>R version 3.5.3 for RNA-seq analysis is available at <ext-link ext-link-type="uri" xlink:href="https://www.r-project.org/">R Project</ext-link>. The custom ImageJ for quantifying immunofluorescence can be accessed at <ext-link ext-link-type="uri" xlink:href="https://imagej.nih.gov/ij/">ImageJ</ext-link>. Prism 7.0 (GraphPad), used for data analysis in this study, is available on the GraphPad website.</p>
</sec>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="s6">
<title>Data availability statement</title>
<p>The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found in the article/<xref ref-type="sec" rid="s12">Supplementary Material</xref>.</p>
</sec>
<sec id="s7">
<title>Ethics statement</title>
<p>The animal study was approved by Experimental Animal Ethics Committee of West China Hospital of Sichuan University (No. 20240704005). The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec id="s8">
<title>Author contributions</title>
<p>LZ: Writing&#x2013;original draft, Writing&#x2013;review and editing, Conceptualization, Data curation, Formal Analysis, Methodology, Software. TL: Formal Analysis, Investigation, Methodology, Supervision, Writing&#x2013;review and editing. HZ: Formal Analysis, Investigation, Supervision, Writing&#x2013;review and editing. XF: Data curation, Software, Writing&#x2013;review and editing. QZ: Project administration, Supervision, Writing&#x2013;review and editing. HC: Funding acquisition, Investigation, Resources, Validation, Visualization, Writing&#x2013;review and editing, Conceptualization, Supervision.</p>
</sec>
<sec sec-type="funding-information" id="s9">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This work was supported by the National Key Research and Development Program of China (2020YFA0803602), the National Natural Science Foundation of China (92157109) (HC), and the 1&#xb7;3&#xb7;5 project for disciplines of excellence, West China Hospital, Sichuan University (ZYYC20024) (HC). The funders had no role in the study design, data collection, and analysis, decision to publish, or manuscript preparation.</p>
</sec>
<ack>
<p>We thank BDSC, VDRC, and THFC for providing fly strains, and DSHB for providing the antibodies, and ChatGTP 4.0 for polishing the words.</p>
</ack>
<sec sec-type="COI-statement" id="s10">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s11">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s12">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fcell.2024.1491740/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fcell.2024.1491740/full&#x23;supplementary-material</ext-link>
</p>
<supplementary-material>
<label>SUPPLEMENTARY TABLE S1</label>
<caption>
<p>The top 30 elevated and decreased genes of UPR in the Kaempferol supplement compared to the control in <xref ref-type="fig" rid="F4">Figure 4</xref>.</p>
</caption>
</supplementary-material>
<supplementary-material>
<label>SUPPLEMENTARY TABLE S2</label>
<caption>
<p>The genes are mainly studied UPR in <xref ref-type="fig" rid="F4">Figure 4</xref>.</p>
</caption>
</supplementary-material>
<supplementary-material>
<label>SUPPLEMENTARY TABLE S3</label>
<caption>
<p>Primers used for expression analyses and the corresponding gene names.</p>
</caption>
</supplementary-material>
<supplementary-material>
<label>SUPPLEMENTARY TABLE S4</label>
<caption>
<p>
<italic>Drosophila</italic> strains utilized in this study.</p>
</caption>
</supplementary-material>
<supplementary-material>
<label>SUPPLEMENTARY TABLE S5</label>
<caption>
<p>The primary antibodies listed in this study.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Table3.xlsx" id="SM1" mimetype="application/xlsx" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="Image1.JPEG" id="SM2" mimetype="application/JPEG" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="Image2.JPEG" id="SM3" mimetype="application/JPEG" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="Table4.xlsx" id="SM4" mimetype="application/xlsx" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="Table2.csv" id="SM5" mimetype="application/csv" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="Table1.csv" id="SM6" mimetype="application/csv" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="Table5.xlsx" id="SM7" mimetype="application/xlsx" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Amcheslavsky</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Jiang</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Ip</surname>
<given-names>Y. T.</given-names>
</name>
</person-group> (<year>2009</year>). <article-title>Tissue damage-induced intestinal stem cell division in <italic>Drosophila</italic>
</article-title>. <source>Cell Stem Cell</source> <volume>4</volume> (<issue>1</issue>), <fpage>49</fpage>&#x2013;<lpage>61</lpage>. <pub-id pub-id-type="doi">10.1016/j.stem.2008.10.016</pub-id>
</citation>
</ref>
<ref id="B2">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>An</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>M.</given-names>
</name>
</person-group> (<year>2015</year>). <article-title>Protective effects of kaempferol against cardiac sinus node dysfunction via CaMKII deoxidization</article-title>. <source>Anat. Cell Biol.</source> <volume>48</volume> (<issue>4</issue>), <fpage>235</fpage>&#x2013;<lpage>243</lpage>. <pub-id pub-id-type="doi">10.5115/acb.2015.48.4.235</pub-id>
</citation>
</ref>
<ref id="B3">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bangar</surname>
<given-names>S. P.</given-names>
</name>
<name>
<surname>Chaudhary</surname>
<given-names>V.</given-names>
</name>
<name>
<surname>Sharma</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Bansal</surname>
<given-names>V.</given-names>
</name>
<name>
<surname>Ozogul</surname>
<given-names>F.</given-names>
</name>
<name>
<surname>Lorenzo</surname>
<given-names>J. M.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>Kaempferol: a flavonoid with wider biological activities and its applications</article-title>. <source>Crit. Rev. Food Sci. Nutr.</source> <volume>63</volume> (<issue>28</issue>), <fpage>9580</fpage>&#x2013;<lpage>9604</lpage>. <pub-id pub-id-type="doi">10.1080/10408398.2022.2067121</pub-id>
</citation>
</ref>
<ref id="B4">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bhattarai</surname>
<given-names>K. R.</given-names>
</name>
<name>
<surname>Chaudhary</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>H. R.</given-names>
</name>
<name>
<surname>Chae</surname>
<given-names>H. J.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Endoplasmic reticulum (ER) stress response failure in diseases</article-title>. <source>Trends Cell Biol.</source> <volume>30</volume> (<issue>9</issue>), <fpage>672</fpage>&#x2013;<lpage>675</lpage>. <pub-id pub-id-type="doi">10.1016/j.tcb.2020.05.004</pub-id>
</citation>
</ref>
<ref id="B5">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Biteau</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Hochmuth</surname>
<given-names>C. E.</given-names>
</name>
<name>
<surname>Jasper</surname>
<given-names>H.</given-names>
</name>
</person-group> (<year>2008</year>). <article-title>JNK activity in somatic stem cells causes loss of tissue homeostasis in the aging <italic>Drosophila</italic> gut</article-title>. <source>Cell Stem Cell</source> <volume>3</volume> (<issue>4</issue>), <fpage>442</fpage>&#x2013;<lpage>455</lpage>. <pub-id pub-id-type="doi">10.1016/j.stem.2008.07.024</pub-id>
</citation>
</ref>
<ref id="B6">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Biteau</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Karpac</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Supoyo</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Degennaro</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Lehmann</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Jasper</surname>
<given-names>H.</given-names>
</name>
</person-group> (<year>2010</year>). <article-title>Lifespan extension by preserving proliferative homeostasis in <italic>Drosophila</italic>
</article-title>. <source>PLoS Genet.</source> <volume>6</volume> (<issue>10</issue>), <fpage>e1001159</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pgen.1001159</pub-id>
</citation>
</ref>
<ref id="B7">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Brunet</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Goodell</surname>
<given-names>M. A.</given-names>
</name>
<name>
<surname>Rando</surname>
<given-names>T. A.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>Ageing and rejuvenation of tissue stem cells and their niches</article-title>. <source>Nat. Rev. Mol. Cell Biol.</source> <volume>24</volume> (<issue>1</issue>), <fpage>45</fpage>&#x2013;<lpage>62</lpage>. <pub-id pub-id-type="doi">10.1038/s41580-022-00510-w</pub-id>
</citation>
</ref>
<ref id="B8">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>de Morree</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Rando</surname>
<given-names>T. A.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>Regulation of adult stem cell quiescence and its functions in the maintenance of tissue integrity</article-title>. <source>Nat. Rev. Mol. Cell Biol.</source> <volume>24</volume> (<issue>5</issue>), <fpage>334</fpage>&#x2013;<lpage>354</lpage>. <pub-id pub-id-type="doi">10.1038/s41580-022-00568-6</pub-id>
</citation>
</ref>
<ref id="B9">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dong</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Zhou</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Nao</surname>
<given-names>J.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>Kaempferol as a therapeutic agent in Alzheimer&#x2019;s disease: evidence from preclinical studies</article-title>. <source>Ageing Res. Rev.</source> <volume>87</volume>, <fpage>101910</fpage>. <pub-id pub-id-type="doi">10.1016/j.arr.2023.101910</pub-id>
</citation>
</ref>
<ref id="B10">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Du</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Yu</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Zhuo</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Zhu</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Zhou</surname>
<given-names>J.</given-names>
</name>
<etal/>
</person-group> (<year>2021</year>). <article-title>Taurine represses age-associated gut hyperplasia in Drosophila via counteracting endoplasmic reticulum stress</article-title>. <source>Aging Cell</source> <volume>20</volume> (<issue>3</issue>), <fpage>e13319</fpage>. <pub-id pub-id-type="doi">10.1111/acel.13319</pub-id>
</citation>
</ref>
<ref id="B11">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Du</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Qiao</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Zhuo</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Zhou</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>Z.</given-names>
</name>
<etal/>
</person-group> (<year>2020</year>). <article-title>Lipoic acid rejuvenates aged intestinal stem cells by preventing age-associated endosome reduction</article-title>. <source>EMBO Rep.</source> <volume>21</volume> (<issue>8</issue>), <fpage>e49583</fpage>. <pub-id pub-id-type="doi">10.15252/embr.201949583</pub-id>
</citation>
</ref>
<ref id="B12">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ermolaeva</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Neri</surname>
<given-names>F.</given-names>
</name>
<name>
<surname>Ori</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Rudolph</surname>
<given-names>K. L.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>Cellular and epigenetic drivers of stem cell ageing</article-title>. <source>Nat. Rev. Mol. Cell Biol.</source> <volume>19</volume> (<issue>9</issue>), <fpage>594</fpage>&#x2013;<lpage>610</lpage>. <pub-id pub-id-type="doi">10.1038/s41580-018-0020-3</pub-id>
</citation>
</ref>
<ref id="B13">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Fan</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Yan</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Xia</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Zhou</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Luo</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Zhu</surname>
<given-names>M.</given-names>
</name>
<etal/>
</person-group> (<year>2023</year>). <article-title>Pregnane X receptor agonist nomilin extends lifespan and healthspan in preclinical models through detoxification functions</article-title>. <source>Nat. Commun.</source> <volume>14</volume> (<issue>1</issue>), <fpage>3368</fpage>. <pub-id pub-id-type="doi">10.1038/s41467-023-39118-9</pub-id>
</citation>
</ref>
<ref id="B14">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Fang</surname>
<given-names>E. F.</given-names>
</name>
<name>
<surname>Hou</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Lautrup</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Jensen</surname>
<given-names>M. B.</given-names>
</name>
<name>
<surname>Yang</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>SenGupta</surname>
<given-names>T.</given-names>
</name>
<etal/>
</person-group> (<year>2019</year>). <article-title>NAD(&#x2b;) augmentation restores mitophagy and limits accelerated aging in Werner syndrome</article-title>. <source>Nat. Commun.</source> <volume>10</volume> (<issue>1</issue>), <fpage>5284</fpage>. <pub-id pub-id-type="doi">10.1038/s41467-019-13172-8</pub-id>
</citation>
</ref>
<ref id="B15">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Forgie</surname>
<given-names>B. N.</given-names>
</name>
<name>
<surname>Prakash</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Telleria</surname>
<given-names>C. M.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>Revisiting the anti-cancer toxicity of clinically approved platinating derivatives</article-title>. <source>Int. J. Mol. Sci.</source> <volume>23</volume> (<issue>23</issue>), <fpage>15410</fpage>. <pub-id pub-id-type="doi">10.3390/ijms232315410</pub-id>
</citation>
</ref>
<ref id="B16">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gao</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Cao</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Shi</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Hong</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Guo</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>J.</given-names>
</name>
<etal/>
</person-group> (<year>2023</year>). <article-title>Kaempferol inhibits SARS-CoV-2 invasion by impairing heptad repeats-mediated viral fusion</article-title>. <source>Phytomedicine</source> <volume>118</volume>, <fpage>154942</fpage>. <pub-id pub-id-type="doi">10.1016/j.phymed.2023.154942</pub-id>
</citation>
</ref>
<ref id="B17">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gervais</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Bardin</surname>
<given-names>A. J.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Tissue homeostasis and aging: new insight from the fly intestine</article-title>. <source>Curr. Opin. Cell Biol.</source> <volume>48</volume>, <fpage>97</fpage>&#x2013;<lpage>105</lpage>. <pub-id pub-id-type="doi">10.1016/j.ceb.2017.06.005</pub-id>
</citation>
</ref>
<ref id="B18">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Giannakou</surname>
<given-names>M. E.</given-names>
</name>
<name>
<surname>Partridge</surname>
<given-names>L.</given-names>
</name>
</person-group> (<year>2007</year>). <article-title>Role of insulin-like signalling in <italic>Drosophila</italic> lifespan</article-title>. <source>Trends Biochem. Sci.</source> <volume>32</volume> (<issue>4</issue>), <fpage>180</fpage>&#x2013;<lpage>188</lpage>. <pub-id pub-id-type="doi">10.1016/j.tibs.2007.02.007</pub-id>
</citation>
</ref>
<ref id="B19">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gidaro</surname>
<given-names>M. C.</given-names>
</name>
<name>
<surname>Astorino</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Petzer</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Carradori</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Alcaro</surname>
<given-names>F.</given-names>
</name>
<name>
<surname>Costa</surname>
<given-names>G.</given-names>
</name>
<etal/>
</person-group> (<year>2016</year>). <article-title>Kaempferol as selective human MAO-A inhibitor: analytical detection in calabrian red wines, biological and molecular modeling studies</article-title>. <source>J. Agric. Food Chem.</source> <volume>64</volume> (<issue>6</issue>), <fpage>1394</fpage>&#x2013;<lpage>1400</lpage>. <pub-id pub-id-type="doi">10.1021/acs.jafc.5b06043</pub-id>
</citation>
</ref>
<ref id="B20">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Green</surname>
<given-names>C. L.</given-names>
</name>
<name>
<surname>Lamming</surname>
<given-names>D. W.</given-names>
</name>
<name>
<surname>Fontana</surname>
<given-names>L.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>Molecular mechanisms of dietary restriction promoting health and longevity</article-title>. <source>Nat. Rev. Mol. Cell Biol.</source> <volume>23</volume> (<issue>1</issue>), <fpage>56</fpage>&#x2013;<lpage>73</lpage>. <pub-id pub-id-type="doi">10.1038/s41580-021-00411-4</pub-id>
</citation>
</ref>
<ref id="B21">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Guo</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Liao</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Huang</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Yin</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>He</surname>
<given-names>M.</given-names>
</name>
</person-group> (<year>2015</year>). <article-title>Kaempferol protects cardiomyocytes against anoxia/reoxygenation injury via mitochondrial pathway mediated by SIRT1</article-title>. <source>Eur. J. Pharmacol.</source> <volume>761</volume>, <fpage>245</fpage>&#x2013;<lpage>253</lpage>. <pub-id pub-id-type="doi">10.1016/j.ejphar.2015.05.056</pub-id>
</citation>
</ref>
<ref id="B22">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Guo</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Lucchetta</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Rafel</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Ohlstein</surname>
<given-names>B.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Maintenance of the adult Drosophila intestine: all roads lead to homeostasis</article-title>. <source>Curr. Opin. Genet. Dev.</source> <volume>40</volume>, <fpage>81</fpage>&#x2013;<lpage>86</lpage>. <pub-id pub-id-type="doi">10.1016/j.gde.2016.06.009</pub-id>
</citation>
</ref>
<ref id="B23">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Guo</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Ohlstein</surname>
<given-names>B.</given-names>
</name>
</person-group> (<year>2015</year>). <article-title>Stem cell regulation. bidirectional notch signaling regulates <italic>Drosophila</italic> intestinal stem cell multipotency</article-title>. <source>Science</source> <volume>350</volume> (<issue>6263</issue>), <fpage>aab0988</fpage>. <pub-id pub-id-type="doi">10.1126/science.aab0988</pub-id>
</citation>
</ref>
<ref id="B24">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Han</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Zhao</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Song</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Xu</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Fang</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Hu</surname>
<given-names>G.</given-names>
</name>
<etal/>
</person-group> (<year>2021</year>). <article-title>Kaempferol alleviates LD-mitochondrial damage by promoting autophagy: implications in Parkinson&#x2019;s disease</article-title>. <source>Redox Biol.</source> <volume>41</volume>, <fpage>101911</fpage>. <pub-id pub-id-type="doi">10.1016/j.redox.2021.101911</pub-id>
</citation>
</ref>
<ref id="B25">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hartl</surname>
<given-names>F. U.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Cellular homeostasis and aging</article-title>. <source>Annu. Rev. Biochem.</source> <volume>85</volume>, <fpage>1</fpage>&#x2013;<lpage>4</lpage>. <pub-id pub-id-type="doi">10.1146/annurev-biochem-011116-110806</pub-id>
</citation>
</ref>
<ref id="B26">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hetz</surname>
<given-names>C.</given-names>
</name>
</person-group> (<year>2012</year>). <article-title>The unfolded protein response: controlling cell fate decisions under ER stress and beyond</article-title>. <source>Nat. Rev. Mol. Cell Biol.</source> <volume>13</volume> (<issue>2</issue>), <fpage>89</fpage>&#x2013;<lpage>102</lpage>. <pub-id pub-id-type="doi">10.1038/nrm3270</pub-id>
</citation>
</ref>
<ref id="B27">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hochmuth</surname>
<given-names>C. E.</given-names>
</name>
<name>
<surname>Biteau</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Bohmann</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Jasper</surname>
<given-names>H.</given-names>
</name>
</person-group> (<year>2011</year>). <article-title>Redox regulation by Keap1 and Nrf2 controls intestinal stem cell proliferation in <italic>Drosophila</italic>
</article-title>. <source>Cell Stem Cell</source> <volume>8</volume> (<issue>2</issue>), <fpage>188</fpage>&#x2013;<lpage>199</lpage>. <pub-id pub-id-type="doi">10.1016/j.stem.2010.12.006</pub-id>
</citation>
</ref>
<ref id="B28">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Holland</surname>
<given-names>T. M.</given-names>
</name>
<name>
<surname>Agarwal</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Leurgans</surname>
<given-names>S. E.</given-names>
</name>
<name>
<surname>Bennett</surname>
<given-names>D. A.</given-names>
</name>
<name>
<surname>Booth</surname>
<given-names>S. L.</given-names>
</name>
<etal/>
</person-group> (<year>2020</year>). <article-title>Dietary flavonols and risk of alzheimer dementia</article-title>. <source>Neurology</source> <volume>94</volume> (<issue>16</issue>), <fpage>e1749</fpage>&#x2013;<lpage>e1756</lpage>. <pub-id pub-id-type="doi">10.1212/WNL.0000000000008981</pub-id>
</citation>
</ref>
<ref id="B29">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jasper</surname>
<given-names>H.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Intestinal stem cell aging: origins and interventions</article-title>. <source>Annu. Rev. Physiol.</source> <volume>82</volume>, <fpage>203</fpage>&#x2013;<lpage>226</lpage>. <pub-id pub-id-type="doi">10.1146/annurev-physiol-021119-034359</pub-id>
</citation>
</ref>
<ref id="B30">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kim</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Lee</surname>
<given-names>S. Y.</given-names>
</name>
<name>
<surname>Chung</surname>
<given-names>S. K.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>Caffeic acid selectively eliminates teratogenic human-induced pluripotent stem cells via apoptotic cell death</article-title>. <source>Phytomedicine</source> <volume>102</volume>, <fpage>154144</fpage>. <pub-id pub-id-type="doi">10.1016/j.phymed.2022.154144</pub-id>
</citation>
</ref>
<ref id="B31">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ko</surname>
<given-names>D. K.</given-names>
</name>
<name>
<surname>Brandizzi</surname>
<given-names>F.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Dynamics of ER stress-induced gene regulation in plants</article-title>. <source>Nat. Rev. Genet.</source> <volume>25</volume>, <fpage>513</fpage>&#x2013;<lpage>525</lpage>. <pub-id pub-id-type="doi">10.1038/s41576-024-00710-4</pub-id>
</citation>
</ref>
<ref id="B32">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Korzelius</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Naumann</surname>
<given-names>S. K.</given-names>
</name>
<name>
<surname>Loza-Coll</surname>
<given-names>M. A.</given-names>
</name>
<name>
<surname>Chan</surname>
<given-names>J. S.</given-names>
</name>
<name>
<surname>Dutta</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Oberheim</surname>
<given-names>J.</given-names>
</name>
<etal/>
</person-group> (<year>2014</year>). <article-title>Escargot maintains stemness and suppresses differentiation in <italic>Drosophila</italic> intestinal stem cells</article-title>. <source>Embo J.</source> <volume>33</volume> (<issue>24</issue>), <fpage>2967</fpage>&#x2013;<lpage>2982</lpage>. <pub-id pub-id-type="doi">10.15252/embj.201489072</pub-id>
</citation>
</ref>
<ref id="B33">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kumar</surname>
<given-names>V.</given-names>
</name>
<name>
<surname>Maity</surname>
<given-names>S.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>ER stress-sensor proteins and ER-mitochondrial crosstalk-signaling beyond (ER) stress response</article-title>. <source>Biomolecules</source> <volume>11</volume> (<issue>2</issue>), <fpage>173</fpage>. <pub-id pub-id-type="doi">10.3390/biom11020173</pub-id>
</citation>
</ref>
<ref id="B34">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lee</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>J. H.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Kaempferol inhibits pancreatic cancer cell growth and migration through the blockade of EGFR-related pathway <italic>in vitro</italic>
</article-title>. <source>PLoS One</source> <volume>11</volume> (<issue>5</issue>), <fpage>e0155264</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0155264</pub-id>
</citation>
</ref>
<ref id="B35">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Qi</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Jasper</surname>
<given-names>H.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Preventing age-related decline of gut compartmentalization limits microbiota dysbiosis and extends lifespan</article-title>. <source>Cell Host Microbe</source> <volume>19</volume> (<issue>2</issue>), <fpage>240</fpage>&#x2013;<lpage>253</lpage>. <pub-id pub-id-type="doi">10.1016/j.chom.2016.01.008</pub-id>
</citation>
</ref>
<ref id="B36">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Geng</surname>
<given-names>Y. J.</given-names>
</name>
</person-group> (<year>2010</year>). <article-title>A potential role for insulin-like growth factor signaling in induction of pluripotent stem cell formation</article-title>. <source>Growth Horm. IGF Res.</source> <volume>20</volume> (<issue>6</issue>), <fpage>391</fpage>&#x2013;<lpage>398</lpage>. <pub-id pub-id-type="doi">10.1016/j.ghir.2010.09.005</pub-id>
</citation>
</ref>
<ref id="B37">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lopez-Otin</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Blasco</surname>
<given-names>M. A.</given-names>
</name>
<name>
<surname>Partridge</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Serrano</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Kroemer</surname>
<given-names>G.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>Hallmarks of aging: an expanding universe</article-title>. <source>Cell</source> <volume>186</volume> (<issue>2</issue>), <fpage>243</fpage>&#x2013;<lpage>278</lpage>. <pub-id pub-id-type="doi">10.1016/j.cell.2022.11.001</pub-id>
</citation>
</ref>
<ref id="B38">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lucchetta</surname>
<given-names>E. M.</given-names>
</name>
<name>
<surname>Ohlstein</surname>
<given-names>B.</given-names>
</name>
</person-group> (<year>2012</year>). <article-title>The Drosophila midgut: a model for stem cell driven tissue regeneration</article-title>. <source>Wiley Interdiscip. Rev. Dev. Biol.</source> <volume>1</volume> (<issue>5</issue>), <fpage>781</fpage>&#x2013;<lpage>788</lpage>. <pub-id pub-id-type="doi">10.1002/wdev.51</pub-id>
</citation>
</ref>
<ref id="B39">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Luo</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Jiang</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Jiang</surname>
<given-names>B. H.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>Y. C.</given-names>
</name>
</person-group> (<year>2012</year>). <article-title>Kaempferol nanoparticles achieve strong and selective inhibition of ovarian cancer cell viability</article-title>. <source>Int. J. Nanomedicine</source> <volume>7</volume>, <fpage>3951</fpage>&#x2013;<lpage>3959</lpage>. <pub-id pub-id-type="doi">10.2147/IJN.S33670</pub-id>
</citation>
</ref>
<ref id="B40">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Luo</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Rankin</surname>
<given-names>G. O.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Depriest</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>Y. C.</given-names>
</name>
</person-group> (<year>2011</year>). <article-title>Kaempferol induces apoptosis in ovarian cancer cells through activating p53 in the intrinsic pathway</article-title>. <source>Food Chem.</source> <volume>128</volume> (<issue>2</issue>), <fpage>513</fpage>&#x2013;<lpage>519</lpage>. <pub-id pub-id-type="doi">10.1016/j.foodchem.2011.03.073</pub-id>
</citation>
</ref>
<ref id="B41">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mao</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Hu</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Ruan</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Ji</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Lou</surname>
<given-names>Z.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>Role of endoplasmic reticulum stress in depression (Review)</article-title>. <source>Mol. Med. Rep.</source> <volume>20</volume> (<issue>6</issue>), <fpage>4774</fpage>&#x2013;<lpage>4780</lpage>. <pub-id pub-id-type="doi">10.3892/mmr.2019.10789</pub-id>
</citation>
</ref>
<ref id="B42">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Melzer</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Pilling</surname>
<given-names>L. C.</given-names>
</name>
<name>
<surname>Ferrucci</surname>
<given-names>L.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>The genetics of human ageing</article-title>. <source>Nat. Rev. Genet.</source> <volume>21</volume> (<issue>2</issue>), <fpage>88</fpage>&#x2013;<lpage>101</lpage>. <pub-id pub-id-type="doi">10.1038/s41576-019-0183-6</pub-id>
</citation>
</ref>
<ref id="B43">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Naszai</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Carroll</surname>
<given-names>L. R.</given-names>
</name>
<name>
<surname>Cordero</surname>
<given-names>J. B.</given-names>
</name>
</person-group> (<year>2015</year>). <article-title>Intestinal stem cell proliferation and epithelial homeostasis in the adult Drosophila midgut</article-title>. <source>Insect Biochem. Mol. Biol.</source> <volume>67</volume>, <fpage>9</fpage>&#x2013;<lpage>14</lpage>. <pub-id pub-id-type="doi">10.1016/j.ibmb.2015.05.016</pub-id>
</citation>
</ref>
<ref id="B44">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Partridge</surname>
<given-names>L.</given-names>
</name>
</person-group> (<year>2001</year>). <article-title>The insulin signaling pathway and aging in Drosophila</article-title>. <source>ScientificWorldJournal</source> <volume>1</volume>, <fpage>76</fpage>. <pub-id pub-id-type="doi">10.1100/tsw.2001.138</pub-id>
</citation>
</ref>
<ref id="B45">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Post</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Liao</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Yamamoto</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Veenstra</surname>
<given-names>J. A.</given-names>
</name>
<name>
<surname>N&#xe4;ssel</surname>
<given-names>D. R.</given-names>
</name>
<name>
<surname>Tatar</surname>
<given-names>M.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>Drosophila insulin-like peptide dilp1 increases lifespan and glucagon-like Akh expression epistatic to dilp2</article-title>. <source>Aging Cell</source> <volume>18</volume> (<issue>1</issue>), <fpage>e12863</fpage>. <pub-id pub-id-type="doi">10.1111/acel.12863</pub-id>
</citation>
</ref>
<ref id="B46">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Qin</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Zhao</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Fang</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>X.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Enhancing healthy aging with small molecules: a mitochondrial perspective</article-title>. <source>Med. Res. Rev.</source> <volume>44</volume>, <fpage>1904</fpage>&#x2013;<lpage>1922</lpage>. <pub-id pub-id-type="doi">10.1002/med.22034</pub-id>
</citation>
</ref>
<ref id="B47">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rath</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Berger</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Messlik</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Nunes</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>S. C.</given-names>
</name>
<etal/>
</person-group> (<year>2012</year>). <article-title>Induction of dsRNA-activated protein kinase links mitochondrial unfolded protein response to the pathogenesis of intestinal inflammation</article-title>. <source>Gut</source> <volume>61</volume> (<issue>9</issue>), <fpage>1269</fpage>&#x2013;<lpage>1278</lpage>. <pub-id pub-id-type="doi">10.1136/gutjnl-2011-300767</pub-id>
</citation>
</ref>
<ref id="B48">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Salminen</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Kaarniranta</surname>
<given-names>K.</given-names>
</name>
</person-group> (<year>2010</year>). <article-title>ER stress and hormetic regulation of the aging process</article-title>. <source>Ageing Res. Rev.</source> <volume>9</volume> (<issue>3</issue>), <fpage>211</fpage>&#x2013;<lpage>217</lpage>. <pub-id pub-id-type="doi">10.1016/j.arr.2010.04.003</pub-id>
</citation>
</ref>
<ref id="B49">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Serrano</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Villar</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Gallardo</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Carrascosa</surname>
<given-names>J. M.</given-names>
</name>
<name>
<surname>Martinez</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Andr&#xe9;s</surname>
<given-names>A.</given-names>
</name>
</person-group> (<year>2009</year>). <article-title>The effect of aging on insulin signalling pathway is tissue dependent: central role of adipose tissue in the insulin resistance of aging</article-title>. <source>Mech. Ageing Dev.</source> <volume>130</volume> (<issue>3</issue>), <fpage>189</fpage>&#x2013;<lpage>197</lpage>. <pub-id pub-id-type="doi">10.1016/j.mad.2008.11.005</pub-id>
</citation>
</ref>
<ref id="B50">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Shrestha</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Mohankumar</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Martin</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Hailemariam</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Lee</surname>
<given-names>S. O.</given-names>
</name>
<name>
<surname>Jin</surname>
<given-names>U. H.</given-names>
</name>
<etal/>
</person-group> (<year>2021</year>). <article-title>Flavonoids kaempferol and quercetin are nuclear receptor 4A1 (NR4A1, Nur77) ligands and inhibit rhabdomyosarcoma cell and tumor growth</article-title>. <source>J. Exp. Clin. Cancer Res.</source> <volume>40</volume> (<issue>1</issue>), <fpage>392</fpage>. <pub-id pub-id-type="doi">10.1186/s13046-021-02199-9</pub-id>
</citation>
</ref>
<ref id="B51">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Szafra&#x144;ska</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Reiter</surname>
<given-names>R. J.</given-names>
</name>
<name>
<surname>Posmyk</surname>
<given-names>M. M.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Melatonin application to pisum sativum L. Seeds positively influences the function of the photosynthetic apparatus in growing seedlings during paraquat-induced oxidative stress</article-title>. <source>Front. Plant Sci.</source> <volume>7</volume>, <fpage>1663</fpage>. <pub-id pub-id-type="doi">10.3389/fpls.2016.01663</pub-id>
</citation>
</ref>
<ref id="B52">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Uddin</surname>
<given-names>M. S.</given-names>
</name>
<name>
<surname>Yu</surname>
<given-names>W. S.</given-names>
</name>
<name>
<surname>Lim</surname>
<given-names>L. W.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Exploring ER stress response in cellular aging and neuroinflammation in Alzheimer&#x27;s disease</article-title>. <source>Ageing Res. Rev.</source> <volume>70</volume>, <fpage>101417</fpage>. <pub-id pub-id-type="doi">10.1016/j.arr.2021.101417</pub-id>
</citation>
</ref>
<ref id="B53">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Feng</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Cheng</surname>
<given-names>H.</given-names>
</name>
<etal/>
</person-group> (<year>2018</year>). <article-title>Kaempferol protects against gamma radiation-induced mortality and damage via inhibiting oxidative stress and modulating apoptotic molecules <italic>in vivo</italic> and vitro</article-title>. <source>Environ. Toxicol. Pharmacol.</source> <volume>60</volume>, <fpage>128</fpage>&#x2013;<lpage>137</lpage>. <pub-id pub-id-type="doi">10.1016/j.etap.2018.04.014</pub-id>
</citation>
</ref>
<ref id="B54">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Mao</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Wu</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Yuan</surname>
<given-names>Y.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Kaempferol protects against cerebral ischemia reperfusion injury through intervening oxidative and inflammatory stress induced apoptosis</article-title>. <source>Front. Pharmacol.</source> <volume>11</volume>, <fpage>424</fpage>. <pub-id pub-id-type="doi">10.3389/fphar.2020.00424</pub-id>
</citation>
</ref>
<ref id="B55">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wu</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Gao</surname>
<given-names>Z. J.</given-names>
</name>
<name>
<surname>Yu</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>P.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>Dietary regulation in health and disease</article-title>. <source>Signal Transduct. Target Ther.</source> <volume>7</volume> (<issue>1</issue>), <fpage>252</fpage>. <pub-id pub-id-type="doi">10.1038/s41392-022-01104-w</pub-id>
</citation>
</ref>
<ref id="B56">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yan</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Guo</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Zhou</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Zhu</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>H.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>Quercetin prevents intestinal stem cell aging via scavenging ROS and inhibiting insulin signaling in <italic>Drosophila</italic>
</article-title>. <source>Antioxidants (Basel)</source> <volume>12</volume> (<issue>1</issue>), <fpage>59</fpage>. <pub-id pub-id-type="doi">10.3390/antiox12010059</pub-id>
</citation>
</ref>
<ref id="B57">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yang</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Gao</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Bajpai</surname>
<given-names>V. K.</given-names>
</name>
<name>
<surname>El-Kammar</surname>
<given-names>H. A.</given-names>
</name>
<name>
<surname>Simal-Gandara</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Cao</surname>
<given-names>H.</given-names>
</name>
<etal/>
</person-group> (<year>2023</year>). <article-title>Advance toward isolation, extraction, metabolism and health benefits of kaempferol, a major dietary flavonoid with future perspectives</article-title>. <source>Crit. Rev. Food Sci. Nutr.</source> <volume>63</volume> (<issue>16</issue>), <fpage>2773</fpage>&#x2013;<lpage>2789</lpage>. <pub-id pub-id-type="doi">10.1080/10408398.2021.1980762</pub-id>
</citation>
</ref>
<ref id="B58">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yuan</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Zhai</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Xu</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>H.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Kaempferol ameliorates oxygen-glucose deprivation/reoxygenation-induced neuronal ferroptosis by activating Nrf2/SLC7A11/GPX4 Axis</article-title>. <source>Biomolecules</source> <volume>11</volume> (<issue>7</issue>), <fpage>923</fpage>. <pub-id pub-id-type="doi">10.3390/biom11070923</pub-id>
</citation>
</ref>
</ref-list>
</back>
</article>