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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell. Neurosci.</journal-id>
<journal-title>Frontiers in Cellular Neuroscience</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell. Neurosci.</abbrev-journal-title>
<issn pub-type="epub">1662-5102</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fncel.2017.00007</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Neuroscience</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>SIRT3 in Neural Stem Cells Attenuates Microglia Activation-Induced Oxidative Stress Injury Through Mitochondrial Pathway</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Jiang</surname> <given-names>De-Qi</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Wang</surname> <given-names>Yan</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Li</surname> <given-names>Ming-Xing</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Ma</surname> <given-names>Yan-Jiao</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib> 
<contrib contrib-type="author" corresp="yes">
<name><surname>Wang</surname> <given-names>Yong</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/387788/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Department of Pharmacy, Zhujiang Hospital of Southern Medical University</institution> <country>Guangzhou, China</country></aff>
<aff id="aff2"><sup>2</sup><institution>College of Biology and Pharmacy, Yulin Normal University</institution> <country>Yulin, China</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Owen Murray Rennert, National Institute of Child Health and Human Development (NIH), USA</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Lei Liu, University of Florida, USA; Cl&#x000E1;udia Frag&#x000E3;o Pereira, University of Coimbra, Portugal</p></fn>
<fn fn-type="corresp" id="fn001"><p>&#x0002A;Correspondence: Yong Wang <email>yongwh2005&#x00040;hotmail.com</email></p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>31</day>
<month>01</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="collection">
<year>2017</year>
</pub-date>
<volume>11</volume>
<elocation-id>7</elocation-id>
<history>
<date date-type="received">
<day>26</day>
<month>10</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>12</day>
<month>01</month>
<year>2017</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2017 Jiang, Wang, Li, Ma and Wang.</copyright-statement>
<copyright-year>2017</copyright-year>
<copyright-holder>Jiang, Wang, Li, Ma and Wang</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 and reproduction in other forums is permitted, provided the original author(s) or licensor 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><p>Sirtuin 3 (SIRT3), a mitochondrial protein, is involved in energy metabolism, cell apoptosis and mitochondrial function. However, the role of SIRT3 in neural stem cells (NSCs) remains unknown. In previous studies, we found that microglia activation-induced cytotoxicity negatively regulated survival of NSCs, along with mitochondrial dysfunction. The aim of this study was to investigate the potential neuroprotective effects of SIRT3 on the microglia activation-induced oxidative stress injury in NSCs and its possible mechanisms. In the present study, microglia-NSCs co-culture system was used to demonstrate the crosstalk between both cell types. The cytotoxicity of microglia activation by Amyloid-&#x003B2; (A&#x003B2;) resulted in the accumulation of reactive oxygen species (ROS) and down-regulation of SIRT3, manganese superoxide dismutase (MnSOD) gene expression in NSCs, concomitant to cell cycle arrest at G<sub>0</sub>/G<sub>1</sub> phase, increased cell apoptosis rate and opening of the mitochondrial permeability transition pore (mPTP) and enhanced mitochondrial membrane potential (&#x00394;&#x003A8;m) depolarization. Furthermore, SIRT3 knockdown in NSCs via small interfering RNA (siRNA) accelerated cell injury, whereas SIRT3 overexpression provided resistance to microglia activation-induced oxidative stress cellular damage. The mechanisms of SIRT3 attenuated activated microglia-induced NSC dysfunction included the decreased mPTP opening and cyclophilin D (CypD) protein expression, inhibition of mitochondrial cytochrome C (Cyt C) release to cytoplasm, declined Bax/B-cell lymphoma 2 (Bcl-2) ratio and reduced caspase-3/9 activity. Taken together, these data imply that SIRT3 ameliorates microglia activation-induced oxidative stress injury through mitochondrial apoptosis pathway in NSCs, these results may provide a novel intervention target for NSC survival.</p></abstract>
<kwd-group>
<kwd>neural stem cell</kwd>
<kwd>SIRT3</kwd>
<kwd>microglia activation</kwd>
<kwd>oxidative stress</kwd>
<kwd>cell apoptosis</kwd>
<kwd>ROS</kwd>
</kwd-group>
<contract-num rid="cn001">30973162</contract-num>
<contract-num rid="cn002">S2013010015546</contract-num>
<contract-sponsor id="cn001">National Natural Science Foundation of China<named-content content-type="fundref-id">10.13039/501100001809</named-content></contract-sponsor>
<contract-sponsor id="cn002">Natural Science Foundation of Guangdong Province<named-content content-type="fundref-id">10.13039/501100003453</named-content></contract-sponsor>
<counts>
<fig-count count="6"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="39"/>
<page-count count="12"/>
<word-count count="6689"/>
</counts>
</article-meta>
</front>
<body>
<sec sec-type="introduction" id="s1">
<title>Introduction</title>
<p>The discovery of neural stem cell (NSC), especially adult NSC, brings new hope to neuronal regeneration and repair in the adult mammalian central nervous system. The process of neurogenesis continues throughout life, with thousands of new neurons generated every day in the mammalian brain (Aimone et al., <xref ref-type="bibr" rid="B1">2010</xref>; Voloboueva and Giffard, <xref ref-type="bibr" rid="B31">2011</xref>). NSC proliferation, apoptosis and other vital activities are regulated by complex signals in surrounding microenvironment (Sparkman and Johnson, <xref ref-type="bibr" rid="B25">2008</xref>). Microenvironmental negative changes in neurodegenerative disorders and cognitive dysfunction play an important role in disturbed adult hippocampal neurogenesis (Drapeau and Nora Abrous, <xref ref-type="bibr" rid="B8">2008</xref>; Li et al., <xref ref-type="bibr" rid="B13">2008</xref>).</p>
<p>The neurodegenerative conditions are characterized by increased numbers of activated microglia and proinflammatory changes (Sparkman and Johnson, <xref ref-type="bibr" rid="B25">2008</xref>; Voloboueva and Giffard, <xref ref-type="bibr" rid="B31">2011</xref>). Activated microglia produce a variety of proinflammatory factors, including TNF-&#x003B1;, IL-6 and nitric oxide (NO), all of which are antineurogenic and oxidative stress induced factors (Voloboueva and Giffard, <xref ref-type="bibr" rid="B31">2011</xref>). Reactive oxygen species (ROS)-induced inflammatory reaction destroys normal growth microenvironment of NSCs, which inhibits neuronal regeneration and mitochondrial functions (Liu et al., <xref ref-type="bibr" rid="B15">2005</xref>; Torroglosa et al., <xref ref-type="bibr" rid="B29">2007</xref>; Voloboueva and Giffard, <xref ref-type="bibr" rid="B31">2011</xref>). High-level ROS also increases the concentration of intracellular Amyloid-&#x003B2; (A&#x003B2;) protein, leading to neuron damage (Leuner et al., <xref ref-type="bibr" rid="B12">2012</xref>; Swerdlow et al., <xref ref-type="bibr" rid="B28">2014</xref>). ROS facilitates cell death and proteinosis, which accelerate progression of neurodegenerative disorders, such as Alzheimer disease (AD; Leuner et al., <xref ref-type="bibr" rid="B12">2012</xref>; Summers et al., <xref ref-type="bibr" rid="B26">2014</xref>). Mitochondria are thought to play a critical role in neurogenesis. Neurons are especially sensitive and vulnerable to abnormality in mitochondrial function because of their high energy demand (Cui et al., <xref ref-type="bibr" rid="B5">2012</xref>). Mitochondria protection and overexpression of anti-apoptosis protein improve cell viability and function of neural precursor cells <italic>in vitro</italic> (Chang et al., <xref ref-type="bibr" rid="B2">2007</xref>; Doeppner et al., <xref ref-type="bibr" rid="B7">2009</xref>; Voloboueva et al., <xref ref-type="bibr" rid="B32">2010</xref>).</p>
<p>Sirtuin3 (SIRT3), a member of sirtuin gene family, is majorly located in mitochondria, showing histone deacetylase activity (Sundaresan et al., <xref ref-type="bibr" rid="B27">2008</xref>). SIRT3 carries out various biological functions and is involved in regulation of oxidative stress, energy metabolism, protection of mitochondrial function and others, playing crucial roles in development and progression of neurodegenerative disorder, diabetes, cancer and other diseases (Zhou et al., <xref ref-type="bibr" rid="B39">2014</xref>; Macconi et al., <xref ref-type="bibr" rid="B16">2015</xref>; Quan et al., <xref ref-type="bibr" rid="B24">2015</xref>; Yang et al., <xref ref-type="bibr" rid="B36">2015</xref>). The expression of SIRT3 is also significantly down-regulated in cerebral cortex of AD rats (Yang et al., <xref ref-type="bibr" rid="B36">2015</xref>). SIRT3 gene knockout increases neuron death caused by H<sub>2</sub>O<sub>2</sub>-induced oxidative stress, and aggravates degeneration of striatonigral dopaminergic neuron in PD rats (Liu et al., <xref ref-type="bibr" rid="B14">2015</xref>). SIRT3 plays a certain role in the genesis and progression of nervous disorders. However, there is no evidence concerning the effects of SIRT3 in NSCs. Our previous study demonstrated that inflammatory damage, caused by microglia activation, induced cell apoptosis and mitochondrial injury in NSCs (Wang et al., <xref ref-type="bibr" rid="B35">2015</xref>; Chen et al., <xref ref-type="bibr" rid="B3">2016</xref>; Jiang et al., <xref ref-type="bibr" rid="B10">2016</xref>).</p>
<p>The purpose of this study was to investigate change in expression of SIRT3 in NSCs upon exposure to microglia challenged with Amyloid-&#x003B2; (A&#x003B2;), and to explore whether SIRT3 exerts protection against microglia activation-induced cytotoxicity by alleviating oxidative stress injury and improving mitochondrial function. Furthermore, we also observed whether this neuroprotective effect of SIRT3 is regulated by a mechanism involving the mitochondrial survival pathway.</p>
</sec>
<sec sec-type="materials and methods" id="s2">
<title>Materials and Methods</title>
<sec id="s2-1">
<title>Cell Culture</title>
<p>The murine microglia cell line, BV-2, has been used previously as a substitute for primary microglia cells, as it exhibits very similar behavior. The C17.2 NSC line is capable of self-renewal and differentiation and has been used as a model system or cell therapy for neurodegenerative diseases (Wang et al., <xref ref-type="bibr" rid="B35">2015</xref>). In this study, we used murine C17.2 cells line and BV-2 cells line as replacements for primary NSCs and microglia (MG), respectively. C17.2 cells were cultured at 37&#x000B0;C, 5% CO<sub>2</sub> in high glucose DMEM (Gibco, Grand Island, NY, USA) supplemented with 10% (v/v) fetal bovine serum (Gibco, Grand Island, NY, USA), 5% (v/v) horse serum (Gibco, Grand Island, NY, USA) and 2 mM glutamine (Invitrogen, Carlsbad, CA, USA). BV-2 cells were propagated in flasks containing DMEM supplemented with 10% fetal bovine serum, at 37&#x000B0;C with 5% CO<sub>2</sub>.</p>
</sec>
<sec id="s2-2">
<title>Transwell Co-Culture System</title>
<p>The microglia were cultured in transwell co-cultured system (Corning, NY, USA) that was placed above the NSC layer. A&#x003B2; peptide was added to a final concentration of 10 &#x003BC;M in microglia layer. The NSCs and microglia shared the same medium but no direct cell-cell interactions were possible due to the physical separation of the cells by a 0.4 &#x003BC;m polycarbonate membrane. We observed the response of the NSCs to the diffusible oxidative stress factors secreted by the stimulated microglia.</p>
</sec>
<sec id="s2-3">
<title>Grouping</title>
<p>Experiments were performed on the following groups: (1) NSC: NSCs were cultured in the low chamber only for 48 h; (2) MG + NSC: NSCs were co-cultured with microglia for 48 h; (3) A&#x003B2; + NSC: NSCs were cultured in the low chamber with the addition of A&#x003B2;<sub>1&#x02013;42</sub> (10 &#x003BC;M, Sigma, San Francisco, CA, USA) for 48 h; (4) A&#x003B2; + MG + NSC (Control): NSCs were co-cultured with microglia with the addition of A&#x003B2;<sub>1&#x02013;42</sub> (10 &#x003BC;M) into the microglia chamber for 48 h, also known as the Control group in followed SIRT3 overexpression and interference tests; (5) Scrambled or siSIRT3: NSCs in the chamber were pretreated with negative control small interfering RNA (siRNA) or SIRT3 siRNA (Santa Cruz Biotechnology, Santa Cruz, CA, USA) for 6 h, respectively, then NSCs were co-cultured with microglia with the addition of A&#x003B2;<sub>1&#x02013;42</sub> (10 &#x003BC;M) into the microglia chamber for 48 h; and (6) Vector or SIRT3: NSCs in the chamber were pretreated with empty vector or SIRT3 expression plasmid (Vigenebio, Rockville, MD, USA) for 6 h, respectively, then NSCs were co-cultured with microglia with the addition of A&#x003B2;<sub>1&#x02013;42</sub> (10 &#x003BC;M) into the microglia chamber for 48 h.</p>
</sec>
<sec id="s2-4">
<title>Measurement of Microglia-Derived Soluble Factors in Supernatant of Co-Culture System</title>
<p>The levels of TNF-&#x003B1;, IL-1&#x003B2; and IL-6 in the cell culture medium supernatants of co-culture system were detected with appropriate enzyme linked immunosorbent assay (ELISA) kits per manufacturer&#x02019;s instructions. TNF-&#x003B1; kits was purchased from R&#x00026;D System (Minneapolis, MN, USA), IL-1&#x003B2; and IL-6 kits were purchased from Genetimes Technology (Shanghai, China). The level of NO in supernatants was measured by Griess reagent. Griess reagent was obtained from Beyotime Biotechnology (Shanghai, China). The concentration of soluble cytokines in each sample was determined from a standard curve generated by using positive controls provided in the kits.</p>
</sec>
<sec id="s2-5">
<title>Transient Transfection with the SIRT3 Expression Plasmid and siRNA</title>
<p>The recombinant adenoviral vector overexpressing SIRT3 (SIRT3 group) and the empty vector (Vector group) were produced by Vigenebio (Rockville, MD, USA). When the NSCs reached 50% confluence, recombinant adenovirus was added at a multiplicity of infection of 100 for 6 h. The SIRT3 and manganese superoxide dismutase (MnSOD) genes expression in NSCs were evaluated by quantitative reverse transcription-polymerase chain reaction (qRT-PCR) and western blotting. Negative control siRNA (Scrambled group) and SIRT3 siRNA (siSIRT3 group) were obtained from Santa Cruz Biotechnology (Santa Cruz, CA, USA). NSCs were transiently transfected using Lipofectamine 2000 (Invitrogen, Carlsbad, CA, USA) according to the manufacturer&#x02019;s instructions.</p>
</sec>
<sec id="s2-6">
<title>Evaluation of ROS Production</title>
<p>The fluorescent probe dihydroethidium (DHE; Beyotime Biotechnology, Shanghai, China) and hydrogen peroxide assay kit (Beyotime Biotechnology, Shanghai, China) were used to evaluate the intracellular accumulation of superoxide anion and hydrogen peroxide according to the manufacturer&#x02019;s recommendations, respectively. Briefly, experiments were performed in 24-wells in which cells were incubated with 5 &#x003BC;M DHE for 30 min at 37&#x000B0;C, or hydrogen peroxide reaction solution for 30 min at room temperature. Cells were subsequently washed with PBS, lysed and transferred to a 96-well black plate for measurement of fluorescence intensity with a plate reader (Thermo Fisher Scientific, Waltham, MA, USA).</p>
</sec>
<sec id="s2-7">
<title>Quantitative Reverse Transcription-Polymerase Chain Reaction (qRT-PCR)</title>
<p>Total RNA was isolated with TRIzol regent (Life Technology, Carlsbad, CA, USA). The expression of mRNA level was analyzed by qRT-PCR analysis as described previously (Wang et al., <xref ref-type="bibr" rid="B35">2015</xref>). Specific primers were synthesized by Sangon Biotech (Shanghai, China), and the sequences were described as follows:</p>
<list list-type="bullet">
<list-item><p>SIRT3: forward: 5&#x02019;-ATGCCTGAAGACAGCTCCAACAC-3&#x02019;,</p></list-item>
<list-item><p>reverse: 5&#x02019;-AGACATCCCTGGTCAGCCTTTCC-3&#x02019;.</p></list-item>
<list-item><p>MnSOD: forward: 5&#x02019;-TAAGGAGAAGCTGACAGCCGTGT-3&#x02019;,</p></list-item>
<list-item><p>reverse: 5&#x02019;-AGAGCAGGCAGCAATCTGTAAGC-3&#x02019;.</p></list-item>
</list>
</sec>
<sec id="s2-8">
<title>Western Blotting Analysis</title>
<p>Western blotting was performed as previously described (Wang et al., <xref ref-type="bibr" rid="B35">2015</xref>). Briefly, cell protein extracts (15&#x02013;20 &#x003BC;g) were separated by 10&#x02013;15% SDS-PAGE and transferred to PVDF membranes. Proteins were detected with the following antibodies: SIRT3 (1:1000, Cell Signaling Technology, Boston, MA, USA), MnSOD (1:1000, Proteintech, Chicago, IL, USA), cyclophilin D (CypD; 1:1000, Abcam, Cambridge, UK), cytochrome C (Cyt C; 1:1000, Cell Signaling Technology), cleaved caspase-3 (1:1000, Cell Signaling Technology), Bax (1:1000, Cell Signaling Technology, Boston, MA, USA), B-cell lymphoma 2 (Bcl-2; 1:1000, Cell Signaling Technology, Boston, MA, USA), COX-IV (1:1000, Abcam, Cambridge, MA, USA) and GAPDH (1:2000, Proteintech, Chicago, IL, USA).</p>
</sec>
<sec id="s2-9">
<title>Cell Apoptosis and Cell Cycle Analysis</title>
<p>Cell apoptosis of NSCs was analyzed with FACSCalibur flow cytometer (BD, USA) using Annexin-V/propidium iodide (PI) assays according to the manufacturer&#x02019;s instructions (BD Biosciences, Franklin Lakes, NJ, USA) as described previously (Wang et al., <xref ref-type="bibr" rid="B35">2015</xref>). The NSCs were harvested, washed and then fixed with 70% ethanol. The cell fixation took overnight time in &#x02212;20&#x000B0;C freezer. The next day, the fixed cells were centrifuged to collect pellet, washed with ice-cold PBS and resuspended with staining buffer containing 50 mg/mL PI, 0.1% Triton X-100, 0.1% sodium citrate and 100 mg/mL RNase. The cell suspension was incubated in the dark condition for 30 min at room temperature. The stained cells were then analyzed with flow cytometer.</p>
</sec>
<sec id="s2-10">
<title>Measurement of the Mitochondrial Membrane Potential (&#x00394;&#x003A8;m)</title>
<p>The NSCs were incubated with JC-1 (Beyotime Biotechnology, Shanghai, China) at 37&#x000B0;C for 20 min and were then washed 2&#x000D7; with the dyeing buffer. The fluorescence level was measured immediately at a single excitation wavelength (488 nm) and dual emission wavelengths (shift from 530 nm to 590 nm) using a high-content screening platform (Thermo Fisher Scientific, Waltham, MA, USA).</p>
</sec>
<sec id="s2-11">
<title>Mitochondrial Permeability Transition Pore (mPTP) Opening Assay</title>
<p>NSCs were loaded with calcein-AM (Santa Cruz Biotechnology, Santa Cruz, CA, USA) and CoCl<sub>2</sub> (Sigma-Aldrich, St Louis, MO, USA), incubated for 15 min at 37&#x000B0;C. Cells were centrifuged, washed, and cell pellets were resuspended in 0.4 ml PBS and analyzed for mitochondrial calcein-AM fluorescence by flow cytometry analysis. The excitation/emission fluorescence for calcein-AM is 494/517 nm. There is an inverse relationship between calcein-AM fluorescence intensity and the number of mitochondrial permeability transition pore (mPTP) opening.</p>
</sec>
<sec id="s2-12">
<title>Detection of Caspase-3 and Caspase-9 Enzyme Activities</title>
<p>Caspase-3 and caspase-9 enzyme activities were assayed by the spectrophotometric method according to the manufacturer&#x02019;s instructions, the caspase-3 and caspase-9 assay kits were obtained from Beyotime (Shanghai, China).</p>
</sec>
<sec id="s2-13">
<title>Statistical Analysis</title>
<p>Data were expressed as mean &#x000B1; standard deviation and analyzed using SPSS version 20.0 (IBM, Armonk, NY, USA). The Kruskal-Wallis analysis followed by Dunn-Bonferroni <italic>post hoc</italic> comparisons were used to compare the difference in multiple groups. Values were considered significant at <italic>p</italic> &#x0003C; 0.05.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<sec id="s3-1">
<title>Microglia Activation Induces Oxidative Stress Injury and Decreases SIRT3, MnSOD Expression in NSCs</title>
<p>Our previous studies demonstrated that microglia activation-derived inflammatory cytokines could effectively inhibit proliferation and promote apoptosis of NSCs (Wang et al., <xref ref-type="bibr" rid="B35">2015</xref>; Jiang et al., <xref ref-type="bibr" rid="B10">2016</xref>). We want to see whether microglia activation brings about oxidative stress injury to NSCs. The effects of microglia activation on the intracellular ROS production, cell apoptosis, cell cycle distribution, mitochondrial &#x00394;&#x003A8;m and the opening of mPTP in NSCs were explored.</p>
<p>The levels of NO, TNF-&#x003B1;, IL-6 and IL-1&#x003B2; in cell culture medium supernatant of co-culture system were all significantly elevated after the addition of A&#x003B2; for 48 h (Figure <xref ref-type="fig" rid="F1">1</xref>). Results of assays using the fluorescent probes DHE and hydrogen peroxide reagent kit showed that microglia activation remarkably elevated the intracellular ROS levels in NSCs (Figure <xref ref-type="fig" rid="F2">2A</xref>). The results of the annexin V-FITC/PI double-staining assays indicated that microglia activation dramatically increased the apoptosis rate of NSCs (Figure <xref ref-type="fig" rid="F2">2B</xref>). As shown in Figure <xref ref-type="fig" rid="F2">2C</xref>, microglia activation resulted in the ascending proportion of G<sub>0</sub>/G<sub>1</sub> phase cells significantly, and the proportion of S and G<sub>2</sub>/M phase cells descended markedly, which tested by flow cytometry. Assays using the fluorescent probes JC-1 and calcein-AM verified that microglia activation promoted &#x00394;&#x003A8;m depolarization (Figure <xref ref-type="fig" rid="F2">2D</xref>) and mPTP opening in NSCs (Figure <xref ref-type="fig" rid="F2">2E</xref>).</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p><bold>The levels of nitric oxide (NO), TNF-&#x003B1;, IL-1&#x003B2; and IL-6 in supernatant of co-culture system are increased.</bold> After microglia-neural stem cells (NSCs) co-cultured for 48 h, the concentration of TNF-&#x003B1;, IL-1&#x003B2;, IL-6 and NO in cell culture medium supernatant were measured by enzyme linked immunosorbent assay (ELISA) or Griess reagent. Data are presented as mean &#x000B1; S.D. (<italic>n</italic> = 4). *<italic>P</italic> &#x0003C; 0.05, **<italic>P</italic> &#x0003C; 0.01 vs. the MG + NSC group. <sup>&#x00023;</sup><italic>P</italic> &#x0003C; 0.05, <sup>&#x00023;&#x00023;</sup><italic>P</italic> &#x0003C; 0.01 vs. the Amyloid-&#x003B2; (A&#x003B2;) + NSC group, respectively.</p></caption>
<graphic xlink:href="fncel-11-00007-g0001.tif"/>
</fig>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p><bold>Microglia activation induces oxidative stress injury and decreased sirtuin 3 (SIRT3), manganese superoxide dismutase (MnSOD) expression in NSCs. (A)</bold> The relative changes of superoxide anion and hydrogen peroxide levels in NSCs treated with or without 10 &#x003BC;M A&#x003B2;, co-cultured with or without microglia (MG) were evaluated by fluorescent probe dihydroethidium (DHE) and hydrogen peroxide assay kit, respectively. <bold>(B)</bold> Representative images (up panel) and quantification (down panel) of cell apoptosis in NSCs were determined by Annexin-V/propidium iodide (PI) assay. <bold>(C)</bold> Representative images (left panel) and quantification (right panel) of cell cycle distribution in NSCs was detected by flow cytometry. <bold>(D)</bold> Representative images (up panel) and quantification (down panel) of mitochondrial depolarization were assessed as the fluorescence shift of JC-1 from red to green by high-content screening platform analysis, <italic>Scale bar</italic> = 100 &#x003BC;m. <bold>(E)</bold> Representative images (up panel) and quantification (down panel) of the NSCs loaded with calcein AM (green) and CoCl<sub>2</sub> (cytosolic calcein quencher) to determine the calcein fluorescence in the mitochondria were analyzed by flow cytometry analysis, MitoTracker (red) staining was utilized for localization of mitochondria, <italic>Scale bar</italic> = 50 &#x003BC;m. The expression of SIRT3, MnSOD in NSC, MG + NSC, A&#x003B2; + NSC and A&#x003B2; + MG + NSC group was analyzed by Western blot <bold>(F)</bold> and quantitative reverse transcription-polymerase chain reaction (qRT-PCR; <bold>G</bold>). Results in <bold>(A,D&#x02013;G)</bold> are normalized to that of the NSC group. Data are presented as mean &#x000B1; S.D. (<italic>n</italic> = 3). *<italic>P</italic> &#x0003C; 0.05, **<italic>P</italic> &#x0003C; 0.01 vs. the MG + NSC group. <sup>&#x00023;</sup><italic>P</italic> &#x0003C; 0.05 vs. the A&#x003B2; + NSC group.</p></caption>
<graphic xlink:href="fncel-11-00007-g0002.tif"/>
</fig>
<p>To determine the effects of microglia activation-induced oxidative stress on the SIRT3 and MnSOD expression in NSCs. MnSOD, a downstream target gene of SIRT3, is a critical antioxidant enzyme that eliminate ROS in mitochondria. Western blotting and qRT-PCR assays were performed to assess the SIRT3 and MnSOD gene expression. Figures <xref ref-type="fig" rid="F2">2F,G</xref> displayed that microglia activation made a significant reduction of SIRT3 and MnSOD expression in both mRNA and protein levels. These results elucidated that microglia activation resulted in oxidative stress injury, mitochondrial dysfunction and decreased expression of SIRT3 and MnSOD in NSCs.</p>
</sec>
<sec id="s3-2">
<title>Aggravation of Microglia Activation-Induced Cytotoxicity by SIRT3-siRNA Transfection</title>
<p>To evaluate whether SIRT3 knockdown in NSCs deteriorates microglia activation-induced cytotoxicity. After transfection with the SIRT3-siRNA (siSIRT3 group), the SIRT3 and MnSOD mRNA levels in NSCs significantly dropped by about 75% compared to that in untransfected cells (control group) or in cells transfected with the negative siRNA (scrambled group), and the SIRT3 and MnSOD protein levels in NSCs of SIRT3 group were also lower than that in control or scrambled group (Figures <xref ref-type="fig" rid="F3">3A,B</xref>).</p>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption><p><bold>SIRT3 knockdown by small interfering RNA (siRNA) transfection exacerbates cell dysfunction in NSCs. (A)</bold> Representative western blot (up panel) and densitometric quantification (down panel) of SIRT3, MnSOD protein expression in NSCs treated with scrambled siRNA (Scrambled group) or SIRT3 siRNA (siSIRT3 group) for 48 h. <bold>(B)</bold> The mRNA expression of SIRT3, MnSOD in NSCs treated with scrambled RNA or SIRT3 siRNA for 36 h. <bold>(C)</bold> The levels of superoxide anion and hydrogen peroxide in NSCs were detected. The cell apoptosis rate <bold>(D)</bold>, cell cycle distribution <bold>(E)</bold> and mitochondrial depolarization <bold>(F)</bold> in the Control, Scrambled and siSIRT3 groups were analyzed by methods as showed in Figure <xref ref-type="fig" rid="F2">2</xref>, respectively. <bold>(G)</bold> The mitochondrial permeability transition pore (mPTP) opening infected with SIRT3 siRNA for 48 h was determined according to calcein-AM fluorescence intensity by flow cytometry. <bold>(H)</bold> Representative western blot (up panel) and densitometric quantification (down panel) of cyclophilin D protein expression in NSCs treated with scrambled RNA or SIRT3 siRNA for 48 h, COX-IV was used as mitochondrial markers. Results in <bold>(A&#x02013;C,F&#x02013;H)</bold> are expressed as fold change over that of Control group. Data are obtained in NSCs co-cultured with microglia challenged with 10 &#x003BC;M A&#x003B2; exposure. Data are presented as mean &#x000B1; S.D. (<italic>n</italic> = 3). *<italic>P</italic> &#x0003C; 0.05, **<italic>P</italic> &#x0003C; 0.01 vs. the Control group. <sup>&#x00023;</sup><italic>P</italic> &#x0003C; 0.05, <sup>&#x00023;&#x00023;</sup><italic>P</italic> &#x0003C; 0.01 vs. the Scrambled group.</p></caption>
<graphic xlink:href="fncel-11-00007-g0003.tif"/>
</fig>
<p>The results depicted in Figure <xref ref-type="fig" rid="F3">3C</xref> manifested that SIRT3 knockdown further accelerated microglia activation-induced ROS production. The rate of NSCs apoptosis in siSIRT3 group was much higher than that in the control or scrambled group (Figure <xref ref-type="fig" rid="F3">3D</xref>). SIRT3 knockdown further increased the proportion of G<sub>0</sub>/G<sub>1</sub> phase cells significantly, while S phase cells proportion declined dramatically compared to that in the control or scrambled group (Figure <xref ref-type="fig" rid="F3">3E</xref>). Assays using the fluorescent probes JC-1 and calcein-AM illuminated that SIRT3 knockdown promoted microglia activation-induced &#x00394;&#x003A8;m depolarization (Figure <xref ref-type="fig" rid="F3">3F</xref>) and mPTP opening (Figure <xref ref-type="fig" rid="F3">3G</xref>) in NSCs, consistent with enhanced levels of CypD protein expression (Figure <xref ref-type="fig" rid="F3">3H</xref>). In summary, these findings provided important evidence that inhibition of SIRT3 expression exacerbated microglia activation-induced cell damage in NSCs.</p>
</sec>
<sec id="s3-3">
<title>SIRT3 Overexpression Protects Against Microglia Activation-Induced Cytotoxicity</title>
<p>To confirm the protective role of SIRT3 overexpression in NSCs against microglia activation-induced cytotoxicity. After transfection with the SIRT3-expressing plasmid (SIRT3 group), the SIRT3 and MnSOD mRNA levels in NSCs were remarkably elevated by approximately 8-fold compared with that in untransfected cells (control group) or in cells transfected with the empty vector (vector group), the SIRT3 and MnSOD protein levels in NSCs of SIRT3 group were also higher than that in control or vector group (Figures <xref ref-type="fig" rid="F4">4A,B</xref>). SIRT3 overexpression significantly suppressed microglia activation-dependent ROS production (Figure <xref ref-type="fig" rid="F4">4C</xref>). The rate of cell apoptosis in SIRT3 group was lower than that in control or vector group (Figure <xref ref-type="fig" rid="F4">4D</xref>). SIRT3 overexpression also declined the proportion of G<sub>0</sub>/G<sub>1</sub> phase cells significantly, while S and G<sub>2</sub>/M phase cells proportion increased dramatically (Figure <xref ref-type="fig" rid="F4">4E</xref>). SIRT3 overexpression suppressed microglia activation-dependent &#x00394;&#x003A8;m depolarization (Figure <xref ref-type="fig" rid="F4">4F</xref>) and mPTP opening (Figure <xref ref-type="fig" rid="F4">4G</xref>) in NSCs, consistent with decreased protein levels of CypD expression (Figure <xref ref-type="fig" rid="F4">4H</xref>). These data illustrated that SIRT3 overexpression in NSCs could ameliorate microglia activation-induced cell injury.</p>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption><p><bold>SIRT3 overexpression alleviates cytotoxicity induced by activated microglia. (A)</bold> Representative western blot (up panel) and quantification (down panel) of SIRT3, MnSOD expression in NSCs transfected with the recombinant adenoviral vector overexpressing SIRT3 (SIRT3 group) and empty vector (Vector group) for 48 h. <bold>(B)</bold> The mRNA expression of SIRT3, MnSOD in NSCs infected with empty vector or SIRT3 plasmid for 36 h. The reactive oxygen species (ROS) production <bold>(C)</bold>, cell apoptosis rate <bold>(D)</bold> and cell cycle distribution <bold>(E)</bold> in the Control group, Vector group and SIRT3 group were assessed by methods as showed in Figure <xref ref-type="fig" rid="F2">2</xref>, respectively. <bold>(F)</bold> Representative images (up panel) and quantification (down panel) of mitochondrial depolarization in NSCs transfected with SIRT3 plasmid for 48 h were assessed by JC-1 staining, <italic>Scale bar</italic> = 100 &#x003BC;m. <bold>(G)</bold> The mPTP opening in NSCs transfected with SIRT3 plasmid for 48 h was determined according to calcein-AM fluorescence intensity by flow cytometry. <bold>(H)</bold> Representative western blot (up panel) and densitometric quantification (down panel) of cyclophilin D protein expression in NSCs treated with empty vector or SIRT3 plasmid for 48 h. Results in <bold>(A&#x02013;C,F&#x02013;H)</bold> are expressed as fold change over that of Control group. Data are obtained in NSCs co-cultured with microglia challenged with 10 &#x003BC;M A&#x003B2; exposure. Data are presented as mean &#x000B1; S.D. (<italic>n</italic> = 3). *<italic>P</italic> &#x0003C; 0.05, **<italic>P</italic> &#x0003C; 0.01 vs. the Control group. <sup>&#x00023;</sup><italic>P</italic> &#x0003C; 0.05, <sup>&#x00023;&#x00023;</sup><italic>P</italic> &#x0003C; 0.01 vs. the Vector group.</p></caption>
<graphic xlink:href="fncel-11-00007-g0004.tif"/>
</fig>
</sec>
<sec id="s3-4">
<title>Neuroprotective Effect of SIRT3 in NSCs Is Associated with Mitochondrial Apoptotic Pathway</title>
<p>In order to explore the molecular mechanism underlying the neuroprotective effect of SIRT3 in NSCs against microglia activation-induced cytotoxicity. We next sought to investigate mitochondrial apoptotic pathway in oxidative stress-mediated central nervous diseases, the levels of several key molecules in the mitochondrial apoptotic pathway were measured by western blotting assay. The results depicted in Figure <xref ref-type="fig" rid="F5">5A</xref> revealed that protein levels of total cleaved caspase-3, Bax and cytoplasmic Cyt C decreased significantly in NSCs of SIRT3 group, which correlated with increased protein levels of total Bcl-2 and mitochondrial Cyt C compared to the control or vector group. On the contrary, compared to the control or scrambled group, SIRT3 knockdown in NSCs of siSIRT3 group made the protein levels of total cleaved caspase-3, Bax and cytoplasmic Cyt C up-regulated, the protein levels of total Bcl-2 and mitochondrial Cyt C down-regulated (Figure <xref ref-type="fig" rid="F5">5C</xref>).</p>
<fig id="F5" position="float">
<label>Figure 5</label>
<caption><p><bold>SIRT3 in NSCs exerts neuroprotective effect through mitochondrial apoptotic pathway. (A)</bold> Representative western blot (left panel) and quantification (right panel) of Bax, B-cell lymphoma 2 (Bcl-2), Mito-cytochrome C (Cyt C), Cyto-Cyt C and cleaved caspase-3 protein expression in NSCs treated with empty vector or SIRT3 plasmid for 48 h. <bold>(B)</bold> Caspase-3 and caspase-9 enzyme activities were detected by the spectrophotometric method in the Control group, Vector group and SIRT3 group. <bold>(C)</bold> Representative western blot (left panel) and quantification (right panel) of Bax, Bcl-2, Cyt C and cleaved caspase-3 protein expression in NSCs transfected with scrambled RNA or SIRT3 siRNA for 48 h. <bold>(D)</bold> Caspase-3 and caspase-9 enzyme activities were evaluated by the spectrophotometric method in the Control group, Scrambled group and siSIRT3 group. GAPDH and COX-IV were used as total cellular and mitochondrial protein markers, respectively, in <bold>(A,C)</bold>. Results are normalized to that of the Control group. Data are obtained in NSCs co-cultured with microglia challenged with 10 &#x003BC;M A&#x003B2; exposure. Data are presented as mean &#x000B1; S.D. (<italic>n</italic> = 3). *<italic>P</italic> &#x0003C; 0.05, **<italic>P</italic> &#x0003C; 0.01 vs. the Control group. <sup>&#x00023;</sup><italic>P</italic> &#x0003C; 0.05, <sup>&#x00023;&#x00023;</sup><italic>P</italic> &#x0003C; 0.01 vs. the Vector or Scrambled group, respectively.</p></caption>
<graphic xlink:href="fncel-11-00007-g0005.tif"/>
</fig>
<p>In addition, the effect of SIRT3 on microglia activation-induced oxidative stress was also assessed by measuring the enzymatic activities of caspase-3 and caspase-9 in NSCs, which are pivotal pro-apoptotic factors. As shown in Figures <xref ref-type="fig" rid="F5">5B,D</xref>, SIRT3 overexpression effectively weakened the two enzymatic activities of caspase-3/9, while SIRT3 knockdown markedly enhanced them. These findings suggested that SIRT3 in NSCs alleviated microglia activation-induced oxidative stress injury through mitochondrial pathway, including the reduction of mitochondrial Cyt C released into cytoplasm, the decrease of Bax protein expression and caspase-3/9 enzymatic activity, along with the increase of Bcl-2 protein expression.</p>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<p>It was found in our study that A&#x003B2; aggravated NSC injury, accelerated cell apoptosis and slowed down cell cycle progression by activating microglia, which might be related with the oxidative stress inducers and inflammatory factors produced by activated microglia (Jiang et al., <xref ref-type="bibr" rid="B10">2016</xref>). Decrease of mitochondrial membrane potential (&#x00394;&#x003A8;m) is an early event of cell apoptosis. mPTP is closely related with mitochondrial functions and cell survival, for example, increased mPTP opening promotes cell apoptosis (Du et al., <xref ref-type="bibr" rid="B9">2014</xref>). It has been indicated in a study that high-level ROS induces mitochondrial dysfunction via mPTP open (Di Lisa et al., <xref ref-type="bibr" rid="B6">2001</xref>). Mitochondrial heat shock protein 70 inhibits mPTP opening and, therefore, reduces A&#x003B2;-induced SH-SY5Y cell apoptosis (Qu et al., <xref ref-type="bibr" rid="B23">2012</xref>; Du et al., <xref ref-type="bibr" rid="B9">2014</xref>). Our finding showed that A&#x003B2;-activated microglia lowered mitochondrial membrane potential of NSCs, and enhanced the cell apoptosis rate by opening mPTP.</p>
<p>The results in our study demonstrated that A&#x003B2; down-regulated gene expression levels of SIRT3 and MnSOD in NSCs, which were further declined when microglia challenged with A&#x003B2; in co-culture system. Lipopolysaccharide (LPS) and inflammatory factor TNF-&#x003B1; significantly inhibit SIRT3 protein expression in human monocyte/macrophage, which presumably suggests that down-regulated expression of SIRT3 may be an outcome of inflammatory injury (Moschen et al., <xref ref-type="bibr" rid="B18">2013</xref>). LPS promotes pericyte loss and inflammatory infiltration of cardiopulmonary tissue, which might be related with decreased SIRT3 protein expression (Zeng et al., <xref ref-type="bibr" rid="B37">2016</xref>). H<sub>2</sub>O<sub>2</sub>-induced oxidative stress also results in reduced SIRT3 and MnSOD expression and risen cell apoptosis rate in human mesenchymal stem cells (Wang et al., <xref ref-type="bibr" rid="B34">2014</xref>).</p>
<p>We found that overexpression of SIRT3 up-regulated MnSOD expression, decreased intracellular ROS level in NSC and relieved cell injury from oxidative stress. Reports in the literature indicate that calorie restriction reduces oxidative stress by SIRT3-mediated MnSOD activation (Qiu et al., <xref ref-type="bibr" rid="B22">2010</xref>), and SIRT3 overexpression alleviates H<sub>2</sub>O<sub>2</sub>-induced oxidative stress injury in human mesenchymal stem cells (Wang et al., <xref ref-type="bibr" rid="B34">2014</xref>). SIRT3 overexpression attenuates inflammatory damage by inhibiting LPS-induced pericyte loss and inflammatory infiltration of neutrophils/macrophages (Zeng et al., <xref ref-type="bibr" rid="B37">2016</xref>), which further verifies the results of this study. Overexpression of SIRT3 can reverse lipotoxicity-mediated ROS accumulation and inflammation in the kidney, and decrease inflammatory cytokine monocyte chemoattractant protein-1 mRNA expression, whereas they are exacerbated by either overexpression of a dominant-negative form of SIRT3 (N87A) lacking deacetylase activity or knockdown of SIRT3 by siRNA transfection (Koyama et al., <xref ref-type="bibr" rid="B11">2011</xref>). In our study, we reported that SIRT3 overexpression reduced microglia activation-induced mPTP open, ascended mitochondrial potential, and inhibited NSC apoptosis and protein expression of mitochondrial CypD, a member of mPTP. Cheng et al. (<xref ref-type="bibr" rid="B4">2016</xref>) reported that overexpression of SIRT3 ameliorated oxidative stress injury and ATP depletion in mitochondria, prevented mitochondrial swelling and mPTP open, thereby reduced neuron death. SIRT3 overexpression in C2C12 myoblast increases protein expression of MnSOD and PGC-1&#x003B1;, associated with elevated mitochondrial membrane potential (Padmaja Divya et al., <xref ref-type="bibr" rid="B20">2015</xref>). Our previous studies also confirmed that overexpression of mitochondrial molecular chaperon HSP75 or inhibition of mPTP open by cyclosporine A exhibited some resistance to neurotoxicity caused by activated neuroglia cells (Wang et al., <xref ref-type="bibr" rid="B35">2015</xref>; Chen et al., <xref ref-type="bibr" rid="B3">2016</xref>). Suppression of CypD expression rescues A&#x003B2;-induced mitochondrial dysfunction and synaptic degeneration in neuron (Qu et al., <xref ref-type="bibr" rid="B23">2012</xref>; Du et al., <xref ref-type="bibr" rid="B9">2014</xref>; Valasani et al., <xref ref-type="bibr" rid="B30">2016</xref>). We found that SIRT3 overexpression in NSCs inhibited CypD expression, decreased mPTP open, and relieved mitochondrial dysfunction caused by activated microglia. ROS production causes mitochondrial dysfunction through mPTP opening, in the process, NAD<sup>+</sup> in mitochondria and cytoplasm is consumed excessively, which is necessary for SIRT3 to have its histone deacetylase activity (Di Lisa et al., <xref ref-type="bibr" rid="B6">2001</xref>). In addition, it was also found in this study that SIRT3 overexpression reversed microglia activation-induced the increased proportion of G<sub>0</sub>/G<sub>1</sub> phase cells and decreased proportion of S and G<sub>2</sub>/M phase cells significantly. SIRT3 relieves microglia activation-induced mitochondrial dysfunction in NSCs, however, the deeper molecular mechanism is still not so clear and needs further study in future.</p>
<p>Results of some reports supported our findings that SIRT3 overexpression reduced NSC apoptosis rate, conversely, SIRT3 deficiency increased the cell apoptosis rate. SIRT3 overexpression can protect dopaminergic neuron against neuronal death upon MPTP treatment. SIRT3 fights against cell injury by improving MnSOD activity and inhibiting expression of NF-&#x003BA;B and Bax (Zhang et al., <xref ref-type="bibr" rid="B38">2016</xref>). Cheng et al. (<xref ref-type="bibr" rid="B4">2016</xref>) reported that SIRT3 knockdown endangered striatal and hippocampal neurons in mouse models of huntington&#x02019;s disease and temporal lobe epilepsy.</p>
<p>We also found that SIRT3 overexpression down-regulated NSC&#x02019;s pro-apoptotic factors Bax and cleaved caspase-3 expression, promoted anti-apoptosis factor Bcl-2 expression and decreased caspase-3/9 enzyme activity, while SIRT3 gene knockdown resulted in opposite outcomes. Ku70 is a new target of SIRT3, SIRT3 physically binds to Ku70 and deacetylates it, and this promotes interaction of Ku70 with the proapoptotic protein Bax. Thus, under stress conditions, increased expression of SIRT3 protects cardiomyocytes, in part by hindering the translocation of Bax to mitochondria (Sundaresan et al., <xref ref-type="bibr" rid="B27">2008</xref>). Antioxidant caffeic acid can attenuate liver ischemia and reperfusion injury through regulating SIRT3, along with increased MnSOD expression and Bcl-2/Bax rate, and reduced cleaved caspase-3/9 protein expression (Mu et al., <xref ref-type="bibr" rid="B19">2015</xref>). Rhamnetin protects H9c2 cardiomyoblasts against H<sub>2</sub>O<sub>2</sub>-induced apoptosis, its mechanisms of action include the enhanced expression of SIRT3, Bcl-2 and MnSOD, and the decreased protein expression of Bax and cleaved caspase-3 (Park et al., <xref ref-type="bibr" rid="B21">2014</xref>). These findings can give some support to our results.</p>
<p>We also demonstrated that SIRT3 overexpression reduced the release of Cyt C from mitochondria into cytosol in NSCs, while SIRT3 deficiency enhanced the cytosolic accumulation of Cyt C, which was due to its release from the mitochondria. NAD<sup>+</sup> and grape wine polyphenols prevent axonal apoptosis and act via mitochondrial SIRT3 activation, coincident with inhibited caspase-3 activation and the release of mitochondrial Cyt C in axons (Magnifico et al., <xref ref-type="bibr" rid="B17">2013</xref>). Fucoidan suppresses mitochondrial dysfunction induced by traumatic brain injury in mice through elevated SIRT3 expression, which is evidenced by mitochondrial Cyt C release and collapse of mitochondrial membrane potential (Wang et al., <xref ref-type="bibr" rid="B33">2016</xref>). These data can provide evidences for our findings.</p>
<p>Taken together, our results revealed that oxidative stress produced by activated microglia may modulate NSC&#x02019;s fate in the developing brain. SIRT3 in NSCs attenuated microglia activation-induced oxidative stress injury through mitochondrial apoptosis pathway, as summarized in Figure <xref ref-type="fig" rid="F6">6</xref>.</p>
<fig id="F6" position="float">
<label>Figure 6</label>
<caption><p><bold>Scheme summarizing the results.</bold> Microglia activation by prolonged exposure of A&#x003B2; induced the accumulation of ROS and decreased SIRT3, MnSOD expression in NSCs, accompanied by cell cycle arrest, increased cell apoptosis and mPTP opening, and enhanced mitochondrial membrane potential (&#x00394;&#x003A8;m) depolarization. Furthermore, SIRT3 knockdown in NSCs accelerated the cell injury, whereas SIRT3 overexpression protected NSCs against activated microglia-induced cellular dysfunction through mitochondrial apoptosis pathway, including decreased mPTP opening and cyclophilin D (CypD) expression, inhibition of mitochondrial Cyt C release to cytoplasm, declined Bax/Bcl-2 ratio and caspase-3/9 enzymatic activity.</p></caption>
<graphic xlink:href="fncel-11-00007-g0006.tif"/>
</fig>
</sec>
<sec id="s5">
<title>Author Contributions</title>
<p>D-QJ designed and performed experiments and wrote the manuscript. YongW designed experiments and reviewed/edited the manuscript, YanW, M-XL and Y-JM read and corrected the manuscript. All authors approved the final manuscript.</p>
</sec>
<sec id="s6">
<title>Conflict of Interest Statement</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>
</body>
<back>
<ack>
<p>This study was supported by grants from the National Natural Science Foundation of China (No.30973162), the Natural Science Foundation of Guangdong Province (No.S2013010015546), the Natural Science Foundation of Guangxi Zhuang Autonomous Region (No. 2016GXNSFBA380040) and the Doctoral Scientific Research Foundation of Yulin Normal University of China (No. G20160006).</p>
</ack>
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