<?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. Pharmacol.</journal-id>
<journal-title>Frontiers in Pharmacology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Pharmacol.</abbrev-journal-title>
<issn pub-type="epub">1663-9812</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">1202379</article-id>
<article-id pub-id-type="doi">10.3389/fphar.2023.1202379</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Pharmacology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Paeoniflorin mitigates high glucose-induced lifespan reduction by inhibiting insulin signaling in <italic>Caenorhabditis elegans</italic>
</article-title>
<alt-title alt-title-type="left-running-head">Liu 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/fphar.2023.1202379">10.3389/fphar.2023.1202379</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Liu</surname>
<given-names>Tianwen</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" corresp="yes">
<name>
<surname>Zhuang</surname>
<given-names>Ziheng</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Wang</surname>
<given-names>Dayong</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/969952/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>School of Pharmaceutical Engineering and Life Science</institution>, <institution>Changzhou University</institution>, <addr-line>Changzhou</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Medical School</institution>, <institution>Southeast University</institution>, <addr-line>Nanjing</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/110727/overview">Rong-Rong He</ext-link>, Jinan University, China</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/2013907/overview">Qinli Ruan</ext-link>, Nanjing University of Chinese Medicine, China</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1181988/overview">Kang Qiao</ext-link>, Shandong Agricultural University, China</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1781378/overview">Yonggang Liu</ext-link>, Beijing University of Chinese Medicine, China</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Ziheng Zhuang, <email>cczuzzh@163.com</email>; Dayong Wang, <email>dayongw@seu.edu.cn</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>19</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>14</volume>
<elocation-id>1202379</elocation-id>
<history>
<date date-type="received">
<day>08</day>
<month>04</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>12</day>
<month>06</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2023 Liu, Zhuang and Wang.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Liu, Zhuang 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 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>
<p>In organisms, high glucose can cause several aspects of toxicity, including the lifespan reduction. Paeoniflorin is the major component of Paeoniaceae plants. Nevertheless, the possible effect of paeoniflorin to suppress high glucose toxicity in reducing lifespan and underlying mechanism are largely unclear. Thus, in this study, we examined the possible effect of paeoniflorin in suppressing high glucose (50&#xa0;mM)-induced lifespan reduction and the underlying mechanism in <italic>Caenorhabditis elegans</italic>. Administration with 16&#x2013;64&#xa0;mg/L paeoniflorin could prolong the lifespan in glucose treated nematodes. Accompanied with this beneficial effect, in glucose treated nematodes, expressions of <italic>daf-2</italic> encoding insulin receptor and its downstream kinase genes (<italic>age-1</italic>, <italic>akt-1</italic>, and <italic>akt-2</italic>) were decreased and expression of <italic>daf-16</italic> encoding FOXO transcriptional factor was increased by 16&#x2013;64&#xa0;mg/L paeoniflorin administration. Meanwhile, the effect of paeoniflorin in extending lifespan in glucose treated nematodes was enhanced by RNAi of <italic>daf-2</italic>, <italic>age-1</italic>, <italic>akt-1</italic>, and <italic>akt-2</italic> and inhibited by RNAi of <italic>daf-16</italic>. In glucose treated nematodes followed by paeoniflorin administration, the increased lifespan caused by <italic>daf-2</italic> RNAi could be suppressed by RNAi of <italic>daf-16</italic>, suggesting that DAF-2 acted upstream of DAF-16 to regulate pharmacological effect of paeoniflorin. Moreover, in glucose treated nematodes followed by paeoniflorin administration, expression of <italic>sod-3</italic> encoding mitochondrial Mn-SOD was inhibited by <italic>daf-16</italic> RNAi, and the effect of paeoniflorin in extending lifespan in glucose treated nematodes could be suppressed by <italic>sod-3</italic> RNAi. Molecular docking analysis indicated the binding potential of paeoniflorin with DAF-2, AGE-1, AKT-1, and AKT-2. Therefore, our results demonstrated the beneficial effect of paeoniflorin administration in inhibiting glucose-induced lifespan reduction by suppressing signaling cascade of DAF-2-AGE-1-AKT-1/2-DAF-16-SOD-3 in insulin signaling pathway.</p>
</abstract>
<kwd-group>
<kwd>paeoniflorin</kwd>
<kwd>glucose toxicity</kwd>
<kwd>
<italic>C. elegans</italic>
</kwd>
<kwd>pharmacological</kwd>
<kwd>insulin signaling</kwd>
</kwd-group>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Ethnopharmacology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Hyperglycemia is a pathological situation with severe increase in blood glucose level in the patients (<xref ref-type="bibr" rid="B15">Gunst et al., 2019</xref>). This increase in blood glucose level is the major cause for type 2 diabetes (<xref ref-type="bibr" rid="B33">Monnier et al., 2012</xref>), and may be induced by sedentary lifestyle and excessive calories intake (<xref ref-type="bibr" rid="B47">Stumvoll et al., 2005</xref>; <xref ref-type="bibr" rid="B48">Taylor et al., 2021</xref>). Hyperglycemia is also closely associated with some other diseases, such as diabetic cardiomyopathy and renal disease (<xref ref-type="bibr" rid="B3">Baldwin and Apel, 2013</xref>; <xref ref-type="bibr" rid="B23">Jia et al., 2018</xref>). Hyperglycemia is further related to increased mortality and morbidity during neonatal period (<xref ref-type="bibr" rid="B41">Ramel and Rao, 2020</xref>). Chronic hyperglycemia has emerged as a global health challenge. Considering the biological activity and non-toxicity, the efforts to identify beneficial natural extracts or compounds have been conducted in order to be used for treating hyperglycemia.</p>
<p>Various plants and their metabolic products have been focused as an important area for identifying bioactive compounds with the health benefits, and most of these bioactive compounds are secondary metabolites and present at relatively small amount in plants (<xref ref-type="bibr" rid="B2">Aiello et al., 2019</xref>; <xref ref-type="bibr" rid="B43">Sahardi and Makpol, 2019</xref>). As a classic model animal with well-described genetic backgrounds, both molecular and metabolic pathways in <italic>Caenorhabditis elegans</italic> are highly conserved and have corresponding homologues in humans (<xref ref-type="bibr" rid="B39">Pir et al., 2017</xref>; <xref ref-type="bibr" rid="B54">Watts and Ristow, 2017</xref>; <xref ref-type="bibr" rid="B50">Wang, 2019</xref>). <italic>C. elegans</italic> has been shown as a powerful animal model for evaluating different aspects pharmacological effects of bioactive compounds, including anti-bacterial and fungal infections and anti-neurodegeneration diseases (such as ant-Alzheimer&#x2019;s disease) (<xref ref-type="bibr" rid="B38">Parker et al., 2004</xref>; <xref ref-type="bibr" rid="B14">Griffin et al., 2017</xref>; <xref ref-type="bibr" rid="B31">Madende et al., 2020</xref>). During the past decade, many efforts have been made to discover bioactive compounds having anticipated pharmacological effects, such as anti-aging using the <italic>C. elegans</italic> as aging model (<xref ref-type="bibr" rid="B9">Collins et al., 2006</xref>; <xref ref-type="bibr" rid="B37">Okoro et al., 2021</xref>). In addition, due to sensitivity to environmental exposure and small volume of exposure (<xref ref-type="bibr" rid="B49">Wang, 2020</xref>; <xref ref-type="bibr" rid="B59">Xu et al., 2022a</xref>; <xref ref-type="bibr" rid="B60">Xu et al., 2022b</xref>; <xref ref-type="bibr" rid="B69">Zhao Y.-L. et al., 2023</xref>; <xref ref-type="bibr" rid="B21">Hua et al., 2023c</xref>), <italic>C. elegans</italic> is useful for high throughput screen of drugs or compounds (<xref ref-type="bibr" rid="B7">Braungart et al., 2004</xref>; <xref ref-type="bibr" rid="B36">O&#x2019;Reilly et al., 2014</xref>).</p>
<p>
<italic>C. elegans</italic> has been frequently applied to assess glucose-induced toxicity and to identify compounds against glucose toxicity (<xref ref-type="bibr" rid="B12">Fitzenberger et al., 2013</xref>; <xref ref-type="bibr" rid="B61">Yan et al., 2017a</xref>). In <italic>C. elegans</italic>, some components in biochemical reactions were found to have potential in reducing the glucose toxicity. For example, supplementation with carnitine (a substrate of &#x3b2;-oxidation) or diosgenin (a phytosterol substitute) could reduce glucose toxicity via nuclear hormone receptor DAF-12 or insulin signaling (<xref ref-type="bibr" rid="B10">Deusing et al., 2015a</xref>; <xref ref-type="bibr" rid="B44">Shanmugam et al., 2017</xref>). Besides these, some plant extracts or bioactive compounds were also found to have the potential against glucose-induced toxicity. Green tea extract enriched with catechin or blackberry leaf extract prevented the glucose-induced survival reduction (<xref ref-type="bibr" rid="B13">Fitzenberger et al., 2014</xref>; <xref ref-type="bibr" rid="B11">Deusing et al., 2015b</xref>). The anthocyanin in mulberry fruit and C-glycosides in <italic>Apios americana</italic> leaves also exhibited the protective function against the toxicity under hyperglycemic condition (<xref ref-type="bibr" rid="B61">Yan et al., 2017a</xref>; <xref ref-type="bibr" rid="B62">Yan et al., 2017b</xref>).</p>
<p>Paeoniflorin is the major component of total glycoside paeony. Initially, the monoterpenoid glycoside paeoniflorin was extracted in Paeonia lactiflora Pall (<xref ref-type="bibr" rid="B67">Zhang et al., 2019</xref>). The content of paeoniflorin in different species of Paeoniaceae ranges from 0.05% to 10.7% (<xref ref-type="bibr" rid="B68">Zhang X. et al., 2022</xref>). Some reports have suggested the function of paeoniflorin treatment in inhibiting glucose-induced inflammation response and oxidative injury (<xref ref-type="bibr" rid="B46">Shao et al., 2016</xref>; <xref ref-type="bibr" rid="B63">Yang et al., 2016</xref>; <xref ref-type="bibr" rid="B77">Zhu et al., 2017</xref>). In this study, we employed <italic>C. elegans</italic> as an animal model to further determine the possible beneficial effect of paeoniflorin against glucose toxicity in reducing lifespan and the underlying mechanism. In <italic>C. elegans</italic>, insulin signaling pathway plays a crucial function in regulating longevity (<xref ref-type="bibr" rid="B24">Kenyon, 2010</xref>). The insulin receptor DAF-2 regulates the longevity by activating downstream kinase cascade (AGE-1-AKT-1/2), and inhibiting FOXO transcription factor DAF-16/FOXO (<xref ref-type="bibr" rid="B29">Lin et al., 2001</xref>; <xref ref-type="bibr" rid="B74">Zheng et al., 2018</xref>). Our results suggest that administration with paeoniflorin could inhibit the glucose toxicity in reducing lifespan by suppressing insulin signaling in nematodes. Our data suggested the potential effect of paeoniflorin treatment in suppressing glucose-induced lifespan reduction.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>Materials and methods</title>
<sec id="s2-1">
<title>Reagent</title>
<p>The paeoniflorin was purchased from Yuanye Bio-Technology Co., Ltd., (Shanghai, China). The purity of paeoniflorin was &#x2265;98%. Chemical structure of paeoniflorin is shown in <xref ref-type="fig" rid="F1">Figure 1A</xref>. The stocking solution (1.024&#xa0;mg/mL) was prepared by dissolving paeoniflorin into DMSO. The working solutions of paeoniflorin were prepared by diluting the stocking solution with K buffer and stored at 4&#xb0;C. The control solution used in this experiment was comprised of DMSO, and diluted with K buffer in the same way as paeoniflorin solutions.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Effect of paeoniflorin administration in reducing glucose toxicity. <bold>(A)</bold> Chemical structure of paeoniflorin. <bold>(B)</bold> Effect of paeoniflorin administration on lifespan in glucose treated nematodes. Lifespan curve of HG was significantly (<italic>p</italic> &#x3c; 0.01) different from control. Lifespan curves of HG &#x2b; 16&#xa0;mg/L Pae, HG &#x2b; 32&#xa0;mg/L Pae, and HG&#x2b;64&#xa0;mg/L Pae were significantly (<italic>p</italic> &#x3c; 0.01) different from HG. Lifespan curve of HG &#x2b; 64&#xa0;mg/L Pae was significantly (<italic>p</italic> &#x3c; 0.01) different from control. HG, high glucose (50&#xa0;mM); Pae, paeoniflorin. &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01.</p>
</caption>
<graphic xlink:href="fphar-14-1202379-g001.tif"/>
</fig>
</sec>
<sec id="s2-2">
<title>
<italic>C. elegans</italic> maintenance</title>
<p>The used <italic>C. elegans</italic> strains are listed in <xref ref-type="sec" rid="s10">Supplementary Table S1</xref>. <italic>C. elegans</italic> are normally maintained on nematode growth medium (NGM) agar plates seeded with <italic>E. coli</italic> OP50 as food source according to the standard protocol (<xref ref-type="bibr" rid="B8">Brenner, 1974</xref>). Both <italic>C. elegans</italic> and <italic>E. coli</italic> strains were obtained from <italic>Caenorhabditis</italic> Genetics Center (CGC).</p>
</sec>
<sec id="s2-3">
<title>Preparation of glucose toxicity model in <italic>C. elegans</italic>
</title>
<p>To assess the glucose toxicity, L1-larvae were treated in NGM plates fed with OP50 and containing glucose. The final concentration of added <sub>D</sub>-glucose was 50&#xa0;mM in NGM plates (<xref ref-type="bibr" rid="B44">Shanmugam et al., 2017</xref>). To obtain synchronized L1-larval nematodes, eggs were released from pregnant hermaphrodites by treating them with solution lysis buffer (0.45&#xa0;M NaOH and 2% HOCl), and allowed to further develop into L1-larvae (<xref ref-type="bibr" rid="B65">Zhang et al., 2022b</xref>). The nematodes were exposed to 50&#xa0;mM glucose till to L4-larvae (approximately 2.5-day).</p>
</sec>
<sec id="s2-4">
<title>Pharmacological treatment</title>
<p>After the exposure of nematodes to 50&#xa0;mM glucose, the nematodes were transferred into paeoniflorin solutions with the addition of OP50 to further treat for 48&#xa0;h. The examined concentrations for paeoniflorin were 25, 50, and 100&#xa0;mg/L, which were basically selected as previously described (<xref ref-type="bibr" rid="B18">Hua et al., 2023a</xref>). After the paeoniflorin treatment, the examined nematodes were transferred onto normal NGM plates for lifespan analysis. The experiments were repeated three times.</p>
</sec>
<sec id="s2-5">
<title>Lifespan analysis</title>
<p>The lifespan was analyzed as described (<xref ref-type="bibr" rid="B66">Zhang et al., 2022a</xref>). After glucose and paeoniflorin treatments, the survival of nematodes was counted on normal NGM plates. The survival was checked every day. The animals were counted as dead if no response of pharynx was observed after prodding with a platinum wire. To exclude the effect from offspring, we transferred the nematodes daily to new NGM plates. During the lifespan assay, median lifespan refers to the day at which 50% nematodes survive. For each treatment, 50 nematodes were tested. Three replicates were performed. Significance between lifespan curves was analyzed by Kaplan-Meier software, followed by the log-rank test.</p>
</sec>
<sec id="s2-6">
<title>Transcriptional expression analysis</title>
<p>Total RNA of nematodes was extracted using TRIZOL, and then reverse transcribed to obtain cDNA. Quality of prepared RNAs was assessed in NanoDrop One based on the ratio of OD260/OD280. The quantitative real-time polymerase chain reaction (qRT-PCR) was performed using SYBR Green Master Mix in an ABI 7500 real-time PCR system. The method of comparative CT (&#x394;&#x394; CT) was employed to evaluate transcriptional expressions of genes in <italic>C. elegans</italic>. The expressions of examined genes were expressed after normalization to reference gene <italic>tba-1</italic> encoding tubulin (<xref ref-type="bibr" rid="B22">Hua et al., 2022</xref>). Three replicates were carried out. The designed primers for reference and examined genes are shown in <xref ref-type="sec" rid="s10">Supplementary Table S2</xref>.</p>
</sec>
<sec id="s2-7">
<title>RNA interference (RNAi)</title>
<p>The <italic>E. coli</italic> HT115 expressing dsRNA for certain gene was used to feeding the examined nematodes (<xref ref-type="bibr" rid="B72">Zhao Y. et al., 2022</xref>). The RNAi feeding was carried out at the stage of pharmacological treatment with paeoniflorin. The HT115 RNAi clones for <italic>daf-2</italic>, <italic>age-1</italic>, <italic>akt-1</italic>, <italic>akt-2</italic>, <italic>daf-16</italic>, and <italic>sod-3</italic> were obtained from Source Bioscience (Cambridge, United Kingdom) (<xref ref-type="bibr" rid="B42">Rual et al., 2004</xref>). HT115 expressing L4440, an empty vector, was employed as a control (<xref ref-type="bibr" rid="B30">Liu et al., 2022</xref>). RNAi efficiency was assessed based on qRT-PCR analysis, which is shown in <xref ref-type="sec" rid="s10">Supplementary Figure S1</xref>.</p>
</sec>
<sec id="s2-8">
<title>Molecular docking analysis</title>
<p>The molecular interaction between paeoniflorin and proteins was performed using computer stimulation analysis. The structure of paeoniflorin was downloaded from the PubChem database (<ext-link ext-link-type="uri" xlink:href="https://pubchem.ncbi.nlm.nih.gov/">https://pubchem.ncbi.nlm.nih.gov/</ext-link>), and the structure of proteins of DAF-2, AGE-1, AKT-1, and AKT-2 were obtained from the UniProt database (<ext-link ext-link-type="uri" xlink:href="https://www.rcsb.org">https://www.rcsb.org</ext-link>). The Openbel software is used to convert the structures to PDB format (<ext-link ext-link-type="uri" xlink:href="https://openbabel.org/">https://openbabel.org</ext-link>). Using AutoDock software (<ext-link ext-link-type="uri" xlink:href="https://vina.scripps.edu/">https://vina.scripps.edu/</ext-link>), the binding of paeoniflorin with certain proteins was stimulated, and different docking poses with the best affinity were generated. Using PyMol software (<ext-link ext-link-type="uri" xlink:href="https://www.pymol.org/">https://www.pymol.org/</ext-link>), image optimization and generation were performed.</p>
</sec>
<sec id="s2-9">
<title>Safety evaluation of paeoniflorin administration</title>
<p>We used lifespan, locomotion behavior, pumping rate, and brood size as endpoints to perform the safety evaluation of paeoniflorin administration. Under the normal condition, the L4-larval nematodes were treated with 16&#x2013;64&#xa0;mg/L paeoniflorin for 48&#xa0;h. The lifespan was analyzed as described above. Locomotion behaviors of head thrash and body bend were analyzed to reflect alteration in function of motor neurons (<xref ref-type="bibr" rid="B52">Wang et al., 2023b</xref>; <xref ref-type="bibr" rid="B19">Hua et al., 2023d</xref>). A head thrash is defined as one swing of nematode body, and a body bend refers to the crawling of one wavelength (<xref ref-type="bibr" rid="B70">Zhao Y.-Y. et al., 2023</xref>). Fifty nematodes were assayed for each treatment. Pumping rate was used to evaluate the pharyngeal pumping, and analyzed as described (<xref ref-type="bibr" rid="B55">Wu et al., 2016</xref>). Nematodes were first normally maintained on NGM plate for 1-h. After that, pumping rate was assessed in 1&#xa0;min intervals. Fifty nematodes were assayed for each treatment. Reproductive capacity was reflected by the endpoint of brood size (<xref ref-type="bibr" rid="B71">Zhao Y.-Y. et al., 2022</xref>; <xref ref-type="bibr" rid="B20">Hua et al., 2023e</xref>). Brood size was considered as number of offspring until nematodes end up laying eggs (<xref ref-type="bibr" rid="B17">Hua et al., 2023b</xref>). Thirty nematodes were assayed for each treatment.</p>
</sec>
<sec id="s2-10">
<title>Statistical analysis</title>
<p>Data are presented as means &#xb1; standard derivation (SD). SPSS 12.0 software was used for statistical analysis. Differences between different groups were analyzed by analysis of variance (ANOVA). Using SPSS Statistics 25.0 software, the significances of differences between exposure groups were analyzed using one-way or two-way analysis of variance (ANOVA) followed by Least-Significant Difference (LSD) of the <italic>post hoc</italic> test. Two-way ANOVA was used for comparing multiple factors. A probability level of 0.01 was considered statistically significant.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<sec id="s3-1">
<title>Paeoniflorin treatment increased lifespan in nematodes after glucose exposure</title>
<p>In <italic>C. elegans</italic>, treatment with 50&#xa0;mM glucose significantly reduced the lifespan as indicated by both lifespan curves and mean lifespan (<xref ref-type="fig" rid="F1">Figure 1B</xref>). Under the background of 50&#xa0;mM glucose treatment, administration with 16&#x2013;64&#xa0;mg/L paeoniflorin could obviously increase the lifespan of nematodes (<xref ref-type="fig" rid="F1">Figure 1B</xref>). In 50&#xa0;mM glucose treated nematodes, administration with 64&#xa0;mg/L paeoniflorin even induced higher lifespan than control group (<xref ref-type="fig" rid="F1">Figure 1B</xref>).</p>
</sec>
<sec id="s3-2">
<title>Paeoniflorin administration altered expressions of <italic>daf-2</italic>, <italic>age-1</italic>, <italic>akt-1</italic>, <italic>akt-2</italic>, and <italic>daf-16</italic> in glucose treated nematodes</title>
<p>Considering the important function of insulin signaling pathway during aging control (<xref ref-type="bibr" rid="B29">Lin et al., 2001</xref>), we examined the effect of paeoniflorin administration on expressions of <italic>daf-2</italic>, <italic>age-1</italic>, <italic>akt-1</italic>, <italic>akt-2</italic>, and <italic>daf-16</italic> in 50&#xa0;mM glucose treated nematodes. Treatment with glucose (50&#xa0;mM) significantly increased expressions of <italic>daf-2</italic>, <italic>age-1</italic>, <italic>akt-1</italic>, and <italic>akt-2</italic>, and decreased <italic>daf-16</italic> expression (<xref ref-type="fig" rid="F2">Figure 2</xref>). In 50&#xa0;mM glucose treated nematodes, the decrease in <italic>daf-2</italic>, <italic>age-1</italic>, <italic>akt-1</italic>, and <italic>akt-2</italic> expression and the increase in <italic>daf-16</italic> expression could be significantly reversed by following administration with paeoniflorin (16&#x2013;64&#xa0;mg/L) to different degrees (<xref ref-type="fig" rid="F2">Figure 2</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Effect of paeoniflorin administration on expressions of <italic>daf-2</italic>, <italic>age-1</italic>, <italic>akt-1</italic>, <italic>akt-2</italic>, and <italic>daf-16</italic> in 50&#xa0;mM glucose treated nematodes. HG, high glucose (50&#xa0;mM); Pae, paeoniflorin. &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01.</p>
</caption>
<graphic xlink:href="fphar-14-1202379-g002.tif"/>
</fig>
</sec>
<sec id="s3-3">
<title>Paeoniflorin administration affected expression of DAF-16::GFP in glucose treated nematodes</title>
<p>We further used transgenic strain of TJ356 to investigate effect of paeoniflorin administration on DAF-16::GFP expression in 50&#xa0;mM glucose treated nematodes. Treatment with 50&#xa0;mM glucose caused increase in DAF-16::GFP translocation in the nucleus and decrease in relative fluorescence intensity of DAF-16::GFP (<xref ref-type="fig" rid="F3">Figure 3</xref>). In 50&#xa0;mM glucose treated nematodes, administration with 16&#x2013;64&#xa0;mg/L paeoniflorin could cause the change of DAF-16::GFP translocation from nucleus to cytoplasm and increase in relative fluorescence intensity of DAF-16::GFP (<xref ref-type="fig" rid="F3">Figure 3</xref>).</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Effect of paeoniflorin administration on expression of DAF-16::GFP in 50&#xa0;mM glucose treated nematodes. For each treatment, 50 nematodes were tested. HG, high glucose (50&#xa0;mM); Pae, paeoniflorin. &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01.</p>
</caption>
<graphic xlink:href="fphar-14-1202379-g003.tif"/>
</fig>
</sec>
<sec id="s3-4">
<title>RNAi of <italic>daf-2</italic>, <italic>age-1</italic>, <italic>akt-1</italic>, <italic>akt-2</italic>, and <italic>daf-16</italic> altered the pharmacological effect of paeoniflorin in increasing lifespan in glucose treated nematodes</title>
<p>To determine the exact function of insulin signaling pathway, we investigated the effect of <italic>daf-2</italic>, <italic>age-1</italic>, <italic>akt-1</italic>, <italic>akt-2</italic>, and <italic>daf-16</italic> RNAi on the role of paeoniflorin (64&#xa0;mg/L) in increasing lifespan in 50&#xa0;mM glucose treated nematodes. After glucose treatment followed by paeoniflorin administration, the lifespan was significantly increased by RNAi of <italic>daf-2</italic>, <italic>age-1</italic>, <italic>akt-1</italic>, and <italic>akt-2</italic> compared to wild-type, and meanwhile the lifespan was significantly decreased by <italic>daf-16</italic> RNAi compared to wild-type (<xref ref-type="fig" rid="F4">Figure 4</xref>). Therefore, the insulin signaling pathway was involved in controlling pharmacological effect of paeoniflorin in increasing lifespan in glucose treated nematodes.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Effect of <italic>daf-2</italic>, <italic>age-1</italic>, <italic>akt-1</italic>, <italic>akt-2</italic>, and <italic>daf-16</italic> RNAi on pharmacological effect of paeoniflorin (64&#xa0;mg/L) in increasing lifespan in 50&#xa0;mM glucose treated nematodes. Lifespan curve of HG was significantly (<italic>p</italic> &#x3c; 0.01) different from control. Lifespan curve of HG &#x2b; 64&#xa0;mg/L Pae was significantly (<italic>p</italic> &#x3c; 0.01) different from HG. Lifespan curves of HG &#x2b; Pae &#x2b; <italic>daf-2</italic> (<italic>RNAi</italic>), HG &#x2b; Pae &#x2b; <italic>age-1</italic> (<italic>RNAi</italic>), HG &#x2b; Pae &#x2b; <italic>akt-1</italic> (<italic>RNAi</italic>), HG &#x2b; Pae &#x2b; <italic>akt-2</italic> (<italic>RNAi</italic>), and HG &#x2b; Pae &#x2b; <italic>daf-16</italic> (<italic>RNAi</italic>) were significantly (<italic>p</italic> &#x3c; 0.01) different from HG &#x2b; Pae. HG, high glucose (50&#xa0;mM); Pae, paeoniflorin. &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01.</p>
</caption>
<graphic xlink:href="fphar-14-1202379-g004.tif"/>
</fig>
</sec>
<sec id="s3-5">
<title>Genetic interaction between DAF-2 and DAF-16 in regulating pharmacological effect of paeoniflorin in increasing lifespan in glucose treated nematodes</title>
<p>To determine the genetic interaction between DAF-2 and DAF-16 in regulating the pharmacological effect of paeoniflorin, double RNAi of <italic>daf-2</italic> and <italic>daf-16</italic> was performed after the 50&#xa0;mM glucose treatment. In glucose treated nematodes followed by paeoniflorin administration, the lifespan of <italic>daf-16(RNAi);daf-2(RNAi)</italic> nematodes was similar to that of <italic>daf-16(RNAi)</italic> nematodes (<xref ref-type="fig" rid="F5">Figure 5</xref>), which suggested that DAF-16 acted downstream of DAF-2 to regulate the pharmacological effect of paeoniflorin in increasing lifespan in glucose treated nematodes.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Genetic interaction between <italic>daf-2</italic> and <italic>daf-16</italic> in regulating function of paeoniflorin (64&#xa0;mg/L) in increasing lifespan in 50&#xa0;mM glucose treated nematodes. Lifespan curve of HG was significantly (<italic>p</italic> &#x3c; 0.01) different from control. Lifespan curve of HG &#x2b; 64&#xa0;mg/L Pae was significantly (<italic>p</italic> &#x3c; 0.01) different from HG. Lifespan curves of HG &#x2b; Pae &#x2b; <italic>daf-2</italic> (<italic>RNAi</italic>) and HG &#x2b; Pae &#x2b; <italic>daf-16</italic> (<italic>RNAi</italic>) were significantly (<italic>p</italic> &#x3c; 0.01) different from HG &#x2b; Pae. Lifespan curve of HG &#x2b; Pae &#x2b; <italic>daf-16</italic> (<italic>RNAi</italic>); <italic>daf-2</italic> (<italic>RNAi</italic>) was significantly (<italic>p</italic> &#x3c; 0.01) different from HG &#x2b; Pae &#x2b; <italic>daf-2</italic>(<italic>RNAi</italic>). HG, high glucose (50&#xa0;mM); Pae, paeoniflorin. &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01.</p>
</caption>
<graphic xlink:href="fphar-14-1202379-g005.tif"/>
</fig>
</sec>
<sec id="s3-6">
<title>SOD-3 acts as downstream target of DAF-16 to regulate pharmacological effect of paeoniflorin in increasing lifespan in glucose treated nematodes</title>
<p>During the control of stress response, SOD-3 is a primary target of DAF-16 (<xref ref-type="bibr" rid="B45">Shao et al., 2019</xref>; <xref ref-type="bibr" rid="B50">Wang, 2019</xref>). Using transgenic strain CF1553, the decrease in SOD-3::GFP expression caused by 50&#xa0;mM glucose could be suppressed by administration with 16&#x2013;64&#xa0;mg/L paeoniflorin (<xref ref-type="fig" rid="F6">Figure 6A</xref>). The function of paeoniflorin (64&#xa0;mg/L) in increasing SOD-3::GFP expression in 50&#xa0;mM glucose treated nematodes was inhibited by RNAi of <italic>daf-16</italic> (<xref ref-type="fig" rid="F6">Figure 6A</xref>). Meanwhile, we observed that the role of paeoniflorin (64&#xa0;mg/L) in increasing lifespan in 50&#xa0;mM glucose treated nematodes was suppressed by RNAi of <italic>sod-3</italic> (<xref ref-type="fig" rid="F6">Figure 6B</xref>).</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>Role of SOD-3 in regulating function of paeoniflorin (64&#xa0;mg/L) in increasing lifespan in 50&#xa0;mM glucose treated nematodes. <bold>(A)</bold> Effect of <italic>daf-16</italic> RNAi on SOD-3::GFP expression in 50&#xa0;mM glucose treated nematodes after paeoniflorin (64&#xa0;mg/L) administration. <bold>(B)</bold> Effect of <italic>sod-3</italic> RNAi on lifespan in 50&#xa0;mM glucose treated nematodes after paeoniflorin (64&#xa0;mg/L) administration. HG, high glucose (50&#xa0;mM); Pae, paeoniflorin. &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01.</p>
</caption>
<graphic xlink:href="fphar-14-1202379-g006.tif"/>
</fig>
</sec>
<sec id="s3-7">
<title>Binding potential between paeoniflorin and DAF-2, AGE-1, AKT-1, and AKT-2</title>
<p>To further confirm the relationships between paeoniflorin and DAF-2 and its downstream kinases, molecular docking method was used to investigate the specific binding sites of paeoniflorin in DAF-2, AGE-1, AKT-1, and AKT-2. The molecular docking analysis showed that paeoniflorin potentially interacts with the amino acid residues of asparagine (Asn)-652, isoleucine (Ile)-651, and valine (Val)-653 in DAF-2, the amino acid residues of lysine (Lys)-1060, arginine (Arg)-1065, asparagine (Asn)-1173, and glutamine (Gln)-128 in AGE-1, amino acid residues of asparagine (Asn)-126, alanine (Ala)-125, and lysine (Lys)-68 in AKT-1, and amino acid residues of asparagine (Asn)-5 and leucine (Leu)-8 and (Leu)-55 in AKT-2 via hydrogen bonding (<xref ref-type="fig" rid="F7">Figure 7A</xref>). The docked stable confirmations showed the binding energies between paeoniflorin and DAF-2, AGE-1, AKT-1, and AKT-2 were &#x2212;7.6, &#x2212;8.3, &#x2212;8, and &#x2212;8.4&#xa0;kcal/mol, respectively (<xref ref-type="fig" rid="F7">Figure 7B</xref>). These results suggested the binding potentials of paeoniflorin to DAF-2 and its downstream kinases.</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption>
<p>Binding potential of paeoniflorin with DAF-2, AGE-1, AKT-1, and AKT-2. <bold>(A)</bold> Molecular docking between paeoniflorin and DAF-2, AGE-1, AKT-1, or AKT-2. <bold>(B)</bold> The binding energy of paeoniflorin bound to the active sites of DAF-2, AGE-1, AKT-1, or AKT-2.</p>
</caption>
<graphic xlink:href="fphar-14-1202379-g007.tif"/>
</fig>
</sec>
<sec id="s3-8">
<title>Safety evaluation of paeoniflorin administration on nematodes</title>
<p>Finally, we selected lifespan, locomotion behavior, pumping rate, and brood size as endpoints to evaluate the possible safety of paeoniflorin administration at these aspects in nematodes. Under the normal condition, administration with 16&#x2013;64&#xa0;mg/L paeoniflorin did not obviously affect lifespan, locomotion behavior reflected by body bend and head thrash, pumping rate, and brood size (<xref ref-type="fig" rid="F8">Figures 8A&#x2013;D</xref>).</p>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption>
<p>Safety assessment of 16&#x2013;64&#xa0;mg/L paeoniflorin on lifespan <bold>(A)</bold>, locomotion behavior <bold>(B)</bold>, pumping rate <bold>(C)</bold>, and brood size <bold>(D)</bold>. Pae, paeoniflorin.</p>
</caption>
<graphic xlink:href="fphar-14-1202379-g008.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<p>The paeoniflorin has multiple aspects of pharmacological effects, including anti-inflammation, neuroprotective effect, and anticancer (<xref ref-type="bibr" rid="B56">Xiang et al., 2020</xref>; <xref ref-type="bibr" rid="B76">Zhou et al., 2020</xref>; <xref ref-type="bibr" rid="B16">Hong et al., 2022</xref>). In <italic>C. elegans</italic>, paeoniflorin was first observed to have function in inhibiting age-onset A&#x3b2; proteotoxicity by partially regulating oxidative stress response (<xref ref-type="bibr" rid="B1">Ai et al., 2018</xref>). Recently, it was found that paeoniflorin treatment could attenuate polystyrene nanoparticle-induced damage on reproductive capacity and germline development (<xref ref-type="bibr" rid="B18">Hua et al., 2023a</xref>). In addition, paeoniflorin treatment was helpful for nematodes against <italic>Pseudomonas aeruginosa</italic> infection and biofilm formation (<xref ref-type="bibr" rid="B53">Wang et al., 2023a</xref>). In this study, we further observed that treatment with 16&#x2013;64&#xa0;mg/L paeoniflorin could inhibit the glucose toxicity in reducing lifespan in nematodes (<xref ref-type="fig" rid="F1">Figure 1</xref>). Previous observations on the pharmacological effect of paeoniflorin treatment against glucose-induced oxidative injury partially support our finding (<xref ref-type="bibr" rid="B63">Yang et al., 2016</xref>). Our data suggested the novel pharmacological effect of paeoniflorin treatment against glucose toxicity.</p>
<p>In <italic>C. elegans</italic>, although several signaling pathways have been identified to be required for control of longevity (<xref ref-type="bibr" rid="B26">Lapierre and Hansen, 2012</xref>; <xref ref-type="bibr" rid="B32">Martins et al., 2016</xref>; <xref ref-type="bibr" rid="B5">Blackwell et al., 2019</xref>), the insulin signaling pathway plays the central role and is an evolutionarily conserved mechanism (<xref ref-type="bibr" rid="B4">Barbieri et al., 2003</xref>; <xref ref-type="bibr" rid="B34">Murphy and Hu, 2013</xref>). In this insulin signaling pathway, the activated insulin receptor DAF-2 suppresses the longevity by increasing downstream several kinases (AGE-1, AKT-1, and AKT-2) and inhibiting FOXO transcriptional factor DAF-16 (<xref ref-type="bibr" rid="B6">Braeckman and Vanfleteren, 2007</xref>). In glucose treated nematodes, we observed the increase in <italic>daf-2</italic>, <italic>age-1</italic>, <italic>akt-1</italic>, and <italic>akt-2</italic> expressions and decrease in <italic>daf-16</italic> expression (<xref ref-type="fig" rid="F2">Figure 2</xref>), which suggested that the observed lifespan reduction by glucose treatment was associated with the activation of insulin signaling. Moreover, in the glucose treated nematodes, 16&#x2013;64&#xa0;mg/L paeoniflorin administration could further obviously decrease <italic>daf-2</italic>, <italic>age-1</italic>, <italic>akt-1</italic>, and <italic>akt-2</italic> expressions and increase <italic>daf-16</italic> expression (<xref ref-type="fig" rid="F2">Figure 2</xref>). Meanwhile, Moreover, in the glucose treated nematodes, we also observed the increase in DAF-16::GFP expression after paeoniflorin administration (<xref ref-type="fig" rid="F3">Figure 3</xref>). That is, the observed beneficial effect of paeoniflorin against glucose toxicity on lifespan was due to the suppression in signaling cascade of DAF-2-AGE-1-AKT-1/2 and the activation of DAF-16 in nematodes.</p>
<p>In glucose treated nematodes, the obvious increase in translocation of DAF-16::GFP into nucleus was observed (<xref ref-type="fig" rid="F3">Figure 3</xref>). The increase in translocation of DAF-16::GFP into nucleus has been also detected in nematodes exposed to other stresses (such as simulated microgravity) or pollutants (such as graphene oxide) (<xref ref-type="bibr" rid="B73">Zhao et al., 2016</xref>; <xref ref-type="bibr" rid="B25">Kong et al., 2019</xref>), suggesting that the translocation of DAF-16::GFP into nucleus is a normally formed response to stresses or pollutants. That is, the stresses and toxicants with certain degree of toxicity can induce both the decrease in fluorescence intensity of DAF-16::GFP and the translocation of DAF-16::GFP into nucleus. Moreover, the following administration with 16&#x2013;64&#xa0;mg/L paeoniflorin could suppress this translocation of DAF-16::GFP into nucleus in glucose treated nematodes (<xref ref-type="fig" rid="F3">Figure 3</xref>). This implied the important function of paeoniflorin against toxicity of stresses, including the glucose treatment.</p>
<p>The functional analysis demonstrated that the beneficial effect of paeoniflorin against glucose toxicity in reducing lifespan could be enhanced by RNAi of <italic>daf-2</italic>, <italic>age-1</italic>, <italic>akt-1</italic>, and <italic>akt-2</italic>, and inhibited by RNAi of <italic>daf-16</italic> (<xref ref-type="fig" rid="F4">Figure 4</xref>). These observations confirmed the functions of DAF-2, AGE-1, AKT-1/2, and DAF-16 in regulating the pharmacological effect of paeoniflorin in inhibiting glucose toxicity. The insulin signaling was also required for controlling the pharmacological effects of compounds or plant extracts in extending lifespan under normal condition (<xref ref-type="bibr" rid="B51">Wang et al., 2018</xref>; <xref ref-type="bibr" rid="B64">Zeng et al., 2021</xref>; <xref ref-type="bibr" rid="B75">Zhou et al., 2021</xref>). For example, the DAF-16/DAF-2 insulin signaling regulated the pharmacological effect of sulforaphane in promoting lifespan and healthspan (<xref ref-type="bibr" rid="B40">Qi et al., 2021</xref>). That is, under both the normal and stress conditions, the insulin signaling is required for the control of pharmacological effect of compounds in extending longevity in nematodes.</p>
<p>The genetic interaction analysis indicated that, in glucose treated nematodes, DAF-2 acted upstream of DAF-16 to regulate the pharmacological effect of paeoniflorin in extending lifespan (<xref ref-type="fig" rid="F5">Figure 5</xref>). Similarly, DAF-2 could function upstream of DAF-16 to control pharmacological effect of luteolin to promote bacterial pathogen resistance (<xref ref-type="bibr" rid="B58">Xiao et al., 2023</xref>). DAF-2 could also act upstream of DAF-16 to regulate toxicity on lifespan induced by nanoplastic particle and simulated microgravity (<xref ref-type="bibr" rid="B25">Kong et al., 2019</xref>; <xref ref-type="bibr" rid="B45">Shao et al., 2019</xref>; <xref ref-type="bibr" rid="B30">Liu et al., 2022</xref>). Therefore, the signaling cascade of DAF-2-DAF-16 is a conserved mechanism for the regulation of both pharmacological effects of compounds and stress response in nematodes.</p>
<p>During the control of pharmacological effect of paeoniflorin, SOD-3/Mn-SOD was identified as the downstream target of DAF-16. Two lines of evidence were raised in this study. Firstly, the increase in SOD-3::GFP expression induced by 16&#x2013;64&#xa0;mg/L paeoniflorin in glucose treated nematodes could be suppressed by RNAi of <italic>daf-16</italic> (<xref ref-type="fig" rid="F6">Figure 6A</xref>). Secondly, the pharmacological effect of paeoniflorin in extending lifespan in glucose treated nematodes could be inhibited by RNAi of <italic>sod-3</italic> (<xref ref-type="fig" rid="F6">Figure 6B</xref>). Therefore, the DAF-16 could target to SOD-3 to affect the pharmacological effect of paeoniflorin on lifespan in glucose treated nematodes. SOD-3 was also identified to act as downstream target of DAF-16 during the control of pharmacological effect of sulforaphane and blueberry extract in extending the lifespan (<xref ref-type="bibr" rid="B51">Wang et al., 2018</xref>; <xref ref-type="bibr" rid="B40">Qi et al., 2021</xref>).</p>
<p>In this study, the molecular docking analysis indicated the binding potentials of paeoniflorin to DAF-2, AGE-1, AKT-1, and AKT-2 (<xref ref-type="fig" rid="F7">Figure 7</xref>). That is, the administrated paeoniflorin can bind to both insulin receptor DAF-2 and its downstream three kinases, which provides an important signal amplification mechanism for paeoniflorin to exert its pharmacological effect in nematodes. Moreover, this further supported the molecular mechanism that paeoniflorin could extend lifespan in glucose treated nematodes by inhibiting the signaling cascade of DAF-2-AGE-1-AKT-1/2, which further activated the DAF-16 and its target of SOD-3.</p>
<p>Finally, with the aid of several endpoints including lifespan, locomotion behavior, pumping rate, and brood size, our results suggested the safety of paeoniflorin administration in nematodes (<xref ref-type="fig" rid="F8">Figure 8</xref>). The safe property of paeoniflorin administration has also been shown in other reports (<xref ref-type="bibr" rid="B28">Li et al., 2016</xref>; <xref ref-type="bibr" rid="B35">Ngo et al., 2019</xref>). Paeoniflorin is one of the main bioactive ingredients in the blood for Xuebijing injection with the safety to be used to treat the sepsis in the clinical (<xref ref-type="bibr" rid="B27">Li et al., 2018</xref>; <xref ref-type="bibr" rid="B57">Xiao et al., 2018</xref>), which indirectly supports the safety of paeoniflorin administration.</p>
</sec>
<sec sec-type="conclusion" id="s5">
<title>Conclusion</title>
<p>Together, using the high-glucose model in <italic>C. elegans</italic>, we examined the potential of paeoniflorin administration against glucose toxicity in reducing lifespan. Our results demonstrated the potential of 16&#x2013;64&#xa0;mg/L paeoniflorin against glucose toxicity in reducing lifespan. This beneficial effect of paeoniflorin administration was associated with the inhibition of insulin signaling pathway reflected by the decrease in <italic>daf-2</italic>, <italic>age-1</italic>, <italic>akt-1</italic>, and <italic>akt-2</italic> expressions and the increase in <italic>daf-16</italic> expression. During the control of pharmacological effect of paeoniflorin, DAF-2 acted upstream of DAF-16. After pharmacological treatment, the DAF-16 further activated its target of SOD-3, suggesting the requirement of DAF-2-AGE-1-AKT-1/2-DAF-16-SOD-3 signaling cascade for formation of pharmacological effect of paeoniflorin in inhibiting glucose toxicity. In this signaling cascade, molecular docking analysis indicates the binding potential of paeoniflorin to DAF-2, AGE-1, AKT-1, and AKT-2. Our data highlights the potential of paeoniflorin administration in inhibiting toxicity of high glucose on longevity of organisms.</p>
</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="s10">Supplementary Material</xref>.</p>
</sec>
<sec id="s7">
<title>Author contributions</title>
<p>TL performed the experiments. ZZ and DW conceived the idea. DW wrote the manuscript. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec sec-type="COI-statement" id="s8">
<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="s9">
<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="s10">
<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/fphar.2023.1202379/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fphar.2023.1202379/full&#x23;supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.doc" id="SM1" mimetype="application/doc" 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>Ai</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Yang</surname>
<given-names>F.</given-names>
</name>
<name>
<surname>Song</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Xiao</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>Q.</given-names>
</name>
<etal/>
</person-group> (<year>2018</year>). <article-title>Inhibition of Abeta proteotoxicity by paeoniflorin in <italic>Caenorhabditis elegans</italic> through regulation of oxidative and heat shock stress responses</article-title>. <source>Rejuvenation Res.</source> <volume>21</volume>, <fpage>304</fpage>&#x2013;<lpage>312</lpage>. <pub-id pub-id-type="doi">10.1089/rej.2017.1966</pub-id>
</citation>
</ref>
<ref id="B2">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Aiello</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Sharghi</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Mansourkhani</surname>
<given-names>S. M.</given-names>
</name>
<name>
<surname>Ardekan</surname>
<given-names>A. P.</given-names>
</name>
<name>
<surname>Jouybari</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Daraei</surname>
<given-names>N.</given-names>
</name>
<etal/>
</person-group> (<year>2019</year>). <article-title>Medicinal plants in the prevention and treatment of colon cancer</article-title>. <source>Oxid. Med. Cell. Longev.</source> <volume>2019</volume>, <fpage>2075614</fpage>. <pub-id pub-id-type="doi">10.1155/2019/2075614</pub-id>
</citation>
</ref>
<ref id="B3">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Baldwin</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Apel</surname>
<given-names>J.</given-names>
</name>
</person-group> (<year>2013</year>). <article-title>Management of hyperglycemia in hospitalized patients with renal insufficiency or steroid-induced diabetes</article-title>. <source>Curr. Diab. Rep.</source> <volume>13</volume>, <fpage>114</fpage>&#x2013;<lpage>120</lpage>. <pub-id pub-id-type="doi">10.1007/s11892-012-0339-7</pub-id>
</citation>
</ref>
<ref id="B4">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Barbieri</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Bonaf&#xe8;</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Franceschi</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Paolisso</surname>
<given-names>G.</given-names>
</name>
</person-group> (<year>2003</year>). <article-title>Insulin/IGF-I-signaling pathway: An evolutionarily conserved mechanism of longevity from yeast to humans</article-title>. <source>Am. J. Physiol. Endocrinol. Metab.</source> <volume>285</volume>, <fpage>E1064</fpage>&#x2013;<lpage>E1071</lpage>. <pub-id pub-id-type="doi">10.1152/ajpendo.00296.2003</pub-id>
</citation>
</ref>
<ref id="B5">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Blackwell</surname>
<given-names>T. K.</given-names>
</name>
<name>
<surname>Sewell</surname>
<given-names>A. K.</given-names>
</name>
<name>
<surname>Wu</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Han</surname>
<given-names>M.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>TOR signaling in <italic>Caenorhabditis elegans</italic> development, metabolism, and aging</article-title>. <source>Genetics</source> <volume>213</volume>, <fpage>329</fpage>&#x2013;<lpage>360</lpage>. <pub-id pub-id-type="doi">10.1534/genetics.119.302504</pub-id>
</citation>
</ref>
<ref id="B6">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Braeckman</surname>
<given-names>B. P.</given-names>
</name>
<name>
<surname>Vanfleteren</surname>
<given-names>J. R.</given-names>
</name>
</person-group> (<year>2007</year>). <article-title>Genetic control of longevity in <italic>C. elegans</italic>
</article-title>. <source>Exp. Gerontol.</source> <volume>42</volume>, <fpage>90</fpage>&#x2013;<lpage>98</lpage>. <pub-id pub-id-type="doi">10.1016/j.exger.2006.04.010</pub-id>
</citation>
</ref>
<ref id="B7">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Braungart</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Gerlach</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Riederer</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Baumeister</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Hoener</surname>
<given-names>M. C.</given-names>
</name>
</person-group> (<year>2004</year>). <article-title>
<italic>Caenorhabditis elegans</italic> MPP &#x2b; model of Parkinson&#x27;s disease for high-throughput drug screenings</article-title>. <source>Neurodegener. Dis.</source> <volume>1</volume>, <fpage>175</fpage>&#x2013;<lpage>183</lpage>. <pub-id pub-id-type="doi">10.1159/000080983</pub-id>
</citation>
</ref>
<ref id="B8">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Brenner</surname>
<given-names>S.</given-names>
</name>
</person-group> (<year>1974</year>). <article-title>The genetics of <italic>Caenorhabditis elegans</italic>
</article-title>. <source>Genetics</source> <volume>77</volume>, <fpage>71</fpage>&#x2013;<lpage>94</lpage>. <pub-id pub-id-type="doi">10.1093/genetics/77.1.71</pub-id>
</citation>
</ref>
<ref id="B9">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Collins</surname>
<given-names>J. J.</given-names>
</name>
<name>
<surname>Evason</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Kornfeld</surname>
<given-names>K.</given-names>
</name>
</person-group> (<year>2006</year>). <article-title>Pharmacology of delayed aging and extended lifespan of <italic>Caenorhabditis elegans</italic>
</article-title>. <source>Exp. Gerontol.</source> <volume>41</volume>, <fpage>1032</fpage>&#x2013;<lpage>1039</lpage>. <pub-id pub-id-type="doi">10.1016/j.exger.2006.06.038</pub-id>
</citation>
</ref>
<ref id="B10">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Deusing</surname>
<given-names>D. J.</given-names>
</name>
<name>
<surname>Beyrer</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Fitzenberger</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Wenzel</surname>
<given-names>U.</given-names>
</name>
</person-group> (<year>2015a</year>). <article-title>Carnitine protects the nematode <italic>Caenorhabditis elegans</italic> from glucose-induced reduction of survival depending on the nuclear hormone receptor DAF-12</article-title>. <source>Biochem. Biophys. Res. Commu.</source> <volume>460</volume>, <fpage>747</fpage>&#x2013;<lpage>752</lpage>. <pub-id pub-id-type="doi">10.1016/j.bbrc.2015.03.101</pub-id>
</citation>
</ref>
<ref id="B11">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Deusing</surname>
<given-names>D. J.</given-names>
</name>
<name>
<surname>Winter</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Kler</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Kriesl</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Bonnlander</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Wenzel</surname>
<given-names>U.</given-names>
</name>
<etal/>
</person-group> (<year>2015b</year>). <article-title>A catechin-enriched green rea extract prevents glucose-induced survival reduction in <italic>Caenorhabditis elegans</italic> through <italic>sir-2.1</italic> an <italic>uba-1</italic> dependent hormesis</article-title>. <source>Fitoterapai</source> <volume>102</volume>, <fpage>163</fpage>&#x2013;<lpage>170</lpage>. <pub-id pub-id-type="doi">10.1016/j.fitote.2015.03.005</pub-id>
</citation>
</ref>
<ref id="B12">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Fitzenberger</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Boll</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Wenzel</surname>
<given-names>U.</given-names>
</name>
</person-group> (<year>2013</year>). <article-title>Impairment of the proteasome is crucial for glucose-induced lifespan reduction in the <italic>mev-1</italic> mutant of <italic>Caenorhabditis elegans</italic>
</article-title>. <source>Biochim. Biophys. Acta</source> <volume>1832</volume>, <fpage>565</fpage>&#x2013;<lpage>573</lpage>. <pub-id pub-id-type="doi">10.1016/j.bbadis.2013.01.012</pub-id>
</citation>
</ref>
<ref id="B13">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Fitzenberger</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Deusing</surname>
<given-names>D. J.</given-names>
</name>
<name>
<surname>Wittkop</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Kler</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Kriesl</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Bonnlander</surname>
<given-names>B.</given-names>
</name>
<etal/>
</person-group> (<year>2014</year>). <article-title>Effect of plant extracts on the reversal of glucose-induced impairment of stress-resistance in <italic>Caenorhabditis elegans</italic>
</article-title>. <source>Plant Foods Hum. mutr.</source> <volume>69</volume>, <fpage>78</fpage>&#x2013;<lpage>84</lpage>. <pub-id pub-id-type="doi">10.1007/s11130-013-0399-0</pub-id>
</citation>
</ref>
<ref id="B14">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Griffin</surname>
<given-names>E. F.</given-names>
</name>
<name>
<surname>Caldwell</surname>
<given-names>K. A.</given-names>
</name>
<name>
<surname>Caldwell</surname>
<given-names>G. A.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Genetic and pharmacological discovery for Alzheimer&#x27;s disease using <italic>Caenorhabditis elegans</italic>
</article-title>. <source>ACS Chem. Neurosci.</source> <volume>8</volume>, <fpage>2596</fpage>&#x2013;<lpage>2606</lpage>. <pub-id pub-id-type="doi">10.1021/acschemneuro.7b00361</pub-id>
</citation>
</ref>
<ref id="B15">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gunst</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>De Bruyn</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Van den Berghe</surname>
<given-names>G.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>Glucose control in the ICU</article-title>. <source>Curr. Opin. Anaesthesiol.</source> <volume>32</volume>, <fpage>156</fpage>&#x2013;<lpage>162</lpage>. <pub-id pub-id-type="doi">10.1097/ACO.0000000000000706</pub-id>
</citation>
</ref>
<ref id="B16">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hong</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Lu</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Wu</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>J.</given-names>
</name>
<etal/>
</person-group> (<year>2022</year>). <article-title>A review for the pharmacological effects of paeoniflorin in the nervous system</article-title>. <source>Front. Pharmacol.</source> <volume>13</volume>, <fpage>898955</fpage>. <pub-id pub-id-type="doi">10.3389/fphar.2022.898955</pub-id>
</citation>
</ref>
<ref id="B17">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hua</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Cao</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>D.-Y.</given-names>
</name>
</person-group> (<year>2023b</year>). <article-title>Activation of FGF signal in germline mediates transgenerational toxicity of polystyrene nanoparticles at predicted environmental concentrations in <italic>Caenorhabditis elegans</italic>
</article-title>. <source>J. Hazard. Mat.</source> <volume>451</volume>, <fpage>131174</fpage>. <pub-id pub-id-type="doi">10.1016/j.jhazmat.2023.131174</pub-id>
</citation>
</ref>
<ref id="B18">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hua</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Feng</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Hua</surname>
<given-names>Y.-S.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>D.-Y.</given-names>
</name>
</person-group> (<year>2023a</year>). <article-title>Paeoniflorin attenuates polystyrene nanoparticle-induced reduction in reproductive capacity and increase in germline apoptosis through suppressing DNA damage checkpoints in <italic>Caenorhabditis elegans</italic>
</article-title>. <source>Sci. Total Environ.</source> <volume>871</volume>, <fpage>162189</fpage>. <pub-id pub-id-type="doi">10.1016/j.scitotenv.2023.162189</pub-id>
</citation>
</ref>
<ref id="B19">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hua</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Feng</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Liang</surname>
<given-names>G.-Y.</given-names>
</name>
<name>
<surname>Chao</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>D.-Y.</given-names>
</name>
</person-group> (<year>2023d</year>). <article-title>Exposure to 6-PPD quinone at environmentally relevant concentrations causes abnormal locomotion behaviors and neurodegeneration in <italic>Caenorhabditis elegans</italic>
</article-title>. <source>Environ. Sci. Technol.</source> <volume>57</volume>, <fpage>4940</fpage>&#x2013;<lpage>4950</lpage>. <pub-id pub-id-type="doi">10.1021/acs.est.2c08644</pub-id>
</citation>
</ref>
<ref id="B20">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hua</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Feng</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Liang</surname>
<given-names>G.-Y.</given-names>
</name>
<name>
<surname>Chao</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>D.-Y.</given-names>
</name>
</person-group> (<year>2023e</year>). <article-title>Long-term exposure to 6-PPD quinone reduces reproductive capacity by enhancing germline apoptosis associated with activation of both DNA damage and cell corpse engulfment in <italic>Caenorhabditis elegans</italic>
</article-title>. <source>J. Hazard. Mat.</source> <volume>454</volume>, <fpage>131495</fpage>. <pub-id pub-id-type="doi">10.1016/j.jhazmat.2023.131495</pub-id>
</citation>
</ref>
<ref id="B21">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hua</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Feng</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Liang</surname>
<given-names>G.-Y.</given-names>
</name>
<name>
<surname>Chao</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>D.-Y.</given-names>
</name>
</person-group> (<year>2023c</year>). <article-title>Long-term exposure to tire-derived 6-PPD quinone causes intestinal toxicity by affecting functional state of intestinal barrier in <italic>Caenorhabditis elegans</italic>
</article-title>. <source>Sci. Total Environ.</source> <volume>861</volume>, <fpage>160591</fpage>. <pub-id pub-id-type="doi">10.1016/j.scitotenv.2022.160591</pub-id>
</citation>
</ref>
<ref id="B22">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hua</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Zhao</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Yuan</surname>
<given-names>Y.-J.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Bian</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>D.-Y.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>Nanoplastics cause transgenerational toxicity through inhibiting germline microRNA <italic>mir-38</italic> in <italic>C. elegans</italic>
</article-title>. <source>J. Hazard. Mat.</source> <volume>437</volume>, <fpage>129302</fpage>. <pub-id pub-id-type="doi">10.1016/j.jhazmat.2022.129302</pub-id>
</citation>
</ref>
<ref id="B23">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jia</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Whaley-Connell</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Sowers</surname>
<given-names>J. R.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>Diabetic cardiomyopathy: A hyperglycaemia- and insulin-resistance-induced heart disease</article-title>. <source>Diabetologia</source> <volume>61</volume>, <fpage>21</fpage>&#x2013;<lpage>28</lpage>. <pub-id pub-id-type="doi">10.1007/s00125-017-4390-4</pub-id>
</citation>
</ref>
<ref id="B24">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kenyon</surname>
<given-names>C. J.</given-names>
</name>
</person-group> (<year>2010</year>). <article-title>The genetics of ageing</article-title>. <source>Nature</source> <volume>464</volume>, <fpage>504</fpage>&#x2013;<lpage>512</lpage>. <pub-id pub-id-type="doi">10.1038/nature08980</pub-id>
</citation>
</ref>
<ref id="B25">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kong</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>H.-L.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>W.-J.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>D.-Y.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>Intestine-specific activity of insulin signaling pathway in response to microgravity stress in <italic>Caenorhabditis elegans</italic>
</article-title>. <source>Caenorhabditis Elegans. Biochem. Biophys. Res. Commun.</source> <volume>517</volume>, <fpage>278</fpage>&#x2013;<lpage>284</lpage>. <pub-id pub-id-type="doi">10.1016/j.bbrc.2019.07.067</pub-id>
</citation>
</ref>
<ref id="B26">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lapierre</surname>
<given-names>L. R.</given-names>
</name>
<name>
<surname>Hansen</surname>
<given-names>M.</given-names>
</name>
</person-group> (<year>2012</year>). <article-title>Lessons from <italic>C. elegans</italic>: Signaling pathways for longevity</article-title>. <source>Trends Endocrinol. Metab.</source> <volume>23</volume>, <fpage>637</fpage>&#x2013;<lpage>644</lpage>. <pub-id pub-id-type="doi">10.1016/j.tem.2012.07.007</pub-id>
</citation>
</ref>
<ref id="B27">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Lei</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>S.</given-names>
</name>
<etal/>
</person-group> (<year>2018</year>). <article-title>Efficacy and safety of xuebijing injection (a Chinese patent) for sepsis: A meta-analysis of randomized controlled trials</article-title>. <source>J. Ethnopharmacol.</source> <volume>224</volume>, <fpage>512</fpage>&#x2013;<lpage>521</lpage>. <pub-id pub-id-type="doi">10.1016/j.jep.2018.05.043</pub-id>
</citation>
</ref>
<ref id="B28">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Shi</surname>
<given-names>F.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Sun</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Gong</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Jian</surname>
<given-names>L.</given-names>
</name>
<etal/>
</person-group> (<year>2016</year>). <article-title>Pharmacokinetics, safety, and tolerability of amygdalin and paeoniflorin after single and multiple intravenous infusions of Huoxue-Tongluo lyophilized powder for injection in healthy Chinese volunteers</article-title>. <source>Clin. Ther.</source> <volume>38</volume>, <fpage>327</fpage>&#x2013;<lpage>337</lpage>. <pub-id pub-id-type="doi">10.1016/j.clinthera.2015.12.005</pub-id>
</citation>
</ref>
<ref id="B29">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lin</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Hsin</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Libina</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Kenyon</surname>
<given-names>C.</given-names>
</name>
</person-group> (<year>2001</year>). <article-title>Regulation of the <italic>Caenorhabditis elegans</italic> longevity protein DAF-16 by insulin/IGF-1 and germline signaling</article-title>. <source>Nat. Genet.</source> <volume>28</volume>, <fpage>139</fpage>&#x2013;<lpage>145</lpage>. <pub-id pub-id-type="doi">10.1038/88850</pub-id>
</citation>
</ref>
<ref id="B30">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liu</surname>
<given-names>H.-L.</given-names>
</name>
<name>
<surname>Zhao</surname>
<given-names>Y.-L.</given-names>
</name>
<name>
<surname>Hua</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>D.-Y.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>Induction of transgenerational toxicity is associated with the activated germline insulin signals in nematodes exposed to nanoplastic at predicted environmental concentrations</article-title>. <source>Ecotoxicol. Environ. Saf.</source> <volume>243</volume>, <fpage>114022</fpage>. <pub-id pub-id-type="doi">10.1016/j.ecoenv.2022.114022</pub-id>
</citation>
</ref>
<ref id="B31">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Madende</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Albertyn</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Sebolai</surname>
<given-names>O.</given-names>
</name>
<name>
<surname>Pohl</surname>
<given-names>C. H.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>
<italic>Caenorhabditis elegans</italic> as a model animal for investigating fungal pathogenesis</article-title>. <source>Med. Microbiol. Immunol.</source> <volume>209</volume>, <fpage>1</fpage>&#x2013;<lpage>13</lpage>. <pub-id pub-id-type="doi">10.1007/s00430-019-00635-4</pub-id>
</citation>
</ref>
<ref id="B32">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Martins</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Lithgow</surname>
<given-names>G. J.</given-names>
</name>
<name>
<surname>Link</surname>
<given-names>W.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Long live FOXO: Unraveling the role of FOXO proteins in aging and longevity</article-title>. <source>Aging Cell</source> <volume>15</volume>, <fpage>196</fpage>&#x2013;<lpage>207</lpage>. <pub-id pub-id-type="doi">10.1111/acel.12427</pub-id>
</citation>
</ref>
<ref id="B33">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Monnier</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Colette</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Owens</surname>
<given-names>D.</given-names>
</name>
</person-group> (<year>2012</year>). <article-title>The glycemic triumvirate and diabetic complications: Is the whole greater than the sum of its component parts?</article-title> <source>Diabetes Res. Clin. Pract.</source> <volume>95</volume>, <fpage>303</fpage>&#x2013;<lpage>311</lpage>. <pub-id pub-id-type="doi">10.1016/j.diabres.2011.10.014</pub-id>
</citation>
</ref>
<ref id="B34">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Murphy</surname>
<given-names>C. T.</given-names>
</name>
<name>
<surname>Hu</surname>
<given-names>P. J.</given-names>
</name>
</person-group> (<year>2013</year>). <article-title>Insulin/insulin-like growth factor signaling in <italic>C. elegans</italic>
</article-title>. <source>WormBook</source> <volume>26</volume>, <fpage>1</fpage>&#x2013;<lpage>43</lpage>. <pub-id pub-id-type="doi">10.1895/wormbook.1.164.1</pub-id>
</citation>
</ref>
<ref id="B35">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ngo</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Bian</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Noh</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Lim</surname>
<given-names>K. M.</given-names>
</name>
<name>
<surname>Chung</surname>
<given-names>J. H.</given-names>
</name>
<etal/>
</person-group> (<year>2019</year>). <article-title>Antithrombotic effects of paeoniflorin from <italic>Paeonia suffruticosa</italic> by selective inhibition on shear stress-induced platelet aggregation</article-title>. <source>Int. J. Mol. Sci.</source> <volume>20</volume>, <fpage>5040</fpage>. <pub-id pub-id-type="doi">10.3390/ijms20205040</pub-id>
</citation>
</ref>
<ref id="B36">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>O&#x27;Reilly</surname>
<given-names>L. P.</given-names>
</name>
<name>
<surname>Luke</surname>
<given-names>C. J.</given-names>
</name>
<name>
<surname>Perlmutter</surname>
<given-names>D. H.</given-names>
</name>
<name>
<surname>Silverman</surname>
<given-names>G. A.</given-names>
</name>
<name>
<surname>Pak</surname>
<given-names>S. C.</given-names>
</name>
</person-group> (<year>2014</year>). <article-title>
<italic>C. elegans</italic> in high-throughput drug discovery</article-title>. <source>Adv. Drug Deliv. Rev.</source> <volume>69-70</volume>, <fpage>247</fpage>&#x2013;<lpage>253</lpage>. <pub-id pub-id-type="doi">10.1016/j.addr.2013.12.001</pub-id>
</citation>
</ref>
<ref id="B37">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Okoro</surname>
<given-names>N. O.</given-names>
</name>
<name>
<surname>Odiba</surname>
<given-names>A. S.</given-names>
</name>
<name>
<surname>Osadebe</surname>
<given-names>P. O.</given-names>
</name>
<name>
<surname>Omeje</surname>
<given-names>E. O.</given-names>
</name>
<name>
<surname>Liao</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Fang</surname>
<given-names>W.</given-names>
</name>
<etal/>
</person-group> (<year>2021</year>). <article-title>Bioactive phytochemicals with anti-aging and lifespan extending potentials in <italic>Caenorhabditis elegans</italic>
</article-title>. <source>Molecules</source> <volume>26</volume>, <fpage>7323</fpage>. <pub-id pub-id-type="doi">10.3390/molecules26237323</pub-id>
</citation>
</ref>
<ref id="B38">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Parker</surname>
<given-names>J. A.</given-names>
</name>
<name>
<surname>Holbert</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Lambert</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Abderrahmane</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>N&#xe9;ri</surname>
<given-names>C.</given-names>
</name>
</person-group> (<year>2004</year>). <article-title>Genetic and pharmacological suppression of polyglutamine-dependent neuronal dysfunction in <italic>Caenorhabditis elegans</italic>
</article-title>. <source>J. Mol. Neurosci.</source> <volume>23</volume>, <fpage>61</fpage>&#x2013;<lpage>68</lpage>. <pub-id pub-id-type="doi">10.1385/JMN:23:1-2:061</pub-id>
</citation>
</ref>
<ref id="B39">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pir</surname>
<given-names>G. J.</given-names>
</name>
<name>
<surname>Choudhary</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Mandelkow</surname>
<given-names>E.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>
<italic>Caenorhabditis elegans</italic> models of tauopathy</article-title>. <source>FASEB J.</source> <volume>31</volume>, <fpage>5137</fpage>&#x2013;<lpage>5148</lpage>. <pub-id pub-id-type="doi">10.1096/fj.201701007</pub-id>
</citation>
</ref>
<ref id="B40">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Qi</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Ji</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Le</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Wieland</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Bauer</surname>
<given-names>S.</given-names>
</name>
<etal/>
</person-group> (<year>2021</year>). <article-title>Sulforaphane promotes <italic>C. elegans</italic> longevity and healthspan via DAF-16/DAF-2 insulin/IGF-1 signaling</article-title>. <source>Aging</source> <volume>13</volume>, <fpage>1649</fpage>&#x2013;<lpage>1670</lpage>. <pub-id pub-id-type="doi">10.18632/aging.202512</pub-id>
</citation>
</ref>
<ref id="B41">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ramel</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Rao</surname>
<given-names>R.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Hyperglycemia in extremely preterm infants</article-title>. <source>Neoreviews</source> <volume>21</volume>, <fpage>e89</fpage>&#x2013;<lpage>e97</lpage>. <pub-id pub-id-type="doi">10.1542/neo.21-2-e89</pub-id>
</citation>
</ref>
<ref id="B42">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rual</surname>
<given-names>J. F.</given-names>
</name>
<name>
<surname>Ceron</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Koreth</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Hao</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Nicot</surname>
<given-names>A. S.</given-names>
</name>
<name>
<surname>Hirozane-Kishikawa</surname>
<given-names>T.</given-names>
</name>
<etal/>
</person-group> (<year>2004</year>). <article-title>Toward improving <italic>Caenorhabditis elegans</italic> phenome mapping with an ORFeome-based RNAi library</article-title>. <source>Genome Res.</source> <volume>14</volume>, <fpage>2162</fpage>&#x2013;<lpage>2168</lpage>. <pub-id pub-id-type="doi">10.1101/gr.2505604</pub-id>
</citation>
</ref>
<ref id="B43">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sahardi</surname>
<given-names>N. F. N. M.</given-names>
</name>
<name>
<surname>Makpol</surname>
<given-names>S.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>Ginger (<italic>Zingiber officinale Roscoe</italic>) in the prevention of ageing and degenerative diseases: Review of current evidence</article-title>. <source>Evid.-Based Complement. Altern. Med.</source> <volume>2019</volume>, <fpage>5054395</fpage>. <pub-id pub-id-type="doi">10.1155/2019/5054395</pub-id>
</citation>
</ref>
<ref id="B44">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Shanmugam</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Mohankumar</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Kalaiselvi</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Nivitha</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Murugesh</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Shanmughavel</surname>
<given-names>P.</given-names>
</name>
<etal/>
</person-group> (<year>2017</year>). <article-title>Diosgenin a phytosterol substitute for cholesterol, prolongs the lifespan and mitigates glucose toxicity <italic>via</italic> DAF-16/FOXO and GST-4 in <italic>Caenorhabditis elegans</italic>
</article-title>. <source>Biomed. Pharmacother.</source> <volume>95</volume>, <fpage>1693</fpage>&#x2013;<lpage>1703</lpage>. <pub-id pub-id-type="doi">10.1016/j.biopha.2017.09.096</pub-id>
</citation>
</ref>
<ref id="B45">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Shao</surname>
<given-names>H.-M.</given-names>
</name>
<name>
<surname>Han</surname>
<given-names>Z.-Y.</given-names>
</name>
<name>
<surname>Krasteva</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>D.-Y.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>Identification of signaling cascade in the insulin signaling pathway in response to nanopolystyrene particles</article-title>. <source>Nanotoxicology</source> <volume>13</volume>, <fpage>174</fpage>&#x2013;<lpage>188</lpage>. <pub-id pub-id-type="doi">10.1080/17435390.2018.1530395</pub-id>
</citation>
</ref>
<ref id="B46">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Shao</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Xu</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Qi</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Wu</surname>
<given-names>Y.</given-names>
</name>
<etal/>
</person-group> (<year>2016</year>). <article-title>Paeoniflorin inhibits high glucose-induced macrophage activation through TLR2-dependent signal pathways</article-title>. <source>J. Ethnopharmacol.</source> <volume>193</volume>, <fpage>377</fpage>&#x2013;<lpage>386</lpage>. <pub-id pub-id-type="doi">10.1016/j.jep.2016.08.035</pub-id>
</citation>
</ref>
<ref id="B47">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Stumvoll</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Goldstein</surname>
<given-names>B. J.</given-names>
</name>
<name>
<surname>van Haeften</surname>
<given-names>T. W.</given-names>
</name>
</person-group> (<year>2005</year>). <article-title>Type 2 diabetes: Principles of pathogenesis and therapy</article-title>. <source>Lancet</source> <volume>365</volume>, <fpage>1333</fpage>&#x2013;<lpage>1346</lpage>. <pub-id pub-id-type="doi">10.1016/S0140-6736(05)61032-X</pub-id>
</citation>
</ref>
<ref id="B48">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Taylor</surname>
<given-names>S. I.</given-names>
</name>
<name>
<surname>Yazdi</surname>
<given-names>Z. S.</given-names>
</name>
<name>
<surname>Beitelshees</surname>
<given-names>A. L.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Pharmacological treatment of hyperglycemia in type 2 diabetes</article-title>. <source>J. Clin. Invest.</source> <volume>131</volume>, <fpage>e142243</fpage>. <pub-id pub-id-type="doi">10.1172/JCI142243</pub-id>
</citation>
</ref>
<ref id="B49">
<citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname>Wang</surname>
<given-names>D.-Y.</given-names>
</name>
</person-group> (<year>2020</year>). <source>Exposure toxicology in <italic>Caenorhabditis elegans</italic>
</source>. <publisher-name>Springer Nature Singapore Pte Ltd</publisher-name>.</citation>
</ref>
<ref id="B50">
<citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname>Wang</surname>
<given-names>D.-Y.</given-names>
</name>
</person-group> (<year>2019</year>). <source>Molecular toxicology in <italic>Caenorhabditis elegans</italic>
</source>. <publisher-name>Springer Nature Singapore Pte Ltd</publisher-name>.</citation>
</ref>
<ref id="B51">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>R.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>Blueberry extract promotes longevity and stress tolerance via DAF-16 in <italic>Caenorhabditis elegans</italic>
</article-title>. <source>Food Funct.</source> <volume>9</volume>, <fpage>5273</fpage>&#x2013;<lpage>5282</lpage>. <pub-id pub-id-type="doi">10.1039/c8fo01680a</pub-id>
</citation>
</ref>
<ref id="B52">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname>
<given-names>Y.-X.</given-names>
</name>
<name>
<surname>Yuan</surname>
<given-names>X.-A.</given-names>
</name>
<name>
<surname>Zhou</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Bu</surname>
<given-names>Y.-Q.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>D.-Y.</given-names>
</name>
</person-group> (<year>2023b</year>). <article-title>Combinational exposure to hydroxyatrazine increases neurotoxicity of polystyrene nanoparticles on <italic>Caenorhabditis elegans</italic>
</article-title>. <source>Sci. Total Environ.</source> <volume>880</volume>, <fpage>163283</fpage>. <pub-id pub-id-type="doi">10.1016/j.scitotenv.2023.163283</pub-id>
</citation>
</ref>
<ref id="B53">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname>
<given-names>Y.-X.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Yuan</surname>
<given-names>X.-A.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>D.-Y.</given-names>
</name>
</person-group> (<year>2023a</year>). <article-title>Treatment with paeoniflorin increases lifespan of <italic>Pseudomonas aeruginosa</italic> infected <italic>Caenorhabditis elegans</italic> by inhibiting bacterial accumulation in intestinal lumen and biofilm formation</article-title>. <source>Front. Pharmacol.</source> <volume>14</volume>, <fpage>1114219</fpage>. <pub-id pub-id-type="doi">10.3389/fphar.2023.1114219</pub-id>
</citation>
</ref>
<ref id="B54">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Watts</surname>
<given-names>J. L.</given-names>
</name>
<name>
<surname>Ristow</surname>
<given-names>M.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Lipid and carbohydrate metabolism in <italic>Caenorhabditis elegans</italic>
</article-title>. <source>Genetics</source> <volume>207</volume>, <fpage>413</fpage>&#x2013;<lpage>446</lpage>. <pub-id pub-id-type="doi">10.1534/genetics.117.300106</pub-id>
</citation>
</ref>
<ref id="B55">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wu</surname>
<given-names>Q.-L.</given-names>
</name>
<name>
<surname>Zhi</surname>
<given-names>L.-T.</given-names>
</name>
<name>
<surname>Qu</surname>
<given-names>Y.-Y.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>D.-Y.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Quantum dots increased fat storage in intestine of <italic>Caenorhabditis elegans</italic> by influencing molecular basis for fatty acid metabolism</article-title>. <source>Nanomedicine Nanotechnol. Biol. Med.</source> <volume>12</volume>, <fpage>1175</fpage>&#x2013;<lpage>1184</lpage>. <pub-id pub-id-type="doi">10.1016/j.nano.2016.01.016</pub-id>
</citation>
</ref>
<ref id="B56">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xiang</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Wei</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Huang</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Gao</surname>
<given-names>Y.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Paeoniflorin: A monoterpene glycoside from plants of paeoniaceae family with diverse anticancer activities</article-title>. <source>J. Pharm. Pharmacol.</source> <volume>72</volume>, <fpage>483</fpage>&#x2013;<lpage>495</lpage>. <pub-id pub-id-type="doi">10.1111/jphp.13204</pub-id>
</citation>
</ref>
<ref id="B57">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xiao</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Luo</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Zhou</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Huang</surname>
<given-names>Z.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>Curative efficacy and safety of traditional Chinese medicine xuebijing injections combined with ulinastatin for treating sepsis in the Chinese population: A meta-analysis</article-title>. <source>Medicine</source> <volume>97</volume>, <fpage>e10971</fpage>. <pub-id pub-id-type="doi">10.1097/MD.0000000000010971</pub-id>
</citation>
</ref>
<ref id="B58">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xiao</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Zhu</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Qin</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Yu</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Jiang</surname>
<given-names>N.</given-names>
</name>
<etal/>
</person-group> (<year>2023</year>). <article-title>Luteolin promotes pathogen resistance in <italic>Caenorhabditis elegans</italic> via DAF-2/DAF-16 insulin-like signaling pathway</article-title>. <source>Int. Immunopharmacol.</source> <volume>115</volume>, <fpage>109679</fpage>. <pub-id pub-id-type="doi">10.1016/j.intimp.2023.109679</pub-id>
</citation>
</ref>
<ref id="B59">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xu</surname>
<given-names>R.-R.</given-names>
</name>
<name>
<surname>Hua</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Rui</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>D.-Y.</given-names>
</name>
</person-group> (<year>2022a</year>). <article-title>Alteration in Wnt signaling mediates induction of transgenerational toxicity of polystyrene nanoplastics in <italic>C. elegans</italic>
</article-title>. <source>NanoImpact</source> <volume>28</volume>, <fpage>100425</fpage>. <pub-id pub-id-type="doi">10.1016/j.impact.2022.100425</pub-id>
</citation>
</ref>
<ref id="B60">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xu</surname>
<given-names>R.-R.</given-names>
</name>
<name>
<surname>Hua</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Rui</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>D.-Y.</given-names>
</name>
</person-group> (<year>2022b</year>). <article-title>Polystyrene nanoparticles caused dynamic alteration in mitochondrial unfolded protein response from parents to the offspring in <italic>C. elegans</italic>
</article-title>. <source>Chemosphere</source> <volume>308</volume>, <fpage>136154</fpage>. <pub-id pub-id-type="doi">10.1016/j.chemosphere.2022.136154</pub-id>
</citation>
</ref>
<ref id="B61">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yan</surname>
<given-names>F.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Zheng</surname>
<given-names>X.</given-names>
</name>
</person-group> (<year>2017a</year>). <article-title>Protective effect of mulberry fruit anthocyanin on human hepatocyte cells (LO2) and <italic>Caenorhabditis elegans</italic> under hyperglycemic conditions</article-title>. <source>Food Res. Int.</source> <volume>102</volume>, <fpage>213</fpage>&#x2013;<lpage>224</lpage>. <pub-id pub-id-type="doi">10.1016/j.foodres.2017.10.009</pub-id>
</citation>
</ref>
<ref id="B62">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yan</surname>
<given-names>F.</given-names>
</name>
<name>
<surname>Yang</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Yu</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Zheng</surname>
<given-names>X.</given-names>
</name>
</person-group> (<year>2017b</year>). <article-title>Effect of C-glycosides from <italic>Apios americana</italic> leaves against oxidative stress during hyperglycemia through regulating mitogen-activated protein kinases and nuclear factor erythroid 2-related factor 2</article-title>. <source>J. Agric. Food Chem.</source> <volume>65</volume>, <fpage>7457</fpage>&#x2013;<lpage>7466</lpage>. <pub-id pub-id-type="doi">10.1021/acs.jafc.7b03163</pub-id>
</citation>
</ref>
<ref id="B63">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yang</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Yao</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Shi</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Gao</surname>
<given-names>Y.</given-names>
</name>
<etal/>
</person-group> (<year>2016</year>). <article-title>Paeoniflorin protects Schwann cells against high glucose induced oxidative injury by activating Nrf2/ARE pathway and inhibiting apoptosis</article-title>. <source>J. Ethnopharmacol.</source> <volume>185</volume>, <fpage>361</fpage>&#x2013;<lpage>369</lpage>. <pub-id pub-id-type="doi">10.1016/j.jep.2016.03.031</pub-id>
</citation>
</ref>
<ref id="B64">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zeng</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Tan</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Han</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Zheng</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Wu</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Luo</surname>
<given-names>H.</given-names>
</name>
<etal/>
</person-group> (<year>2021</year>). <article-title>Trigonelline extends the lifespan of <italic>C. elegans</italic> and delays the progression of age-related diseases by activating AMPK, DAF-16, and HSF-1</article-title>. <source>Oxid. Med. Cell. Longev.</source> <volume>2021</volume>, <fpage>7656834</fpage>. <pub-id pub-id-type="doi">10.1155/2021/7656834</pub-id>
</citation>
</ref>
<ref id="B65">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>S.-T.</given-names>
</name>
<name>
<surname>Zhao</surname>
<given-names>Y.-L.</given-names>
</name>
<name>
<surname>Nurdebek</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Bu</surname>
<given-names>Y.-Q.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>D.-Y.</given-names>
</name>
</person-group> (<year>2022b</year>). <article-title>Long-term exposure to polystyrene nanoparticles causes transgenerational toxicity by affecting the function and expression of MEV-1 and DAF-2 signals in <italic>Caenorhabditis elegans</italic>
</article-title>. <source>Caenorhabditis elegans NanoImpact</source> <volume>26</volume>, <fpage>100403</fpage>. <pub-id pub-id-type="doi">10.1016/j.impact.2022.100403</pub-id>
</citation>
</ref>
<ref id="B66">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>Y.-X.</given-names>
</name>
<name>
<surname>Cao</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Zhu</surname>
<given-names>Y.-K.</given-names>
</name>
<name>
<surname>Huang</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Yang</surname>
<given-names>Y.</given-names>
</name>
<etal/>
</person-group> (<year>2022a</year>). <article-title>Beneficial effect of Xuebijing against <italic>Pseudomonas aeruginosa</italic> infection in <italic>Caenorhabditis elegans</italic>
</article-title>. <source>Front. Pharmacol.</source> <volume>13</volume>, <fpage>949608</fpage>. <pub-id pub-id-type="doi">10.3389/fphar.2022.949608</pub-id>
</citation>
</ref>
<ref id="B67">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Zhai</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Yuan</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Hu</surname>
<given-names>Y.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>New insights into paeoniaceae used as medicinal plants in China</article-title>. <source>Sci. Rep.</source> <volume>9</volume>, <fpage>18469</fpage>. <pub-id pub-id-type="doi">10.1038/s41598-019-54863-y</pub-id>
</citation>
</ref>
<ref id="B68">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Zuo</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Duan</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Yuan</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Hu</surname>
<given-names>Y.</given-names>
</name>
</person-group> (<year>2022c</year>). <article-title>Paeoniflorin in Paeoniaceae: Distribution, influencing factors, and biosynthesis</article-title>. <source>Front. Plant Sci.</source> <volume>13</volume>, <fpage>980854</fpage>. <pub-id pub-id-type="doi">10.3389/fpls.2022.980854</pub-id>
</citation>
</ref>
<ref id="B69">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhao</surname>
<given-names>Y.-L.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>J.-Y.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Pu</surname>
<given-names>X.-X.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>D.-Y.</given-names>
</name>
</person-group> (<year>2023a</year>). <article-title>A review of transgenerational and multigenerational toxicology in the <italic>in vivo</italic> model animal <italic>Caenorhabditis elegans</italic>
</article-title>. <source>J. Appl. Toxicol.</source> <volume>43</volume>, <fpage>122</fpage>&#x2013;<lpage>145</lpage>. <pub-id pub-id-type="doi">10.1002/jat.4360</pub-id>
</citation>
</ref>
<ref id="B70">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhao</surname>
<given-names>Y.-Y.</given-names>
</name>
<name>
<surname>Hua</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Rui</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>D.-Y.</given-names>
</name>
</person-group> (<year>2023b</year>). <article-title>Exposure to multi-walled carbon nanotubes causes suppression in octopamine signal associated with transgenerational toxicity induction in <italic>C. elegans</italic>
</article-title>. <source>Chemosphere</source> <volume>318</volume>, <fpage>137986</fpage>. <pub-id pub-id-type="doi">10.1016/j.chemosphere.2023.137986</pub-id>
</citation>
</ref>
<ref id="B71">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhao</surname>
<given-names>Y.-Y.</given-names>
</name>
<name>
<surname>Xu</surname>
<given-names>R.-R.</given-names>
</name>
<name>
<surname>Hua</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Rui</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>D.-Y.</given-names>
</name>
</person-group> (<year>2022b</year>). <article-title>Multi-walled carbon nanotubes induce transgenerational toxicity associated with activation of germline long non-coding RNA <italic>linc-7</italic> in <italic>C. elegans</italic>
</article-title>. <source>Chemosphere</source> <volume>301</volume>, <fpage>134687</fpage>. <pub-id pub-id-type="doi">10.1016/j.chemosphere.2022.134687</pub-id>
</citation>
</ref>
<ref id="B72">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhao</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Hua</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Bian</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>D.-Y.</given-names>
</name>
</person-group> (<year>2022a</year>). <article-title>Nanoplastic exposure at predicted environmental concentrations induces activation of germline Ephrin signal associated with toxicity formation in the <italic>Caenorhabditis elegans</italic> offspring</article-title>. <source>Toxics</source> <volume>10</volume>, <fpage>699</fpage>. <pub-id pub-id-type="doi">10.3390/toxics10110699</pub-id>
</citation>
</ref>
<ref id="B73">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhao</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Yang</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Rui</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>D.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Intestinal insulin signaling encodes two different molecular mechanisms for the shortened longevity induced by graphene oxide in <italic>Caenorhabditis elegans</italic>
</article-title>. <source>Sci. Rep.</source> <volume>6</volume>, <fpage>24024</fpage>. <pub-id pub-id-type="doi">10.1038/srep24024</pub-id>
</citation>
</ref>
<ref id="B74">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zheng</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Chiu</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Boudreau</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Papanicolaou</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Bendena</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Chin-Sang</surname>
<given-names>I.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>A functional study of all 40 <italic>Caenorhabditis elegans</italic> insulin-like peptides</article-title>. <source>J. Biol. Chem.</source> <volume>293</volume>, <fpage>16912</fpage>&#x2013;<lpage>16922</lpage>. <pub-id pub-id-type="doi">10.1074/jbc.RA118.004542</pub-id>
</citation>
</ref>
<ref id="B75">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhou</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Bu</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Liao</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Cheng</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Zheng</surname>
<given-names>X.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Curcumin acetylsalicylate extends the lifespan of <italic>Caenorhabditis elegans</italic>
</article-title>. <source>Molecules</source> <volume>26</volume>, <fpage>6609</fpage>. <pub-id pub-id-type="doi">10.3390/molecules26216609</pub-id>
</citation>
</ref>
<ref id="B76">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhou</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Gong</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Peng</surname>
<given-names>C.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>A review on the pharmacokinetics of paeoniflorin and its anti-inflammatory and immunomodulatory effects</article-title>. <source>Biomed. Pharmacother.</source> <volume>130</volume>, <fpage>110505</fpage>. <pub-id pub-id-type="doi">10.1016/j.biopha.2020.110505</pub-id>
</citation>
</ref>
<ref id="B77">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhu</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Hao</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Fan</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Qian</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Teng</surname>
<given-names>P.</given-names>
</name>
<etal/>
</person-group> (<year>2017</year>). <article-title>Paeoniflorin suppressed high glucose-induced retinal microglia MMP-9 expression and inflammatory response via inhibition of TLR4/NF-&#x3ba;B pathway through upregulation of SOCS3 in diabetic retinopathy</article-title>. <source>Inflammation</source> <volume>40</volume>, <fpage>1475</fpage>&#x2013;<lpage>1486</lpage>. <pub-id pub-id-type="doi">10.1007/s10753-017-0571-z</pub-id>
</citation>
</ref>
</ref-list>
</back>
</article>