Skip to main content
Advertisement
Browse Subject Areas
?

Click through the PLOS taxonomy to find articles in your field.

For more information about PLOS Subject Areas, click here.

  • Loading metrics

Metabolic impacts of cordycepin on hepatic proteomic expression in streptozotocin-induced type 1 diabetic mice

  • Kongphop Parunyakul,

    Roles Data curation, Formal analysis, Methodology, Writing – original draft

    Affiliation Department of Zoology, Faculty of Science, Kasetsart University, Bangkok, Thailand

  • Krittika Srisuksai,

    Roles Data curation, Writing – review & editing

    Affiliation Department of Zoology, Faculty of Science, Kasetsart University, Bangkok, Thailand

  • Sawanya Charoenlappanit,

    Roles Methodology, Software, Writing – review & editing

    Affiliation Functional Ingredients and Food Innovation Research Group, National Center for Genetic Engineering and Biotechnology (BIOTEC), National Science and Technology Development Agency, Pathum Thani, Thailand

  • Narumon Phaonakrop,

    Roles Data curation, Formal analysis, Writing – review & editing

    Affiliation Functional Ingredients and Food Innovation Research Group, National Center for Genetic Engineering and Biotechnology (BIOTEC), National Science and Technology Development Agency, Pathum Thani, Thailand

  • Sittiruk Roytrakul,

    Roles Formal analysis, Methodology, Writing – review & editing

    Affiliation Functional Ingredients and Food Innovation Research Group, National Center for Genetic Engineering and Biotechnology (BIOTEC), National Science and Technology Development Agency, Pathum Thani, Thailand

  • Wirasak Fungfuang

    Roles Conceptualization, Project administration, Supervision, Writing – review & editing

    fsciwsf@ku.ac.th

    Affiliations Department of Zoology, Faculty of Science, Kasetsart University, Bangkok, Thailand, Omics Center for Agriculture, Bioresources, Food and Health, Kasetsart University (OmiKU), Bangkok, Thailand

Abstract

Type 1 Diabetes mellitus (T1DM) is associated with abnormal liver function, but the exact mechanism is unclear. Cordycepin improves hepatic metabolic pathways leading to recovery from liver damage. We investigated the effects of cordycepin in streptozotocin-induced T1DM mice via the expression of liver proteins. Twenty-four mice were divided into four equal groups: normal (N), normal mice treated with cordycepin (N+COR), diabetic mice (DM), and diabetic mice treated with cordycepin (DM+COR). Mice in each treatment group were intraperitoneally injection of cordycepin at dose 24 mg/kg for 14 consecutive days. Body weight, blood glucose, and the tricarboxylic acid cycle intermediates were measured. Liver tissue protein profiling was performed using shotgun proteomics, while protein function and protein-protein interaction were predicted using PANTHER and STITCH v.5.0 software, respectively. No significant difference was observed in fasting blood glucose levels between DM and DM+COR for all time intervals. However, a significant decrease in final body weight, food intake, and water intake in DM+COR was found. Hepatic oxaloacetate and citrate levels were significantly increased in DM+COR compared to DM. Furthermore, 11 and 36 proteins were only expressed by the N+COR and DM+COR groups, respectively. Three unique proteins in DM+COR, namely, Nfat3, Flcn, and Psma3 were correlated with the production of ATP, AMPK signaling pathway, and ubiquitin proteasome system (UPS), respectively. Interestingly, a protein detected in N+COR and DM+COR (Gli3) was linked with the insulin signaling pathway. In conclusion, cordycepin might help in preventing hepatic metabolism by regulating the expression of energy-related protein and UPS to maintain cell survival. Further work on predicting the performance of metabolic mechanisms regarding the therapeutic applications of cordycepin will be performed in future.

Introduction

Diabetes mellitus (DM) is a chronic metabolic disorder that has become an important public health problem. In this disease, the body enters a hyperglycemic state where it is unable to correctly process glucose for cellular energy, owing to defects in insulin secretion or action [1]. DM has become a major cause of morbidity and mortality in humans and its world-wide incidence is increasing rapidly [2]. Over time, complications develop in patients with type 1 DM (T1DM), which are closely related to dysfunction in energy metabolism and insulin resistance [3]. The liver is a key metabolic organ which regulates corporeal energy metabolism, with a previous study indicating that T1DM reduces the hepatic energy metabolism activity [4]. Meanwhile, the hepatic AMP-activated protein kinase (AMPK) and insulin signaling pathway are known to perform an integral role in maintaining the energy status [5, 6]. Moreover, it has been shown that major energy production pathways, such as glycolysis, tricarboxylic acid (TCA) cycle, and fatty acid oxidation are down-regulated in rats with DM [7]. Under insulin resistance, pyruvate is used for gluconeogenesis and fatty acid synthesis rather than Adenosine triphosphate (ATP)––which is promoted by the TCA cycle––resulting in hyperglycemia [8, 9]. The underlying mechanisms of energy homeostasis have been used to describe the metabolic changes used in clinical practice to determine the disease severity and to generate predictive information related to survival.

Medicinal mushrooms are valued as a natural source of bioactive agents. They have low toxicity and a high degree of specificity in activating the human immune system and controlling metabolism, and have been proposed as potential hypoglycemic agents [10]. Many studies have demonstrated that natural products possess antidiabetic activity with less adverse side-effects and show great auxiliary therapeutic effects on complications [1113]. Cordyceps spp., a genus of ascomycete fungi and a traditional Chinese drug, is recommended by Chinese medical practitioners as a therapy for many ailments. Treatments involving Cordyceps and its extracts primarily target the regulation of blood glucose metabolism, increasing ATP production, and oxygen utilization [14]. Cordycepin, a nucleoside analog of 3′-deoxyadenosine (Fig 1), was initially isolated from Cordyceps, has also shown significant antitumor and immunomodulatory effects [15, 16]. A previous study shows that treatment with cordycepin during diabetes can improve some symptoms of metabolic syndrome by regulating the glucose absorption [17]. Therefore, the aim of this research was to investigate the effect of cordycepin on protein expression in streptozotocin-induced diabetic mice. We hypothesize that cordycepin could be associated with alterations in protein expressions of energy homeostasis pathways in murine livers. This information may help clarify the mechanism of action of cordycepin in maintaining energy homeostasis in T1DM and may assist in the prediction of biomarkers of this disease.

Materials and methods

Reagents

Cordycepin, streptozotocin (STZ), pentobarbital sodium, and TCA cycle standard samples (oxaloacetate, alpha-ketoglutarate, and citrate) were purchased from Sigma (St. Louis, USA).

Animal care and experimental design

Twenty-four C57BL male mice (6 weeks old) were obtained from the National Laboratory Animal Center, Mahidol University, Thailand. The animals were housed under controlled environmental conditions (25±2°C on a 12-h light/12-h dark cycle with lights off at 19:00 hrs) and ad libitum feed. The research conducted adhered to the Guidelines for the Care and Use of Laboratory Animals. The ethics committee of Kasetsart University Research and Development Institute, Kasetsart University, Thailand, approved this study (Approval No. ACKU60-SCI-014).

Diabetes was induced in 12 mice through a single intra-peritoneal injection of STZ. The STZ was prepared by dissolving in a citrate buffer (0.1 M, pH 4.5) at a dosage of 200 mg per kg of body weight. The normal mice received only the same volume of citrate buffer. After 36 h under observation, plasma glucose level was detected and mice with plasma glucose levels that exceed 250 mg/dl were considered as diabetes. Animals were randomly divided into four groups. Group 1 included control nondiabetic animals, who received sterile water (N); Group 2 included nondiabetic animals, who received cordycepin (N+Cor); Group 3 included diabetic animals, who received sterile water (DM); and Group 4 included diabetic animals, who received cordycepin (DM+Cor). Mice in each treatment were intraperitoneally administrated for 14 days once per day. Cordycepin was dissolved in sterile water at a dose of 24 mg/kg/day, according to Ma et al. [17].

On the last day of experiment, Blood glucose level was monitored after a 12 h overnight fast. Body weight and food consumption were monitored daily by weighing the animal at 11:00 hrs; the food intake of each animal was measured by weighing the remaining chow.

Tissue collection and TCA intermediates analysis

At the end of the experimental period, all animals were euthanized with 60 mg/ml of pentobarbital sodium. Liver was removed and then weighed to determine their index (organ weight/ body weight). Liver tissues were excised, homogenized with ice cold phosphate-buffered saline (20% w/v) and centrifuged (2000 g for 20 min at 4°C). The supernatants were stored at -80°C until further analysis was done. High-performance liquid chromatography (HPLC) was used to determine the TCA cycle intermediates, according to the method described by Lillefosse et al. [18].

The frozen supernatants were mixed with methanol in a ratio of 2:8 (v/v). After centrifugation (20 000 g for 20 min at 4°C), the supernatants were taken out and evaporated using a freeze dyer operating at -80°C. The metabolites were then re-dissolved in 500 μl of HPLC buffer. Each 5 μl sample was subjected to HPLC analysis. Chromatography was performed as follows: the injection volume was set to 5 μl and the column was kept at 40°C. A Shodex C18-4D (150x4.6 mm) 5 μm was used to achieve a separation with a mobile phase consisting of 8% 1 N sulfuric acid. The gradient elution was 1 ml/min.

Liquid Chromatography-Mass Spectrometry (LC-MS) analysis and identification of proteins

The liver supernatants were mixed with acetone at a 2:1 (v/v) ratio, and centrifuged at 10 000g for 10 min. The pellet was suspended in a lysis buffer (0.25% (w/v) SDS, 50 mM Tris-HCl, pH 9.0) and the protein concentration was determined through Lowry’s method [19] using bovine serum albumin (BSA) as the standard. Pooled samples of different groups were made by mixing equal amounts of protein from individual tissue samples.

Disulfide bonds in 5 μg of protein samples were reduced using 5 mM dithiothreitol in 10 mM ammonium bicarbonate at 60°C for 1 h, followed by the alkylation of sulfhydryl groups by 15 mM iodoacetamide in 10 mM ammonium bicarbonate for 45 min in the dark and at room temperature. Subsequently, the protein samples were mixed with sequencing-grade trypsin (ratio of 1:20; Promega, Germany) and incubated at 37°C overnight. The tryptic peptides were dried and protonated with 0.1% formic acid before injecting into an Ultimate 3000 Nano/Capillary LC system (Dionex Ltd., UK) coupled to an HCTUltra (Bruker Daltonics, Billerica, MA, USA), in addition to an electrospray at a flow rate of 300 nL/min to a nanocolumn (PepSwift monolithic column 100 mm with an internal diameter of 50 mm). A mobile phase of solvent A (0.1% formic acid) and solvent B (80% acetonitrile and 0.1% formic acid) was used to elute peptides using a linear gradient of 4%–70% of solvent B during minutes 0–20 (the time-point of retention) followed by 90% solvent B during minutes 20–25, to remove all the peptides in the column. The final elution of 10% solvent B during minutes 25–40 was performed to remove any remaining salt. Mass spectra of peptide fragments were acquired in a data-dependent AutoMS (2) mode with a scanning range of 300–1500 m/z, three averages, and up to five precursor ions were selected from the MS scan range of 50−3000 m/z.

DeCyder MS Differential Analysis software (DeCyderMS, GE Healthcare) was used to quantify the proteins in individual samples while the Mascot search engine was used to correlate the MS/MS spectra to a Macaca protein database maintained by Uniprot [20, 21]. Mascot’s standard settings were used: a maximum of three miss cleavages, peptide tolerance of 1.2 dalton, an MS/MS tolerance of 0.6 dalton, trypsin as the digesting enzyme, carbamidomethylation of cysteine as the fixed modification, oxidation of methionine as the variable modifications, and peptide charge states (1+, 2+, and 3+). The level of proteins in each sample was expressed as log2 value.

Data analysis and statistical methods

Venn diagrams were used for counting and comparing the lists of proteins in each group [22]. Jvenn software displays the data as Venn diagrams and two statistical charts were generated to assess the homogeneity of list size and to compare the compactness of multiple Venn diagrams. Proteins were classified according to their function, which related the protein molecular junctions with biological processes at the level of an organism, using the Protein Analysis Through Evolutionary Relationships or PANTHER classification system (available at http://www.pantherdb.org) [23]. The data were searched against the NCBI and Uniprot databases for protein identification to understand the molecular function and biological processes. Lastly, STITCH (v.5.0) was used to predict the chemical-protein and protein–protein interaction network.

The data will be expressed as means ± SD in the results. Statistical analysis was performed through the analysis of variance (one-way ANOVA), followed by Turkey’s post hoc test using the R project statistical computing package (R core team, 2019). A P-value of < 0.05 was considered as being statistically significant.

Results

Effect of cordycepin on fasting blood glucose levels, body weight, food intake, water intake and liver index

As shown in Fig 2A, the streptozotocin-induced diabetic mice (DM) mice showed significant increase on fasting blood glucose levels at 0, 7 and 14 days. However, the cordycepin treatment on DM mice did not show significant effect to fasting blood glucose level at all the time intervals. The difference in body weights among all of the groups in the initial days was not significant. After 7 days, the body weights of the DM and DM+COR were lower than that of the N group (Fig 2B). As shown in Table 1, DM exhibited a low final body weight, an increased food intake, and an increased water intake. Nevertheless, cordycepin treatment of the diabetic mice (DM+COR) significantly decreased the body weight, food intake and water intake when compared to DM. On the other hand, cordycepin treatment did not affect the blood glucose levels and liver index when compared to the DM group.

thumbnail
Fig 2.

The effect of cordycepin on (A) blood glucose levels and (B) body weight at different time intervals of administration. Values are expressed as means ± SD. Different letters indicate statistically significant differences between groups (P < 0.05).

https://doi.org/10.1371/journal.pone.0256140.g002

thumbnail
Table 1. Effect of cordycepin on final body weight, food intake, water intake and liver index.

https://doi.org/10.1371/journal.pone.0256140.t001

Effect of cordycepin on hepatic TCA intermediate levels

Levels of hepatic TCA intermediates are presented in Fig 3. The DM+COR group showed significantly increased oxaloacetic and citrate levels when compared with DM. However, the hepatic alpha-ketoglutarate levels were not different between the groups.

thumbnail
Fig 3.

The level of (A) oxaloacetate, (B) citrate, and (C) alpha-ketoglutarate in liver tissues. Values are expressed as means ± SD. Different letters indicate statistically significant differences between groups (P < 0.05).

https://doi.org/10.1371/journal.pone.0256140.g003

Effect of cordycepin on liver tissue proteins

From the LC-MS/MS, a totally of 1455 different proteins were identified, out of which 585 proteins were present in all groups. The Venn diagram in Fig 4 shows the number of differentially expressed proteins between groups. Seven proteins were expressed in the N group. However, 11 were detected only in the N+COR group. In addition, 46 and 36 proteins were expressed in DM and DM+COR group, respectively. The 36 and 11 proteins found only in DM+COR and N+COR, respectively, were classified by PANTHER and were categorized based on the molecular function and biological process, as shown in Fig 5. Following the classification of protein fraction according to molecular function, most proteins isolated in the DM+COR were seen to be involved in the catalytic activity (43%); and the same proteins were then further categorized according to biological processes, which were classified as biological regulation (23%), cellular process (23%), and signaling (18%). In addition, unique proteins from N+COR were also categorized according to the molecular function and biological process and were mainly classified in binding (100%), response to stimulus (34%), and cellular process (33%).

thumbnail
Fig 4. Venn diagram of proteins differentially expressed in the normal control group (N), normal mice treated with cordycepin (N+Cor), diabetic control group (DM), and diabetic mice treated with cordycepin (DM+Cor).

https://doi.org/10.1371/journal.pone.0256140.g004

thumbnail
Fig 5. Classification of expressed unique proteins using the PANTHER system.

Unique protein classification of the DM+COR group according to molecular function (A) and biological process (B). Unique protein classification of the N+COR group according to molecular function (C) and biological process (D).

https://doi.org/10.1371/journal.pone.0256140.g005

Effects of cordycepin treatment on hepatic protein expression

To identify the effect of cordycepin on biomarkers and molecular mechanisms, 36 proteins detected uniquely in DM+COR mice were considered. However, only 7 proteins could be identified using the UniProt database. Their functions were related to the energy homeostasis, proteasomal protein catabolic process, and beta cell receptor signaling pathway (Table 2). Interestingly, the transcriptional activator GLI3, detected in N+COR mice and DM+COR mice, was found to play a role in the smoothened signaling pathway (Table 3). UniProt accession was also used to reveal the association of unique proteins in N group, N+COR group, and DM group with biological process as shown in S1 Table.

thumbnail
Table 2. Protein identification and functional classification of unique proteins in diabetic mice treated with cordycepin (DM+COR).

https://doi.org/10.1371/journal.pone.0256140.t002

thumbnail
Table 3. Protein identification and functional classification of shared proteins in normal mice treated with cordycepin (N+COR) and diabetic mice treated with cordycepin (DM+COR).

https://doi.org/10.1371/journal.pone.0256140.t003

Protein interaction network analysis of differentially abundant proteins

As shown in Fig 6, the results indicate that the unique proteins detected in the DM+COR (Psma3, Rftn1, Flcn, Nfatc3, and P33monox) were linked with the metabolic homeostasis pathway in the liver. We observed a functional interaction between Flcn and proteins in the AMPK signaling pathway (Prkaa, Prkaa2, Prkag1, and Prkag2), but Rftn1 and p33monox were not associated with the metabolic homeostasis or AMPK signaling pathways. Moreover, Psma3 also indicated to a functional interaction with proteins in the ubiquitin proteasome system (UPS; Psma1, Psma5, Psma7, Psmb1, Psmb2, Psmb5, Psmb6, Psmb7, and Psmb9) linked with ATP metabolic processes. Meanwhile, the protein common to the N+COR and DM+COR group, namely Gli3, interacted with other proteins associated with the insulin signaling pathway (Akt1 and Akt2).

thumbnail
Fig 6. The chemical-protein and protein-protein interaction network of cordycepin and unique proteins from DM+COR and shared protein from N+COR and DM+COR in livers on the hepatic metabolism pathway, analyzed by STITCH v 5.0.

https://doi.org/10.1371/journal.pone.0256140.g006

Discussion

DM is a metabolic disorder of multiple etiologies characterized by a chronic hyperglycemia with disturbance of carbohydrate, fat, and protein metabolism resulting from issues with insulin secretion, insulin resistance, or both. T1DM results from primary loss of beta cell mass in the pancreas due to complex autoimmune processes. Thereafter, simultaneous insulin deficiency and chronic hyperglycemia are considered to be exclusive contributors to insulin resistance in patients with long-standing, poorly controlled T1DM [1]. We used a single high dose of STZ to induce pancreatic beta cell damage, resulting in hyperglycemia, hyperinsulinemia [24], and hepatotoxicity [25]. Previous study indicated that cordycepin failed to reduce blood glucose levels of 150 mg/kg during the first 3 days of treatment of STZ-treated mice [26]. Sun et al. [27] reports that the high dose STZ treatment destroyed pancreatic islet beta-cells within a short time, resulting in rapid β-cells necrosis, significant hyperglycemia in diabetic mice. Our findings indicate that cordycepin failed to lower the blood glucose levels after 2 weeks, suggesting that a 14 days experiment duration was not enough to recover from inflammation of the islets in the pancreas induced by a high dose of STZ.

The liver is the main organ involved in glucose metabolism and energy homeostasis, with hepatic abnormality in glucose metabolism reported in diabetes. The liver plays a key role in regulating the glucose uptake, gluconeogenesis, glycogenesis, and glycogenolysis. It is also known that hepatic insulin resistance is one of the most common pathological conditions during diabetes, along with body weight loss and hyperphagia [28, 29]. In the present study, we found a statistically significant reduction in both the final body weight and average daily food intake of diabetic mice treated with cordycepin. In contrast, a previous study from Ma et al. [17] found that a cordycepin treatment of alloxan-induced diabetic mice remarkably reduced the loss of body weight by normalizing the glucose metabolism. But a previous study reported that cordycepin extracted from C. militaris can reduce gains in body weight of mice [30], and a further study indicated that cordycepin modulates the body weight by reducing prolactin via an adenosine A1 receptor [31]. These studies indicate that a reduction in body weight is associated with a lower food intake in DM-treated mice.

As a result of insulin-resistance in diabetes, pyruvate is used for gluconeogenesis and fatty acid synthesis rather than the production of ATP, resulting in hyperglycemia. Energy-precursor of metabolic processes is generated by the TCA cycle, which involves the aerobic oxidation of glucose and is an important pathway for energy production [8, 9]. As such, the TCA cycle and glycolytic activity is abnormal during the development of DM [32]. Our study demonstrate that DM mice had lower hepatic oxaloacetate levels, which is the intermediate of the TCA cycle, compared with the control group. Cordycepin treatment significantly increased the TCA intermediates in the DM+COR group. A recent study demonstrated that the C. militaris mycelia extract increases the activity of dehydrogenases in a TCA cycle and up-regulates the respiratory chain complex activity and ATP levels [33], suggesting that an elevated dehydrogenase activity completely catalyzes the oxidation of oxaloacetate into citrate during the TCA cycle.

At the cellular level of patients suffering from T1DM, dysfunction of insulin induction inhibits the tyrosine kinase of insulin receptors, which decreases the activity of the insulin receptor substrate (IRS). The main pathway involved in the action of insulin is phosphorylation followed by the activation of phosphatidylinositol-4,5-bisphosphate 3-kinase-protein kinase B (PI3K-AKT). The PI3K/AKT signaling pathway is the primary pathway of insulin signaling transduction to regulate glucose uptake and glycogen synthesis in liver [34]. Several mechanisms can induce insulin resistance by interfering with the insulin signaling cascade, i.e., elevated blood glucose, endoplasmic reticulum stress, cellular inflammation, and inherited variations in the signaling molecules. In our study, we found that 13 out of 46 unique proteins in the DM group were correlated with apoptotic processes, glucose homeostasis, and glycogen catabolism. Glycogen primarily acts as an intracellular storage site for glucose under aerobic conditions and nutrient deprivation. Activated glycogen phosphorylase in the liver is the main driver behind the increase in blood glucose levels in diabetes [35]. It has been that the inhibition of glycogen phosphorylase was associated with the induction of the insulin signaling pathway, beta cell proliferation, and glucose‐induced insulin release [36].

The interaction network between the proteins isolated and other proteins or chemicals in the STITCH database were used to understand the effects of cordycepin on the hepatic metabolism induced by T1DM. According to the STITCH interaction network (Fig 6), the proteins unique to DM+COR group of mice (Flcn, Nfatc3, and Psma3 protein) were found to be associated with energy-sensing pathway, insulin signaling, and ubiquitin/proteasome system (UPS). Flcn (folliculin) is involved in the energy homeostasis pathway through the upregulation of Prkaa1 (Protein Kinase AMP-Activated Catalytic Subunit Alpha 1), Prkaa2 (Protein Kinase AMP-Activated Catalytic Subunit Alpha 2), Prkab1 (Protein Kinase AMP-Activated Catalytic Subunit beta 1), Prkab2 (Protein Kinase AMP-Activated Catalytic Subunit beta 2), Prkag1 (Protein Kinase AMP-Activated Catalytic Subunit gamma 1), and Prkag2 (Protein Kinase AMP-Activated Catalytic Subunit gamma 2) [37]. The proteins encoded by these genes are catalytic subunits of AMP-activated protein kinase (AMPK) [3840]. AMPK is an important energy-sensing enzyme that monitors the cellular energy status, regulates the transcription of several genes that are involved in the mitochondrial energy metabolism and the oxidation of glucose and fatty acids [41]. Wu et al. [42] reported about the effects of cordycepin on lowering the HepG2 cellular lipid accumulation, with the study indicating that cordycepin may inhibit fat accumulation through AMPK activation via interaction with the Prkag1 subunit. A further study observed that the Flcn expression might regulate cellular metabolism through its interaction with AMPK activity [43]. AMPK also maintains adequate NADPH levels by regulating the oxidation of fatty acid through phosphorylation induced metabolic stresses by increasing the TCA cycle intermediates [44]. We suggest that cordycepin could prevent any dysfunction during the metabolism of energy via indirect effects on liver tissue of the T1DM models. Similarly, a previous study by Song et al. [45], focusing on the antifatigue effect of Cordyceps militaris fruit body extract, reported that the fruit body extract enhanced the phosphorylation of hepatic mTOR, AKT, and AMPK after 14 days of administration in mice. AMPK maintains an ATP balance via inhibiting the synthesis of glycogen, cholesterol, fat, and promoting fatty acid oxidation, glucose transportation [46], and activating the catabolic pathways to regulate the generation of ATP [47]. Therefore, we suggest that cordycepin may regulate the failure of intracellular energy metabolism through interaction of AMPK signaling with the Flcn protein expression.

One of the overexpressed proteins, Proteasome subunit α type 3 (Psma3) was found only in the DM+COR group. Sjakste et al. [48] provided evidence that the variations in Psma3 proteasome gene may contribute to increasing the risk in T1DM patients. Several studies report that binding with Psma3 results in protein degradation in a ubiquitin/proteasome system (UPS) [49, 50]. UPS is one of the major degradation pathways for maintaining a protein homeostasis. Indeed, UPS regulates the key proteins involved with the survival of beta cells such as IRS-2, MafA, and CREB [51]. Previous studies indicate that high doses of proteasome inhibitors (PIs) can completely block the UPS activity and induce severe apoptosis in beta cell lines [52, 53]. Our findings are also in accordance with another previous study [54] that shows a decreased proteasome activity in the endothelial cells of diabetic mice cultured in a high-glucose medium. The results clearly indicate that a lower proteasome activity implies an accumulation of polyubiquitinated proteins observed in beta cells, leading to a hyperglycemic status [55]. In conclusion, our work integrates UPS as a new essential factor involved with the glucotoxicity of beta cells. We suggest that chronic T1DM can cause a reduction in proteasome activity in beta cells, leading to UPS dysfunction; however, cordycepin treatment activates the proteasome function which is important for the survival of pancreatic beta cells.

In this study, we also identified a protein-protein interaction between the Gli3 proteins detected in N+COR and DM+COR groups and the energy-related proteins. These proteins are involved with the insulin signaling pathway (Akt1 and Akt2). The Gli family proteins (Gli1, Gli2, and Gli3) play an important role in the intracellular signaling cascade and act as terminal effectors of hedgehog (HH) signaling [56]. The HH pathway is essential in decisions related to the fate of a cell during the development and homeostasis of adult tissues. A previous study reported on the first example of endogenous metabolic abnormality due to from DM, which is associated with a functional inhibition of the HH signaling pathway [57]. Yu et al. [58] studied the hypoglycemic effect through a combined treatment with the fruiting body and mycelia of C. militaris in HFD-induced type 2 DM mice. They identified the expression of proteins involved in the insulin-signaling pathway of muscles and adipose tissues. A previous research also demonstrated that treatment with a crude powder of C. militaris leads to both increased phosphorylation and enhanced expression of insulin receptor substrate 1 (IRS-1) and protein kinase B (AKT), indicates that the activated mediators subsequently increase insulin sensitivity. Many other studies have already demonstrated the activation of AKT via phosphorylation as indicators of insulin sensitivity [5961]. We therefore suggest that cordycepin might improve glucose metabolism via insulin signaling.

Conclusion

our results provide an analysis of chemical-protein and protein-protein interactions helping in further understanding of the mechanism through which cordycepin alters the metabolic dysfunction in T1DM mice. Cordycepin treatments resulted in a lowered final body weight and food intake and increased the hepatic TCA intermediates. Cordycepin also plays a significant role in maintaining the energy metabolism by regulating the AMPK activity by Flcn protein, Gli3-mediated hedgehog pathway, and recovering cell survival. Thus, our results support the applied treatment and its effects on the expression of protein associated metabolic homeostasis. These results indicated that cordycepin could potentially be an economical therapeutic agent in the treatment of T1DM through its effect on metabolic activity.

Supporting information

S1 Table. Protein identification and functional classification of unique proteins in normal mice (N), normal mice treated with cordycepin (N+COR), and Diabetic Mice (DM).

https://doi.org/10.1371/journal.pone.0256140.s001

(PDF)

Acknowledgments

The authors would also like to thank Asst. Prof. Dr. Pramote Chumnanpuen, Department of Zoology, Faculty of Science, Kasetsart University, for performing the metabolic analysis. We are also grateful to all the subjects who participated in this study for their kind assistance with the fieldwork.

References

  1. 1. Americans diabetes association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2005;28:s37–s42. pmid:15618111
  2. 2. Zimmet P, Alberti KGMM, Shaw J. Global and societal implications of the diabetes epidemic. Nature. 2001;414:782–787. pmid:11742409
  3. 3. Cleland SJ, Fisher BM, Colhoun HM, Sattar N, Petrie JR. Insulin resistance in type 1 diabetes: what is ‘double diabetes’ and what are the risks? Diabetologia. 2013;56:1462–70. pmid:23613085
  4. 4. Wolf P, Fellinger P, Pfleger L, Smajis S, Beiglböck H, Gajdošík M, et al. Reduced hepatocellular lipid accumulation and energy metabolism in patients with long standing type 1 diabetes mellitus. Scientific reports. 2019;9(1):2576. pmid:30796305
  5. 5. Steinberg GR, Kemp BE. AMPK in Health and Disease. Physiol Rev. 2009;89:1025–1078. pmid:19584320
  6. 6. Viollet B, Guigas B, Leclerc J, Hebrard S, Lantier L, Mounier R, et al. AMP activated protein kinase in the regulation of hepatic energy metabolism: from physiology to therapeutic perspectives. Acta Physiol (Oxf). 2009;196:81–98. pmid:19245656
  7. 7. Zhao L, Dong M, Xu C, Zheng H, Wei T, Liu K, et al. Identification of energy metabolism changes in diabetic cardiomyopathy rats using a metabonomic approach. Cell Physiol Biochem. 2018;48(3):934–946. pmid:30036879
  8. 8. Go Y, Jeong JY, Jeoung NH, Jeon JH, Park BY, Kang HJ, et al. Inhibition of pyruvate dehydrogenase kinase 2 protects against hepatic steatosis through modulation of tricarboxylic acid cycle anaplerosis and ketogenesis. Diabetes. 2016;65:2876–2887. pmid:27385159
  9. 9. Kumashiro N, Beddow SA, Vatner DF, Majumdar SK, Cantley JL, Guebre-Egziabher F, et al. Targeting pyruvate carboxylase reduces gluconeogenesis and adiposity and improves insulin resistance. Diabetes. 2013;62:2183–2194. pmid:23423574
  10. 10. De Silva D, Rapior S, Hyde K, Bahkali A. Medicinal mushrooms in prevention and control of diabetes mellitus. Fungal Divers. 2012;56:1–29.
  11. 11. Choudhury H, Pandey M, Hua CK, Mun CS, Jing JK, Kong L, et al. An update on natural compounds in the remedy of diabetes mellitus: A systematic review. J Tradit Complement Med. 2017;8(3):361–376. pmid:29992107
  12. 12. Kamtchouing P, Kahpui SM, Dzeufiet PD, Tédong L, Asongalem EA, Dimo T. Anti-diabetic activity of methanol/methylene chloride stem bark extracts of Terminalia superba and Canarium schweinfurthii on streptozotocin-induced diabetic rats. J Ethnopharmacol. 2006;104(3):306–309. pmid:16271836
  13. 13. Tanaka M, Misawa E, Ito Y, Habara N, Nomaguchi K, Yamada M, et al. Identification of five phytosterols from Aloe vera gel as anti-diabetic compounds. Biol Pharm Bull. 2006;29(7):1418–1422. pmid:16819181
  14. 14. Zhou X, Gong Z, Su Y, Lin J, Tang K. Cordyceps fungi: natural products, pharmacological functions and developmental products. J Pharm Pharmacol. 2009;61:279–291. pmid:19222900
  15. 15. Jeong MH, Lee CM, Lee SW, Seo SY, Seo MJ, Kang BW, et al. Cordycepin enriched Cordyceps militaris induces immunomodulation and tumor growth delay in mouse-derived breast cancer. Oncol Rep. 2013;30(4):1996–2002. pmid:23921598
  16. 16. Nakamura K, Yoshikawa N, Yamaguchi Y, Kagota S, Shinozuka K, Kunitomo M. Antitumor effect of cordycepin (3’-deoxyadenosine) on mouse melanoma and lung carcinoma cells involves adenosine A3 receptor stimulation. Anticancer Res. 2006;26(1A):43–47. pmid:16475677
  17. 17. Ma L, Zhang S, Du M. Cordycepin from Cordyceps militaris preven tshyperglycemia in alloxan-induced diabetic mice. Nutr. Res. 2015;35(5):431–439. pmid:25940982
  18. 18. Lillefosse HH, Clausen MR, Yde CC, Ditlev DB, Zhang X, Du ZY, et al. Urinary loss of tricarboxylic acid cycle intermediates as revealed by metabolomics studies: an underlying mechanism to reduce lipid accretion by whey protein ingestion? J Proteome Res. 2014;13(5):2560–2570. pmid:24702026
  19. 19. Lowry OH, Rosebrough NJ, Farr AL, Randall RJ. Protein measurement with the Folin phenol reagent. J Biol Chem. 1951;193:265–275. pmid:14907713
  20. 20. Johansson C, Samskog J, Sundström L, Wadensten H, Björkesten L, Flensburg J. Differential expression analysis of Escherichia coli proteins using a novel software for relative quantitation of LC-MS/MS data. Proteomics. 2006;6(16):4475–4485. pmid:16858737
  21. 21. Thorsell A, Portelius E, Blennow K, Westman-Brinkmalm A. Evaluation of sample fractionation using micro-scale liquid-phase isoelectric focusing on mass spectrometric identification and quantitation of proteins in a SILAC experiment. Rapid Commun Mass Spectrom. 2007;21(5):771–778. pmid:17279600
  22. 22. Bardou P, Mariette J, Escudié F, Djemiel C, Klopp C. jvenn: an interactive Venn diagram viewer. BMC Bioinformatics. 2014;15(1):293. pmid:25176396
  23. 23. Mi H, Huang X, Muruganujan A, Tang H, Mills C, Kang D, et al. PANTHER version 11: expanded annotation data from Gene Ontology and Reactome pathways, and data analysis tool enhancements. Nucleic Acids Res. 2017;45(D1):D183–D189. pmid:27899595
  24. 24. Lenzen S. The mechanisms of alloxan- and streptozotocin-induced diabetes. Diabetologia. 2008;51:216–226. pmid:18087688
  25. 25. Kohl T, Gehrke N, Schad A, Nagel M, Wörns MA, Sprinzl MF, et al. Diabetic liver injury from streptozotocin is regulated through the caspase-8 homolog cFLIP involving activation of JNK2 and intrahepatic immunocompetent cells. Cell Death Dis. 2013;4(7):e712. pmid:23828575
  26. 26. Yun Y, Han S, Lee S, Ko S, Lee C, Ha N, et al. Anti-diabetic effects of CCCA, CMESS, and cordycepin from Cordyceps militaris and the immune responses in streptozotocin- induced diabetic mice. Nat Prod Sci. 2003;9:291–298.
  27. 27. Sun Y, Mao Q, Shen C, Wang C, Jia W. Exosomes from β-cells alleviated hyperglycemia and enhanced angiogenesis in islets of streptozotocin-induced diabetic mice. Diabetes Metab Syndr Obes. 2019;12:2053–2064. pmid:31632115
  28. 28. DeFronzo R, Simonson D, Ferrannini E. Hepatic and peripheral insulin resistance: a common feature of type 2 (non-insulin-dependent) and type 1 (insulindependent) diabetes mellitus. Diabetologia. 1982;23(4):313–319. pmid:6754515
  29. 29. Paquot N, Scheen AJ, Dirlewanger M, Lefebvre PJ, Tappy L. Hepatic insulin resistance in obese non‐diabetic subjects and in type 2 diabetic patients. Obes Res. 2002;10(3):129–34. pmid:11886934
  30. 30. Kim SB, Ahn B, Kim M, Ji HJ, Shin SK, Hong IP, et al. Effect of Cordyceps militaris extract and active constituents on metabolic parameters of obesity induced by high-fat diet in C58BL/6J mice. J Ethnopharmacol. 2014;151:478–84. pmid:24231073
  31. 31. Li Y, Li Y, Wang X, Xu H, Wang C, An Y, et al. Cordycepin modulates body weight by reducing prolactin via an adenosine A1 Receptor. Curr Pharm Des. 2018;24(27):3240–3249. pmid:30124145
  32. 32. Chen M, Zheng H, Xu M, Zhao L, Zhang Q, Song J, et al. Changes in hepatic metabolic profile during the evolution of STZ-induced diabetic rats via an 1H NMR-based metabonomic investigation. Biosci Rep. 2019;39(4):BSR20181379. pmid:30918104
  33. 33. Veena RK, Carmel EJ, Ramya H, Ajith TA, Wasser SP, Janardhanan KK. Caterpillar medicinal mushroom, Cordyceps militaris (Ascomycetes), mycelia attenuates doxorubicin-induced oxidative stress and upregulates Krebs cycle dehydrogenases activity and ATP level in rat brain. Int J Med Mushrooms. 2020;22(6):593–604. pmid:32865900
  34. 34. Gao YF, Zhang MN, Wang TX, Wu TC, Ai RD, Zhang ZS. Hypoglycemic effect of D-chiro-inositol in type 2 diabetes mellitus rats through the PI3K/Akt signaling pathway. Mol Cell Endocrinol. 2016;433: 26–34. pmid:27212205
  35. 35. Baker DJ, Timmons JA, Greenhaff PL. Glycogen phosphorylase inhibition in type 2 diabetes therapy: a systematic evaluation of metabolic and functional effects in rat skeletal muscle. Diabetes. 2005;54(8):2453–9. pmid:16046314
  36. 36. Nagy L, Márton J, Vida A, Kis G, Bokor É, Kun S, et al. Glycogen phosphorylase inhibition improves beta cell function. Br J Pharmacol. 2018;175(2):301–319. pmid:28409826
  37. 37. Li J, Zhong L, Wang F, Zhu H. Dissecting the role of AMP-activated protein kinase in human diseases. Acta Pharmaceutica Sinica B. 2017;7(3):249–259. pmid:28540163
  38. 38. Cheung PCF, Salt IP, Davies SP, Hardie DG, Carling, D. Characterization of AMP-activated protein kinase γ-subunit isoforms and their role in AMP binding. Biochem J. 2000;346(3):659–669.
  39. 39. Stapleton D, Gao G, Michell BJ, Widmer J, Mitchelhill K, The T, et al. Mammalian 5’-AMP-activated protein kinase non-catalytic subunits are homologs of proteins that interact with yeast Snf1 protein kinase. J Biol Chem. 1994;269(47):29343–29346. pmid:7961907
  40. 40. Thornton C, Snowden MA, Carling D. Identification of a novel AMP activated protein kinase β subunit isoform that is highly expressed in skeletal muscle. J Biol Chem. 1998;273(20):12443–12450. pmid:9575201
  41. 41. Yang CS, Kim JJ, Lee HM, Jin HS, Lee SH, Park JH, et al. The AMPK PPARGC1A pathway is required for antimicrobial host defense through activation of autophagy. Autophagy. 2014;10(5):785–802. pmid:24598403
  42. 42. Wu C, Guo Y, Su Y, Zhang X, Luan H, Zhang X, et al. Cordycepin activates AMP-activated protein kinase (AMPK) via interaction with the γ1 subunit. J Cell Mol Med. 2014;18(2):293–304. pmid:24286368
  43. 43. Possik E, Jalali Z, Nouët Y, Yan M, Gingras MC, Schmeisser K, et al. Folliculin regulates ampk-dependent autophagy and metabolic stress survival. PLoS Genet. 2014;10(4):e1004273. pmid:24763318
  44. 44. Jeon SM, Chandel NS, Hay N. AMPK regulates NADPH homeostasis to promote tumour cell survival during energy stress. Nature. 2012;485(7400):661–665. pmid:22660331
  45. 45. Song J, Wang Y, Teng M, Cai G, Xu H, Guo H, et al. Studies on the antifatigue activities of Cordyceps militaris fruit body extract in mouse model. Evid Based Complement Alternat Med. 2015;2015: 174616. pmid:26351509
  46. 46. Hardie DG, Ashford ML. AMPK: regulating energy balance at the cellular and whole body levels. Physiology (Bethesda). 2014;29(2):99–107. pmid:24583766
  47. 47. Dërmaku-Sopjani M, Abazi S, Faggio C, Kolgeci J, Sopjani M. AMPK sensitive cellular transport. J Biochem. 2014;155(3):147–58. pmid:24440827
  48. 48. Sjakste T, Paramonova N, Osina K, Dokane K, Sokolovska J, Sjakste N. Genetic variations in the PSMA3, PSMA6 and PSMC6 genes are associated with type 1 diabetes in Latvians and with expression level of number of UPS-related and T1DM-susceptible genes in HapMap individuals. Mol Genet Genomics. 2016;291(2):891–903. pmid:26661414
  49. 49. Bae MH, Jeong CH, Kim SH, Bae MK, Jeong JW, Ahn MY, et al. Regulation of Egr-1 by association with the proteasome component C8. Biochim Biophys Acta. 2002;1592:163–167. pmid:12379479
  50. 50. Boelens WC, Croes Y, de Jong WW. Interaction between αB-crystallin and the human 20S proteasomal subunit C8/α7. Biochim Biophys Acta. 2001;1544:311–319. pmid:11341940
  51. 51. Costes S, Vandewalle B, Tourrel-Cuzin C, Broca C, Linck N, Bertrand G, et al. Degradation of cAMP-responsive element-binding protein by the ubiquitinproteasome pathway contributes to glucotoxicity in beta-cells and human pancreatic islets. Diabetes. 2009;58:1105–1115. pmid:19223597
  52. 52. Casas S, Gomis R, Gribble FM, Altirriba J, Knuutila S, Novials A. Impairment of the ubiquitin-proteasome pathway is a downstream endoplasmic reticulum stress response induced by extracellular human islet amyloid polypeptide and contributes to pancreatic beta-cell apoptosis. Diabetes. 2007;56:2284–2294. pmid:17563070
  53. 53. Storling J, Allaman-Pillet N, Karlsen AE, Billestrup N, Bonny C, Mandrup Poulsen T. Antitumorigenic effect of proteasome inhibitors on insulinoma cells. Endocrinology. 2005;146:1718–1726. pmid:15618349
  54. 54. Queisser MA, Yao D, Geisler S, Hammes HP, Lochnit G, Schleicher ED, et al. Hyperglycemia impairs proteasome function by methylglyoxal. Diabetes. 2010;59:670–678. pmid:20009088
  55. 55. Broca C, Varin E, Armanet M, Tourrel-Cuzin C, Bosco D, Dalle S, et al. Proteasome dysfunction mediates high glucose-induced apoptosis in rodent beta cells and human islets. PLoS One. 2014;18: 9(3):e92066. pmid:24642635
  56. 56. Sabol M, Trnski D, Musani V, Ozretic P, Levanat S. Role of GLI transcription factors in pathogenesis and their potential as new therapeutic targets. Int J Mol Sci. 2018;19:E2562. pmid:30158435
  57. 57. Dunaeva M, Voo S, van Oosterhoud C, Waltenberger J. Sonic hedgehog is a potent chemoattractantfor human monocytes: diabetes mellitus inhibits Sonic hedgehog-induced monocyte chemotaxis. Basic Res Cardiol. 2010;105(1):61–71. pmid:19629560
  58. 58. Yu SH, Chen SY, Li WS, Dubey NK, Chen WH, Chuu JJ, et al. Hypoglycemic activity through a novel combination of fruiting body and mycelia of Cordyceps militaris in high-fat diet-induced type 2 diabetes mellitus mice. J Diabetes Res. 2015;2015:723190. pmid:26258146
  59. 59. Fuller S, Richard AJ, Ribnicky DM, Beyl R, Mynatt R, Stephens JM. St. John’s Wort Has Metabolically Favorable Effects on Adipocytes In Vivo. Evid Based Complement Alternat Med. 2014; 2014:862575. pmid:25136373
  60. 60. Guo S. Molecular basis of insulin resistance: the role of IRS and Foxo1 in the control of diabetes mellitus and its complications. Drug Discov Today Dis Mech. 2013;10:e27–e33. pmid:24015152
  61. 61. Tomás E, Lin YS, Dagher Z, Saha A, Luo Z, Ido Y, et al. Hyperglycemia and insulin resistance: possible mechanisms. Ann N Y Acad Sci. 2002;967:43–51. pmid:12079834