Next Article in Journal
Epigallocatechin-3-Gallate and PEDF 335 Peptide, 67LR Activators, Attenuate Vasogenic Edema, and Astroglial Degeneration Following Status Epilepticus
Next Article in Special Issue
Epigenetic Regulation of NRF2/KEAP1 by Phytochemicals
Previous Article in Journal
Oxidative Stress: Concept and Some Practical Aspects
Previous Article in Special Issue
The KEAP1/NRF2 Signaling Pathway in Keratinization
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
Antioxidants
Volume 9
Issue 9
10.3390/antiox9090853
antioxidants-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles thumb_up
...
Endorse textsms
...
Comment
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

Restraint Stress Alters Expression of Glucocorticoid Bioavailability Mediators, Suppresses Nrf2, and Promotes Oxidative Stress in Liver Tissue

by
Hsiao-Jou Cortina Chen
1,2,*,
Tsz Yip
1,
Johnny K. Lee
1,
Juliani Juliani
3,
Conrad Sernia
1,
Andrew F. Hill
3,
Nickolas A. Lavidis
1 and
Jereme G. Spiers
3,*
1
School of Biomedical Sciences, The University of Queensland, St Lucia 4072, Australia
2
WT-MRC Institute of Metabolic Science, University of Cambridge, Cambridge CB2 0QQ, UK
3
Department of Biochemistry and Genetics, La Trobe Institute for Molecular Science, La Trobe University, Bundoora 3083, Australia
*
Authors to whom correspondence should be addressed.
Antioxidants 2020, 9(9), 853; https://doi.org/10.3390/antiox9090853
Submission received: 15 July 2020 / Revised: 8 September 2020 / Accepted: 9 September 2020 / Published: 11 September 2020
(This article belongs to the Special Issue Keap1/Nrf2 Signaling Pathway)
Browse Figures
Versions Notes

Abstract

:
Hepatic glutathione synthesis and antioxidant protection are critically important for efficient detoxification processes in response to metabolic challenges. However, this biosynthetic pathway, regulated by nuclear factor (erythroid-derived 2)-like 2 (Nrf2), previously demonstrated paradoxical repression following exposure to glucocorticoid stress hormones in cultured hepatic cells. Therefore, the present study used an in vivo model of sub-acute psychological stress to investigate the relationship between hepatic corticosteroid regulation and antioxidant systems. Male Wistar rats were kept under control conditions or subjected to six hours of restraint stress applied for 1 or 3 days (n = 8 per group) after which the liver was isolated for assays of oxidative/nitrosative status and expression of corticosteroid regulatory and Nrf2-antioxidant response element pathway members. A single stress exposure produced a significant increase in the expression of corticosterone reactivator, 11-beta-hydroxysteroid dehydrogenase 1 (11β-Hsd1), while the 11β-Hsd2 isozyme and corticosteroid-binding globulin were down-regulated following stress, indicative of an elevated availability of active corticosterone. Exposure to restraint significantly decreased hepatic concentrations of total cysteine thiols and the antioxidant reduced glutathione on Day 1 and increased 3-nitrotyrosinated and carbonylated proteins on Day 3, suggestive of oxidative/nitrosative stress in the liver following stress exposure. Conversely, there was a sustained down-regulation of Nrf2 mRNA and protein in addition to significant reductions in downstream glutamate-cysteine ligase catalytic subunit (Gclc), the rate-limiting enzyme in glutathione synthesis, on Day 1 and 3 of stress treatment. Interestingly, other antioxidant genes including superoxide dismutase 1 and 2, and glutathione peroxidase 4 were significantly up-regulated following an episode of restraint stress. In conclusion, the results of the present study indicate that increased expression of 11β-Hsd1, indicative of elevated tissue glucocorticoid concentrations, may impair the Nrf2-dependent antioxidant response.

Graphical Abstract

1. Introduction

Glucocorticoids (cortisol and corticosterone) are the main effector hormones of the hypothalamic-pituitary-adrenal (HPA) axis and their levels dynamically increase with exposure to physiological and psychological stressors. Termination of the stress response is mediated by glucocorticoids via negative feedback to the anterior pituitary, hypothalamus, and extra-hypothalamic centers which reduces HPA axis flux to restore homeostasis [1,2]. According to the free hormone hypothesis, this feedback is mediated by the unbound, physiologically active glucocorticoids that are able to cross the blood-brain barrier and bind glucocorticoid receptors [3]. It was estimated that about 5% of glucocorticoids circulate freely, while 80–90% bind to corticosteroid-binding globulin (CBG; formally transcortin), and 5–10% bind non-specifically to albumin in the bloodstream [4,5]. Previous reports demonstrated that CBG, produced primarily in the liver, plays an important role in regulation of the stress response, with reductions in CBG expression transiently increasing free glucocorticoid bioavailability [6,7,8,9]. The action of glucocorticoids on target tissues is mediated by glucocorticoid (GR) and mineralocorticoid (MR) receptors which exert canonical nuclear hormone receptor effects and rapid non-genomic membrane-associated activity [10]. In addition to circulating concentrations, local tissue levels of glucocorticoids can be modulated by two isozymes of 11β-hydroxysteroid dehydrogenase (11β-HSD) [11]. The type one 11β-HSD (11β-Hsd1) isozyme predominantly possesses reductase activity and catalyzes the NADPH-dependent conversion of inert cortisone and 11-dehydrocorticosterone to active cortisol and corticosterone, respectively [12]. We previously showed that an up-regulation of 11β-Hsd1 expression in extra-hypothalamic regions may facilitate negative feedback suppression of the HPA axis following acute stress [13]. The second isozyme (11β-Hsd2) requires NAD+ as co-factor and exclusively possesses dehydrogenase activity which acts to rapidly inactivate glucocorticoids by converting cortisol/corticosterone back to their respective keto-forms [14]. A critical role of 11β-Hsd2 is to protect the MR from promiscuous activation by promoting glucocorticoid metabolism, thereby safeguarding the activity of aldosterone as the principal physiological agonist of MR in aldosterone-sensitive regions [15,16].
Several animal studies reported substantial hepatocellular damage in the form of elevated liver enzymes following acute and chronic stress [17,18,19,20]. This is often accompanied by increased markers of oxidative stress, including increased oxidized glutathione (GSSG), lipid peroxidation, nitrite and nitrate (NOx), and myeloperoxidase activity in the liver following stress [17,19,21]. This stress-induced imbalance in reduction/oxidation (redox) state is simultaneously observed with decreased antioxidant components including reduced glutathione (GSH), superoxide dismutase (SOD), catalase, and ascorbic acid [21,22]. A major mechanism in the cellular defense against oxidative stress is activation of nuclear factor erythroid 2 (NFE2)-related factor 2 (Nrf2). Following nuclear translocation, activated Nrf2 binds to antioxidant response elements (ARE) to regulate phase II detoxifying enzymes such as glutamate-cysteine ligase, glutathione peroxidase (GPx), heme oxygenase 1 (Hmox1), and quinone oxidoreductase 1 (Nqo1) [23]. Studies using Nrf2 knockout mice demonstrated substantial susceptibility to a broad range of chemical toxicities and disease conditions associated with oxidative pathology [24,25,26]. Interestingly, work by Kratschmar and colleagues [27] showed that hepatic Nrf2 is suppressed in response to increased activity of 11β-Hsd1 in vitro. However, the relationship between hepatic corticosteroid regulation and antioxidant systems following psychological stress in vivo has not been well characterized. The present study used an in vivo model of sub-acute psychological stress to investigate the relationship between hepatic corticosteroid regulation and antioxidant systems following stress exposure.

2. Materials and Methods

2.1. Animals

Ethics approval was obtained from the University of Queensland Animal Ethics Committee under approval number SBS/456/14/URG. Male Wistar rats (298.3 ± 4.1 g) aged 7–8 weeks were bred and sourced from The University of Queensland Biological Resources and housed in groups of four within the Australian Institute of Biotechnology and Nanotechnology animal facility. Rats were housed in a colony room with controlled temperature (22 ± 2 °C) and humidity; (55 ± 5%) on a 12-h light-dark cycle (lights on at 07.00 h) with food and water provided ad libitum. Rats were habituated to handling for 10 min per day over six consecutive days prior to experimentation.

2.2. Experimental Protocol

Rats were randomly allocated into treatment groups of no stress (unstressed; US), acute (1 Day, single episode of 6 h), or repeated restraint stress (3 Days, 6 h per day) from 9.00 h to 15.00 h using adjustable wire mesh restrainers (n = 8 per group). Rats were transported on each treatment day to an experimental room within the same animal facility and were acclimated for 1 h prior to any experimental procedures. At the end of the treatment, rats were immediately anesthetized with Pentobarbital Sodium (100 mg/kg, intraperitoneal injection; Lethabarb, Virbac) and whole blood samples were collected via cardiac puncture into ice-chilled tube containing heparin (20 IU/mL blood). Blood samples were centrifuged at 2000× g and the resultant plasma was collected and stored at −80 °C for measurement of total corticosterone levels. Liver tissues were quickly snap-frozen for later relative mRNA expression, biochemical, Western blotting, and immunofluorescence analysis.

2.3. Plasma Corticosterone Measurements

Total plasma corticosterone concentrations were determined using DetectX® Corticosterone Enzyme Immunoassay Kit (Cat. No. K014-H1; Arbor AssaysTM, Ann Arbor, MI, USA) according to the manufacturers’ instructions.

2.4. mRNA Expression

For the analysis of gene expression, total RNA was isolated from liver tissues using the RNeasy mini kit (QIAGEN, Doncaster, Australia) and further purified with deoxyribonuclease 1 treatment (QIAGEN) according to the supplier’s protocol. Extracted RNA concentrations and purity were measured using the Nanodrop 2000c spectrophotometer and Agilent 2100 Bioanalyzer respectively. Agilent RNA 6000 Nano Kits were used to determine the RNA integrity values, with an average RIN = 9.23 for all samples analyzed. Subsequently, 2 µg of RNA was reverse transcribed into cDNA using the iScriptTM reverse transcription supermix, including controls omitting the reverse transcriptase (Bio-Rad Laboratories, Gladesville, Australia). The cDNA was amplified using gene specific TaqManTM Gene Expression Assays (Applied Biosystems, Foster City, CA, USA) for the genes listed in Table 1. No amplification was observed in the template omission or reverse transcriptase omission controls. Target gene expression was determined relative to a primer-limited and well-characterized VIC-labeled β-actin (Actb; Applied Biosystems) using the formula 2-ΔCt where ΔCt = (Ct target gene − Ct ACTB) and expressed relative to unstressed controls. No changes were observed in target gene amplification efficiency using this multiplex reaction system.

2.5. Preparation of Liver Tissue for Biochemical Assays

Biochemical assays of oxidative and nitrosative status were performed in isolated liver tissues homogenized (IKA® Ultra-Turrax® T10) in 7.5 volumes (w/v) of Tris-HCl (0.05 M, pH = 7.4) containing a cocktail of protease inhibitors (Cat no S8830, Sigma-Aldrich, Castle Hill, Australia). An aliquot of liver crude homogenate was removed for GSH and GSSG determination. This aliquot was loaded with an acidic solution containing 10% trichloroacetic acid (w/v) in 0.1 M potassium phosphate buffer containing 5 mM EDTA (KPE buffer; pH = 7.5) and left on ice for 5 min prior to centrifugation at 10,000× g for 5 min to prevent the oxidation of reduced GSH. The remaining crude homogenate was centrifuged at 10,000× g for 10 min at 4 °C and the supernatant was used for the determination of free cysteine thiols, general oxidative status, protein carbonylation, lipid peroxidation, and 3-nitrotyrosine with corresponding protein concentrations.

2.6. Reduced and Oxidized Glutathione

Reduced GSH and GSSG concentrations were determined as described previously by our group [13] with slight modifications. Liver homogenates deproteinated with trichloroacetic acid were further treated with or without N-ethylmaleimide and redox quenched samples were loaded with the fluorophore O-phthaldialdehyde (OPA). Samples were incubated for 30 min in the dark and fluorescence was determined using a POLARstar OPTIMA (BMG Labtechnologies, Offenburg, Germany) with excitation and emission filters set at 365 nm and 430 nm, respectively. GSH and GSSG levels were subsequently adjusted to corresponding total protein concentrations, and expressed as percentage change relative to unstressed values.

2.7. Free Thiol Detection

The Thiol Detection Assay Kit (Cat no: 700340, Cayman Chemical, Ann Arbor, MI, USA) was used to determine liver free thiol content according to the manufacturer’s instructions and presented as nM per mg protein.

2.8. General Oxidative Status

General oxidative status was determined in liver samples as described in our previous work [28] with slight modifications. A working solution of 100 μM 2′,7′-dichlorofluorescein diacetate (DCFH-DA) was prepared in 0.05 M of Tris-HCl. Diluted supernatant of liver homogenate was loaded with 50 μL of 100 μM DCFH-DA and incubated for 30 min at 37 °C. Sample fluorescence was measured by POLARstar® OPTIMA microplate reader (BMG Labtechnologies) with excitation and emission filters set at 485 nm and 520 nm respectively. Data was normalized with corresponding protein concentrations and expressed as arbitrary fluorescence units (AU) per mg protein.

2.9. Lipid Peroxidation

The peroxidation of lipid in hepatic tissue was determined using a thiobarbituric acid-reactive-substances (TBARS) assay as described in our previous work [29]. The reacted malondialdehyde (MDA)-thiobarbituric (TBA) adduct in the supernatant of liver homogenate was extracted with n-butanol and measured fluorometrically at 544 nm (excitation) and 590 nm (emission) using the POLARstar OPTIMA microplate reader. Sample values were quantified from a standard curve using 1,1,3,3-tetraethoxypropane as an external standard, corrected for corresponding protein concentrations, and expressed as nM per mg of protein.

2.10. Protein Carbonyl

Protein-bound carbonyls were determined via a protein carbonyl assay kit (Cat no: 10005020, Cayman Chemical). The assay uses the covalent reaction of 2,4-dinitrophenylhydrazine with the carbonylated protein side chain and the amount of protein–hydrazone produced is quantified spectrophotometrically at 370 nm. The results were calculated using the extinction coefficient of 22 mM−1cm−1 for aliphatic hydrazones, corrected for corresponding protein concentrations, and expressed as nmol per mg protein.

2.11. 3-Nitrotyrosine

Quantification of 3-nitrotyrosine modified proteins in liver supernatant was performed using a commercially available ELISA kit (Cat no: ab116691, Abcam, Cambridge, MA, USA). Unknown concentrations were determined from 3-NT bovine serum albumin standard equivalents, corrected for corresponding protein concentrations, and expressed as ng per mg protein.

2.12. Immunofluorescence

Snap-frozen liver tissues were cut into 12 μm sections, mounted, washed three times in phosphate-buffered saline, and subsequently fixed for 15 min with phosphate-buffered paraformaldehyde (4%, w/v). Citrate antigen retrieval was performed for 20 min at 95 °C prior to blocking in normal goat serum and overnight incubation with primary antibodies against Sod1 (1:200 dilution; Cat no: ADI-SOD-100-D, Enzo Life Sciences, Plymouth Meeting, PA), 4-hydroxy-2-nonenal (4-HNE; 1:200 dilution; Cat no: ab46545, Abcam), and Nrf2 (1:50 dilution; Cat no: NBP1-32822, Novus Biologicals, Littleton, CO, USA) at 4 °C. Secondary antibodies (1:500 dilution; Alexa FluorTM 488 goat anti-rabbit, Invitrogen, Mt Waverley, VIC, Australia) were subsequently applied and sections were counterstained with Hoechst 33342 (1:2000 dilution; ThermoFisher Scientific, San Diego, CA, USA). Sections were imaged at 20× magnification and at 63× for NRF2 nuclear localization under confocal microscopy (Zeiss LSM 780) and ImageJ was used for further analysis of Sod1, 4-HNE, and Nrf2 immunofluorescence.

2.13. Western Blotting

Liver tissues were prepared and lyzed using a buffer containing 20 mM Tris (pH 7.5), 1% Triton X-100 (v/v), and protease inhibitors. The protein concentration of each sample was determined by the bicinchoninic acid method and equal amounts of protein (20 μg) were separated by electrophoresis on Bolt™ 4 to 12% Mini Protein Gels (ThermoFisher). After electrophoresis, the proteins were transferred to polyvinylidene difluoride membranes, followed by nonspecific blocking (5% w/v skimmed milk in phosphate-buffered saline with 0.05% v/v Tween® 20) for 1 h at room temperature. The membranes were then incubated with primary antibodies against Sod1 (1:1000 dilution; Cat no: ADI-SOD-100-D, Enzo Life Sciences) and Nrf2 (1:500 dilution; Cat no: NBP1-32822, Novus Biologicals) overnight at 4 °C. After 4–5 washes, the membranes were treated with the appropriate secondary antibodies (1:15,000 dilution; IRDye® 680RD and IRDye® 800CW Infrared Dyes, Li-Cor, Lincoln, NE) for 1 h. β-actin (1:3000 dilution; Cat no: ab6276, Abcam) was used as the internal loading control for all of the Western blotting experiments. The blots were visualized using the Odyssey® CLx Infrared Imaging System (Li-Cor).

2.14. Protein Determination

Protein was determined using commercially available Red660TM protein kit (G-Biosciences, St. Louis, MO, USA) using bovine serum albumin as a standard.

2.15. Statistical Analyses

All data were expressed as mean ± standard error of the mean (±SEM). Statistical comparisons were performed using GraphPad Prism (Version 8.0.1, GraphPad Software Inc., San Diego, CA, USA) with p ≤ 0.05 considered to be statistically significant. Data were first analyzed for normality using the Brown-Forsythe test. One-way ANOVA with Fisher’s least significant difference (LSD) test was used to compare normally distributed data. Non-parametric Kruskal-Wallis ANOVA with Dunn’s multiple comparisons test was used for data sets with significantly different standard deviations.

3. Results

3.1. Restraint Stress-Induced Corticosterone Was Accompanied by Altered Hepatic Expression of Glucocorticoid Bioavailability Mediators

Restraint stress significantly increased plasma corticosterone above values of unstressed controls following a single episode (p < 0.05) and repeated restraint stress (p < 0.01) exposure (Figure 1A). The availability of GR governs subsequent corticosteroid responsiveness, and in the present study, mRNA expression of GR (Nr3c1) in the liver was significantly down-regulated following 3 days (p < 0.01) of repeated stress (Figure 1B). The negative acute phase protein, CBG, is synthesized and secreted by the liver to modulate tissue availability of glucocorticoids. In the present study, stress treatment significantly down-regulated hepatic expression of CBG (Serpina6) following 3 days (p < 0.05) of repeated restraint (Figure 1C). The 11β-Hsd1 enzyme converts inactive glucocorticoids into active corticosterone, and stress significantly increased Hsd11b1 mRNA levels following 1 day (p < 0.01) of stress relative to unstressed controls (Figure 1D). Concurrently, Hsd11b2 mRNA expression was significantly down-regulated following both day 1 and 3 (p < 0.05) of stress treatment (Figure 1E). Together, increased 11β-Hsd1 and decreased 11β-Hsd2 expression indicates an increased capacity for regeneration of active glucocorticoids locally in hepatic tissue.

3.2. Restraint Stress-Induced Hepatic Oxidative and Nitrosative Imbalance and Oxidative Damage

In the present study, we used established biochemical and molecular indicators to demonstrate the profile of redox changes within the liver following acute and repeated restraint stress. Free thiols are essential antioxidant mediators with the capacity to maintain redox homeostasis and include thiol/disulfide redox couples such as 2GSH/GSSG, thioredoxins, and other cysteine-containing proteins. As shown in Figure 2A, free cysteine thiol content in the liver was significantly reduced following 1 (p < 0.01) and 3 (p < 0.001) days of restraint stress. Moreover, stress exposure significantly reduced levels of hepatic GSH (Figure 2B) and increased levels of hepatic GSSG (Figure 2C). Together, these results suggest that acute and repeated stress induces a pro-oxidative state through a loss in GSH/GSSG redox balance in the liver.
Superoxide dismutase, a key cellular antioxidant, acts to enzymatically eliminate superoxide radicals (O2−). The mRNA expression of copper-zinc superoxide dismutase (Sod1; Cu, Zn-SOD) and manganese-dependent superoxide dismutase (Sod2; Mn-SOD) were both up-regulated in the liver following 1 day (p < 0.01) of stress (Figure 2D,E). As shown in Figure 3A,B there was also a significant increase in Sod1 signal within the liver following 3 days (p < 0.01) of restraint stress. A similar protein expression pattern of Sod1 was demonstrated by Western blot (a representative blot is shown in Figure 3C). Even though the antioxidant activity of catalase was suggested to be highest in the liver to eliminate H2O2, we observed a significant down-regulation of liver catalase (Cat) mRNA expression following 3 days (p < 0.01) of repeated restraint stress when compared to unstressed controls (Figure 2F).
The effects of stress on the general oxidative status in the liver was determined using DCFH-DA. The oxidation of H2DCF to DCF was highest following 1 day (p < 0.01) of acute stress (Figure 4A). Stress was also highly effective at increasing hepatic peroxidation of lipids following both acute (p < 0.01) and repeated (p < 0.05) stress (Figure 4B). Furthermore, we found a significant increase in immunoreactivity for 4-HNE, a major cytotoxic end product of lipid peroxidation, following 1 (p < 0.01) and 3 (p < 0.001) days of restraint stress in the liver (Figure 5A,B). Protein carbonylation represents an irreversible post-translational modification formed during oxidative stress conditions. We found that stress significantly increased hepatic carbonylated proteins following 3 days (p < 0.001) of repeated stress (Figure 4C).
We further found that the level of 3-nitrotyrosine was significantly increased in the liver following 3 days (p < 0.01) of repeated restraint stress (Figure 4D). Peroxynitrite forms through the reaction of nitric oxide (NO) with O2−; and expression of both NO-catalyzing enzymes abundantly present in the liver, inducible (Nos2; p < 0.01) and endothelial (Nos3; p < 0.05) nitric oxide synthase, was up-regulated following 1 day of stress exposure (Figure 4E,F).

3.3. Nrf2 Was Robustly Down-regulated Following Short-Term Stress in the Liver

Despite a pro-oxidative state following stress, expression of Nrf2 (Nfe2l2), the master regulator of an array of detoxifying and antioxidant defense genes, was strongly down-regulated following both stress time-points (p < 0.001) in the liver (Figure 6A). Down-regulation of Nrf2 protein expression following 3 days of stress was further demonstrated using immunoblotting (Figure 6B) and confirmed by immunofluorescence analysis of nuclear localization and whole tissue sections (Figure 7A–C). Analogous to Nrf2, nuclear factor erythroid-2–related factor 1 (Nrf1; Nfe2l1) is also known to be essential for maintaining redox homeostasis and coordinating cellular stress responses. The expression of Nfe2l1 in the liver was transiently up-regulated following a single episode of stress (Figure 6C). Some of the classical Nrf2 target genes involved in antioxidant defense include enzymes responsible for GSH synthesis (Gclc, glutamate-cysteine ligase catalytic subunit, and glutathione synthetase) and reduction of hydrogen peroxide (GPx family of enzymes). We found that expression of Gclc, the rate-limiting enzyme responsible for GSH production, was significantly reduced in the liver following 1 (p < 0.01) and 3 (p < 0.001) days of restraint stress when compared to unstressed controls (Figure 6D). Furthermore, glutathione peroxide 4 (Gpx4) was significantly up-regulated following one (p < 0.01) episode of stress exposure (Figure 6E). Interestingly, hepatic expression of Kelch-like ECH-associated protein 1 (Keap1), the specific repressor responsible for Nrf2 sequestration in the cytoplasm, was down-regulated following 3 days (p < 0.05) of stress (Figure 6F).

3.4. Phase II Detoxifying Enzymes Including Hmox1 and Nqo1 Were Up-regulated Following Restraint Stress

One of the most extensively studied phase II detoxifying/antioxidant enzymes, Hmox1, is an essential enzyme in heme catabolism, cleaving heme to release carbon monoxide, ferrous iron (Fe2+), and biliverdin. Following both 1 (p < 0.01) and 3 (p < 0.05) days of stress treatment, the mRNA expression of Hmox1 was up-regulated in the liver (Figure 8A). Similarly, another Nrf2 target gene, Nqo1, was up-regulated following both 1 day (p < 0.01) and 3 days (p < 0.05) of stress relative to unstressed controls (Figure 8B). Figure 8C shows a significant up-regulation in Forkhead box protein O1 (Foxo1) mRNA expression, an alternative mediator of the Keap1/Nrf2/ARE pathway, following 3 days (p < 0.05) of repeated stress exposure. Finally, the mRNA expression of the epigenetic sensor, bromodomain-containing protein 4 (Brd4), known to regulate the Nrf2/Keap1 axis, showed a minor, albeit significant, up-regulation following 1 day (p < 0.01) of restraint stress (Figure 8D).

4. Discussion

The present study used a model of acute repeated restraint stress to investigate the relationship between high levels of glucocorticoids, redox balance, and the Nrf2-dependent and independent antioxidant responses in the liver. We showed that stress modulates local mediators of glucocorticoid bioavailability, including CBG and 11β-HSDs, reduces cellular antioxidant defense capacity likely via suppression of Nrf2-mediated GSH production, and induces an overall hepatic oxidative and nitrosative stress. This is in agreement with previous study by Kratschmar and colleagues [27], using cultured hepatic cells, which demonstrated that Nrf2 expression shared an inverse relationship with 11β-Hsd1, with an increase in the latter resulting in an impaired cellular oxidant neutralization response.
The observed elevation in circulating corticosterone at both stress time-points was accompanied by a down-regulation of GR (Nr3c1) and CBG (Serpina6) following 3 days of repeated acute stress. Fluctuations in CBG levels can directly affect glucocorticoid bioavailability through its property as a high-affinity corticosteroid-binding protein. Previous studies demonstrated down-regulation in CBG expression increases the free (unbound) fraction of glucocorticoids following both acute and chronic stressors [7,8]. This down-regulation is regulated by glucocorticoids at a transcriptional level via the GR which leads to C/EBPβ recruitment to the Cbg promoter [30]. The availability of tissue glucocorticoids is also governed via intracellular metabolism by 11β-HSDs. Although it was reported that 11β-Hsd1 can possess bidirectional enzymatic activity, the increase in its expression in vivo is believed to function as a reductase to generate active glucocorticoid, thus enhancing GR activation [31,32]. While 11β-Hsd2 acts exclusively as a dehydrogenase, the observed reduction in the present study following both stress time-points suggests there is reduced capacity to deactivate corticosterone [33]. Taken together, increased total circulating corticosterone and increased expression of 11β-Hsd1 with reduced expression of 11β-Hsd2 and CBG suggest that local hepatic tissues experience high levels of bioactive glucocorticoid resulting in GR down-regulation following stress.
As the end product of the HPA axis, glucocorticoids regulate multiple aspects of energy metabolism in the adaptive response to stress, including hepatic gluconeogenesis [34]. However, during the course of energy production, stress-induced glucocorticoids have been shown to be a causative factor of oxidative stress, inflammation, and damage within the liver [35]. Consistent with this observation, we showed a decrease in GSH and an increase in the product of GSH oxidation (GSSG), following 1 and 3 days of restraint stress, indicative of hepatic oxidative stress. There was also a sustained stress-induced decrease in free cysteine thiols, the immediate precursor of GSH, which further suggests an altered glutathione redox balance. Interestingly, the delayed increase in oxidized GSSG despite significant reductions in GSH and cysteine thiols suggests that GSSG formation may be secondary to other reactions that remove GSH from the measurable thiol pool. A likely candidate would be S-glutathionylation, a post-translational protein modification that was shown to increase in response to oxidative stress in primary rat hepatocytes and is involved in approximately 10% of 4-HNE disposition in the rat liver [36,37]. Additionally, Yu and Long [38] demonstrated that cysteine is the primary amino acid regulating cellular GSH homeostasis using hepatocellular carcinoma cells. Prior studies also demonstrated that a deficiency in intracellular cysteine can trigger a unique iron-dependent form of nonapoptotic cell death, termed ferroptosis, primarily due to failure in synthesizing GSH [39,40]. The expression profile of other antioxidant enzymes including Cu, Zn-SOD and mitochondrial Mn-SOD were also examined, with both becoming up-regulated following 6 hours of restraint, while hepatic catalase was down-regulated following 3 days of acute repeated stress. This is in agreement with a previous study employing longer stress durations where both immobilization and cold stress led to increased Cu, Zn-SOD and decreased catalase activities in the rat liver [41].
Further evidence that stress treatment induced liver redox imbalance were the increases in the general oxidative status, markers of lipid peroxidation, and protein oxidation in the liver of rats subjected to restraint stress. In agreement with the present study, Rajaraman and colleagues [42] showed that treatment with the synthetic glucocorticoid, dexamethasone, significantly increased DCF fluorescence together with higher lactate dehydrogenase release, indicating a general increase in reactive oxygen species and hepatocellular damage. As one of the mechanisms of stress-induced liver injury, lipid peroxidation was examined in the present study by both MDA formation and immunohistochemical staining for 4-HNE. Studies demonstrated that accumulation of lipid hydroperoxides induces ferroptosis driven by GSH depletion and/or loss of lipid-protective GPx4 enzyme activity [40,43]. Dodson and colleagues [44] provided further evidence that Nrf2 plays a pivotal role in preventing this process by transcriptionally regulating anti-ferroptotic and antioxidant genes, which equilibrates iron/heme metabolism and reduces lipid peroxidation. Furthermore, we also observed an increased level of carbonylated proteins following 3 days of acute repeated stress. Previous studies demonstrated similar increases in hepatic protein oxidation following physiological stress employing acute exhaustive exercise [45,46]. In addition to protein carbonylation, we examined the effects of acute repeated stress on another form of post-translational protein modification caused by higher concentrations of nitrating species. The increase in 3-NT following 3 days of repeated stress represents a footprint of peroxynitrite formation and increased mitochondrial superoxide formation. Interestingly, Zhu and colleagues [47] demonstrated that Cu, Zn-SOD activity is crucial for the catalysis of hepatic protein nitration in murine models of metabolic stress. It is well established that hepatotoxic agents including lipopolysaccharide and acetaminophen induce excessive tyrosine-nitrated proteins accompanied by a marked up-regulation of inducible nitric oxide synthase expression [48,49,50,51]. In our stress model, we showed that there was also an up-regulation of inducible and endothelial NOS following a single episode of stress. Similar effects were observed in our previous studies in the central nervous system [52,53]. Zhang and colleagues [54] reported that the inducible NOS inhibitor, L-iminoethyl-lysine, reverses metabolic stress-induced GSH depletion, lipid peroxidation, and 4-HNE accumulation in the rat liver. Conversely, using a human NOS3 adenoviral vector, overexpression of endothelial NOS increased levels of nitrotyrosine, markers of liver injury, and apoptosis in mice following ischemia/reperfusion [55]. The authors also suggested that the observed liver injury was likely due to NO-induced inhibition of mitochondrial respiration in the endothelial NOS-overexpressing mice. Together, these studies suggest that both the inducible and endothelial form of NOS are capable of producing excessive NO to cause the observed peroxynitrite-mediated 3-NT and 4-HNE formation.
Despite the observed stress-induced oxidative and nitrosative stress in the liver, the expression of transcription factor Nrf2 was robustly down-regulated. Immunofluorescence analysis revealed that Nrf2 was shuttled into the nucleus following 1 day of stress exposure, whereas no nuclear Nrf2 signal was observed at day 3. Nuclear Nrf2 is likely redirected from a pool of existing Nrf2 protein and may be responsible for the observed transient up-regulation of antioxidant enzymes, including Sod isoforms and Gpx4. Numerous studies previously demonstrated that covalent modification of Nrf2 by phosphorylation/dephosphorylation and acetylation/deacetylation modulates Nrf2 nuclear translocation/export and degradation [56,57]. The compelling observation of Nrf2 down-regulation in hepatic tissues was also demonstrated in a previous in vitro study [27]. Using HEK-293 cells, Kratschmar and colleagues [27] demonstrated that activation of GR under physiological concentrations of glucocorticoids significantly suppressed Nrf2 transactivation capacity. Furthermore, Nrf2 activity was reduced following cortisol or cortisone incubation in H4IIE cells transiently transfected with rat 11β-Hsd1, with either GR antagonist or 11β-Hsd1 inhibitor reversing this glucocorticoid-dependent inhibition. It was suggested that recruitment of corepressors including silencing mediator for retinoid and thyroid hormone receptors (SMRTs) and nuclear receptor corepressor (N-CoRs) may be responsible for this GR-steroid complex-mediated Nrf2 repression [58]. Conversely, although expression of the related transcription factor, Nrf1, showed a modest up-regulation following acute stress, this minor change is unlikely to translate into a biologically relevant response. The observed down-regulation of Nrf2 does not seem to be associated with the Keap1 repressor at the transcriptional level. However, accumulating studies have now demonstrated alternative, Keap1-independent mechanisms of Nrf2 regulation, including phosphorylation of Nrf2 by protein kinases, interactions with other protein partners, and epigenetic factors [59,60,61]. The expression of Gclc, one of the primary Nrf2-controlled antioxidant enzymes, was down-regulated at both time-points examined. As a rate-limiting catalyst in the first step of GSH biosynthesis, the down-regulation of Gclc indicates that there is potentially no compensation for the loss in GSH observed in the present study. Previous work observed similar effects where transcripts encoding both subunits of glutamate-cysteine ligase were robustly reduced in Nrf2 knockout fibroblasts and liver tissues [62]. Furthermore, we observed that Gpx4 was paradoxically increased following a single episode of restraint stress. It was well documented that Gpx4 is essential to reduce lipid peroxides and acts as a central endogenous suppressor of ferroptosis [63,64,65]. While the observed up-regulation in hepatic Gpx4 expression may offer some cellular protection, the induction is transient, relatively low, and does not offset the loss of GSH or accumulation of 3-NT and 4-HNE.
The expression of two other ARE-regulated phase II detoxifying enzymes, Hmox1 and Nqo1, was strongly up-regulated in the liver following 1 and 3 days of restraint stress. Although both enzymes were been shown to be regulated by Nrf2, several studies reported alternative regulation by transcription factor Foxo1 which specifically induces Hmox1 gene transcription by direct DNA binding, independent of Nrf2 [66,67,68]. Wang and colleagues [69] further demonstrated that protein expression of both Hmox1 and Nqo1 were significantly up-regulated in Foxo1-overexpressing murine cells and attenuated high glucose-induced oxidative stress. The observed up-regulation in Foxo1 expression in the present study may be an important alternative factor driving antioxidant gene transcription during a state of GR-steroid complex-mediated Nrf2 repression. Furthermore, emerging studies on the epigenetic regulator Brd4 showed a modulatory role on the Nrf2-Keap1-ARE signaling pathway [70,71,72]. Although the minor change in Brd4 suggests this is not biologically relevant to stress regulation in the liver, knockdown of Brd4 was previously shown to robustly down-regulate both Hmox1 gene and protein expression in HEK293T cells [70]. Together, these findings provide insights into the alternative transcriptional regulatory network of the cellular response to stress-induced hepatic oxidative stress.
Stress-induced oxidative stress appears to generate a tissue specific response that in the liver, is characterized by a robust and antithetical reduction in the Nrf2-Keap1-ARE signaling pathway. This results in substantial reductions in GSH/cysteine thiol-mediated cellular antioxidant capacity and increased oxidative damage to lipids and proteins. Moreover, despite high levels of circulating glucocorticoids, local hepatic tissue levels of corticosterone are likely potentiated further by a systematic increased in bioavailability mediated by reduced protein binding and increased reactivation. Our findings indicate that the liver displays an unusual physiological response to restraint stress that appears to exacerbate oxidative stress likely by impairing the canonical Nrf2-Keap1-ARE signaling pathway and the tissue’s antioxidant capacity.

Author Contributions

H.-J.C.C.: Conceptualization, Methodology, Data curation, Formal analysis, Writing—original draft; T.Y.: Data curation; J.K.L.: Data curation; J.J.: Data curation; C.S.: Supervision, Writing—review & editing; A.F.H.: Resources, Writing—review & editing; N.A.L.: Funding acquisition, Resources, Writing—review & editing; J.G.S.: Conceptualization, Methodology, Data curation, Formal analysis, Supervision, Writing—review & editing. All authors have read and agreed to the published version of the manuscript.

Funding

This work was supported by a University of Queensland Research Grant. This funding body had no further role in the study design; in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit the paper for publication.

Acknowledgments

We would like to thank the animal technicians from the University of Queensland Biological Resources animal house for animal husbandry. We acknowledged the La Trobe University Bioimaging Platform for microscopy support.

Conflicts of Interest

The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

References

  1. De Kloet, E.R.; Vreugdenhil, E.; Oitzl, M.S.; Joels, M. Brain corticosteroid receptor balance in health and disease. Endocr. Rev. 1998, 19, 269–301. [Google Scholar] [CrossRef] [PubMed]
  2. Gjerstad, J.K.; Lightman, S.L.; Spiga, F. Role of glucocorticoid negative feedback in the regulation of HPA axis pulsatility. Stress 2018, 21, 403–416. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  3. Mendel, C.M. The Free Hormone Hypothesis: A Physiologically Based Mathematical Model*. Endocr. Rev. 1989, 10, 232–274. [Google Scholar] [CrossRef] [PubMed]
  4. Siiteri, P.K.; Murai, J.T.; Hammond, G.L.; Nisker, J.A.; Raymoure, W.J.; Kuhn, R.W. The serum transport of steroid hormones. Recent Prog. Horm. Res. 1982, 38, 457–510. [Google Scholar]
  5. Perogamvros, I.; Ray, D.W.; Trainer, P.J. Regulation of cortisol bioavailability—Effects on hormone measurement and action. Nat. Rev. Endocrinol. 2012, 8, 717–727. [Google Scholar] [CrossRef]
  6. Tinnikov, A.A. Responses of Serum Corticosterone and Corticosteroid-Binding Globulin to Acute and Prolonged Stress in the Rat. Endocrine 1999, 11, 145–150. [Google Scholar] [CrossRef]
  7. Fleshner, M.; Deak, T.; Spencer, R.L.; Laudenslager, M.L.; Watkins, L.R.; Maier, S.F. A long-term increase in basal levels of corticosterone and a decrease in corticosteroid-binding globulin after acute stressor exposure. Endocrinology 1995, 136, 5336–5342. [Google Scholar] [CrossRef]
  8. Spencer, R.L.; Miller, A.H.; Moday, H.; McEwen, B.S.; Blanchard, R.J.; Blanchard, D.C.; Sakai, R.R. Chronic social stress produces reductions in available splenic type II corticosteroid receptor binding and plasma corticosteroid binding globulin levels. Psychoneuroendocrinology 1996, 21, 95–109. [Google Scholar] [CrossRef]
  9. Tannenbaum, B.; Rowe, W.; Sharma, S.; Diorio, J.; Steverman, A.; Walker, M.; Meaney, M.J. Dynamic Variations in Plasma Corticosteroid-Binding Globulin and Basal HPA Activity following Acute Stress in Adult Rats. J. Neuroendocr. 1997, 9, 163–168. [Google Scholar] [CrossRef]
  10. Groeneweg, F.L.; Karst, H.; De Kloet, E.R.; Joëls, M. Rapid non-genomic effects of corticosteroids and their role in the central stress response. J. Endocrinol. 2011, 209, 153–167. [Google Scholar] [CrossRef] [Green Version]
  11. Chapman, K.E.; Coutinho, A.E.; Zhang, Z.; Kipari, T.; Savill, J.S.; Seckl, J.R. Changing glucocorticoid action: 11β-Hydroxysteroid dehydrogenase type 1 in acute and chronic inflammation. J. Steroid Biochem. Mol. Biol. 2013, 137, 82–92. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  12. Tomlinson, J.W.; Walker, E.A.; Bujalska, I.J.; Draper, N.; Lavery, G.G.; Cooper, M.S.; Hewison, M.; Stewart, P.M. 11beta-hydroxysteroid dehydrogenase type 1: A tissue-specific regulator of glucocorticoid response. Endocr. Rev. 2004, 25, 831–866. [Google Scholar] [CrossRef] [PubMed]
  13. Spiers, J.G.; Chen, H.-J.C.; Cuffe, J.S.M.; Sernia, C.; Lavidis, N.A. Acute restraint stress induces rapid changes in central redox status and protective antioxidant genes in rats. Psychoneuroendocrinology 2016, 67, 104–112. [Google Scholar] [CrossRef] [PubMed]
  14. Seckl, J.R. 11beta-hydroxysteroid dehydrogenases: Changing glucocorticoid action. Curr. Opin. Pharmacol. 2004, 4, 597–602. [Google Scholar] [CrossRef] [PubMed]
  15. Ferrari, P.; Krozowski, Z. Role of the 11beta-hydroxysteroid dehydrogenase type 2 in blood pressure regulation. Kidney Int. 2000, 57, 1374–1381. [Google Scholar] [CrossRef] [Green Version]
  16. Diederich, S.; Eigendorff, E.; Burkhardt, P.; Quinkler, M.; Bumke-Vogt, C.; Rochel, M.; Seidelmann, D.; Esperling, P.; Oelkers, W.; Bahr, V. 11beta-hydroxysteroid dehydrogenase types 1 and 2: An important pharmacokinetic determinant for the activity of synthetic mineralo- and glucocorticoids. J. Clin. Endocrinol. Metab. 2002, 87, 5695–5701. [Google Scholar] [CrossRef] [Green Version]
  17. Ali, F.F.; Rifaai, R.A. Preventive effect of omega-3 fatty acids in a rat model of stress-induced liver injury. J. Cell Physiol. 2019, 234, 11960–11968. [Google Scholar] [CrossRef]
  18. Aziz, N.M.; Ragy, M.M.; Ahmed, S.M. Somatostatin analogue, Octreotide, improves restraint stress-induced liver injury by ameliorating oxidative stress, inflammatory response, and activation of hepatic stellate cells. Cell Stress Chaperones 2018, 23, 1237–1245. [Google Scholar] [CrossRef]
  19. Zhu, Q.; Gu, L.; Wang, Y.; Jia, L.; Zhao, Z.; Peng, S.; Lei, L. The role of alpha-1 and alpha-2 adrenoceptors in restraint stress-induced liver injury in mice. PLoS ONE 2014, 9, e92125. [Google Scholar] [CrossRef]
  20. Jia, H.M.; Li, Q.; Zhou, C.; Yu, M.; Yang, Y.; Zhang, H.W.; Ding, G.; Shang, H.; Zou, Z.M. Chronic unpredictive mild stress leads to altered hepatic metabolic profile and gene expression. Sci. Rep. 2016, 6, 23441. [Google Scholar] [CrossRef] [Green Version]
  21. Ohta, Y.; Chiba, S.; Tada, M.; Imai, Y.; Kitagawa, A. Development of oxidative stress and cell damage in the liver of rats with water-immersion restraint stress. Redox Rep. 2007, 12, 139–147. [Google Scholar] [CrossRef] [PubMed]
  22. Kim, H.G.; Lee, J.S.; Lee, J.S.; Han, J.M.; Son, C.G. Hepatoprotective and antioxidant effects of Myelophil on restraint stress-induced liver injury in BALB/c mice. J. Ethnopharmacol. 2012, 142, 113–120. [Google Scholar] [CrossRef] [PubMed]
  23. Tonelli, C.; Chio, I.I.C.; Tuveson, D.A. Transcriptional Regulation by Nrf2. Antioxid. Redox Signal. 2018, 29, 1727–1745. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  24. Chan, K.; Han, X.D.; Kan, Y.W. An important function of Nrf2 in combating oxidative stress: Detoxification of acetaminophen. Proc. Natl. Acad. Sci. USA 2001, 98, 4611–4616. [Google Scholar] [CrossRef] [Green Version]
  25. Klaassen, C.D.; Reisman, S.A. Nrf2 the rescue: Effects of the antioxidative/electrophilic response on the liver. Toxicol. Appl. Pharmacol. 2010, 244, 57–65. [Google Scholar] [CrossRef] [Green Version]
  26. Kensler, T.W.; Wakabayashi, N.; Biswal, S. Cell survival responses to environmental stresses via the Keap1-Nrf2-ARE pathway. Annu. Rev. Pharmacol. Toxicol. 2007, 47, 89–116. [Google Scholar] [CrossRef]
  27. Kratschmar, D.V.; Calabrese, D.; Walsh, J.; Lister, A.; Birk, J.; Appenzeller-Herzog, C.; Moulin, P.; Goldring, C.E.; Odermatt, A. Suppression of the Nrf2-dependent antioxidant response by glucocorticoids and 11beta-HSD1-mediated glucocorticoid activation in hepatic cells. PLoS ONE 2012, 7, e36774. [Google Scholar] [CrossRef] [Green Version]
  28. Spiers, J.G.; Chen, H.-J.C.; Sernia, C.; Lavidis, N.A. A combination of plant-derived odors reduces corticosterone and oxidative indicators of stress. Chem. Senses 2014, 39, 563–569. [Google Scholar] [CrossRef]
  29. Chen, H.-J.C.; Spiers, J.G.; Sernia, C.; Anderson, S.T.; Lavidis, N.A. Reactive nitrogen species contribute to the rapid onset of redox changes induced by acute immobilization stress in rats. Stress 2014, 17, 520–527. [Google Scholar] [CrossRef]
  30. Verhoog, N.; Allie-Reid, F.; Berghe, W.V.; Smith, C.; Haegeman, G.; Hapgood, J.; Louw, A. Inhibition of corticosteroid-binding globulin gene expression by glucocorticoids involves C/EBPbeta. PLoS ONE 2014, 9, e110702. [Google Scholar] [CrossRef] [Green Version]
  31. Jamieson, P.M.; Chapman, K.E.; Edwards, C.R.; Seckl, J.R. 11 beta-hydroxysteroid dehydrogenase is an exclusive 11 beta- reductase in primary cultures of rat hepatocytes: Effect of physicochemical and hormonal manipulations. Endocrinology 1995, 136, 4754–4761. [Google Scholar] [CrossRef]
  32. Jamieson, P.M.; Walker, B.R.; Chapman, K.E.; Andrew, R.; Rossiter, S.; Seckl, J.R. 11 beta-hydroxysteroid dehydrogenase type 1 is a predominant 11 beta-reductase in the intact perfused rat liver. J. Endocrinol. 2000, 165, 685–692. [Google Scholar] [CrossRef]
  33. Stewart, P.M.; Krozowski, Z.S. 11 beta-Hydroxysteroid dehydrogenase. Vitam. Horm. 1999, 57, 249–324. [Google Scholar]
  34. Kuo, T.; McQueen, A.; Chen, T.C.; Wang, J.C. Regulation of glucose homeostasis by glucocorticoids. Adv. Exp. Med. Biol. 2015, 872, 99–126. [Google Scholar]
  35. Joung, J.Y.; Cho, J.H.; Kim, Y.H.; Choi, S.H.; Son, C.G. A literature review for the mechanisms of stress-induced liver injury. Brain Behav. 2019, 9, e01235. [Google Scholar] [CrossRef]
  36. Fratelli, M.; Demol, H.; Puype, M.; Casagrande, S.; Villa, P.; Eberini, I.; Vandekerckhove, J.; Gianazza, E.; Ghezzi, P. Identification of proteins undergoing glutathionylation in oxidatively stressed hepatocytes and hepatoma cells. Proteomics 2003, 3, 1154–1161. [Google Scholar] [CrossRef]
  37. Sadhukhan, S.; Han, Y.; Jin, Z.; Tochtrop, G.P.; Zhang, G.F. Glutathionylated 4-hydroxy-2-(E)-alkenal enantiomers in rat organs and their contributions toward the disposal of 4-hydroxy-2-(E)-nonenal in rat liver. Free Radic. Biol. Med. 2014, 70, 78–85. [Google Scholar] [CrossRef] [Green Version]
  38. Yu, X.; Long, Y.C. Crosstalk between cystine and glutathione is critical for the regulation of amino acid signaling pathways and ferroptosis. Sci. Rep. 2016, 6, 30033. [Google Scholar] [CrossRef]
  39. Dixon, S.J.; Lemberg, K.M.; Lamprecht, M.R.; Skouta, R.; Zaitsev, E.M.; Gleason, C.E.; Patel, D.N.; Bauer, A.J.; Cantley, A.M.; Yang, W.S.; et al. Ferroptosis: An iron-dependent form of nonapoptotic cell death. Cell 2012, 149, 1060–1072. [Google Scholar] [CrossRef] [Green Version]
  40. Yang, W.S.; SriRamaratnam, R.; Welsch, M.E.; Shimada, K.; Skouta, R.; Viswanathan, V.S.; Cheah, J.H.; Clemons, P.A.; Shamji, A.F.; Clish, C.B.; et al. Regulation of Ferroptotic Cancer Cell Death by GPX4. Cell 2014, 156, 317–331. [Google Scholar] [CrossRef] [Green Version]
  41. Sahin, E.; Gumuslu, S. Stress-dependent induction of protein oxidation, lipid peroxidation and anti-oxidants in peripheral tissues of rats: Comparison of three stress models (immobilization, cold and immobilization-cold). Clin. Exp. Pharmacol. Physiol. 2007, 34, 425–431. [Google Scholar] [CrossRef]
  42. Rajaraman, G.; Wang, G.Q.; Yan, J.; Jiang, P.; Gong, Y.; Burczynski, F.J. Role of cytosolic liver fatty acid binding protein in hepatocellular oxidative stress: Effect of dexamethasone and clofibrate treatment. Mol. Cell. Biochem. 2006, 295, 27–34. [Google Scholar] [CrossRef]
  43. Ursini, F.; Maiorino, M. Lipid peroxidation and ferroptosis: The role of GSH and GPx4. Free Radic. Boil. Med. 2020, 152, 175–185. [Google Scholar] [CrossRef]
  44. Dodson, M.; Castro-Portuguez, R.; Zhang, D.D. NRF2 plays a critical role in mitigating lipid peroxidation and ferroptosis. Redox Boil. 2019, 23, 101107. [Google Scholar] [CrossRef]
  45. Korivi, M.; Hou, C.-W.; Huang, C.-Y.; Lee, S.-D.; Hsu, M.-F.; Yu, S.-H.; Chen, C.-Y.; Liu, Y.-Y.; Kuo, C.-H. Ginsenoside-Rg1 Protects the Liver against Exhaustive Exercise-Induced Oxidative Stress in Rats. Evid.-Based Complement. Altern. Med. 2011, 2012, 1–8. [Google Scholar] [CrossRef]
  46. Carfagna, S.; Napolitano, G.; Barone, D.; Pinto, G.; Pollio, A.; Venditti, P. Dietary Supplementation with the MicroalgaGaldieria sulphuraria(Rhodophyta) Reduces Prolonged Exercise-Induced Oxidative Stress in Rat Tissues. Oxidative Med. Cell. Longev. 2015, 2015, 732090. [Google Scholar] [CrossRef] [Green Version]
  47. Zhu, J.-H.; Zhang, X.; Roneker, C.A.; McClung, J.P.; Zhang, S.; Thannhauser, T.W.; Ripoll, D.R.; Sun, Q.; Lei, X.G. Role of copper, zinc-superoxide dismutase in catalyzing nitrotyrosine formation in murine liver. Free Radic. Boil. Med. 2008, 45, 611–618. [Google Scholar]
  48. Yan, M.; Huo, Y.; Yin, S.; Hu, H. Mechanisms of acetaminophen-induced liver injury and its implications for therapeutic interventions. Redox Boil. 2018, 17, 274–283. [Google Scholar] [CrossRef]
  49. Görg, B.; Wettstein, M.; Metzger, S.; Schliess, F.; Häussinger, D. Lipopolysaccharide-induced tyrosine nitration and inactivation of hepatic glutamine synthetase in the rat. Hepatology 2005, 41, 1065–1073. [Google Scholar] [CrossRef]
  50. Agarwal, R.; Hennings, L.; Rafferty, T.M.; Letzig, L.G.; McCullough, S.; James, L.P.; MacMillan-Crow, L.A.; Hinson, J.A. Acetaminophen-induced hepatotoxicity and protein nitration in neuronal nitric-oxide synthase knockout mice. J. Pharmacol. Exp. Ther. 2011, 340, 134–142. [Google Scholar] [CrossRef] [Green Version]
  51. Abdelmegeed, M.A.; Jang, S.; Banerjee, A.; Hardwick, J.P.; Song, B.-J. Robust protein nitration contributes to acetaminophen-induced mitochondrial dysfunction and acute liver injury. Free Radic. Boil. Med. 2013, 60, 211–222. [Google Scholar] [CrossRef] [Green Version]
  52. Chen, H.-J.C.; Lee, J.K.; Yip, T.; Sernia, C.; Lavidis, N.A.; Spiers, J.G. Sub-acute restraint stress progressively increases oxidative/nitrosative stress and inflammatory markers while transiently upregulating antioxidant gene expression in the rat hippocampus. Free Radic. Boil. Med. 2019, 130, 446–457. [Google Scholar] [CrossRef] [Green Version]
  53. Chen, H.-J.C.; Spiers, J.G.; Sernia, C.; Lavidis, N.A. Acute restraint stress induces specific changes in nitric oxide production and inflammatory markers in the rat hippocampus and striatum. Free Radic. Boil. Med. 2016, 90, 219–229. [Google Scholar] [CrossRef]
  54. Zhang, C.; Walker, L.M.; Hinson, J.A.; Mayeux, P.R. Oxidant stress in rat liver after lipopolysaccharide administration: Effect of inducible nitric-oxide synthase inhibition. J. Pharmacol. Exp. Ther. 2000, 293, 968–972. [Google Scholar]
  55. Palanisamy, A.P.; Cheng, G.; Sutter, A.G.; Liu, J.; Lewin, D.N.; Chao, J.; Chavin, K.D. Adenovirus-Mediated eNOS Expression Augments Liver Injury after Ischemia/Reperfusion in Mice. PLoS ONE 2014, 9, e93304. [Google Scholar] [CrossRef]
  56. Kawai, Y.; Garduño, L.; Theodore, M.; Yang, J.; Arinze, I.J. Acetylation-Deacetylation of the Transcription Factor Nrf2 (Nuclear Factor Erythroid 2-related Factor 2) Regulates Its Transcriptional Activity and Nucleocytoplasmic Localization. J. Boil. Chem. 2010, 286, 7629–7640. [Google Scholar] [CrossRef] [Green Version]
  57. Huang, H.-C.; Nguyen, T.; Pickett, C.B.; Pacheco, R.; Ciruela, F.; Casadó, V.; Mallol, J.; Gallart, T.; Lluís, C.; Franco, R. Phosphorylation of Nrf2 at Ser-40 by Protein Kinase C Regulates Antioxidant Response Element-mediated Transcription. J. Boil. Chem. 2002, 277, 42769–42774. [Google Scholar] [CrossRef] [Green Version]
  58. Ki, S.H.; Cho, I.J.; Choi, D.W.; Kim, S.G. Glucocorticoid receptor (GR)-associated SMRT binding to C/EBPbeta TAD and Nrf2 Neh4/5: Role of SMRT recruited to GR in GSTA2 gene repression. Mol. Cell. Biol. 2005, 25, 4150–4165. [Google Scholar] [CrossRef] [Green Version]
  59. Li, W.; Liu, H.; Zhou, J.-S.; Cao, J.-F.; Zhou, X.-B.; Choi, A.M.K.; Chen, Z.-H.; Shen, H. Caveolin-1 Inhibits Expression of Antioxidant Enzymes through Direct Interaction with Nuclear Erythroid 2 p45-related Factor-2 (Nrf2). J. Boil. Chem. 2012, 287, 20922–20930. [Google Scholar] [CrossRef] [Green Version]
  60. Rojo, A.I.; Medina-Campos, O.N.; Rada, P.; Zúñiga-Toalá, A.; López-Gazcón, A.; Espada, S.; Pedraza-Chaverri, J.; Cuadrado, A. Signaling pathways activated by the phytochemical nordihydroguaiaretic acid contribute to a Keap1-independent regulation of Nrf2 stability: Role of glycogen synthase kinase-3. Free Radic. Boil. Med. 2012, 52, 473–487. [Google Scholar] [CrossRef]
  61. Kuosmanen, S.M.; Sihvola, V.; Kansanen, E.; Kaikkonen, M.U.; Levonen, A.-L. MicroRNAs mediate the senescence-associated decline of NRF2 in endothelial cells. Redox Boil. 2018, 18, 77–83. [Google Scholar] [CrossRef]
  62. Chan, J.Y.; Kwong, M. Impaired expression of glutathione synthetic enzyme genes in mice with targeted deletion of the Nrf2 basic-leucine zipper protein. Biochim. Biophys. Acta 2000, 1517, 19–26. [Google Scholar] [CrossRef]
  63. Hayes, J.D.; Dinkova-Kostova, A.T. The Nrf2 regulatory network provides an interface between redox and intermediary metabolism. Trends Biochem. Sci. 2014, 39, 199–218. [Google Scholar] [CrossRef]
  64. Angeli, J.P.F.; Schneider, M.; Proneth, B.; Tyurina, Y.Y.; Tyurin, V.; Hammond, V.J.; Herbach, N.; Aichler, M.; Walch, A.; Eggenhofer, E.; et al. Inactivation of the ferroptosis regulator Gpx4 triggers acute renal failure in mice. Nat. Cell. Boil. 2014, 16, 1180–1191. [Google Scholar] [CrossRef] [Green Version]
  65. Carlson, B.A.; Tobe, R.; Yefremova, E.; Tsuji, P.A.; Hoffmann, V.J.; Schweizer, U.; Gladyshev, V.N.; Hatfield, D.L.; Conrad, M. Glutathione peroxidase 4 and vitamin E cooperatively prevent hepatocellular degeneration. Redox Boil. 2016, 9, 22–31. [Google Scholar] [CrossRef] [Green Version]
  66. Cheng, Z.; Guo, S.; Copps, K.; Dong, X.; Kollipara, R.; Rodgers, J.T.; DePinho, R.A.; Puigserver, P.; White, M.F. Foxo1 integrates insulin signaling with mitochondrial function in the liver. Nat. Med. 2009, 15, 1307–1311. [Google Scholar] [CrossRef] [Green Version]
  67. Liu, X.; Cui, Y.; Li, M.; Xu, H.; Zuo, J.; Fang, F.; Chang, Y. Cobalt Protoporphyrin Induces HO-1 Expression Mediated Partially by FOXO1 and Reduces Mitochondria-Derived Reactive Oxygen Species Production. PLoS ONE 2013, 8, e80521. [Google Scholar] [CrossRef]
  68. Miyauchi, T.; Uchida, Y.; Kadono, K.; Hirao, H.; Kawasoe, J.; Watanabe, T.; Ueda, S.; Okajima, H.; Terajima, H.; Uemoto, S. Up-regulation of FOXO1 and reduced inflammation by beta-hydroxybutyric acid are essential diet restriction benefits against liver injury. Proc. Natl. Acad. Sci. USA 2019, 116, 13533–13542. [Google Scholar] [CrossRef] [Green Version]
  69. Wang, H.; Zhang, Y.; Xia, F.; Zhang, W.; Chen, P.; Yang, G. Protective effect of silencing Stat1 on high glucose-induced podocytes injury via Forkhead transcription factor O1-regulated the oxidative stress response. BMC Mol. Cell. Boil. 2019, 20, 27. [Google Scholar] [CrossRef] [Green Version]
  70. Hussong, M.; Borno, S.T.; Kerick, M.; Wunderlich, A.; Franz, A.; Sultmann, H.; Timmermann, B.; Lehrach, H.; Hirsch-Kauffmann, M.; Schweiger, M.R. The bromodomain protein BRD4 regulates the KEAP1/NRF2-dependent oxidative stress response. Cell Death Dis. 2014, 5, e1195. [Google Scholar] [CrossRef] [Green Version]
  71. Huang, M.; Zhu, L.; Garcia, J.S.; Li, M.X.; Gentles, A.J.; Mitchell, B.S. Brd4 regulates the expression of essential autophagy genes and Keap1 in AML cells. Oncotarget 2018, 9, 11665–11676. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  72. Zuo, H.; Wang, S.; Feng, J.; Liu, X. BRD4 contributes to high-glucose-induced podocyte injury by modulating Keap1/Nrf2/ARE signaling. Biochimie 2019, 165, 100–107. [Google Scholar] [CrossRef]
Antioxidants 09 00853 g001 550
Figure 1. Restraint stress (A) increases circulating corticosterone (CORT), (B) reduces expression of glucocorticoid receptor (Nr3c1) and modulates mRNA expression of hepatic mediators of glucocorticoid bioavailability including (C) corticosteroid-binding globulin (CBG; Serpina6), (D) hydroxysteroid 11-beta dehydrogenase 1 (Hsd11b1), and (E) hydroxysteroid 11-beta dehydrogenase 2 (Hsd11b2) compared to unstressed (US) rats (n = 6–8/group). Results in (C,E) were analyzed using one-way ANOVA with Fisher’s LSD test; (A,B,D) were analyzed using non-parametric Kruskal-Wallis test with Dunn’s post-test. Data are expressed as mean ± SEM, * p < 0.05 and ** p < 0.01.
Figure 1. Restraint stress (A) increases circulating corticosterone (CORT), (B) reduces expression of glucocorticoid receptor (Nr3c1) and modulates mRNA expression of hepatic mediators of glucocorticoid bioavailability including (C) corticosteroid-binding globulin (CBG; Serpina6), (D) hydroxysteroid 11-beta dehydrogenase 1 (Hsd11b1), and (E) hydroxysteroid 11-beta dehydrogenase 2 (Hsd11b2) compared to unstressed (US) rats (n = 6–8/group). Results in (C,E) were analyzed using one-way ANOVA with Fisher’s LSD test; (A,B,D) were analyzed using non-parametric Kruskal-Wallis test with Dunn’s post-test. Data are expressed as mean ± SEM, * p < 0.05 and ** p < 0.01.
Antioxidants 09 00853 g001
Antioxidants 09 00853 g002 550
Figure 2. Restraint stress induces hepatic redox imbalance as shown by (A) decreased free cysteine thiol content and (B) decreased reduced glutathione (GSH) with increased (C) glutathione disulfide (GSSG). This occurs alongside increased mRNA expression of (D) superoxide dismutase 1 (Sod1) and (E) superoxide dismutase 2 (Sod2) but decreased (F) catalase (Cat) compared to unstressed (US) rats (n = 7–8/group). Results in (A–C,F) were analyzed using one-way ANOVA with Fisher’s LSD test; (D,E) were analyzed using non-parametric Kruskal-Wallis test with Dunn’s post-test. Data are expressed as mean ± SEM, ** p < 0.01, *** p < 0.001.
Figure 2. Restraint stress induces hepatic redox imbalance as shown by (A) decreased free cysteine thiol content and (B) decreased reduced glutathione (GSH) with increased (C) glutathione disulfide (GSSG). This occurs alongside increased mRNA expression of (D) superoxide dismutase 1 (Sod1) and (E) superoxide dismutase 2 (Sod2) but decreased (F) catalase (Cat) compared to unstressed (US) rats (n = 7–8/group). Results in (A–C,F) were analyzed using one-way ANOVA with Fisher’s LSD test; (D,E) were analyzed using non-parametric Kruskal-Wallis test with Dunn’s post-test. Data are expressed as mean ± SEM, ** p < 0.01, *** p < 0.001.
Antioxidants 09 00853 g002
Antioxidants 09 00853 g003 550
Figure 3. Representative (A) immunofluorescence images (scale bar = 20 μm), (B) corresponding image quantification (n = 3), and (C) Western blot of hepatic superoxide dismutase 1 (Sod1). Results in (B) were analyzed using one-way ANOVA with Fisher’s LSD test. Data are expressed as mean ± SEM, ** p < 0.01.
Figure 3. Representative (A) immunofluorescence images (scale bar = 20 μm), (B) corresponding image quantification (n = 3), and (C) Western blot of hepatic superoxide dismutase 1 (Sod1). Results in (B) were analyzed using one-way ANOVA with Fisher’s LSD test. Data are expressed as mean ± SEM, ** p < 0.01.
Antioxidants 09 00853 g003
Antioxidants 09 00853 g004 550
Figure 4. Restraint stress increases hepatic oxidative/nitrosative stress indicated by (A) dichlorofluorescein (DCF) formation, (B) malondialdehyde-thiobarbituric acid (MDA-TBA) adduct, (C) protein carbonyl, (D) 3-nitrotyrosine, and both (E) nitric oxide synthase 2, inducible (Nos2), and (F) nitric oxide synthase 3, endothelial cell (Nos3) expression compared to unstressed (US) rats (n = 7–8/group). Results in (A,C,F) were analyzed using one-way ANOVA with Fisher’s LSD test; (B,D,E) were analyzed using non-parametric Kruskal-Wallis test with Dunn’s post-test. Data are expressed as mean ± SEM, * p < 0.05, ** p < 0.01, *** p < 0.001.
Figure 4. Restraint stress increases hepatic oxidative/nitrosative stress indicated by (A) dichlorofluorescein (DCF) formation, (B) malondialdehyde-thiobarbituric acid (MDA-TBA) adduct, (C) protein carbonyl, (D) 3-nitrotyrosine, and both (E) nitric oxide synthase 2, inducible (Nos2), and (F) nitric oxide synthase 3, endothelial cell (Nos3) expression compared to unstressed (US) rats (n = 7–8/group). Results in (A,C,F) were analyzed using one-way ANOVA with Fisher’s LSD test; (B,D,E) were analyzed using non-parametric Kruskal-Wallis test with Dunn’s post-test. Data are expressed as mean ± SEM, * p < 0.05, ** p < 0.01, *** p < 0.001.
Antioxidants 09 00853 g004
Antioxidants 09 00853 g005 550
Figure 5. Representative images of (A) hepatic 4-hydroxynonenal (4-HNE; scale bar = 20 μm) and (B) corresponding image quantification (n = 3). Results in (B) were analyzed using one-way ANOVA with Fisher’s LSD test. Data are expressed as mean ± SEM, ** p < 0.01, *** p < 0.001.
Figure 5. Representative images of (A) hepatic 4-hydroxynonenal (4-HNE; scale bar = 20 μm) and (B) corresponding image quantification (n = 3). Results in (B) were analyzed using one-way ANOVA with Fisher’s LSD test. Data are expressed as mean ± SEM, ** p < 0.01, *** p < 0.001.
Antioxidants 09 00853 g005
Antioxidants 09 00853 g006 550
Figure 6. Restraint stress modulates hepatic (A) mRNA and (B) protein expression of nuclear factor, erythroid 2-like 2 (Nrf2) and other key antioxidant regulators including (C) nuclear factor, erythroid 2-like 1 (Nrf1), (D) glutamate-cysteine ligase, catalytic subunit (Gclc), (E) glutathione peroxidase 4 (Gpx4), and (F) Kelch-like ECH-associated protein 1 (Keap1) mRNA expression compared to unstressed (US) rats (n = 7–8/group). Results in (A–D) were analyzed using one-way ANOVA with Fisher’s LSD test; (E,F) were analyzed using non-parametric Kruskal-Wallis test with Dunn’s post-test. Data are expressed as mean ± SEM, * p < 0.05, ** p < 0.01, *** p < 0.001.
Figure 6. Restraint stress modulates hepatic (A) mRNA and (B) protein expression of nuclear factor, erythroid 2-like 2 (Nrf2) and other key antioxidant regulators including (C) nuclear factor, erythroid 2-like 1 (Nrf1), (D) glutamate-cysteine ligase, catalytic subunit (Gclc), (E) glutathione peroxidase 4 (Gpx4), and (F) Kelch-like ECH-associated protein 1 (Keap1) mRNA expression compared to unstressed (US) rats (n = 7–8/group). Results in (A–D) were analyzed using one-way ANOVA with Fisher’s LSD test; (E,F) were analyzed using non-parametric Kruskal-Wallis test with Dunn’s post-test. Data are expressed as mean ± SEM, * p < 0.05, ** p < 0.01, *** p < 0.001.
Antioxidants 09 00853 g006
Antioxidants 09 00853 g007 550
Figure 7. Representative (A) immunofluorescence images (scale bar = 5 μm) and image quantification of (B) corresponding nuclear Nrf2, and (C) overall Nrf2 from tissue sections in the liver (n = 3). Results in (B) were analyzed using one-way ANOVA with Fisher’s LSD test. Data are expressed as mean ± SEM, *** p < 0.001.
Figure 7. Representative (A) immunofluorescence images (scale bar = 5 μm) and image quantification of (B) corresponding nuclear Nrf2, and (C) overall Nrf2 from tissue sections in the liver (n = 3). Results in (B) were analyzed using one-way ANOVA with Fisher’s LSD test. Data are expressed as mean ± SEM, *** p < 0.001.
Antioxidants 09 00853 g007
Antioxidants 09 00853 g008 550
Figure 8. Restraint stress increases expression of Phase II detoxifying enzymes and alternative redox modulators including (A) heme oxygenase 1 (Hmox1), (B) NAD(P)H dehydrogenase, quinone 1 (Nqo1), (C) forkhead box O1 (Foxo1), and (D) bromodomain-containing protein 4 (Brd4) mRNA expression compared to unstressed (US) rats (n = 7–8/group). Results in (A,B) were analyzed using one-way ANOVA with Fisher’s LSD test; (C,D) were analyzed using non-parametric Kruskal-Wallis test with Dunn’s post-test. Data are expressed as mean ± SEM, * p < 0.05 and ** p < 0.01.
Figure 8. Restraint stress increases expression of Phase II detoxifying enzymes and alternative redox modulators including (A) heme oxygenase 1 (Hmox1), (B) NAD(P)H dehydrogenase, quinone 1 (Nqo1), (C) forkhead box O1 (Foxo1), and (D) bromodomain-containing protein 4 (Brd4) mRNA expression compared to unstressed (US) rats (n = 7–8/group). Results in (A,B) were analyzed using one-way ANOVA with Fisher’s LSD test; (C,D) were analyzed using non-parametric Kruskal-Wallis test with Dunn’s post-test. Data are expressed as mean ± SEM, * p < 0.05 and ** p < 0.01.
Antioxidants 09 00853 g008
Table
Table 1. List of TaqmanTM gene expression assays used for quantification of mRNA levels.
Table 1. List of TaqmanTM gene expression assays used for quantification of mRNA levels.
Gene SymbolGene NameRefSeq Accession NumberAssay ID (in Applied Biosystems)
Brd4Bromodomain-containing protein 4NM_001100903.1Rn01535560_m1
CatCatalaseNM_012520.2Rn00560930_m1
Foxo1Forkhead box O1NM_001191846.2Rn01494868_m1
GclcGlutamate-cysteine ligase, catalyticNM_012815.2Rn00689046_m1
Gpx1Glutathione peroxidase 1NM_030826.3Rn00577994_g1
Gpx4Glutathione peroxidase 4NM_001039849.2Rn00820818_g1
Hmox1Heme oxygenase 1NM_012580.2Rn00561387_m1
Hsd11b1Hydroxysteroid 11-beta dehydrogenase 1NM_017080.2Rn00567167_m1
Hsd11b2Hydroxysteroid 11-beta dehydrogenase 2NM_017081.2Rn04341420_g1
Keap1Kelch-like ECH-associated protein 1NM_057152.2Rn01448220_m1
Nfe2l1(Nrf1)Nuclear factor, erythroid 2-like 1XM_006247236.2Rn01452824_m1
Nfe2l2(Nrf2)Nuclear factor, erythroid 2-like 2NM_031789.2Rn00582415_m1
Nqo1NAD(P)H dehydrogenase, quinone 1NM_017000.3Rn00566528_m1
Nos2Nitric oxide synthase 2, inducibleNM_012611.3Rn00561646_m1
Nos3Nitric oxide synthase 3, endothelialNM_021838.2Rn02132634_s1
Nr3c1Nuclear receptor subfamily 3, group C, member 1NM_012576.2Rn00561369_m1
Serpina6(Cbg)Serpin peptidase inhibitor, clade A (alpha-1 antiproteinase, antitrypsin), member 6NM_001009663.1Rn01517119_m1
Sod1Superoxide dismutase 1, solubleNM_017050.1Rn00566938_m1
Sod2Superoxide dismutase 2, mitochondrialNM_017051.2Rn00690588_g1

Share and Cite

MDPI and ACS Style

Chen, H.-J.C.; Yip, T.; Lee, J.K.; Juliani, J.; Sernia, C.; Hill, A.F.; Lavidis, N.A.; Spiers, J.G. Restraint Stress Alters Expression of Glucocorticoid Bioavailability Mediators, Suppresses Nrf2, and Promotes Oxidative Stress in Liver Tissue. Antioxidants 2020, 9, 853. https://doi.org/10.3390/antiox9090853

AMA Style

Chen H-JC, Yip T, Lee JK, Juliani J, Sernia C, Hill AF, Lavidis NA, Spiers JG. Restraint Stress Alters Expression of Glucocorticoid Bioavailability Mediators, Suppresses Nrf2, and Promotes Oxidative Stress in Liver Tissue. Antioxidants. 2020; 9(9):853. https://doi.org/10.3390/antiox9090853

Chicago/Turabian Style

Chen, Hsiao-Jou Cortina, Tsz Yip, Johnny K. Lee, Juliani Juliani, Conrad Sernia, Andrew F. Hill, Nickolas A. Lavidis, and Jereme G. Spiers. 2020. "Restraint Stress Alters Expression of Glucocorticoid Bioavailability Mediators, Suppresses Nrf2, and Promotes Oxidative Stress in Liver Tissue" Antioxidants 9, no. 9: 853. https://doi.org/10.3390/antiox9090853

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop