The association between oxidative stress (OS) and periodontal tissue destruction has been reported(15). Dysregulation of the cellular redox balance, characterized by an imbalance between ROS production and antioxidant defenses, leads to cellular damage and dysfunction. This underscores the therapeutic potential of natural antioxidants, particularly those derived from marine organisms, in combating OS-related periodontal disease(16, 17). Here, we investigated the antioxidant effect and underlying mechanism of NOCA, a compound isolated from the marine sponge Dysidea sp., on H2O2-induced OS in human periodontal ligament stem cells (PDLSCs). Que, a known antioxidant drug, served as a reference control(18).
OS, characterized by an imbalance between ROS production and antioxidant defenses, significantly contributes to periodontal tissue destruction(19). We investigated the antioxidant effects of NOCA, a marine sponge-derived compound, in PDLSCs exposed to H2O2-induced OS. NOCA potently reduces ROS levels compared to H2O2-treated controls. This ROS scavenging ability is further bolstered by upregulation of key antioxidant enzymes, superoxide dismutase (SOD) and catalase (CAT). NOCA treatment increases SOD activity and CAT activity, effectively neutralizing superoxide anions and hydrogen peroxide, respectively. SIRT1, a nicotinamide adenine dinucleotide-dependent deacetylase, is involved in OS response by reducing ROS levels and regulating several antioxidant genes, such as SOD and CAT(20, 21). Previous studies reported that SIRT1 activation for repairing OS-induced cellular dysfunction involves multiple defense mechanisms(22). Our studies demonstrated that NOCA reversed the impaired expression of SIRT1 in PDLSCs caused by H2O2 in PDLSCs. Therefore, we concluded that NOCA could reduce H2O2-induced OS by enhanced the expression of antioxidant factors.
While most studies exploring OS damage to PDLSCs focus on cell viability and osteogenic potential, both vital factors in periodontal tissue regeneration(3), the underlying mechanisms remain incompletely understood. Counteracting excessive OS is crucial for restoring H2O2-induced damage to cell viability and osteogenic differentiation in PDLSCs(3). Prior studies have demonstrated that manipulating key regulators like Tripartite Motif 16 or recombinant Klotho protein can alleviate OS, thereby rescuing PDLSC function(21, 22). Our study builds upon these findings by revealing that NOCA, a marine sponge-derived compound, not only enhances cell viability but also promotes osteogenic differentiation of PDLSCs specifically under H2O2-induced OS. Notably, NOCA exhibits no effect on osteogenic potential under normal conditions (data not shown), suggesting its targeted action against OS-mediated dysfunction.
While the Akt signaling pathway plays a crucial role in antioxidant defense by stimulating the Nrf2 pathway(21), our data suggest NOCA's protective effect in PDLSCs is mediated primarily through the ERK signaling cascade. Pretreatment with NOCA showed no significant impact on Akt signaling, but interestingly, it significantly upregulated p-ERK, the active form of the ERK pathway. This finding aligns with previous reports demonstrating that activation of p-ERK alleviates H2O2-induced damage in PDLSCs(23, 24). Moreover, our study further corroborates this link by showing that H2O2 suppressed p-ERK levels, while NOCA pretreatment reversed this suppression, restoring p-ERK activity. Notably, blocking the ERK pathway using U0126 abolished NOCA's protective effect on osteogenic differentiation, underscoring the critical role of ERK signaling in NOCA's mechanism of action. Therefore, our findings suggest that NOCA primarily modulates the ERK signaling pathway, rather than Akt, to counteract OS-induced impairment of osteogenic differentiation in PDLSCs. This specific targeting of the ERK pathway highlights a potentially unique mechanism of action for NOCA, warranting further investigation of its downstream targets and potential therapeutic applications.
The Wnt/β-catenin signaling pathway plays a vital role in protecting against oxidative damage, particularly in PDLSCs. H2O2 disrupts this pathway by suppressing β-catenin, leading to impaired survival and bone formation capabilities(25). Conversely, activating the Wnt/β-catenin pathway safeguards PDLSCs from these detrimental effects(26). Notably, this pathway is downstream of ERK signaling and crucial for MSC proliferation, differentiation, and bone tissue homeostasis(13). Our study reveals NOCA's potent protective effect against H2O2-induced damage in PDLSCs through its modulation of the ERK/Wnt axis: (a) NOCA promotes its nuclear translocation under oxidative stress. (b) Blocking the Wnt pathway significantly diminishes NOCA's protective effect on PDLSC osteogenic differentiation under H2O2-induced OS. (c) ERK pathway inhibition also prevents NOCA from increasing nuclear β-catenin levels. These findings demonstrate that NOCA's ability to improve osteogenic potential in PDLSCs under OS hinges primarily on its preservation of the ERK/Wnt signaling pathway. This targeted action presents a unique mechanism of action and highlights NOCA's potential as a promising therapeutic candidate for alleviating oxidative stress-related periodontal diseases.
Despite these significant in vitro findings, the translational potential of NOCA as a therapeutic agent for oxidative stress-related periodontal diseases cannot be fully ascertained without in vivo studies. In animal models, factors such as bioavailability, pharmacokinetics, and the interaction of NOCA with the host's immune system and other physiological processes can be assessed. These are critical considerations for the development of NOCA as a clinical therapeutic.
In conclusion, our study demonstrates that NOCA, a marine sponge-derived compound, effectively counteracts H2O2-induced oxidative stress in PDLSCs, significantly restoring their impaired osteogenic potential. This protective effect appears to be mediated, at least in part, by NOCA's ability to preserve the ERK/Wnt signaling pathway, a key regulator of cell survival and differentiation. These findings suggest NOCA's potential as a promising natural therapeutic agent for alleviating periodontal tissue destruction associated with OS. However, further in vivo studies are necessary to validate NOCA's efficacy and safety in a physiological context and fully elucidate its therapeutic potential for clinical applications. Our future research will focus on these critical next steps.