Yıl: 2018 Cilt: 7 Sayı: 1 Sayfa Aralığı: 73 - 81 Metin Dili: Türkçe DOI: 10.5336/pharmsci.2017-58590 İndeks Tarihi: 08-09-2020

Celastrol ve Potansiyel Sağlık Yararları

Öz:
Celastrol “Thunder God Vine” olarak adlandırılan bitkinin, kök ekstraktı ve gövdesinden elde edilen biyoaktif bir bileşiktir. Çin ve diğer Asya ülkelerinde geleneksel medikal tedavide yaygın olarak kullanılmaktadır. Celastrol, kinon metid olarak adlandırılan organikbileşiklerin küçük bir sınıfına ait pentasiklik bir triterpendir. Tripterin olarak da bilinen bu biyoaktif bileşen suda eser miktarda çözünmektedir, ancak etanol gibi nonpolar çözücülerde çözünebilmektedir. Son yıllarda antiinflamatuar etki başta olmak üzere; antioksidan, antikanser,nöroprotektif ve hepatoprotektif etkileri üzerine çok sayıda çalışma yapılmıştır. Bu çalışmalarda; celastrolün romatoid artrit, sistemik lupus eritematöz, multipl skleroz, obezite, Tip 2 diabetes mellitus, nonalkolik karaciğer hastalığı, inflamatuar barsak hastalıkları, Alzheimer,Parkinson, ateroskleroz ve kanser üzerine etkileri araştırılmıştır. Celastrol tarafından düzenlenen majör hücre sinyal yolakları Nf-kB, MAPK, JAK/STAT, PI3K/Akt/mTOR yolaklarını ve antioksidan savunma mekanizmasını içermektedir. Ayrıca, celastrolün hücre proliferasyonunu,apoptozu, proteazom aktivitesini, anjiyogenezi, ısı şok protein yanıtını ve adaptif immün yanıtıdüzenlediği de bildirilmiştir. Terapötik potansiyeline rağmen, gastrointestinal sistem ve muhtemel fertilite sorunları gibi yan etkileri de bildirilmiştir. Celastrol, ilaç geliştirmede umut vadeden bir adaydır. Ancak, ilaç geliştirme sürecinde hâlen bazı sorunlar yaşanmaktadır. Gelecektepreklinik çalışmalar celastrolün formülasyonu, farmakokinetiği, dozajı ve bu bileşiğin optimizazyonu için toksisitesi hakkında önemli bilgiler sağlayacaktır. Bu çalışmada, celastrolün potansiyel sağlık yararlarının araştırılması amaçlanmıştır.
Anahtar Kelime:

Celastrol and its Potential Health Benefits

Öz:
Celastrol is a bioactive compound derived from the root extract and stem of the plant, which is named as “Thunder God Vine” belonging to the family celastraceae. It is widely used in traditional medical treatment in China and other Asian countries. Celastrol is a pentacyclic triterpene belonging to a small class of organic compounds called quinone methides. This bioactive component, also known as tripterin, is soluble in trace amounts in water but soluble in non-polar solvents such as ethanol. In recent years, many studies have been carried out on its antioxidant, neuroprotective, hepatoprotective and anticancer effects, especially antiinflammatory effect. In these studies, the effects of celastrol on rheumatoid arthritis, systemic lupus erythematosus, multiple sclerosis, obesity, Type 2 diabetes, non-alcoholic liver disease, inflammatory bowel disease, Alzheimer, Parkinson, atherosclerosis and cancer were investigated. Major cell signaling pathways regulated by celastrol include Nf-kB, MAPK, JAK/STAT, PI3K/Akt/mTOR pathways and antioxidant defense mechanisms. It has also been reported that celastrol regulates cell proliferation, apoptosis, proteasomal activity, angiogenesis, heat shock protein response and adaptive immune response. Despite the therapeutic potential, side effects such as gastrointestinal side effects and possible fertility problems have also been reported. Celastrol is a promising candidate for developing drugs. However, there are still some problems in the drug development process. Future preclinical studies will provide important information on the formulation of celastrol, its pharmacokinetics, its dosage and its toxicity for its optimization. This study was planned to investigate the potential health benefits of celastrol.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık
  • 1. Tao X, Lipsky PE. The Chinese anti-inflammatory and immunosuppressive herbal remedy Tripterygium wilfordii Hook F. Rheum Dis Clin North Am 2000;26(1):29-50. doi: 10.1002/art. 10411
  • 2. Zhang W, Shi Q, Zhao LD, Li Y, Tang FL, Zhang FC, et al. The safety and effectiveness of a chloroform/methanol extract of Tripterygium wilfordii Hook F (T2) plus methotrexate in treating rheumatoid arthritis. J Clin Rheumatol 2010;16(8):375-8.
  • 3. Jiang X. Clinical observations on the use of the Chinese herb Tripterygium wilfordii Hook for the treatment of nephrotic syndrome. Pediatr Nephrol 1994;8(3):343-4.
  • 4. Ren J, Tao Q, Wang X, Wang Z, Li J. Efficacy of T2 in active Crohn’s disease: a prospective study report. Dig Dis Sci 2007;52(8):1790-7.
  • 5. Yang S, Chen J, Guo Z, Xu XM, Wang L, Pei XF, et al. Triptolide inhibits the growth and metastasis of solid tumors. Mol Cancer Ther 2003;2(1):65-72.
  • 6. Kannaiyan R, Shanmugam MK, Sethi G. Molecular targets of celastrol derived from Thunder of God Vine: potential role in the treatment of inflammatory disorders and cancer. Cancer Lett 2011;303(1):9-20.
  • 7. Brinker AM, Ma J, Lipsky PE, Raskin I. Medicinal chemistry and pharmacology of genus Tripterygium (Celastraceae). Phytochemistry 2007;68(6):732-66.
  • 8. Tao X, Cai JJ, Lipsky PE. The identity of immunosuppressive components of the ethyl acetate extract and chloroform methanol extract (T2) of Tripterygium wilfordii Hook.F. J Pharmacol Exp Ther 1995;272(3):1305-12.
  • 9. Ge Y, Xie H, Li S, Jin B, Hou J, Zhang H, et al. Treatment of diabetic nephropathy with Tripterygium wilfordii Hook F extract: a prospective, randomized, controlled clinical trial. J Transl Med 2013;11:134.
  • 10. Lee JH, Won YS, Park KH, Lee MK, Tachibana H, Yamada K, et al. Celastrol inhibits growth and induces apoptotic cell death in melanoma cells via the activation ROS-dependent mitochondrial pathway and the suppression of PI3K/AKT signaling. Apoptosis 2012;17(12): 1275-86.
  • 11. Venkatesha SH, Moudgil KD. Celastrol and its role in controlling chronic diseases. Adv Exp Med Biol 2016;928:267-89.
  • 12. Safe SH, Prather PL, Brents LK, Chadalapaka G, Jutooru I. Unifying mechanisms of action of the anticancer activities of triterpenoids and synthetic analogs. Anticancer Agents Med Chem 2012;12(10):1211-20.
  • 13. Jung HW, Chung YS, Kim YS, Park YK. Celastrol inhibits production of nitric oxide and proinflammatory cytokines through MAPK signal transduction and NF-kappaB in LPS-stimulated BV-2 microglial cells. Exp Mol Med 2007;39(6):715-21.
  • 14. Luo D, Zhao J, Rong J. Plant-derived triterpene celastrol ameliorates oxygen glucose deprivation-induced disruption of endothelial barrier assembly via inducing tight junction proteins. Phytomedicine 2016;23(13):1621-8.
  • 15. Martin-Padura I, Gregato G, Marighetti P, Mancuso P, Calleri A, Corsini C, et al. The white adipose tissue used in lipotransfer procedures is a rich reservoir of CD34+ progenitors able to promote cancer progression. Cancer Res 2012;72(1):325-34.
  • 16. Lin L, Sun Y, Wang D, Zheng S, Zhang J, Zheng C. Celastrol ameliorates ulcerative colitis-related colorectal cancer in mice via suppressing inflammatory responses and epithelial-mesenchymal transition. Front Pharmacol 2015;6:320.
  • 17. Shrivastava S, Jeengar MK, Reddy VS, Reddy GB, Naidu VG. Anticancer effect of celastrol on human triple negative breast cancer: possible involvement of oxidative stress, mitochondrial dysfunction, apoptosis and PI3K/Akt pathways. Exp Mol Pathol 2015;98(3):313 27.
  • 18. Yang H, Chen D, Cui QC, Yuan X, Dou QP. Celastrol, a triterpene extracted from the Chinese “Thunder of God Vine,” is a potent proteasome inhibitor and suppresses human prostate cancer growth in nude mice. Cancer Res 2006;66(9):4758-65.
  • 19. Lee DF, Kuo HP, Chen CT, Hsu JM, Chou CK, Wei Y, et al. IKK beta suppression of TSC1 links inflammation and tumor angiogenesis via the mTOR pathway. Cell 2007;130(3):440- 55.
  • 20. Chow AM, Brown IR. Induction of heat shock proteins in differentiated human and rodent neurons by celastrol. Cell Stress Chaperones 2007;12(3):237-44.
  • 21. Chow AM, Tang DW, Hanif A, Brown IR. Induction of heat shock proteins in cerebral cortical cultures by celastrol. Cell Stress Chaperones 2013;18(2):155-60.
  • 22. Ding QH, Cheng Y, Chen WP, Zhong HM, Wang XH. Celastrol, an inhibitor of heat shock protein 90β potently suppresses the expression of matrix metalloproteinases, inducible nitricoxide synthase and cyclooxygenase-2 in primary human osteoarthritic chondrocytes. Eur J Pharmacol 2013;708(1-3):1-7.
  • 23. Hunter DJ, Felson DT. Osteoarthritis. BMJ 2006;332(7542):639-42.
  • 24. Burrage PS, Brinckerhoff CE. Molecular targets in osteoarthritis: metalloproteinases and their inhibitors. Curr Drug Targets 2007;8(2): 293-303.
  • 25. Jia Z, Xu C, Shen J, Xia T, Yang J, He Y. The natural compound celastrol inhibits necroptosis and alleviates ulcerative colitis in mice. Int Immunopharmacol 2015;29(2):552-9.
  • 26. Joshi V, Venkatesha SH, Ramakrishnan C, Nanjaraj Urs AN, Hiremath V, Moudgil KD, et al. Celastrol modulates inflammation through inhibition of the catalytic activity of mediators of arachidonic acid pathway: secretory phospholipase A2 group IIA, 5-lipoxygenase and cyclooxygenase-2. Pharmacol Res 2016;113 (Pt A):265-75.
  • 27. Zhao J, Sun Y, Shi P, Dong JN, Zuo LG, Wang HG, et al. Celastrol ameliorates experimental colitis in IL-10 deficient mice via the up-regulation of autophagy. Int Immunopharmacol 2015;26(1):221-8.
  • 28. Deretic V, Levine B. Autophagy, immunity, and microbial adaptations. Cell Host Microbe 2009;5(6):527-49.
  • 29. Shen YF, Zhang X, Wang Y, Cao FF, Uzan G, Peng B, et al. Celastrol targets IRAKs to block Toll-like receptor 4-mediated nuclear factorκB activation. J Integr Med 2016;14(3):203- 8.
  • 30. Yu X, Wang Q, Zhou X, Fu C, Cheng M, Guo R, et al. Celastrol negatively regulates cell invasion and migration ability of human osteosarcoma via downregulation of the PI3K/Akt/NF-κB signaling pathway in vitro. Oncol Lett 2016;12(5):3423-8.
  • 31. Yoon MJ, Lee AR, Jeong SA, Kim YS, Kim JY, Kwon YJ, et al. Release of Ca2+ from the endoplasmic reticulum and its subsequent influx into mitochondria trigger celastrol-induced paraptosis in cancer cells. Oncotarget 2014;5(16):6816-31.
  • 32. Boridy S, Le PU, Petrecca K, Maysinger D. Celastrol targets proteostasis and acts synergistically with a heat-shock protein 90 inhibitor to kill human glioblastoma cells. Cell Death Dis 2014;5:e1216.
  • 33. Kuchta K, Xiang Y, Huang S, Tang Y, Peng X, Wang X, et al. Celastrol, an active constituent of the TCM plant Tripterygium wilfordii Hook.f., inhibits prostate cancer bone metastasis. Prostate Cancer Prostatic Dis 2017;20(2):156- 64.
  • 34. Liu X, Gao RW, Li M, Si CF, He YP, Wang M, et al. The ROS derived mitochondrial respirstion not from NADPH oxidase plays key role in celastrol against angiotensin II-mediated HepG2 cell proliferation. Apoptosis 2016;21 (11):1315-26.
  • 35. Chang W, He W, Li PP, Song SS, Yuan PF, Lu JT, et al. Protective effects of celastrol on diethylnitrosamine-induced hepatocellular carcinoma in rats and its mechanisms. Eur J Pharmacol 2016;784:173-80.
  • 36. Hu L, Wu H, Li B, Song D, Yang G, Chen G, et al. Dihydrocelastrol inhibits multiple myeloma cell proliferation and promotes apoptosis through ERK1/2 and IL-6/STAT3 pathways in vitro and in vivo. Acta Biochim Biophys Sin (Shanghai) 2017;49(5):420-7.
  • 37. Guan Y, Cui ZJ, Sun B, Han LP, Li CJ, Chen LM. Celastrol attenuates oxidative stress in the skeletal muscle of diabetic rats by regulating the AMPK-PGC1α-SIRT3 signaling pathway. Int J Mol Med 2016;37(5):1229-38.
  • 38. Divya T, Dineshbabu V, Soumyakrishnan S, Sureshkumar A, Sudhandiran G. Celastrol enhances Nrf2 mediated antioxidant enzymes and exhibits anti-fibrotic effect through regulation of collagen production against bleomycininduced pulmonary fibrosis. Chem Biol Interact 2016;246:52-62.
  • 39. Jannuzzi AT, Kara M, Alpertunga B. Celastrol ameliorates acetaminophen-induced oxidative stress and cytotoxicity in HepG2 cells. Hum Exp Toxicol 2017;1:960327117734622.
  • 40. Xu XJ, Zhao WB, Feng SB, Sun C, Chen Q, Ni B, et al. Celastrol alleviates angiotensin II mediated vascular smooth muscle cell senescence via induction of autophagy. Mol Med Rep 2017;7657-64.
  • 41. Yang H, Liu C, Jiang J, Wang Y, Zhang X. Celastrol attenuates multiple sclerosis and optic neuritis in an experimental autoimmune encephalomyelitis model. Front Pharmacol 2017;8:44.
  • 42. Smith AW, Das A, Guyton MK, Ray SK, Rohrer B, Banik NL. Calpain inhibition attenuates apoptosis of retinal ganglion cells in acute optic neuritis. Invest Ophthalmol Vis Sci 2011;52(7): 4935-41.
  • 43. Serrano-Pozo A, Frosch MP, Masliah E, Hyman BT. Neuropathological alterations in Alzheimer disease. Cold Spring Harb Perspect Med 2011;1(1):a006189.
  • 44. Zotova E, Nicoll JA, Kalaria R, Holmes C, Boche D. Inflammation in Alzheimer’s disease: relevance to pathogenesis and therapy. Alzheimers Res Ther 2010;2(1):1.
  • 45. Mattson MP, Camandola S. NF-kappaB in neuronal plasticity and neurodegenerative disorders. J Clin Invest 2001;107(3):247- 54.
  • 46. Perkins ND. Integrating cell-signalling pathways with NF-kappaB and IKK function. Nat Rev Mol Cell Biol 2007;8(1):49-62.
  • 47. Gilmore TD. Introduction to NF-kappaB: players, pathways, perspectives. Oncogene 2006;25(51):6680-4.
  • 48. Veerappan K, Natarajan S, Ethiraj P, Vetrivel U, Samuel S. Inhibition of IKK-β by celastrol and its analogues-an in silico and in vitro approach. Pharm Biol 2016;55(1):368- 73.
  • 49. Cleren C, Calingasan NY, Chen J, Beal MF. Celastrol protects against MPTP- and 3-nitropropionic acid-induced neurotoxicity. J Neurochem 2005;94(4):995-1004.
  • 50. Kiaei M, Kipiani K, Petri S, Chen J, Calingasan NY, Beal MF. Celastrol blocks neuronal cell death and extends life in transgenic mouse model of amyotrophic lateral sclerosis. Neurodegener Dis 2005;2(5):246-54.
  • 51. Paris D, Ganey NJ, Laporte V, Patel NS, Beaulieu-Abdelahad D, Bachmeier C, et al. Reduction of beta-amyloid pathology by celastrol in a transgenic mouse model of Alzheimer’s disease. J Neuroinflammation 2010;7:17.
  • 52. Chen S, Gu C, Xu C, Zhang J, Xu Y, Ren Q, et al. Celastrol prevents cadmium-induced neuronal cell death via targeting JNK and PTENAkt/mTOR network. J Neurochem 2014;128 (2):256-66.
  • 53. Zhang R, Zhu Y, Dong X, Liu B, Zhang N, Wang X, et al. Celastrol attenuates cadmiuminduced neuronal apoptosis via ınhibiting Ca2+ -CaMKII-dependent Akt/mTOR pathway. J Cell Physiol 2017;232(8):2145-57.
  • 54. Zhu F, Li C, Jin XP, Weng SX, Fan LL, Zheng Z, et al. Celastrol may have an anti-atherosclerosis effect in a rabbit experimental carotid atherosclerosis model. Int J Clin Exp Med 2014;7(7):1684-91.
  • 55. Gu L, Bai W, Li S, Zhang Y, Han Y, Gu Y, et al. Celastrol prevents atherosclerosis via inhibiting LOX-1 and oxidative stress. PLoS One 2013;8(6):e65477.
  • 56. Urbich C, Aicher A, Heeschen C, Dernbach E, Hofmann WK, Zeiher AM, et al. Soluble factors released by endothelial progenitor cells promote migration of endothelial cells and cardiac resident progenitor cells. J Mol Cell Cardiol 2005;39(5):733-42.
  • 57. Lu C, Yu X, Zuo K, Zhang X, Cao C, Xu J, et al. Tripterine treatment improves endothelial progenitor cell function via integrin-linked kinase. Cell Physiol Biochem 2015;37(3):1089- 103.
  • 58. Der Sarkissian S, Cailhier JF, Borie M, Stevens LM, Gaboury L, Mansour S, et al. Celastrol protects ischaemic myocardium through a heat shock response with-up regulation of haeme oxygenase-1. Br J Pharmacol 2014;171(23): 5265-79.
  • 59. Wang YL, Lam KK, Cheng PY, Lee YM. Celastrol prevents circulatory failure via induction of heme oxygenase-1 and heat shock protein 70 in endotoxemic rats. J Ethnopharmacol 2015; 162:168-75.
  • 60. Liu J, Lee J, Salazar Hernandez MA, Mazitschek R, Ozcan U. Treatment of obesity with celastrol. Cell 2015;161(5):999-1011.
  • 61. Ma X, Xu L, Alberobello AT, Gavrilova O, Bagattin A, Skarulis M, et al. Celastrol protects against obesity and metabolic dysfunction through activation of a HSF1-PGC1α transcriptional axis. Cell Metab 2015;22(4):695- 708.
  • 62. Aragonès G, Ardid-Ruiz A, Ibars M, Suárez M, Bladé C. Modulation of leptin resistance by food compounds. Mol Nutr Food Res 2016;60(8):1789-803.
  • 63. Chu C, He W, Kuang Y, Ren K, Gou X. Celastrol protects kidney against ischemia-reperfusion-induced injury in rats. J Surg Res 2016;186(1):398-407.
  • 64. Kim JE, Lee MH, Nam DH, Song HK, Kang YS, Lee JE, et al. Celastrol, an NF-κB inhibitor, improves insulin resistance and attenuates renal injury in db/db mice. PLoS One 2013;8(4): e62068.
  • 65. Han LP, Li CJ, Sun B, Xie Y, Guan Y, Ma ZJ, et al. Protective effects of celastrol on diabetic liver İnjury via TLR4/MyD88/NF-kB signaling pathway in type 2 diabetic Rats. J Diabetes Res 2016;2016:2641248.
  • 66. Zhang Y, Geng C, Liu X, Li M, Gao M, Liu X, et al. Celastrol ameliorates liver metabolic damage caused by a high-fat diet through Sirt1. Mol Metab 2017;6(1):138-47.
APA Gürbüz M (2018). Celastrol ve Potansiyel Sağlık Yararları. , 73 - 81. 10.5336/pharmsci.2017-58590
Chicago Gürbüz Murat Celastrol ve Potansiyel Sağlık Yararları. (2018): 73 - 81. 10.5336/pharmsci.2017-58590
MLA Gürbüz Murat Celastrol ve Potansiyel Sağlık Yararları. , 2018, ss.73 - 81. 10.5336/pharmsci.2017-58590
AMA Gürbüz M Celastrol ve Potansiyel Sağlık Yararları. . 2018; 73 - 81. 10.5336/pharmsci.2017-58590
Vancouver Gürbüz M Celastrol ve Potansiyel Sağlık Yararları. . 2018; 73 - 81. 10.5336/pharmsci.2017-58590
IEEE Gürbüz M "Celastrol ve Potansiyel Sağlık Yararları." , ss.73 - 81, 2018. 10.5336/pharmsci.2017-58590
ISNAD Gürbüz, Murat. "Celastrol ve Potansiyel Sağlık Yararları". (2018), 73-81. https://doi.org/10.5336/pharmsci.2017-58590
APA Gürbüz M (2018). Celastrol ve Potansiyel Sağlık Yararları. Literatür Eczacılık Bilimleri Dergisi, 7(1), 73 - 81. 10.5336/pharmsci.2017-58590
Chicago Gürbüz Murat Celastrol ve Potansiyel Sağlık Yararları. Literatür Eczacılık Bilimleri Dergisi 7, no.1 (2018): 73 - 81. 10.5336/pharmsci.2017-58590
MLA Gürbüz Murat Celastrol ve Potansiyel Sağlık Yararları. Literatür Eczacılık Bilimleri Dergisi, vol.7, no.1, 2018, ss.73 - 81. 10.5336/pharmsci.2017-58590
AMA Gürbüz M Celastrol ve Potansiyel Sağlık Yararları. Literatür Eczacılık Bilimleri Dergisi. 2018; 7(1): 73 - 81. 10.5336/pharmsci.2017-58590
Vancouver Gürbüz M Celastrol ve Potansiyel Sağlık Yararları. Literatür Eczacılık Bilimleri Dergisi. 2018; 7(1): 73 - 81. 10.5336/pharmsci.2017-58590
IEEE Gürbüz M "Celastrol ve Potansiyel Sağlık Yararları." Literatür Eczacılık Bilimleri Dergisi, 7, ss.73 - 81, 2018. 10.5336/pharmsci.2017-58590
ISNAD Gürbüz, Murat. "Celastrol ve Potansiyel Sağlık Yararları". Literatür Eczacılık Bilimleri Dergisi 7/1 (2018), 73-81. https://doi.org/10.5336/pharmsci.2017-58590