D-ribose in cells and human serum participates in glycation of proteins resulting in advanced glycation end products (AGEs) that affect cell metabolism and induce cell death. However, the mechanism by which D-ribose-glycated proteins induce cell death is still unclear.
Here, we incubated D-ribose with bovine serum albumin (BSA) and observed changes in the intensity of fluorescence at 410 nm and 425 nm to monitor the formation of D-ribose-glycated BSA. Comparing glycation of BSA with xylose (a control for furanose), glucose and fructose (controls for pyranose), the rate of glycation with D-ribose was the most rapid. Protein intrinsic fluorescence (335 nm), Nitroblue tetrazolium (NBT) assays and Western blotting with anti-AGEs showed that glycation of BSA incubated with D-ribose occurred faster than for the other reducing sugars. Protein intrinsic fluorescence showed marked conformational changes when BSA was incubated with D-ribose. Importantly, observations with atomic force microscopy showed that D-ribose-glycated BSA appeared in globular polymers. Furthermore, a fluorescent assay with Thioflavin T (ThT) showed a remarkable increase in fluorescence at 485 nm in the presence of D-ribose-glycated BSA. However, ThT fluorescence did not show the same marked increase in the presence of xylose or glucose. This suggests that glycation with D-ribose induced BSA to aggregate into globular amyloid-like deposits. As observed by Hoechst 33258 staining, 3-(4, 5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) and cell counting kit-8 (CCK-8) assay, lactate dehydrogenase (LDH) activity assay, flow cytometry using Annexin V and Propidium Iodide staining and reactive oxygen species (ROS) measurements, the amyloid-like aggregation of glycated BSA induced apoptosis in the neurotypic cell line SH-SY5Y.
Glycation with D-ribose induces BSA to misfold rapidly and form globular amyloid-like aggregations which play an important role in cytotoxicity to neural cells.
Non-enzymatic glycation of proteins by reducing saccharides such as glucose (glc) and ribose (rib) leads to the formation of fructosamine  and advanced glycation end products (AGEs) [2, 3]. Among the reducing monosaccharides, the role of glc in the glycation of proteins has been widely studied, and is implicated in diabetes , cataracts , renal failure , and other disorders . It has recently become clear that glycation is also involved in physiological neurodegenerative diseases such as Alzheimer's disease . Glycation alters the biological activity of proteins and their degradation processes. Protein cross-linking by glycation results in the formation of detergent-insoluble and protease-resistant aggregates. Therefore, the study of AGEs has become one of the most important areas of biomedical research today.
The glc-glycation process that gives rise to AGEs requires a long time. Many reports indicate that glycation with glc advances slowly and is associated with every fundamental process in cellular metabolism [9–11]. Although a great deal of work has been carried out on glycation of proteins with glc, few research groups have attempted to investigate the role of rib in glycation and its resulting effects on cell metabolism. Compared with glc, rib is more active in glycation of proteins and the formation of AGEs [12, 13].
The role of D-rib in glycation and cross-linking of collagen has been investigated in in vitro studies of the triggering of skin ageing . Luciano and colleagues (2008) prepared proteins glycated with rib in a study of AGEs and their effects on pancreatic islet beta-cells. Direct effects of AGEs on cellular viability and related insulin secretion of beta-cells resulting from their exposure to glycated serum by incubation with rib have been evaluated. Results showed reduced cellular proliferation with a corresponding increase in cell necrosis and cell apoptosis rate in comparison with untreated cells after 5 days of exposure to glycation conditions .
Further studies have shown that glycation reactions lead to the production of reactive oxygen species (ROS), which are harmful to cellular metabolism and cause cell damage . Consequently, considerable attention has been given in recent years to studying the generation of hydroxyl radicals from Amadori proteins, and inhibition of hydroxyl radical damage . As with glc-glycation, glycation of proteins with rib also involves Amadori rearrangement and then production of AGEs. Therefore, some research groups have employed glycation with rib instead of glc as a model for investigating the mechanism by which AGEs yield hydroxyl radicals and induce cell apoptosis or necrosis [15, 17, 18].
Most recently, formation of molten globule-like states has been reported during the progression of glycation reactions in vitro . According to Dobson et al., globule-like protein aggregations (pro-amyloid fibrils) are significantly toxic to neurons [20–23]. However, the characteristics and cytotoxicity of molten globule-like protein states induced by glycation have not been clarified. There are no reports in the literature showing that glycation with rib can induce protein misfolding and aggregation in amyloid-like deposits.
Glycation of serum albumin has been widely studied in recent years [1, 15, 24, 25], and bovine serum albumin (BSA) is commonly used as molecular model. Significantly, Friedman and colleagues have reported neurotoxicity for brain-penetrant serum albumin including BSA [26, 27]. This study is concerned with determining whether glycation of BSA with D-rib in the short term (1–7 days) results in globular amyloid-like aggregations that are seriously toxic to neuroblast cells through apoptosis, compared with other pyranose and furanose.
BSA is rapidly glycated in the presence of ribose
To investigate whether glycation of a protein with rib is a rapid process, we incubated BSA with rib, glc, xylose (xyl), fructose (frc) or sucrose (non-reducing sugar, suc), and monitored changes in the intensity of the fluorescence (λex = 320 nm/λem = 410 nm; λex = 370 nm/λem = 425 nm) that is commonly used to detect the formation of glycated products [28–31]. Figure 1A illustrates changes in the relative emission intensities at 410 nm of BSA incubated with D-rib. Of the monosaccharides tested, the fluorescence of rib-glycated BSA increased most markedly with time and had the shortest relaxation time (about one day). The increase in the relative intensity (%) of the fluorescence for rib-glycated BSA was the fastest with an increase of 16.37% per day during the incubation period (Figure 1B, Table 1). The relative fluorescence intensity of xyl-glycated BSA as a control for furanose for 7 days was ~51% of that of rib-glycated BSA (indicated as 100%) and had a relatively short relaxation time. However, changes in the fluorescent emission of BSA in the presence of glc and frc as controls for pyranose were not significantly different under the experimental conditions used here. BSA alone, or in the presence of suc (non-reducing sugar) as a negative control, showed no significant changes in fluorescence. This suggests that furanose, especially rib, reacts much more rapidly with BSA than pyranose in the production of glycated products.
Relaxation time of relative increase in intrinsic fluorescence intensity of BSA with different monosaccharides
λex 320 nm/λem 410 nm
λex 280 nm/λem 335 nm
Relaxation time (d)
Glycation of BSA in the presence of rib at low concentrations was also investigated (Figure 1B). A moderate increase in emission intensity at 410 nm of glycated BSA was observed in the presence of 0.1 M rib. This suggests that glycation efficiency of BSA depends on the rib concentration.
Similar results were observed when fluorescence at 425 nm was measured. As shown in Figure 1C, a rapid increase in the relative fluorescent intensity of rib-glycated BSA was also observed under the same conditions. This suggests again that rib is more active in protein glycation than the other reducing sugars used in this work.
To investigate further whether glycation was faster in the presence of rib than other reducing sugars, we incubated BSA with rib and analysed aliquots taken at different time intervals by SDS-PAGE (Figure 2). Retardation of protein bands was observed during the glycation of BSA in the presence of rib. The increasing apparent molecular masses of BSA during glycation probably resulted from bound rib. Analysis using mass spectrometry showed that the difference in the molecular mass between rib-glycated BSA (incubated for 7 days) and native BSA was 5,478 Da, showing ~41 rib (133 Da each) molecules bound to BSA. However, the retardation of BSA bands that had been incubated with other reducing sugars was not so distinct as that of BSA glycated with rib observed under the same conditions. No significant band retardation was exhibited with BSA alone or in the presence of suc which was used as a negative control. These results demonstrate that BSA is more vulnerable to rib glycation than to glycation with the other sugars tested.
Formation of fructosamine during glycation of BSA with rib under experimental conditions, was evaluated using NBT assays, carried out as shown in Figure 3A. The concentration of fructosamine in the rib-glycated BSA solution increased markedly in the initial 24 hour (h) period, showing a more rapid glycation procedure for rib than other monosaccharides. This indicates again that rib is the most active sugar in the glycation of BSA under the experimental conditions used.
To confirm whether AGEs were formed during glycation with rib, a monoclonal antibody (anti-AGEs) which recognizes the N-(carboxymethyl) lysine protein adduct of a major immunological epitope in proteins modified with AGEs  was used in Western blotting. Results showed that AGEs formed at the initial stages of glycation, and increased markedly on the first day of BSA incubation with rib (Figure 3B). However, AGEs were not detected with BSA alone (Figure 3C) or glycated with the other reducing sugars under the same conditions (data not shown).
Conformational changes of BSA during glycation in the presence of ribose
First, we attempted to detect whether the secondary structure of BSA was changed during glycation. However, no significant changes in CD spectra of the protein before and after glycation were detected. That is to say, both α-helix and β-sheet secondary structures (Additional file 1) were not markedly changed by glycation. It appears that changes in the conformation of rib-glycated BSA do not occur in secondary structures, but rather in higher order structures.
Intrinsic fluorescence is commonly used to study conformational changes of a protein in solution [33–35]. As shown in Figure 4, the intrinsic fluorescence of BSA decreased markedly during incubation with rib. Over the period of the 7 day incubation, the intensity of the intrinsic emission of rib-glycated BSA decreased by 50% compared with that of BSA alone as a control (100%). According to Swamy , a decrease in the intrinsic fluorescence results from exposure of tryptophanyl residues to solvent molecules that collide with fluorophores and consume the fluorescence energy. This suggests that the molecular conformation of rib-glycated BSA changes during glycation.
Furthermore, we examined conformational changes of rib-glycated BSA using digestion with trypsin. We took aliquots at different time intervals during the glycation process for trypsin digestion (Figure 5). BSA (66 kDa) glycated with reducing monosaccharides released 4 common peptide fragments -a, -b, -c, and -d with apparent molecular masses of 57.0, 41.1, 36.7 and 27.2 kDa, respectively, in the presence of trypsin. Significantly, after incubation for 5 days, peptides -a and -b were not detected when rib-glycated BSA was incubated with trypsin. After incubation for 7 days, only peptide -a was observed. The four peptide fragments, however, were present on the SDS-PAGE for frc-, glc- and xyl-glycated BSA under the same conditions. In the presence of trypsin, BSA alone or with suc as a control released the same peptide fragments from day 1 to day 7. This suggests that the difference of the cleavage on BSA in the presence of trypsin arises from protein polymerization during glycation with rib. Maybe lys residues at the cleavage sites were blocked by glycation or the conformational rearrangement following increasing glycation by rib progressively uncovered the other cleavage sites while hindering accessibility to the a cleavage site.
Globule aggregates of D-ribose-glycated BSA
To clarify whether blockage of trypsin digestion resulted from protein polymerization, we employed atomic force microscopy (AFM) to observe particle size changes of rib-glycated BSA during glycation. As shown in Figure 6, the particle size of rib-glycated BSA started to increase from day 5 of the incubation period, exhibiting protein polymerization. A significant increase in particle size could be observed from day 6 of the incubation period. BSA glycated with the other monosaccharides as mentioned above showed no significant polymerization under these experimental conditions (Table 2). BSA alone (Additional file 2) or with suc as a control maintained constant particle size as determined by AFM. These results demonstrate that glycation with rib induces BSA to polymerize and form globular polymers.
Diameter of BSA glycated with different monosaccharides.
Particle size (nm)
4.146 ± 1.745
11.378 ± 4.758
2.917 ± 0.882
3.028 ± 2.550
3.010 ± 1.951
3.695 ± 2.184
2.041 ± 1.412
2.481 ± 1.576
3.141 ± 2.278
3.521 ± 2.323
3.208 ± 1.257
2.385 ± 0.799
1.434 ± 1.064
1.052 ± 0.696
What are the characteristics of BSA polymers? To answer this question, we added Thioflavin T (ThT) a fluorescent reagent to test whether the polymers are amyloid-like aggregates (Figure 7). Fluorescence of ThT at 485 nm significantly increased in the presence of BSA incubated with rib for 4 days. Fluorescence intensity increased 170% relative to BSA alone as a control. However, BSA incubated with the other reducing monosaccharides frc, glc and xyl (including non-reducing sugar suc as a control) showed no significant changes in ThT fluorescence under our experimental conditions.
Cytotoxicity of ribose-glycated BSA and its putative mechanism
Having determined that rib-glycated BSA polymers were globular amyloid-like aggregates, we were concerned about the cytotoxicity of these aggregates, and thus tested the cytotoxicity of the glycated protein in cell culture. Morphological evaluation of cell line SH-SY5Y was carried out to investigate effect of rib-glycated BSA on neural cells. As shown in Figure 8, rib-glycated BSA markedly induced axonal atrophy, and cells became spherical with condensed nuclei, as visualized by Hoechst 33258 staining under fluorescence microscopy. BSA alone (or incubated with suc), and glycated BSA with the other reducing monosaccharides, did not show axonal atrophy and cell condensation under the experimental conditions used (data not shown). This suggests that rib-glycated BSA is strongly cytotoxic to neurons in cell culture.
The effect of rib-glycated BSA on the viability of SH-SY5Y cells was then examined by using MTT and CCK-8 assays [37, 38]. As shown in Figure 9A, the number of viable cells decreased significantly after incubation with rib-glycated BSA for 8 h, whereas a significant decrease in cell viability was not observed in the presence of BSA glycated with glc, frc and xyl or BSA alone. Moreover, decrease in cell viability induced by rib-glycated BSA occurred in a concentration-dependent manner; rib-glycated BSA formed after 3 or more days of incubation with rib showing cytotoxicity to cells exposed to rib-glycated BSA for at least 8 h (Figures 9B, C).
In order to determine whether the neurotoxicity of rib-glycated BSA involved an apoptotic pathway, we used flow cytometry to examine the effects of rib-glycated BSA on SH-SY5Y cells (Figure 10). Cells that were incubated with rib-glycated BSA for 8 h and then treated with the dyes Annexin-V (AV, an indicator of apoptosis) and propidium iodide (PI, an RNA dye)  showed a clear increase in both LR (apoptotic) and UR (late apoptosis, necrosis) SH-SY5Y cell populations after 24 h. After 8 h of exposure to rib glycation conditions, there was a corresponding increase in cell apoptosis (+21.22%) and late apoptosis/necrosis (+63.29%) rates in comparison with untreated cells.
To further confirm that SH-SY5Y cells were damaged in the presence of rib-glycated BSA, an assay system for quantifying the release of LDH from cells was carried out as shown in Figures 11 and 12A. Ribose-glycated BSA at concentrations of 5–8 μM triggered dose-dependent cytotoxicity of cells incubated for 8 h. However, cytotoxicity of BSA alone or glycated with the other reducing sugars was not detected under the same conditions (data not shown). The significant increase in plasma membrane permeability detected by LDH assay indicates damage of SH-SY5Y cells exposed to rib-glycated BSA.
To clarify whether free radicals had a role in causing lesions in SH-SY5Y cells exposed to rib-glycated BSA, we measured intracellular levels of ROS. As shown in Figure 12B, the intracellular level of ROS increased significantly when cells were exposed to rib-glycated protein compared with rib or BSA alone. This suggests that the cell death induced by globular amyloid-like aggregation of rib-glycated BSA is related to the intracellular ROS pathway.
Glycation is a stepwise process that begins with a nucleophilic addition reaction between a free amino group of a protein and a carbonyl group from a reducing sugar, forming a reversible intermediate product (Schiff's base). The Schiff's base can turn into a stable ketoamine by an Amadori rearrangement . The next step is the formation of numerous intermediary products, some of which are very reactive. The final step consists of crosslink formation between products in which heterogeneous structures called advanced glycation end products (AGEs) are formed . Transformation of Schiff's bases to relatively stable yet reversible ketoamines is slow and requires a long time [11, 41], but AGEs are formed rapidly from ketoamines [13, 42]. In this work, as can be seen in Figure 3, the glycation of BSA with rib results in rapid production of AGEs, almost within 24 h under the experimental conditions used. The speed of conversion from Schiff's bases to stable ketoamines for BSA exposed to rib during glycation was much faster than for BSA exposed to glc. That is to say, the glycation speed of rib with BSA was the most rapid of the reducing sugars used in this work.
NBT assays, changes in fluorescence (410 nm and 425 nm) and protein intrinsic fluorescence (335 nm) showed that the furanoses rib and xyl are much more active in the glycation of BSA than the pyranoses glc and frc. Of the five sugars, rib is the most active. Glc exists in solution as an intramolecular hemiacetal in which the free hydroxyl group at C-5 has reacted with the aldehydic C-1, rendering the latter asymmetric and giving rise to stereoisomers. The six-membered aldopyranose ring is much more stable than the aldofuranose five-membered ring because the pentose ring for rib and xyl is not planar but occurs in one of a variety of conformations generally described as "puckered" . The unstable aldofuranose ring is vulnerable to reactions with amino groups. This may be one reason why furanoses are more reactive in glycation than pyranoses. The difference in glycation activity of rib and xyl is probably due to different configurations of the hydroxyl group at C-3.
BSA contains two tryptophanyl residues (Trp 135 and Trp 214) that are largely responsible for the protein intrinsic fluorescence (335 nm). As shown in Figures 1 and 4, intrinsic fluorescence decreases markedly while emission at 410 nm and 425 nm increases as incubation period lengthens. Fluorescence at 410 nm and 425 nm reflects the formation of AGEs, and thus it is reasonable for rib-glycated BSA to show a marked increase in emission intensity . The decrease in intrinsic fluorescence is related to a conformational change in BSA. This results from exposure of Trp 135 and Trp 214 residues to solvent molecules which have higher colliding frequency with exposed tryptophanyl residues during glycation. This suggests that the molecular conformation of BSA becomes more random during its reaction with rib.
Changes observed in fluorescence at 410 nm and 425 nm and intrinsic fluorescence (335 nm) are somewhat different to results observed from Western blotting with AGE-antibodies. As shown in Table 1, the rate of formation of AGEs from rib-glycated BSA was significantly faster than that detected by fluorescence. Anti-AGEs recognize N$-carboxymethyllysine(CML)-protein adducts as epitopes [32, 45]. Fluorescence, however, is not only related to the characteristic of the fluorophore (the formed glycation product), but also to protein conformational change. The image of rib-glycated BSA can be seen on the mica surface under AFM (Figure 6A). Formation of rib-glycated BSA polymers occurred from day 5 of the incubation period. That is to say, protein conformational changes followed after the formation of AGEs from rib-glycated BSA.
CD spectra did not show distinct changes after glycation of BSA with rib (Additional File 1), i.e. secondary structures of rib-glycated BSA did not change relative to control native BSA. Results from fluorescence observations showed that BSA did undergo changes in molecular conformation. Although changes in Trp fluorescence are strictly symptomatic of local changes in the tryptophanyl residue microenvironment, they are usually also associated with larger structural rearrangements of the peptide chains . This suggests that conformational changes that occurred were protein polymerization under the experimental conditions. This theory was confirmed using AFM. BSA molecules polymerized into globular aggregates in the presence of rib from day 5 of the incubation period (Figure 6). According to Sattarahmady, glycation leads to formation of molten protein globules . We hypothesize that molten globules are probably prefibrils with some characteristic of amyloid-like aggregations.
To investigate whether rib-glycated BSA forms amyloid-like aggregations, we measured the fluorescence at 485 nm of ThT incubated with the glycated product (Figure 7), as ThT fluorescence is commonly used to detect the formation of amyloid-like aggregations [46–51]. Our results show that emission intensity was markedly increased during the rib-glycation process. According to recent studies, ThT has been found to bind to proteins in the nonfibrillar state (oligomers), probably because of the open structure of these proteins. Some protein molten globules are positive in ThT fluorescence [46, 49]. Thus, we thought that polymers of rib-glycated BSA are present as amyloid-like aggregations. In other words, ribosylated BSA is probably in molten globules with amyloid-like characteristics. On this point, fibrils might arise when BSA is exposed to rib for a longer time, which needs further investigation.
Globular-like amyloid protein aggregations are known to have fatal neurotoxicity . Previous work in our lab showed that the globular-like amyloid tau protein induced by formaldehyde has significant cytotoxicity to SH-SY5Y cells and HEK-293 cells [53–55]. Western blotting results in Figure 3 show that the toxicity of rib-glycated BSA is related to AGEs. Xyl-glycated BSA did not show significant cytotoxicity to SH-SY5Y cells because little AGEs were formed from xyl-glycated products under these experimental conditions, i.e. it is AGEs or intermediate products of rib-glycated BSA that act as cytotoxic agents to induce SH-SY5Y cell death. Thus, rib-AGEs were used rather than rib-glycated BSA in following tests.
As illustrated in Figures 9 and 11, exposure to rib-AGEs inhibited SH-SY5Y cell viability and induced cytotoxity. As described by Yamagishi and colleagues , AGEs arising from glc-glycated proteins lead to cell death via apoptosis. Results from LDH assays (Figure 12A) showed that the LD50 of rib-glycated BSA for SH-SY5Y cells was approximately 5 μM, similar to that obtained for the amyloid-like tau protein (10 μM) . On the basis of the following observations we conclude that rib-glycated BSA induced SH-SY5Y cell death via an apoptotic process. (1) SH-SY5Y cells showed neurite atrophy and became spherical with condensed nuclei in the presence of rib-AGEs. (2) CCK-8, MTT and LDH assays indicated that rib-AGEs decreased the viability of SH-SY5Y cells and induced cell cytotoxicity. (3) flow cytometry analysis of Annexin V/PI confirmed that apoptosis was induced by rib-AGEs.
Exposure to rib-AGEs induced a marked increase in intracellular levels of ROS in SH-SY5Y cells (Figure 12B). This suggests a correlation between exposure to rib-AGEs and production of ROS in the cells. Here we propose a putative mechanism (Figure 13) for the apoptosis of SH-SY5Y cells induced by rib-glycated BSA. Glycation of BSA with rib induces protein misfolding and results in the formation of amyloid-like aggregations (molten globules) with high cytotoxicity that trigger cell death by the activation of cellular signalling cascades .
A number of issues require further explanation. Firstly glycated BSA was prepared using a high concentration (1 M) of reducing monosaccharides. This is common to protocols used in many laboratories [13, 17, 19, 44]. At such a high concentration of reducing sugars, it is possible to clarify which monosaccharide is most active in protein glycation and has the strongest cytotoxicity. Here we have established a useful model for preparing rib-glycated proteins which can be used for preparing many other glycated proteins readily, rapidly and repeatedly in the presence of rib under these experimental conditions.
Secondly, rib is found in all living cells and on average, the body contains about 16 mg of rib per litre of blood (~100 μM), i.e. a roughly ten-fold lower level than that of blood glc. Ribose exists in the cerebrospinal fluid and Seuffer has determined the concentration (0.01–0.1 mM) . The level of rib-glycated protein in blood is still unknown because of its relatively low concentration in human blood. The amount of glc-glycated albumin and hemoglobin products in the blood is known, but so far there is no successful method for identifying whether glycated proteins are coupled with rib or glc in blood. However, rib-glycated BSA is strongly toxic to neuroblast cells, with a very low LD50 (~5 μM glycated BSA). The level of rib in the blood (~100 μM) is about 20 times higher than the LD50 of its glycated protein. Although complications resulting from the rib-glycated protein have not yet been clarified, attention should be paid to the effects of blood rib when the level is markedly elevated.
Thirdly, as mentioned above, rib-glycated BSA was the most toxic of the pyranose- or furanose-glycated BSA tested to human neuroblast cells (SH-SY5Y). Ribose is of vital importance to many activities of the cell and provides a backbone for synthesising the most important molecules in the body, such as ATP, the "energy currency" all cells need to function normally. In humans, it is synthesized from glc and can also be used to make glc. This monosaccharide is active and rapidly consumed. Thus far, no evidence of complications resulting from rib-glycation have been presented. In fact, rib has been used as a nutrient energy supply.
Finally, as shown in further experiments (unpublished data), rib-glycated BSA is not only toxic to SH-SY5Y cells, but is also toxic to BV2, a glia cell line. Ribose exists both within and outside cells, and thus this monosaccharide has the opportunity to glycate both intracellular and extracellular proteins. The glycated products may be harmful to cells and lead to damage of some important cell types such as neurons and glia in the central nerve system. For this reason, several native proteins were reported to protect nerve cells from amyloid cytotoxicity, for example, butyrylcholinesterase can inversely associate with the soluble Aβ conformers and delay the onset and decrease the rate of Aβ fibril formation in vitro . However, whether rib-glycation is related to complications such as neurodegeneration requires further investigation.
Here we investigated the effect of D-ribose on protein misfolding and aggregation. Compared with other monosaccharides, D-ribose is rapid in glycating BSA, and can induce protein misfolding and aggregation, as observed by fluorescence measurements, leading to the formation of amyloid-like deposits that appeared as densely staining granules under atomic force microscopy, and bound the amyloid-specific dye thioflavin T. The amyloid-like aggregates (molten globules) of BSA were observed to induce apoptosis in neurotypic SH-SY5Y cells as stained by Hoechst 33258, MTT and CCK-8 assay, LDH activity assay, and flow cytometry using Annexin V and Propidium Iodide staining, as well as ROS measurements. These results suggest that D-ribose may play an important role in AGE-related diseases.
Reducing monosaccharides employed in this work such as pyranoses (glc, frc), furanoses (rib and xyl), non-reducing disaccharides suc, and trypsin were from Amresco (USA). Bovine serum albumin (BSA) and thioflavine T came from Sigma (USA) and Aldrich (USA). Other chemicals were of analytical grade.
Glycation of BSA
BSA was dissolved in 20 mM Tris-HCl (pH 7.4) to yield a stock solution of 20 mg/ml. This solution was then resuspended with rib prepared in Tris-HCl (pH 7.4) to a final concentration of 10 mg/ml BSA and 0.1 M or 1 M monosaccharide. BSA alone and in the presence of frc, glc, xyl or suc was used as a control. Reaction mixtures were incubated at 37°C for 0 to 7 days. All solutions were filtered with 0.22 μm membranes (Millipore, USA).
Aliquots of glycated protein samples were subjected to SDS-PAGE. For the digestion experiment, BSA (final conc. 0.5 mg/ml) and trypsin (final conc. 0.5 mg/ml) were mixed in Tris-HCl buffer (pH 7.4) to give a volume of 100 μl, and incubated at 37°C for 1 h. Aliquots were subjected to electrophoresis using Bio-Rad (USA) electrophoresis equipment.
c. Nitroblue tetrazolium (NBT) assay
For NBT assay, we followed a published method [25, 60] with the following modifications. 200 μl of 0.75 mM NBT (Amresco, USA) was added to a 96-well microplate along with 10 μl of the unknown sample or standard. The kinetics for reduction of the dye by fructosamine groups (0.1 M carbonate buffer, pH 10.35) was measured at 540 nm using a MK3 microplate reader (Thermo, USA) after incubating for 30 min at 37°C. Standard curves were generated by addition of 10 μl of 1-deoxy-1-morpholino-D-fructose (1-DMF, Sigma, USA). Fructosamine formation was monitored by comparison to standard curves (R2 > 0.99).
d. Western blotting
Aliquots of BSA incubated with rib for different durations were subjected to electrophoresis. The proteins were then transferred onto PVDF membranes, and probed with anti-AGEs (dilution = 1:1000, 6D12, Wako, Osaka, Japan) followed by goat anti-mouse horseradish peroxidase (HRP) (KPL, Gaithersburg, Maryland, USA) at a dilution of 1:2000. Immunoreactive bands were visualized using enhanced chemiluminescence (Pierce, USA).
Fluorescence of the advanced glycated end-products was monitored on an F-4500 fluorophotometer (Hitachi, Japan). Wavelengths (λex370 nm/λem425 nm; λex320 nm/λem410 nm) were employed . Desired final protein concentration was 0.1 mg/ml (1.5 μM). Protein intrinsic fluorescence at 335 nm was also measured by excitation at 280 nm. Thioflavin T (ThT, 30 μM), commonly used to detect protein aggregations, was added to glycated BSA (1.5 μM) to investigate whether any amyloid-like deposits formed at 37°C. The fluorescence of ThT (λex450 nm/λem485 nm) was measured at 25°C with a bandwidth of 1.5 nm. Changes in emission intensity (%) per day are presented as ratios.
CD spectra were recorded using a Jasco J-720 CD spectrometer (Japan). The spectra were measured in 1 mm pathlengths of a quartz cuvette, and data were scanned from 190 nm to 260 nm at 1 nm intervals. The final protein concentration was 1 mg/ml (15 μM). The bandwidth was set at 1 nm (25°C). Baselines of the spectra were calibrated using the spectrum of the buffer measured under identical conditions. All experiments were repeated 10 times and averaged. The background of the corresponding buffers without protein or rib was subtracted for all samples.
Atomic Force Microscope (AFM) measurements
Protein samples were diluted using Tris-HCl buffer (pH 7.4) and 10 μl of BSA (10 μg) was dropped onto the mica surface and left for 5 min at room temperature before drying with nitrogen gas. The mica diaphragm was rinsed 20 times with ultrapurified water and dried with nitrogen gas before observation under the atomic force microscope (Mutiplemode-I, Digital Instruments, USA). The horizontal diameter at half height of a particle (globular protein) was measured and data were analyzed using Nanoscope 6.11r1 software (USA).
SH-SY5Y cells were cultured in Dulbecco's modified Eagle's medium supplemented with 100 IU/ml penicillin and 100 μg/ml streptomycin at 37°C in a humidified 5% CO2 incubator as described . The medium contained 10% fetal bovine serum. Cells were grown to 70–80% confluence in 25 mm diameter dishes and fed every fourth day. For all experiments, the culture medium was replaced with serum-free medium before the addition of the glycated protein. Cells were incubated with the samples (glycated BSA with each monosaccharide) (20 μM) for 8 h. After that, medium was changed to DMEM containing 10% fetal bovine serum.
Cell viability test
As described by Mayo and Tominaga [37, 38], viability was assessed using the 3-(4, 5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) test or cell counting kit-8 (CCK-8). MTT and CCK-8 were from Beyotime (China).
a. MTT assay
SH-SY5Y cells were seeded on a 96-well plate at a concentration of 105cells per well and either exposed or not-exposed to the glycated protein (20 μM) for 8 h. The culture media was then changed to DMEM with 10% fetal bovine serum. 50 μl MTT (final concentration 0.5 mg/ml) were added at 8, 24, and 48 h, respectively, after adding the glycated protein. Plates were incubated at 37°C for 4 h, and then the assay was stopped by replacement of the MTT-containing medium with 150 μl dimethysulfoxide (DMSO) and the absorbance at 540 nm was recorded. Absorbance measurements were recorded using a Multiscan Mk3 (Thermo Electron Corporation, USA).
b. CCK-8 assay
SH-SY5Y cells were seeded on a 96-well plate at a concentration of 105cells per well and either exposed or not-exposed to the glycated protein (20 μM) for 8 h. The culture media was then changed to DMEM with 10% fetal bovine serum. The CCK-8 reagent were added at 8, 24, and 48 h, respectively, after adding the glycated protein. Plates were incubated at 37°C for 1 h and the absorbance at 450 nm was recorded.
LDH cytotoxicity assays were performed according to the manufacturer's protocol (Roche, Switzerland). This colorimetric assay quantifies activity of LDH released from the cytosol of damaged cells into the supernatant and thus serves to quantify cell death [62, 63].
Measurement of intracellular ROS
The level of cytosolic ROS was measured by DCFH-DA (Beyotime, China) as described . Briefly, SH-SY5Y cells were grown in a 24-well plate and incubated with rib, BSA, and rib-glycated BSA for 8 h. Normal cells were used as controls. Cells were washed with PBS and incubated with DCFH-DA for 30 min. DCFH-DA was initially non-fluorescent and was converted by oxidation to the fluorescent molecule DCFH (λex485 nm/λem538 nm). DCFH was then quantified using a CytoFluor Multi-well Plate Reader (Fluoroskan Ascent, Thermo Lab Systerms, USA).
Flow cytometric analysis
Cells undergoing apoptosis were detected by double staining with Annexin V-FITC/PI in the dark according to the manufacturer's instructions . Cells attached to Petri dishes were harvested with 0.25% trypsin and washed twice with cold PBS. Cell pellets were suspended in 1× binding buffer (10 mM HEPES/NaOH, pH 7.4, 140 mM NaCl, 2.5 mM CaCl2) at a concentration of 1 × 106 cells/ml. Then the cells were incubated with Annexin V-FITC and propidium iodide (PI) for 15 min (22–25°C) in the dark. The stained cells were immediately analyzed by flow cytometry (FAC Svantage SE, USA). Each measurement was carried out in at least triplicate.
We thank Ms. Ya Wang for processing of AFM imaging and Prof. Xiyun Yan (State Key Laboratory of Biomacromolecules, Institute of Biophysics, Chinese Academy of Sciences) for her kindly providing SH-SY5Y cells. This project was supported by the following grants: NSFC-30621004, NSFB-06J11, 973-project-2006CB500703, CAS-KSCX2-YW-R-119.
State Key Laboratory of Brain and Cognitive Sciences, Institute of Biophysics, Chinese Academy of Sciences
Graduate University of Chinese Academy of Sciences
Day JF, Thorpe SR, Baynes JW: Nonenzymatically glucosylated albumin. In vitro preparation and isolation from normal human serum. J Biol Chem. 1979, 254 (3): 595-597.PubMed
J TP: The Clinical Significance of Glycation. Clin Lab. 1999, 45: 263-273.
Degenhardt TP, Thorpe SR, Baynes JW: Chemical modification of proteins by methylglyoxal. Cell Mol Biol (Noisy-le-grand). 1998, 44 (7): 1139-1145.
McCance DR, Dyer DG, Dunn JA, Bailie KE, Thorpe SR, Baynes JW, Lyons TJ: Maillard reaction products and their relation to complications in insulin-dependent diabetes mellitus. J Clin Invest. 1993, 91 (6): 2470-2478. 10.1172/JCI116482.PubMed CentralView ArticlePubMed
Lyons TJ, Silvestri G, Dunn JA, Dyer DG, Baynes JW: Role of glycation in modification of lens crystallins in diabetic and nondiabetic senile cataracts. Diabetes. 1991, 40 (8): 1010-1015. 10.2337/diabetes.40.8.1010.View ArticlePubMed
Miyata T, van Ypersele de Strihou C, Kurokawa K, Baynes JW: Alterations in nonenzymatic biochemistry in uremia: origin and significance of "carbonyl stress" in long-term uremic complications. Kidney Int. 1999, 55 (2): 389-399. 10.1046/j.1523-1755.1999.00302.x.View ArticlePubMed
Westwood ME, Thornalley PJ: Molecular characteristics of methylglyoxal-modified bovine and human serum albumins. Comparison with glucose-derived advanced glycation endproduct-modified serum albumins. J Protein Chem. 1995, 14 (5): 359-372. 10.1007/BF01886793.View ArticlePubMed
Dukic-Stefanovic S, Schinzel R, Riederer P, Munch G: AGES in brain ageing: AGE-inhibitors as neuroprotective and anti-dementia drugs?. Biogerontology. 2001, 2 (1): 19-34. 10.1023/A:1010052800347.View ArticlePubMed
Stolzing A, Widmer R, Jung T, Voss P, Grune T: Degradation of glycated bovine serum albumin in microglial cells. Free Radic Biol Med. 2006, 40 (6): 1017-1027. 10.1016/j.freeradbiomed.2005.10.061.View ArticlePubMed
Verbeke P, Siboska GE, Clark BF, Rattan SI: Kinetin inhibits protein oxidation and glycoxidation in vitro. Biochem Biophys Res Commun. 2000, 276 (3): 1265-1270. 10.1006/bbrc.2000.3616.View ArticlePubMed
Syrovy I: Glycation of albumin: reaction with glucose, fructose, galactose, ribose or glyceraldehyde measured using four methods. J Biochem Biophys Methods. 1994, 28 (2): 115-121. 10.1016/0165-022X(94)90025-6.View ArticlePubMed
Khalifah RG, Todd P, Booth AA, Yang SX, Mott JD, Hudson BG: Kinetics of nonenzymatic glycation of ribonuclease A leading to advanced glycation end products. Paradoxical inhibition by ribose leads to facile isolation of protein intermediate for rapid post-Amadori studies. Biochemistry. 1996, 35 (15): 4645-4654. 10.1021/bi9525942.View ArticlePubMed
Tanaka S, Avigad G, Brodsky B, Eikenberry EF: Glycation induces expansion of the molecular packing of collagen. J Mol Biol. 1988, 203 (2): 495-505. 10.1016/0022-2836(88)90015-0.View ArticlePubMed
Luciano Viviani G, Puddu A, Sacchi G, Garuti A, Storace D, Durante A, Monacelli F, Odetti P: Glycated fetal calf serum affects the viability of an insulin-secreting cell line in vitro. Metabolism. 2008, 57 (2): 163-169. 10.1016/j.metabol.2007.08.020.View ArticlePubMed
Kikuchi S, Shinpo K, Takeuchi M, Yamagishi S, Makita Z, Sasaki N, Tashiro K: Glycation – a sweet tempter for neuronal death. Brain Res Brain Res Rev. 2003, 41 (2–3): 306-323. 10.1016/S0165-0173(02)00273-4.View ArticlePubMed
Chetyrkin SV, Mathis ME, Ham AJ, Hachey DL, Hudson BG, Voziyan PA: Propagation of protein glycation damage involves modification of tryptophan residues via reactive oxygen species: inhibition by pyridoxamine. Free Radic Biol Med. 2008, 44 (7): 1276-1285. 10.1016/j.freeradbiomed.2007.09.016.View ArticlePubMed
Culbertson SM, Vassilenko EI, Morrison LD, Ingold KU: Paradoxical impact of antioxidants on post-Amadori glycoxidation: Counterintuitive increase in the yields of pentosidine and Nepsilon-carboxymethyllysine using a novel multifunctional pyridoxamine derivative. J Biol Chem. 2003, 278 (40): 38384-38394. 10.1074/jbc.M305099200.View ArticlePubMed
Sattarahmady N, Moosavi-Movahedi AA, Ahmad F, Hakimelahi GH, Habibi-Rezaei M, Saboury AA, Sheibani N: Formation of the molten globule-like state during prolonged glycation of human serum albumin. Biochim Biophys Acta. 2007, 1770 (6): 933-942.View ArticlePubMed
Stefani M, Dobson CM: Protein aggregation and aggregate toxicity: new insights into protein folding, misfolding diseases and biological evolution. J Mol Med. 2003, 81 (11): 678-699. 10.1007/s00109-003-0464-5.View ArticlePubMed
Sanghera N, Wall M, Venien-Bryan C, Pinheiro TJ: Globular and pre-fibrillar prion aggregates are toxic to neuronal cells and perturb their electrophysiology. Biochim Biophys Acta. 2008, 1784 (6): 873-881.View ArticlePubMed
Tabner BJ, El-Agnaf OM, German MJ, Fullwood NJ, Allsop D: Protein aggregation, metals and oxidative stress in neurodegenerative diseases. Biochem Soc Trans. 2005, 33 (Pt 5): 1082-1086.View ArticlePubMed
Coussons PJ, Jacoby J, McKay A, Kelly SM, Price NC, Hunt JV: Glucose modification of human serum albumin: a structural study. Free Radic Biol Med. 1997, 22 (7): 1217-1227. 10.1016/S0891-5849(96)00557-6.View ArticlePubMed
Mendez DL, Jensen RA, McElroy LA, Pena JM, Esquerra RM: The effect of non-enzymatic glycation on the unfolding of human serum albumin. Arch Biochem Biophys. 2005, 444 (2): 92-99. 10.1016/j.abb.2005.10.019.View ArticlePubMed
Seiffert E, Dreier JP, Ivens S, Bechmann I, Tomkins O, Heinemann U, Friedman A: Lasting blood-brain barrier disruption induces epileptic focus in the rat somatosensory cortex. J Neurosci. 2004, 24 (36): 7829-7836. 10.1523/JNEUROSCI.1751-04.2004.View ArticlePubMed
Ivens S, Kaufer D, Flores LP, Bechmann I, Zumsteg D, Tomkins O, Seiffert E, Heinemann U, Friedman A: TGF-beta receptor-mediated albumin uptake into astrocytes is involved in neocortical epileptogenesis. Brain. 2007, 130 (Pt 2): 535-547. 10.1093/brain/awl317.View ArticlePubMed
Moreaux V, Birlouez-Aragon I: Degradation of tryptophan in heated β-lactoglobulin-lactose mixtures is associated with intense Maillard reaction. J Agric Food Chem. 1997, 45: 1905-1910. 10.1021/jf9605005.View Article
Ferrer E, Alegria A, Farre R, Clemente G, Calvo C: Fluorescence, browning index, and color in infant formulas during storage. J Agric Food Chem. 2005, 53 (12): 4911-4917. 10.1021/jf0403585.View ArticlePubMed
Matiacevich SB, Buera MP: A critical evaluation of fluorescence as a potential marker for the Maillard reaction. Food Chem. 2006, 95: 423-430. 10.1016/j.foodchem.2005.01.027.View Article
Liu X, Metzger LE: Application of fluorescence spectroscopy for monitoring changes in nonfat dry milk during storage. J Dairy Sci. 2007, 90 (1): 24-37.View ArticlePubMed
Ikeda K, Higashi T, Sano H, Jinnouchi Y, Yoshida M, Araki T, Ueda S, Horiuchi S: N (epsilon)-(carboxymethyl)lysine protein adduct is a major immunological epitope in proteins modified with advanced glycation end products of the Maillard reaction. Biochemistry. 1996, 35 (24): 8075-8083. 10.1021/bi9530550.View ArticlePubMed
Gorinstein S, Goshev I, Moncheva S, Zemser M, Weisz M, Caspi A, Libman I, Lerner HT, Trakhtenberg S, Martin-Belloso O: Intrinsic tryptophan fluorescence of human serum proteins and related conformational changes. J Protein Chem. 2000, 19 (8): 637-642. 10.1023/A:1007192017291.View ArticlePubMed
Chen YH, He RQ, Liu Y, Xue ZG: Effect of human neuronal tau on denaturation and reactivation of rabbit muscle D-glyceraldehyde-3-phosphate dehydrogenase. Biochem J. 2000, 351 (Pt 1): 233-240. 10.1042/0264-6021:3510233.PubMed CentralView ArticlePubMed
He RQ, Li YG, Wu XQ, Li L: Inactivation and conformation changes of the glycated and non-glycated D-glyceraldehyde-3-phosphate dehydrogenase during guanidine-HCl denaturation. Biochim Biophys Acta. 1995, 1253 (1): 47-56.View ArticlePubMed
Swamy MJ, Surolia A: Studies on the tryptophan residues of soybean agglutinin. Involvement in saccharide binding. Biosci Rep. 1989, 9 (2): 189-198. 10.1007/BF01115995.View ArticlePubMed
Mayo L, Stein R: Characterization of LPS and interferon-gamma triggered activation-induced cell death in N9 and primary microglial cells: induction of the mitochondrial gateway by nitric oxide. Cell Death Differ. 2007, 14 (1): 183-186. 10.1038/sj.cdd.4401989.View ArticlePubMed
Peskin AV, Winterbourn CC: A microtiter plate assay for superoxide dismutase using a water-soluble tetrazolium salt (WST-1). Clin Chim Acta. 2000, 293 (1–2): 157-166. 10.1016/S0009-8981(99)00246-6.View ArticlePubMed
Xu Z, Xu RX, Liu BS, Jiang XD, Huang T, Ding LS, Yuan J: Time window characteristics of cultured rat hippocampal neurons subjected to ischemia and reperfusion. Chin J Traumatol. 2005, 8 (3): 179-182.PubMed
Monnier VM, Nagaraj RH, Portero-Otin M, Glomb M, Elgawish AH, Sell DR, Friedlander MA: Structure of advanced Maillard reaction products and their pathological role. Nephrol Dial Transplant. 1996, 11 (Suppl 5): 20-26.View ArticlePubMed
Chellan P, Nagaraj RH: Early glycation products produce pentosidine cross-links on native proteins. novel mechanism of pentosidine formation and propagation of glycation. J Biol Chem. 2001, 276 (6): 3895-3903. 10.1074/jbc.M008626200.View ArticlePubMed
Booth AA, Khalifah RG, Todd P, Hudson BG: In vitro kinetic studies of formation of antigenic advanced glycation end products (AGEs). Novel inhibition of post-Amadori glycation pathways. J Biol Chem. 1997, 272 (9): 5430-5437. 10.1074/jbc.272.9.5430.View ArticlePubMed
Nelson DL, Cox MM: Carbohydrates and Glycobiology. Principle of Biochemistry. Edited by: Elizabeth G. 2004, New York: Worth Publishers, 296-326.
Fatima S, Jairajpuri DS, Saleemuddin M: A procedure for the rapid screening of Maillard reaction inhibitors. J Biochem Biophys Methods. 2008, 70 (6): 958-965. 10.1016/j.jprot.2007.10.002.View ArticlePubMed
Horiuchi S, Araki N, Morino Y: Immunochemical approach to characterize advanced glycation end products of the Maillard reaction. Evidence for the presence of a common structure. J Biol Chem. 1991, 266 (12): 7329-7332.PubMed
Chakraborty A, Basak S: Interaction with Al and Zn induces structure formation and aggregation in natively unfolded caseins. J Photochem Photobiol B. 2008, 93 (1): 36-43. 10.1016/j.jphotobiol.2008.06.011.View ArticlePubMed
Yang M, Velaga S, Yamamoto H, Takeuchi H, Kawashima Y, Hovgaard L, Weert van de M, Frokjaer S: Characterisation of salmon calcitonin in spray-dried powder for inhalation. Effect of chitosan. Int J Pharm. 2007, 331 (2): 176-181. 10.1016/j.ijpharm.2006.10.030.View ArticlePubMed
Crystal AS, Giasson BI, Crowe A, Kung MP, Zhuang ZP, Trojanowski JQ, Lee VM: A comparison of amyloid fibrillogenesis using the novel fluorescent compound K114. J Neurochem. 2003, 86 (6): 1359-1368. 10.1046/j.1471-4159.2003.01949.x.View ArticlePubMed
Farrell HM, Cooke PH, Wickham ED, Piotrowski EG, Hoagland PD: Environmental influences on bovine kappa-casein: reduction and conversion to fibrillar (amyloid) structures. J Protein Chem. 2003, 22 (3): 259-273. 10.1023/A:1025020503769.View ArticlePubMed
Bousset L, Thomson NH, Radford SE, Melki R: The yeast prion Ure2p retains its native alpha-helical conformation upon assembly into protein fibrils in vitro. EMBO J. 2002, 21 (12): 2903-2911. 10.1093/emboj/cdf303.PubMed CentralView ArticlePubMed
Plakoutsi G, Bemporad F, Calamai M, Taddei N, Dobson CM, Chiti F: Evidence for a mechanism of amyloid formation involving molecular reorganisation within native-like precursor aggregates. J Mol Biol. 2005, 351 (4): 910-922. 10.1016/j.jmb.2005.06.043.View ArticlePubMed
Bhatia R, Lin H, Lal R: Fresh and globular amyloid beta protein (1–42) induces rapid cellular degeneration: evidence for AbetaP channel-mediated cellular toxicity. FASEB J. 2000, 14 (9): 1233-1243.PubMed
Nie CL, Wei Y, Chen X, Liu YY, Dui W, Liu Y, Davies MC, Tendler SJ, He RG: Formaldehyde at low concentration induces protein tau into globular amyloid-like aggregates in vitro and in vivo. PLoS ONE. 2007, 2 (7): e629-10.1371/journal.pone.0000629.PubMed CentralView ArticlePubMed
Nie CL, Wang XS, Liu Y, Perrett S, He RQ: Amyloid-like aggregates of neuronal tau induced by formaldehyde promote apoptosis of neuronal cells. BMC Neurosci. 2007, 8: 9-10.1186/1471-2202-8-9.PubMed CentralView ArticlePubMed
Li F, Lu J, Xu Y, Tong Z, Nie C, He RG: Formaldehyde-mediated Chronic Damage May Be Related to Sporadic Neurodegeneration. Progress in Biochemistry and Biophysics. 2008, 35 (4): 393-400.
Yamagishi S, Inagaki Y, Okamoto T, Amano S, Koga K, Takeuchi M, Makita Z: Advanced glycation end product-induced apoptosis and overexpression of vascular endothelial growth factor and monocyte chemoattractant protein-1 in human-cultured mesangial cells. J Biol Chem. 2002, 277 (23): 20309-20315. 10.1074/jbc.M202634200.View ArticlePubMed
Nass N, Bartling B, Navarrete Santos A, Scheubel RJ, Borgermann J, Silber RE, Simm A: Advanced glycation end products, diabetes and ageing. Z Gerontol Geriatr. 2007, 40 (5): 349-356. 10.1007/s00391-007-0484-9.View ArticlePubMed
Seuffer R: [A new method for the determination of sugars in cerebrospinal fluid (author's transl)]. J Clin Chem Clin Biochem. 1977, 15 (12): 663-668.PubMed
Diamant S, Podoly E, Friedler A, Ligumsky H, Livnah O, Soreq H: Butyrylcholinesterase attenuates amyloid fibril formation in vitro. Proc Natl Acad Sci USA. 2006, 103 (23): 8628-8633. 10.1073/pnas.0602922103.PubMed CentralView ArticlePubMed
Baker JR, Metcalf PA, Johnson RN, Newman D, Rietz P: Use of protein-based standards in automated colorimetric determinations of fructosamine in serum. Clin Chem. 1985, 31 (9): 1550-1554.PubMed
Li YP, Bushnell AF, Lee CM, Perlmutter LS, Wong SK: Beta-amyloid induces apoptosis in human-derived neurotypic SH-SY5Y cells. Brain Res. 1996, 738 (2): 196-204. 10.1016/S0006-8993(96)00733-0.View ArticlePubMed
Racher AJLD, Griffiths JB: Use of lactate dehydrogenase release to assess changes in culture viability. Cytotechnology. 1990, 3 (3): 301-307. 10.1007/BF00365494.View ArticlePubMed
Legrand C, Bour JM, Jacob C, Capiaumont J, Martial A, Marc A, Wudtke M, Kretzmer G, Demangel C, Duval D: Lactate dehydrogenase (LDH) activity of the cultured eukaryotic cells as marker of the number of dead cells in the medium [corrected]. J Biotechnol. 1992, 25 (3): 231-243. 10.1016/0168-1656(92)90158-6.View ArticlePubMed
Smith WW, Norton DD, Gorospe M, Jiang H, Nemoto S, Holbrook NJ, Finkel T, Kusiak JW: Phosphorylation of p66Shc and forkhead proteins mediates Abeta toxicity. J Cell Biol. 2005, 169 (2): 331-339. 10.1083/jcb.200410041.PubMed CentralView ArticlePubMed
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