key: cord-0734055-4oini3cz
authors: Zhou, Yunlian; Li, Mengyao; Lv, Tingyi; Huang, Meixia; Cheng, Beilei; Zhang, Yuanyuan; Zhu, Jie
title: Gastrodin Inhibits Virus Infection by Promoting the Production of Type I Interferon
date: 2021-02-19
journal: Front Pharmacol
DOI: 10.3389/fphar.2020.608707
sha: 646e4ab633c15dbd56b9fbd769487e1180b074cf
doc_id: 734055
cord_uid: 4oini3cz

Type I interferon (IFN-I) plays a critical role in the antiviral immune response. However, viruses have developed different strategies to suppress the production of IFN-I for its own escape and amplification. Therefore, promoting the production of IFN-I is an effective strategy against virus infection. Gastrodin (GTD), a phenolic glucoside extracted from Gastrodia elata Blume, has been reported to play a protective role in some central nervous system -related diseases and is beneficial for the recovery of diseases by inhibiting inflammation. However, the effect of GTD on virus infection is largely unknown. Here we found GTD treatment increased the survival rate of mice infected with vesicular stomatitis virus (VSV) or herpes simplex virus-1 (HSV-1). The production of IFN-I was increased in GTD-treated mice or macrophages compared to the control group, during virus infection. Furthermore, the activation of interferon regulatory factor 3 (IRF3) was promoted by GTD in macrophages upon VSV and HSV-1 infection. Our results demonstrated that GTD could inhibit the VSV and HSV-1 infection by promoting the production of IFN-I in macrophages and might provide an effective strategy against virus infection.

Innate immunity is the first line of defense against virus infection (Corbett et al., 2020; Kucharski and Nilles, 2020; Wandernoth et al., 2020) . Innate immune cells such as macrophages and dendritic cells are activated in response to virus infection, which depending on the detection of pathogen-associated molecular patterns (PAMPs) by germline-encoded pattern-recognition receptors (PRRs), including Toll-like receptors (TLRs), Retinoic acid-inducible gene I (RIG-I)-like receptors (RLRS), Nod-like receptors and DNA sensors such as cGAS, IFI16, and DDX41 (Oth et al., 2016; Eppensteiner et al., 2019) . TLR3, 7, 8, detect the nucleic acid from RNA virus, such as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), influenza A (H1N1), vesicular stomatitis virus (VSV) (El Chamy et al., 2008; Mu et al., 2019; Rehwinkel and Gack, 2020) . TLR9 and DNA sensors recognize the viral DNA, after infection with DNA virus, such as herpes simplex virus-1 (HSV-1) and hepatitis B virus (HBV) (Unterholzner et al., 2010; Gao et al., 2013; Xie et al., 2018; Briard et al., 2020) . Upon recognizing invading viruses, the PRRs recruit down-stream adaptors, including TRIF, MAVS and STING, which activate the down-stream kinases TBK1 and IKKε, leading to the activation of nuclear factor-kB and interferon (IFN) regulatory transcription factor (IRF)-3/7 and induction of the production of type I IFN (IFN-I) and proinflammatory cytokines (Chen et al., 2013; Chen et al., 2016; Gao et al., 2018; Liu et al., 2019) .

IFN-I, mainly includes IFN-α and IFN-β, induces the expression of ISGs (IFN-stimulated genes), which can not only inhibit the virus at multiple stages from invasion to release, but also feedback regulate the expression of IFNs to play an indirectly antiviral effect (Shcheglovitova et al., 2016; Nganou-Makamdop et al., 2018; Li et al., 2019) . It has been reported that IFN-I can suppress the SARS-CoV-2, VSV and HSV-1 infection (Hile et al., 2020; Lee and Shin, 2020; Walz et al., 2020) . However, viruses such as H1N1 and HSV-1 can develop strategies to escape from the host immunity through inhibiting the production of IFN-I (Christensen et al., 2016; Wang et al., 2017; Lundberg et al., 2019) . Therefore, improving the production of IFN-I is an effective strategy against virus infection.

Gastrodin (GTD), also named as 4-hydroxybenzyl alcohol-4-O-β-D-glucopyranoside, is a phenolic glycoside which is the glucoside of gastrodigenin . GTD is extracted from Gastrodia elata Blume and possesses the anti-apoptosis, and anti-inflammatory activities (Lv et al., 2020) . As far, the research on GTD is mostly focused on its effect on the central nervous system (Zuo et al., 2016; Liu et al., 2018) . Numerous studies have been reported that GTD possesses anti-oxidative stress, antiinflammatory, and neuroprotective effects, which can relieve a broad range of CNS-related diseases, such as epilepsy, Alzheimer's disease, Parkinson's disease, affective disorders, cerebral ischemia/reperfusion. It has been reported that GTD acts as a protective molecular in LPS/GalN-induced fulminant hepatitis (Lv et al., 2020) . GTD inhibits hepatocyte apoptosis through the inhibition of NLRP3 inflammasome and NF-κB activation, and the recovery of AMPK/ACC/autophagy (Sun et al., 2019) . However, the effect of GTD in antiviral infection is largely unknown.

In our study, we found that GTD could inhibit the VSV and HSV-1 infection in vivo and in vitro. The production of IFN-I was also increased by GTD after VSV or HSV-1 infection. However, the expression of proinflammatory cytokines including tumor necrosis factor (TNF-α) and Interleukin 6 (IL-6) had no difference after treatment with GTD. We also found GTD promoted the activation of IRF3, thus facilitating the production of IFN-I. Our results demonstrated that GTD could inhibit the VSV and HSV-1 infection by promoting the production of IFN-I in macrophages and might provide an effective strategy against virus infection.

C57BL/6J mice (6-8 weeks old) were purchased from SIPPR-BK Laboratory Animal Co., Ltd. (Shanghai, China). All mice were kept in the university laboratory animal center in an environment free of specific pathogens. All animal experiments were carried out following the protocol approved by the Animal Ethics Committee of Zhejiang University and conformed to institutional guidelines. Primary peritoneal macrophages were collected by peritoneal lavage from mice after intraperitoneal injection with thioglycolate (BD, Sparks, MD) for four days, and cultured in RPMI 1640 medium with 10% (vol/vol) fetal bovine serum (FBS). Antibodies specific for TBK1 (D1B4; 3504), TBK1 phosphorylated at Ser 172 (5483), IRF3 (4962), IRF3 phosphorylated at Ser396 (4947), IRF7 (4920), p-IRF7 (5184), p-JNK (9251), JNK (9252), p-p65 (3,033), p65 (8242), p-p38 (9215), p38 (9212), p-ERK (4370) and ERK (4695) were from Cell Signaling Technology. Anti-mouse IFNAR1 Ab (16-5945-025) was from eBioscience. GTD (HY-N0115) was purchased from MedChemExpress (MCE).

VSV, HSV-1 and GFP-VSV are gifts provided by professor Wang Xiaojian (Zhejiang University, Hangzhou). Primary peritoneal macrophages (1 × 10 6 ) were cultured in 12-well plate and infected with VSV at a multiplicity of infection (MOI) of 0.1, 1 or 10, VSV-GFP (MOI 1) or HSV-1 (MOI 10) at indicated time. For in vivo studies, mice were infected with VSV (1 × 10 8 pfu/g) or HSV-1 (2 × 10 7 pfu/g) by intraperitoneal injection.

This experiment was performed as we described previously (Chen et al., 2016) . The snap-frozen lung, spleen, and brain liver tissues from mice were weighed (20 mg) and homogenized three times (5 s each) in 1 ml MEM, and then centrifuged at 1,600 g for 30 min, and the supernatants were collected. The supernatants from infected cells or tissues were serially diluted and infected on Vero cells for 1 h. The cells were covered with growth medium containing 0.6% low melting point agarose. After 16 h, plaques stained with 0.5% crystal violet (m/ v) in 20% ethanol (v/v) were counted to calculate viral titer as previously described (Xing et al., 2011; Xing et al., 2013) .

Primary peritoneal macrophages were infected with GFP-VSV for indicated time. Then cells were digested by trypsin and washed by PBS. After resuspended in PBS, cells were analyzed by flow cytometry (FACS).

The supernatants were collected from primary peritoneal macrophages or peripheral blood in the indicated experiments. The concentrations of IFN-α, IFN-β or TNF-α cytokine were detected with ELISA kits according to the manufacturer's protocols (InvivoGen). The capture antibody was added to the plate, and incubated overnight at 4°C. The plate was washed three times using wash buffer, then added blocking buffer to each well and covered at room temp for 1 h. The samples or standards were added to the plate and incubated at room temp for 1 h after removing the blocking buffer. The plate was washed 3 times 5 min each, then added biotinylated detection antibody and incubated at room temp for 1 h. The enzyme conjugate was added to each well and incubated at room temp for 1 h after washing three times 5 min each. The plate was washed three times 5 min each, added substrate solution to each well and incubated at room temp for 30 min. The absorbance was measured by appropriate hardware and analyzed the data.

Total RNA was isolated from cells using TRIzol reagent (Takara) according to the manufacturer's instructions. Single-stranded cDNA was generated from total RNA by using reverse transcriptase kit (Toyobo). SYBR Green master Rox (Roche) Frontiers in Pharmacology | www.frontiersin.org February 2021 | Volume 11 | Article 608707 was used to quantitative Real-time reverse transcriptase-PCR analysis. qPCR primers were as follows: VSV forward: 5′-ACGGCGTACTTCCAGATGG-3′; VSV reverse: 5′-CTCGGTTCAAGATCCAGGT-3′; HSV-1 genomic DNA forward: 5′-TGGGACACATGCCTT CTTGG-3′;

HSV-1 genomic DNA reverse: 5′-ACCCTTAGTCAGACT CTGTTACTTACCC-3′; mouse TNF-αforward 5′-AAGCCT GTAGCCCACGTCGTA-3′; mouse TNF-α reverse 5′-GGCACCACTAGTTGGTTGTCT TTG-3′;

mouse β-actin forward 5′-GATGACGATATCGCTGCG CTG-3′; mouse β-actin reverse 5′-GTACGACCAGAGGCATAC AGG-3′. 

To perform western blot analysis, the cells were treated with cell lysis buffer (CST, 9803) and inhibitor "cocktail" (Sigma, P8340).

Protein concentration was measured by BCA assay (Pierce, 23235). An equal amount of protein was extracted from the sample for dodecyl sulfate-polyacrylamide gel electrophoresis. The protein was electrically transferred to the polyvinylidene difluoride membrane (Bio-Rad). Immunoblots were probed with the indicated antibodies. The protein bands were visualized by Pierce Chemiluminescence ECL Kit (Thermo).

The lungs from control or virus-infected mice were dissected and fixed in 10% phosphate buffered formalin, embedded in paraffin, then sectioned, stained by hematoxylin and eosin solution. The histological changes of sections were checked with an optical microscope.

A one or two -way ANOVA was used to determine the significance of difference between groups and the statistical significance of mouse survival study was generated and analyzed by Kaplan-Meier survival with GraphPad Prism software. p values of less than 0.05 were considered statistically significant.

To explore the effect of GTD on virus infection in mice, the survival rate was initially recorded for 96 h after VSV challenge. Upon administration of VSV, the mice began to die at 12 h and the survival rate dropped to 0% at 72 h. In contrast, GTD treatment could prolong the survival time and enhance the survival rate of mice (40% in 10 mg/kg and 70% in 100 mg/kg) ( Figure 1A) . The VSV titers and VSV-G transcript levels in liver, spleen, and lung were significantly lower in GTD treated mice compared to control mice ( Figures 1B,C) . H&E analysis showed that less infiltration of inflammatory cells and pathological damage were observed in the lungs of GTD-treated mice after infection with VSV ( Figure 1D ). Next, we detected whether GTD plays a role in anti-DNA virus infection such as HSV-1. We found the survival rate of HSV-1 challenged mice was higher after treatment with GTD ( Figure 1E ). There were lower HSV-1 titers and HSV-1 gDNA copies in the brain of mice with GTD treatment (Figures 1F,G) . These findings implied that GTD inhibits RNA virus and DNA virus infection in vivo.

Since IFN-I plays a critical role in the innate immune response against viruses, we investigated whether GTD could affect the production of IFN-I. The concentrations of IFN-β and IFN-α were higher in GTD treatment mice after VSV infection (Figure 2A) . The concentrations of proinflammatory cytokines such as TNF-α and IL-6 were not significantly different between GTD treatment mice and control mice after VSV infection ( Figure 2B) . We also evaluated the mRNA levels of IFN-β and IFN-α in lung, liver and spleen tissues and found that the dose of 100 mg/kg for GTD treatment was able to increase expressions of IFN-β and IFN-α in liver, lung and spleen ( Figures 2C,D) . Upon HSV-1 infection, both 100 mg/kg and 10 mg/kg GTD were able to induce higher concentrations of IFNβ and IFN-α in the serum of mice ( Figures 2E,F) , but not the TNF-α and IL-6 inflammatory cytokines ( Figure 2G ). The mRNA levels of IFN-β and IFN-α were increased in the brain of mice after treatment with GTD and infection with HSV-1 ( Figure 2H ). These results indicated that GTD specifically enhances the production of IFN-I after RNA virus and DNA virus infection in mice. 

To further confirm the effect of GTD in virus infection, we assessed the antiviral function of GTD in macrophages, which are at the front line and can produce large amounts of IFN-I to protect against fungi, bacteria, and virus infection (Chen et al., 2013; Channappanavar et al., 2016; Song et al., 2017) . The low dose (10 μM) and high dose (100 μM) of GTD suppressed VSV titers when VSV infected macrophages in vitro ( Figure 3A ). To ensure the suppression of VSV infection, different amounts of VSV particles (0.1 and 1 MOI) were used to infect macrophages. Consistently, we detected that GTD enhanced viral clearance ability of macrophages under different counts of virus infection ( Figure 3A) . The VSV-G mRNA levels were also reduced while treatment with GTD ( Figure 3B ). By performing flow cytometry, we found that GTD-treated macrophages showed decreased GFP + cells after infection with GFP-tagged VSV in vitro ( Figure 3C) . Correspondingly, GTD also reduced HSV-1 titers and HSV-1 gDNA in macrophages when infected with HSV-1 ( Figures 3D,E) . Taken together, these data suggested that GTD inhibits RNA and DNA viral susceptibility in macrophages.

To further verify the effect of GTD on IFN-I, we also detected the levels of IFN-I and inflammatory factors in macrophages. The higher transcription levels of IFN-β and IFN-α but not TNF-α and IL-6 were detected in macrophages with GTD treatment after VSV infection (Figures 4A,B; Supplementary Figures S1A,B) . Both doses of GTD could enhance the secretion of IFN-β and IFN-α, but not TNF-α and IL-6 in macrophages after virus infection ( Figures 4C,D; Supplementary Figures S1C,D) .

Using HSV-1 infection experiments, we obtained the consistent results: GTD up-regulated IFN-β and IFN-α transcriptions when HSV-1 infected macrophages ( Figure 4E ). ELISA results demonstrated that IFN-β and IFN-α concentrations were higher in the supernatant of culturedmacrophages after HSV-1 infection ( Figure 4F ). There was no significant difference in the levels of TNF-α and IL-6 between GTD treatment and control group (Supplementary Figures  S1E,F) . These results indicated that GTD promotes the 

To further verify whether the viral inhibitory effect of GTD was mediated by IFN-I, we used mouse IFNAR1(also known as IFN-α/β R1) Ab to interact with IFNAR1, block the IFN-I signal pathway and inhibit the expression of ISGs (Lindqvist et al., 2016) . The VSV titer was significantly decreased in GTD treated macrophages after VSV infection ( Figure 5A) . However, the inhibition of VSV by GTD was not detected in macrophages after mouse IFNAR1 Ab treatment ( Figure 5A ). There was no significant difference in VSV-G mRNA levels between GTD and IFNAR1 Ab treated macrophages and control cells ( Figure 5B ). Furthermore, we did not observe the decreased HSV-1 titer and HSV-1 copies in gDNA by GTD in macrophages after treatment with IFNAR1 Ab (Figures 5C,D) . Our Figure 6C . Data are presented as the mean ± SD. and are representative of three independent experiments. ***p < 0.001.

Frontiers in Pharmacology | www.frontiersin.org February 2021 | Volume 11 | Article 608707 results indicated that the inhibition of VSV or HSV-1 infection by GTD is dependent on IFN-I.

Next, we screened the downstream signaling pathways induced by virus in macrophages. The results showed that the activations of p38, ERK, JNK, p65, and TBK1 were not changed by GTD treatment (Figures 6A,B; Supplementary Figure S2A ). Especially, phospho-IRF3 was highly induced by GTD in macrophages after VSV infection ( Figure 6A ). Consistently, the activation level of IRF3 is higher after HSV infection with GTD treatment (Figures 6C,D; Supplementary Figure S2B ). Thus, these data implied that GTD promotes the production of IFN-β through up-regulating the IRF3 activation.

Previously, the research of GTD is mainly focused on the central neural system and its protective role on neuron is highly investigated. In some inflammation-related diseases such as lung injury, cardiac fibrosis and hepatic fibrosis, GTD also attenuates the severity of diseases through inhibiting the inflammatory factor release and oxidative stress (Shu et al., 2012; Zhao et al., 2015; Zhu et al., 2018; Liang et al., 2020) . We speculate that GTD may also have an influence on other cell types, including innate immune cells, adaptive immune cells, and tissue structure cells, etc.

Although, it has been reported that GTD derivatives have antiinfluenza virus activity, the mechanism is untouched yet. Therefore, we used VSV and HSV-1 virus to detect the effect of GTD in the host-counteracting virus. Our data indicated that GTD could protect host from both DNA and RNA virus infection in vivo and in vitro. It has been reported that GTD treatment did not reduce the cell activity of macrophages, which indicated that GTD has no cell toxicity to macrophages (Jia et al., 2017) . Taken together, GTD could be a safe and functional drug for antivirus. IFN-I is induced by virus infection and plays a critical role in the host's innate antiviral response (Gruber, 2020; Israelow et al., 2020) . However, viruses have evolved mechanisms to escape from the host immunity through inhibiting the production of IFN-I. For example, the VP1-2 protein of HSV-1 deubiquitinates STING to block type I interferon expression and promote brain infection (Bodda et al., 2020) . The ICP0 protein of HSV-1 abrogates the production of IFN-I by mediating the degradation of STING (Kalamvoki and Roizman, 2014) . VSV induces the expression of Siglec-G to promote the degradation of RIG-I and inhibit the production of IFN-I (Chen et al., 2013) . Current research found that SARS-CoV-2 proteins such as ORF3a and ORF3b, inhibit the RIG/MDA5 signaling pathway or IFN-I signaling pathway to allow the virus to their escape (Sa Ribero et al., 2020) . It has been reported that the severe and critically ill patients have a profoundly impaired IFN-I response with increased IL-6 and TNF-α compared with mild or moderate cases (Hadjadj et al., 2020) . Therefore, improving the production of IFN-I is an effective strategy against virus infection. Our results showed that GTD promoted the expression of IFN-I, but not TNF-α and IL-6 during VSV or HSV-1 infection. Thus, we supposed that GTD might also inhibit the SARS-CoV-2 infection by enhancing the production of IFN-I. Further study needs to detect whether GTD can inhibit the SARS-CoV-2 infection by upregulating the production of IFN-I in clinical patients.

It has been reported that GTD inhibits the activation of NF-kB pathway in the LPS/GalN-induced fulminant hepatitis (Lv et al., 2020) . Since GTD promotes the expression of IFN-I, which targets the common signaling pathway between DNA and RNA viruses, then we screened the common signaling pathway that produces IFN-I. The signaling pathway of NF-κB was not changed during the virus infection. These implied that the function of GTD depends on a specific environment. However, we found that the molecular mechanism involved in the upregulation of IFN-I by GTD is mediated by higher activated IRF3 which is a critical transcription factor for IFN-I production. GTD might target the activation of IRF3 through associating with molecular related with IRF3. Further research needs to investigate the underlying mechanisms involved in promoting the activation of IRF3 by GTD after virus infection in macrophages.

Our findings demonstrated that GTD may be an effective molecular that promotes IFN-I production through enhancing IRF3 activation to resist RNA and DNA virus infection. All these suggested that GTD is a potential candidate substance for fighting viruses.

The original contributions presented in the study are included in the article/Supplementary Material, further inquiries can be directed to the corresponding authors.

The animal study was reviewed and approved by the Animal Ethics Committee of Zhejiang University and conformed to institutional guidelines.

HSV1 VP1-2 deubiquitinates STING to block type I interferon expression and promote brain infection

DNA sensing in the innate immune response

Dysregulated type I interferon and inflammatory monocytemacrophage responses cause lethal pneumonia in SARS-CoV-infected mice

MicroRNA-223 promotes type I interferon production in antiviral innate immunity by targeting forkhead box protein O3 (FOXO3)

Induction of Siglec-G by RNA viruses inhibits the innate immune response by promoting RIG-I degradation

HSV-1 ICP27 targets the TBK1-activated STING signalsome to inhibit virus-induced type I IFN expression

SARS-CoV-2 mRNA vaccine design enabled by prototype pathogen preparedness

Sensing of 'danger signals' and pathogen-associated molecular patterns defines binary signaling pathways 'upstream' of Toll

Damage-and pathogen-associated molecular patterns play differential roles in late mortality after critical illness

Cyclic GMP-AMP synthase is an innate immune sensor of HIV and other retroviruses

Tumor-derived exosomes antagonize innate antiviral immunity

Impaired interferon signature in severe COVID-19

Impaired type I interferon activity and inflammatory responses in severe COVID-19 patients

The influence of interferon on healthy and diseased skin

Mouse model of SARS-CoV-2 reveals inflammatory role of type I interferon signaling

BCL6 mediates the effects of Gastrodin on promoting M2-like macrophage polarization and protecting against oxidative stress-induced apoptosis and cell death in macrophages

HSV-1 degrades, stabilizes, requires, or is stung by STING depending on ICP0, the US3 protein kinase, and cell derivation

Using serological data to understand unobserved SARS-CoV-2 risk in health-care settings

The type I interferon response in COVID-19: implications for treatment

IFN-Lambda 3 mediates antiviral protection against porcine epidemic diarrhea virus by inducing a distinct antiviral transcript profile in porcine intestinal epithelia

SARS-CoV-2 infection in China-Before the pandemic

Fast type I interferon response protects astrocytes from flavivirus infection and virus-induced cytopathic effects

MicroRNA-33/ 33* inhibit the activation of MAVS through AMPK in antiviral innate immunity

A review on central nervous system effects of gastrodin

Zika virus non-structural protein NS5 inhibits the RIG-I pathway and interferon Lambda 1 promoter activation by targeting IKK epsilon

The improvement effect of gastrodin on LPS/GalN-induced fulminant hepatitis via inhibiting inflammation and apoptosis and restoring autophagy

Cellular microRNA expression profile of chicken macrophages infected with newcastle disease virus vaccine strain LaSota

Type I IFN signaling blockade by a PASylated antagonist during chronic SIV infection suppresses specific inflammatory pathways but does not alter T cell activation or virus replication

Pathogen-associated molecular patterns induced crosstalk between dendritic cells, T helper cells, and natural killer helper cells can improve dendritic cell vaccination

RIG-I-like receptors: their regulation and roles in RNA sensing

Interplay between SARS-CoV-2 and the type I interferon response

IFN-alpha, IFN-beta, and IFN-gamma have different effect on the production of proinflammatory factors deposited in weibel-palade bodies of endothelial cells infected with herpes simplex virus type 1

Gastrodin protects against cardiac hypertrophy and fibrosis

E3 ligase FBXW7 is critical for RIG-I stabilization during antiviral responses

Gastrodin ameliorates microvascular reperfusion injury-induced pyroptosis by regulating the NLRP3/ caspase-1 pathway

IFI16 is an innate immune sensor for intracellular DNA

JAK-inhibitor and type I interferon ability to produce favorable clinical outcomes in COVID-19 patients: a systematic review and meta-analysis

Detection of severe acute respiratory syndrome Frontiers in Pharmacology | www

SARS-CoV-2) by mass spectrometry

A conserved residue, tyrosine (Y) 84, in H5N1 influenza A virus NS1 regulates IFN signaling responses to enhance viral infection

Dampened STINGdependent interferon activation in bats

Herpes simplex virus 1-encoded tegument protein VP16 abrogates the production of beta interferon (IFN) by inhibiting NF-κB activation and blocking IFN regulatory factor 3 to recruit its coactivator CBP

Comprehensive characterization of interaction complexes of herpes simplex virus type 1 ICP22, UL3, UL4, and UL20.5

Protective effect of gastrodin on bile duct ligation-induced hepatic fibrosis in rats

Gastrodin protects cardiomyocytes from anoxia/reoxygenation injury by 14-3-3

Proliferation-enhancing effects of gastrodin on RSC96 Schwann cells by regulating ERK1/2 and PI3K signaling pathways

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.Copyright © 2021 Zhou, Li, Lv, Huang, Cheng, Zhang and Zhu. This is an openaccess article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.