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Sambucus nigra L. preserves redox homeostasis and modulates autophagy and UPS in oxidatively stressed HT-22 hippocampal cells

The aqueous extract of *Sambucus nigra* L. flowers protects oxidatively stressed HT-22 hippocampal cells by primarily restoring redox homeostasis through antioxidant mechanisms, while also modulating autophagy and the ubiquitin-proteasome system to enhance cell viability.

Original authors: Angelamaria Cetani, Ana Garcia-Aguilar, Sonia Armañac, Carlos Guillen, Raquel Mateos, Luis Goya, Olga Palomino

Published 2026-08-24
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Original authors: Angelamaria Cetani, Ana Garcia-Aguilar, Sonia Armañac, Carlos Guillen, Raquel Mateos, Luis Goya, Olga Palomino

Original paper licensed under CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). ⚕️ This is an AI-generated explanation of a preprint that has not been peer-reviewed. It is not medical advice. Do not make health decisions based on this content. Read full disclaimer

Inside the human brain, neurons are constantly engaged in a delicate chemical balancing act. They rely on a steady stream of energy to fire signals and maintain memory, but this process inevitably produces waste products known as free radicals. Under normal circumstances, the cell's internal defense systems neutralize these radicals before they can cause harm. However, when this balance tips and too many radicals accumulate, a condition called oxidative stress occurs. This state is like a slow rusting of the cell's machinery, damaging proteins and DNA, and is a key driver in the decline of brain function seen in aging and neurodegenerative diseases. To survive such stress, cells have evolved two primary cleanup crews: one that breaks down individual damaged proteins and another that swallows up larger clumps of waste and worn-out organelles. Understanding how to support these natural cleanup systems is a major goal for researchers hoping to protect the brain from damage.

In a recent study, scientists investigated whether a traditional herbal remedy could bolster these defenses in brain cells. They focused on the flowers of the elderberry plant, known scientifically as Sambucus nigra, which have long been used in folk medicine to treat fevers and inflammation. The researchers wanted to see if an extract made from these flowers could protect mouse brain cells from a severe chemical attack that mimics oxidative stress. They used a specific type of laboratory-grown brain cell called HT-22, which is known to be sensitive to oxidative damage, making it a reliable model for testing protective substances. The team exposed these cells to a harsh chemical called tert-butyl hydroperoxide, which forces the cells to produce a massive surge of free radicals, simulating a crisis situation. Before this attack, they pre-treated the cells with different concentrations of the elderflower extract to see if it could act as a shield.

The results showed that the elderflower extract was highly effective at keeping the cells alive. When the cells were subjected to the chemical stressor without any protection, about half of them died. However, when the cells were pre-treated with the extract, their survival rate returned to normal levels, as if they had never been attacked. The researchers found that the extract worked primarily by acting as a powerful antioxidant itself. It significantly reduced the levels of harmful free radicals inside the cells and helped restore the levels of glutathione, a crucial molecule that the cell uses to neutralize toxins. Furthermore, the extract helped the cells recover the activity of specific enzymes that are responsible for cleaning up oxidative damage, ensuring the cells could return to a healthy state after the stress passed.

While the extract's ability to neutralize free radicals was the main factor in saving the cells, the study revealed that the cell's internal cleanup systems played a vital supporting role. The researchers tested this by temporarily blocking the two main cleanup pathways: one that digests large clumps of waste and another that breaks down individual tagged proteins. When they blocked the pathway that digests large clumps, the protective effect of the elderflower extract was weakened, though not completely eliminated. This suggested that for the extract to work at its full potential, the cell needed to be able to perform this large-scale cleanup. Interestingly, when they blocked the pathway for individual proteins, the cells actually switched to using the other cleanup system more aggressively, showing a flexible ability to adapt. This indicates that the extract does not force the cell to use a specific cleanup method, but rather creates an environment where these natural systems can function together to preserve the cell.

The study also clarified what the extract does not do. In some other types of cells, similar plant extracts have been shown to turn off a master regulator that controls cell growth and cleanup. However, in these brain cells, the extract left that regulator completely untouched. It did not trigger the cleanup systems on its own when the cells were healthy; it only helped them when they were under attack. This is a significant distinction, as it suggests the extract supports the cell's natural defenses without interfering with its normal daily operations. The findings confirm that the elderflower extract acts as a robust shield against oxidative stress, working through a combination of direct chemical neutralization of toxins and by supporting the cell's own internal maintenance crews.

The specific composition of the extract was also well-documented, with the researchers identifying that it is rich in polyphenols, a class of plant compounds known for their antioxidant properties. The main components included myricetin and protocatechuic acid, which are likely responsible for the observed protective effects. By demonstrating that this traditional remedy can restore the balance of antioxidants and support cleanup mechanisms in brain cells, the study provides a concrete scientific basis for its historical use. The research suggests that while the extract is a powerful protector, its success depends on the cell's ability to maintain its own internal quality control systems, working in tandem to prevent the damage that leads to cell death.

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