Das Altern ist ein komplexer biologischer Prozess mit vermehrten Zellschäden und altersbedingten Krankheiten. Diese Studie erforscht das Anti-Aging-Potenzial pflanzlicher Extrakte der Traditionellen Chinesischen Medizin (TCM) anhand des Nematoden Caenorhabditis elegans. Von sieben getesteten Pflanzenextrakten wurden E. ulmoides und C. chinensis ausgewählt, da sie einen Überlebensvorteil in Stresssituationen bei gealterten C. elegans bewirkten. Diese Extrakte verlängerten die Lebensdauer und verbesserten das Überleben nach Hitzestress, oxidativem Stress und pathogenem Stress. Besonders bemerkenswert ist, dass nur der Extrakt von C. chinensis die körperliche Fitness signifikant steigerte, begleitet von Verbesserungen im Kurzzeitgedächtnis und mechanosensorischen Eigenschaften von C. elegans. Zudem unterdrückte dieser Extrakt die Darmautofluoreszenz, einen etablierten Marker für den Alterungsprozess. Chemische Analysen mittels UPLC-MS/MS und transkriptomische Analysen gealterter Würmer, die mit den Extrakten behandelt wurden, zeigten bioaktive Verbindungen, wobei Zingibroside R1 aus C. chinensis die Lebensdauer, das Überleben nach Hitzestress und die Fortbewegung verbesserte. Die transkriptomische Analyse enthüllte eine Immunantwortmodulation bei gealterten Nematoden, die mit C. chinensis behandelt wurden, und eine 150-fache Erhöhung der far-3-Expression, die ein Fettsäure-bindendes Protein kodiert. Interessanterweise zeigte sich, dass C. elegans, die mit dem far-3 RNAi-Stamm und C. chinensis behandelt wurden, keine Verbesserung der Gesundheitsspanne aufwiesen. Zusammenfassend hebt diese Studie die differenzierten Wirkungsweisen der getesteten Pflanzenextrakte hervor. Während E. ulmoides gezielt die physiologische Fitness förderte, erwies sich C. chinensis als umfassender Gesundheitsverlängerer. Die Identifizierung bioaktiver Verbindungen und die Aufdeckung molekularer Mechanismen bieten detaillierte Einblicke in die Anti-Aging-Effekte bei Nematoden. / Aging is one of the most complex biological processes leading to increased cell damage and age-related diseases. In this study, I aimed to uncover the potential anti-aging capacities of Traditional Chinese Medicine (TCM) plant extracts by using the nematode Caenorhabditis elegans. E. ulmoides and C. chinensis extracts, chosen from seven tested plant extracts, caused a survival advantage during stress in aged C. elegans by extending lifespan and survival after heat, oxidative and pathogenic stress. However, only C. chinensis could enhance physical fitness, short-term memory, and mechanosensory of C. elegans and suppressed intestinal autofluorescence, a marker of aging. Chemical analysis of the C. chinensis and E. ulmoides extracts using UPLC-MS/MS and transcriptomic analysis of aged worms treated with these extracts were applied. UPLC-MS/MS analysis revealed the presence of several known bioactive compounds. Three of these identified substances, namely astragalin, pinoresinol, and zingibroside R1, were isolated from the C. chinensis extract, and tested. Zingibroside R1 improved the lifespan, survival after heat stress, and locomotion. The transcriptomic analysis revealed a modulation of the immune response in C. chinensis-treated aged nematodes. The expression of far-3, which encodes a fatty acid binding protein, was increased with a 150-fold-change in C. chinensis treated worms, therefore, a far-3 RNA interference (RNAi) strain was created. C. elegans treated with the far-3 RNAi strain and with C. chinensis did not improve healthspan, thus demonstrating the importance of far-3 expression in C. chinensis benefits. In conclusion, this study underlines the different modes of action of the tested plant extracts. E. ulmoides improved specifically the physiological fitness while C. chinensis seems to be an overall healthspan enhancer. Additionally, it provides insights into the components and molecular mechanisms responsible for these anti-aging effects in nematodes.

Despite intense research efforts, the repair of large bone defects is still not satisfactory and remains a major challenge in Orthopaedic Surgery. In this context bone tissue engineering has emerged as a promising strategy. However, one of the fundamental principles underlying tissue engineering approaches is that newly formed tissue must maintain sufficient vascularization to support its growth. Thus an active blood vessel network is an essential pre-requisite for scaffold constructs to integrate within existing host tissue. Currently, great efforts are made to address this problem employing transplantation of vascular cells and loading of appropriate biological factors. Endothelial progenitor cells (EPCs) are a heterogeneous subpopulation of bone marrow mononuclear progenitor cells with potential for differentiation to the endothelial lineage and thus vasculogenic capacity. However, clinical studies reported that with the increase of age, increased susceptibility to apoptosis and accelerated senescence may contribute to the numerical and functional impairments observed in EPCs, which may lead to a reduced angiogenic capacity and an increased risk of vascular disease. Hence attention has increasingly been paid to enhance mobilization and differentiation of EPCs for therapeutic purposes. A large body of evidence indicates that in Traditional Chinese Medicine (TCM) a plethora of herbs and herbal extracts are effective in the treatment of vascular diseases such as chronic wounds, diabetic retinopathy and rheumatoid arthritis. Thus, it seems rational to explore these medicinal plants as potential sources of novel angiomodulatory factors. In this thesis we demonstrated that treatment with TCM herbal extracts promote cell growth, cell migration, cell-matrix and capillary-like tube formation of BM-EPCs. Among these TCM extracts, Salidroside (SAL) and Icariin (ICAR) incubation increased VEGF and nitric oxide secretion, which in turn mediated the enhancement of angiogenic differentiation of BM-EPCs. A mechanic evaluation provided evidence that SAL stimulates the phosphorylation of Akt, mammalian target of rapamycin (mTOR) and ribosomal protein S6 kinase (p70S6K), as well as phosphorylated ERK1/2, which is associated with the cell migration and tube formation. Furthermore, a pilot in vivo study showed that SAL has the potential to enhance bone formation in a murine femoral critical-size bone defects model. Another new finding of the present study is that hydrogen peroxide (H2O2)-induced cytotoxicity is counteracted by TCM extracts. We found that SAL, Salvianolic acid B (SalB) and ICAR significantly abrogated H2O2-induced cell apoptosis, reduced the intracellular level of reactive oxygen species (ROS) and nicotinamide adenine dinucleotide phosphate-oxidase (NADPH) expression, and restored the mitochondrial membrane potential of BM-EPCs. Our data suggest that this protective effect of SalB is mediated by the activation of mTOR, p70S6K, 4EBP1, and by the suppression of MKK3/6-p38 MAPK-ATF2 and ERK1/2 signaling pathways after H2O2 stress. In addition, the investigation also demonstrates that ICAR owns the ability to inhibit apoptotic and autophagic programmed cell death via restoring the loss of mTOR and attenuation of ATF2 activity upon oxidative stress. Based on the outcomes of the present work, we propose SAL, SalB and ICAR as novel proanigiogenic and cytoprotective therapeutic agents with potential applications in the fields of systemic and site-specific tissue regeneration including ischaemic disease and extended musculoskeletal tissue defects.

Despite intense research efforts, the repair of large bone defects is still not satisfactory and remains a major challenge in Orthopaedic Surgery. In this context bone tissue engineering has emerged as a promising strategy. However, one of the fundamental principles underlying tissue engineering approaches is that newly formed tissue must maintain sufficient vascularization to support its growth. Thus an active blood vessel network is an essential pre-requisite for scaffold constructs to integrate within existing host tissue. Currently, great efforts are made to address this problem employing transplantation of vascular cells and loading of appropriate biological factors. Endothelial progenitor cells (EPCs) are a heterogeneous subpopulation of bone marrow mononuclear progenitor cells with potential for differentiation to the endothelial lineage and thus vasculogenic capacity. However, clinical studies reported that with the increase of age, increased susceptibility to apoptosis and accelerated senescence may contribute to the numerical and functional impairments observed in EPCs, which may lead to a reduced angiogenic capacity and an increased risk of vascular disease. Hence attention has increasingly been paid to enhance mobilization and differentiation of EPCs for therapeutic purposes. A large body of evidence indicates that in Traditional Chinese Medicine (TCM) a plethora of herbs and herbal extracts are effective in the treatment of vascular diseases such as chronic wounds, diabetic retinopathy and rheumatoid arthritis. Thus, it seems rational to explore these medicinal plants as potential sources of novel angiomodulatory factors. In this thesis we demonstrated that treatment with TCM herbal extracts promote cell growth, cell migration, cell-matrix and capillary-like tube formation of BM-EPCs. Among these TCM extracts, Salidroside (SAL) and Icariin (ICAR) incubation increased VEGF and nitric oxide secretion, which in turn mediated the enhancement of angiogenic differentiation of BM-EPCs. A mechanic evaluation provided evidence that SAL stimulates the phosphorylation of Akt, mammalian target of rapamycin (mTOR) and ribosomal protein S6 kinase (p70S6K), as well as phosphorylated ERK1/2, which is associated with the cell migration and tube formation. Furthermore, a pilot in vivo study showed that SAL has the potential to enhance bone formation in a murine femoral critical-size bone defects model. Another new finding of the present study is that hydrogen peroxide (H2O2)-induced cytotoxicity is counteracted by TCM extracts. We found that SAL, Salvianolic acid B (SalB) and ICAR significantly abrogated H2O2-induced cell apoptosis, reduced the intracellular level of reactive oxygen species (ROS) and nicotinamide adenine dinucleotide phosphate-oxidase (NADPH) expression, and restored the mitochondrial membrane potential of BM-EPCs. Our data suggest that this protective effect of SalB is mediated by the activation of mTOR, p70S6K, 4EBP1, and by the suppression of MKK3/6-p38 MAPK-ATF2 and ERK1/2 signaling pathways after H2O2 stress. In addition, the investigation also demonstrates that ICAR owns the ability to inhibit apoptotic and autophagic programmed cell death via restoring the loss of mTOR and attenuation of ATF2 activity upon oxidative stress. Based on the outcomes of the present work, we propose SAL, SalB and ICAR as novel proanigiogenic and cytoprotective therapeutic agents with potential applications in the fields of systemic and site-specific tissue regeneration including ischaemic disease and extended musculoskeletal tissue defects.