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Phloroglucinol Attenuates DNA Damage and Apoptosis Induced by Oxidative Stress in Human Retinal Pigment Epithelium ARPE-19 Cells by Blocking the Production of Mitochondrial ROS
Phloroglucinol, a phenolic compound, is known to possess a potent antioxidant ability. However, its role in retinal cells susceptible to oxidative stress has not been well elucidated yet. Thus, the objective of this study was to evaluate whether phloroglucinol could protect against oxidative damage...
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Published in: | Antioxidants 2022-11, Vol.11 (12), p.2353 |
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creator | Park, Cheol Cha, Hee-Jae Kim, Min Yeong Bang, EunJin Moon, Sung-Kwon Yun, Seok Joong Kim, Wun-Jae Noh, Jeong Sook Kim, Gi-Young Cho, Suengmok Lee, Hyesook Choi, Yung Hyun |
description | Phloroglucinol, a phenolic compound, is known to possess a potent antioxidant ability. However, its role in retinal cells susceptible to oxidative stress has not been well elucidated yet. Thus, the objective of this study was to evaluate whether phloroglucinol could protect against oxidative damage in cultured human retinal pigment epithelium ARPE-19 cells. For this purpose, ARPE-19 cells were stimula ted with hydrogen peroxide (H
O
) to mimic oxidative stress. Cell viability, cytotoxicity, apoptosis, reactive oxygen species (ROS) generation, mitochondrial function, DNA damage, and autophagy were then assessed. Our results revealed that phloroglucinol ameliorated cell viability, cytotoxicity, and DNA damage in H
O
-exposued ARPE-19 cells and blocked production of ROS. Phloroglucinol also counteracted H
O
-induced apoptosis by reducing Bax/Bcl-2 ratio, blocking activation of caspase-3, and inhibiting degradation of poly (ADP-ribose) polymerase. H
O
caused mitochondrial impairment and increased expression levels of mitophagy markers such as PINK1and PARKIN known to be associated with mitochondrial ROS (mtROS) generation and cytosolic release of cytochrome
. However, these changes were significantly attenuated by phloroglucinol. Mito-TEMPO, a selective mitochondrial antioxidant, further enhanced the protective effect of phloroglucinol against dysfunctional mitochondria. Furthermore, H
O
induced autophagy, but not when ARPE-19 cells were pretreated with phloroglucinol, meaning that autophagy by H
O
contributed to the pro-survival mechanism and that phloroglucinol protected ARPE-19 cells from apoptosis by blocking autophagy. Taken together, these results suggest that phloroglucinol can inhibit oxidative stress-induced ARPE-19 cell damage and dysfunction by protecting DNA damage, autophagy, and subsequent apoptosis through mitigation of mtROS generation. Thus, phloroglucinol might have therapeutic potential to prevent oxidative stress-mediated damage in RPE cells. |
doi_str_mv | 10.3390/antiox11122353 |
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O
) to mimic oxidative stress. Cell viability, cytotoxicity, apoptosis, reactive oxygen species (ROS) generation, mitochondrial function, DNA damage, and autophagy were then assessed. Our results revealed that phloroglucinol ameliorated cell viability, cytotoxicity, and DNA damage in H
O
-exposued ARPE-19 cells and blocked production of ROS. Phloroglucinol also counteracted H
O
-induced apoptosis by reducing Bax/Bcl-2 ratio, blocking activation of caspase-3, and inhibiting degradation of poly (ADP-ribose) polymerase. H
O
caused mitochondrial impairment and increased expression levels of mitophagy markers such as PINK1and PARKIN known to be associated with mitochondrial ROS (mtROS) generation and cytosolic release of cytochrome
. However, these changes were significantly attenuated by phloroglucinol. Mito-TEMPO, a selective mitochondrial antioxidant, further enhanced the protective effect of phloroglucinol against dysfunctional mitochondria. Furthermore, H
O
induced autophagy, but not when ARPE-19 cells were pretreated with phloroglucinol, meaning that autophagy by H
O
contributed to the pro-survival mechanism and that phloroglucinol protected ARPE-19 cells from apoptosis by blocking autophagy. Taken together, these results suggest that phloroglucinol can inhibit oxidative stress-induced ARPE-19 cell damage and dysfunction by protecting DNA damage, autophagy, and subsequent apoptosis through mitigation of mtROS generation. Thus, phloroglucinol might have therapeutic potential to prevent oxidative stress-mediated damage in RPE cells.</description><identifier>ISSN: 2076-3921</identifier><identifier>EISSN: 2076-3921</identifier><identifier>DOI: 10.3390/antiox11122353</identifier><identifier>PMID: 36552561</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Alzheimer's disease ; Antibodies ; Antioxidants ; Apoptosis ; Autophagy ; Bcl-2 protein ; Caspase-3 ; Cell viability ; Cytochrome c ; Cytotoxicity ; DNA damage ; Enzymes ; Epithelium ; Hydrogen peroxide ; Macular degeneration ; Mitochondrial DNA ; mitochondrial ROS ; Observations ; Oxidative stress ; Phenolic compounds ; phloroglucinol ; Physiological aspects ; Reactive oxygen species ; Retina ; Retinal pigment epithelium ; Ribose</subject><ispartof>Antioxidants, 2022-11, Vol.11 (12), p.2353</ispartof><rights>COPYRIGHT 2022 MDPI AG</rights><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c551t-3d29ddb8ea889a35a44957102a62ffd4e620529d17e76823b4e7eb2c945c001a3</citedby><cites>FETCH-LOGICAL-c551t-3d29ddb8ea889a35a44957102a62ffd4e620529d17e76823b4e7eb2c945c001a3</cites><orcidid>0000-0001-5951-5832 ; 0000-0001-9083-8218 ; 0000-0001-7737-4746 ; 0000-0002-1454-3124 ; 0000-0002-6878-0790 ; 0000-0002-6963-2685 ; 0000-0002-8060-8926 ; 0000-0003-3546-9370</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2756658696/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2756658696?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36552561$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Park, Cheol</creatorcontrib><creatorcontrib>Cha, Hee-Jae</creatorcontrib><creatorcontrib>Kim, Min Yeong</creatorcontrib><creatorcontrib>Bang, EunJin</creatorcontrib><creatorcontrib>Moon, Sung-Kwon</creatorcontrib><creatorcontrib>Yun, Seok Joong</creatorcontrib><creatorcontrib>Kim, Wun-Jae</creatorcontrib><creatorcontrib>Noh, Jeong Sook</creatorcontrib><creatorcontrib>Kim, Gi-Young</creatorcontrib><creatorcontrib>Cho, Suengmok</creatorcontrib><creatorcontrib>Lee, Hyesook</creatorcontrib><creatorcontrib>Choi, Yung Hyun</creatorcontrib><title>Phloroglucinol Attenuates DNA Damage and Apoptosis Induced by Oxidative Stress in Human Retinal Pigment Epithelium ARPE-19 Cells by Blocking the Production of Mitochondrial ROS</title><title>Antioxidants</title><addtitle>Antioxidants (Basel)</addtitle><description>Phloroglucinol, a phenolic compound, is known to possess a potent antioxidant ability. However, its role in retinal cells susceptible to oxidative stress has not been well elucidated yet. Thus, the objective of this study was to evaluate whether phloroglucinol could protect against oxidative damage in cultured human retinal pigment epithelium ARPE-19 cells. For this purpose, ARPE-19 cells were stimula ted with hydrogen peroxide (H
O
) to mimic oxidative stress. Cell viability, cytotoxicity, apoptosis, reactive oxygen species (ROS) generation, mitochondrial function, DNA damage, and autophagy were then assessed. Our results revealed that phloroglucinol ameliorated cell viability, cytotoxicity, and DNA damage in H
O
-exposued ARPE-19 cells and blocked production of ROS. Phloroglucinol also counteracted H
O
-induced apoptosis by reducing Bax/Bcl-2 ratio, blocking activation of caspase-3, and inhibiting degradation of poly (ADP-ribose) polymerase. H
O
caused mitochondrial impairment and increased expression levels of mitophagy markers such as PINK1and PARKIN known to be associated with mitochondrial ROS (mtROS) generation and cytosolic release of cytochrome
. However, these changes were significantly attenuated by phloroglucinol. Mito-TEMPO, a selective mitochondrial antioxidant, further enhanced the protective effect of phloroglucinol against dysfunctional mitochondria. Furthermore, H
O
induced autophagy, but not when ARPE-19 cells were pretreated with phloroglucinol, meaning that autophagy by H
O
contributed to the pro-survival mechanism and that phloroglucinol protected ARPE-19 cells from apoptosis by blocking autophagy. Taken together, these results suggest that phloroglucinol can inhibit oxidative stress-induced ARPE-19 cell damage and dysfunction by protecting DNA damage, autophagy, and subsequent apoptosis through mitigation of mtROS generation. Thus, phloroglucinol might have therapeutic potential to prevent oxidative stress-mediated damage in RPE cells.</description><subject>Alzheimer's disease</subject><subject>Antibodies</subject><subject>Antioxidants</subject><subject>Apoptosis</subject><subject>Autophagy</subject><subject>Bcl-2 protein</subject><subject>Caspase-3</subject><subject>Cell viability</subject><subject>Cytochrome c</subject><subject>Cytotoxicity</subject><subject>DNA damage</subject><subject>Enzymes</subject><subject>Epithelium</subject><subject>Hydrogen peroxide</subject><subject>Macular degeneration</subject><subject>Mitochondrial DNA</subject><subject>mitochondrial ROS</subject><subject>Observations</subject><subject>Oxidative stress</subject><subject>Phenolic compounds</subject><subject>phloroglucinol</subject><subject>Physiological aspects</subject><subject>Reactive oxygen species</subject><subject>Retina</subject><subject>Retinal pigment epithelium</subject><subject>Ribose</subject><issn>2076-3921</issn><issn>2076-3921</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptks1vFCEUwCdGY5vaq0dD4sXLVj4GZriYjNtqN6l20-p5wsKbWeoMbIFp2v_KP1H6Ye2awgECv_cj7_GK4i3BB4xJ_FG5ZP01IYRSxtmLYpfiSsyYpOTlk_1OsR_jBc5DElZj-brYYYJzygXZLX4v14MPvh8mbZ0fUJMSuEkliOjwe4MO1ah6QMoZ1Gz8JvloI1o4M2kwaHWDTq-tUcleATpPAWJE1qHjaVQOnUGyTg1oafsRXEJHG5vWMNhpRM3Z8mhGJJrDMMRby-fB61_W9SgTaBl81ufEHPId-maT12vvTLBZdnZ6_qZ41akhwv7Dulf8_HL0Y348Ozn9upg3JzPNOUkzZqg0ZlWDqmupGFdlKXlFMFWCdp0pQVDMM0IqqERN2aqEClZUy5JrjIlie8Xi3mu8umg3wY4q3LRe2fbuwIe-VSFZPUBrulIIpjrBsC4FdFJw6Ixh0DHAJYfs-nTv2kyrEYzO9Qhq2JJu3zi7bnt_1cqqKivMs-DDgyD4ywliakcbdS6fcuCn2NKK1wTL3AYZff8feuGnkH_ijhKC10KKf1SvcgLWdT6_q2-lbVOVZRZVkmbq4BkqTwOj1d5BZ_P5cwE6-BgDdI85Etzetmy73bI54N3TyjzifxuU_QGxYOhu</recordid><startdate>20221128</startdate><enddate>20221128</enddate><creator>Park, Cheol</creator><creator>Cha, Hee-Jae</creator><creator>Kim, Min Yeong</creator><creator>Bang, EunJin</creator><creator>Moon, Sung-Kwon</creator><creator>Yun, Seok Joong</creator><creator>Kim, Wun-Jae</creator><creator>Noh, Jeong Sook</creator><creator>Kim, Gi-Young</creator><creator>Cho, Suengmok</creator><creator>Lee, Hyesook</creator><creator>Choi, Yung Hyun</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QR</scope><scope>7T5</scope><scope>7TO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>LK8</scope><scope>M7P</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-5951-5832</orcidid><orcidid>https://orcid.org/0000-0001-9083-8218</orcidid><orcidid>https://orcid.org/0000-0001-7737-4746</orcidid><orcidid>https://orcid.org/0000-0002-1454-3124</orcidid><orcidid>https://orcid.org/0000-0002-6878-0790</orcidid><orcidid>https://orcid.org/0000-0002-6963-2685</orcidid><orcidid>https://orcid.org/0000-0002-8060-8926</orcidid><orcidid>https://orcid.org/0000-0003-3546-9370</orcidid></search><sort><creationdate>20221128</creationdate><title>Phloroglucinol Attenuates DNA Damage and Apoptosis Induced by Oxidative Stress in Human Retinal Pigment Epithelium ARPE-19 Cells by Blocking the Production of Mitochondrial ROS</title><author>Park, Cheol ; Cha, Hee-Jae ; Kim, Min Yeong ; Bang, EunJin ; Moon, Sung-Kwon ; Yun, Seok Joong ; Kim, Wun-Jae ; Noh, Jeong Sook ; Kim, Gi-Young ; Cho, Suengmok ; Lee, Hyesook ; Choi, Yung Hyun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c551t-3d29ddb8ea889a35a44957102a62ffd4e620529d17e76823b4e7eb2c945c001a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Alzheimer's disease</topic><topic>Antibodies</topic><topic>Antioxidants</topic><topic>Apoptosis</topic><topic>Autophagy</topic><topic>Bcl-2 protein</topic><topic>Caspase-3</topic><topic>Cell viability</topic><topic>Cytochrome c</topic><topic>Cytotoxicity</topic><topic>DNA damage</topic><topic>Enzymes</topic><topic>Epithelium</topic><topic>Hydrogen peroxide</topic><topic>Macular degeneration</topic><topic>Mitochondrial DNA</topic><topic>mitochondrial ROS</topic><topic>Observations</topic><topic>Oxidative stress</topic><topic>Phenolic compounds</topic><topic>phloroglucinol</topic><topic>Physiological aspects</topic><topic>Reactive oxygen species</topic><topic>Retina</topic><topic>Retinal pigment epithelium</topic><topic>Ribose</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Park, Cheol</creatorcontrib><creatorcontrib>Cha, Hee-Jae</creatorcontrib><creatorcontrib>Kim, Min Yeong</creatorcontrib><creatorcontrib>Bang, EunJin</creatorcontrib><creatorcontrib>Moon, Sung-Kwon</creatorcontrib><creatorcontrib>Yun, Seok Joong</creatorcontrib><creatorcontrib>Kim, Wun-Jae</creatorcontrib><creatorcontrib>Noh, Jeong Sook</creatorcontrib><creatorcontrib>Kim, Gi-Young</creatorcontrib><creatorcontrib>Cho, Suengmok</creatorcontrib><creatorcontrib>Lee, Hyesook</creatorcontrib><creatorcontrib>Choi, Yung Hyun</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Chemoreception Abstracts</collection><collection>Immunology Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Biological Science Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Antioxidants</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Park, Cheol</au><au>Cha, Hee-Jae</au><au>Kim, Min Yeong</au><au>Bang, EunJin</au><au>Moon, Sung-Kwon</au><au>Yun, Seok Joong</au><au>Kim, Wun-Jae</au><au>Noh, Jeong Sook</au><au>Kim, Gi-Young</au><au>Cho, Suengmok</au><au>Lee, Hyesook</au><au>Choi, Yung Hyun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Phloroglucinol Attenuates DNA Damage and Apoptosis Induced by Oxidative Stress in Human Retinal Pigment Epithelium ARPE-19 Cells by Blocking the Production of Mitochondrial ROS</atitle><jtitle>Antioxidants</jtitle><addtitle>Antioxidants (Basel)</addtitle><date>2022-11-28</date><risdate>2022</risdate><volume>11</volume><issue>12</issue><spage>2353</spage><pages>2353-</pages><issn>2076-3921</issn><eissn>2076-3921</eissn><abstract>Phloroglucinol, a phenolic compound, is known to possess a potent antioxidant ability. However, its role in retinal cells susceptible to oxidative stress has not been well elucidated yet. Thus, the objective of this study was to evaluate whether phloroglucinol could protect against oxidative damage in cultured human retinal pigment epithelium ARPE-19 cells. For this purpose, ARPE-19 cells were stimula ted with hydrogen peroxide (H
O
) to mimic oxidative stress. Cell viability, cytotoxicity, apoptosis, reactive oxygen species (ROS) generation, mitochondrial function, DNA damage, and autophagy were then assessed. Our results revealed that phloroglucinol ameliorated cell viability, cytotoxicity, and DNA damage in H
O
-exposued ARPE-19 cells and blocked production of ROS. Phloroglucinol also counteracted H
O
-induced apoptosis by reducing Bax/Bcl-2 ratio, blocking activation of caspase-3, and inhibiting degradation of poly (ADP-ribose) polymerase. H
O
caused mitochondrial impairment and increased expression levels of mitophagy markers such as PINK1and PARKIN known to be associated with mitochondrial ROS (mtROS) generation and cytosolic release of cytochrome
. However, these changes were significantly attenuated by phloroglucinol. Mito-TEMPO, a selective mitochondrial antioxidant, further enhanced the protective effect of phloroglucinol against dysfunctional mitochondria. Furthermore, H
O
induced autophagy, but not when ARPE-19 cells were pretreated with phloroglucinol, meaning that autophagy by H
O
contributed to the pro-survival mechanism and that phloroglucinol protected ARPE-19 cells from apoptosis by blocking autophagy. Taken together, these results suggest that phloroglucinol can inhibit oxidative stress-induced ARPE-19 cell damage and dysfunction by protecting DNA damage, autophagy, and subsequent apoptosis through mitigation of mtROS generation. Thus, phloroglucinol might have therapeutic potential to prevent oxidative stress-mediated damage in RPE cells.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>36552561</pmid><doi>10.3390/antiox11122353</doi><orcidid>https://orcid.org/0000-0001-5951-5832</orcidid><orcidid>https://orcid.org/0000-0001-9083-8218</orcidid><orcidid>https://orcid.org/0000-0001-7737-4746</orcidid><orcidid>https://orcid.org/0000-0002-1454-3124</orcidid><orcidid>https://orcid.org/0000-0002-6878-0790</orcidid><orcidid>https://orcid.org/0000-0002-6963-2685</orcidid><orcidid>https://orcid.org/0000-0002-8060-8926</orcidid><orcidid>https://orcid.org/0000-0003-3546-9370</orcidid><oa>free_for_read</oa></addata></record> |
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ispartof | Antioxidants, 2022-11, Vol.11 (12), p.2353 |
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language | eng |
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source | Publicly Available Content Database; PubMed Central |
subjects | Alzheimer's disease Antibodies Antioxidants Apoptosis Autophagy Bcl-2 protein Caspase-3 Cell viability Cytochrome c Cytotoxicity DNA damage Enzymes Epithelium Hydrogen peroxide Macular degeneration Mitochondrial DNA mitochondrial ROS Observations Oxidative stress Phenolic compounds phloroglucinol Physiological aspects Reactive oxygen species Retina Retinal pigment epithelium Ribose |
title | Phloroglucinol Attenuates DNA Damage and Apoptosis Induced by Oxidative Stress in Human Retinal Pigment Epithelium ARPE-19 Cells by Blocking the Production of Mitochondrial ROS |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-01T01%3A35%3A41IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Phloroglucinol%20Attenuates%20DNA%20Damage%20and%20Apoptosis%20Induced%20by%20Oxidative%20Stress%20in%20Human%20Retinal%20Pigment%20Epithelium%20ARPE-19%20Cells%20by%20Blocking%20the%20Production%20of%20Mitochondrial%20ROS&rft.jtitle=Antioxidants&rft.au=Park,%20Cheol&rft.date=2022-11-28&rft.volume=11&rft.issue=12&rft.spage=2353&rft.pages=2353-&rft.issn=2076-3921&rft.eissn=2076-3921&rft_id=info:doi/10.3390/antiox11122353&rft_dat=%3Cgale_doaj_%3EA744223792%3C/gale_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c551t-3d29ddb8ea889a35a44957102a62ffd4e620529d17e76823b4e7eb2c945c001a3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2756658696&rft_id=info:pmid/36552561&rft_galeid=A744223792&rfr_iscdi=true |