J Biochem Mol Toxicol. 2020;e22605. wileyonlinelibrary.com/journal/jbt © 2020 Wiley Periodicals LLC | 1 of 18 https://doi.org/10.1002/jbt.22605 Received: 14 February 2020 | Revised: 8 June 2020 | Accepted: 10 August 2020 DOI: 10.1002/jbt.22605 REVIEW The protective effect of natural compounds against rotenoneinduced neurotoxicity Fatemeh Yarmohammadi 1,2 | A. Wallace Hayes 3,4 | Nahid Najafi 1,2 | Gholamreza Karimi 2,5 1 Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran 2 Department of Pharmacodynamics and Toxicology, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran 3 Institute for Integrative Toxicology, University of South Florida, Tampa, Florida 4 Institute for Integrative Toxicology, Michigan State University, East Lansing, Michigan 5 Pharmaceutical Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad, Iran Correspondence Gholamreza Karimi, Pharmaceutical Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, 9177948954 Mashhad, Iran. Email: karimig@mums.ac.ir Funding information Mashhad University of Medical Sciences Abstract Rotenone is a widely used organic pesticide; its serious side effect for offtarget species is neurotoxicity. The primary mechanism of rotenone toxicity is inhibition of the mitochondrial complex I. Oxidative stress, apoptosis, and reduction of autophagy are key outcomes of the inhibition of complex I. Numerous in vitro and in vivo studies have shown antioxidant, antiapoptotic, and autophagy enhancement of a variety of natural compounds (NCs). In this manuscript, we reviewed several NCs, which have protective effects against rotenoneinduced neurotoxicity. KEYWORDS mitochondrial dysfunction, natural compounds, neuroprotective, rotenone 1 | INTRODUCTION Rotenone is an isoflavone lipophilic broadspectrum pesticide that readily crosses cellular membranes independent of a transporter. Rotenone has been classified as moderately hazardous. [1] Dopami- nergic neurons are more susceptible to the toxicity of rotenone than other neuronal cell types. [2] Therefore, exposure to rotenone may be a potential risk factor for some neurodegenerative diseases, such as Alzheimer's (AD) and Parkinson's diseases (PD), characterized by progressive deterioration of brain function. [3] Rotenone is a neurotoxin, which can replicate, in experimental models, many of the pathological features of Parkinson's disease. [4] Epidemiological evidence suggests that environmental exposure to rotenone may have a role in neurodegenerative diseases, especially PD. [5,6] The pathophysiology of rotenone in dopaminergic neurons includes aggregation of αsynuclein in Lewy bodies, [7] proteasome Abbreviations: AA, asiatic acid; AchE, acetylcholinesterase; AD, Alzheimer's disease; ALP, autophagylysosome pathway; AMPK, AMPactivated protein kinase; Arb, arbutin; ARE, antioxidant responsive element; ATG, autophagyrelated protein; ATP, adenosine triphosphate; AUR, auraptene; BAs, Boswellic acids; BAX, Bcl2associated X protein; Bcl2, Bcell lymphoma 2; BDNF, brainderived neurotrophic factor; beclin1, Bcl2 homology (BH3)only protein; CAT, catalases; CMG, curcumin monoglucoside; COX2, cyclooxygenase2; CS, citrate synthase; CUR, curcumin; Cys, cysteine; DA cell, dopaminergic cell; DM, drosophila melanogaster; ER, endoplasmic reticulum; ERK1/2, extracellular signalregulated kinase; FIP200, focal adhesion kinase family interacting protein of 200 kDa; FMN, flavin mononucleotide; GDNF, glial cell linederived neurotrophic factor; GPX, glutathione peroxidase; GS, genistein; GSH, reduced glutathione; GSK3β, glycogen synthase kinase3; GSSG, glutathione disulfide; HO1, heme oxygenase1; ILF, isolongifolene; iNOS, inducible nitric oxide synthase; JNK, cJun Nterminal protein kinases; Keap1, Kelchlike ECHassociated protein 1; LC3I, protein light chain1; LC3II, protein light chain3; LMP, lysosomal membrane permeability; MAPK, mitogen activated protein kinase; MDA, malondialdehyde; MMP, mitochondrial membrane potential; MPT, mitochondrial membrane permeability transition; mPTP, mitochondrial permeability transition pore; mTOR, mammalian target of rapamycin; NADH, nicotinamide adenine dinucleotide hydrate; NC, natural compound; NFκB, nuclear factorκB; NLRP3, nucleotidebinding oligomerization domain (NOD)like receptor protein 3; NOS2, nitric oxide synthase2; NQO1, NAD (P) H: quinone oxidoreductase 1; Nrf2, nuclear factor erythroid 2related factor 2; Nuur1, nuclear receptorrelated 1 protein; P13K, phosphatidylinositol3kinase; PA, proanthocyanidin; PD, Parkinson's disease; PF, paeoniflorin; PGC1α, proliferatoractivated receptorγ coactivator 1α; PINK, PTENinduced kinase 1; PIP3, phosphatidylinositol3,4,5trisphosphate; PKCδ, protein kinase Cδ; PON1, paraoxnase 1; proIL18, prointerleukin18; proIL1β, prointerleukin1β; ROS, reactive oxygen species; SFN, sulforaphane; Sirt1, mammalian silent information regulator2; Sirt3, sirtuin3; SOD, superoxide dismutase; STAT3, signal transducer and activator of transcription 3; TH, tyrosine hydroxylase; TNFα, tumor necrosis factor α; TrkB, tropomyosinreceptorkinase B; ULK1, unc51like kinase 1; UPS, ubiquitinproteasome system; VDAC, voltagedependent anion channels; VDCC, voltage dependent calcium channelw; α7 nAChR, nicotinic acetylcholine receptor of the α7 subtype; βEcd, βecdysterone.