<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "journalpublishing3.dtd">
<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJMM</journal-id>
<journal-title-group>
<journal-title>International Journal of Molecular Medicine</journal-title></journal-title-group>
<issn pub-type="ppub">1107-3756</issn>
<issn pub-type="epub">1791-244X</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ijmm.2015.2120</article-id>
<article-id pub-id-type="publisher-id">ijmm-35-05-1411</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Protective effect of ixerisoside A against UVB-induced pro-inflammatory cytokine production in human keratinocytes</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>KIM</surname><given-names>SUNG-BAE</given-names></name><xref rid="af1-ijmm-35-05-1411" ref-type="aff">1</xref><xref rid="fn1-ijmm-35-05-1411" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>KIM</surname><given-names>JI-EUN</given-names></name><xref rid="af2-ijmm-35-05-1411" ref-type="aff">2</xref><xref rid="fn1-ijmm-35-05-1411" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>KANG</surname><given-names>OK-HWA</given-names></name><xref rid="af2-ijmm-35-05-1411" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>MUN</surname><given-names>SU-HYUN</given-names></name><xref rid="af1-ijmm-35-05-1411" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>SEO</surname><given-names>YUN-SOO</given-names></name><xref rid="af2-ijmm-35-05-1411" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>KANG</surname><given-names>DA-HYE</given-names></name><xref rid="af1-ijmm-35-05-1411" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>YANG</surname><given-names>DA-WUN</given-names></name><xref rid="af1-ijmm-35-05-1411" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>RYU</surname><given-names>SHI-YONG</given-names></name><xref rid="af3-ijmm-35-05-1411" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>LEE</surname><given-names>YOUNG-MI</given-names></name><xref rid="af2-ijmm-35-05-1411" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>KWON</surname><given-names>DONG-YEUL</given-names></name><xref rid="af2-ijmm-35-05-1411" ref-type="aff">2</xref><xref rid="c1-ijmm-35-05-1411" ref-type="corresp"/></contrib></contrib-group>
<aff id="af1-ijmm-35-05-1411">
<label>1</label>BK21 Plus Team, Professional Graduate School of Oriental Medicine, Wonkwang University, Iksan, Jeonbuk 570-749, Republic of Korea</aff>
<aff id="af2-ijmm-35-05-1411">
<label>2</label>Department of Oriental Pharmacy, College of Pharmacy and Wonkwang-Oriental Medicines Research Institute, Institute of Biotechnology, Wonkwang University, Iksan, Jeonbuk 570-749, Republic of Korea</aff>
<aff id="af3-ijmm-35-05-1411">
<label>3</label>Korea Research Institute of Chemical Technology, Daejeon 305-600, Republic of Korea</aff>
<author-notes>
<corresp id="c1-ijmm-35-05-1411">Correspondence to: Dr Dong-Yeul Kwon, Department of Oriental Pharmacy, College of Pharmacy and Wonkwang-Oriental Medicines Research Institute, Institute of Biotechnology, Wonkwang University, 460 Iksandae-ro, Iksan, Jeonbuk 570-749, Republic of Korea, E-mail: <email>sssimi@wku.ac.kr</email></corresp><fn id="fn1-ijmm-35-05-1411">
<label>&#x0002A;</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>5</month>
<year>2015</year></pub-date>
<pub-date pub-type="epub">
<day>02</day>
<month>03</month>
<year>2015</year></pub-date>
<volume>35</volume>
<issue>5</issue>
<fpage>1411</fpage>
<lpage>1418</lpage>
<history>
<date date-type="received">
<day>23</day>
<month>06</month>
<year>2014</year></date>
<date date-type="accepted">
<day>19</day>
<month>02</month>
<year>2015</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2015, Spandidos Publications</copyright-statement>
<copyright-year>2015</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>Human skin is the first line of defense for the protection of the internal organs of the body from different stimuli. Ultraviolet B (UVB), one of the harmful radiations for skin, is widely known to induce abnormally increased cytokine release from keratinocytes leading to inflammatory skin disorders. IL-6 and IL-8 induce an acute-phase response and stimulate leukocyte infiltration in the skin. Previous studies have shown that chronic exposure to UVB radiation increases cyclooxygenase-2 (COX-2) expression through various cell signaling pathways, resulting in skin cancer. Recent studies have shown that the activation of extracellular signal-regulated kinase (ERK), c-Jun NH2-terminal kinase (JNK), and p38 MAPK is strongly correlated with acute inflammation and development of skin cancer caused by an increased expression of COX-2. Ixerisoside A (IXA) is an active constituent of <italic>Ixeris dentata</italic> of the Compositae (Asteraceae) family. The effect of IXA on skin inflammation has yet to be elucidated. To determine the anti-inflammatory effects of IXA, we examined its effect on UVB-induced pro-inflammatory cytokine production in human keratinocytes (HaCaT cells) by observing these cells in the presence or absence of IXA. In this study, pro-inflammatory cytokine production was determined by enzyme-linked immunosorbent assay (ELISA), reverse transcription-polymerase chain reaction (RT-PCR), and western blot analysis to evaluate the activation of mitogen-activated protein kinases (MAPKs). IXA inhibited UVB-induced production of the pro-inflammatory cytokines IL-6 and IL-8 in a dose-dependent manner. Moreover, IXA inhibited the expression of COX-2, ERK, JNK, and p38 MAPKs, indicating that the secretion of the pro-inflammatory cytokines IL-6 and IL-8, and COX-2 expression was inhibited by blocking MAPK phosphorylation. These results indicated that IXA potentially protects against UVB-induced skin inflammation.</p></abstract>
<kwd-group>
<kwd><italic>Ixeris dentata</italic></kwd>
<kwd>ixerisoside A</kwd>
<kwd>ultraviolet B</kwd>
<kwd>human keratinocyte</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Keratinocytes are the main cells found in the epidermal layer of the skin and are exposed to a variety of stress stimuli such as ultraviolet (UV) radiation (<xref ref-type="bibr" rid="b1-ijmm-35-05-1411">1</xref>,<xref ref-type="bibr" rid="b2-ijmm-35-05-1411">2</xref>). Solar UV radiation is divided into three main wavelength ranges: UVC (&#x003BB;=100&#x02013;290 nm), ultraviolet B (UVB) (&#x003BB;=290&#x02013;320 nm), and UVA (&#x003BB;=320&#x02013;400 nm) (<xref ref-type="bibr" rid="b3-ijmm-35-05-1411">3</xref>,<xref ref-type="bibr" rid="b4-ijmm-35-05-1411">4</xref>). Although UVC is completely absorbed by the ozone layer, UVA and UVB both reach the Earth&#x02019;s surface in sufficient amounts to have damaging effects on skin (<xref ref-type="bibr" rid="b5-ijmm-35-05-1411">5</xref>). As an environmental factor, UVB radiation has numerous effects on human health. UVB exposure is necessary to produce vitamin D in the skin. As vitamin D deficiency causes immune dysfunction, nervous system, bone growth, cell proliferation, insulin secretion, and blood pressure, regular and minimum exposure of skin to UVB is required for maintaining optimal health (<xref ref-type="bibr" rid="b6-ijmm-35-05-1411">6</xref>). However, UVB in particular has a wide spectrum of biological effects on the skin, and its acute exposure causes a variety of adverse skin reactions such as erythema, edema, sunburn, hyperplasia, inflammation, and immunosuppression (<xref ref-type="bibr" rid="b7-ijmm-35-05-1411">7</xref>). UV-irradiated cells in inflammatory infiltration and various non-epidermal skin cells also produce cytokines, many of which may act on keratinocytes. The regulation and function of cytokines in keratinocytes have been extensively studied and reviewed. These pro-inflammatory cytokines are considered to be closely associated with the progression of photodamage. Among keratinocyte-derived cytokines, the pro-inflammatory cytokines IL-1&#x003B2;, IL-6, TNF-&#x003B1;, and IL-8 have been well characterized (<xref ref-type="bibr" rid="b8-ijmm-35-05-1411">8</xref>,<xref ref-type="bibr" rid="b9-ijmm-35-05-1411">9</xref>). IL-6 and IL-8 induce an acute-phase response and stimulate leukocyte infiltration in the skin (<xref ref-type="bibr" rid="b10-ijmm-35-05-1411">10</xref>).</p>
<p>Cyclooxygenase-2 (COX-2) is the rate-limiting enzyme involved in the conversion of arachidonic acid to prostaglandins. COX-2 expression is induced by inflammatory cues in various tissues such as the epidermis (<xref ref-type="bibr" rid="b11-ijmm-35-05-1411">11</xref>,<xref ref-type="bibr" rid="b12-ijmm-35-05-1411">12</xref>). Previous findings have shown that chronic exposure to UVB radiation increases COX-2 expression through various cell signaling pathways, resulting in the induction of skin cancer (<xref ref-type="bibr" rid="b13-ijmm-35-05-1411">13</xref>,<xref ref-type="bibr" rid="b14-ijmm-35-05-1411">14</xref>). Mitogen-activated protein kinases (MAPKs) are a family of proline-directed Ser/Thr kinases comprising extracellular signal-regulated kinase (ERK), c-Jun NH2-terminal kinase (JNK), and p38 MAPK. The activation of ERK, JNK, and p38 MAPK was found to be strongly correlated with acute inflammation and development of skin cancer through an increased expression of COX-2 (<xref ref-type="bibr" rid="b15-ijmm-35-05-1411">15</xref>&#x02013;<xref ref-type="bibr" rid="b17-ijmm-35-05-1411">17</xref>).</p>
<p><italic>Ixeris dentata</italic> family Compositae (Asteraceae), a typical medicinal herb, has been used for the treatment of indigestion, pneumonia, hepatitis, contusions, and tumors (<xref ref-type="bibr" rid="b18-ijmm-35-05-1411">18</xref>). Ixerisoside A (IXA) is an active constituent isolated from the extract of <italic>Ixeris dentata</italic> and contains aliphatic compounds, triterpenoids, and sesquiterpene glycosides (<xref ref-type="bibr" rid="b19-ijmm-35-05-1411">19</xref>).</p>
<p>Pharmacological studies on <italic>Ixeris dentata</italic> showed that water or organic extracts of whole herbal medicine decreased lipid concentrations and acted as an antioxidant, antiallergic, monamine oxidase, anti-inflammatory, antimutagenic, and anticancer activity (<xref ref-type="bibr" rid="b20-ijmm-35-05-1411">20</xref>&#x02013;<xref ref-type="bibr" rid="b24-ijmm-35-05-1411">24</xref>). In particular, previous findings showed that <italic>Ixeris dentata</italic> exerted a protective effect against UVB-induced skin inflammation (<xref ref-type="bibr" rid="b25-ijmm-35-05-1411">25</xref>,<xref ref-type="bibr" rid="b26-ijmm-35-05-1411">26</xref>). Therefore, in this study, we examined the potential anti-inflammatory action of IXA. We examined its effect on UVB-induced pro-inflammatory cytokine production in human keratinocytes (HaCaT cells) by evaluating UVB-stimulated cells in the presence or absence of IXA.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Plant material</title>
<p>Whole plants of <italic>Ixeris dentata</italic> family Compositae (Asteraceae) were collected in May 2006 from the herbarium at the Korea Research Institute of Chemical Technology (KRICT) and were authenticated by Dr Young Sup Kim. A voucher specimen (KR0472) was deposited into the herbarium at KRICT (<xref ref-type="bibr" rid="b27-ijmm-35-05-1411">27</xref>).</p></sec>
<sec>
<title>Extraction and isolation</title>
<p>The air-dried whole plants (6 kg) of <italic>Ixeris dentata</italic> were soaked in methanol (MeOH) (2&#x000D7;40 l) at room temperature for 7 days. The MeOH extract was filtered and evaporated to dryness under reduced pressure. The concentrated extract (840 g) was suspended in 20 l of water and then extracted successively with an equal volume of dichloromethane (MC), ethyl acetate (EtOAc), and n-butanol (n-BuOH) to afford 160, 15 and 60 g of the compound in MC, EtOAc, and n-BuOH fractions, respectively (<xref ref-type="bibr" rid="b27-ijmm-35-05-1411">27</xref>). The suggested chemical structure of IXA is shown in <xref rid="f1-ijmm-35-05-1411" ref-type="fig">Fig. 1</xref>.</p></sec>
<sec>
<title>Reagents</title>
<p>RPMI-1640, penicillin, and streptomycin were obtained from HyClone Laboratories, Inc. (Logan, UT, USA). Bovine serum albumin and 3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium (MTS) were purchased from Sigma-Aldrich (St. Louis, MO, USA). Antibodies for ERK, phosphorylated ERK, JNK, phosphorylated JNK, p38, phosphorylated p38, and &#x003B2;-actin, and peroxidase-conjugated secondary antibodies were purchased from Santa Cruz Biotechnology, Inc. (Santa Cruz, CA, USA). Antibodies for human IL-6 and IL-8 and biotinylated antibodies for human IL-6 and IL-8 were purchased from BD Biosciences (San Jose, CA, USA). The RNeasy Mini kit and QuantiTect Reverse Transcription kit were purchased from Qiagen (Hilden, Germany). IL-6, IL-8, COX-2, and &#x003B2;-actin oligonucleotide primers were purchased from Bioneer Corp. (Daejeon, Korea).</p></sec>
<sec>
<title>Cell culture</title>
<p>HaCaT cells were grown in RPMI-1640 medium containing 5% fetal bovine serum (FBS) and 100 U/ml penicillin/streptomycin sulfate. The cells were incubated in 5% humidified CO<sub>2</sub> atmosphere at 37&#x000B0;C. To stimulate the cells, the medium was replaced with fresh RPMI-1640 medium and exposed to UVB in the presence or absence of IXA for the indicated time points.</p></sec>
<sec>
<title>UVB source</title>
<p>UVB irradiation was delivered using a closely spaced array of five sunlamps (G9T5E lamps; Sankyo Denki Co., Ltd., Hiratsuka, Japan). The distance between the sunlamps and the surface of the cell cultures was fixed at 7.5 cm, and the distance between the sunlamps and the surface of the cage was fixed at 30 cm. The energy output of the UVB (290&#x02013;320 nm) lamps was measured using a UV radiometer (UVX; UVP Inc., Upland, CA, USA).</p></sec>
<sec>
<title>MTS assay for cell viability</title>
<p>Cell viability was determined by the MTS assay. HaCaT cells were plated at a density of 3&#x000D7;10<sup>4</sup> cells/well in 96-well plates (Thermo Scientific Nunc<sup>&#x000AE;</sup>, Nunc AS, Copenhagen, Denmark). Each experiment had a non-treated group as the control. To determine the non-toxic concentration for the cells, IXA (2.5, 5, 10, and 20 <italic>&#x003BC;</italic>M) was added to each well. The plates were incubated for 24 h at 37&#x000B0;C under 5% CO<sub>2</sub>. MTS solution (5 mg/ml) was added to each well, and the cells were cultured for another 2 h, followed by measuring their optical density at 490 nm. The cytotoxicity was calculated using the formula: 1 &#x02013; (mean absorbance value of treated cells/mean absorbance value of untreated cells).</p></sec>
<sec>
<title>Enzyme-linked immunosorbent assay</title>
<p>Cells were seeded at a density of 3&#x000D7;10<sup>4</sup> cells/well in 48-well tissue culture plates and pre-treated with two concentrations of IXA (5 and 10 <italic>&#x003BC;</italic>M) for 24 h prior to UVB (100 mJ/cm<sup>2</sup>) stimulation. The culture supernatants were analyzed by enzyme-linked immunosorbent assay (ELISA) for IL-6 and IL-8 levels. To measure the cytokines, a modified ELISA method was used. First, a sandwich ELISA for IL-6 and IL-8 was conducted in duplicate in 96-well immuno plates (Nunc 439454; Thermo Scientific Nunc<sup>&#x000AE;</sup>). The supernatant was decanted into a new microcentrifuge tube, and the cytokines were quantified by ELISA. ELISA plates were coated overnight at 4&#x000B0;C with anti-human IL-6 and IL-8 monoclonal antibodies diluted in coating buffer (0.1 M carbonate, pH 9.5), and then washed four times with phosphate-buffered saline (PBS) containing 0.05% Tween-20. The non-specific protein binding sites were blocked with assay diluent (PBS containing 10% FBS at pH 7.0) for at least 1 h. After washing the plates again, the test sample or recombinant IL-6 and IL-8 standards was added. After incubation for 2 h, a working detector (biotinylated anti-human IL-6 and IL-8 monoclonal antibodies and streptavidin-horseradish peroxidase reagent) was added, and the mixture was incubated for 1 h. Subsequently, the substrate solution (tetramethylbenzidine) was added to the wells and incubated for 30 min in the dark before the reaction was quenched by adding 1 M H<sub>3</sub>PO<sub>4</sub>. The absorbance was read at 450 nm using an ELISA reader (Infinite M200; Tecan, M&#x000E4;nnedorf, Switzerland). Subsequent steps were conducted at room temperature, and the standards and samples were assayed in duplicate.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>Protein expression was assessed by western blot analysis according to standard procedures. HaCaT cells were cultured in 60-mm-diameter culture dishes (4&#x000D7;10<sup>6</sup> cells/well) and pre-treated with two concentrations of IXA (5 and 10 <italic>&#x003BC;</italic>M). After 30 min, 2 or 24 h, the cells were UVB-irradiated (100 mJ/cm<sup>2</sup>) and then incubated at 37&#x000B0;C. Following the incubation, the cells were washed twice in PBS (pH 7.4) and were resuspended in lysis buffer on ice for 20 min. The cell debris was removed by centrifugation (10,000 &#x000D7; g, 10 min, and 4&#x000B0;C). The protein concentrations were determined using the Bio-Rad protein assay reagent (Bio-Rad Laboratories, Hercules, CA, USA) according to the manufacturer&#x02019;s instructions. Equal amounts of protein (20 <italic>&#x003BC;</italic>g) were subjected to sodium dodecyl sulphate-polyacrylamide gel electrophoresis (SDS-PAGE) and then transferred onto a polyvinylidene membrane (Millipore, Bedford, MA, USA). The membrane was blocked using 5% non-fat milk in Tris-buffered saline with Tween-20 buffer (150 mM NaCl, 20 mM Tris-HCl, and 0.05% Tween-20, pH 7.4). After blocking, the membrane was incubated with primary antibodies for 18 h. Antibodies against ERK, phosphorylated ERK, JNK, phosphorylated JNK, p38, phosphorylated p38 and &#x003B2;-actin, and peroxidase-conjugated secondary antibodies were purchased from Santa Cruz Biotechnology, Inc. The membrane was then washed with Tris-buffered saline containing Tween-20 and incubated with anti-mouse or anti-rabbit immunoglobulin G horseradish peroxidase-conjugated secondary antibodies. The proteins were then supplemented with ECL Prime Western Blotting Detection Reagents and an ImageQuant LAS 4000 mini biomolecular imager (both from GE Healthcare, Cleveland, OH, USA) was used to evaluate the bands.</p></sec>
<sec>
<title>RNA extraction and reverse transcription-polymerase chain reaction (RT-PCR)</title>
<p>Total cellular RNA was isolated using an easy-BLUE&#x02122; RNA extraction kit (Intron Biotechnology, Inc., Seongnam, Republic of Korea) according to the manufacturer&#x02019;s instructions. The total RNA (2 <italic>&#x003BC;</italic>g) was then converted to cDNA by treating it with 200 units of reverse transcriptase and 500 ng of oligo (dT) primer in 50 mM Tris-HCl (pH 8.3), 75 mM KCl, 3 mM MgCl<sub>2</sub>, 10 mM dithiothreitol, and 1 mM deoxynucleotide triphosphates at 42&#x000B0;C for 1 h. The reaction was quenched by heating the samples at 70&#x000B0;C for 15 min, followed by enzymatic amplification of the cDNA mixture (3 <italic>&#x003BC;</italic>l). PCR was conducted in a reaction mixture containing 50 mM KCl, 10 mM Tris-HCl (pH 8.3), 1.5 mM MgCl<sub>2</sub>, 0.2 mM deoxynucleotide triphosphates, 2.5 units of Taq DNA polymerase, and 0.1 <italic>&#x003BC;</italic>M each of IL-6, IL-8, COX-2, and GAPDH primers. PCR of GAPDH was conducted by subjecting the reaction mixtures to an initial denaturation of 92&#x000B0;C for 5 min, followed by 30 cycles of 92&#x000B0;C for 1 min, annealing at 50&#x000B0;C for 1 min, and extension at 72&#x000B0;C for 2 min, with a final extension at 72&#x000B0;C for 5 min. PCR of IL-6 and IL-8 samples was conducted by heating the reaction mixtures to 95&#x000B0;C for 2 min, followed by 35 cycles at 95&#x000B0;C for 45 sec, 60&#x000B0;C for 45 sec, and 72&#x000B0;C for 90 sec, with a final extension at 72&#x000B0;C for 10 min. PCR of COX-2 samples was conducted by heating the reaction mixtures to 94&#x000B0;C for 5 min, followed by 30 cycles at 94&#x000B0;C for 1 min, 55&#x000B0;C for 30 sec, and 72&#x000B0;C for 1 min, with a final extension at 72&#x000B0;C for 7 min. The PCR products were then electrophoresed on 1% agarose gel and stained with ethidium bromide. The primer sequences are listed in <xref rid="tI-ijmm-35-05-1411" ref-type="table">Table I</xref>.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Statistical analysis was performed using one-way analysis of variance (ANOVA) or the Student&#x02019;s t-test for single comparisons. Data are presented as the means &#x000B1; standard error (SE), and the number of individual experiments conducted is mentioned in each figure legend. P&lt;0.05 and P&lt;0.005 were considered to indicate statistically significant differences.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Cell viability of UVB-irradiated HaCaT cells</title>
<p>The effect of IXA on cell viability following UVB irradiation was assessed on HaCaT cells. Cell viability was evaluated using the MTS assay (<xref rid="f2-ijmm-35-05-1411" ref-type="fig">Fig. 2</xref>). When the cultures were incubated after UVB irradiation, UVB-induced toxicity increased compared to that in non-irradiated cells. Cell viability decreased depending on the dose of UVB irradiation and was markedly reduced at 24 h after UVB irradiation of 150 mJ/cm<sup>2</sup>. Subsequently, an exposure dose of 100 mJ/cm<sup>2</sup> was selected to study cell toxicity in HaCaT cells treated with IXA 24 h after UVB irradiation (<xref rid="f3-ijmm-35-05-1411" ref-type="fig">Fig. 3</xref>).</p></sec>
<sec>
<title>Effects of IXA on the production of pro-inflammatory cytokines</title>
<p>Initially, the cytotoxicity of IXA on HaCaT cells was examined using the MTS assay. The half maximal inhibitory concentration (IC<sub>50</sub>) value of IXA was 50 <italic>&#x003BC;</italic>M (data not shown), and IXA did not show any cytotoxic effects up to 10 <italic>&#x003BC;</italic>M (<xref rid="f3-ijmm-35-05-1411" ref-type="fig">Fig. 3</xref>). To evaluate the effect of IXA on the production of pro-inflammatory cytokines, the cells were pre-treated with IXA (5 and 10 <italic>&#x003BC;</italic>M) prior to stimulation by UVB (100 mJ/cm<sup>2</sup>) for 24 h and analyzed by ELISA. As shown in <xref rid="f4-ijmm-35-05-1411" ref-type="fig">Fig. 4</xref>, the levels of IL-6 and IL-8 were considerably increased in HaCaT cells after stimulation with UVB (100 mJ/cm<sup>2</sup>). Pre-treatment of cells with IXA (5 or 10 <italic>&#x003BC;</italic>M) inhibited these increments in a concentration-dependent and statistically significant manner.</p></sec>
<sec>
<title>Effects of IXA on pro-inflammatory cytokine gene expression</title>
<p>The pro-inflammatory cytokine gene expression was then analyzed using RT-PCR. Enhanced IL-6 and IL-8 mRNA expression induced by UVB (100 mJ/cm<sup>2</sup>) was inhibited by pre-treatment of the cells with IXA (<xref rid="f5-ijmm-35-05-1411" ref-type="fig">Fig. 5</xref>). In particular, the pre-treatment with IXA at a concentration of 10 <italic>&#x003BC;</italic>M inhibited the UVB-induced gene expression of IL-6 and IL-8.</p></sec>
<sec>
<title>Effects of IXA on COX-2 protein and mRNA expression</title>
<p>The effects of IXA on COX-2 expression were examined in UVB-irradiated HaCaT cells. The expression levels of COX-2 protein and mRNA were measured in HaCaT cells exposed to UVB (100 mJ/cm<sup>2</sup>) for 24 h. IXA effectively suppressed UVB-induced COX-2 expression. UVB (100 mJ/cm<sup>2</sup>) also increased COX-2 mRNA expression, which was inhibited in the presence of IXA (<xref rid="f6-ijmm-35-05-1411" ref-type="fig">Fig. 6</xref>). Thus, IXA suppressed the expression of genes that were involved in the pathogenesis of inflammatory responses.</p></sec>
<sec>
<title>Effects of IXA on the activation of MAPKs</title>
<p>Inhibition of the ERK, JNK, and p38 MAPK pathways was recently found to attenuate pro-inflammatory cytokine secretion. The effect of IXA on UVB-induced MAPK phosphorylation in HaCaT cells was examined by incubating the cells with IXA 24 h prior to stimulation with UVB for 30 min, 1 or 2 h. UVB-induced phosphorylation of ERK, JNK, and p38 MAPK was then determined by western blot analysis. IXA pre-treatment significantly inhibited the UVB-induced phosphorylation of ERK, JNK, and p38 MAPK in a dose-dependent manner without affecting the total protein levels of these kinases (<xref rid="f7-ijmm-35-05-1411" ref-type="fig">Fig. 7</xref>). These results indicated that the inhibitory effect of IXA on UVB-induced MAPK phosphorylation may result in blockage of the cytokine production and COX-2 expression in HaCaT cells.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Naturally occurring chemical substances derived from plants have been of much interest as therapeutics for several diseases. The species <italic>Ixeris dentata</italic> is a perennial herb of the Asteraceae family that is widely distributed and cultivated in northeastern Asia. The young sprouts of this species have been used as a famous bitter appetizing vegetable in Korea and also for the treatment of indigestion, pneumonia, hepatitis, contusions, and tumors (<xref ref-type="bibr" rid="b18-ijmm-35-05-1411">18</xref>).</p>
<p><italic>Ixeris dentata</italic> is known to contain aliphatic compounds, triterpenoids, and sesquiterpene glycosides (<xref ref-type="bibr" rid="b19-ijmm-35-05-1411">19</xref>). Chemical components such as triterpenes, sesquiterpene glycosides, and flavonoids have been isolated from the genus <italic>Ixeris</italic>, encompassing ~20 species (<xref ref-type="bibr" rid="b28-ijmm-35-05-1411">28</xref>). IXA is an active constituent isolated from the extract of <italic>Ixeris dentata</italic>. Water and organic extracts of <italic>Ixeris dentata</italic> have shown strong hypolipidemic effects with antioxidant (<xref ref-type="bibr" rid="b20-ijmm-35-05-1411">20</xref>), antiallergic (<xref ref-type="bibr" rid="b21-ijmm-35-05-1411">21</xref>), monamine oxidase (<xref ref-type="bibr" rid="b22-ijmm-35-05-1411">22</xref>), anti-inflammatory (<xref ref-type="bibr" rid="b23-ijmm-35-05-1411">23</xref>), antimutagenic, and anticancer (<xref ref-type="bibr" rid="b24-ijmm-35-05-1411">24</xref>) activity. In particular, our previous studies have shown that EtOAc and tectroside isolated from <italic>Ixeris dentata</italic> showed protective effects against UVB-induced skin inflammation (<xref ref-type="bibr" rid="b25-ijmm-35-05-1411">25</xref>,<xref ref-type="bibr" rid="b26-ijmm-35-05-1411">26</xref>).</p>
<p>IXA was examined for its inhibitory effects on the human uterine carcinoma cell line, multidrug-resistant subline of MES-SA, human colorectal adenocarcinoma cell line, and multidrug-resistant subline of HCT15 according to the SRB assay <italic>in vitro</italic> (<xref ref-type="bibr" rid="b27-ijmm-35-05-1411">27</xref>).</p>
<p>However, to the best of our knowledge, no information is available concerning the effect of IXA on skin inflammation. In this study, we investigated the protective effect of IXA against UVB-induced damage in HaCaT cells. Keratinocytes are the main cells present in the epidermal layer of the skin and are exposed to a variety of stress stimuli such as UV radiation (<xref ref-type="bibr" rid="b1-ijmm-35-05-1411">1</xref>,<xref ref-type="bibr" rid="b2-ijmm-35-05-1411">2</xref>). UVB, in particular, has a wide spectrum of biological effects on the skin, and acute exposure causes a variety of adverse skin reactions such as erythema, edema, sunburn, hyperplasia, inflammation, and immunosuppression (<xref ref-type="bibr" rid="b7-ijmm-35-05-1411">7</xref>).</p>
<p>Cytokines such as IL-6 and IL-8 undoubtedly play pivotal roles in immunologic regulation in the human body and are involved in the induction of proliferation, differentiation, and cell death in many cell types such as leukocytes (<xref ref-type="bibr" rid="b29-ijmm-35-05-1411">29</xref>). These pro-inflammatory cytokines are considered to be closely associated with the progression of photodamage. In particular, IL-6 stimulates keratinocyte proliferation and is therefore studied in diseases associated with epidermal hyperplasia and in wound healing (<xref ref-type="bibr" rid="b30-ijmm-35-05-1411">30</xref>&#x02013;<xref ref-type="bibr" rid="b34-ijmm-35-05-1411">34</xref>). IL-8, a powerful neutrophil attractant, is produced by keratinocytes after external stimuli such as arsenic, contact sensitizers, and irritants. IL-8-stimulated keratinocyte proliferation has been observed in auto-immune-mediated diseases such as pemphigus herpetiformis and bullous pemphigoid (<xref ref-type="bibr" rid="b35-ijmm-35-05-1411">35</xref>&#x02013;<xref ref-type="bibr" rid="b38-ijmm-35-05-1411">38</xref>). Therefore, the inhibitory effect of IL-6 and IL-8 may have favorable anti-inflammatory effects on skin diseases. To test this hypothesis, we determined the inhibitory effect of IL-6 and IL-8 in UVB-irradiated HaCaT cells and demonstrated the suppression of UVB-induced intracellular production of IL-6 and IL-8. These results provide direct evidence to prove that IXA acted as an inhibitory agent for IL-6 and IL-8.</p>
<p>Moreover, COX-2 expression was induced by inflammatory cues in various tissues such as the epidermis (<xref ref-type="bibr" rid="b11-ijmm-35-05-1411">11</xref>,<xref ref-type="bibr" rid="b12-ijmm-35-05-1411">12</xref>). Previous studies have shown that chronic exposure to UVB radiation increases COX-2 expression through various cell signaling pathways, resulting in the induction of skin cancer (<xref ref-type="bibr" rid="b13-ijmm-35-05-1411">13</xref>,<xref ref-type="bibr" rid="b14-ijmm-35-05-1411">14</xref>). Previous findings have shown that UVB irradiation significantly increases COX-2 gene expression at the mRNA and protein levels in the human skin and cultured keratinocytes (<xref ref-type="bibr" rid="b14-ijmm-35-05-1411">14</xref>,<xref ref-type="bibr" rid="b39-ijmm-35-05-1411">39</xref>&#x02013;<xref ref-type="bibr" rid="b41-ijmm-35-05-1411">41</xref>), and the resulting synthesis of prostaglandins with their growth-promoting and anti-apoptotic activities may be a contributory factor to UV radiation-induced skin carcinogenesis (<xref ref-type="bibr" rid="b42-ijmm-35-05-1411">42</xref>). Our results show that IXA inhibited UVB-induced COX-2 expression. Thus, we determined the effect of IXA and regulation of COX-2 in UVB-exposed keratinocytes.</p>
<p>UV irradiation activates the cell surface growth factor and cytokine receptors in fibroblasts, stimulating MAPK signal transduction pathways. ERK, JNK, and p38 are three families of MAPKs existing in mammalian cells, each of which forms a signaling module (<xref ref-type="bibr" rid="b43-ijmm-35-05-1411">43</xref>). MAPKs are a large family of protein kinases that phosphorylate and sequentially activate one another in a series of distinct cascades in response to markedly diverse sets of stimuli involved in the regulation of development, growth, differentiation, inflammation, and cell death (<xref ref-type="bibr" rid="b44-ijmm-35-05-1411">44</xref>). The expression of inflammatory cytokines (COX-2 and IL-6) has been shown to be affected by various intracellular signaling MAPK proteins such as ERK, JNK, and p38 (<xref ref-type="bibr" rid="b45-ijmm-35-05-1411">45</xref>). UVB exposure induces the rapid activation of MAPK signals such as p38 leading to COX-2 expression in HaCaT cells (<xref ref-type="bibr" rid="b15-ijmm-35-05-1411">15</xref>). Our results indicate that IXA inhibited UVB-induced MAPKs phosphorylation. Additionally, the anti-inflammatory effect of IXA inhibition of MAPK phosphorylation in keratinocytes exposed to UVB irradiation was confirmed.</p>
<p>We examined the effect of IXA on UVB-induced pro-inflammatory cytokine production in HaCaT cells by evaluating UVB-stimulated cells in the presence or absence of IXA. Pro-inflammatory cytokine production was measured by ELISA and RT-PCR, and the activation of MAPKs was determined by western blot analysis. The inhibitory effects of IXA on the production of inflammatory mediators were accompanied by a concentration-dependent decrease in the protein and mRNA expression levels of IL-6, IL-8, and COX-2. Therefore, IXA most probably acted as an anti-inflammatory agent by mainly inhibiting COX-2 expression <italic>in vivo</italic>. Furthermore, these effects were mediated by the inhibition of COX-2 expression and ERK, JNK, and p38 MAPK phosphorylation.</p>
<p>These results indicate that the inhibitory effect of IXA on UVB-induced MAPK phosphorylation may result in blockage of the cytokine production and COX-2 expression in HaCaT cells. Therefore, this shows a potent anti-inflammatory effect of IXA accomplished by blocking inflammatory mediators. Our data indicate that IXA is a new source of potential drugs that may be used for the treatment of inflammatory diseases.</p>
<p>In conclusion, we evaluated the effect of IXA on skin inflammation <italic>in vitro</italic> and found that IXA has potential to attenuate UVB-induced skin inflammation by suppressing MAPK activation. Our findings provide new insight into the application of IXA and its nutraceutical value. Further studies on IXA are required to confirm its medicinal use.</p></sec></body>
<back>
<ack>
<title>Acknowledgments</title>
<p>This study was supported by the Basic Science Research Program through the National Research Foundation (NRF) of Korea funded by the Ministry of Education (2013060380), by the Korea government (MSIP) (2008-0062484), and by the Ministry of Knowledge Economy (MKE), Korea Institute for Advancement of Technology (KIAT) through the Inter-ER Cooperation Projects (R0002019).</p></ack>
<ref-list>
<title>References</title>
<ref id="b1-ijmm-35-05-1411"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Muthusamy</surname><given-names>V</given-names></name><name><surname>Piva</surname><given-names>TJ</given-names></name></person-group><article-title>A comparative study of UV-induced cell signalling pathways in human keratinocyte-derived cell lines</article-title><source>Arch Dermatol Res</source><volume>305</volume><fpage>817</fpage><lpage>833</lpage><year>2013</year><pub-id pub-id-type="doi">10.1007/s00403-013-1412-z</pub-id><pub-id pub-id-type="pmid">24071771</pub-id></element-citation></ref>
<ref id="b2-ijmm-35-05-1411"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Muthusamy</surname><given-names>V</given-names></name><name><surname>Piva</surname><given-names>TJ</given-names></name></person-group><article-title>The UV response of the skin: a review of the MAPK, NFkappaB, and TNFalpha signal transduction pathways</article-title><source>Arch Dermatol Res</source><volume>302</volume><fpage>5</fpage><lpage>17</lpage><year>2010</year><pub-id pub-id-type="doi">10.1007/s00403-009-0994-y</pub-id></element-citation></ref>
<ref id="b3-ijmm-35-05-1411"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Duthie</surname><given-names>MS</given-names></name><name><surname>Kimber</surname><given-names>I</given-names></name><name><surname>Norval</surname><given-names>M</given-names></name></person-group><article-title>The effects of ultraviolet radiation on the human immune system</article-title><source>Br J Dermatol</source><volume>140</volume><fpage>995</fpage><lpage>1009</lpage><year>1999</year><pub-id pub-id-type="doi">10.1046/j.1365-2133.1999.02898.x</pub-id><pub-id pub-id-type="pmid">10354063</pub-id></element-citation></ref>
<ref id="b4-ijmm-35-05-1411"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Svobodova</surname><given-names>A</given-names></name><name><surname>Walterova</surname><given-names>D</given-names></name><name><surname>Vostalova</surname><given-names>J</given-names></name></person-group><article-title>Ultraviolet light induced alteration to the skin</article-title><source>Biomed Pap Med Fac Univ Palacky Olomouc Czeck Repub</source><volume>150</volume><fpage>25</fpage><lpage>38</lpage><year>2006</year><pub-id pub-id-type="doi">10.5507/bp.2006.003</pub-id></element-citation></ref>
<ref id="b5-ijmm-35-05-1411"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>de Gruijl</surname><given-names>FR</given-names></name><name><surname>Van der Leun</surname><given-names>JC</given-names></name></person-group><article-title>Environment and health: 3. Ozone depletion and ultraviolet radiation</article-title><source>CMAJ</source><volume>163</volume><fpage>851</fpage><lpage>855</lpage><year>2000</year><pub-id pub-id-type="pmid">11033716</pub-id><pub-id pub-id-type="pmcid">80511</pub-id></element-citation></ref>
<ref id="b6-ijmm-35-05-1411"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Holick</surname><given-names>MF</given-names></name></person-group><article-title>Vitamin D: a millenium perspective</article-title><source>J Cell Biochem</source><volume>88</volume><fpage>296</fpage><lpage>307</lpage><year>2003</year><pub-id pub-id-type="doi">10.1002/jcb.10338</pub-id><pub-id pub-id-type="pmid">12520530</pub-id></element-citation></ref>
<ref id="b7-ijmm-35-05-1411"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Afaq</surname><given-names>F</given-names></name><name><surname>Adhami</surname><given-names>VM</given-names></name><name><surname>Mukhtar</surname><given-names>H</given-names></name></person-group><article-title>Photochemoprevention of ultraviolet B signaling and photocarcinogenesis</article-title><source>Mutat Res</source><volume>571</volume><fpage>153</fpage><lpage>173</lpage><year>2005</year><pub-id pub-id-type="doi">10.1016/j.mrfmmm.2004.07.019</pub-id><pub-id pub-id-type="pmid">15748645</pub-id></element-citation></ref>
<ref id="b8-ijmm-35-05-1411"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Freedberg</surname><given-names>IM</given-names></name><name><surname>Tomic-Canic</surname><given-names>M</given-names></name><name><surname>Komine</surname><given-names>M</given-names></name><name><surname>Blumenberg</surname><given-names>M</given-names></name></person-group><article-title>Keratins and the keratinocyte activation cycle</article-title><source>J Invest Dermatol</source><volume>116</volume><fpage>633</fpage><lpage>640</lpage><year>2001</year><pub-id pub-id-type="doi">10.1046/j.1523-1747.2001.01327.x</pub-id><pub-id pub-id-type="pmid">11348449</pub-id></element-citation></ref>
<ref id="b9-ijmm-35-05-1411"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sauder</surname><given-names>DN</given-names></name></person-group><article-title>The role of epidermal cytokines in inflammatory skin diseases</article-title><source>J Invest Dermatol</source><volume>95</volume><issue>Suppl 5</issue><fpage>S27</fpage><lpage>S28</lpage><year>1990</year><pub-id pub-id-type="doi">10.1111/1523-1747.ep12505705</pub-id></element-citation></ref>
<ref id="b10-ijmm-35-05-1411"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ziegler</surname><given-names>A</given-names></name><name><surname>Jonason</surname><given-names>AS</given-names></name><name><surname>Leffell</surname><given-names>DJ</given-names></name><name><surname>Simon</surname><given-names>JA</given-names></name><name><surname>Sharma</surname><given-names>HW</given-names></name><name><surname>Kimmelman</surname><given-names>J</given-names></name><name><surname>Remington</surname><given-names>L</given-names></name><name><surname>Jacks</surname><given-names>T</given-names></name><name><surname>Brash</surname><given-names>DE</given-names></name></person-group><article-title>Sunburn and p53 in the onset of skin cancer</article-title><source>Nature</source><volume>372</volume><fpage>773</fpage><lpage>776</lpage><year>1994</year><pub-id pub-id-type="doi">10.1038/372773a0</pub-id><pub-id pub-id-type="pmid">7997263</pub-id></element-citation></ref>
<ref id="b11-ijmm-35-05-1411"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Masferrer</surname><given-names>JL</given-names></name><name><surname>Leahy</surname><given-names>KM</given-names></name><name><surname>Koki</surname><given-names>AT</given-names></name><name><surname>Zweifel</surname><given-names>BS</given-names></name><name><surname>Settle</surname><given-names>SL</given-names></name><name><surname>Woerner</surname><given-names>BM</given-names></name><name><surname>Edwards</surname><given-names>DA</given-names></name><name><surname>Flickinger</surname><given-names>AG</given-names></name><name><surname>Moore</surname><given-names>RJ</given-names></name><name><surname>Seibert</surname><given-names>K</given-names></name></person-group><article-title>Antiangiogenic and antitumor activities of cyclooxygenase-2 inhibitors</article-title><source>Cancer Res</source><volume>60</volume><fpage>1306</fpage><lpage>1311</lpage><year>2000</year><pub-id pub-id-type="pmid">10728691</pub-id></element-citation></ref>
<ref id="b12-ijmm-35-05-1411"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Higashi</surname><given-names>Y</given-names></name><name><surname>Kanekura</surname><given-names>T</given-names></name><name><surname>Kanzaki</surname><given-names>T</given-names></name></person-group><article-title>Enhanced expression of cyclooxygenase (COX)-2 in human skin epidermal cancer cells: evidence for growth suppression by inhibiting COX-2 expression</article-title><source>Int J Cancer</source><volume>86</volume><fpage>667</fpage><lpage>671</lpage><year>2000</year><pub-id pub-id-type="doi">10.1002/(SICI)1097-0215(20000601)86:5&lt;667::AID-IJC10&gt;3.0.CO;2-Y</pub-id><pub-id pub-id-type="pmid">10797288</pub-id></element-citation></ref>
<ref id="b13-ijmm-35-05-1411"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rundhaug</surname><given-names>JE</given-names></name><name><surname>Fischer</surname><given-names>SM</given-names></name></person-group><article-title>Cyclo-oxygenase-2 plays a critical role in UV-induced skin carcinogenesis</article-title><source>Photochem Photobiol</source><volume>84</volume><fpage>322</fpage><lpage>329</lpage><year>2008</year><pub-id pub-id-type="doi">10.1111/j.1751-1097.2007.00261.x</pub-id><pub-id pub-id-type="pmid">18194346</pub-id></element-citation></ref>
<ref id="b14-ijmm-35-05-1411"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Buckman</surname><given-names>SY</given-names></name><name><surname>Gresham</surname><given-names>A</given-names></name><name><surname>Hale</surname><given-names>P</given-names></name><name><surname>Hruza</surname><given-names>G</given-names></name><name><surname>Anast</surname><given-names>J</given-names></name><name><surname>Masferrer</surname><given-names>J</given-names></name><name><surname>Pentland</surname><given-names>AP</given-names></name></person-group><article-title>COX-2 expression is induced by UVB exposure in human skin: implications for the development of skin cancer</article-title><source>Carcinogenesis</source><volume>19</volume><fpage>723</fpage><lpage>729</lpage><year>1998</year><pub-id pub-id-type="doi">10.1093/carcin/19.5.723</pub-id><pub-id pub-id-type="pmid">9635856</pub-id></element-citation></ref>
<ref id="b15-ijmm-35-05-1411"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>W</given-names></name><name><surname>Tang</surname><given-names>Q</given-names></name><name><surname>Gonzales</surname><given-names>MS</given-names></name><name><surname>Bowden</surname><given-names>GT</given-names></name></person-group><article-title>Role of p38 MAP kinases and ERK in mediating ultraviolet-B induced cyclooxygenase-2 gene expression in human keratinocytes</article-title><source>Oncogene</source><volume>20</volume><fpage>3921</fpage><lpage>3926</lpage><year>2001</year><pub-id pub-id-type="doi">10.1038/sj.onc.1204530</pub-id><pub-id pub-id-type="pmid">11439356</pub-id></element-citation></ref>
<ref id="b16-ijmm-35-05-1411"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lin</surname><given-names>SK</given-names></name><name><surname>Kok</surname><given-names>SH</given-names></name><name><surname>Yeh</surname><given-names>FT</given-names></name><name><surname>Kuo</surname><given-names>MY</given-names></name><name><surname>Lin</surname><given-names>CC</given-names></name><name><surname>Wang</surname><given-names>CC</given-names></name><name><surname>Goldring</surname><given-names>SR</given-names></name><name><surname>Hong</surname><given-names>CY</given-names></name></person-group><article-title>MEK/ERK and signal transducer and activator of transcription signaling pathways modulate oncostatin M-stimulated CCL2 expression in human osteoblasts through a common transcription factor</article-title><source>Arthritis Rheum</source><volume>50</volume><fpage>785</fpage><lpage>793</lpage><year>2004</year><pub-id pub-id-type="doi">10.1002/art.20058</pub-id><pub-id pub-id-type="pmid">15022320</pub-id></element-citation></ref>
<ref id="b17-ijmm-35-05-1411"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mahns</surname><given-names>A</given-names></name><name><surname>Wolber</surname><given-names>R</given-names></name><name><surname>St&#x000E4;b</surname><given-names>F</given-names></name><name><surname>Klotz</surname><given-names>LO</given-names></name><name><surname>Sies</surname><given-names>H</given-names></name></person-group><article-title>Contribution of UVB and UVA to UV-dependent stimulation of cyclooxygenase-2 expression in artificial epidermis</article-title><source>Photochem Photobiol Sci</source><volume>3</volume><fpage>257</fpage><lpage>262</lpage><year>2004</year><pub-id pub-id-type="doi">10.1039/b309067a</pub-id><pub-id pub-id-type="pmid">14993941</pub-id></element-citation></ref>
<ref id="b18-ijmm-35-05-1411"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yi</surname><given-names>JM</given-names></name><name><surname>Hong</surname><given-names>SH</given-names></name><name><surname>Lee</surname><given-names>HJ</given-names></name><name><surname>Won</surname><given-names>JH</given-names></name><name><surname>Kim</surname><given-names>JM</given-names></name><name><surname>Jeong</surname><given-names>DM</given-names></name><name><surname>Baek</surname><given-names>SH</given-names></name><name><surname>Lim</surname><given-names>JP</given-names></name><name><surname>Kim</surname><given-names>HM</given-names></name></person-group><article-title>Ixeris dentata green sap inhibits both compound 48/80-induced aanaphylaxis-like response and IgE-mediated anaphylactic response in murine model</article-title><source>Biol Pharm Bull</source><volume>25</volume><fpage>5</fpage><lpage>9</lpage><year>2002</year><pub-id pub-id-type="doi">10.1248/bpb.25.5</pub-id><pub-id pub-id-type="pmid">11824556</pub-id></element-citation></ref>
<ref id="b19-ijmm-35-05-1411"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Seto</surname><given-names>M</given-names></name><name><surname>Miyase</surname><given-names>T</given-names></name><name><surname>Fukushima</surname><given-names>S</given-names></name></person-group><article-title>Sesquiterpene lactones from Ixeris dentata Nakai</article-title><source>Chem Pharm Bull</source><volume>34</volume><fpage>4170</fpage><lpage>4176</lpage><year>1986</year><pub-id pub-id-type="doi">10.1248/cpb.34.4170</pub-id></element-citation></ref>
<ref id="b20-ijmm-35-05-1411"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname><given-names>E</given-names></name></person-group><article-title>Effects of Ixeris dentata ext. on lowering lipid and anti-oxidation</article-title><source>Korean J Plant Res</source><volume>24</volume><fpage>55</fpage><lpage>60</lpage><year>2011</year><comment>In Korean</comment><pub-id pub-id-type="doi">10.7732/kjpr.2011.24.1.055</pub-id></element-citation></ref>
<ref id="b21-ijmm-35-05-1411"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Park</surname><given-names>EK</given-names></name><name><surname>Sung</surname><given-names>JH</given-names></name><name><surname>Trinh</surname><given-names>HT</given-names></name><name><surname>Bae</surname><given-names>EA</given-names></name><name><surname>Yun</surname><given-names>HK</given-names></name><name><surname>Hong</surname><given-names>SS</given-names></name><name><surname>Kim</surname><given-names>DH</given-names></name></person-group><article-title>Lactic acid bacterial fermentation increases the anti-allergic effects of Ixeris dentata</article-title><source>J Microbiol Biotechnol</source><volume>18</volume><fpage>308</fpage><lpage>313</lpage><year>2008</year><pub-id pub-id-type="pmid">18309276</pub-id></element-citation></ref>
<ref id="b22-ijmm-35-05-1411"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chung</surname><given-names>HS</given-names></name></person-group><article-title>Inhibition of monamine oxidase by a flavone and its glycoside from Ixeris dentata Nakai</article-title><source>Nutraceut Food</source><volume>8</volume><fpage>141</fpage><lpage>144</lpage><year>2003</year><pub-id pub-id-type="doi">10.3746/jfn.2003.8.2.141</pub-id></element-citation></ref>
<ref id="b23-ijmm-35-05-1411"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chung</surname><given-names>HS</given-names></name><name><surname>Jeong</surname><given-names>HJ</given-names></name><name><surname>Han</surname><given-names>MJ</given-names></name><name><surname>Park</surname><given-names>ST</given-names></name><name><surname>Seong</surname><given-names>KK</given-names></name><name><surname>Baek</surname><given-names>SH</given-names></name><name><surname>Jeong</surname><given-names>DM</given-names></name><name><surname>Kim</surname><given-names>MJ</given-names></name><name><surname>Kim</surname><given-names>HM</given-names></name></person-group><article-title>Nitric oxide and tumor necrosis factor-alpha production by Ixeris dentata in mouse peritoneal macrophages</article-title><source>J Ethnopharmacol</source><volume>82</volume><fpage>217</fpage><lpage>222</lpage><year>2002</year><pub-id pub-id-type="doi">10.1016/S0378-8741(02)00188-5</pub-id><pub-id pub-id-type="pmid">12241998</pub-id></element-citation></ref>
<ref id="b24-ijmm-35-05-1411"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>MJ</given-names></name><name><surname>Kim</surname><given-names>JS</given-names></name><name><surname>Jeong</surname><given-names>DM</given-names></name><name><surname>Ham</surname><given-names>SS</given-names></name><name><surname>Yu</surname><given-names>CY</given-names></name></person-group><article-title>Effect of antioxidant, antimutagenicity and anticancer of root extract from Ixeris dentataNakai</article-title><source>Korean J Med Crop Sci</source><volume>10</volume><fpage>222</fpage><lpage>229</lpage><year>2002</year><comment>In Korean</comment></element-citation></ref>
<ref id="b25-ijmm-35-05-1411"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>SB</given-names></name><name><surname>Kang</surname><given-names>OH</given-names></name><name><surname>Keum</surname><given-names>JH</given-names></name><name><surname>Mun</surname><given-names>SH</given-names></name><name><surname>An</surname><given-names>HJ</given-names></name><name><surname>Jung</surname><given-names>HJ</given-names></name><name><surname>Hong</surname><given-names>SH</given-names></name><name><surname>Jeong</surname><given-names>DM</given-names></name><name><surname>Kweon</surname><given-names>KT</given-names></name><name><surname>Kwon</surname><given-names>DY</given-names></name></person-group><article-title>Anti-inflammatory effect of Ixeris dentata on ultraviolet B-induced HaCaT keratinocytes</article-title><source>Nat Prod Sci</source><volume>18</volume><fpage>60</fpage><lpage>66</lpage><year>2012</year></element-citation></ref>
<ref id="b26-ijmm-35-05-1411"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>SB</given-names></name><name><surname>Kang</surname><given-names>OH</given-names></name><name><surname>Joung</surname><given-names>DK</given-names></name><name><surname>Mun</surname><given-names>SH</given-names></name><name><surname>Seo</surname><given-names>YS</given-names></name><name><surname>Cha</surname><given-names>MR</given-names></name><name><surname>Ryu</surname><given-names>SY</given-names></name><name><surname>Shin</surname><given-names>DW</given-names></name><name><surname>Kwon</surname><given-names>DY</given-names></name></person-group><article-title>Anti-inflammatory effects of tectroside on UVB-induced HaCaT cells</article-title><source>Int J Mol Med</source><volume>31</volume><fpage>1471</fpage><lpage>1476</lpage><year>2013</year><pub-id pub-id-type="pmid">23588209</pub-id></element-citation></ref>
<ref id="b27-ijmm-35-05-1411"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cha</surname><given-names>MR</given-names></name><name><surname>Choi</surname><given-names>YH</given-names></name><name><surname>Choi</surname><given-names>CW</given-names></name><name><surname>Yoo</surname><given-names>DS</given-names></name><name><surname>Kim</surname><given-names>YS</given-names></name><name><surname>Choi</surname><given-names>SU</given-names></name><name><surname>Kim</surname><given-names>YH</given-names></name><name><surname>Ryu</surname><given-names>SY</given-names></name></person-group><article-title>New guaiane sesquiterpene lactones from Ixeris dentata</article-title><source>Planta Med</source><volume>77</volume><fpage>380</fpage><lpage>382</lpage><year>2011</year><pub-id pub-id-type="doi">10.1055/s-0030-1250369</pub-id></element-citation></ref>
<ref id="b28-ijmm-35-05-1411"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zidorn</surname><given-names>C</given-names></name></person-group><article-title>Sesquiterpene lactones and their precursors as chemosystematic markers in the tribe Cichorieae of the Asteraceae</article-title><source>Phytochemistry</source><volume>69</volume><fpage>2270</fpage><lpage>2296</lpage><year>2008</year><pub-id pub-id-type="doi">10.1016/j.phytochem.2008.06.013</pub-id><pub-id pub-id-type="pmid">18715600</pub-id></element-citation></ref>
<ref id="b29-ijmm-35-05-1411"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yarilin</surname><given-names>AA</given-names></name><name><surname>Belyakov</surname><given-names>IM</given-names></name></person-group><article-title>Cytokines in the thymus: production and biological effects</article-title><source>Curr Med Chem</source><volume>11</volume><fpage>447</fpage><lpage>464</lpage><year>2004</year><pub-id pub-id-type="doi">10.2174/0929867043455972</pub-id><pub-id pub-id-type="pmid">14965226</pub-id></element-citation></ref>
<ref id="b30-ijmm-35-05-1411"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Grossman</surname><given-names>RM</given-names></name><name><surname>Krueger</surname><given-names>J</given-names></name><name><surname>Yourish</surname><given-names>D</given-names></name><name><surname>Granelli-Piperno</surname><given-names>A</given-names></name><name><surname>Murphy</surname><given-names>DP</given-names></name><name><surname>May</surname><given-names>LT</given-names></name><name><surname>Kupper</surname><given-names>TS</given-names></name><name><surname>Sehgal</surname><given-names>PB</given-names></name><name><surname>Gottlieb</surname><given-names>AB</given-names></name></person-group><article-title>Interleukin 6 is expressed in high levels in psoriatic skin and stimulates proliferation of cultured human keratinocytes</article-title><source>Proc Natl Acad Sci USA</source><volume>86</volume><fpage>6367</fpage><lpage>6371</lpage><year>1989</year><pub-id pub-id-type="doi">10.1073/pnas.86.16.6367</pub-id><pub-id pub-id-type="pmid">2474833</pub-id><pub-id pub-id-type="pmcid">297840</pub-id></element-citation></ref>
<ref id="b31-ijmm-35-05-1411"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Turksen</surname><given-names>K</given-names></name><name><surname>Kupper</surname><given-names>TS</given-names></name><name><surname>Degenstein</surname><given-names>L</given-names></name><name><surname>Williams</surname><given-names>I</given-names></name><name><surname>Fuchs</surname><given-names>E</given-names></name></person-group><article-title>Interleukin 6: insights to its function in skin by overexpression in transgenic mice</article-title><source>Proc Natl Acad Sci USA</source><volume>89</volume><fpage>5068</fpage><lpage>5072</lpage><year>1992</year><pub-id pub-id-type="doi">10.1073/pnas.89.11.5068</pub-id><pub-id pub-id-type="pmid">1375756</pub-id><pub-id pub-id-type="pmcid">49230</pub-id></element-citation></ref>
<ref id="b32-ijmm-35-05-1411"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sawamura</surname><given-names>D</given-names></name><name><surname>Meng</surname><given-names>X</given-names></name><name><surname>Ina</surname><given-names>S</given-names></name><name><surname>Sato</surname><given-names>M</given-names></name><name><surname>Tamai</surname><given-names>K</given-names></name><name><surname>Hanada</surname><given-names>K</given-names></name><name><surname>Hashimoto</surname><given-names>I</given-names></name></person-group><article-title>Induction of keratinocyte proliferation and lymphocytic infiltration by in vivo introduction of the IL-6 gene into keratinocytes and possibility of keratinocyte gene therapy for inflammatory skin diseases using IL-6 mutant genes</article-title><source>J Immunol</source><volume>161</volume><fpage>5633</fpage><lpage>5639</lpage><year>1998</year><pub-id pub-id-type="pmid">9820543</pub-id></element-citation></ref>
<ref id="b33-ijmm-35-05-1411"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sato</surname><given-names>M</given-names></name><name><surname>Sawamura</surname><given-names>D</given-names></name><name><surname>Ina</surname><given-names>S</given-names></name><name><surname>Yaguchi</surname><given-names>T</given-names></name><name><surname>Hanada</surname><given-names>K</given-names></name><name><surname>Hashimoto</surname><given-names>I</given-names></name></person-group><article-title>In vivo introduction of the interleukin 6 gene into human keratinocytes: induction of epidermal proliferation by the fully spliced form of interleukin 6, but not by the alternatively spliced form</article-title><source>Arch Dermatol Res</source><volume>291</volume><fpage>400</fpage><lpage>404</lpage><year>1999</year><pub-id pub-id-type="doi">10.1007/s004030050429</pub-id><pub-id pub-id-type="pmid">10482009</pub-id></element-citation></ref>
<ref id="b34-ijmm-35-05-1411"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sugawara</surname><given-names>T</given-names></name><name><surname>Gallucci</surname><given-names>RM</given-names></name><name><surname>Simeonova</surname><given-names>PP</given-names></name><name><surname>Luster</surname><given-names>MI</given-names></name></person-group><article-title>Regulation and role of interleukin 6 in wounded human epithilial keratinocytes</article-title><source>Cytokine</source><volume>15</volume><fpage>328</fpage><lpage>336</lpage><year>2001</year><pub-id pub-id-type="doi">10.1006/cyto.2001.0946</pub-id><pub-id pub-id-type="pmid">11594800</pub-id></element-citation></ref>
<ref id="b35-ijmm-35-05-1411"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mohamadzadeh</surname><given-names>M</given-names></name><name><surname>M&#x000FC;ller</surname><given-names>M</given-names></name><name><surname>Hultsch</surname><given-names>T</given-names></name><name><surname>Enk</surname><given-names>A</given-names></name><name><surname>Saloga</surname><given-names>J</given-names></name><name><surname>Knop</surname><given-names>J</given-names></name></person-group><article-title>Enhanced expression of IL-8 in normal human kerati-nocytes and human keratinocyte cell line HaCaT in vitro after stimulation with contact sensitizers, tolerogens and irritants</article-title><source>Exp Dermatol</source><volume>3</volume><fpage>298</fpage><lpage>303</lpage><year>1994</year><pub-id pub-id-type="doi">10.1111/j.1600-0625.1994.tb00292.x</pub-id><pub-id pub-id-type="pmid">7749573</pub-id></element-citation></ref>
<ref id="b36-ijmm-35-05-1411"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yen</surname><given-names>HT</given-names></name><name><surname>Chiang</surname><given-names>LC</given-names></name><name><surname>Wen</surname><given-names>KH</given-names></name><name><surname>Chang</surname><given-names>SF</given-names></name><name><surname>Tsai</surname><given-names>CC</given-names></name><name><surname>Yu</surname><given-names>CL</given-names></name><name><surname>Yu</surname><given-names>HS</given-names></name></person-group><article-title>Arsenic induces interleukin-8 expression in cultured keratinocytes</article-title><source>Arch Dermatol Res</source><volume>288</volume><fpage>716</fpage><lpage>717</lpage><year>1996</year><pub-id pub-id-type="doi">10.1007/BF02505283</pub-id><pub-id pub-id-type="pmid">8931876</pub-id></element-citation></ref>
<ref id="b37-ijmm-35-05-1411"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>O&#x02019;Toole</surname><given-names>AE</given-names></name><name><surname>Mak</surname><given-names>LL</given-names></name><name><surname>Guitart</surname><given-names>J</given-names></name><name><surname>Woodley</surname><given-names>DT</given-names></name><name><surname>Hashimoto</surname><given-names>T</given-names></name><name><surname>Amagai</surname><given-names>M</given-names></name><name><surname>Chan</surname><given-names>LS</given-names></name></person-group><article-title>Induction of keratinocyte IL-8 expression and secretion by IgG autoantibodies as a novel mechanism of epidermal neutrophil recruitment in a pemphigus variant</article-title><source>Clin Exp Immunol</source><volume>119</volume><fpage>217</fpage><lpage>224</lpage><year>2000</year><pub-id pub-id-type="doi">10.1046/j.1365-2249.2000.01104.x</pub-id></element-citation></ref>
<ref id="b38-ijmm-35-05-1411"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Schmidt</surname><given-names>E</given-names></name><name><surname>Reimer</surname><given-names>S</given-names></name><name><surname>Kruse</surname><given-names>N</given-names></name><name><surname>Jainta</surname><given-names>S</given-names></name><name><surname>Br&#x000F6;cker</surname><given-names>EB</given-names></name><name><surname>Marinkovich</surname><given-names>MP</given-names></name><name><surname>Guidice</surname><given-names>GJ</given-names></name><name><surname>Zillikens</surname><given-names>D</given-names></name></person-group><article-title>Autoantibodies to BP180 associated with bullous pemphigoid release interleukin-6 and interleukin-8 from cultured human keratinocytes</article-title><source>J Invest Dermatol</source><volume>115</volume><fpage>842</fpage><lpage>848</lpage><year>2000</year><pub-id pub-id-type="doi">10.1046/j.1523-1747.2000.00141.x</pub-id><pub-id pub-id-type="pmid">11069622</pub-id></element-citation></ref>
<ref id="b39-ijmm-35-05-1411"><label>39</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pentland</surname><given-names>AP</given-names></name><name><surname>Schoggins</surname><given-names>JW</given-names></name><name><surname>Scott</surname><given-names>GA</given-names></name><name><surname>Khan</surname><given-names>KN</given-names></name><name><surname>Han</surname><given-names>R</given-names></name></person-group><article-title>Reduction of UV-induced skin tumors in hairless mice by selective COX-2 inhibition</article-title><source>Carcinogenesis</source><volume>20</volume><fpage>1939</fpage><lpage>1944</lpage><year>1999</year><pub-id pub-id-type="doi">10.1093/carcin/20.10.1939</pub-id><pub-id pub-id-type="pmid">10506108</pub-id></element-citation></ref>
<ref id="b40-ijmm-35-05-1411"><label>40</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Athar</surname><given-names>M</given-names></name><name><surname>An</surname><given-names>KP</given-names></name><name><surname>Morel</surname><given-names>KD</given-names></name><name><surname>Kim</surname><given-names>AL</given-names></name><name><surname>Aszterbaum</surname><given-names>M</given-names></name><name><surname>Longley</surname><given-names>J</given-names></name><name><surname>Epstein</surname><given-names>EH</given-names><suffix>Jr</suffix></name><name><surname>Bickers</surname><given-names>DR</given-names></name></person-group><article-title>Ultraviolet B (UVB)-induced COX-2 expression in murine skin: an immunohistochemical study</article-title><source>Biochem Biophys Res Commun</source><volume>280</volume><fpage>1042</fpage><lpage>1047</lpage><year>2001</year><pub-id pub-id-type="doi">10.1006/bbrc.2000.4201</pub-id><pub-id pub-id-type="pmid">11162632</pub-id></element-citation></ref>
<ref id="b41-ijmm-35-05-1411"><label>41</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>An</surname><given-names>KP</given-names></name><name><surname>Athar</surname><given-names>M</given-names></name><name><surname>Tang</surname><given-names>X</given-names></name><name><surname>Katiyar</surname><given-names>SK</given-names></name><name><surname>Russo</surname><given-names>J</given-names></name><name><surname>Beech</surname><given-names>J</given-names></name><name><surname>Aszterbaum</surname><given-names>M</given-names></name><name><surname>Kopelovich</surname><given-names>L</given-names></name><name><surname>Epstein</surname><given-names>EH</given-names><suffix>Jr</suffix></name><name><surname>Mukhtar</surname><given-names>H</given-names></name><name><surname>Bickers</surname><given-names>DR</given-names></name></person-group><article-title>Cyclooxygenase-2 expression in murine and human nonmelanoma skin cancers: Implications for therapeutic approaches</article-title><source>Photochem Photobiol</source><volume>76</volume><fpage>73</fpage><lpage>80</lpage><year>2002</year><pub-id pub-id-type="doi">10.1562/0031-8655(2002)076&lt;0073:CEIMAH&gt;2.0.CO;2</pub-id><pub-id pub-id-type="pmid">12126310</pub-id></element-citation></ref>
<ref id="b42-ijmm-35-05-1411"><label>42</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Grewe</surname><given-names>M</given-names></name><name><surname>Trefzer</surname><given-names>U</given-names></name><name><surname>Ballhorn</surname><given-names>A</given-names></name><name><surname>Gyufko</surname><given-names>K</given-names></name><name><surname>Henninger</surname><given-names>H</given-names></name><name><surname>Krutmann</surname><given-names>J</given-names></name></person-group><article-title>Analysis of the mechanism of ultraviolet (UV) B radiation-induced prostaglandin E2 synthesis by human epidermoid carcinoma cells</article-title><source>J Invest Dermatol</source><volume>101</volume><fpage>528</fpage><lpage>531</lpage><year>1993</year><pub-id pub-id-type="doi">10.1111/1523-1747.ep12365904</pub-id><pub-id pub-id-type="pmid">8409518</pub-id></element-citation></ref>
<ref id="b43-ijmm-35-05-1411"><label>43</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Robinson</surname><given-names>MJ</given-names></name><name><surname>Cobb</surname><given-names>MH</given-names></name></person-group><article-title>Mitogen-activated protein kinase pathways</article-title><source>Curr Opin Cell Biol</source><volume>9</volume><fpage>180</fpage><lpage>186</lpage><year>1997</year><pub-id pub-id-type="doi">10.1016/S0955-0674(97)80061-0</pub-id><pub-id pub-id-type="pmid">9069255</pub-id></element-citation></ref>
<ref id="b44-ijmm-35-05-1411"><label>44</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lewis</surname><given-names>TS</given-names></name><name><surname>Shapiro</surname><given-names>PS</given-names></name><name><surname>Ahn</surname><given-names>NG</given-names></name></person-group><article-title>Signal transduction through MAP kinase cascades</article-title><source>Adv Cancer Res</source><volume>74</volume><fpage>49</fpage><lpage>139</lpage><year>1998</year><pub-id pub-id-type="doi">10.1016/S0065-230X(08)60765-4</pub-id><pub-id pub-id-type="pmid">9561267</pub-id></element-citation></ref>
<ref id="b45-ijmm-35-05-1411"><label>45</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ashida</surname><given-names>M</given-names></name><name><surname>Bito</surname><given-names>T</given-names></name><name><surname>Budiyanto</surname><given-names>A</given-names></name><name><surname>Ichihashi</surname><given-names>M</given-names></name><name><surname>Ueda</surname><given-names>M</given-names></name></person-group><article-title>Involvement of EGF receptor activation in the induction of cyclooxygenase-2 in HaCaT keratinocytes after UVB</article-title><source>Exp Dermatol</source><volume>12</volume><fpage>445</fpage><lpage>452</lpage><year>2003</year><pub-id pub-id-type="doi">10.1034/j.1600-0625.2003.00101.x</pub-id><pub-id pub-id-type="pmid">12930301</pub-id></element-citation></ref></ref-list></back>
<floats-group>
<fig id="f1-ijmm-35-05-1411" position="float">
<label>Figure 1</label>
<caption>
<p>The chemical structure of ixerisoside A (IXA).</p></caption>
<graphic xlink:href="IJMM-35-05-1411-g00.jpg"/></fig>
<fig id="f2-ijmm-35-05-1411" position="float">
<label>Figure 2</label>
<caption>
<p>Viability of human keratinocytes (HaCaT cells) under various conditions. HaCaT cells were used for the 3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium (MTS) assay at 24 h after 50, 100, 150 or 200 mJ/cm<sup>2</sup> ultraviolet B (UVB) irradiation and a comparison was made of the viability of irradiated cells with that of the non-irradiated control. Data are the means &#x000B1; standard error (SE) values from triplicate experiments.</p></caption>
<graphic xlink:href="IJMM-35-05-1411-g01.jpg"/></fig>
<fig id="f3-ijmm-35-05-1411" position="float">
<label>Figure 3</label>
<caption>
<p>Effect of ixerisoside A (IXA) on cell viability and morphological alterations in human keratinocytes (HaCaT cells). (A) Cell viability was evaluated with the 3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium (MTS) assay. Data are the means &#x000B1; standard error (SE) of duplicate determinations from three separate experiments. (B) For morphological studies, the cells were treated with IXA (2.5, 5, 10 and 20 <italic>&#x003BC;</italic>M) for 24 h and then stimulated with ultraviolet B (UVB) (100 mJ/cm<sup>2</sup>) for 24 h.</p></caption>
<graphic xlink:href="IJMM-35-05-1411-g02.jpg"/></fig>
<fig id="f4-ijmm-35-05-1411" position="float">
<label>Figure 4</label>
<caption>
<p>Effect of ixerisoside A (IXA) on ultraviolet B (UVB)-induced (A) IL-6 and (B) IL-8 production. Human keratinocytes (HaCaT cells) were pre-treated with the indicated concentrations of IXA for 24 h prior to being irradiated with UVB (100 mJ/cm<sup>2</sup>) for 24 h. The production of IL-6 and IL-8 was measured by ELISA. The cells were pre-treated with the indicated concentrations of IXA for 24 h before being irradiated with UVB (100 mJ/cm<sup>2</sup>) for 24 h. Data are the means &#x000B1; standard error (SE) values of duplicate determinations from three separate experiments. <sup>&#x0002A;</sup>P&lt;0.05, <sup>&#x0002A;&#x0002A;</sup>P&lt;0.005.</p></caption>
<graphic xlink:href="IJMM-35-05-1411-g03.jpg"/></fig>
<fig id="f5-ijmm-35-05-1411" position="float">
<label>Figure 5</label>
<caption>
<p>Effect of ixerisoside A (IXA) on ultraviolet B (UVB)-induced IL-6 and IL-8 mRNA expression. (A) Human keratinocytes (HaCaT cells) were pre-treated with the indicated concentrations of IXA for 24 h before being irradiated with UVB (100 mJ/cm<sup>2</sup>) for 24 h. IL-6 mRNA was assessed by reverse transcription-polymerase chain reaction (RT-PCR) in HaCaT cells. (B) Cells were pre-treated with the indicated concentrations of IXA for 24 h before being irradiated with UVB (100 mJ/cm<sup>2</sup>) for 2 h. &#x003B2;-actin mRNA was assayed in parallel to confirm the equivalency of the cDNA preparations. Data are the means &#x000B1; standard error (SE) values of duplicate determinations from three separate experiments. <sup>&#x0002A;</sup>P&lt;0.05, <sup>&#x0002A;&#x0002A;</sup>P&lt;0.005.</p></caption>
<graphic xlink:href="IJMM-35-05-1411-g04.jpg"/></fig>
<fig id="f6-ijmm-35-05-1411" position="float">
<label>Figure 6</label>
<caption>
<p>Effect of ixerisoside A (IXA) on ultraviolet B (UVB)-induced cyclooxygenase-2 (COX-2) protein and mRNA expression in human keratinocytes (HaCaT cells). HaCaT cells were pre-treated with the indicated concentrations of IXA for 24 h prior to being irradiated with UVB (100 mJ/cm<sup>2</sup>) for 24 h. Equal amounts of protein (20 <italic>&#x003BC;</italic>g) were separated by sodium dodecyl sulphate-polyacrylamide gel electrophoresis (SDS-PAGE) and immunoblotted with COX-2 antibodies. Equal protein loading was verified using &#x003B2;-actin. (A) COX-2 mRNAs were assessed by reverse transcription-polymerase chain reaction (RT-PCR) in HaCaT cells. The cells were pre-treated with the indicated concentrations of IXA for 24 h prior to being incubated with UVB (100 mJ/cm<sup>2</sup>) for 24 h. (B) &#x003B2;-actin mRNA was assayed in parallel to confirm the equivalency of the cDNA preparations. The experiment was repeated three times, and similar results were obtained. <sup>&#x0002A;</sup>P&lt;0.05, <sup>&#x0002A;&#x0002A;</sup>P&lt;0.005 when compared to the UVB-treated group. Significant differences between treated groups were determined using the Student&#x02019;s t-test. Values shown are the means &#x000B1; standard error (SE) of duplicate determinations from three separate experiments.</p></caption>
<graphic xlink:href="IJMM-35-05-1411-g05.jpg"/></fig>
<fig id="f7-ijmm-35-05-1411" position="float">
<label>Figure 7</label>
<caption>
<p>Effect of ixerisoside A (IXA) on the phosphorylation of mitogen-activated protein kinases (MAPKs) in ultraviolet B (UVB)-stimulated human keratinocytes (HaCaT) cells. (A and B) HaCaT cells were treated with the indicated concentrations of IXA for 24 h before being irradiated with UVB (100 mJ/cm<sup>2</sup>) for 30 min, 1 and 2 h. Whole-cell lysates were analyzed by western blot analysis. The experiment was repeated three times and similar results were obtained. <sup>&#x0002A;</sup>P&lt;0.05, <sup>&#x0002A;&#x0002A;</sup>P&lt;0.005.</p></caption>
<graphic xlink:href="IJMM-35-05-1411-g06.jpg"/></fig>
<table-wrap id="tI-ijmm-35-05-1411" position="float">
<label>Table I</label>
<caption>
<p>Sequences of oligonucleotide primers designed for PCR.</p></caption>
<table frame="hsides" rules="groups">
<tbody>
<tr>
<td valign="top" align="left">cDNA</td>
<td valign="top" align="center">Sequences</td></tr>
<tr>
<td valign="top" align="left">IL-6</td>
<td valign="top" align="left">F, 5&#x02032;-ATGAACTCCTTCTCCACAAGCGC-3&#x02032;</td></tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left">R, 5&#x02032;-GAAGAGCCCTCAGGCTGGACTG-3&#x02032;</td></tr>
<tr>
<td valign="top" align="left">IL-8</td>
<td valign="top" align="left">F, 5&#x02032;-ATGACTTCCAAGCTGGCCGTGGCT-3&#x02032;</td></tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left">R, 5&#x02032;-TCTCAGCCCTCTTCAAAAACTTCTC-3&#x02032;</td></tr>
<tr>
<td valign="top" align="left">COX-2</td>
<td valign="top" align="left">F, 5&#x02032;-TTCAAATGAGATTGTGGGAAAATTGCT-3&#x02032;</td></tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left">R, 5&#x02032;-AGATCATCTCTGCCTGAGTATCTT-3&#x02032;</td></tr>
<tr>
<td valign="top" align="left">GAPDH</td>
<td valign="top" align="left">F, 5&#x02032;-CTGGCACCCAGCACAATGAAG-3&#x02032;</td></tr>
<tr>
<td valign="top" align="left"/>
<td valign="top" align="left">R, 5&#x02032;-ACCGACTGCTGTCACCTTCA-3&#x02032;</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-ijmm-35-05-1411">
<p>F, forward; R, reverse; COX-2, cyclooxygenase-2.</p></fn></table-wrap-foot></table-wrap></floats-group></article>
