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<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.2016.2801</article-id>
<article-id pub-id-type="publisher-id">ijmm-38-06-1940</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>The combination of &#x003B2;-caryophyllene, baicalin and catechin synergistically suppresses the proliferation and promotes the death of RAW267.4 macrophages <italic>in vitro</italic></article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Yamaguchi</surname><given-names>Masayoshi</given-names></name><xref rid="af1-ijmm-38-06-1940" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-ijmm-38-06-1940"/></contrib>
<contrib contrib-type="author">
<name><surname>Levy</surname><given-names>Robert M.</given-names></name><xref rid="af2-ijmm-38-06-1940" ref-type="aff">2</xref></contrib></contrib-group>
<aff id="af1-ijmm-38-06-1940">
<label>1</label>Department of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA 30322</aff>
<aff id="af2-ijmm-38-06-1940">
<label>2</label>Department of Clinical Development, Primus Pharmaceuticals, Inc., Scottsdale, AZ 85253, USA</aff>
<author-notes>
<corresp id="c1-ijmm-38-06-1940">Correspondence to: Dr Masayoshi Yamaguchi, Department of Hematology and Medical Oncology, Emory University School of Medicine, C-5054, 1365 C Clifton Road NE, Atlanta, GA 30322, USA, E-mail: <email>yamamasa1155@yahoo.co.jp</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>12</month>
<year>2016</year></pub-date>
<pub-date pub-type="epub">
<day>14</day>
<month>11</month>
<year>2016</year></pub-date>
<volume>38</volume>
<issue>6</issue>
<fpage>1940</fpage>
<lpage>1946</lpage>
<history>
<date date-type="received">
<day>24</day>
<month>06</month>
<year>2016</year></date>
<date date-type="accepted">
<day>04</day>
<month>11</month>
<year>2016</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2016, Spandidos Publications</copyright-statement>
<copyright-year>2016</copyright-year></permissions>
<abstract>
<p>&#x003B2;-caryophyllene, which is a constituent of many essential oils, has been known to be a selective agonist of the cannabinoid receptor type-2 and to exert cannabimimetic anti-inflammatory effects in animals. The effects of &#x003B2;-caryophyllene on macrophages have not been investigated to date. This study was undertaken to determine whether &#x003B2;-caryophyllene exerts suppressive effects on mouse RAW267.4 macrophages <italic>in vitro</italic> in comparison with other botanical molecules that exert antioxidant and anti-inflammatory effects. The proliferation of RAW267.4 cells was suppressed by culture with &#x003B2;-caryophyllene (50, 100 and 200 <italic>&#x000B5;</italic>g/ml of medium) or curcumin (100 and 200 <italic>&#x000B5;</italic>g/ml). Culture with baicalin (1&#x02013;200 <italic>&#x000B5;</italic>g/ml) or (+)-catechin (1&#x02013;200 <italic>&#x000B5;</italic>g/ml) did not exert an effect on RAW267.4 cells. The combination of &#x003B2;-caryophyllene (1 or 10 <italic>&#x000B5;</italic>g/ml) with either curcumin (1 or 10 <italic>&#x000B5;</italic>g/ml), baicalin (1 or 10 <italic>&#x000B5;</italic>g/ml) or (+)-catechin (1 or 10 <italic>&#x000B5;</italic>g/ml) did not exert any suppressive effects on cell proliferation. Of note, the combination of all three agents, &#x003B2;-caryophyllene, baicalin and (+)-catechin at the concentration of either 1 or 10 <italic>&#x000B5;</italic>g/ml was found to exert synergistic suppressive effects on cell proliferation. Moreover, the combination of &#x003B2;-caryophyllene, baicalin and (+)-catechin synergistically promoted the death of RAW267.4 cells. Such an effect was blocked by culture with caspase-3 inhibitor. The combination of the three agents decreased the protein levels of Akt, mitogen-activated protein kinase (MAPK) and cyclooxygenase (COX)-1 or -2. On the whole, this study demonstrates that the combination of &#x003B2;-caryophyllene, baicalin and (+)-catechin exerts synergistic suppressive effects on macrophages <italic>in vitro</italic>. This composition may be a useful as an anti-inflammatory treatment strategy.</p></abstract>
<kwd-group>
<kwd>&#x003B2;-caryophyllene</kwd>
<kwd>baicalin</kwd>
<kwd>(+)-catechin</kwd>
<kwd>curcumin</kwd>
<kwd>cell proliferation</kwd>
<kwd>apoptosis</kwd>
<kwd>RAW267.4 cells</kwd>
<kwd>macrophage</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Many botanical molecules are known to possess anti-inflammatory and analgesic effects. &#x003B2;-caryophyllene is a sesquiterpene, which is the essential oil of many medical plants, particularly clove (<italic>Syzygium aromaticum</italic>), hemp (<italic>Cannabis sativa</italic>), rosemary (<italic>Rosmarinus officinalis</italic>), cinnamon and hops (<xref ref-type="bibr" rid="b1-ijmm-38-06-1940">1</xref>&#x02013;<xref ref-type="bibr" rid="b4-ijmm-38-06-1940">4</xref>). &#x003B2;-caryophyllene is natural dietary ingredient found in many edible plants ingested daily, and has been approved as a food additive by the Food and Drug Administration (FDA).</p>
<p>&#x003B2;-caryophyllene has been known to be a selective agonist of cannabinoid receptor type-2 and to exert cannabimimetic anti-inflammatory and analgesic effects in animals (<xref ref-type="bibr" rid="b2-ijmm-38-06-1940">2</xref>,<xref ref-type="bibr" rid="b4-ijmm-38-06-1940">4</xref>) for both acute and chronic pain with inflammation (<xref ref-type="bibr" rid="b4-ijmm-38-06-1940">4</xref>&#x02013;<xref ref-type="bibr" rid="b6-ijmm-38-06-1940">6</xref>). The anti-inflammatory effects of &#x003B2;-caryophyllene are not implicated in its inhibitory effects on the production of tumor necrosis factor (TNF)-&#x003B1; and interleukin (IL)-1&#x003B2;, that are related to opioid receptors (<xref ref-type="bibr" rid="b7-ijmm-38-06-1940">7</xref>). RAW267.4 cells are murine macrophages that produce various inflammatory cytokines, including TNF-&#x003B1; and IL-1&#x003B2; (<xref ref-type="bibr" rid="b8-ijmm-38-06-1940">8</xref>). However, the effects of &#x003B2;-caryophyllene on RAW267.4 macrophages have not been investigated to date, at least to the best of our knowledge.</p>
<p>This study was undertaken to determine whether &#x003B2;-caryophyllene exerts suppressive effects on mouse RAW267.4 macrophages <italic>in vitro</italic>. Moreover, we compared the interactive effects of &#x003B2;-caryophyllene with other botanical molecules, which exert antioxidant and anti-inflammatory effects on mouse RAW267.4 macrophages <italic>in vitro</italic>. Of note, this study demonstrated that the combination of &#x003B2;-caryophyllene, baicalin and (+)-catechin at concentrations, which independently did not exert a significant effect on RAW267.4 cells, exerted synergistic suppressive effects on the proliferation and synergistic stimulatory effects on the death of RAW267.4 cells <italic>in vitro</italic>. To the best of our knowledge, this is the first time that such a finding has been described. This composition of agents may be a potent and useful tool as an anti-inflammatory therapeutic strategy with less toxicity.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Materials</title>
<p>Dulbecco's modification of Eagle's medium (DMEM) with 4.5 g/l glucose, L-glutamine and sodium pyruvate and antibiotics &#x0005B;penicillin and streptomycin (P/S)&#x0005D; were purchased from Corning (Mediatech, Inc., Manassas, VA, USA). Fetal bovine serum (FBS) was from HyClone (Logan, UT, USA). &#x003B2;-caryophyllene, baicalin, (+)-catechin, curcumin, and (+)-aromatic turmerone were obtained from Cayman Chemical (Ann Arbor, MI, USA). TNF-&#x003B1; was obtained from R&amp;D Systems (Minneapolis, MN, USA). Sodium butyrate, roscovitine, sulforaphane, PD98059, wortmannin, dibucaine, and all other reagents were purchased from Sigma-Aldrich (St. Louis, MO, USA) unless otherwise specified. The caspase-3 inhibitor (Caspase 3/CPP32 inhibitor W-1, biotin conjugate; Wako Pure Chemical Industries, Ltd., Osaka, Japan) was diluted in phosphate-buffered saline (PBS) and the other reagents were dissolved in 100% ethanol or dimethyl sulfoxide for use in the experiments.</p></sec>
<sec>
<title>RAW267.4 cells</title>
<p>Mouse RAW267.4 cells (murine macrophages) were obtained from the American Type Culture Collection (ATCC, Rockville, MD, USA) (<xref ref-type="bibr" rid="b9-ijmm-38-06-1940">9</xref>,<xref ref-type="bibr" rid="b10-ijmm-38-06-1940">10</xref>).</p></sec>
<sec>
<title>Cell proliferation assay</title>
<p>The RAW267.4 cells (1&#x000D7;10<sup>5</sup>/ml/well) cells were cultured using a 24-well plate in DMEM containing 10% FBS and 1% P/S for 1, 2, 3 or 7 days in a water-saturated atmosphere containing 5% CO<sub>2</sub> and 95% air at 37&#x000B0;C, as previously described (<xref ref-type="bibr" rid="b11-ijmm-38-06-1940">11</xref>). The RAW267.4 cells were cultured in DMEM containing 10% FBS and 1% P/S in the presence or absence of absence of either the vehicle (0.1% ethanol as a final concentration), &#x003B2;-caryophyllene &#x0005B;1 (5 <italic>&#x000B5;</italic>M), 10, 50, 100 or 200 <italic>&#x000B5;</italic>g/ml of medium&#x0005D;, baicalin &#x0005B;1 (2.24 <italic>&#x000B5;</italic>M), 10, 50, 100 or 200 <italic>&#x000B5;</italic>g/ml&#x0005D;, (+)-catechin &#x0005B;1 (3.45 <italic>&#x000B5;</italic>M), 10, 50, 100 or 200 <italic>&#x000B5;</italic>g/ml&#x0005D;, curcumin &#x0005B;1 (2.72 <italic>&#x000B5;</italic>M), 10, 50, 100 or 200 <italic>&#x000B5;</italic>g/ml&#x0005D;, or (+)-aromatic turmerone &#x0005B;1 (4.62 <italic>&#x000B5;</italic>M), 5, 10, 25 or 50 <italic>&#x000B5;</italic>g/ml&#x0005D; for 3 days. In separate experiments, the RAW267.4 cells were cultured in DMEM containing 10% FBS and 1% P/S with either the vehicle (0.1% ethanol as a final concentration) or mixture of &#x003B2;-caryophyllene (10 <italic>&#x000B5;</italic>g/ml of medium), baicalin (10 <italic>&#x000B5;</italic>g/ml) and (+)-catechin (10 <italic>&#x000B5;</italic>g/ml) in the presence or absence of either sodium butyrate (10 and 100 <italic>&#x000B5;</italic>M), roscovitine (10 and 100 nM), sulphoraphane (1 and 10 nM), dibucaine (0.1 or 1 <italic>&#x000B5;</italic>M), PD98059 (1 or 10 <italic>&#x000B5;</italic>M), or wortmannin (0.1 or 1 <italic>&#x000B5;</italic>M) for 3 days. Following culture, the cells were detached from the culture dishes and counted using the same method as described below in 'Cell counting'.</p></sec>
<sec>
<title>Cell death assay</title>
<p>The RAW267.4 cells (1&#x000D7;10<sup>5</sup>/ml/well) were cultured using a 24-well plate in DMEM containing 10% FBS and 1% P/S for 3 days until they reached confluence, as previously described (<xref ref-type="bibr" rid="b12-ijmm-38-06-1940">12</xref>), and the cells were then cultured for an additional 2 days in the presence or absence of absence of either the vehicle (0.1% ethanol as a final concentration), &#x003B2;-caryophyllene (1 or 10 <italic>&#x000B5;</italic>g/ml of medium) and/or baicalin or (+)-catechin (1 or 10 <italic>&#x000B5;</italic>g/ml of medium) with or without caspase-3 inhibitor (10 <italic>&#x000B5;</italic>M). Following culture, the cells were detached from the culture dishes.</p></sec>
<sec>
<title>Cell counting</title>
<p>Following trypsinization of each culture dish using 0.2% trpysin plus 0.02% EDTA in Ca<sup>2+</sup>/Mg<sup>2+</sup>-free PBS for 2 min at 37&#x000B0;C, the detached cells from the dish were collected following centrifugation at 150 &#x000D7; g for 5 min at a room temperature, as previously described (<xref ref-type="bibr" rid="b12-ijmm-38-06-1940">12</xref>,<xref ref-type="bibr" rid="b13-ijmm-38-06-1940">13</xref>). The cells were resuspended in PBS solution and stained with eosin. Cell numbers were counted under a microscope (Olympus MTV-3; Olympus, Tokyo, Japan) using a hemocytometer plate (<xref ref-type="bibr" rid="b12-ijmm-38-06-1940">12</xref>,<xref ref-type="bibr" rid="b13-ijmm-38-06-1940">13</xref>). For each dish, we took the average of two countings. The cell number was calculated as the number of cells/well of each plate.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>The RAW267.4 cells (1&#x000D7;10<sup>5</sup> cells/well in 2 ml of medium) were cultured in DMEM containing 10% FBS and 1% P/S in the presence or absence of either the vehicle (0.1% ethanol as a final concentration), &#x003B2;-caryophyllene (1 <italic>&#x000B5;</italic>g/ml of medium), baicalin (1 <italic>&#x000B5;</italic>g/ml), and/or (+)-catechin (1 <italic>&#x000B5;</italic>g/ml) for 3 days. In a separate experiment, the cells were cultured in the presence or absence of a combination of &#x003B2;-caryophyllene (1 <italic>&#x000B5;</italic>g/ml), baicalin (1 <italic>&#x000B5;</italic>g/ml) and (+)-catechin (1 <italic>&#x000B5;</italic>g/ml) for 3 days, and then were they cultured for an additional 24 h with or without the addition of TNF-&#x003B1; (10 ng/ml). Following culture, the cells were washed twice with ice-cold PBS and removed from the dish by scraping in cell lysis buffer containing protein inhibitors. The lysed cells were homogenized by sonication in 0.4 ml of ice-cold cell lyses buffer containing protein inhibitors. The homogenate was centrifuged for 5 min at 1,500 &#x000D7; g, and the protein concentration of the supernatant was determined for western blotting using bovine serum albumin as a standard. Samples of supernatant protein (30 <italic>&#x000B5;</italic>g/lane) were separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and transferred to nylon membranes for western blotting using specific rabbit antibodies against Akt, mitogen-activated protein kinase (MAPK), caspase-3, cyclooxygenase (COX)-1, -2, p65, and &#x003B2;-actin (all form Cell Signaling Technology, Danvers, MA, USA). &#x003B2;-actin was used as a loading control. Donkey anti-rabbit IgG-HRP (Santa Cruz Biotechnology, Santa Cruz, CA, USA) was used as the secondary antibody for all the above antibodies. A minimum of 2 blots from independent experiments was scanned on an Epson Perfection 1660 Photo scanner, and bands quantified using ImageJ. Data from independent experiments were normalized to a percentage of control before averaging.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Statistical significance was determined using GraphPad InStat version 3 for Windows XP (GraphPad Software Inc., La Jolla, CA, USA). Multiple comparisons were performed by one-way analysis of variance (ANOVA) with Tukey-Kramer multiple comparisons post test for parametric data as indicated. A value of p&lt;0.05 was considered to indicate a statistically significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Effects of various botanical molecules on the proliferation of RAW267.4 cells</title>
<p>The effects of various botanical molecules &#x0005B;&#x003B2;-caryophyllene, baicalin, (+)-catechin, curcumin and (+)-aromatic turmerone&#x0005D;, which exert anti-inflammatory effects on RAW267.4 cells <italic>in vitro</italic> have not been investigated thus far. Thus, to determine these effects, the cells were cultured for 3 days in the presence or absence of each compound. The proliferation of the RAW267.4 cells was suppressed in the presence of &#x003B2;-caryophyllene (50, 100 and 200 <italic>&#x000B5;</italic>g/ml of medium) (<xref rid="f1-ijmm-38-06-1940" ref-type="fig">Fig. 1A</xref>) or curcumin (100 and 200 <italic>&#x000B5;</italic>g/ml) (<xref rid="f1-ijmm-38-06-1940" ref-type="fig">Fig. 1B</xref>). Culture with baicalin (1, 10, 50, 100 and 200 <italic>&#x000B5;</italic>g/ml) (<xref rid="f1-ijmm-38-06-1940" ref-type="fig">Fig. 1C</xref>) or (+)-catechin (1, 10, 50, 100 and 200 <italic>&#x000B5;</italic>g/ml) (<xref rid="f1-ijmm-38-06-1940" ref-type="fig">Fig. 1D</xref>) did not exert a significant effect on RAW267.4 cell proliferation. Culture with (+)-aromatic turmerone (25 and 50 <italic>&#x000B5;</italic>g/ml) significantly increased the proliferation of RAW267.4 cells (data not shown).</p></sec>
<sec>
<title>The combination of &#x003B2;-caryophyllene, baicalin and (+)-catechin exerts a synergistic suppressive effect on the proliferation of RAW267.4 cells</title>
<p>Subsequently, the effects of the combination with various botanical molecules on the proliferation of RAW267.4 cells <italic>in vitro</italic> were determined. Cell proliferation was not suppressed by the combination of &#x003B2;-caryophyllene (1 or 10 <italic>&#x000B5;</italic>g/ml) with either baicalin (1 or 10 <italic>&#x000B5;</italic>g/ml) (<xref rid="f2-ijmm-38-06-1940" ref-type="fig">Fig. 2A</xref>), (+)-catechin (1 or 10 <italic>&#x000B5;</italic>g/ml) (<xref rid="f2-ijmm-38-06-1940" ref-type="fig">Fig. 2B</xref>), curcumin (1 or 10 <italic>&#x000B5;</italic>g/ml) (<xref rid="f2-ijmm-38-06-1940" ref-type="fig">Fig. 2C</xref>) or (+)-aromatic turmerone (1 and 10 <italic>&#x000B5;</italic>g/ml) (<xref rid="f2-ijmm-38-06-1940" ref-type="fig">Fig. 2D</xref>).</p>
<p>Notably, the combination of baicalin (80 or 160 <italic>&#x000B5;</italic>g/ml) and (+)-catechin (20 or 40 <italic>&#x000B5;</italic>g/ml) at comparatively higher concentrations exerted a significant suppressive effect on cell proliferation (<xref rid="f3-ijmm-38-06-1940" ref-type="fig">Fig. 3A</xref>). Moreover, the combination of &#x003B2;-caryophyllene, baicalin and (+)-catechin at a lower concentration of each (1 or 10 <italic>&#x000B5;</italic>g/ml), which did not independently exert a significant effect on cell proliferation, was found to exert a potent synergistic suppressive effect on cell proliferation (<xref rid="f3-ijmm-38-06-1940" ref-type="fig">Fig. 3B</xref>). Such an effect was also observed with a higher concentration (100 <italic>&#x000B5;</italic>g/ml) of &#x003B2;-caryophyllene, baicalin and (+)-catechin (<xref rid="f3-ijmm-38-06-1940" ref-type="fig">Fig. 3B</xref>). In addition, the synergistic effects of &#x003B2;-caryophyllene, baicalin and (+)-catechin on cell proliferation were also observed with the combination of &#x003B2;-caryophyllene (1 and 10 <italic>&#x000B5;</italic>g/ml), baicalin (0.8 or 8 <italic>&#x000B5;</italic>g/ml) and (+)-catechin (0.2 or 2 <italic>&#x000B5;</italic>g/ml) (<xref rid="f3-ijmm-38-06-1940" ref-type="fig">Fig. 3C</xref>). The synergistic effects observed with the combination of &#x003B2;-caryophyllene, baicalin and (+)-catechin on cell proliferation were not enhanced in the presence of curcumin (10 <italic>&#x000B5;</italic>g/ml) (<xref rid="f3-ijmm-38-06-1940" ref-type="fig">Fig. 3D</xref>). Thus, the combination of &#x003B2;-caryophyllene, baicalin and (+)-catechin was shown to exert a potent synergistic suppressive effect on RAW267.4 cell proliferation <italic>in vitro</italic>.</p></sec>
<sec>
<title>Mechanistic characterization of the synergistic suppressive effects of &#x003B2;-caryophyllene, catechin and baicalin on the proliferation of RAW267.4 cells</title>
<p>The proliferation of the RAW267.4 cells was determined in the presence of various inhibitors that induce cell cycle arrest <italic>in vitro</italic> (<xref rid="f4-ijmm-38-06-1940" ref-type="fig">Fig. 4</xref>). The cells were cultured for 3 days in the presence of butyrate (10 and 100 <italic>&#x000B5;</italic>M), roscovitine (10 and 100 nM), or sulforaphane (1 and 10 nM). The proliferation of RAW267.4 cells was suppressed in the presence of these inhibitors (<xref rid="f4-ijmm-38-06-1940" ref-type="fig">Fig. 4A</xref>). Such effects were not altered in the cells cultured in the presence of the combination of &#x003B2;-caryophyllene, catechin and baicalin (<xref rid="f4-ijmm-38-06-1940" ref-type="fig">Fig. 4B</xref>). Thus, the suppressive effects of the combined chemicals on the proliferation of RAW267.4 cells were not altered in the presence of butyrate, roscovitine or sulphoraphan, that induce cell cycle arrest. Roscovitine is a potent and selective inhibitor of the cyclin-dependent kinases, cdc2, cdk2m and cdk5 (<xref ref-type="bibr" rid="b13-ijmm-38-06-1940">13</xref>). Sulforaphane induces G2/M phase cell cycle arrest (<xref ref-type="bibr" rid="b14-ijmm-38-06-1940">14</xref>). Butyrate inhibits G1 progression (<xref ref-type="bibr" rid="b11-ijmm-38-06-1940">11</xref>). In this study, the combined use of the botanical molecules was found to induce G1 and G2/M phase cell cycle arrest in RAW267.4 cells.</p>
<p>Subsequently, to further determine the mechanistic characteristics responsible for the suppressive effects of the combined use of botanical molecules on cell proliferation, we examined whether the suppressive effects of the combined chemicals on the proliferation of RAW267.4 cells are modulated through various signaling factors that suppress cell proliferation. The proliferation of RAW267.4 cells was suppressed in the presence of wortmannin (0.1 or 1 <italic>&#x000B5;</italic>M), an inhibitor of phosphatidylinositol 3-kinase (PI3K) (<xref ref-type="bibr" rid="b15-ijmm-38-06-1940">15</xref>), PD98059 (1 or 10 <italic>&#x000B5;</italic>M), an inhibitor of extracellular signal-regulated kinase (ERK) and mitogen-activated protein kinase (MAPK) (<xref ref-type="bibr" rid="b16-ijmm-38-06-1940">16</xref>), or dibucaine (0.1 or 1 <italic>&#x000B5;</italic>M), an inhibitor of Ca<sup>2+</sup>/calmodulin-dependent protein kinase (<xref ref-type="bibr" rid="b11-ijmm-38-06-1940">11</xref>) (<xref rid="f5-ijmm-38-06-1940" ref-type="fig">Fig. 5A</xref>). The suppressive effects of these inhibitors on cell proliferation were not observed when used in combination with &#x003B2;-caryophyllene, catechin and baicalin (<xref rid="f5-ijmm-38-06-1940" ref-type="fig">Fig. 5B</xref>). The combined use of the botanical molecules was found to exert suppressive effects on cell proliferation by inhibiting various intracellular signaling pathways, such as the PI3K/Akt, ERK/MAPK and Ca<sup>2+</sup> pathways in RAW267.4 cells.</p></sec>
<sec>
<title>Combination of &#x003B2;-caryophyllene, baicalin and (+)-catechin promotes the death of RAW267.4 cells in vitro</title>
<p>To determine whether the combination of &#x003B2;-caryophyllene, baicalin and (+)-catechin induces apoptotic cell death <italic>in vitro</italic>, RAW267.4 cells were cultured for 3 days until they reached confluence, and the cells were then cultured for an additional 2 days in the presence or absence of either &#x003B2;-caryophyllene (10 <italic>&#x000B5;</italic>g/ml), baicalin (10 <italic>&#x000B5;</italic>g/ml), or (+)-catechin (10 <italic>&#x000B5;</italic>g/ml) with or without caspase-3 inhibitor (10 <italic>&#x000B5;</italic>M) (<xref rid="f6-ijmm-38-06-1940" ref-type="fig">Fig. 6</xref>). The addition of &#x003B2;-caryophyllene, baicalin or (+)-catechin alone did not cause a significant alteration in the number of RAW267.4 cells (<xref rid="f6-ijmm-38-06-1940" ref-type="fig">Fig. 6A</xref>). However, the combination of &#x003B2;-caryophyllene (10 <italic>&#x000B5;</italic>g/ml), baicalin (10 <italic>&#x000B5;</italic>g/ml) and (+)-catechin (10 <italic>&#x000B5;</italic>g/ml) caused a significant decrease in cell number, indicating that this treatment induces cell death. Culture with curcumin (10 <italic>&#x000B5;</italic>g/ml) did not exert an effect on cell death (<xref rid="f6-ijmm-38-06-1940" ref-type="fig">Fig. 6A</xref>). Of note, the suppressive effects of combination of the botanical molecules on cell death were completely prevented in the presence of caspase-3 inhibitor (<xref rid="f6-ijmm-38-06-1940" ref-type="fig">Fig. 6B</xref>). These results suggest that the combined use of the botanical molecules induce cell death related to caspase-3, that activates nuclear DNA fragmentation, which induces apoptotic cell death (<xref ref-type="bibr" rid="b17-ijmm-38-06-1940">17</xref>).</p></sec>
<sec>
<title>Effects of &#x003B2;-caryophyllene, baicalin and (+)-catechin on various protein levels in RAW267.4 cells</title>
<p>Alterations in the expression of key proteins related to cell proliferation, apoptotic cell death and inflammation were examined by western blot analysis (<xref rid="f7-ijmm-38-06-1940" ref-type="fig">Fig. 7</xref>). The combination of &#x003B2;-caryophyllene (1 or 10 <italic>&#x000B5;</italic>g/ml), baicalin (1 or 10 <italic>&#x000B5;</italic>g/ml) and (+)-catechin (1 or 10 <italic>&#x000B5;</italic>g/ml) exerted a suppressive effect on Akt, p44/42 MAPK, p38 MAPK and COX-1 and -2 expression (<xref rid="f7-ijmm-38-06-1940" ref-type="fig">Fig. 7A</xref>). Culture with this combination increased caspase-3 expression, but did not alter the levels of nuclear factor-&#x003BA;B (NF-&#x003BA;B) p65 (<xref rid="f7-ijmm-38-06-1940" ref-type="fig">Fig. 7A</xref>). Moreover, culture with TNF-&#x003B1; (10 ng/ml) caused an increase in COX-2 and NF-&#x003BA;B p65 expression (<xref rid="f7-ijmm-38-06-1940" ref-type="fig">Fig. 7B</xref>). This effect was suppressed by the combination of &#x003B2;-caryophyllene, baicalin and (+)-catechin at the concentration of 1 <italic>&#x000B5;</italic>g/ml (<xref rid="f7-ijmm-38-06-1940" ref-type="fig">Fig. 7B</xref>).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>&#x003B2;-caryophyllene is a cannabinoid receptor 2 agonist, which exerts anti-inflammatory effects (<xref ref-type="bibr" rid="b1-ijmm-38-06-1940">1</xref>&#x02013;<xref ref-type="bibr" rid="b5-ijmm-38-06-1940">5</xref>). This study was undertaken to determine the effects of &#x003B2;-caryophyllene and other herbal molecules, which exert antioxidant and anti-inflammatory effects on mouse RAW267.4 macrophages <italic>in vitro</italic>. Of note, we found that the combined use of the three botanical molecules &#x0005B;&#x003B2;-caryophyllene, baicalin and (+)-catechin&#x0005D; at comparatively lower concentrations, which alone did not exert any effects on cell proliferation, exerted a potent synergistic-suppressive effect on the proliferation of RAW267.4 cells <italic>in vitro</italic>. These synergistic effects may provide a useful pharmacologic tool for managing inflammatory pain.</p>
<p>Mechanistically, the combination of &#x003B2;-caryophyllene, baicalin and (+)-catechin was found to induce G2/M phase cell cycle arrest in RAW267.4 cells using various inhibitors that induce cell cycle arrest <italic>in vitro</italic>. Moreover, the combined use of the botanical molecules exerted suppressive effects on cell proliferation by inhibiting various intracellular signaling pathways, such as the PI3K/Akt, ERK/MAPK and Ca<sup>2+</sup> pathways in RAW267.4 cells, using various inhibitors (<xref ref-type="bibr" rid="b11-ijmm-38-06-1940">11</xref>,<xref ref-type="bibr" rid="b13-ijmm-38-06-1940">13</xref>&#x02013;<xref ref-type="bibr" rid="b16-ijmm-38-06-1940">16</xref>). In addition, the combined use of the three agents was found to decrease the protein levels of Akt and MAPKs (p44/42 and p38) in RAW267.4 cells.</p>
<p>&#x003B2;-caryophyllene, baicalin and (+)-catechin did not, individually, exert a significant effect on the death of RAW267.4 cells <italic>in vitro</italic>. Importantly, the combination of &#x003B2;-caryophyllene, baicalin and (+)-catechin at comparatively lower concentrations of each agent was found to promote the death of RAW267.4 cells <italic>in vitro</italic>. This finding suggests that the suppressive effects on the proliferation of RAW267.4 cells exerted by the combined use of &#x003B2;-caryophyllene, baicalin and (+)-catechin, may be partly dependent on a promoting effect on cell death. Mechanistically, suppressive effects of the combined use of the botanical molecules on cell death were completely prevented in the presence of caspase-3 inhibitor. In addition, the combined use of the three agents increased caspase-3 expression in RAW267.4 cells. These findings suggest that the cell death induced by the combined use of the three botanical molecules is related to the activation of caspase-3, that activates nuclear DNA fragmentation, which induces apoptotic cell death (<xref ref-type="bibr" rid="b17-ijmm-38-06-1940">17</xref>).</p>
<p>Whether or not the combined effect of &#x003B2;-caryophyllene, baicalin and (+)-catechin on the proliferation and death of RAW267.4 cells influences inflammatory conditions, is unknown. However, we found that the combination of &#x003B2;-caryophyllene, baicalin and (+)-catechin decreased COX-1 and COX-2 expression in RAW267.4 cells <italic>in vitro</italic>. Inflammation-inducing factors have been reported to increase COX-2 and NF-&#x003BA;B p65 expression, which is related to MAPK signaling pathways (<xref ref-type="bibr" rid="b18-ijmm-38-06-1940">18</xref>&#x02013;<xref ref-type="bibr" rid="b21-ijmm-38-06-1940">21</xref>). Furthermore, we found that the TNF-&#x003B1;-induced increased in the COX-2 and NF-&#x003BA;B p65 levels was suppressed by culture with the combination of the botanical molecules. These findings support the view that the combination of &#x003B2;-caryophyllene, baicalin and (+)-catechin exerts potent inhibitory effects on the inflammatory condition related to the function of activated macrophages.</p>
<p>In conclusion, this study demonstrates that a composition of botanical molecules, including &#x003B2;-caryophyllene, baicalin and (+)-catechin at comparatively low levels exerts potential synergistic suppressive effects on the function of macrophages related to inflammation. This composition may prove to be usefule as a novel anti-inflammatory therapy.</p></sec></body>
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<fig id="f1-ijmm-38-06-1940" position="float">
<label>Figure 1</label>
<caption>
<p>Effects of various botanical molecules on the proliferation of RAW267.4 cells <italic>in vitro</italic>. RAW267.4 cells were cultured for 3 days in Dulbecco's modification of Eagle's medium (DMEM) containing either the vehicle, &#x003B2;-caryophyllene &#x0005B;(A) 1, 10, 50, 100 and 200 <italic>&#x000B5;</italic>g/ml of medium&#x0005D;, curcumin &#x0005B;(B) 1, 10, 50, 100 and 200 <italic>&#x000B5;</italic>g/ml&#x0005D;, (+)-catechin &#x0005B;(C) 1, 10, 50, 100 and 200 <italic>&#x000B5;</italic>g/ml&#x0005D; or baicalin &#x0005B;(D) 1, 10, 50, 100 and 200 <italic>&#x000B5;</italic>g/ml of medium&#x0005D;. Following culture, the number of attached cells on the dish was counted. Data are presented as the means &#x000B1; SD of 2 replicate wells/data set using different dishes and cell preparation. <sup>&#x0002A;</sup>p&lt;0.001 as compared with the control group (grey bar), as shown by one way ANOVA and Tukey-Kramer post-test.</p></caption>
<graphic xlink:href="IJMM-38-06-1940-g00.tif"/>
<graphic xlink:href="IJMM-38-06-1940-g01.tif"/>
<graphic xlink:href="IJMM-38-06-1940-g02.tif"/>
<graphic xlink:href="IJMM-38-06-1940-g03.tif"/></fig>
<fig id="f2-ijmm-38-06-1940" position="float">
<label>Figure 2</label>
<caption>
<p>Effects of the combination of &#x003B2;-caryophyllene with other botanical molecules on the proliferation of RAW267.4 cells <italic>in vitro</italic>. RAW267.4 cells were cultured for 3 days in Dulbecco's modification of Eagle's medium (DMEM) containing either the vehicle, baicalin &#x0005B;(A) 1 or 10 <italic>&#x000B5;</italic>g/ml&#x0005D;, (+)-catechin &#x0005B;(B) 1 or 10 <italic>&#x000B5;</italic>g/ml&#x0005D;, curcumin &#x0005B;(C) 1 or 10 <italic>&#x000B5;</italic>g/ml&#x0005D; or (+)-aromatic turmerone &#x0005B;(D) 1 or 10 <italic>&#x000B5;</italic>g/ml&#x0005D; in the presence or absence of &#x003B2;-caryophyllene (1 or 10 <italic>&#x000B5;</italic>g/ml of medium). Follwoing culture, the number of attached cells on the dish was counted. Data are presented as the means &#x000B1; SD of 2 replicate wells/data set using different dishes and cell preparation. With treatment, no significant difference was observed as compared with the control group (white bar), as shown by one way ANOVA and Tukey-Kramer post-test.</p></caption>
<graphic xlink:href="IJMM-38-06-1940-g04.tif"/>
<graphic xlink:href="IJMM-38-06-1940-g05.tif"/>
<graphic xlink:href="IJMM-38-06-1940-g06.tif"/>
<graphic xlink:href="IJMM-38-06-1940-g07.tif"/></fig>
<fig id="f3-ijmm-38-06-1940" position="float">
<label>Figure 3</label>
<caption>
<p>Combination of &#x003B2;-caryophyllene, (+)-catechin and baicalin exerts a synergistic suppressive effect on the proliferation of RAW267.4 cells <italic>in vitro</italic>. RAW267.4 cells were cultured for 3 days in Dulbecco's modification of Eagle's medium (DMEM) containing various botanical molecules: (A) both baicalin (0.8, 8, 40, 80 and 160 <italic>&#x000B5;</italic>g/ml of medium) and/or (+)-catechin (0.2, 2, 10, 20 and 40 <italic>&#x000B5;</italic>g/ml), (B) baicalin (1, 10 or 100 <italic>&#x000B5;</italic>g/ml) and/or (+)-catechin (1 or 10 <italic>&#x000B5;</italic>g/ml) in the presence or absence of &#x003B2;-caryophyllene (1, 10 or 100 <italic>&#x000B5;</italic>g/ml), (C) baicalin (0.8 or 8 <italic>&#x000B5;</italic>g/ml) and/or (+)-catechin (0.2 or 2 <italic>&#x000B5;</italic>g/ml) in the presence or absence of &#x003B2;-caryophyllene (1 or 10 <italic>&#x000B5;</italic>g/ml), (D) curcumin (10 <italic>&#x000B5;</italic>g/ml), baicalin (10 <italic>&#x000B5;</italic>g/ml) and/or (+)-catechin (10 <italic>&#x000B5;</italic>g/ml) in the presence or absence of &#x003B2;-caryophyllene (10 <italic>&#x000B5;</italic>g/ml). Following culture, the number of attached cells on the dish was counted. Data are presented as the means &#x000B1; SD of 2 replicate wells/data set using different dishes and cell preparation. <sup>&#x0002A;</sup>p&lt;0.001 as compared with the control group (white bar) (A, B, C or D). <sup>#</sup>p&lt;0.001 as compared with the group (grey bar) treated with baicalin (1, 10 or 100 <italic>&#x000B5;</italic>g/ml) plus (+)-catechin (1, 10 or 100 <italic>&#x000B5;</italic>g/ml) (B), as shown by one way ANOVA and Tukey-Kramer post-test.</p></caption>
<graphic xlink:href="IJMM-38-06-1940-g08.tif"/>
<graphic xlink:href="IJMM-38-06-1940-g09.tif"/>
<graphic xlink:href="IJMM-38-06-1940-g10.tif"/>
<graphic xlink:href="IJMM-38-06-1940-g11.tif"/></fig>
<fig id="f4-ijmm-38-06-1940" position="float">
<label>Figure 4</label>
<caption>
<p>Combination of &#x003B2;-caryophyllene, (+)-catechin and baicalin on the proliferation of RAW267.4 cells induces cell cycle arrest <italic>in vitro</italic>. RAW267.4 cells were cultured for 3 days in Dulbecco's modification of Eagle's medium (DMEM) containing either the vehicle &#x0005B;(A) control&#x0005D; or the combination (B) of &#x003B2;-caryophyllene (10 <italic>&#x000B5;</italic>g/ml of medium), baicalin (10 <italic>&#x000B5;</italic>g/ml) and (+)-catechin (10 <italic>&#x000B5;</italic>g/ml) in the presence or absence of either butyrate (10 or 100 <italic>&#x000B5;</italic>M), roscovitine (10 or 100 nM) or sulforaphane (1 or 10 nM). Follwoing culture, the number of attached cells on the dish was counted. Data are presented as the means &#x000B1; SD of 2 replicate wells/data set using different dishes and cell preparation. <sup>&#x0002A;</sup>p&lt;0.001 as compared with the control group (white bar), as shown by one way ANOVA and Tukey-Kramer post-test.</p></caption>
<graphic xlink:href="IJMM-38-06-1940-g12.tif"/>
<graphic xlink:href="IJMM-38-06-1940-g13.tif"/></fig>
<fig id="f5-ijmm-38-06-1940" position="float">
<label>Figure 5</label>
<caption>
<p>Suppressive effects of the combination of &#x003B2;-caryophyllene, (+)-catechin and baicalin on the proliferation of RAW267.4 cells are involved in the inhibition of cell signaling pathways <italic>in vitro</italic>. RAW267.4 cells were cultured for 3 days in Dulbecco's modification of Eagle's medium (DMEM) containing either thevehicle (control) (A) or the mixture (B) of &#x003B2;-caryophyllene (10 <italic>&#x000B5;</italic>g/ml of medium), baicalin (10 <italic>&#x000B5;</italic>g/ml) and (+)-catechin (10 <italic>&#x000B5;</italic>g/ml) in the presence or absence of either wortmannin (0.1 or 1 <italic>&#x000B5;</italic>M), PD98059 (1 or 10 <italic>&#x000B5;</italic>M) or dibucain (0.1 or 1 <italic>&#x000B5;</italic>M). Following culture, the number of attached cells on the dish was counted. Data are presented as the means &#x000B1; SD of 2 replicate wells/data set using different dishes and cell preparation. <sup>&#x0002A;</sup>p&lt;0.001 as compared with the control group (white bar), as shown by one way ANOVA and Tukey-Kramer post-test.</p></caption>
<graphic xlink:href="IJMM-38-06-1940-g14.tif"/>
<graphic xlink:href="IJMM-38-06-1940-g15.tif"/></fig>
<fig id="f6-ijmm-38-06-1940" position="float">
<label>Figure 6</label>
<caption>
<p>Combination of &#x003B2;-caryophyllene, baicalin and (+)-catechin exerts a synergistic promoting effect on the death of RAW267.4 cells <italic>in vitro</italic>. RAW267.4 cells were cultured for 3 days without various botanical molecules, and then the cells with subconfluency were additionally cultured for 2 days in Dulbecco's modification of Eagle's medium (DMEM) containing either baicalin (1 or 10 <italic>&#x000B5;</italic>g/ml of medium) plus (+)-catechin (1 or 10 <italic>&#x000B5;</italic>g/ml) in the presence or absence of &#x003B2;-caryophyllene (1 or 10 <italic>&#x000B5;</italic>g/ml) without caspase-3 (A) or with caspase-3 inhibitor (10 <italic>&#x000B5;</italic>M) (B). Following culture, the number of attached cells on dish was counted. Data are presented as the means &#x000B1; SD of 2 replicate wells/data set using different dishes and cell preparation. <sup>&#x0002A;</sup>p&lt;0.001 as compared with the control group (white bar), as shown by one way ANOVA and Tukey-Kramer post-test.</p></caption>
<graphic xlink:href="IJMM-38-06-1940-g16.tif"/>
<graphic xlink:href="IJMM-38-06-1940-g17.tif"/></fig>
<fig id="f7-ijmm-38-06-1940" position="float">
<label>Figure 7</label>
<caption>
<p>Effects of &#x003B2;-caryophyllene, baicalin and (+)-catechin on levels of protein related to proliferation, apoptosis and inflammation in RAW267.4 cells <italic>in vitro</italic>. (A) RAW267.4 cells were cultured for 3 days in Dulbecco's modification of Eagle's medium (DMEM) containing either the vehicle or a combination of &#x003B2;-caryophyllene (1 <italic>&#x000B5;</italic>g/ml of medium), baicalin (1 <italic>&#x000B5;</italic>g/ml) and (+)-catechin (1 <italic>&#x000B5;</italic>g/ml). (B) RAW267.4 cells were cultured for 3 days in the presence or absence of combined &#x003B2;-caryophyllene (1 <italic>&#x000B5;</italic>g/ml), baicalin (1 <italic>&#x000B5;</italic>g/ml) and (+)-catechin (1 <italic>&#x000B5;</italic>g/ml), and cells reached subconfluence were additionally cultured for 24 h in the presence of either with or without tumor necrosis factor (TNF)-&#x003B1; (10 ng/ml of medium). Following culture, the cells were removed from the dish with a cell scraper after cell lysis buffer containing protein inhibitors. Samples (30 <italic>&#x000B5;</italic>g) of supernatant protein/lane were separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and transferred to nylon membranes for western blotting using antibodies against various proteins. The figure shows the effects of the combined use of &#x003B2;-caryophyllene, baicalin and (+)-catechin without (A) or with (B) TNF-&#x003B1;. Data are presented as a data set using the cell preparation obtained from different dishes with replicates.</p></caption>
<graphic xlink:href="IJMM-38-06-1940-g18.tif"/>
<graphic xlink:href="IJMM-38-06-1940-g19.tif"/></fig></floats-group></article>
