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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">ETM</journal-id>
<journal-title-group>
<journal-title>Experimental and Therapeutic Medicine</journal-title>
</journal-title-group>
<issn pub-type="ppub">1792-0981</issn>
<issn pub-type="epub">1792-1015</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/etm.2016.3320</article-id>
<article-id pub-id-type="publisher-id">ETM-0-0-3320</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Anti-inflammatory effects of oroxylin A on RAW 264.7 mouse macrophages induced with polyinosinic-polycytidylic acid</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>LEE</surname><given-names>JI YOUNG</given-names></name>
<xref rid="af1-etm-0-0-3320" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>PARK</surname><given-names>WANSU</given-names></name>
<xref rid="af1-etm-0-0-3320" ref-type="aff"/>
<xref rid="c1-etm-0-0-3320" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-etm-0-0-3320">Department of Pathology, College of Korean Medicine, Gachon University, Seongnam, Gyeonggi 461-701, Republic of Korea</aff>
<author-notes>
<corresp id="c1-etm-0-0-3320"><italic>Correspondence to</italic>: Professor Wansu Park, Department of Pathology, College of Korean Medicine, Gachon University, 1342 Seongnamdae-ro, Seongnam, Gyeonggi 461-701, Republic of Korea, E-mail: <email>hangl98@naver.com</email></corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>07</month>
<year>2016</year></pub-date>
<pub-date pub-type="epub">
<day>09</day>
<month>05</month>
<year>2016</year></pub-date>
<volume>12</volume>
<issue>1</issue>
<fpage>151</fpage>
<lpage>156</lpage>
<history>
<date date-type="received"><day>14</day><month>03</month><year>2015</year></date>
<date date-type="accepted"><day>19</day><month>04</month><year>2016</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Lee et al.</copyright-statement>
<copyright-year>2016</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license>
</permissions>
<abstract>
<p>Oroxylin A (5,7-dihydroxy-6-methoxy-2-phenylchromen-4-one; Baicalein 6-methyl ether) is an active flavonoid compound originally isolated from Scutellaria radix, which has been used to treat pulmonary infection in Korea, China, and Japan. Oroxylin A is known to possess dopamine reuptake inhibitor activity. However, the effects of oroxylin A on virus-induced macrophages has not been fully elucidated. In the present study, the anti-inflammatory effects of oroxylin A on double-stranded RNA-induced macrophages were examined. Production of nitric oxide (NO), various cytokines, as well as calcium release and the mRNA expression of signal transducer and activator of transcription 1 (STAT1) in dsRNA polyinosinic-polycytidylic acid (PIC)-induced RAW 264.7 mouse macrophages were evaluated. Oroxylin A restored the cell viability in PIC-induced RAW 264.7 mouse macrophages at concentrations of up to 50 &#x00B5;M. Additionally, oroxylin A significantly inhibited the production of nitric oxide (NO), interleukin (IL)-1&#x03B1;, IL-1&#x03B2;, IL-6, IL-10, interferon gamma-induced protein 10, granulocyte-colony stimulating factor (CSF), granulocyte macrophage-CSF, leukemia inhibitory factor (IL-6 class cytokine), lipopolysaccharide-induced CXC chemokine (LIX), monocyte chemoattractant protein 1, macrophage inflammatory protein (MIP)-1&#x03B1;, MIP-1&#x03B2;, MIP-2, Regulated on Activation, Normal T Expressed and Secreted, tumor necrosis factor-&#x03B1;, and vascular endothelial growth factor as well as calcium release and the mRNA expression of STAT1 in PIC-induced RAW 264.7 cells (P&#x003C;0.05). Thus, the present results suggest that oroxylin A has anti-inflammatory properties, associated with its inhibition of NO, cytokines, chemokines and growth factors in PIC-induced macrophages via the calcium-STAT pathway.</p>
</abstract>
<kwd-group>
<kwd>oroxylin A</kwd>
<kwd>double stranded-RNA</kwd>
<kwd>inflammation</kwd>
<kwd>macrophages</kwd>
<kwd>nitric oxide</kwd>
<kwd>cytokine</kwd>
<kwd>calcium</kwd>
<kwd>signal transducer and activated transcription 1</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>The innate immune system and inflammation are crucial for protecting host organisms from invasive pathogens and injurious stimuli (<xref rid="b1-etm-0-0-3320" ref-type="bibr">1</xref>). Gao and Hong (<xref rid="b1-etm-0-0-3320" ref-type="bibr">1</xref>) reported that inflammation is part of the non-specific immune response that occurs in reaction to harmful stimuli, such as pathogenic microbes, damaged cells, irritants or bodily injury, with a primary aim of neutralizing infectious agents and initiating repair to damaged tissue. Conversely, uncontrolled inflammatory responses lead to the development of acute or chronic inflammatory diseases (<xref rid="b1-etm-0-0-3320" ref-type="bibr">1</xref>).</p>
<p>Macrophages are inflammatory cells implicated in the initiation of inflammatory responses, and have critical roles in the pathogenesis of numerous inflammatory disease processes by secreting various proinflammatory mediators, including nitric oxide (NO) and proinflammatory cytokines (<xref rid="b2-etm-0-0-3320" ref-type="bibr">2</xref>). Therefore, the modulation of macrophage-mediated inflammatory responses may be useful in the development of novel therapeutic approaches against these inflammatory diseases (<xref rid="b3-etm-0-0-3320" ref-type="bibr">3</xref>). Medina <italic>et al</italic> (<xref rid="b4-etm-0-0-3320" ref-type="bibr">4</xref>) have reported that macrophages have an important role in inflammatory disease via the release of factors such as NO, reactive oxygen species, inflammatory cytokines, chemokines, growth factors and prostaglandin mediators involved in the immune response.</p>
<p>However, Ulevitch and Tobias (<xref rid="b5-etm-0-0-3320" ref-type="bibr">5</xref>) have reported that excessive and uncontrolled production of inflammatory mediators such as NO and cytokines may lead to serious systemic complications such as microcirculatory dysfunction, tissue damage and septic shock, which may result in mortality.</p>
<p>Carrithers (<xref rid="b6-etm-0-0-3320" ref-type="bibr">6</xref>) reported that innate immune responses mediated by mononuclear phagocytes represent the initial host response to acute viral infection and pattern recognition receptors recognize viral nucleic acid and localized injury signals to initiate proinflammatory responses and activation of adaptive immunity.</p>
<p>Oroxylin A (5,7-dihydroxy-6-methoxy-2-phenylchromen-4-one; Baicalein 6-methyl ether; <xref rid="f1-etm-0-0-3320" ref-type="fig">Fig. 1</xref>) is an active flavonoid compound isolated from Scutellaria radix, which has been used to treat pulmonary infection traditionally in Korea, China and Japan (<xref rid="b7-etm-0-0-3320" ref-type="bibr">7</xref>,<xref rid="b8-etm-0-0-3320" ref-type="bibr">8</xref>).</p>
<p>Tran <italic>et al</italic> (<xref rid="b9-etm-0-0-3320" ref-type="bibr">9</xref>) have reported that oroxylin A is known to have dopamine reuptake inhibitor activity and an inhibitory effect on nuclear factor-&#x03BA;B activation. Singh and Kakkar (<xref rid="b10-etm-0-0-3320" ref-type="bibr">10</xref>) have reported that oroxylin A enhanced lipolysis and decreased Akt phosphorylation in mature adipocytes, suggesting that oroxylin A may exert its anti-obesity effect by affecting the adipocyte life cycle at critical points of differentiation and maturity. Akinyi <italic>et al</italic> (<xref rid="b11-etm-0-0-3320" ref-type="bibr">11</xref>) have reported that oroxylin A could significantly reduce coronary perfusion pressure in a Langendorff preparation assay of isolated rat heart tissue.</p>
<p>However, the effects of oroxylin A on virus-induced macrophages have not been fully reported.</p>
<p>Double stranded (ds)RNA, which accumulates at various stages of viral replication, stimulates macrophages to produce inflammatory mediators (<xref rid="b12-etm-0-0-3320" ref-type="bibr">12</xref>). Polyinosinic-polycytidylic acid (PIC) is a synthetic analog of dsRNA. Like other pathogenic endotoxins, dsRNA activates macrophages to provoke the production of numerous inflammatory mediators, including NO, cytokines, chemokines and growth factors, resulting in acute or chronic inflammation (<xref rid="b12-etm-0-0-3320" ref-type="bibr">12</xref>).</p>
<p>The aim of the present study was to investigate the inhibitory effects of oroxylin A on PIC-induced inflammation using RAW 264.7 mouse macrophages. The impact of oroxylin A was evaluated on a range of variables, including the production of NO, interleukin (IL)-1&#x03B1;, IL-1&#x03B2;, IL-6, IL-10, interferon gamma-inducible protein 10 (IP-10), monocyte chemoattractant protein 1 (MCP-1), granulocyte colony-stimulating factor (G-CSF), granulocyte macrophage-CSF (GM-CSF), leukemia inhibitory factor (LIF; IL-6 class cytokine), lipopolysaccharide-induced CXC chemokine (LIX), macrophage inflammatory protein (MIP)-1&#x03B1;, MIP-1&#x03B2;, MIP-2, Regulated on Activation, Normal T Expressed and Secreted (RANTES), tumor necrosis factor (TNF)-&#x03B1; and vascular endothelial growth factor (VEGF), as well as calcium release and mRNA expression of signal transducer and activated transcription 1 (STAT1) in PIC-induced RAW 264.7 mouse macrophages.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Materials</title>
<p>Dulbecco&#x0027;s modified Eagle&#x0027;s medium (DMEM), fetal bovine serum (FBS), penicillin, streptomycin, phosphate-buffered saline (PBS) and trypsin were purchased from Gibco (Thermo Fisher Scientific, Inc., Grand Island, NY, USA). Oroxylin A, indomethacin, Griess Reaction and MTT Assay kits were purchased from Sigma-Aldrich (St. Louis, MO, USA).</p>
</sec>
<sec>
<title>Cell viability assay</title>
<p>RAW 264.7 mouse macrophages were obtained from the Korea Cell Line Bank (Seoul, Korea). RAW 264.7 cells (2&#x00D7;10<sup>4</sup>/well) were seeded into 96-well plates and cultured in DMEM supplemented with 10&#x0025; FBS, 100 U/ml penicillin and 100 &#x00B5;g/ml streptomycin at 37&#x00B0;C in a 5&#x0025; CO<sub>2</sub> humidified incubator. Cell viability was evaluated using an MTT Assay kit. The macrophages were divided into four groups, as follows: i) The normal group (Nor), which was treated with media only; ii) the control group (Con), which was treated with PIC; iii) the oroxylin A group, which was treated with PIC and various concentrations of oroxylin A; and iv) the indomethacin group (IN), which was treated with PIC and indomethacin. Indomethacin was used as a positive control.</p>
</sec>
<sec>
<title>Quantification of NO production</title>
<p>NO concentration in culture medium was determined using the Griess Reaction kit. Briefly, after incubation of the cells with PIC and/or oroxylin A for 24 h, 100 &#x00B5;l supernatant from each well was mixed with 100 &#x00B5;l Griess reagent in 96-well plates. After an incubation of 15 min at room temperature, the optical density was determined at 540 nm using a microplate reader (Bio-Rad Laboratories, Inc., Hercules, CA, USA).</p>
</sec>
<sec>
<title>Multiplex bead-based cytokine assay</title>
<p>After 24 h treatment with PIC and/or oroxylin A, the levels of various cytokines released from treated cells were measured in cell culture supernatants using a Luminex assay based on xMAP technology. This assay was performed using Milliplex kits (EMD Millipore, Billerica, MA, USA) and a Bio-Plex 200 suspension array system (Bio-Rad Laboratories, Inc.) as described previously (<xref rid="b13-etm-0-0-3320" ref-type="bibr">13</xref>,<xref rid="b14-etm-0-0-3320" ref-type="bibr">14</xref>). Standard curves for each cytokine were generated using the kit-supplied reference cytokine samples.</p>
</sec>
<sec>
<title>Intracellular calcium assay</title>
<p>After RAW 264.7 cells (2&#x00D7;10<sup>4</sup>/well) were seeded in wells of 96-well plates, PIC and/or oroxylin A were added to the culture medium and incubation was conducted for 24 h at 37&#x00B0;C. Thereafter, the medium was removed and cells were incubated with 100 &#x00B5;l Fluo-4 dye loading solution (Molecular Probes; Thermo Fisher Scientific, Inc., Eugene, OR, USA) for 30 min at 37&#x00B0;C. Following incubation, the fluorescence intensity of each well was determined spectrofluorometrically (Dynex Technologies, West Sussex, UK) with excitation and emission filters of 485 and 535 nm, respectively.</p>
</sec>
<sec>
<title>STAT1 mRNA expression</title>
<p>At the end of 24 h incubation with PIC and/or oroxylin A, RAW 264.7 mouse macrophages were lysed using lysis buffer (Bio-Rad Laboratories, Inc.). To simultaneously quantify multiple RNA targets directly from cell lysate, a QuantiGene Plex 2.0 Reagent System (Panomics, Inc., Redwood City, CA, USA) based on branched DNA signal amplification technology with xMAP beads was used according to manufacturer&#x0027;s instructions (<xref rid="b15-etm-0-0-3320" ref-type="bibr">15</xref>) and mRNA expression of STAT1 (GenBank no. NM_009283) was determined. Data were normalized against the control, GAPDH (GenBank no. NM_001001303).</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>The results shown are summarized from three independent experiments and represent the mean &#x00B1; standard deviation. Differences were evaluated using Student&#x0027;s t-test with SPSS 11.0 software (SPSS, Inc., Chicago, IL, USA). P&#x003C;0.05 was considered to indicate a statistically significant difference.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Effect of oroxylin A on cell viability</title>
<p>In this study, oroxylin A at a concentration of 50 &#x00B5;M restored the cell viability in PIC-induced RAW 264.7 mouse macrophages. Cell viabilities in PIC-induced RAW 264.7 mouse macrophages incubated with oroxylin A at concentrations of 5, 10, 25 and 50 &#x00B5;M for 24 h were 132.46&#x00B1;14.56, 139.4&#x00B1;10.28, 120.58&#x00B1;10.32 and 105.38&#x00B1;6.76&#x0025; of the control (50 &#x00B5;g/ml PIC alone) value, respectively. Based on this result, oroxylin A concentrations of up to 50 &#x00B5;M were selected for subsequent experiments, as the cytotoxicity of oroxylin A was not obvious (<xref rid="f2-etm-0-0-3320" ref-type="fig">Fig. 2A</xref>).</p>
</sec>
<sec>
<title>Effect of oroxylin A on NO production</title>
<p>The results showed that oroxylin A significantly inhibits overproduction of NO in PIC-induced RAW 264.7 mouse macrophages (P&#x003C;0.001) (<xref rid="f2-etm-0-0-3320" ref-type="fig">Fig. 2B</xref>). The production of NO in PIC-induced RAW 264.7 mouse macrophages incubated with oroxylin A at concentrations of 5, 10, 25 and 50 &#x00B5;M for 24 h were 87.84&#x00B1;4.47, 86.18&#x00B1;3.66, 84.41&#x00B1;4.89 and 83.68&#x00B1;5.28&#x0025; of the control value (50 &#x00B5;g/ml PIC alone), respectively.</p>
</sec>
<sec>
<title>Effect of oroxylin A on cytokine production</title>
<p>Oroxylin A significantly reduces the overproduction of IL-1&#x03B1;, G-CSF, IL-1&#x03B2;, GM-CSF, IL-6, VEGF, LIF, IL-10 (<xref rid="f3-etm-0-0-3320" ref-type="fig">Fig. 3</xref>), TNF-&#x03B1;, MIP-1&#x03B1;, MIP-1&#x03B2;, MIP-2, MCP-1, RANTES, IP-10 and LIX (<xref rid="f4-etm-0-0-3320" ref-type="fig">Fig. 4</xref>) in PIC-induced RAW 264.7 mouse macrophages.</p>
</sec>
<sec>
<title>Effect of oroxylin A on intracellular calcium release</title>
<p>In the present study, oroxylin A significantly inhibited calcium release in PIC-induced RAW 264.7 mouse macrophages (<xref rid="f5-etm-0-0-3320" ref-type="fig">Fig. 5</xref>). Calcium release in PIC-induced RAW 264.7 mouse macrophages incubated with oroxylin A at concentrations of 5, 10, 25 and 50 &#x00B5;M for 24 h were 91.87&#x00B1;8.47, 91.99&#x00B1;4.1, 92.07&#x00B1;6.25 and 90.61&#x00B1;7.52&#x0025; of the control (50 &#x00B5;g/ml PIC alone), respectively.</p>
</sec>
<sec>
<title>Effects of oroxylin A on expression of STAT1 mRNA</title>
<p>In the present study, oroxylin A significantly reduced STAT1 mRNA expression of PIC-activated mouse macrophages in a dose-dependent manner (<xref rid="f6-etm-0-0-3320" ref-type="fig">Fig. 6</xref>). Expression levels of STAT1 mRNA in PIC-induced RAW 264.7 mouse macrophages incubated with oroxylin A at concentrations of 10, 25 and 50 &#x00B5;M for 24 h were 47.7&#x00B1;3.33, 46.02&#x00B1;4.98 and 40.34&#x00B1;1.12&#x0025; of the control value (50 &#x00B5;g/ml PIC alone), respectively.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>According to a previous report by Tran <italic>et al</italic>, oroxylin A has a dopamine reuptake inhibitor activity, and the inhibitory effect of nuclear factor-&#x03BA;B activation (<xref rid="b9-etm-0-0-3320" ref-type="bibr">9</xref>). Singh and Kakkar (<xref rid="b10-etm-0-0-3320" ref-type="bibr">10</xref>) reported that oroxylin A enhanced lipolysis and decreased Akt phosphorylation in mature adipocytes, suggesting that oroxylin A may exert its anti-obesity effect by influencing adipocyte life cycle at critical points of differentiation and maturity. Akinyi <italic>et al</italic> (<xref rid="b11-etm-0-0-3320" ref-type="bibr">11</xref>) have reported that oroxylin A may significantly lower the coronary perfusion pressure in a Langendorff preparation assay of isolated rat heart tissue. Previously, Qiao <italic>et al</italic> (<xref rid="b16-etm-0-0-3320" ref-type="bibr">16</xref>) reported that oroxylin A induces apoptosis by regulating uncoupling protein 2 in human colon cancer cells. Ye <italic>et al</italic> (<xref rid="b17-etm-0-0-3320" ref-type="bibr">17</xref>) reported that regulating inflammation could be an important measure for the effective treatment of cancer; oroxylin A inhibits lipopolysaccharide-induced mRNA and protein expression of cyclooxygenase-2 and nitric oxide synthase in RAW 264.7 cells. Zhou <italic>et al</italic> (<xref rid="b18-etm-0-0-3320" ref-type="bibr">18</xref>) reported that oroxylin A attenuated ovalbumin-induced lung histopathologic changes and airway hyperresponsiveness, and reduced the number of inflammatory cells. Hui <italic>et al</italic> (<xref rid="b19-etm-0-0-3320" ref-type="bibr">19</xref>) reported that production of IL-6 constitutes the primary cause of mortality in patients with retinoic acid syndrome; oroxylin A possesses abilities of inhibiting the all-trans retinoic acid-induced IL-6 production in leukemia cell lines, which may provide a therapeutic strategy for retinoic acid syndrome. Wang <italic>et al</italic> (<xref rid="b20-etm-0-0-3320" ref-type="bibr">20</xref>) reported that oroxylin A improves the sensitivity of multidrug-resistant leukemic cells by increasing apoptosis in leukemic cells and decreasing the expression of chemokine receptor 4, and may serve as a potential agent for chronic myeloid leukemia. However, the effects of oroxylin A on virus-induced macrophages have not been fully elucidated.</p>
<p>Innate immunity and inflammation are crucial for protecting the host against various pathogens, including bacteria, viruses and fungi (<xref rid="b2-etm-0-0-3320" ref-type="bibr">2</xref>). Mosser and Edwards (<xref rid="b21-etm-0-0-3320" ref-type="bibr">21</xref>) have reported that macrophages, which are a type of white blood cell that engulf and digest cellular debris, foreign substances, microbes and cancer cells in a process called phagocytosis, play a critical role in innate immunity, and also help initiate adaptive immunity by recruiting other immune cells such as lymphocytes. Canna <italic>et al</italic> (<xref rid="b22-etm-0-0-3320" ref-type="bibr">22</xref>) have reported that inflammasomes are innate immune sensors that respond to pathogen- and damage-associated signals with caspase-1 activation, IL-1&#x03B2; and IL-18 secretion, and macrophage pyroptosis, a proinflammatory and lytic mode of cell death.</p>
<p>In the case of viral infection, dsRNA from pathogenic viruses is a strong initiator of inflammation and stimulates macrophages to produce inflammatory mediators including NO, cytokines, chemokines and growth factors in immune responses and organ injuries (<xref rid="b12-etm-0-0-3320" ref-type="bibr">12</xref>).</p>
<p>Unregulated inflammation is an underlying component of various diseases, such as sepsis, cardiovascular disease, diabetes and other chronic inflammatory diseases (<xref rid="b23-etm-0-0-3320" ref-type="bibr">23</xref>). Furthermore, Ulloa and Tracey (<xref rid="b24-etm-0-0-3320" ref-type="bibr">24</xref>) have reported that viral and bacterial infections contribute to the pathogenesis of severe sepsis, which is characterized by an overwhelming production of NO and proinflammatory cytokines, such as IL-1, IL-6 and TNF-&#x03B1;. Riedemann <italic>et al</italic> (<xref rid="b25-etm-0-0-3320" ref-type="bibr">25</xref>) have reported that the excessive production of IL-1 and IL-6 may be more dangerous than the original stimulus, causing capillary leakage, tissue injury and lethal organ failure, although these cytokines trigger a beneficial inflammatory response that promotes local coagulation to confine tissue damage.</p>
<p>Srivastava <italic>et al</italic> (<xref rid="b26-etm-0-0-3320" ref-type="bibr">26</xref>) have reported that various chemokines, such as MCP-1, IP-10, M-CSF, G-CSF and GM-CSF, are increased in bronchoalveolar fluid during lung inflammation. Wareing <italic>et al</italic> (<xref rid="b27-etm-0-0-3320" ref-type="bibr">27</xref>) have reported that the expression level of MIP-1&#x03B1;, MIP-1&#x03B2;, MIP-2 and RANTES is increased in lung tissue of influenza infection.</p>
<p>By contrast, Sakaguchi and Wing (<xref rid="b28-etm-0-0-3320" ref-type="bibr">28</xref>) reported that superfluous or misguided human immune responses may lead to harmful outcomes, as associated with autoimmune disease, chronic inflammation and allergies. Ballara <italic>et al</italic> (<xref rid="b29-etm-0-0-3320" ref-type="bibr">29</xref>) have reported that the proangiogenic cytokine VEGF in the persistence of inflammatory arthritis supports the hypothesis that expansion of the synovial vasculature is important for the development of joint destruction in rheumatoid arthritis. Recently, Reddy <italic>et al</italic> (<xref rid="b30-etm-0-0-3320" ref-type="bibr">30</xref>) reported that LIX expression was induced in arthritis and periodontal disease. Schon and Boehncke (<xref rid="b31-etm-0-0-3320" ref-type="bibr">31</xref>) have reported that the central role of cytokines and their functional interaction with adhesion molecules in the recruitment of tissue-specific lymphocytes has been clearly shown, primarily involving LIF (IL-6 class cytokine) and IL-10 in psoriasis (a chronic immune-mediated skin disease). Previously, Dace <italic>et al</italic> (<xref rid="b32-etm-0-0-3320" ref-type="bibr">32</xref>) reported that IL-10, although traditionally considered to be an anti-inflammatory cytokine that modulates the function of adaptive immune-related cells, has also been implicated in promoting abnormal angiogenesis in the eye and in the pathobiology of autoimmune diseases such as lupus and encephalomyelitis.</p>
<p>In the present study, the data indicate that oroxylin A has inhibitory effects against the viral inflammation associated with macrophage inflammasomes.</p>
<p>Cuschieri and Maier (<xref rid="b33-etm-0-0-3320" ref-type="bibr">33</xref>) have reported that pathogenic oxidative stress with infection results in macrophage reprogramming with a transient increase in intracellular calcium via the lipid membrane dissociation of the calcium-bound protein annexin VI; this increased cytosolic calcium, in turn, results in the activation of calcium-dependent kinases, leading to enhanced proinflammatory activation. Furthermore, Timmins <italic>et al</italic> (<xref rid="b34-etm-0-0-3320" ref-type="bibr">34</xref>) have reported that the endoplasmic reticulum (ER) calcium stores are reduced in oxidative stress and intracellular calcium concentration is increased, resulting in ER stress-mediated STAT1 activation. In the present study, oroxylin A inhibited the calcium release and STAT1 mRNA expression in PIC-induced RAW 264.7 mouse macrophages. Thus, it is possible that oroxylin A downregulates the excessive production of inflammatory mediators in pathogenic toxicant-induced macrophages through the calcium-STAT pathway.</p>
<p>However, whether intracellular calcium concentration is increased via the calcium-bound membrane protein mobilization or release of calcium from ER could not be confirmed in this study.</p>
<p>Although the precise mechanism underlying the regulation of the anti-inflammatory activity of oroxylin A are not yet known, the current study demonstrates that oroxylin A has anti-inflammatory effects associated with its inhibition of NO, IL-1&#x03B1;, IL-1&#x03B2;, IL-6, IL-10, IP-10, G-CSF, GM-CSF, LIF (IL-6 class cytokine), LIX, MCP-1, MIP-1&#x03B1;, MIP-1&#x03B2;, MIP-2, RANTES, TNF-&#x03B1; and VEGF in PIC-induced macrophages via calcium-STAT pathway. Actual effect of oroxylin A on acute and chronic inflammatory diseases requires further study.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The authors thank Dr Young-Jin Kim and Ms. Hyun Joo Kim (College of Korean Medicine, Gachon University) for their technical assistance.</p>
</ack>
<ref-list>
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<floats-group>
<fig id="f1-etm-0-0-3320" position="float">
<label>Figure 1.</label>
<caption><p>Structural formula of flavonoid oroxylin A.</p></caption>
<graphic xlink:href="etm-12-01-0151-g00.jpg"/>
</fig>
<fig id="f2-etm-0-0-3320" position="float">
<label>Figure 2.</label>
<caption><p>Effects of oroxylin A on cell viability and NO production in PIC-induced RAW 264.7 mouse macrophages. After 24 h treatment, (A) cell viability was evaluated using a modified MTT assay and (B) NO production was measured by the Griess reaction. Values are the mean &#x00B1; standard deviation of three independent experiments. &#x002A;&#x002A;&#x002A;P&#x003C;0.001 vs. Con. Nor, normal group; Con, control group; IN, indomethacin (0.5 &#x00B5;M); NO, nitric oxide; PIC, polyinosinic-polycytidylic acid; NO, nitric oxide.</p></caption>
<graphic xlink:href="etm-12-01-0151-g01.jpg"/>
</fig>
<fig id="f3-etm-0-0-3320" position="float">
<label>Figure 3.</label>
<caption><p>Effects of oroxylin A on production of cytokines such as IL-1&#x03B1;, IL-1&#x03B2;, IL-6, LIF (IL-6 class cytokine), IL-10, G-CSF, GM-CSF and VEGF in PIC-induced RAW 264.7 mouse macrophages. Fluorescence intensity of each cytokine in the culture medium was measured using a Multiplex bead-based cytokine assay after 24 h treatment. Values are the mean &#x00B1; standard deviation of three independent experiments. &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01; &#x002A;&#x002A;&#x002A;P&#x003C;0.001 vs. Con. IL, interleukin; Nor, normal group; Con, control group; IN, indomethacin (0.5 &#x00B5;M); PIC, polyinosinic-polycytidylic acid; G-CSF, granulocyte-colony stimulating factor; GM-CSF, granulocyte macrophage-colony stimulating factor; VEGF, vascular endothelial growth factor; LIF, leukemia inhibitory factor.</p></caption>
<graphic xlink:href="etm-12-01-0151-g02.jpg"/>
</fig>
<fig id="f4-etm-0-0-3320" position="float">
<label>Figure 4.</label>
<caption><p>Effects of oroxylin A on production of cytokines such as TNF-&#x03B1;, IP-10, MCP-1, LIX, MIP-1&#x03B1;, MIP-1&#x03B2;, MIP-2 and RANTES in PIC-induced RAW 264.7 mouse macrophages. Fluorescence intensity of each cytokine in the culture medium was measured by a Multiplex bead-based cytokine assay after 24 h treatment. Values are the mean &#x00B1; standard deviation of three independent experiments.&#x002A;P&#x003C;0.05; &#x002A;&#x002A;P&#x003C;0.01; &#x002A;&#x002A;&#x002A;P&#x003C;0.001 vs. Con. Nor, normal group; Con, control group; IN, indomethacin (0.5 &#x00B5;M); PIC, polyinosinic-polycytidylic acid; TNF-&#x03B1;, tumor necrosis factor-&#x03B1;; IP-10, interferon gamma-induced protein 10; MCP-1, monoctye chemoattractant protein 1; LIX, lipopolysaccharide-induced CXC chemokine; MIP, macrophage inflammatory protein; RANTES, Regulated on Activation, Normal T Expressed and Secreted.</p></caption>
<graphic xlink:href="etm-12-01-0151-g03.jpg"/>
</fig>
<fig id="f5-etm-0-0-3320" position="float">
<label>Figure 5.</label>
<caption><p>Effects of oroxylin A on calcium release in PIC-induced RAW 264.7 mouse macrophages. After 24 h treatment, calcium release was measured with Fluo-4 calcium assay. Values are the mean &#x00B1; standard deviation of three independent experiments. &#x002A;P&#x003C;0.05; &#x002A;&#x002A;P&#x003C;0.01 vs. Con. Nor, normal group; Con, control group; IN, indomethacin (0.5 &#x00B5;M); PIC, polyinosinic-polycytidylic acid.</p></caption>
<graphic xlink:href="etm-12-01-0151-g04.jpg"/>
</fig>
<fig id="f6-etm-0-0-3320" position="float">
<label>Figure 6.</label>
<caption><p>Effects of oroxylin A on mRNA expression of STAT1 in PIC-induced RAW 264.7 mouse macrophages. After 24 h treatment, the mRNA expression of STAT1 was measured by Multiplex bead-based mRNA assay. STAT1 was normalized against GAPDH. Values are the mean &#x00B1; standard deviation of three independent experiments. &#x002A;P&#x003C;0.05; &#x002A;&#x002A;P&#x003C;0.01 vs. Con. STAT1, signal transducer and activator of transcription 1; Nor, normal group; Con, control group; IN, indomethacin (0.5 &#x00B5;M); PIC, polyinosinic-polycytidylic acid.</p></caption>
<graphic xlink:href="etm-12-01-0151-g05.jpg"/>
</fig>
</floats-group>
</article>
