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<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Molecular Medicine Reports</journal-id>
<journal-title-group>
<journal-title>Molecular Medicine Reports</journal-title></journal-title-group>
<issn pub-type="ppub">1791-2997</issn>
<issn pub-type="epub">1791-3004</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/mmr.2016.4953</article-id>
<article-id pub-id-type="publisher-id">mmr-13-04-3553</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Paeoniflorin attenuates ultraviolet B-induced apoptosis in human keratinocytes by inhibiting the ROS-p38-p53 pathway</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>KONG</surname><given-names>LINGWEN</given-names></name><xref rid="af1-mmr-13-04-3553" ref-type="aff">1</xref><xref rid="fn1-mmr-13-04-3553" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>WANG</surname><given-names>SHANGSHANG</given-names></name><xref rid="af2-mmr-13-04-3553" ref-type="aff">2</xref><xref rid="fn1-mmr-13-04-3553" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>WU</surname><given-names>XIAO</given-names></name><xref rid="af1-mmr-13-04-3553" ref-type="aff">1</xref><xref rid="fn1-mmr-13-04-3553" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>ZUO</surname><given-names>FUGUO</given-names></name><xref rid="af3-mmr-13-04-3553" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>QIN</surname><given-names>HAIHONG</given-names></name><xref rid="af2-mmr-13-04-3553" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>WU</surname><given-names>JINFENG</given-names></name><xref rid="af2-mmr-13-04-3553" ref-type="aff">2</xref><xref ref-type="corresp" rid="c1-mmr-13-04-3553"/></contrib></contrib-group>
<aff id="af1-mmr-13-04-3553">
<label>1</label>Department of Integrative Medicine, Huashan Hospital, Fudan University, Shanghai 200040, P.R. China</aff>
<aff id="af2-mmr-13-04-3553">
<label>2</label>Department of Dermatology, Huashan Hospital, Fudan University, Shanghai 200040, P.R. China</aff>
<aff id="af3-mmr-13-04-3553">
<label>3</label>Department of Dermatology, East Hospital, Tongji University School of Medicine, Shanghai 200120, P.R. China</aff>
<author-notes>
<corresp id="c1-mmr-13-04-3553">Correspondence to: Dr Jinfeng Wu, Department of Dermatology, Huashan Hospital, Fudan University, 12 Middle Urumqi Road, Shanghai 200040, P.R. China, E-mail: <email>wujinfeng21@163.com</email></corresp><fn id="fn1-mmr-13-04-3553">
<label>&#x0002A;</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>04</month>
<year>2016</year></pub-date>
<pub-date pub-type="epub">
<day>01</day>
<month>03</month>
<year>2016</year></pub-date>
<volume>13</volume>
<issue>4</issue>
<fpage>3553</fpage>
<lpage>3558</lpage>
<history>
<date date-type="received">
<day>26</day>
<month>03</month>
<year>2015</year></date>
<date date-type="accepted">
<day>13</day>
<month>01</month>
<year>2016</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2016, Spandidos Publications</copyright-statement>
<copyright-year>2016</copyright-year></permissions>
<abstract>
<p>Ultraviolet (UV) light is one of the most harmful environmental factors that contribute to skin damage. Exposure to UV induces extensive generation of reactive oxygen species (ROS), and results in photoaging and skin cancer development. One approach to protecting human skin against UV radiation is the use of antioxidants. In recent years, naturally occurring herbal compounds have gained considerable attention as protective agents for UV exposure. Paeoniflorin (PF) is a novel natural antioxidant, which is isolated from peony root (Radix Paeoniae Alba). The present study evaluated the protective effects of PF on UV-induced skin damage <italic>in vitro</italic>, and demonstrated that the effects were mediated via the ROS-p38-p53 pathway. The results of the present study demonstrated that treatment with PF (25, 50, and 100 <italic>&#x000B5;</italic>M) significantly increased the percentage of viable keratinocytes after UV-B exposure. In addition, cell death analysis indicated that PF treatment markedly reduced UV-B-radiation-induced apoptosis in keratinocytes, which was accompanied by increased procaspase 3 expression and decreased cleaved caspase 3 expression. Treatment with PF markedly reduced the production of ROS, and inhibited the activation of p38 and p53 in human keratinocytes, thus suggesting that the ROS-p38-p53 pathway has a role in UV-B-induced skin damage. In conclusion, the present study reported that PF was able to attenuate UV-B-induced cell damage in human keratinocytes. Notably, these effects were shown to be mediated, at least in part, via inhibition of the ROS-p38-p53 pathway.</p></abstract>
<kwd-group>
<kwd>paeoniflorin</kwd>
<kwd>ultraviolet</kwd>
<kwd>skin</kwd>
<kwd>ROS</kwd>
<kwd>p38</kwd>
<kwd>p53</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Exposure to ultraviolet (UV) light, particularly UV-B (290&#x02013;320 nm), is a major etiological factor that contributes to skin damage (<xref rid="b1-mmr-13-04-3553" ref-type="bibr">1</xref>). Intense and chronic UV exposure is associated with sunburn, immune suppression, DNA damage, photoaging, and skin cancer (<xref rid="b2-mmr-13-04-3553" ref-type="bibr">2</xref>,<xref rid="b3-mmr-13-04-3553" ref-type="bibr">3</xref>). UV can be directly absorbed by cellular macromolecules, thus leading to photochemical modification of DNA and proteins (<xref rid="b4-mmr-13-04-3553" ref-type="bibr">4</xref>). In addition, UV induces the generation of reactive oxygen species (ROS), which overwhelm the antioxidant defense system, resulting in oxidative stress and damage to cell structure, DNA, proteins and lipids (<xref rid="b5-mmr-13-04-3553" ref-type="bibr">5</xref>).</p>
<p>UV-B-induced DNA damage can trigger cell signaling pathways to activate defense systems, leading to DNA repair and/or apoptosis (<xref rid="b6-mmr-13-04-3553" ref-type="bibr">6</xref>). Among these cell-signaling proteins, activation of p53 is important in cells with UV radiation-induced DNA damage (<xref rid="b4-mmr-13-04-3553" ref-type="bibr">4</xref>,<xref rid="b7-mmr-13-04-3553" ref-type="bibr">7</xref>). In addition, oxidative stress is associated with UV-induced activation of p53 (<xref rid="b4-mmr-13-04-3553" ref-type="bibr">4</xref>). Pretreatment of cells with N-acetyl-L-cysteine (NAC), an agent known to counteract oxidative stress, attenuates the cellular p53 response to UV (<xref rid="b4-mmr-13-04-3553" ref-type="bibr">4</xref>). Mitogen-activated protein kinases (MAPKs) are also involved in the response to UV radiation (<xref rid="b8-mmr-13-04-3553" ref-type="bibr">8</xref>); p38 acts as a stress-activated MAPK that is preferentially activated by diverse cellular stressors, including UV-B-induced oxidative stress (<xref rid="b9-mmr-13-04-3553" ref-type="bibr">9</xref>). It has previously been reported that p38 mediates UV-induced phosphorylation of p53. Pretreatment of cells with SB202190, a p38 inhibitor, may inhibit the DNA binding activity of p53 and suppress p53-dependent transcription (<xref rid="b10-mmr-13-04-3553" ref-type="bibr">10</xref>). These previous results indicated that the ROS-p38-p53 pathways are involved in UV-induced cell damage.</p>
<p>UV-B-induced skin damage may be prevented by avoidance of intense sun exposure, as well as topical and systemic administration of antioxidants (<xref rid="b11-mmr-13-04-3553" ref-type="bibr">11</xref>). Peony root (Radix Paeoniae Alba) is a well-known herb, which has been used in Chinese medicine for &gt;1,200 years (<xref rid="b12-mmr-13-04-3553" ref-type="bibr">12</xref>). Several compounds, including paeoniflorin (PF), albiflorin, oxypaeoniflorin and benzoylpaeoniflorin, are reported to be contained within peony root (<xref rid="b13-mmr-13-04-3553" ref-type="bibr">13</xref>). Among them, PF is considered to be one of the major bioactive components (<xref rid="b13-mmr-13-04-3553" ref-type="bibr">13</xref>). PF has been reported to exert anti-inflammatory (<xref rid="b12-mmr-13-04-3553" ref-type="bibr">12</xref>), antioxidative (<xref rid="b14-mmr-13-04-3553" ref-type="bibr">14</xref>) and antitumor effects (<xref rid="b15-mmr-13-04-3553" ref-type="bibr">15</xref>). Extracts of peony root have previously been shown to exert protective effects against UV-induced DNA damage and facial wrinkles in human skin (<xref rid="b16-mmr-13-04-3553" ref-type="bibr">16</xref>). However, the anti-UV effects of purified PF have yet to be elucidated.</p>
<p>The present study evaluated the protective effects of PF on UV-induced skin damage <italic>in vitro</italic>, and demonstrated that the effects were mediated via the ROS-p38-p53 pathway.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Reagents and cell culture</title>
<p>PF (purity&gt;99.8%; <xref rid="f1-mmr-13-04-3553" ref-type="fig">Fig. 1A</xref>) was purchased from Chengdu Mansite Pharmaceutical Co., Ltd. (Chengdu, China). The HaCaT human keratinocyte cells were purchased from the China Center for Type Culture Collection (Wuhan, China), and were cultured in Dulbecco's modified Eagle's medium (DMEM; Invitrogen; Thermo Fisher Scientific, Inc., Waltham, MA, USA) supplemented with 4 mM L-glutamine, 3.7 g/l sodium bicarbonate, 4.5 g/l glucose and 10% fetal bovine serum (Invitrogen; Thermo Fisher Scientific, Inc.). Cells were maintained in a humidified incubator containing 5% CO<sub>2</sub> at 37&#x000B0;C. WST-8 was obtained from Dojindo Molecular Technologies, Inc. (Kumamoto, Japan). Propidium iodide (PI) and RNase A were purchased from Beyotime Institute of Biotechnology (Haimen, China). Antibodies against phosphorylated (P)-p38 (cat. no. 4511), p38 (cat. no. 8690), P-p53 (cat. no. 9284), p53 (cat. no. 2524), caspase 3 (cat. no. 9662), cleaved caspase 3 (cat. no. 9664) and &#x003B2;-actin (cat. no. 8457) were obtained from Cell Signaling Technology, Inc. (Danvers, MA, USA). NAC and SB203580 were purchased from Sigma-Aldrich (St. Louis, MO, USA).</p></sec>
<sec>
<title>UV radiation</title>
<p>HaCaT cells were pretreated with various concentrations of PF (0, 25, 50 and 100 <italic>&#x000B5;</italic>M) for 2 h in serum-free medium. Subsequently, the cells were washed with phosphate-buffered saline (PBS) and covered with a thin layer of PBS. UV-B radiation was applied at a level of 60 mJ/cm<sup>2</sup> using a Philips TL-D/08 15W weathering lamp (wavelength 290&#x02013;340 nm, peak 311 nm) (Philips, Amsterdam, The Netherlands). The radiation intensity was monitored using a UV-B radiometer (Beijing Normal University, Beijing, China). Following exposure to UV-B radiation, PBS was removed and DMEM containing PF (0, 25, 50 or 100 <italic>&#x000B5;</italic>M) was added to the cells, which were incubated at 37&#x000B0;C for a suitable period.</p></sec>
<sec>
<title>Cell viability assays</title>
<p>PF &#x0005B;dissolved in dimethyl sulfoxide (DMSO)&#x0005D; was used to treat the cells. The final concentration of DMSO used was &lt;0.1% (v/v). Cell viability was measured using the WST-8 assay (Dojindo Molecular Technologies, Inc.), according to the manufacturer's protocol. Briefly, HaCaT cells were seeded at a density of 5&#x000D7;10<sup>3</sup> cells/well in 96-well culture plates in DMEM, and were cultured in a humidified incubator at 37&#x000B0;C overnight. The cells were pretreated with PF (0, 25, 50, and 100 <italic>&#x000B5;</italic>M) for 2 h. Following UV-B radiation, the cells were incubated for a further 24 h, after which, 10 <italic>&#x000B5;</italic>l WST-8 was added to each well for 1 h. Subsequently, optical density (OD) was measured at a wavelength of 450 nm using a BIO-TEK MQX200 plate reader (Highland Park Efficiencies, Winooski, VT, USA). The percentage of viable cells was determined using the following formula: Ratio (%) = &#x0005B;OD(PF)-OD(Blank)/OD(Control)-OD (Blank)&#x0005D; &#x000D7; 100. Cell viability data are averages of three independent experiments each containing six replicates.</p></sec>
<sec>
<title>Cell death analysis</title>
<p>HaCaT cells were seeded at a density of 2&#x000D7;10<sup>5</sup> cells/well in 6-well culture plates in DMEM, and were cultured in a humidified incubator at 37&#x000B0;C for 24 h. The cells were pretreated with 25 <italic>&#x000B5;</italic>M PF for 2 h. Following UV-B radiation, the cells were incubated for a further 24 h, after which, cells were collected and fixed in 70% ethanol for 24 h at 4&#x000B0;C. Subsequently, the cells were centrifuged at 300 &#x000D7; g for 5 min and the cell pellet was resuspended in 400 <italic>&#x000B5;</italic>l PBS containing RNase A (10 mg/ml, 50 <italic>&#x000B5;</italic>l) and PI (2 mg/ml, 10 <italic>&#x000B5;</italic>l). The mixture was incubated in the dark at 37&#x000B0;C for 30 min and data were acquired using a FACSCalibur flow cytometer (BD Biosciences, San Joe, CA, USA). The cell death data were analyzed using FlowJo software V6.0 (Tree Star, Inc., Ashland, OR, USA). The extent of cell death was determined by evaluating the sub G<sub>1</sub> fraction, or the percentage of cells with DNA content &lt;2n. The experiment was replicated three times.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>HaCaT cells were seeded at a density of 5&#x000D7;10<sup>5</sup> cells/well in 6-well culture plates in DMEM, and were cultured in a humidified incubator at 37&#x000B0;C for 24 h. The cells were pretreated with 25 <italic>&#x000B5;</italic>M PF or 5 <italic>&#x000B5;</italic>M SB203580 for 2 h. Following UV-B radiation, the cells were incubated for a further 24 h, after which, cells were collected and resuspended in lysis buffer &#x0005B;150 mmol/l NaCl, 1% NP-40, 0.5% sodium deoxycholate, 0.1% sodium dodecyl sulfate (SDS), 50 mmol/l Tris-Cl, pH 8.0&#x0005D; containing 2 <italic>&#x000B5;</italic>g/ml aprotinin, 2 <italic>&#x000B5;</italic>g/ml leupeptin 40 mg/ml phenylmethylsulfonyl fluoride and 2 mmol/l DTT. The cells were centrifuged at 12,000 &#x000D7; g for 15 min, in order to remove nuclei and cell debris. Supernatants were then immediately frozen at &#x02212;80&#x000B0;C, until further use. Protein concentrations were determined using the Bradford Assay (Bio-Rad Laboratories, Inc., Hercules, CA, USA) and 30 <italic>&#x000B5;</italic>g cellular proteins were separated by 10% SDS-polyacrylamide gel electrophoresis followed by electro-blotting onto polyvinylidene difluoride membranes (45 <italic>&#x000B5;</italic>m; EMD Millipore, Billerica, MA, USA). The membranes were blocked for 1 h with 5% milk at room temperature, followed by an overnight incubation at 4&#x000B0;C with the following primary antibodies: P-p38, P-p53, p38, p53, cleaved caspase 3, caspase 3 and &#x003B2;-actin (all 1:1,000 dilution). Blots were washed twice with 0.1% Tween 20/Tris-buffered saline (TTBS) prior to incubation with a horseradish peroxidase-conjugated secondary antibody (1:1,000 dilution; Cell Signaling Technology, Inc.) for 1 h at room temperature. Blots were further washed with TTBS and were developed by enhanced chemiluminescence using Supersignal West Femto Chemiluminescent Substrate (Pierce; Thermo Fisher Scientific, Inc.). Band intensities were quantified using UN-SCAN-IT Gel Analysis software (version 6; Silk Scientific, Inc., Orem, UT, USA). The OD for target proteins was indicated as a proportion of &#x003B2;-actin OD. Western blotting was replicated three times.</p></sec>
<sec>
<title>Evaluation of ROS</title>
<p>ROS were detected using the cell-permeable fluorescent probe 2,-7,-dichlorofluorescein-diacetate (H<sub>2</sub>DCFDA) (Sigma-Aldrich), a non-fluorescent compound, which is converted into highly fluorescent dichlorofluorescein (DCF) by cellular peroxides. The cells were exposed to 25 <italic>&#x000B5;</italic>M PF or 2 mM NAC for 2 h. Following radiation, the cells were incubated for a further 6 h, after which, the cells were treated with H<sub>2</sub>DCFDA (10 <italic>&#x000B5;</italic>M) in serum-free DMEM. Following incubation at 37&#x000B0;C for 30 min, the cells were washed with PBS and fluorescence was monitored by flow cytometry or fluorescence microscopy (DM1000; Leica Camera, Wetzlar, Germany). The mean fluorescence intensity (MFI) data were analyzed by FlowJo software V6.0 (Tree Star, Inc.). The MFI data were replicated three times.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>All data are presented as the mean &#x000B1; standard deviation. Data analysis was performed using SPSS version 20.0 (IBM SPSS, Amronk, NY, USA). Statistical significance was detected using one-way analysis of variance. For comparisons between two groups, Student's t-test was used. P&lt;0.05 was considered to indicate a statistically significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>PF attenuates UV-B-induced decreased cell viability in HaCaT cells</title>
<p>Cell viability was evaluated using the WST-8 assay. Exposure of HaCaT cells to UV-B resulted in a significant reduction in the percentage of viable cells (45%) at 24 h, as compared with the medium control group (P&lt;0.01). Treatment with PF (25, 50 or 100 <italic>&#x000B5;</italic>M) alone did not affect cell viability; however, cells pretreated with PF (25, 50, and 100 <italic>&#x000B5;</italic>M) prior to UV-B radiation exhibited a significant increase in the percentage of viable cells (60%). No dose-dependent effects were observed following PF treatment (<xref rid="f1-mmr-13-04-3553" ref-type="fig">Fig. 1B</xref>).</p></sec>
<sec>
<title>PF reduces UV-B-induced cell death in HaCaT cells</title>
<p>It is well known that UV-B exposure induces apoptosis. As demonstrated by flow cytometry, UV-B (60 mJ/cm<sup>2</sup>) radiation significantly increased cell death (9.45%) at 24 h, as compared with in the medium control group (2.58%), whereas PF pretreatment markedly reduced UV-B-induced cell death (6%) (<xref rid="f2-mmr-13-04-3553" ref-type="fig">Fig. 2A and B</xref>). Caspase 3 is expressed in an inactive pro-form, procaspase 3. In apoptosis, procaspase 3 is activated and generates two active subunits, cleaved caspase 3 (<xref rid="b17-mmr-13-04-3553" ref-type="bibr">17</xref>). As shown in <xref rid="f3-mmr-13-04-3553" ref-type="fig">Fig. 3</xref>, UV radiation resulted in a significant decrease in the expression levels of procaspase 3 and an increase in cleaved caspase 3 expression. PF pretreatment partially counteracted the effects of UV-B on procaspase 3 and cleaved caspase 3 expression.</p></sec>
<sec>
<title>PF inhibits the production of ROS after UV-B radiation</title>
<p>UV-B exposure results in the generation of ROS, which induce cell damage. The MFI of DCF was used to evaluate the production of ROS. As shown in <xref rid="f4-mmr-13-04-3553" ref-type="fig">Fig. 4</xref>, ROS production was significantly increased following UV-B radiation. Pretreatment with 25 <italic>&#x000B5;</italic>M PF or 2 mM NAC (a ROS scavenger), markedly inhibited the production of ROS after UV-B radiation.</p></sec>
<sec>
<title>PF inhibits UV-B-induced activation of p38 and p53 in HaCaT cells</title>
<p>The activation of p38 and p53 is associated with UV-B-induced cell damage. Western blotting (<xref rid="f5-mmr-13-04-3553" ref-type="fig">Fig. 5</xref>) demonstrated that UV-B radiation significantly increased the expression levels of P-p38 and P-p53. Conversely, PF pretreatment markedly reduced the expression levels of P-p38 and P-p53 following UV-B-radiation. Both UV radiation and PF pretreatment did not alter the expression levels of total p38 and p53. It has previously been reported that p38 kinase mediates UV-induced phosphorylation of p53 protein (<xref rid="b10-mmr-13-04-3553" ref-type="bibr">10</xref>). As shown in <xref rid="f5-mmr-13-04-3553" ref-type="fig">Fig. 5C and D</xref>, SB203580, a p38 inhibitor, significantly reduced the expression levels of P-p53 after UV-B radiation.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>UV radiation is one of the most harmful environmental factors that contribute to skin damage (<xref rid="b18-mmr-13-04-3553" ref-type="bibr">18</xref>). UV exposure induces extensive generation of ROS (<xref rid="b19-mmr-13-04-3553" ref-type="bibr">19</xref>), which react with DNA, proteins and fatty acids, resulting in photoaging and skin cancer (<xref rid="b20-mmr-13-04-3553" ref-type="bibr">20</xref>). One approach to protecting human skin against UV radiation is the use of antioxidants (<xref rid="b21-mmr-13-04-3553" ref-type="bibr">21</xref>,<xref rid="b22-mmr-13-04-3553" ref-type="bibr">22</xref>). In recent years, naturally occurring herbal compounds have gained considerable attention as protective agents for UV exposure (<xref rid="b19-mmr-13-04-3553" ref-type="bibr">19</xref>,<xref rid="b23-mmr-13-04-3553" ref-type="bibr">23</xref>&#x02013;<xref rid="b25-mmr-13-04-3553" ref-type="bibr">25</xref>).</p>
<p>PF is a novel natural antioxidant, which is isolated from peony root (<xref rid="b26-mmr-13-04-3553" ref-type="bibr">26</xref>,<xref rid="b27-mmr-13-04-3553" ref-type="bibr">27</xref>). The present study evaluated the protective effects of PF on UV-induced skin damage. The results demonstrated that treatment with PF significantly increased the percentage of viable keratinocytes following UV-B exposure. It is well known that UV-B exposure induces apoptosis, and caspase 3 has an important role in the execution of apop-tosis (<xref rid="b17-mmr-13-04-3553" ref-type="bibr">17</xref>). Cell death analysis in the present study revealed that PF treatment markedly reduced UV-B radiation-induced apop-tosis in keratinocytes, which was accompanied by increased procaspase 3 expression and decreased cleaved caspase 3 expression, as compared with the UV-B radiation group.</p>
<p>The ROS-p38-p53 pathway is involved in UV-B-induced skin damage; oxidative stress induced by ROS can initiate MAPK signaling by phosphorylation of MAPK proteins. p38 acts as a stress-activated MAPK that is preferentially activated by UV-generated ROS (<xref rid="b9-mmr-13-04-3553" ref-type="bibr">9</xref>). In the present study, treatment with PF substantially reduced the production of ROS following exposure to UV. The UV-induced phosphorylation of p38 was also significantly inhibited by PF. Activation of p53 is important in cells with DNA damage caused by UV radiation (<xref rid="b4-mmr-13-04-3553" ref-type="bibr">4</xref>,<xref rid="b7-mmr-13-04-3553" ref-type="bibr">7</xref>). It has previously been reported that p38 mediates UV-induced phosphorylation of p53 (<xref rid="b10-mmr-13-04-3553" ref-type="bibr">10</xref>). In the present study, treatment with PF significantly reduced the production of ROS, and inhibited the activation of p38 and p53 in human keratinocytes. In addition, NAC, a ROS scavenger, and SB203580, a p38 inhibitor, significantly inhibited UV-B-induced decreased cell viability in human keratinocytes (data not shown). These results further demonstrate that the ROS-p38-p53 pathway is involved in UV-induced skin damage.</p>
<p>Numerous studies suggest that the activation of nuclear factor-E2-related factor 2 (Nrf2) protects cutaneous keratinocytes and fibroblasts against the cytotoxic effects of UV (<xref rid="b28-mmr-13-04-3553" ref-type="bibr">28</xref>&#x02013;<xref rid="b31-mmr-13-04-3553" ref-type="bibr">31</xref>). Nrf2 has emerged as a promising molecular target for the pharmacological prevention of skin damage caused by solar UV exposure. PF has been reported to protect radiation-induced pulmonary endothelial cells injury through the Nrf2 pathway (<xref rid="b32-mmr-13-04-3553" ref-type="bibr">32</xref>). Further studies are, therefore, required in order to investigate the role of Nrf2 in the anti-UV effects of PF.</p>
<p>In conclusion, the present study reported that PF is able to attenuate UV-B-induced cell damage in human keratinocytes. Notably, the present study confirmed that these effects were mediated, at least in part, via inhibition of the ROS-p38-p53 pathway. Further studies are required to investigate the <italic>in vivo</italic> anti-UV effects of PF.</p></sec></body>
<back>
<ack>
<title>Acknowledgments</title>
<p>The present study was funded by grants from the National Natural Science Foundation of China (no. 81102541), Shanghai Municipal Commission of Health and Family Planning (grant no. 201440336) and the Scientific Research Project supported by Huashan Hospital, Fudan University (no. 2014QD09).</p></ack>
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<floats-group>
<fig id="f1-mmr-13-04-3553" position="float">
<label>Figure 1</label>
<caption>
<p>PF attenuated UV-B-induced decreased cell viability in HaCaT cells. (A) Chemical structure of PF. (B) Cell viability of HaCaT cells as measured by the WST-8 assay. Cells were pretreated with PF (0, 25, 50, and 100 <italic>&#x000B5;</italic>M) for 2 h. Following UV-B (60 mJ/cm<sup>2</sup>) radiation, the cells were incubated for 24 h, after which, 10 <italic>&#x000B5;</italic>l WST-8 was added to each well for 1 h. Optical density was measured at 450 nm using a plate reader. Data are presented as the mean &#x000B1; standard deviation. <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01, compared with the medium control group; <sup>#</sup>P&lt;0.01, compared with UV-B exposure alone. PF, paeoniflorin; UV, ultraviolet.</p></caption>
<graphic xlink:href="MMR-13-04-3553-g00.jpg"/></fig>
<fig id="f2-mmr-13-04-3553" position="float">
<label>Figure 2</label>
<caption>
<p>PF reduced UV-B-induced cell death in HaCaT cells. The cells were pretreated with 25 <italic>&#x000B5;</italic>M PF for 2 h. Following UV-B (60 mJ/cm<sup>2</sup>) radiation, the cells were incubated for 24 h, after which, the cells were fixed and stained with PI. Data were acquired using a FACSCalibur flow cytometer and were analyzed using FlowJo software V6.0. (A) Representative images of cell death assays. (B) Statistical analysis of cell death assays. Cell death assays were replicated three times. Data are presented as the mean &#x000B1; standard deviation. <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01, compared with the medium control group; <sup>#</sup>P&lt;0.01, compared with UV-B exposure alone. PF, paeoniflorin; UV, ultraviolet; PI, propidium iodide.</p></caption>
<graphic xlink:href="MMR-13-04-3553-g01.jpg"/></fig>
<fig id="f3-mmr-13-04-3553" position="float">
<label>Figure 3</label>
<caption>
<p>PF treatment counteracted the effects of UV-B on procaspase 3 and cleaved caspase 3. The cells were pretreated with 25 <italic>&#x000B5;</italic>M PF for 2 h. Following UV-B (60 mJ/cm<sup>2</sup>) radiation, the cells were incubated for 24 h, after which, procaspase 3 and cleaved caspase 3 expression were detected by western blotting. All lanes were loaded with 30 <italic>&#x000B5;</italic>g protein and &#x003B2;-actin was used as a loading control. Band intensities were quantified using UN-SCAN-IT gel analysis software. Optical density for target proteins was indicated as a proportion of &#x003B2;-actin optical density. (A) Representative western blot of procaspase 3. (B) Quantification of band intensities of procaspase 3. (C) Representative western blot of cleaved caspase 3. (D) Quantification of band intensities of cleaved caspase 3. Data are presented as the mean &#x000B1; standard deviation. <sup>&#x0002A;&#x0002A;</sup> P&lt;0.01, compared with the medium control group; <sup>#</sup> P&lt;0.01, compared with UV-B exposure alone. PF, paeoniflorin; UV, ultraviolet.</p></caption>
<graphic xlink:href="MMR-13-04-3553-g02.jpg"/></fig>
<fig id="f4-mmr-13-04-3553" position="float">
<label>Figure 4</label>
<caption>
<p>PF inhibited the production of ROS after UV-B radiation. For the ROS assay, cells were exposed to 25 <italic>&#x000B5;</italic>M PF or 2 mM NAC for 2 h. After UV-B (60 mJ/cm<sup>2</sup>) radiation, the cells were incubated for 6 h and were then treated with 2,-7,-dichlorofluorescein-diacetate (10 <italic>&#x000B5;</italic>M). Following incubation at 37&#x000B0;C for 30 min, the cells were washed with phosphate-buffered saline and fluorescence was monitored by flow cytometry or fluorescence microscopy. MFI data were analyzed using FlowJo software V6.0. (A) Representative fluorescence microscopy image of ROS (magnification &#x000D7;100). (B) Representative image of ROS MFI. (C) Statistical analysis of ROS MFI. Data are presented as the mean &#x000B1; standard deviation. <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01, compared with the medium control group, <sup>#</sup>P&lt;0.01, compared with UV-B exposure alone. PF, paeoniflorin; ROS, reactive oxygen species; UV, ultraviolet; NAC, N-acetyl-L-cysteine; MFI, mean fluorescence intensity.</p></caption>
<graphic xlink:href="MMR-13-04-3553-g03.jpg"/></fig>
<fig id="f5-mmr-13-04-3553" position="float">
<label>Figure 5</label>
<caption>
<p>PF inhibited UV-B induced activation of p38 and p53. For western blotting, the cells were pretreated with 25 <italic>&#x000B5;</italic>M PF or 5 <italic>&#x000B5;</italic>M SB203580 for 2 h. Following UV-B radiation, the cells were incubated for 24 h. Total protein was extracted, and P-p38, p38, P-p53 and p53 expression levels were detected by western blot analysis. &#x003B2;-actin was used as a loading control. (A) Representative western blot of P-p38 and p38. (B) Quantification of band intensities of P-p38 and p38. (C) Representative western blot of P-p53 and p53. (D) Quantification of band intensities of P-p53 and p53. Band intensities were quantified using UN-SCAN-IT gel analysis software. Data are presented as the mean &#x000B1; standard deviation. <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01, compared with the medium control; <sup>#</sup> P&lt;0.01, compared with UV-B exposure alone. PF, paeoniflorin; UV, ultraviolet; P, phosphorylated.</p></caption>
<graphic xlink:href="MMR-13-04-3553-g04.jpg"/></fig></floats-group></article>
