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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.2016.5407</article-id>
<article-id pub-id-type="publisher-id">mmr-14-02-1673</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Effects of bamboo salt and its component, hydrogen sulfide, on enhancing immunity</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Kim</surname><given-names>Na-Rae</given-names></name><xref rid="af1-mmr-14-02-1673" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Nam</surname><given-names>Sun-Young</given-names></name><xref rid="af1-mmr-14-02-1673" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Ryu</surname><given-names>Ka-Jung</given-names></name><xref rid="af1-mmr-14-02-1673" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Kim</surname><given-names>Hyung-Min</given-names></name><xref rid="af1-mmr-14-02-1673" ref-type="aff">1</xref><xref ref-type="corresp" rid="c2-mmr-14-02-1673"/></contrib>
<contrib contrib-type="author">
<name><surname>Jeong</surname><given-names>Hyun-Ja</given-names></name><xref rid="af2-mmr-14-02-1673" ref-type="aff">2</xref><xref ref-type="corresp" rid="c1-mmr-14-02-1673"/></contrib></contrib-group>
<aff id="af1-mmr-14-02-1673">
<label>1</label>Department of Pharmacology, College of Korean Medicine, Kyung Hee University, Seoul 130-701</aff>
<aff id="af2-mmr-14-02-1673">
<label>2</label>Department of Food Technology and Biochip Research Center, Hoseo University, Asan, Chungnam 336-795, Republic of Korea</aff>
<author-notes>
<corresp id="c1-mmr-14-02-1673">Correspondence to: Professor Hyun-Ja Jeong, Department of Food Technology and Biochip Research Center, Hoseo University, 20 Hoseo-Ro, 79 Beon-Gil, Baebang-Eup, Asan, Chungnam 336-795, Republic of Korea, E-mail: <email>hjjeong@hoseo.edu</email></corresp>
<corresp id="c2-mmr-14-02-1673">Professor Hyung-Min Kim, Department of Pharmacology, College of Korean Medicine, Kyung Hee University, 26 Kyungheedae-Ro, Dongdaemun-Gu, Seoul 130-701, Republic of Korea, E-mail: <email>hmkim@khu.ac.kr</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>08</month>
<year>2016</year></pub-date>
<pub-date pub-type="epub">
<day>17</day>
<month>06</month>
<year>2016</year></pub-date>
<volume>14</volume>
<issue>2</issue>
<fpage>1673</fpage>
<lpage>1680</lpage>
<history>
<date date-type="received">
<day>25</day>
<month>07</month>
<year>2015</year></date>
<date date-type="accepted">
<day>03</day>
<month>06</month>
<year>2016</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2016, Spandidos Publications</copyright-statement>
<copyright-year>2016</copyright-year></permissions>
<abstract>
<p>Korean bamboo salt (BS) is known to have therapeutic effects in the treatment of diseases, including viral disease, dental plaque, diabetes, circulatory organ disorders, cancer and inflammatory disorders. However, the effect of BS on immune functions remains to be elucidated. The present study was designed to determine the immune-enhancing effect of BS and its component, hydrogen sulfide, using RAW264.7 macrophages and a forced swimming test (FST) animal model. BS and sodium hydrosulfide (NaSH), a hydrogen sulfide donor, significantly increased the levels of tumor necrosis factor (TNF) -&#x003B1; through the activation of nuclear factor-&#x003BA;B in the RAW 264.7 cells. In an <italic>in vivo</italic> experiment, BS and NaSH were administered orally once a day for 28 days. After the 28 days, the immobility times in the FST were significantly decreased in the BS and NaSH-fed groups, compared with the control group. In addition, BS and NaSH induced significant increases in the levels of interferon-&#x003B3;, interleukin-2 and TNF-&#x003B1;, compared with the control group. Taken together, these results indicated that BS and NaSH may improve immune function.</p></abstract>
<kwd-group>
<kwd>bamboo salt</kwd>
<kwd>hydrogen sulfide</kwd>
<kwd>sodium hydrosulfide</kwd>
<kwd>tumor necrosis factor-&#x003B1;</kwd>
<kwd>nuclear factor-&#x003BA;B</kwd>
<kwd>macrophages</kwd>
<kwd>forced swimming test</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>The immune response to microbial pathogens relies on innate and adaptive components (<xref rid="b1-mmr-14-02-1673" ref-type="bibr">1</xref>,<xref rid="b2-mmr-14-02-1673" ref-type="bibr">2</xref>). The innate and adaptive immune responses are lowered in diseases associated with immunodeficiency (<xref rid="b3-mmr-14-02-1673" ref-type="bibr">3</xref>,<xref rid="b4-mmr-14-02-1673" ref-type="bibr">4</xref>). Deficiency in minerals and vitamins induces the attenuation of immune functions, including phagocytic activity, natural killer cell activity, delayed type hypersensitivity, antigen-specific antibody production and T cell proliferation (<xref rid="b5-mmr-14-02-1673" ref-type="bibr">5</xref>). Immunomodulatory agents aid in improving the immune response against pathogens by activating immune cells (<xref rid="b6-mmr-14-02-1673" ref-type="bibr">6</xref>). The innate immune response is mediated predominantly by immune cells, including neutrophils and macrophages. Macrophages are cells in the host defense system, which inhibit the invasion of microorganisms and foreign materials through phagocytic activities, and induce additional adaptive immune responses by synthesizing various inflammatory mediators and cytokines, including nitric oxide (NO) and tumor necrosis factor (TNF) -&#x003B1; (<xref rid="b1-mmr-14-02-1673" ref-type="bibr">1</xref>,<xref rid="b6-mmr-14-02-1673" ref-type="bibr">6</xref>,<xref rid="b7-mmr-14-02-1673" ref-type="bibr">7</xref>). NO is synthesized by inducible NO synthase (iNOS) (<xref rid="b8-mmr-14-02-1673" ref-type="bibr">8</xref>). The expression levels of TNF-&#x003B1; and iNOS are increased by the translocation of nuclear factor-&#x003BA;B (NF-&#x003BA;B) to the nucleus and the degradation of inhibitor of NF-&#x003BA;B (I&#x003BA;B) (<xref rid="b9-mmr-14-02-1673" ref-type="bibr">9</xref>).</p>
<p>T cells are also important in immune functions. In particular, helper T cells (Th cells) have two subsets, Th1 and Th2 (<xref rid="b10-mmr-14-02-1673" ref-type="bibr">10</xref>). Th1 cells produce Th1 cytokines, including interferon (IFN) -&#x003B3;, interleukin (IL) -2 and TNF-&#x003B1;, which increase cell-mediated immunity. Th2 cytokines released from Th2 cells and promote the humoral antibody-mediated immune response (<xref rid="b11-mmr-14-02-1673" ref-type="bibr">11</xref>). T cell deficiency causes acquired immune deficiency syndrome (<xref rid="b12-mmr-14-02-1673" ref-type="bibr">12</xref>).</p>
<p>Bamboo salt (BS) is a processed salt, produced according to a traditional recipe using sun-dried salt and bamboo in Korea. BS is known to have therapeutic effects in the treatment of diseases, including viral disease, dental plaque, diabetes, circulatory organ disorders, cancer, inflammatory disorders, allergic rhinitis and cisplatin-induced ototoxicity (<xref rid="b13-mmr-14-02-1673" ref-type="bibr">13</xref>,<xref rid="b14-mmr-14-02-1673" ref-type="bibr">14</xref>). Compared with sun-dried salts, BS has a lower toxicity and a higher content of iron, silicon, potassium and phosphate (<xref rid="b15-mmr-14-02-1673" ref-type="bibr">15</xref>&#x02013;<xref rid="b17-mmr-14-02-1673" ref-type="bibr">17</xref>). In addition, BS contains hydrogen sulfide (H<sub>2</sub>S), which is not contained in sun-dried salts. H<sub>2</sub>S is an endogenous gaseous signaling molecule involved in diverse biological processes, including inflammatory responses, energy metabolism, cell proliferation, apoptosis and oxidative stress (<xref rid="b18-mmr-14-02-1673" ref-type="bibr">18</xref>).</p>
<p>In the present study, the effects of BS and sodium hydrosulfide (NaSH; a H<sub>2</sub>S donor) on the production of TNF-&#x003B1; and activation of NF-&#x003BA;B were examined in RAW264.7 cells, a macrophage-like cell line. Furthermore, the immune-enhancing effects of BS and NaSH were investigated in a forced swimming test (FST) animal model.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Cell culture</title>
<p>The RAW264.7 cells were grown in Dulbecco's modified Eagle's medium (DMEM; Gibco; Thermo Fisher Scientific, Inc., Waltham, MA, USA) with 10% heat inactivated fetal bovine serum (FBS; Gibco; Thermo Fisher Scientific, Inc.,) and 1% penicillin-streptomycin at 37&#x000B0;C in 5% CO<sub>2</sub> and 95% air. The RAW264.7 cells (3&#x000D7;10<sup>5</sup>; Korean Cell Line Bank, Seoul, Korea) were treated with BS (1 mg/ml; Hongik Bio, Damyang, Korea), NaSH (0.01, 0.1 and 1 <italic>&#x000B5;</italic>g/ml; Samchun Pure Chemical Co., Ltd., Pyeongtaek, Korea) or lipopolysaccharide (LPS; 10 <italic>&#x000B5;</italic>g/ml; Sigma-Aldrich, St. Louis, MO, USA) for 24 h at 37&#x000B0;C in 5% CO<sub>2</sub> and 95% air. The BS and NaSH were dissolved in distilled water (D.W.). The concentrations of BS (1 mg/ml) and NaSH (0.01, 0.1 and 1 <italic>&#x000B5;</italic>g/ml) were selected in accordance with previous reports (<xref rid="b13-mmr-14-02-1673" ref-type="bibr">13</xref>,<xref rid="b19-mmr-14-02-1673" ref-type="bibr">19</xref>).</p></sec>
<sec>
<title>Enzyme-linked immunosorbent assay (ELISA)</title>
<p>The levels of TNF-&#x003B1; IFN-&#x003B3;, and IL-2 cytokines were measured using ELISA, which was performed, as described previously (<xref rid="b20-mmr-14-02-1673" ref-type="bibr">20</xref>). The plates were read at 405 nm by a microplate reader.</p></sec>
<sec>
<title>Reverse transcription-polymerase chain reaction (RT-PCR) analysis</title>
<p>Using an Easy-BLUETM RNA extraction kit (iNtRON Biotech, Sungnam, Korea), total RNA was isolated from the RAW264.7 cells, according to the manufacturer's protocol. The concentration of total RNA in the final elutes was determined by NanoDrop (Thermo Scientific, Inc.). Total RNA (2.5 <italic>&#x000B5;</italic>g) was heated at 65&#x000B0;C for 10 min and then chilled on ice. Each sample was reverse-transcribed to cDNA for 90 min at 37&#x000B0;C using a cDNA synthesis kit (Bioneer Corporation, Daejeon, Korea). The polymerase chain reaction (PCR) was performed in a C1000 Touch Thermal Cycler (Bio-Rad Laboratories, Hercules, CA, USA) with the following primers: Mouse TNF-&#x003B1;, forward 3&#x02032;-TACAGGCTTGTCACTCGAAT-3&#x02032; and reverse 5&#x02032;-ATGAGCACAGAAAGCATGAT-3&#x02032;; actin, forward 5&#x02032;-GTGGGCCGCTAGGCACCA-3&#x02032; and reverse 5&#x02032;-CGGTTGGCCTTAGGGTTCAGGGGGG-3&#x02032;. Glyceraldehyde 3-phosphate dehydrogenase (GAPDH) was used to verify whether equal amounts of RNA were used for reverse transcription and amplification from different experimental conditions. PCR was conducted under the following conditions: 94&#x000B0;C for 5 min, 94&#x000B0;C for 45 sec, 60&#x000B0;C (TNF-&#x003B1;) or 62&#x000B0;C (GAPDH) for 45 sec and 72&#x000B0;C for 2 min, for 39 cycles; the dinal cycle was followed by an extension for 5 min at 72&#x000B0;C. Products were electrophoresed on a 1.5% agarose gel and visualized by staining with ethidium bromide.</p></sec>
<sec>
<title>Measurement of nitrite concentration</title>
<p>The RAW264.7 cells were stimulated with BS (1 mg/ml), NaSH (0.01, 0.1 and 1 <italic>&#x000B5;</italic>g/ml) or LPS for 48 h. The concentrations of NO in the cell cultures were measured using a Griess method, as previously described (<xref rid="b9-mmr-14-02-1673" ref-type="bibr">9</xref>).</p></sec>
<sec>
<title>MTT assay</title>
<p>Cell viabilities were assessed using an MTT assay. Briefly, 500 <italic>&#x000B5;</italic>l of the RAW 264.7 cell (3&#x000D7;10<sup>5</sup>) suspension was treated with BS or NaSH for 24 h, followed by treatment with MTT solution (5 mg/ml) at 37&#x000B0;C for 4 h. The insoluble formazan product was dissolved in dimethyl sulfoxide and, the optical density was measured using an ELISA reader at 540 nm.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>The RAW264.7 cells were stimulated with BS, NaSH or LPS for 1 h. The cell extracts were heated at 95&#x000B0;C for 5 min and briefly cooled on ice. Cell extracts were prepared by a detergent lysis procedure. Cells were scraped, washed once with phosphate-buffered saline (PBS) and resuspended in the radioimmunoprecipitation assay lysis buffer containing 10 mM Tris-HCL pH 7.4, 30 mM NaCl, 1 mM EDTA, 1% Nonidet P-40, supplemented with 1 mM Na<sub>3</sub>VO<sub>4</sub>, 1 <italic>&#x000B5;</italic>g/ml leupeptin, 1 <italic>&#x000B5;</italic>g/ml pepstatin A, 1 <italic>&#x000B5;</italic>g/ml aprotinin and 1 mM PMSF. Samples were vortexed for lysis for a few seconds every 15 min at 4&#x000B0;C for 1 h and centrifuged at 12,000 &#x000D7; g for 10 min at 4&#x000B0;C. The protein was determined using a bicinchoninic acid assay (Pierce, Rockford, IL, USA) method. Following centrifugation at 12,000 &#x000D7; g at 4&#x000B0;C for 10 min, 50 <italic>&#x000B5;</italic>g aliquots were resolved using 12% SDS-polyacrylamide gel electrophoresis. The resolved proteins were electrotransferred overnight onto nitrocellulose membranes in 25 mM Tris (pH 8.5), 200 mM glycerin and 20% methanol at 25 V. The blots were blocked for at least 2 h with 1X PBS containing 0.05% Tween 20 with 5% nonfat dry milk. The blots were then incubated with rabbit polyclonal anti-NF-&#x003BA;B (sc-7151), mouse monoclonal anti-phosphorylated IkB (pI&#x003BA;B) -a (sc-8404), mouse monoclonal anti-tubulin (sc-8035), mouse monoclonal anti-actin (sc-8432) (Santa Cruz Biotechnology, Inc., Santa Cruz, CA, USA) for 1 h at room temperature. The blots were developed with monoclonal mouse anti-rabbit peroxidase conjugated-IgG (sc-2357) and monoclonal goat anti-mouse peroxidase-IgG (sc-2005). for 1 h at room temperature, and the proteins were visualized using enhanced chemiluminescence procedures, (GE Healthcare, Piscataway, NJ, USA) according to the manufacturer's protocol.</p></sec>
<sec>
<title>Immunocytochemistry and confocal microscopy</title>
<p>The cells were washed with PBS, fixed with 3.7% paraformaldehyde for 30 min and permeabilized with wash buffer (0.5% Triton-X in PBS) for 20 min. The cells were then blocked with wash buffer containing 10% FBS for 1 h, and incubated with anti-NF-&#x003BA;B (p65) primary antibody for 1 h at room temperature at 1:500 dilution. Following washing with PBS, the cells were incubated with anti-rabbit fluorescein isothiocyanate-conjugated secondary antibody for 1 h at room temperature. Following extensive washing with PBS, the slides were scanned under fluorescence with an Olympus confocal microscope (Olympus Corporation, Tokyo, Japan).</p></sec>
<sec>
<title>Animals</title>
<p>Male ICR mice (10&#x02013;12 g; 3 weeks old) were obtained from the Dae-Han Experimental Animal Center (Daejon, Korea). Experiments were performed following 1 week of adaptation to the laboratory environment. The animals were housed (five animals per cage) in a laminar air-flow room maintained at a temperature of 22&#x000B1;1&#x000B0;C, a relative humidity of 55&#x000B1;10% and under a 12:12 light/dark cycle on at 07:00 h throughout the experiment. Food and water were available <italic>ad libitum</italic>. All experiments were performed between 09:00 and 16:00 h, and no animals was used in more than one experiment. All protocols were approved by the Institutional Animal Care and Use Committee of Kyung Hee University &#x0005B;Seoul, Korea; KHUASP (SE)-10-032&#x0005D;.</p></sec>
<sec>
<title>FST</title>
<p>Immobility time was defined as the amount of time that the mouse remained floating in the water without struggling and made only those movements necessary to keep its head above the water. Following the first measurement of immobility times, the mice were divided into a control group, <italic>Chlorella vulgaris</italic> extract (CVE; 0.3 g/kg) group, BS (1 g/kg) group and NaSH (0.1 and 1 mg/kg) groups, based on the recorded swimming times (equivalent average swim time/group). The CVE was supplied by Daesang Corporation (Seoul, Korea), and was dissolved in D.W. as a positive control. BS (1 g/kg), NaSH (0.1 and 1 mg/kg), CVE (0.3 g/kg) and D.W. were orally administered to the mice in the respective groups once a day for 4 weeks using an atraumatic feeding needle. The FST was performed on 0 and 28 days after administration of BS or NaSH. The BS, NaSH, CVE and D.W. were administered 1 h prior to the FST. During the 6 min of the FST, the immobility time was analyzed, as previously described by Porsolt <italic>et al</italic> (<xref rid="b21-mmr-14-02-1673" ref-type="bibr">21</xref>). The FST was recorded using a Canon camcorder (Canon, Inc., Tokyo, Japan). The immobility times were measured using a stopwatch by a trained observer, who was blind to the experimental treatments. There were five mice in each group.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>The results are expressed as the mean &#x000B1; standard error of the mean. Statistical significance was compared among each treated group and the control using an independent <italic>t</italic>-test and one-way analysis of variance with Tukey's post-hoc test using SPSS statistical software (SPSS Inc., Chicago, IL, USA). 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 BS and NaSH on the production of TNF-&#x003B1; and NO in RAW264.7 cells</title>
<p>Macrophages control the immune system directly through their innate immune functions. Activated macrophages secrete TNF-&#x003B1; and NO. To evaluate the effect of BS and NaSH on the production of TNF-&#x003B1;, RAW264.7 cells were treated with BS and NaSH for 24 h. As shown in <xref rid="f1-mmr-14-02-1673" ref-type="fig">Fig. 1A</xref>, BS and NaSH (1 <italic>&#x000B5;</italic>g/ml) significantly increased the production of TNF-&#x003B1;, compared with the unstimulated cells (P&lt;0.05). The mRNA levels of TNF-&#x003B1; were also increased by treatment with BS or NaSH (<xref rid="f1-mmr-14-02-1673" ref-type="fig">Fig. 1B</xref>). To determine the effects of BS and NaSH on the production of NO, the RAW264.7 cells were treated with BS and NaSH for 48 h. BS and NaSH had no significant effects on the production of NO (<xref rid="f1-mmr-14-02-1673" ref-type="fig">Fig. 1C</xref>). However, LPS significantly increased the levels of TNF-&#x003B1; and NO (<xref rid="f1-mmr-14-02-1673" ref-type="fig">Fig. 1A&#x02013;C</xref>). No cytotoxic effects of BS and NaSH were observed (<xref rid="f1-mmr-14-02-1673" ref-type="fig">Fig. 1D</xref>).</p></sec>
<sec>
<title>Effects of BS and NaSH on the activation of NF-&#x003BA;B in RAW264.7 cells</title>
<p>NF-&#x003BA;B is a transcription factor, which regulates the expression of TNF-&#x003B1; and is important in immunity (<xref rid="b9-mmr-14-02-1673" ref-type="bibr">9</xref>). Thus, the present study examined the effects of BS and NaSH on the activation of NF-&#x003BA;B in the RAW264.7 cells. Stimulation with BS and NaSH induced the translocation of NF-&#x003BA;B (p65) to the nuclei following the phosphorylation of I&#x003BA;B&#x003B1; (<xref rid="f2-mmr-14-02-1673" ref-type="fig">Fig. 2</xref>). Immunocytochemistry for NF-&#x003BA;B (p65) was also performed; when the RAW 264.7 cells were treated with BS or NaSH, immunoreactive NF-&#x003BA;B was localized to the nuclei (<xref rid="f3-mmr-14-02-1673" ref-type="fig">Fig. 3</xref>).</p></sec>
<sec>
<title>Effects of BS and NaSH on immobility time during the FST</title>
<p>The FST is a behavioral animal model for the evaluation of immune-enhancing drugs (<xref rid="b22-mmr-14-02-1673" ref-type="bibr">22</xref>). The present study investigated the effects of BS and NaSH on the immobility time during the FST. BS (1 g/kg), NaSH (0.1 and 1 mg/kg) and CVE (0.3 g/kg) were orally administered to the mice once a day for 28 days. Measurements of immobility times were performed 1 h following BS, NaSH and CVE administration. The immobility times were significantly decreased in the BS- and NaSH-administered groups, compared with the control group (<xref rid="f4-mmr-14-02-1673" ref-type="fig">Fig. 4</xref>; P&lt;0.05). CVE also significantly reduced the immobility time (<xref rid="f4-mmr-14-02-1673" ref-type="fig">Fig. 4</xref>; P&lt;0.05).</p></sec>
<sec>
<title>Effects of BS and NaSH on the levels of Th1 cytokines in the spleen and serum</title>
<p>Th cells are important in the cellular immune response, and are key in host defense systems against bacterial products and viruses (<xref rid="b23-mmr-14-02-1673" ref-type="bibr">23</xref>). The Th1 cytokines secreted by Th1 cells increase cell-mediated immune responses (<xref rid="b24-mmr-14-02-1673" ref-type="bibr">24</xref>), therefore, the present study analyzed the levels of Th1 cytokines (IFN-&#x003B3;, IL-2 and TNF-&#x003B1;) in the spleen and serum following the FST. BS (1 g/kg) and NaSH (1 mg/kg) significantly increased the levels of IFN-&#x003B3;, IL-2 and TNF-&#x003B1; in the spleen (<xref rid="f5-mmr-14-02-1673" ref-type="fig">Fig. 5A&#x02013;C</xref>; P&lt;0.05). The serum levels of IFN-&#x003B3; were also significantly increased by BS, NaSH and CVE (<xref rid="f5-mmr-14-02-1673" ref-type="fig">Fig. 5D</xref>; P&lt;0.05).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>In the present study, it was shown that BS and NaSH increased the production of TNF-&#x003B1; and activation of NF-&#x003BA;B in RAW 264.7 cells. BS and NaSH significantly reduced the immobility time in the FST on day 28. In addition, BS and NaSH significantly increased the levels of IFN-&#x003B3;, IL-2 and TNF-&#x003B1;.</p>
<p>Macrophages are involved in homeostasis, wound repair, tissue remodeling during embryogenesis and the removal of damaged or senescent cells subsequent to injury or infection (<xref rid="b7-mmr-14-02-1673" ref-type="bibr">7</xref>). The activation of macrophages by LPS stimulation increases the production of NO and TNF-&#x003B1; (<xref rid="b9-mmr-14-02-1673" ref-type="bibr">9</xref>). NO is a key molecule for inducing pathogen and tumor cell death, and is synthesized from L-arginine by iNOS (<xref rid="b25-mmr-14-02-1673" ref-type="bibr">25</xref>). The expression of TNF-&#x003B1; is dependent on the activation of the transcription factor, NF-&#x003BA;B (<xref rid="b9-mmr-14-02-1673" ref-type="bibr">9</xref>). NF-&#x003BA;B is a major transcription factor for the expression of innate and adaptive immunity-associated genes (<xref rid="b26-mmr-14-02-1673" ref-type="bibr">26</xref>). In Korea, red ginseng has been known to improve immunity and increase the levels of TNF-&#x003B1; and NO in RAW264.7 cells (<xref rid="b27-mmr-14-02-1673" ref-type="bibr">27</xref>). In the present study, BS and NaSH increased the levels of TNF-&#x003B1; and activation of NF-kB, suggesting that BS and NaSH increased the levels of TNF-&#x003B1; via the activation of NF-&#x003BA;B.</p>
<p>Several psychotropic drugs have been developed using the FST (<xref rid="b21-mmr-14-02-1673" ref-type="bibr">21</xref>,<xref rid="b28-mmr-14-02-1673" ref-type="bibr">28</xref>). Although a number of antidepressants reduce immobility time during FSTs (<xref rid="b29-mmr-14-02-1673" ref-type="bibr">29</xref>), the attenuation of lymphocyte proliferation and IL-2 production, damage to natural killer cell cytotoxic responses and reduced neutrophil phagocytosis have been reported following exposure to the FST (<xref rid="b30-mmr-14-02-1673" ref-type="bibr">30</xref>,<xref rid="b31-mmr-14-02-1673" ref-type="bibr">31</xref>). An <italic>et al</italic> (<xref rid="b22-mmr-14-02-1673" ref-type="bibr">22</xref>) reported that the observed reduction in immobility time by CVE in the FST indicated enhanced immune function and improved physical stamina. <italic>Panax ginseng</italic> has been used as a traditional Korean medicine for improving physical stamina and enhancing the immune response. The immobility time in the FST has been found to be reduced in mice administered with <italic>Panax ginseng</italic> (<xref rid="b32-mmr-14-02-1673" ref-type="bibr">32</xref>). In the present study, BS and NaSH reduced the immobility time during the FST, which indicated that BS and NaSH had an immune-enhancing effect.</p>
<p>The spleen is organized as a tree of branching arterial vessels, and is composed of T cells, B cells, fibroblasts, marginal-zone macrophages and dendritic cells. In particular, Th1 cells are a key factor in the cellular immune response and have a central role in host defense systems against various pathogens (<xref rid="b12-mmr-14-02-1673" ref-type="bibr">12</xref>). Th1 cytokines, including IFN-&#x003B3;, IL-2 and TNF-&#x003B1; are produced from Th1 cells and are vital in regulation of the immune response, activating lymphocytes, macrophages and polymorphonuclear cells to destroy bacterial pathogens (<xref rid="b24-mmr-14-02-1673" ref-type="bibr">24</xref>). IFN-&#x003B3; is crucial in immunity against intracellular pathogens and in the control of tumors (<xref rid="b33-mmr-14-02-1673" ref-type="bibr">33</xref>). IL-2 is a cytokine messenger protein, which activates components of the immune system. Several studies have established IL-2 as the lymph cytotropic cytokine, responsible for signaling helper T lymphocyte (CD4<sup>+</sup> T cell) proliferation (<xref rid="b34-mmr-14-02-1673" ref-type="bibr">34</xref>). TNF-&#x003B1; performs important functions in the protection of cells from viral infection or in promoting the selective elimination of virally-infected cells via an IFN-independent mechanism (<xref rid="b35-mmr-14-02-1673" ref-type="bibr">35</xref>). Anticancer drugs induce potent cellular immune responses leading to the production of IFN-&#x003B3;, IL-2 and TNF-&#x003B1; (<xref rid="b36-mmr-14-02-1673" ref-type="bibr">36</xref>). CVE, which functions in immune enhancing, increases the levels of IL-2 and IFN-&#x003B3; in T cells (<xref rid="b37-mmr-14-02-1673" ref-type="bibr">37</xref>). In the present study, it was shown that BS and NaSH induced a significant increase in Th1 cytokines in the spleen and serum. These results suggested that BS and NaSH may have useful effects in the treatment of cancer and infections via immune enhancement. However, further investigation is required to clarify the anticancer and antiviral effects of BS and NaSH.</p>
<p>The administration of minerals enhances the host immune response (<xref rid="b38-mmr-14-02-1673" ref-type="bibr">38</xref>). Zinc has been shown to be necessary for physiological functioning of the innate and adaptive immune systems, and it is particularly important for the development of T cells and their peripheral functions following maturation (<xref rid="b39-mmr-14-02-1673" ref-type="bibr">39</xref>). Copper and magnesium are known to be important in the development and maintenance of the immune system (<xref rid="b40-mmr-14-02-1673" ref-type="bibr">40</xref>,<xref rid="b41-mmr-14-02-1673" ref-type="bibr">41</xref>). Iron contributes to the regulation of body temperature following physical exercise and controlling immune defenses (<xref rid="b42-mmr-14-02-1673" ref-type="bibr">42</xref>). H<sub>2</sub>S involves the cell signaling pathways, which may be involved in cytoprotective, anti-inflammatory and anti-apoptotic actions, and in the modulation of ion channels and metabolism, including the production of mitochondrial ATP (<xref rid="b43-mmr-14-02-1673" ref-type="bibr">43</xref>,<xref rid="b44-mmr-14-02-1673" ref-type="bibr">44</xref>). In the present study, it was shown that bamboo salt and NaSH had immune-enhancing effects. Bamboo salt contains H<sub>2</sub>S, in addition to 70 essential minerals and micronutrients (<xref rid="b17-mmr-14-02-1673" ref-type="bibr">17</xref>). Therefore, the present study hypothesized that H<sub>2</sub>S is an active component of BS in immune functions.</p>
<p>In conclusion, the present study showed for the first time, to the best of our knowledge, that BS and H<sub>2</sub>S significantly increased the production of TNF-&#x003B1; via the activation of NF-&#x003BA;B in the RAW264.7 cells. BS and H<sub>2</sub>S significantly reduced the immobility times in the FST, and significantly increased the levels of IFN-&#x003B3;, IL-2 and TNF-&#x003B1;. Taken together, these results suggested that BS and H<sub>2</sub>S may offer potential as essential agents for the enhancement of immune function.</p></sec></body>
<back>
<ack>
<title>Acknowledgments</title>
<p>This study was supported by a grant (grant no. 20130290) to the Solar Salt Research Center from the Ministry of Oceans and Fisheries of Korea.</p></ack>
<ref-list>
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<floats-group>
<fig id="f1-mmr-14-02-1673" position="float">
<label>Figure 1</label>
<caption>
<p>Effect of BS and NaSH on the levels of TNF-&#x003B1; and NO in the RAW264.7 cells. RAW264.7 cells were treated with BS (1 mg/ml), NaSH (0.01, 0.1 and 1 <italic>&#x000B5;</italic>g/ml) or LPS (10 <italic>&#x000B5;</italic>g/ml). (A) Production of TNF-&#x003B1; was analyzed using an enzyme-linked immunosorbent assay and (B) mRNA expression of TNF-&#x003B1; was analyzed using reverse transcription-polymerase chain reaction analysis. (C) Production of NO was measured using the Griess method (nitrite). (D) Cytotoxicity was measured using an MTT assay. Data are presented as the mean &#x000B1; standard error of the mean of three independent experiments performed in duplicate. <sup>&#x0002A;</sup>P&lt;0.05, vs. unstimulated cells. BS, bamboo salt; TNF-&#x003B1;, tumor necrosis factor-&#x003B1;; NO, nitrous oxide.</p></caption>
<graphic xlink:href="MMR-14-02-1673-g00.jpg"/></fig>
<fig id="f2-mmr-14-02-1673" position="float">
<label>Figure 2</label>
<caption>
<p>Effect of BS and NaSH on the activation of NF-&#x003BA;B in RAW264.7 cells. RAW264.7 cells were treated with BS (1 mg/ml), NaSH (0.01, 0.1 and 1 <italic>&#x000B5;</italic>g/ml) or LPS (10 <italic>&#x000B5;</italic>g/ml) for 1 h. (A) Nuclear extracts (NE) were analyzed for NF-&#x003BA;B and cytoplasmic extracts (CE) were analyzed for pI&#x003BA;B&#x003B1; using western blot analysis. (B) Relative protein levels of NF-&#x003BA;B to actin and (C) relative protein levels of pI&#x003BA;B&#x003B1; to tubulin were quantified using densitometry. Data are presented as the mean &#x000B1; standard error of the mean of three independent experiments performed in duplicate. <sup>&#x0002A;</sup>P&lt;0.05, vs. unstimulated cells. BS, bamboo salt; LPS, lipopolysaccharide; NaSH, sodium hydrosul-fide; NF-&#x003BA;B, nuclear factor-&#x003BA;B; pI&#x003BA;B&#x003B1;, phosphorylated inhibitor of NF-&#x003BA;B&#x003B1;.</p></caption>
<graphic xlink:href="MMR-14-02-1673-g01.jpg"/></fig>
<fig id="f3-mmr-14-02-1673" position="float">
<label>Figure 3</label>
<caption>
<p>Effect of BS and NaSH on the translocation of NF-kB into the nucleus of RAW264.7 cells. RAW264.7 cells were treated with BS (1 mg/ml), NaSH (1 <italic>&#x000B5;</italic>g/ml) or LPS (10 <italic>&#x000B5;</italic>g/ml) for 1 h. NF-&#x003BA;B was stained using primary antibody, anti-p65, for 1 h and then incubated with secondary fluorescein isothiocyanate-conjugated IgG for 30 min. Results are representative of three independent experiments. (Original magnification, &#x000D7;138; scale bar=20 <italic>&#x000B5;</italic>m). Blank, unstimulated cells, BS, bamboo salt; LPS, lipopolysaccharide; NaSH, sodium hydrosulfide; NF-&#x003BA;B, nuclear factor-&#x003BA;B.</p></caption>
<graphic xlink:href="MMR-14-02-1673-g02.tif"/></fig>
<fig id="f4-mmr-14-02-1673" position="float">
<label>Figure 4</label>
<caption>
<p>Effect of BS and NaSH on FST-induced immobility in mice. Immobility times during the FST are shown. BS (1 g/kg), NaSH (0.01, 0.1 and 1 mg/kg) or CVE (0.3 g/kg) were administered 1 h prior to the FST. Values are presented as the mean &#x000B1; standard error of the mean. <sup>&#x0002A;</sup>P&lt;0.05, vs. distilled water-treated control group. BS, bamboo salt; CVE, <italic>Chlorella vulgaris</italic> extract; NaSH, sodium hydrosulfide; FST, forced swimming test.</p></caption>
<graphic xlink:href="MMR-14-02-1673-g03.tif"/></fig>
<fig id="f5-mmr-14-02-1673" position="float">
<label>Figure 5</label>
<caption>
<p>Effects of BS and NaSH on the levels of Th1 cytokines in the spleen and serum. The levels of (A) IFN-&#x003B3;, (B) IL-2 and (C) TNF-&#x003B1; in the spleen, and the (D) serum levels of these three cytokines were measured following the FST using an enzyme-linked immunosorbent assay. Values are presented as the mean &#x000B1; standard error of the mean. <sup>&#x0002A;</sup>P&lt;0.05, vs. distilled water-treated control group. BS, bamboo salt; CVE, <italic>Chlorella vulgaris</italic> extract; NaSH, sodium hydrosulfide; FST, forced swimming test; IFN-&#x003B3;, interferon-&#x003B3;; IL-2, interleukin-2; TNF-&#x003B1;, tumor necrosis factor-&#x003B1;.</p></caption>
<graphic xlink:href="MMR-14-02-1673-g04.jpg"/></fig></floats-group></article>
