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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.2017.6656</article-id>
<article-id pub-id-type="publisher-id">mmr-16-01-0857</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Araliasaponin II isolated from leaves of <italic>Acanthopanax henryi</italic> (Oliv.) Harms inhibits inflammation by modulating the expression of inflammatory markers in murine macrophages</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Seo</surname><given-names>Yun-Soo</given-names></name>
<xref rid="af1-mmr-16-01-0857" ref-type="aff">1</xref>
<xref rid="fn1-mmr-16-01-0857" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Lee</surname><given-names>Seok-Jeon</given-names></name>
<xref rid="af2-mmr-16-01-0857" ref-type="aff">2</xref>
<xref rid="fn1-mmr-16-01-0857" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Li</surname><given-names>Zhi</given-names></name>
<xref rid="af3-mmr-16-01-0857" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Kang</surname><given-names>Ok-Hwa</given-names></name>
<xref rid="af1-mmr-16-01-0857" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Kong</surname><given-names>Ryong</given-names></name>
<xref rid="af1-mmr-16-01-0857" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Kim</surname><given-names>Sang-A</given-names></name>
<xref rid="af1-mmr-16-01-0857" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Zhou</surname><given-names>Tian</given-names></name>
<xref rid="af1-mmr-16-01-0857" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Song</surname><given-names>Yung-Sun</given-names></name>
<xref rid="af2-mmr-16-01-0857" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Liu</surname><given-names>Xiangqian</given-names></name>
<xref rid="af3-mmr-16-01-0857" ref-type="aff">3</xref>
<xref rid="c2-mmr-16-01-0857" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Kwon</surname><given-names>Dong-Yeul</given-names></name>
<xref rid="af1-mmr-16-01-0857" ref-type="aff">1</xref>
<xref rid="c1-mmr-16-01-0857" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-mmr-16-01-0857"><label>1</label>Department of Oriental Pharmacy, College of Pharmacy, Wonkwang Oriental Medicines Research Institute, Wonkwang University, Iksan, Jeollabuk 570749, Republic of Korea</aff>
<aff id="af2-mmr-16-01-0857"><label>2</label>Professional Graduate School of Oriental Medicine, Department of Third Medicine, Wonkwang University, Iksan, Jeollabuk 570749, Republic of Korea</aff>
<aff id="af3-mmr-16-01-0857"><label>3</label>School of Pharmacy, Hunan University of Chinese Medicine, Changsha, Hunan 410208, P.R. China</aff>
<author-notes>
<corresp id="c1-mmr-16-01-0857"><italic>Correspondence to</italic>: Professor Dong-Yeul Kwon, Department of Oriental Pharmacy, College of Pharmacy, Wonkwang Oriental Medicines Research Institute, Wonkwang University, 460 Iksandae-ro, Iksan, Jeollabuk 570749, Republic of Korea, E-mail: <email>sssimi@wku.ac.kr</email></corresp>
<corresp id="c2-mmr-16-01-0857">Professor Xiangqian Liu, School of Pharmacy, Hunan University of Chinese Medicine, 300 Xueshi Road, Changsha, Hunan 410208, P.R. China, E-mail: <email>lxq0001cn@163.com</email></corresp>
<fn id="fn1-mmr-16-01-0857"><label>&#x002A;</label><p>Contributed equally</p></fn>
</author-notes>
<pub-date pub-type="ppub"><month>07</month><year>2017</year></pub-date>
<pub-date pub-type="epub"><day>31</day><month>05</month><year>2017</year></pub-date>
<volume>16</volume>
<issue>1</issue>
<fpage>857</fpage>
<lpage>864</lpage>
<history>
<date date-type="received"><day>16</day><month>05</month><year>2016</year></date>
<date date-type="accepted"><day>07</day><month>03</month><year>2017</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2017, Spandidos Publications</copyright-statement>
<copyright-year>2017</copyright-year>
</permissions>
<abstract>
<p>Araliasaponin II (AS II) is a bioactive compound isolated from <italic>Acanthopanax henryi</italic> (Oliv.) Harms, a plant widely used in traditional oriental medicine. The present study investigated the anti-inflammatory effects of AS II using murine macrophages. The effects of AS II on inflammatory mediator and cytokine production in lipopolysaccharide (LPS)-stimulated RAW 264.7 cells was evaluated. Nitric oxide (NO) and cytokine production were determined using the Griess reagent and an ELISA kit. The expression levels of cytokines, inducible NO synthase (iNOS) and cyclooxygenase-2 (COX-2) mRNA were examined by reverse transcription-quantitative polymerase chain reaction. The expression levels of iNOS, COX-2 and toll-like receptor (TLR)-4 protein were examined by western blotting. Translocation of nuclear factor-&#x03BA;B (NF-&#x03BA;B) and TLR-4 expression were visualized by immunofluorescence staining. AS II markedly inhibited the production of NO and prostaglandin E<sub>2</sub>, and reduced iNOS and COX-2 expression at the transcriptional and translational levels. AS II downregulated the expression of interleukin-6 and tumor necrosis factor-&#x03B1; at the protein and mRNA levels. Furthermore, pre-treatment with AS II significantly suppressed the TLR-4-NF-&#x03BA;B signaling pathway; this effect may be cause by AS II competing with LPS for binding to TLR-4 and subsequently inhibiting translocation of the NF-&#x03BA;B/p65 protein to the nucleus. The results suggested that the anti-inflammatory properties of AS II may result from inhibiting pro-inflammatory mediators by suppressing the initiation of the inflammatory response and inhibiting TLR-4-NF-&#x03BA;B signaling pathways.</p>
</abstract>
<kwd-group>
<kwd>araliasaponin II</kwd>
<kwd>anti-inflammatory</kwd>
<kwd>Toll-like receptor 4</kwd>
<kwd>nuclear factor-&#x03BA;B</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Inflammation is a pathological response to protect against tissue injury following microbial invasion and is a key factor in various chronic and metabolic diseases (<xref rid="b1-mmr-16-01-0857" ref-type="bibr">1</xref>,<xref rid="b2-mmr-16-01-0857" ref-type="bibr">2</xref>). Inflammation is a complex process that is regulated by an array of inflammatory factors released by activated immune cells (<xref rid="b3-mmr-16-01-0857" ref-type="bibr">3</xref>). Activation of macrophages, which are key immune cells, by inflammatory stimuli is an important part of initiating defensive reactions. Activated macrophages release inflammatory mediators, including nitric oxide (NO), prostaglandin E<sub>2</sub> (PGE<sub>2</sub>) and pro-inflammatory cytokines that enhance defense capacity and induce a cascade of immune processes, including the activation of nitric oxide synthases (NOSs) and cyclooxygenase-2 (COX-2), which are main targets of anti-inflammatory agents (<xref rid="b4-mmr-16-01-0857" ref-type="bibr">4</xref>,<xref rid="b5-mmr-16-01-0857" ref-type="bibr">5</xref>).</p>
<p>Nuclear factor-&#x03BA;B (NF-&#x03BA;B) is largely associated with anti-inflammatory mediators, including NO, PGE<sub>2</sub>, interleukin (IL)-6 and tumor necrosis factor (TNF)-&#x03B1; (<xref rid="b6-mmr-16-01-0857" ref-type="bibr">6</xref>,<xref rid="b7-mmr-16-01-0857" ref-type="bibr">7</xref>). Activated NF-&#x03BA;B is translocated into immune cell nuclei and mediates the expression of various pro-inflammatory and immune-regulatory cytokines (<xref rid="b8-mmr-16-01-0857" ref-type="bibr">8</xref>). Toll-like receptors (TLRs) are pathogen-recognition receptors present on cell membranes and are major components of the innate immune system. TLRs are major initiators of the immune responses against various pathogens. In particular, TLR-4 is associated with lipopolysaccharide (LPS) at the beginning of the inflammatory response that occurs in various chronic diseases and complications, including aging, diabetes and cancer (<xref rid="b9-mmr-16-01-0857" ref-type="bibr">9</xref>). Studies have demonstrated a close interaction between inflammatory factors in inflammation pathways and the oxidative stress that underlies chronic diseases (<xref rid="b10-mmr-16-01-0857" ref-type="bibr">10</xref>,<xref rid="b11-mmr-16-01-0857" ref-type="bibr">11</xref>). Therefore, functional treatments should be developed to treat the underlying causes of clinical diseases.</p>
<p><italic>Acanthopanax henryi</italic> (Oliv.) Harms is used in northeast Asian countries as a traditional therapeutic agent for the treatment of rheumatism, inflammation, sinew, bone pains, lameness and liver disease (<xref rid="b12-mmr-16-01-0857" ref-type="bibr">12</xref>). A study (<xref rid="b13-mmr-16-01-0857" ref-type="bibr">13</xref>) has suggested that the <italic>Acanthopanax</italic> leaves possess potential antioxidant activities and another (<xref rid="b14-mmr-16-01-0857" ref-type="bibr">14</xref>) that <italic>Acanthopanax</italic> root bark extracts exhibit anti-inflammatory activities. <italic>Acanthopanax henryi</italic> (Oliv.) contains various bioactive compounds; however, few studies have been conducted on them. Therefore, the present study focused on araliasaponin II (AS II), one of the bioactive compounds from the leaves of <italic>Acanthopanax henryi</italic>, as a potential therapeutic agent for inflammation. As part of our continuing screening program to evaluate the anti-inflammatory potential of natural compounds, the anti-inflammatory effects of AS II were investigated and the potential mechanisms involved in its action on the LPS-stimulated immune response in murine macrophages was established.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Plant collection</title>
<p>The leaves of <italic>Acanthopanax henryi</italic> (Oliv.) Harms were collected in October 2012 in Xinhua (Hunan, China), 230 km west from Hunan (latitude N 27 56&#x2032; 16&#x2032;, longitude E 111&#x00B0; 21&#x2032; 22&#x2032;). The plant is not endangered or protected, and its identify was confirmed by Professor Liu Xiang-Qian (Hunan Key Laboratory of Traditional Chinese Medicine Modernization, Hunan University of Chinese Medicine, Changsha, China) and a voucher specimen (no. 20121125) was deposited within the School of Pharmacy, Hunan University of Chinese Medicine. No specific permission was required for collecting the plant.</p>
</sec>
<sec>
<title>Extraction and isolation</title>
<p>The dried leaves of <italic>Acanthopanax henryi</italic> (Oliv.) Harms (10 kg) were cut into small pieces and extracted three times with methanol (3&#x00D7;100 l) by soaking at room temperature, and then concentrated to give a dark-green residue (0.8 kg), which was suspended in H<sub>2</sub>O and separated with petroleum ether. The water fraction was fractionated by column chromatography (CC) on macroporous resin eluted with a gradient ethanol/H<sub>2</sub>O (0, 30, 50, 75 and 95&#x0025;) into five fractions, 1&#x2013;5. Fraction 3 (75&#x0025; ethanol, 14.0 g) was subjected to silica gel CC eluted with CHCl<sub>3</sub>/methanol/H<sub>2</sub>O (25:1:0/1:1:0.2) to give 15 fractions, A-O.</p>
<p>Fraction M (75 mg) was subjected to silica gel CC eluted with CHCl<sub>3</sub>/methanol/H<sub>2</sub>O (4:1:0.1/1:1:0.2) to give four sub-fractions, M1-M4 and M2-M4 were further separated using Sephadex LH-20 (methanol) to produce AS II (51 mg) (<xref rid="b15-mmr-16-01-0857" ref-type="bibr">15</xref>).</p>
<p>The structures of the compounds were identified by mass spectrometry (MS), one-dimensional (1D)-nuclear magnetic resonance spectroscopy (NMR) and 2D-NMR, with a comparison of the spectral data with those reported previously in the literature (<xref rid="b16-mmr-16-01-0857" ref-type="bibr">16</xref>).</p>
</sec>
<sec>
<title>High performance liquid chromatography (HPLC)</title>
<p>The purity and content of AS II in the dried leaves of <italic>Acanthopanax henryi</italic> (Oliv.) Harms were determined by HPLC as previously described (<xref rid="b17-mmr-16-01-0857" ref-type="bibr">17</xref>). Briefly, 4.88 mg AS II was dissolved in 50 ml 100&#x0025; methanol to a final concentration of 0.0976 mg/ml for HPLC analysis. The dried leaves of <italic>Acanthopanax henryi</italic> (Oliv.) Harms (100 g) were cut into small pieces and extraction was performed three times using methanol (3X 1 l) and reflux extraction at 65&#x00B0;C for 2 h each time. The extract was then concentrated to generate a dark-green residue, which was suspended in 100 ml H<sub>2</sub>O and separated with petroleum ether. The water fraction was fractionated by column chromatography (80&#x00D7;100 mm) on D101 macroporous resin (600 g; Tianjin Guangfu Fine Chemical Research Institute, Tianjin, China) and eluted with a gradient of ethanol/H<sub>2</sub>O (0, 30 and 75&#x0025;) into three fractions: Fractions 1 to 3. Fraction 3 was concentrated, transferred into volumetric flasks and diluted with 100&#x0025; menthol to 50 ml to produce the sample for HPLC content analysis with a Kinetex XB-C18 analytical column (100&#x00D7;4.6&#x00D7;2.6 -mm; Phenomenex, Inc., Torrance, CA, USA) at 30&#x00B0;C. Elution was conducted using mobile phase A (water) and mobile phase B (acetonitrile) with a gradient as follows: 0&#x2013;2 min, 29&#x2013;31&#x0025; B; 2&#x2013;13 min, 31&#x2013;35&#x0025; B; 13&#x2013;15 min, 35&#x2013;40&#x0025; B; 15&#x2013;23 min, 40&#x2013;44&#x0025; B; 23&#x2013;25 min, 44&#x2013;46&#x0025; B; 25&#x2013;31 min, 46&#x2013;49&#x0025; B; 31&#x2013;38 min, 49&#x2013;55&#x0025; B. The flow rate was kept constantly at 1.0 ml/min, and the effluents were monitored at 210 nm using an Agilent 1200 HPLC system with a variable wavelength detector (Agilent Technologies, Inc., Santa Clara, CA, USA). The purity value of AS II, as evaluated by HPLC, was observed to be &#x003E;98&#x0025; by the peak area normalization method. The value of purity was obtained by calculating the percentage of its peak area to that of the total peaks in the HPLC chromatogram. The content of AS II in the leaves of <italic>Acanthopanax henryi</italic> (Oliv.) Harms was 3.28 mg/100 g, which was determined using the external standard method with the isolated AS II as standard.</p>
</sec>
<sec>
<title>General experimental procedures</title>
<p>Melting points (uncorrected) were measured using a Boetius micromelting point apparatus. Hydrogen-1-NMR (600 MHz), Carbon-13-NMR (150 MHz) and 2D-NMR were recorded at room temperature in methanol or pyridine-d5 using a Bruker ACF-500 NMR spectrometer (Bruker Corporation, Billerica, MA, USA) and chemical shifts were presented in &#x03B4; (ppm) values relative to tetramethylsilane as an internal standard. Mass spectra were obtained on an MS Agilent 1200 Series LC/MSD Trap Mass spectrometer (ESI-MS; Agilent Technologies, Inc.). Column chromatography was carried out on silica gel (200&#x2013;300 mesh and 100&#x2013;200 mesh; Qingdao Marine Chemical Inc., Qingdao, China), Sephadex LH-20 (Merck KGaA, Darmstadt, Germany) and D101 macroporous resin (Tianjin Guangfu Chemical Co., Ltd., Tianjin, China). Reversed-phase thin-layer chromatography was performed on a precoated RP-18F254s plates (Merck KGaA). Thin-layer chromatography was conducted on self-made silica gel G (Qingdao Marine Chemical, Inc.) plates and spots were visualized by spraying with 10&#x0025; H<sub>2</sub>SO<sub>4</sub> in ethanol (v/v) followed by heating at 105&#x00B0;C.</p>
</sec>
<sec>
<title>Reagents</title>
<p>RPMI-1640, penicillin and streptomycin were obtained from Hyclone (GE Healthcare Life Sciences, Logan, UT, USA). Bovine serum albumin, LPS, 3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium (MTS) and 4&#x2032;,6-diamidino-2-phenylindole (DAPI) were purchased from Sigma-Aldrich (Merck KGaA). Inducible NOS (iNOS; cat. no. sc-651), COX-2 (cat. no. sc-1745), TLR-4 (cat. no. sc-16240), NF-&#x03BA;B (cat. no. sc-8008), &#x03B2;-actin (cat. no. sc-47778) and peroxidase-conjugated secondary antibodies (anti-mouse, cat. no. sc-2005; anti-rabbit, cat. no. sc-2004; anti-goat, cat. no. sc-2020) were purchased from Santa Cruz Biotechnology, Inc. (Santa Cruz, CA, USA). Mouse IL-6 ELISA kit (cat. no. 555240) and mouse TNF-&#x03B1; (mono/mono) ELISA kit (cat. no. 555268) were purchased from BD Biosciences (San Jose, CA, USA). PRO-PREP&#x2122; Protein Extraction Solution was purchased from Intron Biotechnology, Inc. (Seongnam, Korea). An RNeasy Mini kit and a QuantiTect Reverse Transcription kit were purchased from Qiagen GmbH (Hilden, Germany). Finally, fluorochrome-conjugated secondary antibodies (anti-mouse, cat. no. A-11029 and anti-goat, cat. no. A-21432) and fluorochrome-conjugated LPS (cat. no. L-23351) were purchased from Thermo Fisher Scientific, Inc. (Waltham, MA, USA).</p>
</sec>
<sec>
<title>Cell culture</title>
<p>The RAW 264.7 cells were obtained from the Korea Research Institute of Bioscience and Biotechnology (Seoul, Korea) and cultured in RPMI 1640 medium supplemented with 10&#x0025; fetal bovine serum and 100 U/ml of penicillin/streptomycin sulfate. The cells were cultured in a humidified incubator with 5&#x0025; CO<sub>2</sub> atmosphere at 37&#x00B0;C. To stimulate the cells, the medium was replaced with fresh RPMI 1640 medium followed by addition of LPS in the presence or absence of AS II for the indicated periods.</p>
</sec>
<sec>
<title>MTS assay</title>
<p>An MTS assay was used to determine the viability of RAW 264.7 cells. Cells (5&#x00D7;10<sup>4</sup> cells per well) were plated in 96-well plates (SPL Life Sciences, Pocheon, Korea). Cells were treated without or with AS II (10, 20 and 40 &#x00B5;M) and the plates were incubated for 24 h at 37&#x00B0;C followed by a further 2 h with MTS solution (5 mg/ml). Optical density was measured at 490 nm. Cell viability was calculated using the formula (mean absorbance value of treated cells/mean absorbance value of untreated cells)x100.</p>
</sec>
<sec>
<title>Nitrite production</title>
<p>The cells were seeded at 5&#x00D7;10<sup>4</sup> per well in 96-well culture plates. The RAW 264.7 cells were stimulated with LPS (200 ng/ml) without or with AS II (10, 20 and 40 &#x00B5;M) for 24 h. Nitrite in the cultured RAW 264.7 cell supernatant was determined using Griess reagent (1&#x0025; sulfanilamide, 0.1&#x0025; naphthylethylenediamine dihydrochloride and 2.5&#x0025; phosphoric acid). An equal volume of Griess reagent was mixed with the supernatant and incubated at room temperature for 5 min. Nitrite concentrations were measured at 570 nm using an Epoch microplate spectrophotometer (Biotek Instruments, Inc., Winooski, VT, USA). A sodium nitrite (NaNO<sub>2</sub>) standard curve was used to calculate nitrite concentration.</p>
</sec>
<sec>
<title>Prostaglandin E<sub>2</sub> production</title>
<p>The amount of PGE<sub>2</sub> was determined using a PGE<sub>2</sub> Enzyme Immuno-Assay kit (GE Healthcare Life Sciences, Chalfont, UK) according to the manufacturer&#x0027;s protocols. Briefly, 2.5&#x00D7;10<sup>5</sup> RAW 264.7 cells per well were cultured in 24-well culture plates. AS II (10, 20 and 40 &#x00B5;M) and LPS (200 ng/ml) was added to each well and incubated at 37&#x00B0;C for 24 h. The supernatant was collected and used to measure PGE<sub>2</sub> production.</p>
</sec>
<sec>
<title>Enzyme-linked immunosorbent assay (ELISA)</title>
<p>RAW 264.7 macrophages (2.5&#x00D7;10<sup>5</sup> per well) were cultured in 24-well plates and treated with LPS (200 ng/ml) in the presence or absence of AS II (10, 20 and 40 &#x00B5;M) for 24 h. Levels of TNF-&#x03B1; and IL-6 in the culture media were quantified using ELISA kits, according to the manufacturer&#x0027;s protocols (BD Biosciences). Briefly, ELISA plates (Nalge Nunc International; Thermo Fisher Scientific, Inc.) were coated overnight with coating buffer including anti-mouse IL-6 and TNF-&#x03B1; antibodies. The wells were washed and the samples and standards added. Following a 2 h incubation, biotinylated anti-mouse IL-6 monoclonal antibody and biotinylated anti-mouse TNF-&#x03B1; with streptavidin-horseradish peroxidase reagent were added each well and incubated for 1 h. The wells were washed and the tetramethylbenzidine substrate solution added to the wells and incubated for 30 min in the dark. A stop solution (2N H<sub>3</sub>PO<sub>4</sub>) was added and absorbance was read at 450 nm.</p>
</sec>
<sec>
<title>Western blot analysis</title>
<p>RAW 264.7 cells were plated at 6&#x00D7;10<sup>6</sup> cells per well in 6-well culture plates and treated with LPS (200 ng/ml) in the presence or absence of AS II (10, 20 and 40 &#x00B5;M) for 24 h at 37&#x00B0;C. Following incubation, the cell pellets were lysed in PRO-PREP&#x2122; Protein Extraction Solution on ice for 20 min. Protein levels in collected supernatants were determined using the Bio-Rad protein assay reagent (Bio-Rad Laboratories, Inc., Hercules, CA, USA) according to the manufacturer&#x0027;s protocols. Sodium dodecyl sulfate-polyacrylamide gel (10&#x0025; for iNOS and COX-2; 12&#x0025; for TLR-4) electrophoresis were performed with equal amounts of protein (240 ng/lane) and transferred onto polyvinylidene membranes (EMD Millipore, Billerica, MA, USA). Following blocking with TBS-T [20 mM/l Tris-HCl (pH 7.6), 137 mM/l NaCl, 0.05&#x0025; Tween 20] containing 5&#x0025; skimmed milk, the membranes were incubated overnight at 4&#x00B0;C with primary antibodies (1:1,000). The membranes were washed with TBS-T and incubated for 1 h at room temperature with anti-mouse, anti-goat or anti-rabbit immunoglobulin G horseradish peroxidase-conjugated secondary antibodies (1:2,000). The bands were evaluated by using ECL Prime Western Blotting Detection Reagent and an ImageQuant LAS 4000 Mini BioMolecular Imager (GE Healthcare).</p>
</sec>
<sec>
<title>RNA extraction and reverse transcription-quantitative polymerase chain reaction (RT-qPCR)</title>
<p>RAW 264.7 cells were plated at 6&#x00D7;10<sup>6</sup> cells per well in 6-well culture plates and treated with LPS (200 ng/ml) in the presence or absence of AS II (10, 20 and 40 &#x00B5;M) for 24 h at 37&#x00B0;C. Following incubation, an RNeasy Mini kit was used to isolate total cell RNA. Then, 1 &#x00B5;g total RNA was reverse-transcribed into cDNA using the QuantiTect Reverse Transcription kit (Qiagen GmbH) according to the manufacturer&#x0027;s protocols. RT-qPCR was performed using power SYBR<sup>&#x00AE;</sup> Green PCR master mix according to the manufacturer&#x0027;s protocols. PCR thermocycling conditions were as follows: Holding stage, 1 cycle of 95&#x00B0;C for 10 min; 40 cycles of 95&#x00B0;C for 15 sec and 60&#x00B0;C for 1 min; 1 cycle of 95&#x00B0;C for 15 sec, 60&#x00B0;C for 1 min and 95&#x00B0;C for 15 sec). The PCR products were measured with a StepOnePlus Real-Time RT-PCR System. Relative gene expression was calculated based on the 2<sup>&#x2212;&#x0394;&#x0394;Cq</sup> method (<xref rid="b18-mmr-16-01-0857" ref-type="bibr">18</xref>) using StepOne software version 2.3 (Applied Biosystems, Foster City, CA, USA). &#x03B2;-actin mRNA expression was used as an endogenous control. Primer sets for RT-qPCR are presented in <xref rid="tI-mmr-16-01-0857" ref-type="table">Table I</xref>.</p>
</sec>
<sec>
<title>Immunofluorescence staining</title>
<p>RAW 264.7 cells were cultured in chambered cover glasses (Nalge Nunc International; Thermo Fisher Scientific, Inc.) for 24 h and stimulated with LPS in the presence or absence of AS II. The cells were fixed in 4&#x0025; formaldehyde in PBS for 15 min at room temperature and permeabilized with 100&#x0025; methanol for 10 min at &#x2212;20&#x00B0;C. Specimens were blocked with blocking buffer (PBS with 5&#x0025; serum and 0.3&#x0025; Triton X-100) for 1 h and incubated overnight with polyclonal antibodies (1:200) at 4&#x00B0;C. Fluorochrome-conjugated secondary antibodies (1:500) were applied for 1 h at room temperature in the dark. Following washing with PBS, the nuclei were counterstained with DAPI and fluorescence was visualized using a fluorescence microscope (Ziess AG, Oberkochen, Germany). AlexaFluor 488-conjugated LPS was used to evaluate the effects of AS II on LPS and TLR-4 binding.</p>
</sec>
<sec>
<title>Statistical analyses</title>
<p>The statistical analysis was performed using one-way analysis of variance followed by Scheffe&#x0027;s test for multiple comparisons. Data are presented as mean &#x00B1; standard deviation (n=5). All calculations were performed using SPSS statistics version 22 software (IBM SPSS, Armonk, NY, 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>AS II inhibits LPS-induced NO and PGE<sub>2</sub> production and downregulated iNOS and COX-2 expression</title>
<p>MTS assays were performed to determine the effects of AS II on murine macrophage viability (<xref rid="f1-mmr-16-01-0857" ref-type="fig">Fig. 1A</xref>). The following experiments were accomplished using 40 &#x00B5;M AS II to evaluate its anti-inflammatory effects. As demonstrated in <xref rid="f1-mmr-16-01-0857" ref-type="fig">Fig. 1B and C</xref>, LPS increased production of NO and PGE<sub>2</sub> compared with the untreated group. However, groups pretreated with AS II had significantly decreased levels of NO and PGE<sub>2</sub> production in LPS-stimulated RAW 264.7 cells in a dose-dependent manner up to 40 &#x00B5;M. The effects of AS II on iNOS and COX-2 protein and mRNA expression were examined. iNOS and COX-2 mRNA and protein expression levels were undetectable in the unstimulated group; however, iNOS and COX-2 expression increased significantly in response to LPS. AS II reduced COX-2 protein and mRNA expression by 37 and 45&#x0025;, respectively, at the highest concentration compared with LPS-treated cells. AS II (40 &#x00B5;M) decreased iNOS protein and mRNA expression by 50 and 59&#x0025;, respectively, relative to the LPS=treated group (<xref rid="f1-mmr-16-01-0857" ref-type="fig">Fig. 1D and E</xref>).</p>
</sec>
<sec>
<title>AS II suppresses LPS-induced IL-6 and TNF-&#x03B1; production and mRNA expression</title>
<p>The effects of AS II on synthesis of the pro-inflammatory cytokines IL-6 and TNF-&#x03B1; in LPS-stimulated murine macrophages were investigated. Significantly increased levels of IL-6 and TNF-&#x03B1; following treatment with LPS were reduced by pretreatment with AS II (<xref rid="f2-mmr-16-01-0857" ref-type="fig">Fig. 2A</xref>). The RT-qPCR data demonstrated that AS II reduced the mRNA of these cytokines. IL-6 and TNF-&#x03B1; mRNA expression levels were decreased by up to 49 and 56.8&#x0025; respectively, compared with the LPS only treated group (<xref rid="f2-mmr-16-01-0857" ref-type="fig">Fig. 2B</xref>).</p>
</sec>
<sec>
<title>AS II blocks NF-&#x03BA;B nuclear translocation in murine macrophages</title>
<p>Previous studies have demonstrated that NF-&#x03BA;B is a key transcriptional factor involved in regulating inflammatory mediators, including iNOS, COX-2 and cytokines. As demonstrated in <xref rid="f3-mmr-16-01-0857" ref-type="fig">Fig 3</xref>, NF-&#x03BA;B nuclear translocation was increased in the LPS-stimulated group compared with the untreated group. NF-&#x03BA;B nuclear translocation decreased significantly when AS II was added with LPS (<xref rid="f3-mmr-16-01-0857" ref-type="fig">Fig. 3</xref>).</p>
</sec>
<sec>
<title>AS II decreases recognition of LPS and downregulates TLR-4</title>
<p>The LPS-activated TLR-4 signaling pathway was analyzed by western blot analysis and immunofluorescence staining. Receptor expression was studied 24 h following LPS treatment. TLR-4 expression in LPS-stimulated murine macrophages increased from undetectable levels compared with untreated macrophages. TLR-4 expression was decreased in the experimental groups treated with LPS and AS II. In addition, high fluorescence intensity was observed outside the cell membrane when cells were stimulated with fluorescent-dye conjugated LPS; however, fluorescence intensity weakened in the presence of AS II (<xref rid="f4-mmr-16-01-0857" ref-type="fig">Fig. 4</xref>).</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>The present study examined the potential anti-inflammatory effects of AS II and investigated whether AS II regulates the inflammatory response by suppressing signaling pathways in an LPS-stimulated inflammatory model. NO, which is a reactive oxygen species, is a frontline immune response effector molecule that attacks foreign agents but also has strong cytotoxic effects related with a number of inflammatory diseases (<xref rid="b19-mmr-16-01-0857" ref-type="bibr">19</xref>). Thus, NO is considered an important inflammation parameter (<xref rid="b20-mmr-16-01-0857" ref-type="bibr">20</xref>). Excess production of NO and PGE<sub>2</sub> following an infection is caused by expression of iNOS, which is involved in the synthesis of NO and COX-2, which is the rate-limiting enzyme catalyzing conversion of arachidonic acid. Therefore, NO and PGE<sub>2</sub> are key downstream effectors of iNOS and COX-2 during inflammation (<xref rid="b21-mmr-16-01-0857" ref-type="bibr">21</xref>). The current study identified that AS II reduced LPS-induced NO production and PGE<sub>2</sub> expression in murine macrophages. In addition, iNOS and COX-2 protein and mRNA overexpression decreased following pretreatment with AS II. These results indicated that the effects of AS II on NO and PGE<sub>2</sub> production may be caused by suppression of iNOS and COX-2 expression.</p>
<p>IL-6 and TNF-&#x03B1; are important inflammatory factors in immune responses, including fever and the acute phase response. Macrophages express the pro-inflammatory cytokines TNF-&#x03B1; and IL-6 during inflammation, in addition to other inflammatory factors, including NO and PGs, that initiate the transfer of additional immune cells to the sites of infection or tissue injury (<xref rid="b22-mmr-16-01-0857" ref-type="bibr">22</xref>). As demonstrated in the present study, LPS stimulation increased TNF-&#x03B1; and IL-6 expression in RAW 264.7 cells but AS II downregulated TNF-&#x03B1; and IL-6 protein and mRNA expression levels. These results suggest that AS II exhibits anti-inflammatory activity by inhibiting the expression of pro-inflammatory mediators.</p>
<p>One of the notable findings of the present study was the identification of the effect of AS II on the nuclear translocation of p65, a component of NF-&#x03BA;B induced by LPS. It was demonstrated that AS II reduced nuclear translocation of NF-&#x03BA;B. A heterodimer of p65 and p50, another NF-&#x03BA;B component, binds to inhibitory &#x03BA;B, which is an inhibitor of NF-&#x03BA;B. LPS-induced phosphorylation of inhibitory &#x03BA;B releases NF-&#x03BA;B and allows NF-&#x03BA;B to translocate to the nucleus. Due to this p65 transactivation activity, a key process of NF-&#x03BA;B activation is nuclear translocation of p65 into the nucleus (<xref rid="b23-mmr-16-01-0857" ref-type="bibr">23</xref>). NF-&#x03BA;B is an important transcription factor that regulates immune and inflammatory signaling by promoting the transcription of pro-inflammatory mediators, including iNOS, COX-2 and cytokines, and translocation of NF-&#x03BA;B has been described as a rate-limiting step (<xref rid="b24-mmr-16-01-0857" ref-type="bibr">24</xref>). Thus, the inhibitory effect of AS II on inflammatory mediators may be mediated by blocking the activation of NF-&#x03BA;B.</p>
<p>TLRs are the first to recognize various microbial pathogens that invade the body, including LPS. TLRs initiate downstream pro-inflammatory activities leading to the innate immune response (<xref rid="b25-mmr-16-01-0857" ref-type="bibr">25</xref>). The immune response triggered by interactions between pathogens and TLRs operate an acute and early release of inflammatory mediators. Among them, TLR-4 is the most important receptor that recognizes LPS. The TLR-4 signaling pathway is indispensable for LPS-stimulated NO production in inflammatory cells (<xref rid="b26-mmr-16-01-0857" ref-type="bibr">26</xref>). LPS interacts with TLR-4 by binding to cell membranes, resulting in downstream inflammatory events, which may be responsible for inflammatory disorders (<xref rid="b27-mmr-16-01-0857" ref-type="bibr">27</xref>). LPS-stimulated TLR-4 triggers enhanced NO, TNF-&#x03B1; and IL-6 expression through the TLR-4-NF-&#x03BA;B signaling pathway, which mediates host damage (<xref rid="b28-mmr-16-01-0857" ref-type="bibr">28</xref>). The effects of AS II on the interaction between LPS and TLR-4 in RAW 264.7 macrophage cells was investigated in the current study. The observations from the present study demonstrated that AS II pretreatment markedly attenuated LPS binding to TLR-4 on the cell surface, suggesting that AS II may interfere with TLR-4 clustering. In addition, pretreatment with AS II markedly inhibited LPS-induced TLR-4 expression in RAW 264.7 cells. These observations suggested that the subsequently suppressed activation of the NF-&#x03BA;B signaling pathway by AS II is induced by inhibiting initiation of the intracellular signaling cascade. Previous studies have indicated that certain anti-inflammatory agents compete with LPS for TLR-4 binding, resulting in the downregulation of downstream signaling pathways (<xref rid="b29-mmr-16-01-0857" ref-type="bibr">29</xref>,<xref rid="b30-mmr-16-01-0857" ref-type="bibr">30</xref>). Therefore, the antagonistic function of AS II against TLR-4 may be responsible for the anti-inflammatory effects of AS II in LPS-stimulated RAW 264.7 macrophages.</p>
<p>Previous studies have reported that the TLR4-NF&#x03BA;B signaling pathway is the main mechanism for the inflammatory response following LPS stimulation (<xref rid="b31-mmr-16-01-0857" ref-type="bibr">31</xref>,<xref rid="b32-mmr-16-01-0857" ref-type="bibr">32</xref>). The results of the present study demonstrated that AS II exerted anti-inflammatory actions that may be mediated by inhibition of LPS-TLR-4 binding in activated RAW 264.7 cells. Other experiments demonstrated that AS II inhibited NO production in murine macrophages and attenuated the LPS-induced inflammatory response by downregulating the NF-&#x03BA;B pathway. It is hypothesized that AS II inhibits downstream inflammatory mediators (iNOS and COX-2) and markers (NO, PGE<sub>2</sub>, IL-6 and TNF-&#x03B1;) through this action. Therefore, the results of the present study indicated that AS II may be useful for the prevention of inflammatory diseases.</p>
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</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The present study was supported by Wonkwang University (Jeollabuk, Korea) in 2017.</p>
</ack>
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</back>
<floats-group>
<fig id="f1-mmr-16-01-0857" position="float">
<label>Figure 1.</label>
<caption><p>Effect of AS II on cell viability and inflammatory mediators, NO, PGE<sub>2</sub>, COX2 and iNOS in RAW 264.7 cells. (A) Cell viability was evaluated with the MTS assay. (B) NO release was measured by the Griess assay. (C) The effects of AS II on production of PGE<sub>2</sub> were determined according to the manufacturer&#x0027;s protocol. (D) Cells used in the western blot analysis and (E) reverse transcription-quantitative polymerase chain reaction were pretreated with AS II for 30 min and then incubated with LPS (200 ng/ml) for 24 h. Representative western blotting of at least three separate experiments are demonstrated. &#x002A;P&#x003C;0.05 vs. LPS-treated group. Significant differences between the treated groups were determined using analysis of variance followed by Scheffe&#x0027;s test for multiple comparisons. Values are means &#x00B1; standard deviations of duplicate determinations from three separate experiments. AS II, araliasaponin II; NO, nitric oxide; PGE<sub>2</sub>, prostaglandin E<sub>2</sub>; iNOS, inducible nitric oxide synthase; COX-2, cyclooxygenase-2; LPS, lipopolysaccharide.</p></caption>
<graphic xlink:href="MMR-16-01-0857-g00.tif"/>
</fig>
<fig id="f2-mmr-16-01-0857" position="float">
<label>Figure 2.</label>
<caption><p>Effect of AS II on LPS-induced IL-6 and TNF-&#x03B1; production in RAW 264.7 cells. The culture supernatant was isolated and analyzed to measure (A) IL-6 and TNF-&#x03B1; production. (B) IL-6 and TNF-&#x03B1; expression levels in mRNA levels were evaluated by reverse transcription-quantitative polymerase chain reaction. &#x002A;P&#x003C;0.05 vs. LPS-treated group. Significant differences between treated groups were determined using Student&#x0027;s t-test. Values are means &#x00B1; standard errors of duplicate determinations from three separate experiments. AS II, araliasaponin II; LPS, lipopolysaccharide; IL-6, interleukin-6; TNF-&#x03B1;, tumor necrosis factor-&#x03B1;.</p></caption>
<graphic xlink:href="MMR-16-01-0857-g01.tif"/>
</fig>
<fig id="f3-mmr-16-01-0857" position="float">
<label>Figure 3.</label>
<caption><p>Effects of AS II on NF-&#x03BA;B nuclear translocation. Localization of NF-&#x03BA;B/p65 was visualized with a fluorescence microscope following immunofluorescence staining. Nuclei were counterstained with DAPI. Similar results were obtained in three independent experiments and results of one representative experiment are demonstrated. Scale bars=20 &#x00B5;m. AS II, araliasaponin II; NF-&#x03BA;B, nuclear factor-&#x03BA;B; DAPI, 4&#x2032;,6-diamidino-2-phenylindole; LPS, lipopolysaccharide.</p></caption>
<graphic xlink:href="MMR-16-01-0857-g02.tif"/>
</fig>
<fig id="f4-mmr-16-01-0857" position="float">
<label>Figure 4.</label>
<caption><p>Effects of AS II on TLR-4 expression and the interaction between LPS and TLR-4. Cells used in (A) western blot analysis and (B) immunofluorescence staining were pretreated with AS II for 30 min and then incubated with LPS (200 ng/ml) for 24 h. Representative western blots of at least three separate experiments are demonstrated. Interactions between LPS and TLR-4 were visualized with a fluorescence microscope following immunofluorescence staining. Nuclei were counterstained with DAPI. Similar results were obtained in three independent experiments and the results of one representative experiment are presented. AS II, araliasaponin II; LPS, lipopolysaccharide; TLR-4, Toll-like receptor 4; DAPI, 4&#x2032;,6-diamidino-2-phenylindole.</p></caption>
<graphic xlink:href="MMR-16-01-0857-g03.tif"/>
</fig>
<table-wrap id="tI-mmr-16-01-0857" position="float">
<label>Table I.</label>
<caption><p>Sequences of primers used for reverse transcription-quantitative polymerase chain reaction.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Gene</th>
<th align="center" valign="bottom">Forward (5&#x2032;-3&#x2032;)</th>
<th align="center" valign="bottom">Reverse (5&#x2032;-3&#x2032;)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">iNOS</td>
<td align="left" valign="top">GCAGAGATTGGAGGCCTTGTG</td>
<td align="left" valign="top">GGGTTGTTGCTGAACTTCCAGTC</td>
</tr>
<tr>
<td align="left" valign="top">COX-2</td>
<td align="left" valign="top">GCCAGGCTGAACTTCGAAACA</td>
<td align="left" valign="top">CAGATGACCTAGTAACGGACT</td>
</tr>
<tr>
<td align="left" valign="top">IL-6</td>
<td align="left" valign="top">TCTATACCACTTCACAAGTCGGA</td>
<td align="left" valign="top">GAATTGCCATTGCACAACTCTTT</td>
</tr>
<tr>
<td align="left" valign="top">TNF-&#x03B1;</td>
<td align="left" valign="top">ATGAGCACTGAAAGCATGATC-</td>
<td align="left" valign="top">CATCCGTAAAGACCTCTATGCCAAC</td>
</tr>
<tr>
<td align="left" valign="top">&#x03B2;-actin</td>
<td align="left" valign="top">CATCCGTAAAGACCTCTATGCCAAC</td>
<td align="left" valign="top">ATGGAGCCACCGATCCACA</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn1-mmr-16-01-0857"><p>iNOS, inducible nitric oxide synthase; COX-2, cyclooxygenase-2; IL-6, interleukin-6; TNF-&#x03B1;, tumor necrosis factor-&#x03B1;.</p></fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</article>
