Molecular Medicine Reports Molecular Medicine Reports 1791-2997 1791-3004 D.A. Spandidos 10.3892/mmr.2018.9777 mmr-19-03-1958 Articles Kaempferol inhibits multiple pathways involved in the secretion of inflammatory mediators from LPS-induced rat intestinal microvascular endothelial cells BianYifei LiuPing ZhongJia HuYusheng FanYingsai ZhuangShen LiuZhongjie Division of Traditional Chinese Veterinary Medicine, College of Veterinary Medicine, China Agricultural University, Beijing 100193, P.R. China Correspondence to: Professor Zhongjie Liu, Division of Traditional Chinese Veterinary Medicine, College of Veterinary Medicine, China Agricultural University, 2 Yuan Ming Yuan West Road, Beijing 100193, P.R. China, E-mail: liuzhongjiecau@163.com 032019 18122018 19 3 1958 1964 06032018 08112018 Copyright © 2019, Spandidos Publications 2019

Inflammatory bowel disease (IBD) is a chronic, idiopathic inflammatory disease of the small and/or large intestine. Endothelial expression of inflammatory mediators, including cytokines and adhesion molecules, serves a critical role in the initiation and progression of IBD. The dietary flavonoid, kaempferol, has been reported to inhibit expression of inflammatory mediators; however, the underlying mechanisms require further investigation. In the present study, a novel molecular mechanism of kaempferol against IBD was identified. The potential anti-inflammatory effect of kaempferol in a cellular model of intestinal inflammation was assessed using lipopolysaccharide (LPS)-induced rat intestinal microvascular endothelial cells (RIMVECs), and an underlying key molecular mechanism was identified. RIMVECs were pretreated with kaempferol of various concentrations (12.5, 25 and 50 µM) followed by LPS (10 µg/ml) stimulation. ELISA was used to examine the protein levels of tumor necrosis factor-α (TNF-α), interleukin-1β (IL-1β), IL-6, intercellular adhesion molecule-1 (ICAM-1) and vascular cell adhesion molecule-1 (VCAM-1) in the supernatant. Protein expression levels of Toll-like receptor 4 (TLR4), nuclear factor-κB (NF-κB) p65, inhibitor of NF-κB, mitogen-activated protein kinase p38 and signal transducer and activator of transcription (STAT) in cells were measured by western blotting. Kaempferol significantly reduced the overproduction of TNF-α, IL-1β, interleukin-6, ICAM-1 and VCAM-1 induced by LPS, indicating the negative regulation of kaempferol in TLR4, NF-κB and STAT signaling underlying intestinal inflammation. The present results provide support for the potential use of kaempferol as an effective therapeutic agent for IBD treatment.

 kaempferol inflammatory bowel disease inflammatory mediators toll-like receptor 4 nuclear factor-κB mitogen-activated protein kinase signal transducer and activator of transcription Introduction

Inflammatory bowel disease (IBD) primarily comprises two principal conditions, Crohn's disease and ulcerative colitis (UC), characterized by chronic gastrointestinal inflammation with alternating periods of relapse and remission (1). A variety of inflammatory mediators are involved in the pathogenesis of IBD, including tumor necrosis factor-α (TNF-α), interleukin-1β (IL-1β), IL-6 and intercellular adhesion molecule-1 (ICAM-1) (2). Excessive inflammatory mediators may lead to edema, ulceration and carcinogenesis of colon tissue (2,3). Therefore, effective regulation of the secretion of inflammatory factors is essential for IBD treatment.

The etiology of IBD is not yet completely understood; it is believed that a complex interaction among genetic, immunological, metabolic, vascular, microbial and social factors leads to dysregulated and persistent inflammation (4). The current therapies for IBD rely highly on the use of immune suppressive drugs, including 5-aminosalicylic acid and corticosteroids (5). However, a number of patients either do not respond to these agents or demonstrate significant adverse effects (5). There is an urgent need to develop novel and effective anti-inflammatory substances with minimal side effects. Dietary flavonoids have been demonstrated to effectively and mildly regulate expression of inflammatory cytokines, alleviate the necrosis of colon tissue and relieve clinical symptoms in patients with IBD (6,7).

Kaempferol (3,5,7-trihydroxy-2-(4-hydroxyphenyl)-4H-1-benzopyran-4-one), a flavonoid widely distributed in fruits, vegetables and plant-based foods, has been reported to possess anti-inflammatory, anti-diabetic, anti-hypertensive, anti-depressant and anti-ulcerative properties by acting on various cellular pathways (8–10). A previous study demonstrated that kaempferol had the most effective anti-inflammatory activities among eight polyphenols in a lipopolysaccharide (LPS)-induced Raw 264.7 cell model (11). In vivo studies additionally suggested that kaempferol exerts a distinct anti-inflammatory effect on dextran sulfate sodium-induced UC in mice (12). However, to the best of our knowledge, there are no studies at present that have focused on the role keampferol serves in LPS-induced intestinal microvascular endothelial cells. Intestinal microvascular endothelial cells, the primary components of the intestinal capillaries, have been demonstrated to be one of the most important secretory and immune cells in the process of inflammation, which is closely associated with the occurrence and progression of IBD (12,13).

In order to further investigate the beneficial effect of kaempferol and the possible mechanisms involved in the intestinal inflammation process, LPS-stimulated rat intestinal microvascular endothelial cells (RIMVECs) were used to establish a cell model of IBD. It was demonstrated that kaempferol may alleviate LPS-induced inflammatory mediators, including TNF-α, IL-1β, IL-6, ICAM-1 and vascular cell adhesion molecule-1 (VCAM-1), by suppressing the activation of toll-like receptor 4 (TLR4), signal transducer and activator of transcription (STAT) and nuclear factor-κB (NF-κB).

 Materials and methods <sec> <title>Reagents and antibodies

Kaempferol (purity ≥98%) was purchased from the National Institutes for Food and Drug Control (Beijing, China). Kaempferol was dissolved in dimethyl sulfoxide (DMSO); the final concentration of DMSO was <0.1% (v/v) when kaempferol was added to the experimental cells. Cell culture reagents, namely Dulbecco's modified Eagle's medium (DMEM) and fetal bovine serum (FBS) were obtained from Gibco (Thermo Fisher Scientific, Inc., Waltham, MA, USA). Endothelial cell growth supplement (ECGS) was purchased from EMD Millipore (Billerica, MA, USA). LPS (Escherichia coli 055:B5) was provided by Sigma-Aldrich (Merck KGaA, Darmstadt, Germany). The Cell Counting Kit-8 (CCK-8) was purchased from Dojindo Molecular Technologies, Inc. (Kumamoto, Japan). Rat TNF-α (cat. no. DY510), IL-1β (cat. no. DY501), IL-6 (cat. no. DY506), ICAM-1 (cat. no. DY583) and VCAM-1 (cat. no. DY809) ELISA kits were obtained from R&D Systems, Inc. (Minneapolis, MN, USA). Antibodies for TLR4 (cat. no. ab22048), phosphorylated (p)-inhibitor of κB (I-κB) (cat. no. ab133462) and p-NF-κB p65 (cat. no. ab28856) were purchased from Abcam (Cambridge, UK). Antibodies for p-p38 (cat. no. 4511) mitogen-activated protein kinase (MAPK) and p-STAT (cat. no. 9145) were obtained from Cell Signaling Technology, Inc. (Danvers, MA, USA). The antibody against β-actin (cat. no. AC006) was purchased from ABclonal Biotech Co., Ltd. (Wuhan, China).

 Cell culture and treatment

RIMVECs were isolated and cultured, as described previously (14,15). A total of six neonatal rats at 1-day-old (gender undetermined; weight, 5–8 g) were purchased from the Academy of the Military Medical Sciences (Beijing, China). The present study was approved by the China Agriculture University Institutional Animal Care and Use Committee (approval no. CAU20160031201). RIMVECs were maintained with DMEM containing 15% (v/v) FBS, 0.5% (w/v) ECGS, and 1% (v/v) penicillin-streptomycin mixed solution. All cells were incubated at 37°C in a humidified incubator with 5% CO2. Cells were starved in serum-free medium for 12 h prior to each experiment.

 Cell viability assay

Cell viability was measured with a CCK-8 assay. RIMVECs were seeded at a density of 1×104 cells/well in 96-well plates for 24 h. Subsequently, the cells were treated with 100 µl of kaempferol at different concentrations (200, 100, 50, 25, 12.5 and 6.25 µM) for 12 h. Following treatment, the medium was removed, and cells were cultured in 100 µl fresh DMEM containing 10% CCK-8 solution at 37°C for 2 h. Cell viability was determined by measuring the absorbance with a microplate reader (Bio-Rad Laboratories, Inc., Hercules, CA, USA) at 450 nm.

 Measurement of cytokines and adhesion protein

TNF-α, IL-1β, IL-6, ICAM-1, and VCAM-1 protein expression levels in culture supernatant were measured by ELISA, according to the manufacturer's protocol. RIMVECs were seeded in 12-well plates (1×105 cells/well). At 90% confluency, the cells were washed with PBS prior to the addition of medium with different concentrations of kaempferol (50, 25 and 12.5 µM). After 3 h, cells were washed once with PBS and subsequently stimulated with 10 µg/ml LPS (1 ml/well) for 6 h (TNF-α, IL-1β and IL-6) or 12 h (ICAM-1 and VCAM-1) prior to the collection of the supernatant and measurement of inflammatory factors.

 Western blot analysis

At the end of the incubation period, cells were lysed in radioimmunoprecipitation lysis buffer (2% SDS; 10% glycerol; 62.5 mM Tris-HCl buffer; pH 6.8) on ice. Protein concentrations were determined using a bicinchoninic acid protein assay kit (Beyotime Institute of Biotechnology, Haimen, China). Samples with equal quantities of total protein (20 µg) were loaded and separated by 10% SDS-PAGE and transferred to nitrocellulose membranes (Pierce; Thermo Fisher Scientific, Inc.). The membranes were blocked in 5% bovine serum albumin (Gibco; Thermo Fisher Scientific, Inc.) for 1 h at room temperature, and were immunoblotted with the specific primary antibodies against TLR4 (1:800), p-NF-κB p65 (1:1,000), p-I-κB (1:1,000), p-p38 (1:800), p-STAT (1:800) and β-actin (1:2,000) overnight at 4°C. Membranes were subsequently incubated with horseradish peroxidase-conjugated secondary antibody (1:10,000; Cell Signaling Technology, Inc.; cat. no. SC3901) for 1 h at room temperature. Subsequently, the blots were visualized with an enhanced chemiluminescence immunoblotting detection system (Beyotime Institute of Biotechnology) and quantified using ImageJ (v1.51; National Institutes of Health, Bethesda, MD, USA).

 Statistical analysis

Data are expressed as mean ± standard deviation, and analyzed by one-way analysis of variance followed by Student-Newman-Keuls test for multiple comparisons. All analyses were performed by GraphPad Prism 7 software (GraphPad Software Inc., La Jolla, CA, USA). P<0.05 was considered to indicate a statistically significant difference.

 Results <sec> <title>Viability of RIMVECs treated with kaempferol

The chemical structure of kaempferol is presented in Fig. 1A. The cytotoxicity of kaempferol was assessed using the CCK-8 assay. As demonstrated in Fig. 1B, a high concentration of kaempferol (200 µM) significantly decreased cell viability (P<0.01); whereas, treatment with concentrations between 6.25 and 100 µM kaempferol exhibited no effect on cell viability. These results suggest that kaempferol is non-cytotoxic to RIMVECs within the concentrations of 3.125 and 100 µM. According to the results, concentrations of 12.5, 25 and 50 µM kaempferol were selected for subsequent experimentation.

 Kaempferol decreases TNF-α, IL-1β and IL-6 upregulation induced by LPS

Pretreatment for 3 h with kaempferol at different concentrations (12.5, 25 and 50 µM) was followed by treatment with LPS (10 µg/ml) stimulation for 6 h. As presented in Fig. 2, LPS stimulation significantly increased the secretion of inflammatory mediators above basal expression levels (Fig. 2A, TNF-α, 2.61-fold; Fig. 2B, IL-1β, 2.36-fold; Fig. 2C, IL-6, 4.25-fold; P<0.01). Pretreatment with kaempferol at all concentrations resulted in significant decreases in the concentrations of TNF-α, IL-1β and IL-6 compared with the LPS-model group (P<0.01).

 Kaempferol partially suppresses LPS-induced ICAM-1 and VCAM-1 overproduction

As presented in Fig. 3, LPS stimulation significantly increased the secretion of inflammatory mediators above the basal expression levels (Fig. 3A, ICAM-1, 2.04-fold; Fig. 3B, VCAM-1, 3.67-fold; P<0.01). Although no significant reduction in ICAM-1 and VCAM-1 secretion was observed in the 12.5 µM kaempferol group, significant decreases in ICAM-1 and VCAM-1 concentration were observed in the 50 and 25 µM kaempferol groups compared with the LPS-treated group (P<0.05).

 Kaempferol inhibits LPS-induced NF-κB p65 and I-κB phosphorylation

The NF-κB pathway serves a critical role in the secretion of cytokines (10). The anti-inflammatory effect of kaempferol may be associated with the prevention of NF-κB activation. As presented in Fig. 4, there was a significant increase in the phosphorylation of the p65 subunit (p-NF-κB p65/NF-κB p65 ratio) and I-κB (p-I-κB/I-κB) in the model group compared with the control group (P<0.01). However, pretreatment with three different concentrations of kaempferol significantly decreased the LPS-induced increased p-NF-κB p65/β-actin ratio (P<0.01). As for I-κB, although 12.5 and 25 µM kaempferol was not able to decrease the phosphorylation of I-κB induced by LPS, treatment with 50 µM kaempferol significantly decreased the p-I-κB level (P<0.01).

 Kaempferol inhibits LPS-induced TLR4 overexpression

Activation of the TLR4 signaling pathway may directly lead to the activation of NF-κB to regulate the production of cytokines (9,10). The present results demonstrated that LPS significantly upregulated TLR4 expression (Fig. 5; P<0.01). Pretreatment with different concentrations of kaempferol significantly inhibited the LPS-induced overexpression of TLR4 (Fig. 5; P<0.01).

 Kaempferol does not affect LPS-induced p38 MAPK phosphorylation

The p38 MAPK signaling pathway additionally serves an important role in inflammatory response. In response to LPS, the level of p-p38 was significantly upregulated in the model group compared with the control group (Fig. 6; P<0.01). Compared with the model group, kaempferol at 50 µM did not affect the expression level of p-p38.

 Kaempferol inhibits LPS-induced STAT phosphorylation

The STAT pathway is another important inflammatory signaling pathway. As demonstrated in Fig. 7, cells subjected to LPS exhibited significantly increased STAT phosphorylation compared with the control group (P<0.01). By contrast, significant downregulation STAT phosphorylation was observed in the 50 µM kaempferol treatment group compared with the model group (P<0.01).

 Discussion

IBD is a chronic inflammatory disease of intestinal mucosa and submucosa, characterized by disruption of the intestinal epithelial barrier, increased production of inflammatory mediators and excessive tissue injury (16). Intestinal microvascular endothelial cells, the primary components of intestinal capillaries, have been demonstrated to be one of the most important secretory and immune cells in IBD (13). Intestinal microvascular endothelial cells produce and respond to inflammatory mediators (17,18). As demonstrated in previous studies, in response to LPS stimulation, RIMVECs express the inflammatory cytokines, TNF-α, IL-1β and IL-6, the chemokine IL-8, the adhesion molecule ICAM-1 and other inflammatory mediators, including nitric oxide and endothelin-1 (14,19,20). Considering that LPS is a principal pro-inflammatory factor in the progression of IBD (21), LPS-stimulated RIMVECs were selected as a cellular model of intestinal inflammation.

Inflammatory mediators, including cytokines, adhesion proteins and chemokines, have an important role in the pathogenesis of IBD. TNF-α is the earliest and primary endogenous mediator in the inflammatory process. It has a pro-inflammatory effect through an increased production of IL-1β, IL-6, adhesion molecules and pro-coagulant factors (17). Furthermore, TNF-α is an initiation factor of acute immune responses, cytotoxicity and apoptosis, but can also inhibit apoptosis (2,22). In the present study, it was demonstrated that kaempferol was able to protect RIMVECs from LPS-induced overexpression of three inflammatory mediators, TNF-α, IL-1β and IL-6. Therefore, the results of the present suggested that the inhibition of inflammatory cytokines may contribute to the protective effects of kaempferol in IBD.

In IBD, activation of microvascular endothelial cells and adhesion of circulating immune cells is required for the initiation and maintenance of inflammation (23). Pro-inflammatory cytokines, including TNF-α and IL-1β, induce inflammatory responses in the vascular endothelium, which results in enhanced expression of cell adhesion molecules, including ICAM-1 and VCAM-1 (2). Overexpression of adhesion molecules in the intestinal endothelium may promote recruitment and adhesion of leukocytes, promoting the process of inflammatory response (9,24). In the present study, the beneficial effect of kaempferol was demonstrated in the altered production of ICAM-1 and VCAM-1. The overexpression of ICAM-1 and VCAM-1 is involved in inflammatory processes; however, are additionally closely associated with intestinal carcinogenesis, secondary to IBD (17,25). Therefore, the present results suggest that kaempferol may effectively reduce the expression of inflammatory mediators, against intestinal inflammation, and may reduce the risk of carcinogenesis in patients with IBD.

NF-κB has an essential role in regulating the expression of inflammatory cytokines and adhesion molecules (26). Due to the pivotal role of NF-κB in inflammation, the blockade of NF-κB activity is considered to be associated with inhibition of the inflammatory signaling cascade (27,28). Inhibition of NF-κB activation is an effective strategy for preventing the progression of IBD in experimental animal models and preventing inflammatory cytokine production in patients with IBD (29). Under basal conditions, NF-κB is sequestered in the cytoplasm by a family of inhibitory proteins known as inhibitors of NF-κB (I-κBs). Following stimulation with LPS, NF-κB is activated, triggering expression of a series of inflammatory cytokine (28). In the present study, LPS increased the phosphorylation of NF-κB p65 and I-κB, which effectively indicates the activation level of NF-κB. However, kaempferol significantly reduced the LPS-induced activation of NF-κB, suggesting that the anti-inflammatory activities of kaempferol were due to the inhibitory effect on NF-κB. The present study suggested a direct role of kaempferol in the prevention of LPS-stimulated NF-κB activation in RIMVECs.

TLRs are pattern recognition receptors that ‘sense’ microbes and alert the immune system through activation of transcription factors (including NF-κB) and the secretion of inflammatory mediators (9). TLR4 is the specific ligand of LPS, serving an important role in inflammatory disease, including IBD. Activation of TLR4 may lead to phosphorylation of MAPKs, IκB kinases and NF-κB, eventually contributing to the expression of pro-inflammatory cytokines (30,31). Compared with the significantly increased expression of TLR4 in LPS-treated RIMVECs, the administration of kaempferol significantly reduces the TLR4 expression in LPS-treated cells. This suggests that kaempferol may represent a novel strategy to limit the TLR4-mediated inflammatory process.

The MAPK signaling pathways, including extracellular signal-regulated kinase 1 and 2, c-jun N-terminal kinase and p38, are closely associated with the expression of inflammatory mediators and oxidative damage (32). Previous studies demonstrated that MAPKs are highly activated and mediate pro-inflammatory cytokines, including TNF-α, IL-1β and IL-6 in the colon tissue of an IBD mice model and patients with IBD (33,34). Kaempferol was demonstrated to suppress the expression of the LPS-induced MAPK pathway in the human monocytic cell line THP-1 (35), in addition to suppressing the production of cyclooxygenase-2 (COX-2), prostaglandin E2 and matrix metalloproteinases (MMPs) via MAPK in IL-1β-induced rheumatoid arthritis synovial fibroblasts (36). Additionally, kaempferol treatment of the human synovial sarcoma cell line, SW982 cells, significantly inhibited IL-1β-induced p38 MAPK phosphorylation, which were involved in the production of IL-6, IL-8, MMP and COX-2 (37). However, the role of kaempferol in IBD-associated cells has rarely been studied. In the present study, it was identified that kaempferol did not demonstrate any detectable influence on the phosphorylation of p38 in LPS-stimulated RIMVECs. The present results suggest that the anti-inflammatory effect of kaempferol is not dependent on the p38 MAPK pathway.

The STAT pathway is another crucial signaling cascade involved in IBD. It is well documented that the STAT pathway is not only associated with the inflammatory process in IBD; however, is additionally associated with further serious conditions, including colorectal cancer development (38,39). Recent studies demonstrated that luteolin, a naturally occurring flavonoid, inhibited the Janus kinase (JAK)/STAT pathway in cytokine-induced HT-29 cells, a human epithelial cell line (39). Curcumin, a natural phenol, suppressed inflammation of TNBS-induced colitis in mice via STAT signaling (40). Although it was demonstrated that kaempferol attenuates inflammation by suppressing the STAT pathway in human airway epithelial cells (41), to the best of our knowledge, no study has focused on the effect of kaempferol on the JAK/STAT pathway in IBD-associated cells. The results of the present suggest that STAT may be associated with the suppressive effects of kaempferol against the production of inflammatory mediators in LPS-stimulated RIMVECs.

In conclusion, it was demonstrated that kaempferol significantly inhibits the LPS-induced expression of the inflammatory mediators TNF-α, IL-1β, IL-6, ICAM-1 and VCAM-1 by inhibiting TLR4, NF-κB and STAT signaling, but not by activating p38 MAPK signaling in RIMVECs. The present results provide novel insight for the inflammatory effect of kaempferol in endothelial cells. It suggests that kaempferol may be an effective therapeutic agent for treatment of IBD, and that fruits and herbs rich in kaempferol may be incorporated into potential health care products for patients with IBD.

 Acknowledgements

Not applicable.

 Funding

The present study was funded by the National Natural Science Foundation of China (grant no. 31472228).

 Availability of data and materials

All data generated or analyzed during this study are included in this published article.

 Authors' contributions

YB designed and participated in all of the experiments, and was a major contributor in writing the manuscript. PL, JZ and YH were in charge of culturing the primary cells. YF and SZ performed the western blotting. ZL revised the manuscript, and was a major contributor in designing the experiments. All authors read and approved the final manuscript.

 Ethics approval and consent to participate

The present study was approved by the China Agriculture University Institutional Animal Care and Use Committee (approval no. CAU20160031201).

 Patient consent for publication

Not applicable.

 Competing interests

The authors declare that they have no competing interests.

 References VezzaTRodríguez-NogalesAAlgieriFUtrillaMPRodriguez-CabezasMEGalvezJFlavonoids in inflammatory bowel disease: A reviewNutrients8211201610.3390/nu8040211270706424848680 MoldoveanuACDiculescuMBraticeviciCFCytokines in inflammatory bowel diseaseRom J Intern Med53118127201526402980 KlampferLCytokines, inflammation and colon cancerCurr Cancer Drug Targets11451466201110.2174/156800911795538066212473783540985 LiuTCStappenbeckTSGenetics and pathogenesis of inflammatory bowel diseaseAnnu Rev Pathol11127148201610.1146/annurev-pathol-012615-044152269075314961083 de BoerNKvan BodegravenAAJharapBde GraafPMulderCJDrug Insight: Pharmacology and toxicity of thiopurine therapy in patients with IBDNat Clin Pract Gastroenterol Hepatol4686694200710.1038/ncpgasthep100018043678 DoddaDChhajedRMishraJProtective effect of quercetin against acetic acid induced inflammatory bowel disease (IBD) like symptoms in rats: Possible morphological and biochemical alterationsPharmacol Rep66169173201410.1016/j.pharep.2013.08.01324905324 ParkMYJiGESungMKDietary kaempferol suppresses inflammation of dextran sulfate sodium-induced colitis in miceDig Dis Sci57355363201210.1007/s10620-011-1883-821901258 YaoLYaoJHanCYangJChaudhryMTWangSLiuHYinYQuercetin, Inflammation and ImmunityNutrients8167201610.3390/nu8030167269991944808895 BhaskarSSudhakaranPRHelenAQuercetin attenuates atherosclerotic inflammation and adhesion molecule expression by modulating TLR-NF-κB signaling pathwayCell Immunol310131140201610.1016/j.cellimm.2016.08.01127585526 ChoSYParkSJKwonMJJeongTSBokSHChoiWYJeongWIRyuSYDoSHLeeCSQuercetin suppresses proinflammatory cytokines production through MAP kinases andNF-kappaB pathway in lipopolysaccharide-stimulated macrophageMol Cell Biochem243153160200310.1023/A:102162452074012619901 ParkMYKwonHJSungMKEvaluation of aloin and aloe-emodin as anti-inflammatory agents in aloe by using murine macrophagesBiosci Biotechnol Biochem73828832200910.1271/bbb.8071419352036 BinionDGWestGAInaKZiatsNPEmancipatorSNFiocchiCEnhanced leukocyte binding by intestinal microvascular endothelial cells in inflammatory bowel diseaseGastroenterology11218951907199710.1053/gast.1997.v112.pm91786829178682 SwerlickRALawleyTJRole of microvascular endothelial cells in inflammationJ Invest Dermatol100Suppl111S115S199310.1111/1523-1747.ep123565958423379 DuanHZhangYXuJQiaoJSuoZHuGMuXEffect of anemonin on NO, ET-1 and ICAM-1 production in rat intestinal microvascular endothelial cellsJ Ethnopharmacol104362366200610.1016/j.jep.2005.09.03416257161 SuoZMuXXuJWangZWangXDuanHHuGYangZHuangHIn vitro culture of rat intestinal mucous microvascular endothelial cellsActa Anatomica Sinica362142172005(In Chinese) KasperJYHermannsMICaveliusCKraegelohAJungTDanzebrinkRUngerREKirkpatrickCJThe role of the intestinal microvasculature in inflammatory bowel disease: Studies with a modified Caco-2 model including endothelial cells resembling the intestinal barrier in vitroInt J Nanomedicine1163536364201610.2147/IJN.S92608279944545153260 FrancesconeRHouVGrivennikovSICytokines, IBD, and colitis-associated cancerInflam Bowel Dis21409418201510.1097/MIB.0000000000000236 LuJTXuATShenJRanZHCrosstalk between intestinal epithelial cell and adaptive immune cell in intestinal mucosal immunityJ Gastroenterol Hepatol32975980201710.1111/jgh.1372328072910 HuYSLinRYBianYFFanKLiuZJProtective effect of kushenlu on lipopolysaccharide-induced small intestinal inflammation in ratsInt J Pharmacol13473480201710.3923/ijp.2017.473.480 LiuJXueJZhuZHuGRenXLactic acid inhibits NF-κB activation by lipopolysaccharide in rat intestinal mucosa microvascular endothelial cellsAgr Sci China10954959201110.1016/S1671-2927(11)60081-3 XavierRJPodolskyDKUnravelling the pathogenesis of inflammatory bowel diseaseNature448427434200710.1038/nature0600517653185 XanthouleaSPasparakisMKousteniSBrakebuschCWallachDBauerJLassmannHKolliasGTumor Necrosis Factor (TNF) receptor shedding controls thresholds of innate immune activation that balance opposing TNF functions in infectious and inflammatory diseasesJ Exp Med200367376200410.1084/jem.20040435152895052211976 BinionDGRafieePIs inflammatory bowel disease a vascular disease? Targeting angiogenesis improves chronic inflammation in inflammatory bowel diseaseGastroenterology136400403200910.1053/j.gastro.2008.12.02919111728 MeddaRLyrosOSchmidtJLJovanovicNNieLLinkBJOttersonMFStonerGDShakerRRafieePAnti inflammatory and anti angiogenic effect of black raspberry extract on human esophageal and intestinal microvascular endothelial cellsMicrovasc Res97167180201510.1016/j.mvr.2014.10.00825446010 DhawanAFriedrichsJBoninMVBejestaniEPWernerCWobusMChavakisTBornhäuserMBreast cancer cells compete with hematopoietic stem and progenitor cells for intercellular adhesion molecule 1-mediated binding to the bone marrow microenvironmentCarcinogenesis37759767201610.1093/carcin/bgw05727207667 ChenXYangXLiuTGuanMFengXDongWChuXLiuJTianXCiXKaempferol regulates MAPKs and NF-κB signaling pathways to attenuate LPS-induced acute lung injury in miceInt Immunopharmacol14209216201210.1016/j.intimp.2012.07.00722835426 ComaladaMCamuescoDSierraSBallesterIXausJGálvezJZarzueloAIn vivo quercitrin anti-inflammatory effect involves release of quercetin, which inhibits inflammation through down-regulation of the NF-kappaB pathwayEur J Immunol35584592200510.1002/eji.20042577815668926 CuiLFengLZhangZHJiaXBThe anti-inflammation effect of baicalin on experimental colitis through inhibiting TLR4/NF-κB pathway activationInt Immunopharmacol23294303201410.1016/j.intimp.2014.09.00525239813 LiZZhangDKYiWQOuyangQChenYQGanHTNF-kappaB p65 antisense oligonucleotides may serve as a novel molecular approach for the treatment of patients with ulcerative colitisArch Med Res39729734200810.1016/j.arcmed.2008.08.00118996285 LucasKMaesMRole of the toll like receptor (TLR) radical cycle in chronic inflammation: Possible treatments targeting the TLR4 pathwayMol Neurobiol48190204201310.1007/s12035-013-8425-723436141 AkiraSHoshinoKKaishoTThe role of Toll-like receptors and MyD88 in innate immune responsesJ Endotoxin Res6383387200010.1177/0968051900006005090111521059 ChenCChenYHLinWWInvolvement of p38 mitogen-activated protein kinase in lipopolysaccharide-induced iNOS and COX-2 expression in J774 macrophagesImmunology97124129199910.1046/j.1365-2567.1999.00747.x104477232326802 LiuWLiuYWangZYuTLuQChenHSuppression of MAPK and NF-κB pathways by schisandrin B contributes to attenuation of DSS-induced mice model of inflammatory bowel diseasePharmazie70598603201526492645 AmiotAPeyrin-BirouletLCurrent, new and future biological agents on the horizon for the treatment of inflammatory bowel diseasesTher Adv Gastroenter86682201510.1177/1756283X14558193 HuangCHJanRLKuoCHChuYTWangWLLeeMSChenHNHungCHNatural flavone kaempferol suppresses chemokines expression in human monocyte THP-1 cells through MAPK pathwaysJ Food Sci75H254H259201010.1111/j.1750-3841.2010.01812.x21535503 YoonHYLeeEGLeeHChoIJChoiYJSungMSYooHGYooWHKaempferol inhibits IL-1β-induced proliferation of rheumatoid arthritis synovial fibroblasts and the production of COX-2, PGE2 and MMPsInt J Mol Med32971977201310.3892/ijmm.2013.146823934131 LianJJChengBFGaoYXXueHWangLWangMYangHJFengZWProtective effect of kaempferol, a flavonoid widely present in varieties of edible plants, on IL-1β-induced inflammatory response via inhibiting MAPK, Akt, and NF-κB signalling in SW982 cellsJ Funct Foods27214222201610.1016/j.jff.2016.09.003 SlatteryMLLundgreenAKadlubarSABondurantKLWolffRKJAK/STAT/SOCS-signaling pathway and colon and rectal cancerMol Carcinog52155166201310.1002/mc.2184122121102 NunesCAlmeidaLBarbosaRMLaranjinhaJLuteolin suppresses the JAK/STAT pathway in a cellular model of intestinal inflammationFood Funct8387396201710.1039/C6FO01529H28067377 ZhaoHMXuRHuangXYChengSMHuangMFYueHYWangXZouYLuAPLiuDYCurcumin suppressed activation of dendritic cells via JAK/STAT/SOCS signal in mice with experimental colitisFront Pharmacol7455201610.3389/fphar.2016.00455279329845122716 GongJHKangYHKaempferol inhibits chemokine expression and attenuates airway inflammation by suppressing STAT/JAK and NF-kB activity in human airway epithelial cellsFASEB J25Suppl 1lb11130.62011

Effects of kaempferol on cell viability of rat intestinal microvascular endothelial cells. (A) Chemical structure of kaempferol. (B) Cells were incubated with different concentrations of kaempferol (200, 100, 50, 25, 12.5 and 6.25 µM) for 12 h. Cell viability was determined by a Cell Counting Kit-8 assay. Data are presented as the mean ± standard deviation. n=6. **P<0.01 vs. control cells. OD, optical density.

Kaempferol inhibits cytokine production induced by LPS in rat intestinal microvascular endothelial cells. Cells were treated with three different concentrations of kaempferol (50, 25 and 12.5 µM) for 3 h and subsequently stimulated with LPS (10 µg/ml). After 6 h, (A) TNF-α, (B) IL-1β and (C) IL-6 protein secretion in the culture supernatant was quantified using an ELISA kit. Data are presented as the mean ± standard deviation. n=4. ##P<0.01 vs. control cells; **P<0.01 vs. cells stimulated with LPS. LPS, lipopolysaccharide; TNF-α, tumor necrosis factor-α; IL, interleukin.

Kaempferol inhibits the production of adhesion protein induced by LPS in RIMVECs. RIMVECs were treated with three different concentrations of kaempferol (50, 25 and 12.5 µM) for 3 h and subsequently stimulated with LPS (10 µg/ml). After 12 h, (A) ICAM-1 and (B) VCAM-1 expression level in the culture supernatant was quantified with an ELISA kit. Data from individual experiments are presented as the mean ± standard deviation. n=4. ##P<0.01 vs. control cells; *P<0.05, **P<0.01 vs. cells stimulated with LPS. RIMVECs, rat intestinal microvascular endothelial cells; ICAM-1, intercellular adhesion molecule 1; LPS, lipopolysaccharide; VCAM-1, vascular cell adhesion molecule 1.

Kaempferol inhibits activation of NF-κB induced by LPS in rat intestinal microvascular endothelial cells. Cells were treated with various concentrations (50, 25 and 12.5 µM) of kaempferol for 3 h followed by treatment with LPS (10 µg/ml). (A) After 3 h, p-NF-κB p65, NF-κB p65, p-I-κB and I-κB protein expression levels were analyzed by western blotting. (B) p-NF-κB p65/NF-κB and (C) p-I-κB/I-κB ratios were determined by densitometry. Data are presented as the mean ± standard deviation. n=3. ##P<0.01 vs. control cells; **P<0.01 vs. cells stimulated by LPS. p-, phosphorylated; NF-κB, nuclear factor-κB; I-κB, inhibitor of κB; LPS, lipopolysaccharide.

Kaempferol inhibits expression of TLR4 induced by LPS in RIMVECs. RIMVECs were pretreated with kaempferol (50 µM) and subsequently stimulated with LPS (10 µg/ml) for 3 h. TLR4 protein expression levels were determined by (A) western blotting and (B) densitometry analysis with β-actin as the loading control were performed. Data are presented as the mean ± standard deviation. n=3. ##P<0.01 vs. control cells; **P<0.01 vs. cells stimulated by LPS. RIMVECs, rat intestinal microvascular endothelial cells; TLR4, toll-like receptor 4; LPS, lipopolysaccharide.

Kaempferol does not affect the phosphorylation of p38 mitogen-activated protein kinase induced by LPS in RIMVECs. RIMVECs were pretreated with kaempferol (50 µM) and subsequently stimulated with LPS (10 µg/ml) for 3 h. p-p38 expression was determined by (A) western blotting and (B) densitometry analysis with β-actin as the loading control. Data are presented as the mean ± standard deviation. n=3. ##P<0.01 vs. control cells. RIMVECs, rat intestinal microvascular endothelial cells; LPS, lipopolysaccharide; p-, phosphorylated.

Kaempferol decreases the phosphorylation of STAT induced by LPS in RIMVECs. RIMVECs were pretreated with kaempferol (50 µM) and subsequently stimulated with LPS (10 µg/ml) for 3 h. p-STAT was measured by (A) western blotting and (B) densitometry analysis with β-actin as the loading control. Data are presented as the mean ± standard deviation. n=3. ##P<0.01 vs. control cells; *P<0.05 vs. cells stimulated by LPS. RIMVECs, rat intestinal microvascular endothelial cells; p-, phosphorylated; STAT, signal transducer and activator of transcription; LPS, lipopolysaccharide.