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<?release-delay 0|0?>
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">ETM</journal-id>
<journal-title-group>
<journal-title>Experimental and Therapeutic Medicine</journal-title>
</journal-title-group>
<issn pub-type="ppub">1792-0981</issn>
<issn pub-type="epub">1792-1015</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/etm.2017.4746</article-id>
<article-id pub-id-type="publisher-id">ETM-0-0-4746</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Cordycepin inhibits vascular adhesion molecule expression in TNF-&#x03B1;-stimulated vascular muscle cells</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Yan</surname><given-names>Li-Jie</given-names></name>
<xref rid="af1-etm-0-0-4746" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Yang</surname><given-names>Hai-Tao</given-names></name>
<xref rid="af1-etm-0-0-4746" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Duan</surname><given-names>Hong-Yan</given-names></name>
<xref rid="af1-etm-0-0-4746" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Wu</surname><given-names>Jin-Tao</given-names></name>
<xref rid="af1-etm-0-0-4746" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Qian</surname><given-names>Peng</given-names></name>
<xref rid="af1-etm-0-0-4746" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Fan</surname><given-names>Xian-Wei</given-names></name>
<xref rid="af1-etm-0-0-4746" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Wang</surname><given-names>Shanling</given-names></name>
<xref rid="af1-etm-0-0-4746" ref-type="aff"/>
<xref rid="c1-etm-0-0-4746" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-etm-0-0-4746">Department of Cardiology, Henan Provincial People&#x0027;s Hospital, Zhengzhou, Henan 450003, P.R. China</aff>
<author-notes>
<corresp id="c1-etm-0-0-4746"><italic>Correspondence to</italic>: Dr Shanling Wang, Department of Cardiology, Henan Provincial People&#x0027;s Hospital, 7 Weiwu Road, Zhengzhou, Henan 450003, P.R. China, E-mail: <email>shanling_car@163.com</email></corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>09</month>
<year>2017</year></pub-date>
<pub-date pub-type="epub">
<day>09</day>
<month>07</month>
<year>2017</year></pub-date>
<volume>14</volume>
<issue>3</issue>
<fpage>2335</fpage>
<lpage>2340</lpage>
<history>
<date date-type="received"><day>10</day><month>12</month><year>2015</year></date>
<date date-type="accepted"><day>20</day><month>01</month><year>2017</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2017, Spandidos Publications</copyright-statement>
<copyright-year>2017</copyright-year>
</permissions>
<abstract>
<p>Atherosclerosis is a chronic inflammatory disease, which is associated with the increased expression of adhesion molecules in vascular smooth muscle cells (VSMCs). Cordycepin is one of the major bioactive components of <italic>Ophiocordyceps sinensis</italic> that has been demonstrated to exert anti-atherogenic activity; however, its molecular mechanisms are poorly understood. The aim of the present study was to examine the <italic>in vitro</italic> effects of cordycepin on the tumor necrosis factor (TNF)-&#x03B1;-induced suppression of adhesion molecule expression. The results of the present study demonstrated that cordycepin markedly inhibited the expression of vascular cell adhesion molecule-1 (VCAM-1) and intercellular adhesion molecule-1 (ICAM-1) in TNF-&#x03B1;-stimulated human aortic vascular smooth muscle cells (HA-VSMCs). Cordycepin significantly inhibited the TNF-&#x03B1;-induced mitogen-activated protein kinase (MAPK) and protein kinase B (Akt) activation (P&#x003C;0.05), markedly inhibited the TNF-&#x03B1;-induced expression level of nuclear factor (NF)-&#x03BA;B p65 and markedly prevented the TNF-&#x03B1;-associated degradation of I&#x03BA;B&#x03B1; in HA-VSMCs. The results of the present study suggest that cordycepin inhibits the expression of VCAM-1 and ICAM-1 in TNF-&#x03B1;-stimulated HA-VSMCs via downregulating the MAPK/Akt/NF-&#x03BA;B signaling pathway. Therefore, cordycepin may have a potential therapeutic application for preventing the advancement of atherosclerotic lesions.</p>
</abstract>
<kwd-group>
<kwd>cordycepin</kwd>
<kwd>atherosclerosis</kwd>
<kwd>human aortic smooth muscle cells</kwd>
<kwd>adhesion molecules</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Atherosclerosis is a progressive disease characterized by the accumulation of lipids in the vessel wall of arteries (<xref rid="b1-etm-0-0-4746" ref-type="bibr">1</xref>). As the disease progresses, vascular smooth muscle cells (VSMCs) undergo phenotypic transformation and become activated to secrete pro-inflammatory cytokines and monocyte chemoattractant protein-1, and express cell adhesion molecules that promote leukocyte recruitment, migration and differentiation (<xref rid="b2-etm-0-0-4746" ref-type="bibr">2</xref>). It has previously been reported that vascular cell adhesion molecule (VCAM)-1 is upregulated in the VSMCs of atherosclerotic lesions (<xref rid="b3-etm-0-0-4746" ref-type="bibr">3</xref>,<xref rid="b4-etm-0-0-4746" ref-type="bibr">4</xref>). Additionally, in cultured VSMCs, interleukin-1 and tumor necrosis factor (TNF)-&#x03B1; induced the expression of VCAM-1 and intercellular adhesion molecule (ICAM)-1, as well as monocyte adhesion to VSMCs (<xref rid="b5-etm-0-0-4746" ref-type="bibr">5</xref>). This indicates that inhibiting the expression of these adhesion molecules in VSMCs may have promising therapeutic applications for the treatment of atherosclerosis.</p>
<p>Cordycepin is one of the major bioactive components of <italic>Ophiocordyceps sinensis</italic> and has previously been demonstrated to exert a variety of important biological actions, including antioxidant, anti-inflammatory and anti-tumor activities (<xref rid="b6-etm-0-0-4746" ref-type="bibr">6</xref>&#x2013;<xref rid="b9-etm-0-0-4746" ref-type="bibr">9</xref>). Additionally, cordycepin possesses an anti-atherogenic effect (<xref rid="b10-etm-0-0-4746" ref-type="bibr">10</xref>&#x2013;<xref rid="b12-etm-0-0-4746" ref-type="bibr">12</xref>). One study demonstrated that cordycepin is able to inhibit cell growth, induce G1-phase cell-cycle arrest, downregulate the expression of cyclins and cyclin-dependent kinase, and upregulate the expression of p27<sup>kip1</sup> in VSMCs (<xref rid="b6-etm-0-0-4746" ref-type="bibr">6</xref>). However, its underlying molecular mechanisms are poorly understood. The objective of the present study was to examine the <italic>in vitro</italic> effects of cordycepin on the ability to suppress the TNF-&#x03B1;-induced expression of adhesion molecules. The results of the present study demonstrated that cordycepin is able to inhibit TNF-&#x03B1;-induced adhesion molecule expression through downregulating the mitogen-activated protein kinase (MAPK)/protein kinase B (Akt)/nuclear factor (NF)-&#x03BA;B signaling pathway in VSMCs.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Cell culture and treatment</title>
<p>Human aortic vascular smooth muscle cell line (HA-VSMCs; cat. no. CRL-1999&#x2122;) was purchased from American Type Culture Collection (Manassas, VA, USA) and cultured in Dulbecco&#x0027;s modified eagle medium (DMEM; Invitrogen; Thermo Fisher Scientific, Inc., Waltham, MA, USA) supplemented with 5&#x0025; heat-inactivated fetal bovine serum (FBS; Gibco; Thermo Fisher Scientific, Inc.), 10 ng/ml recombinant human epidermal growth factor (Sigma-Aldrich; Merck KGaA, Darmstadt, Germany), 2 ng/ml basic fibroblast growth factor (Sigma-Aldrich; Merck KGaA), and 5 &#x00B5;g/ml insulin (Sigma-Aldrich; Merck KGaA) in a humidified atmosphere containing 5&#x0025; CO<sub>2</sub> for 7 d at 37&#x00B0;C. HASMCs were subsequently incubated with TNF-&#x03B1; (10 ng/ml) for different times (30 min or 4 h), with or without pretreatment with, 5 or 10 &#x00B5;M cordycepin (Sigma-Aldrich; Merck Millipore, Darmstadt, Germany) for 2 h at 37&#x00B0;C.</p>
</sec>
<sec>
<title>Cell viability assay</title>
<p>Cell proliferation was determined via MTT assay. In brief, HA-VSMCs were seeded in 96-well plates at a density of 1&#x00D7;104 cells/well and cultured in DMEM at 37&#x00B0;C until they reached 80&#x0025; confluence. Then, MTT (0.2 mg/ml) was added to each well and incubated for 4 h at 37&#x00B0;C. The supernatant was removed and the formazan crystals were dissolved in dimethylsulfoxide. The absorbance was measured using a spectrophotometer at 550 nm (NanoDrop; Thermo Fisher Scientific, Inc., Wilmington, DE, USA). HA-VSMCs treated with DMEM were used as a control.</p>
</sec>
<sec>
<title>Reverse transcription-quantitative polymerase chain reaction (RT-qPCR)</title>
<p>For DNase treatment 2 units of DNase I polymerase (Invitrogen; Thermo Fisher Scientific, Inc.) were used per &#x00B5;g of total RNA at 37&#x00B0;C for 30 min. Total RNA was extracted from HA-VSMCs using TRIzol reagent (Invitrogen; Thermo Fisher Scientific, Inc.). Approximately 5 &#x00B5;g total RNA for each sample were reverse-transcribed using an oligo-(dT) primer and M-MLV reverse transcriptase (Invitrogen; Thermo Fisher Scientific, Inc., Waltham, MA, USA) according to the manufacturer&#x0027;s protocol. qPCR was performed in a final volume of 10 &#x00B5;l, which contained 5 &#x00B5;l SsoFast&#x2122; EvaGreen Supermix (Bio-Rad Laboratories, Inc., Hercules, CA, USA), 1 &#x00B5;l cDNA (1:50 dilution) and 2 &#x00B5;l the forward and reverse primers (1 mM). qPCR was performed with the ABI Prism 7500 sequence detection system (Applied Biosystems; Thermo Fisher Scientific, Inc.) using a SYBR-Green real-time PCR Master Mix kit (Takara Biotechnology Co., Ltd., Dalian, China) according to the manufacturer&#x0027;s protocol. Primers were designed as follows; VCAM-1 forward, 5&#x2032;-CAAAGGTGGATCAGATTCAAG-3&#x2032; and reverse, 5&#x2032;-GGTGAGCATTATCACCCAGAA-3&#x2032;; ICAM-1 forward, 5&#x2032;-CAAAGGTGGATCAGATTCAAG-3&#x2032; and reverse, 5&#x2032;-GGTGAGCATTATCACCCAGAA-3&#x2032;; and &#x03B2;-actin forward, 5&#x2032;-AGAAAATCTGGCACCACACC-3&#x2032; and reverse, 5&#x2032;-TAGCACAGCCTGGATAGCAA-3&#x2032;. The PCR cycling program was 95&#x00B0;C for 5 min, then 35 cycles of 95&#x00B0;C for 20 sec, 58&#x00B0;C for 20 sec and 72&#x00B0;C for 20 sec, and a final extension at 72&#x00B0;C for 5 min. &#x03B2;-actin was used as the internal reference gene. The relative expression levels were calculated using the 2<sup>&#x2212;&#x0394;&#x0394;Cq</sup> method, and the target gene was normalized to &#x03B2;-actin (<xref rid="b13-etm-0-0-4746" ref-type="bibr">13</xref>).</p>
</sec>
<sec>
<title>Western blot analysis</title>
<p>HA-VSMCs were homogenized and lysed with radioimmunoprecipitation assay lysis buffer (Invitrogen; Thermo Fisher Scientific, Inc.; 100 mM NaCl, 50 mM Tris-HCl pH 7.5, 1&#x0025; Triton X-100, 1 mM EDTA, 10 mM &#x03B2;-glycerophosphate, 2 mM sodium vanadate and protease inhibitor). Lysates were sonicated for 5 sec on ice and centrifuged at 6,000 &#x00D7; g for 5 min at 4&#x00B0;C. Supernatants were collected and the protein concentration was detected using a Bio-Rad protein assay kit (cat. no. 500-0002; Bio-Rad Laboratories, Inc.). A total of 30 &#x00B5;g protein was separated by 10&#x0025; SDS-PAGE followed by electro-blotting-mediated transference onto polyvinylidene difluoride membranes (EMD Millipore, Billerica, MA, USA). After blocking in Tris-buffered saline buffer (50 mmol/l NaCl, 10 mmol/l Tris, pH 7.4) containing 5&#x0025; nonfat milk for 2 h at room temperature, the membranes were subsequently incubated overnight at 4&#x00B0;C with anti-VCAM-1 (1:2,000; cat. no. ab7224, Abcam, Cambridge, UK), anti-ICAM-1 (1:1,000; cat. no. sc-8439, Santa Cruz Biotechnology, Inc., Dallas, TX, USA), anti-phosphorylated (p)-p38 (1:1,500; cat. no. sc-166182, Santa Cruz Biotechnology, Inc.), anti-p38 (1:1,500; cat. no. sc-81621, Santa Cruz Biotechnology, Inc.), anti-p-extracellular signal-regulated kinase (ERK)1/2 (1:2,000; cat. no. sc-136521, Santa Cruz Biotechnology, Inc.), anti-ERK1/2 (1:2,000; cat. no. sc-514302, Santa Cruz Biotechnology, Inc.), anti-p- c-Jun N-terminal kinase (JNK; 1:3,000; sc-293136, Santa Cruz Biotechnology, Inc.), anti-JNK (1:3,000; cat. no. sc-137020, Santa Cruz Biotechnology, Inc.), anti-p-Akt (1:1,000; sc-52940, Santa Cruz Biotechnology, Inc.), anti-Akt (1:1,000; cat. no. sc-5298, Santa Cruz Biotechnology, Inc.), anti-NF-&#x03BA;B p65 (1:2,000; ca. no. sc-8008, Santa Cruz Biotechnology, Inc.) anti-I&#x03BA;B&#x03B1; (1:1,000; cat. no. sc-1643, Santa Cruz Biotechnology, Inc.) and anti-&#x03B2;-actin (1:1,500; cat. no. sc-8432, Santa Cruz Biotechnology, Inc.) primary antibodies. Membranes were subsequently washed three times with PBS containing 0.1&#x0025; (v/v) Tween-20 (Invitrogen) for 10 min and incubated with horseradish peroxidase conjugated goat anti-mouse IgG-horse radish peroxidase secondary antibodies (1:3,000; cat. no. sc-2005; Santa Cruz Biotechnology, Inc.) for 1 h at room temperature, followed by exposure using enhanced chemiluminescence detection reagents (Thermo Fisher Scientific, Inc.). BandScan 5.0 software (Glyko, Inc., Novato, CA, USA) was used for the quantification of proteins following western blot analysis. All experiments were repeated at least three times.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Data was analyzed using SPSS software version 13.0 (SPSS Inc., Chicago, IL, USA). Data are presented as the mean &#x00B1; standard error of the mean. Statistical evaluation was performed using Student&#x0027;s t-test or one-way analysis of variance followed by Dunnett&#x0027;s test. P&#x003C;0.05 was considered to indicate a statistically significant difference.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Effect of cordycepin on HA-VMSC viability</title>
<p>To determine the effect of cordycepin on cell viability, an MTT assay was performed. The results revealed no significant difference between the experimental and control groups following of HA-VSMCs with 1&#x2013;10 &#x00B5;M cordycepin (<xref rid="f1-etm-0-0-4746" ref-type="fig">Fig. 1</xref>).</p>
</sec>
<sec>
<title>Cordycepin inhibits the TNF-&#x03B1;-induced expression of adhesion molecules in HA-VSMCs</title>
<p>The effect of cordycepin on the expression of adhesion molecules in HA-VSMCs was investigated using RT-qPCR and western blot analysis. Treatment with TNF-&#x03B1; significantly induced the expression of VCAM-1 and ICAM-1 mRNA (<xref rid="f2-etm-0-0-4746" ref-type="fig">Fig. 2A and B</xref>). Cordycepin, however, significantly inhibited the TNF-&#x03B1;-induced expression of VCAM-1 and ICAM-1 mRNA in a concentration-dependent manner (<xref rid="f2-etm-0-0-4746" ref-type="fig">Fig. 2A and B</xref>). Similarly, western blot analysis indicated that cordycepin significantly suppressed the TNF-&#x03B1;-induced protein expression of VCAM-1 and ICAM-1 in a concentration-dependent manner (<xref rid="f2-etm-0-0-4746" ref-type="fig">Fig. 2C</xref>).</p>
</sec>
<sec>
<title>Cordycepin inhibits TNF-&#x03B1;-induced phosphorylation of MAPKs and Akt in HA-VSMCs</title>
<p>MAPK and Akt are two important intracellular pathways involved in cell adhesion (<xref rid="b14-etm-0-0-4746" ref-type="bibr">14</xref>), and so in the present study various members of the MAPK and Akt signal networks were detected via western blotting (<xref rid="f3-etm-0-0-4746" ref-type="fig">Fig. 3A</xref>). It was demonstrated that the phosphorylation levels of p38 MAPK (<xref rid="f3-etm-0-0-4746" ref-type="fig">Fig. 3B</xref>), ERK1/2 (<xref rid="f3-etm-0-0-4746" ref-type="fig">Fig. 3C</xref>), JNK (<xref rid="f3-etm-0-0-4746" ref-type="fig">Fig. 3D</xref>), and Akt (<xref rid="f3-etm-0-0-4746" ref-type="fig">Fig. 3E</xref>) were significantly increased in TNF-&#x03B1;-stimulated HA-VMSCs, compared with the control. However, cordycepin treatment significantly inhibited the TNF-&#x03B1;-induced phosphorylation of MAPKs and Akt in HA-VMSCs (<xref rid="f3-etm-0-0-4746" ref-type="fig">Fig. 3B-E</xref>).</p>
</sec>
<sec>
<title>Cordycepin inhibits TNF-&#x03B1;-induced NF-&#x03BA;B activation in HA-VSMCs</title>
<p>Activation of NF-&#x03BA;B serves an important role in the development of vascular damage, and transcription factors have been known to be important mediators of adhesion molecule expression (<xref rid="b15-etm-0-0-4746" ref-type="bibr">15</xref>). Therefore, in the present study the effect of cordycepin on NF-&#x03BA;B transcriptional activation was investigated. Pre-incubation of HA-VMSCs with cordycepin induced a dose-dependent decrease in NF-&#x03BA;B p65 translocation to the nuclear fraction (<xref rid="f4-etm-0-0-4746" ref-type="fig">Fig. 4A</xref>). The effect of cordycepin on I&#x03BA;B protein in TNF-&#x03B1;-stimulated HA-VSMCs was subsequently investigated, suggesting that that the cordycepin only treatment affects the degradation of I&#x03BA;B&#x03B1;. The results demonstrated that cordycepin markedly reduced the TNF-&#x03B1;-induced degradation of I&#x03BA;B&#x03B1; (<xref rid="f4-etm-0-0-4746" ref-type="fig">Fig. 4B</xref>).</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>VSMCs express VCAM-1 and ICAM-1, which have previously been described as prominent in the fibrous caps of advanced atherosclerotic plaques (<xref rid="b16-etm-0-0-4746" ref-type="bibr">16</xref>). Therefore, pharmacological agents that inhibit the expression of these adhesion molecules may have the potential to inhibit atherosclerosis. In the present study, it was demonstrated that cordycepin inhibits the TNF-&#x03B1;-induced expression of adhesion molecules. Furthermore, cordycepin treatment significantly inhibited the TNF-&#x03B1;-induced phosphorylation of MAPKs and Akt in HA-VSMCs, inhibited the TNF-&#x03B1;-induced expression of NF-&#x03BA;B p65 and inhibited the degradation of I&#x03BA;B&#x03B1; in HA-VMSCs.</p>
<p>It has previously been demonstrated that the expression of adhesion molecules, such as VCAM-1 and ICAM-1, is increased in coronary atherosclerotic tissues (<xref rid="b17-etm-0-0-4746" ref-type="bibr">17</xref>). TNF-&#x03B1; is a multifunctional cytokine that has previously been demonstrated to be associated with regulating the expression of VCAM-1 and ICAM-1 in VSMCs (<xref rid="b18-etm-0-0-4746" ref-type="bibr">18</xref>). This is consistent with the findings of the present study that TNF-&#x03B1; significantly increased the expression of VCAM-1 and ICAM-1 in HA-VSMCs, whereas, cordycepin significantly prevented the TNF-&#x03B1;-induced expression of VCAM-1 and ICAM-1. These results suggest that cordycepin has an inhibitory effect on the expression of adhesion molecules in TNF-&#x03B1;-stimulated HA-VSMCs.</p>
<p>The MAPK signaling pathway serves an important role in the development of atherosclerosis (<xref rid="b19-etm-0-0-4746" ref-type="bibr">19</xref>&#x2013;<xref rid="b21-etm-0-0-4746" ref-type="bibr">21</xref>), and three members of this pathway (ERK, p38, and JNK) have previously been implicated in the mediation of cell adhesion molecule expression in cells in response to external stimuli including TNF-&#x03B1; (<xref rid="b22-etm-0-0-4746" ref-type="bibr">22</xref>,<xref rid="b23-etm-0-0-4746" ref-type="bibr">23</xref>). Furthermore, Akt has previously been demonstrated to be associated with the TNF-&#x03B1;-induced activation of NF-&#x03BA;B and expression of adhesion molecules (<xref rid="b24-etm-0-0-4746" ref-type="bibr">24</xref>). In the present study it was demonstrated that cordycepin treatment significantly inhibited the TNF-&#x03B1;-induced phosphorylation of MAPKs and Akt in HA-VMSCs. These results suggest that cordycepin inhibits TNF-&#x03B1;-induced adhesion molecule expression via the inhibition of MAPK and Akt activation.</p>
<p>It is well known that the NF-&#x03BA;B signaling pathway also serves an important role in the regulation of inflammatory responses (<xref rid="b25-etm-0-0-4746" ref-type="bibr">25</xref>). Upon stimulation with TNF-&#x03B1;, I&#x03BA;B is proteolytically removed from NF-&#x03BA;B, which results in NF-&#x03BA;B being free to translocate to the nucleus where it binds to specific sequences in the promoter regions of certain genes (<xref rid="b26-etm-0-0-4746" ref-type="bibr">26</xref>). Additionally, NF-&#x03BA;B is essential to the expression of cell adhesion molecules (<xref rid="b27-etm-0-0-4746" ref-type="bibr">27</xref>). For example, MacKenzie <italic>et al</italic> (<xref rid="b28-etm-0-0-4746" ref-type="bibr">28</xref>) reported that TNF-&#x03B1;-stimulated expression of ICAM-1 and VCAM-1 in HAMSCs is NF-&#x03BA;B-dependent. Furthermore, cordycepin was demonstrated to be associated with regulating the NF-&#x03BA;B signaling pathway. It has previously been reported that cordycepin is able to significantly suppress TNF-&#x03B1;-induced activation of NF-&#x03BA;B and it also inhibited I&#x03BA;B&#x03B1; phosphorylation to suppress the degradation of I&#x03BA;B&#x03B1; in HEK-293T cells (<xref rid="b29-etm-0-0-4746" ref-type="bibr">29</xref>). Another study demonstrated that cordycepin inhibits lipopolysaccharide-induced inflammation via the suppression of NF-&#x03BA;B through Akt and p38 inhibition in RAW 264.7 macrophage cells (<xref rid="b30-etm-0-0-4746" ref-type="bibr">30</xref>). Similarly, in the present study it was demonstrated that cordycepin inhibited the TNF-&#x03B1;-induced expression of NF-&#x03BA;B p65 as well as the degradation of I&#x03BA;B&#x03B1; in HA-VMSCs. These findings suggest that the inhibitory effects of cordycepin on the expression of adhesion molecules may be associated with the suppression of NF-&#x03BA;B activation in HA-VMSCs.</p>
<p>In conclusion, to our knowledge, this is the first study to demonstrate that cordycepin inhibits the expression of vascular adhesion molecules in TNF-&#x03B1;-stimulated HA-VMSCs via blocking the MAPK/Akt/NF-&#x03BA;B signaling pathway. The results of the present study suggest that cordycepin may be used as a novel therapeutic agent for the treatment of atherosclerosis.</p>
</sec>
</body>
<back>
<ref-list>
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<floats-group>
<fig id="f1-etm-0-0-4746" position="float">
<label>Figure 1.</label>
<caption><p>Effect of cordycepin on HA-VMSC viability. HA-VMSCs were treated with various concentrations (1, 5 or 10 &#x00B5;M) of cordycepin for 24 h. The cytotoxicity was then measured using an MTT assay. All experiments were repeated at least three times. HA-VSMC, human aortic vascular smooth muscle cell.</p></caption>
<graphic xlink:href="etm-14-03-2335-g00.tif"/>
</fig>
<fig id="f2-etm-0-0-4746" position="float">
<label>Figure 2.</label>
<caption><p>Cordycepin inhibits the TNF-&#x03B1;-induced expression of adhesion molecules in HA-VMSCs. HA-VMSCs were preincubated with various concentrations (1, 5 or 10 &#x00B5;M) of cordycepin for 2 h and stimulated with TNF-&#x03B1; (10 ng/ml) for 4 h. (A and B) VCAM-1 and ICAM-1 mRNA expression was determined by reverse transcription-quantitative polymerase chain reaction (C) VCAM-1 and ICAM-1 protein expressions were determined by western blot analysis. Data are presented as the mean &#x00B1; standard error of the mean. All experiments were repeated at least three times. <sup>&#x0026;</sup>P&#x003C;0.05 vs. the control group; &#x002A;P&#x003C;0.05 vs. the TNF-&#x03B1; group. TNF, tumor necrosis factor; HA-VSMC, human aortic smooth muscle cell; VCAM, vascular cell adhesion molecule; ICAM, intracellular adhesion molecule.</p></caption>
<graphic xlink:href="etm-14-03-2335-g01.tif"/>
</fig>
<fig id="f3-etm-0-0-4746" position="float">
<label>Figure 3.</label>
<caption><p>Cordycepin inhibits TNF-&#x03B1;-induced phosphorylation of MAPKs and Akt in HA-VMSCs. HA-VMSCs were pretreated with various concentrations (1, 5 or 10 &#x00B5;M) of cordycepin for 2 h and subsequently incubated with TNF-&#x03B1; (10 ng/ml) for 30 min. (A) The expression of p-p38, p38, p-ERK1/2, ERK1/2, p-JNK, JNK, p-Akt and Akt proteins was detected via western blotting and representative blots were shown. (B-E) Quantification analysis was performed using BandScan 5.0 software. All data are presented as the mean &#x00B1; standard error of the mean. All experiments were repeated a minimum of three times. <sup>&#x0026;</sup>P&#x003C;0.05 vs. the control group; &#x002A;P&#x003C;0.05 vs. the TNF-&#x03B1; group. TNF, tumor necrosis factor; MAPK, mitogen activated protein kinase; HA-VSMC, human aortic vascular smooth muscle cell; p, phosphorylated; ERK, extracellular signal-regulated kinase; JNK, c-Jun N-terminal kinase; Akt, protein kinase B.</p></caption>
<graphic xlink:href="etm-14-03-2335-g02.tif"/>
</fig>
<fig id="f4-etm-0-0-4746" position="float">
<label>Figure 4.</label>
<caption><p>Cordycepin inhibits the TNF-&#x03B1;-induced activation of NF-&#x03BA;B in HA-VMSCs. (A) HA-VMSCs were pretreated with various concentrations (1, 5 or 10 &#x00B5;M) of cordycepin for 2 h and subsequently incubated with TNF-&#x03B1; (10 ng/ml) for 4 h. Nuclear expression of NF-&#x03BA;B p65 was detected via western blotting to analyze the translocation of NF-&#x03BA;B in HA-VSMC. (B) I&#x03BA;B&#x03B1; degradation was also analyzed by western blot analysis in HA-VSMCs. All data are presented as the mean &#x00B1; standard error of the mean. All experiments were repeated at least three times. TNF, tumor necrosis factor; NF, nuclear factor; HA-VSMC, human aortic vascular smooth muscle cell.</p></caption>
<graphic xlink:href="etm-14-03-2335-g03.tif"/>
</fig>
</floats-group>
</article>
