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<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.2018.6596</article-id>
<article-id pub-id-type="publisher-id">ETM-0-0-6596</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Evaluation of the potential of chicoric acid as a natural food antioxidant</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Zhu</surname><given-names>Xueliang</given-names></name>
<xref rid="af1-etm-0-0-6596" ref-type="aff">1</xref>
<xref rid="af2-etm-0-0-6596" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Huang</surname><given-names>Fenghong</given-names></name>
<xref rid="af2-etm-0-0-6596" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Xiang</surname><given-names>Xia</given-names></name>
<xref rid="af2-etm-0-0-6596" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Fan</surname><given-names>Min</given-names></name>
<xref rid="af3-etm-0-0-6596" ref-type="aff">3</xref>
<xref rid="c2-etm-0-0-6596" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Chen</surname><given-names>Tingtao</given-names></name>
<xref rid="af4-etm-0-0-6596" ref-type="aff">4</xref>
<xref rid="c1-etm-0-0-6596" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-etm-0-0-6596"><label>1</label>State Key Laboratory of Advanced Technology for Materials Synthesis and Processing, Wuhan University of Technology, Wuhan, Hubei 430070, P.R. China</aff>
<aff id="af2-etm-0-0-6596"><label>2</label>Oil Crops Research Institute of The Chinese Academy of Agricultural Sciences, Hubei Key Laboratory of Lipid Chemistry and Nutrition, Wuhan, Hubei 430062, P.R. China</aff>
<aff id="af3-etm-0-0-6596"><label>3</label>Institute of Clinical Nutrition, The Xinjiang Uygur Autonomous Region People&#x0027;s Hospital, Urumqi, Xinjiang Uygur 830000, P.R. China</aff>
<aff id="af4-etm-0-0-6596"><label>4</label>Institute of Translational Medicine, Nanchang University, Nanchang, Jiangxi 330031, P.R. China</aff>
<author-notes>
<corresp id="c1-etm-0-0-6596"><italic>Correspondence to</italic>: Dr Tingtao Chen, Institute of Translational Medicine, Nanchang University, 1299 Xuefu Road, Honggu, Nanchang, Jiangxi 330031, P.R. China, E-mail: <email>chentingtao1984@163.com</email></corresp>
<corresp id="c2-etm-0-0-6596">Professor Min Fan, Institute of Clinical Nutrition, The Xinjiang Uygur Autonomous Region People&#x0027;s Hospital, 91 Tianchi Road, Tianshan, Urumqi, Xinjiang Uygur 830000, P.R. China, E-mail: <email>xjfanmin2000@163.com</email></corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>10</month>
<year>2018</year></pub-date>
<pub-date pub-type="epub">
<day>13</day>
<month>08</month>
<year>2018</year></pub-date>
<volume>16</volume>
<issue>4</issue>
<fpage>3651</fpage>
<lpage>3657</lpage>
<history>
<date date-type="received"><day>08</day><month>01</month><year>2018</year></date>
<date date-type="accepted"><day>13</day><month>07</month><year>2018</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2018, Spandidos Publications</copyright-statement>
<copyright-year>2018</copyright-year>
</permissions>
<abstract>
<p>Dietary fat is important for human health, while its excessive consumption or the oxidation of lipids may cause various diseases. In the present study, the potential of chicoric acid (CA) as a natural food antioxidant was evaluated. To evaluate this, spectrophotometry analysis measured CA antioxidant activity, the analytical method of the sanitary standard of edible lard and rapeseed oil measured CA anti-oil oxidation, the Oxford cup method measured CA anti-microbial activity, Oil red O staining assessed intracellular triglycerides following CA administration, and RT-qPCR analysis and ELISA assessed CA anti-inflammatory activity. The results indicated that CA had a marked scavenging capacity for the 2,2-diphenyl-1-picrylhydrazyl radical, as well as a reductive action, and after incubation for 5 days, 0.05&#x0025; CA achieved a significantly higher peroxide value than 0.02&#x0025; tert-butylhydroquinone used as a reference (P&#x003C;0.05). In addition, 160 nM CA inhibited the growth of a variety of common pathogenic microbes in humans, significantly inhibited fat droplet formation (P&#x003C;0.05) and reduced the production of interleukin-1&#x03B2; and tumor necrosis factor-&#x03B1; in a dose-dependent manner (P&#x003C;0.05). Therefore, functional foods containing CA may be used as natural antioxidant supplements to prevent the oxidation of oil and protect human health.</p>
</abstract>
<kwd-group>
<kwd>chicoric acid</kwd>
<kwd>natural food antioxidant</kwd>
<kwd>lipids</kwd>
<kwd>anti-bacterial activity</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Fat is an important component of a healthy human diet and is essential for the synthesis of hormones, as well as the delivery of essential vitamins throughout the body (<xref rid="b1-etm-0-0-6596" ref-type="bibr">1</xref>). However, excessive consumption of dietary fat may increase the cholesterol levels in the human body, enhancing the chance of heart disease, cancer and type 2 diabetes (<xref rid="b2-etm-0-0-6596" ref-type="bibr">2</xref>).</p>
<p>It is well known that lipids may be oxidised <italic>in vitro</italic> or <italic>in vivo</italic> by multiple oxidants, the products of which are key factors in conditions including atherosclerosis, neurological disorders, cancer and aging (<xref rid="b3-etm-0-0-6596" ref-type="bibr">3</xref>&#x2013;<xref rid="b5-etm-0-0-6596" ref-type="bibr">5</xref>). Although oxidation may trigger a chain of chemical reactions and damage cells, certain antioxidants are able to terminate these chain reactions, exerting beneficial effects with regard to health maintenance and disease prevention (<xref rid="b6-etm-0-0-6596" ref-type="bibr">6</xref>&#x2013;<xref rid="b8-etm-0-0-6596" ref-type="bibr">8</xref>). Oxidation due to exposure to oxygen and sunlight makes unsaturated fats turn rancid and become discoloured, and therefore, antioxidants are widely used as food additives to protect against degradation (<xref rid="b9-etm-0-0-6596" ref-type="bibr">9</xref>).</p>
<p>It has been reported that certain plants (e.g., berries) contain abundant and numerous bioactive compounds, natural phytochemicals, which may be used as antioxidants to protect lipids from undesired oxidative modification (<xref rid="b3-etm-0-0-6596" ref-type="bibr">3</xref>,<xref rid="b6-etm-0-0-6596" ref-type="bibr">6</xref>). Chicoric acid (CA) is a caffeic acid derivative, which extensively occurs in certain edible plants and vegetables, including chicory (<italic>Cichorium intybus</italic>), lettuce and those of the genera Echinacea and dandelion (Taraxacum). CA has been regarded as a nutraceutical with potent antioxidant activities (<xref rid="b10-etm-0-0-6596" ref-type="bibr">10</xref>,<xref rid="b11-etm-0-0-6596" ref-type="bibr">11</xref>), and previous studies have indicated that CA attenuated inflammation through suppression of the phosphoinositide-3 kinase/Akt and nuclear factor-&#x03BA;B signalling pathways to markedly inhibit a high-fat diet-induced inflammatory response (<xref rid="b12-etm-0-0-6596" ref-type="bibr">12</xref>,<xref rid="b13-etm-0-0-6596" ref-type="bibr">13</xref>). However, the potential of CA as a natural food antioxidant has remained to be determined.</p>
<p>In the present study, the antioxidant effects and inhibition of foodborne pathogens by CA was systematically evaluated <italic>in vitro</italic>, and the attenuation of inflammation as well as the inhibition of lipid droplet formation (which evaluated the inhibition of adipogenic differentiation in pre-adipogenic cells and the regulation of lipid metabolism by adipocytes) was studied using RAW264.7 and 3T3-L1 cells, respectively. To the best of our knowledge, the present study was the first to investigate the potential use of CA as a natural food antioxidant.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Antioxidant activity of CA</title>
<p>The clearance effect of CA on the 2,2-diphenyl-1-picrylhydrazyl (DPPH) radical was estimated as follows: Vincristine (VC) or CA at 95, 190 or 380 mg/ml was mixed with 100 mM Tris-HCl buffer (pH=7.5) and then added to 1 ml of 500 &#x00B5;M DPPH in ethanol (250 &#x00B5;M). The mixture was vigorously agitated at room temperature in the dark and the absorbance of the resulting solution was spectrophotometrically determined by measuring the absorption at 517 nm (<xref rid="b14-etm-0-0-6596" ref-type="bibr">14</xref>,<xref rid="b15-etm-0-0-6596" ref-type="bibr">15</xref>).</p>
<p>To determine the &#x00B7;OH radical scavenging activity, 1 ml of reaction mixture containing 2.8 mM deoxyribose, 20 mM phosphate buffer (pH 7.4), CA or VC (95, 190 or 380 mg/ml), 100 mM FeCl<sub>3</sub>, 104 mM EDTA, 1 mM H<sub>2</sub>O<sub>2</sub> and 100 mM ascorbic acid was incubated at 37&#x00B0;C for 60 min. Subsequently, 50 ml 2&#x0025; (w/v) butylated hydroxytoluene, 1 ml 2.8&#x0025; (w/v) trichloroacetic acid and 1 ml 1&#x0025; (w/v) 2-thiobarbituric acid were added and the mixture was incubated at 80&#x00B0;C for 20 min. The reaction was terminated by incubation in an ice-water bath for 5 min, 2 ml n-butanol was added to each tube and the degree of deoxyribose degradation was spectrophotometrically determined by measuring the absorption at 532 nm (<xref rid="b16-etm-0-0-6596" ref-type="bibr">16</xref>).</p>
<p>To assess the Fe<sup>2&#x002B;</sup> chelation ability, CA or VC solution was mixed with 2 mM FeCl<sub>2</sub> and 5 mM ferrozine at a ratio of 10:1:2 in PBS. After incubation for 10 min at room temperature, the absorbance was measured at 562 nm (<xref rid="b14-etm-0-0-6596" ref-type="bibr">14</xref>).</p>
<p>The oxygen reduction ability of CA was determined as follows: CA or VC solution was mixed with potassium ferricyanide (the final concentration was 0.5&#x0025;) in phosphate buffer (pH 6.6). The mixture was incubated at 50&#x00B0;C for 20 min. Subsequently, an equal volume of 1&#x0025; trichloroacetic acid was added to the mixture, which was centrifuged at 5,000 &#x00D7; g for 10 min. The upper phase was mixed with distilled water and 0.1&#x0025; FeCl<sub>3</sub> at a ratio of 1:1:2, and the absorbance was measured at 700 nm (<xref rid="b14-etm-0-0-6596" ref-type="bibr">14</xref>).</p>
</sec>
<sec>
<title>Anti-oil oxidation effect of CA</title>
<p>CA was added to 30 g rapeseed oil (Shandong Luhua Group Co., Ltd., Laiyang, China) to reach the final concentrations of 0.02 and 0.05&#x0025;. Pure rapeseed oil was used as a control group and rapeseed oil with 0.02&#x0025; tert-butylhydroquinone (TBHQ) was used as a positive control. All samples were heated to 60&#x00B0;C over 30 min and then maintained at this temperature. The peroxide value (POV) of each system was measured after 1, 3 and 5 days. The POV was tested using the analytical method of the sanitary standard of edible lard and rapeseed oil, People&#x0027;s Republic of China (GB/T5009.37-1996) (<xref rid="b17-etm-0-0-6596" ref-type="bibr">17</xref>).</p>
</sec>
<sec>
<title>Anti-microbial activity of CA</title>
<p>The agar diffusion assay was performed to examine the anti-microbial activity of different concentrations of CA on <italic>Lactobacillus plantarum</italic> (isolated from human feces; State Key Laboratory of Food, Nanchang University, Nanchang, China), <italic>L. rhamnosus</italic> (Culturelle; i-Health, Inc., Cromwell, CT, USA), <italic>L. crispatus</italic> (isolated from vaginal secretion of women; Institute of Translational Medicine, Nanchang University) and <italic>Bifidobacterium longum</italic> isolated from a probiotic drug (Bifico; Shanghai Xinyi Pharmaceutical Factory Co., Ltd., Shanghai, China), as well as <italic>Salmonella enteritidis, Shigella typhimurium, Escherichia coli</italic> and <italic>Listeria monocytogenes</italic> (isolated from human feces; State Key Laboratory of Food, Nanchang University). The isolation of the microorganisms was performed as reported by previous studies by our group (<xref rid="b15-etm-0-0-6596" ref-type="bibr">15</xref>,<xref rid="b18-etm-0-0-6596" ref-type="bibr">18</xref>&#x2013;<xref rid="b22-etm-0-0-6596" ref-type="bibr">22</xref>). Cultures of the probiotics <italic>L. plantarum, L. rhamnosus, L. crispatus, B. longum</italic> grown anaerobically for 24 h in De Man, Rogosa and Sharpe medium (Oxoid Ltd; Thermo Fisher Scientific, Inc., Waltham, MA, USA) were centrifuged at 8,000 &#x00D7; g for 10 min at 4&#x00B0;C to obtain supernatants. Overnight (12 h) cultures of pathogenic microorganisms including <italic>S. enteritidis, S. typhimurium, E. coli</italic> and <italic>L. monocytogenes</italic> were spread on the surface of the Lysogeny Broth agar (Oxoid, Ltd.; Thermo Fisher Scientific, Inc.) plates. Aliquots (200 &#x00B5;l) of the supernatant were loaded into an Oxford cup (outer diameter, 7.8&#x00B1;0.1 mm; inner diameter, 6.0&#x00B1;0.1 mm; height, 10.0&#x00B1;0.1 mm), which was placed on the surface of the agar. The size of the clear zone formed around the Oxford cup was measured.</p>
</sec>
<sec>
<title>Oil red O staining for intracellular triglycerides</title>
<p>3T3-L1 cells (Pre-adipocytes derived from mouse 3T3 cells that is used in biological research on adipose tissue; ATCC-CL-173; American Type Culture Collection, Manassas, VA, USA) were maintained in Dulbecco&#x0027;s modified Eagle&#x0027;s medium (DMEM) supplemented with 10&#x0025; fetal bovine serum (FBS; both Gibco; Thermo Fisher Scientific, Inc.) and antibiotics (100 U/ml penicillin and 100 &#x00B5;g/ml streptomycin) at 37&#x00B0;C in a humidified atmosphere containing 5&#x0025; CO<sub>2</sub>, and intracellular lipid accumulation in adipocytes was assessed using Oil Red O staining. In brief, In brief, 3T3-L1 cells were cultured in a 6-well plate at a density of 1&#x00D7;10<sup>5</sup> cells/well and CA was incubated with 3T3-L1 cells at final concentrations of 12.5, 25 or 50 &#x00B5;M for 24 h at 37&#x00B0;C in a 5&#x0025; CO<sub>2</sub> incubator. The cells were gently washed with ice-cold PBS (pH 7.4) twice and fixed with 10&#x0025; formalin at room temperature for at least 30 min. Subsequently, the wells were washed with 60&#x0025; isopropyl alcohol for 5 min and then exhaustively with PBS. The wells were allowed to dry completely prior to the addition of filtered Oil Red O solution, followed by incubation for 30 min at room temperature. The stained lipid droplets in 3T3-L1 pre-adipocytes were exhaustively rinsed three times with PBS. Stained oil droplets were extracted with 100&#x0025; isopropanol for 10 min to quantify intracellular lipids. The dye extract was then immediately removed by gentle pipetting and its absorbance was measured spectrophotometrically at 520 nm. The amount of Oil Red O-stained material (OROSM, &#x0025;) was compared to that in control wells containing cell culture medium without CA and calculated according to the following formula: OROSMe&#x0025; = absorbance of tested sample extract/absorbance without tested sample extract &#x00D7;100 (<xref rid="b23-etm-0-0-6596" ref-type="bibr">23</xref>).</p>
</sec>
<sec>
<title>Anti-inflammatory effects of CA</title>
<p>As primary macrophages isolated from humans are difficult to culture due to their high sensitivity to culture conditions, which makes them prone to losing their biological characteristics (<xref rid="b24-etm-0-0-6596" ref-type="bibr">24</xref>), the RAW264.7 murine macrophage cell line (passage 8&#x2013;20; ATCCTIB-71; American Type Culture Collection) was used in the present study. RAW264.7 cells were maintained in DMEM supplemented with 10&#x0025; FBS and antibiotics (100 U/ml penicillin and 100 &#x00B5;g/ml streptomycin) at 37&#x00B0;C in a 5&#x0025; CO<sub>2</sub> incubator.</p>
<p>RAW 264.7 cells were seeded into 24-well plates (5&#x00D7;10<sup>4</sup> cells per well), allowed to attach for 24 h and then washed with PBS. Cells were treated with PBS (Control group), lipopolysaccharide (LPS; 1 &#x00B5;g/ml each), LPS &#x002B; 5 &#x00B5;M CA, LPS &#x002B; 10 &#x00B5;M CA, LPS &#x002B; 20 &#x00B5;M CA or LPS &#x002B; 40 &#x00B5;M CA for 24 h, and the supernatants were harvested. The amounts of interleukin (IL)-1&#x03B2; and tumor necrosis factor (TNF)-&#x03B1; secreted into the cell supernatants were determined using ELISA kits for IL-1&#x03B2; (cat. no. 88-7013) and TNF-&#x03B1; (cat. no. 88-7324; both Thermo Fisher Scientific, Inc., Waltham, MA, USA).</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Values are expressed as mean &#x00B1; standard deviation. Data were analyzed with SPSS software (version 30.0; IBM Corp., Armonk, NY, USA) using one-way analysis of variance followed by the least-significant difference post-hoc 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>Anti-oxidative activity of CA</title>
<p>The anti-oxidative activity of different doses of CA was evaluated with VC used at the same doses as a positive control (<xref rid="f1-etm-0-0-6596" ref-type="fig">Fig. 1</xref>). The results indicated that CA had a dose-dependent anti-oxidative activity, and that the clearance effect of CA on &#x00B7;OH, DPPH and Fe<sup>2&#x002B;</sup> was weaker than that of VA at the same concentration (P&#x003C;0.05), while 380 mg/ml CA possessed a better clearance effect of DPPH compared with 95 mg/ml VC (<xref rid="f1-etm-0-0-6596" ref-type="fig">Fig. 1A-C</xref>). Furthermore, CA had a dose-dependent oxygen-reduction activity, which was higher compared with that of VC at the same concentration (P&#x003C;0.05; <xref rid="f1-etm-0-0-6596" ref-type="fig">Fig. 1D</xref>).</p>
<p>Detection of the presence of peroxide provides initial evidence of rancidity in unsaturated dietary fat, with POV being the most widely used method. As displayed in <xref rid="f2-etm-0-0-6596" ref-type="fig">Fig. 2</xref>, 0.02 and 0.05&#x0025; CA significantly inhibited the oxidation of rapeseed oil on days 1, 3 and 5 compared with that in the control group (P&#x003C;0.05). Compared with the 0.02&#x0025; TBHQ group, the anti-oxidation effect of 0.02 and 0.05&#x0025; CA was lower on days 1 and 3, while CA at 0.05&#x0025; possessed a better inhibitory effect than that of TBHQ from the 5th day.</p>
</sec>
<sec>
<title>Anti-bacterial activity of CA</title>
<p>To test the influence of different concentrations of CA on the human intestinal microbiota, CA at 100, 120 and 160 mM was used to evaluate its effect on the growth of various beneficial microbes and pathogens of the microbiota. These concentrated were selected from previous studies and preliminary results (<xref rid="b10-etm-0-0-6596" ref-type="bibr">10</xref>,<xref rid="b13-etm-0-0-6596" ref-type="bibr">13</xref>). As presented in <xref rid="f3-etm-0-0-6596" ref-type="fig">Fig. 3</xref>, 100, 120 and 160 mM exerted no effect on the growth of the beneficial microbes <italic>L. plantarum, L. rhamnosus, L. crispatus, B. longum</italic>, while 120 and 160 mM CA significantly inhibited the growth of the pathogens <italic>S. enteritidis, S. typhimurium, E. coli</italic> and <italic>L. monocytogenes</italic>.</p>
</sec>
<sec>
<title>Anti-obesity activity of CA</title>
<p>Adipose tissue has an important role in maintaining lipid homeostasis and energy balance by storing triglycerides or liberating free fatty acids in response to changes in energy demands. As presented in <xref rid="f4-etm-0-0-6596" ref-type="fig">Fig. 4</xref>, when CA was added prior to the induction of 3T3-L1, 12.5, 25 and 50 &#x00B5;M CA significantly inhibited the formation of fat droplets, and the inhibitory effects of 50 &#x00B5;M CA possessed a similar effect to that of metformin. However, when CA was added after induction, no obvious inhibition was observed in the 12.5 and 25 &#x00B5;M CA groups, with only CA at 50 &#x00B5;M achieving a significant inhibition of fat droplet formation in 3T3-L1 cells.</p>
</sec>
<sec>
<title>Anti-inflammatory activity of CA via suppressing pro-inflammatory cytokines</title>
<p>During inflammation, excess levels of cytokines (IL-1&#x03B2; and TNF-&#x03B1;) damage cells and tissues, and may also activate macrophages and cause inflammation-associated diseases. To assess the anti-inflammatory effects of CA on the production of IL-1&#x03B2; and TNF-&#x03B1;, RAW264.7 cells were treated with different concentrations of CA (5, 10, 20 or 40 &#x00B5;M). The results indicated that at all concentrations, CA significantly inhibited the LPS-induced production of IL-1&#x03B2; and TNF-&#x03B1; by RAW264.7 cells, and a dose-dependent effect of CA was observed (<xref rid="f5-etm-0-0-6596" ref-type="fig">Fig. 5</xref>).</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Lipid oxidation is the oxidative degradation of lipids, which most frequently occurs in polyunsaturated fatty acids that contain multiple double bonds. Antioxidants, such as vitamin C, are reducing agents acting as antioxidants and may reduce oxidizing substances, such as hydrogen peroxide; however, they also reduce metal ions that generate free radicals through the Fenton reaction (<xref rid="b25-etm-0-0-6596" ref-type="bibr">25</xref>). Plants and animals have developed complex and overlapping systems of oxidants and antioxidants to balance the oxidative state of components of their biomolecular system. The antioxidant activity of natural products is an area of current research.</p>
<p>Oxidative stress may be considered as either a cause or consequence of certain diseases; antioxidants are not only used as food additives to help protect against food deterioration, but also serve as antioxidant dietary supplements. Certain antioxidants, including &#x03B2;-carotene, vitamin A, vitamin E and selenium, either individually or in combination, have been determined to be associated with survival (<xref rid="b25-etm-0-0-6596" ref-type="bibr">25</xref>,<xref rid="b26-etm-0-0-6596" ref-type="bibr">26</xref>), and may lower the risk of cancer (<xref rid="b27-etm-0-0-6596" ref-type="bibr">27</xref>) and cardiovascular diseases (<xref rid="b28-etm-0-0-6596" ref-type="bibr">28</xref>). In the present study, the phytochemical CA, which possesses potent antioxidant and anti-inflammatory effects (<xref rid="b10-etm-0-0-6596" ref-type="bibr">10</xref>,<xref rid="b11-etm-0-0-6596" ref-type="bibr">11</xref>), was assessed for its potential as a food antioxidant and to improve the health of humans.</p>
<p>First, the anti-oxidative activity of CA was evaluated. At all of the tested concentrations, CA exerted a marked anti-oxidative effect in terms of clearing &#x00B7;OH, DPPH and Fe<sup>2&#x002B;</sup>, and displaying an oxygen-reducing activity, all of which was in a dose-dependent manner. Although according to most studies, 95 mg/ml VC is sufficient for use as a positive control, 190 and 380 mg/ml VC were also used in the present study to compare their anti-oxidative activity with that of the same doses of CA (<xref rid="b4-etm-0-0-6596" ref-type="bibr">4</xref>,<xref rid="b14-etm-0-0-6596" ref-type="bibr">14</xref>). For &#x00B7;OH and Fe<sup>2&#x002B;</sup> clearance, the results indicated that the anti-oxidative activity of CA was significantly lower than that of VC at the same concentrations (P&#x003C;0.05), and that the clearance rate of &#x00B7;OH and Fe<sup>2&#x002B;</sup> in the 380 mg/ml group was only 8.75 and 16.55&#x0025;, respectively, which was significantly lower than in the 95 mg/ml VC group (P&#x003C;0.05). For DPPH, although the clearance of CA was significantly lower than that in the VC group at the same doses, 380 mg/ml CA achieved a DPPH clearance of 47.8&#x0025;, which was significantly higher than that in the 95 mg/ml VC group (P&#x003C;0.05). Furthermore, the 95, 190 and 380 mg/ml CA groups possessed a significantly higher oxygen-reduction activity than VC at the same dose, and 380 mg/ml CA possessed a high oxygen-reduction activity of 1.87 &#x00B5;g/ml (P&#x003C;0.05). Therefore, due to its high anti-oxidative activity, CA may have potential use a natural food antioxidant and may be used as an antioxidant to protect human health.</p>
<p>Autoxidation is a free radical reaction involving oxygen and leading to the deterioration of fats and oils, causing off-flavours and off-odours. The POV is useful to assess the extent to which spoilage has advanced. In the present study, 0.02 and 0.05&#x0025; CA significantly reduced the POV compared with that in the control group at days 1, 3 and 5 (P&#x003C;0.05). Although the POV values for 0.02 and 0.05&#x0025; CA at days 1 and 3 were significantly lower than those in the TBHQ group (P&#x003C;0.05), 0.05&#x0025; CA achieved a significantly higher POV on day 5 than that in the 0.02&#x0025; TBHQ group (P&#x003C;0.05), indicating that the CA has a potent anti-oxidation effect on the oil and that it has a better long-term protection ability than TBHQ.</p>
<p>Numerous studies have indicated that intestinal microbes have an important role in human health (<xref rid="b20-etm-0-0-6596" ref-type="bibr">20</xref>,<xref rid="b29-etm-0-0-6596" ref-type="bibr">29</xref>&#x2013;<xref rid="b32-etm-0-0-6596" ref-type="bibr">32</xref>). Therefore, after confirmation of the antioxidant effect of CA, the present study further investigated the potential effect of CA on common beneficial microbes and pathogens in the human microbiota. No anti-microbial activity of CA on <italic>L. plantarum, L. rhamnosus, L. crispatus</italic> and <italic>B. longum</italic> was observed at concentrations of 100, 120 and 160 mM, while the concentration of 120 mM obviously inhibited the growth of pathogens, including <italic>S. enteritidis, S. typhimurium</italic> and <italic>E. coli</italic>. In addition, 160 mM CA had a potent inhibitory effect on all of the tested pathogens, namely <italic>S. enteritidis</italic> [inhibition zone diameter (IZD), 15 mm], <italic>S. typhimurium</italic> (IZD, 17 mm), <italic>E. coli</italic> (IZD, 18 mm) and <italic>L. monocytogenes</italic> (IZD, 16 mm). The absence of inhibitory effects of CA at a final concentration of ~120 mM on beneficial microbes of the healthy intestinal flora and its potent inhibitory effects on pathogens of the microbiota indicated that supplementation with CA may support human intestinal health.</p>
<p>The present study then assessed whether CA may be able to offset the harmful effects caused by excessive oil intake. For this, the effects of CA to inhibit intracellular lipid accumulation and inflammation were assessed using 3T3-L1 and RAW264.7 cells, respectively. In a preliminary experiment, the effects of different concentrations of CA on cell viability were assessed, revealing that CA at concentrations of &#x003C;50 &#x00B5;M had no marked effect on the growth of 3T3-L1 cells and RAW264.7 cells (data not shown). When CA was added to the oil prior to adipogenic induction, 12.5, 25 and 50 &#x00B5;M CA significantly inhibited fat droplet formation compared with that in the positive control group (P&#x003C;0.05), with 50 &#x00B5;M CA having a similar effect to that of metformin. However, when CA was added to the oil after induction, only 50 &#x00B5;M CA significantly inhibited the fat droplet formation compared with that in the positive control group (P&#x003C;0.05), and its inhibitory effects were significantly lower than those in the metformin group. Oil red O staining indicated that although a high dose of CA obviously reduced the presence of fat droplets even after they had been formed, and was therefore able to break down the fat droplets, only low doses achieved a significant inhibition if CA was added prior to adipogenic induction to inhibit droplet formation. The desired effect of CA to inhibit the formation of fat droplets also confirmed that CA treatment may reduce the likelihood of obesity in healthy individuals. Therefore, when CA is used as a natural food antioxidant and mixed with oil to enter the human intestine, it may potentially be able to effectively inhibit the harmful effects of excessive oil intake.</p>
<p>As is already known, excess levels of IL-1&#x03B2; and TNF-&#x03B1; produced by activated eosinophils, macrophages, mononuclear phagocytes and neutrophils cause damage to cells and tissues, which eventually causes inflammation-associated diseases; macrophages have an important role in regulating several immunopathological conditions and inducing the overexpression of pro-inflammatory mediators of the inflammatory process (<xref rid="b15-etm-0-0-6596" ref-type="bibr">15</xref>). Therefore, RAW264.7 cells were used in the present study. In the present study, CA at 5, 10, 20 and 40 &#x00B5;M significantly reduced the production of IL-1&#x03B2; and TNF-&#x03B1; compared with that in the LPS group (P&#x003C;0.05), with their effect being dose-dependent. In addition, 20 &#x00B5;M CA was sufficient to restore IL-1&#x03B2; to near-normal levels. As CA exerted potent anti-inflammatory effects by inhibiting pro-inflammatory cytokines, it is indicated that it may efficiently prevent diseases caused by chronic inflammation.</p>
<p>To date, only few studies have been performed to systematically evaluate the role of CA as an antioxidant oil additive, as well as its potential benefits on human health involving immunity, obesity and the intestinal microbiota. The potent anti-oxidative activity (prolongation of the shelf life of oil), anti-bacterial activity (inhibition of the proliferation of pathogenic microbes in the host&#x0027;s intestines), anti-inflammatory effects and inhibition of intracellular triglyceride accumulation by CA suggest that it may promote intestinal and overall health. CA has potential use as a functional natural food antioxidant to prevent the oxidation of oil, protect human intestinal health, delay senescence and prevent chronic diseases.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>Not applicable.</p>
</ack>
<sec>
<title>Funding</title>
<p>The present study was supported by grants from the Open Foundation of Hubei Key Laboratory of Lipid Chemistry and Nutrition (grant no. 201602), the National Natural Science Foundation of China (grant nos. 31560264, 81503364), and grants from Jiangxi Province (grant nos. 20171BCB23028 and 20175526).</p>
</sec>
<sec>
<title>Availability of data and materials</title>
<p>All data generated or analyzed during this study are included in this published article.</p>
</sec>
<sec>
<title>Authors&#x0027; contributions</title>
<p>TC and MF designed the present study; XZ, FH and XX performed the experiments; MF and TC analyzed all data and wrote the manuscript. All authors read and approved the final manuscript.</p>
</sec>
<sec>
<title>Ethics approval and consent to participate</title>
<p>The present study was approved by the Ethics Committee of the Second Affiliated Hospital of Nanchang University (Nanchang, China), and the sampling of human specimens was performed after obtaining consent from the patients or volunteers.</p>
</sec>
<sec>
<title>Patient consent for publication</title>
<p>Patients or their guardians provided written informed consents for publication.</p>
</sec>
<sec>
<title>Competing interests</title>
<p>The authors declare that they have no competing interests.</p>
</sec>
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<floats-group>
<fig id="f1-etm-0-0-6596" position="float">
<label>Figure 1.</label>
<caption><p>Anti-oxidative activity of different concentrations of CA. Clearance of (A) &#x00B7;OH; (B) DPPH; (C) Fe<sup>2&#x002B;</sup> chelation. (D) Oxygen-reduction activity. Values are expressed as the mean &#x00B1; standard deviation. &#x002A;P&#x003C;0.05 vs. 95 mg/ml VC; <sup>#</sup>P&#x003C;0.05 vs. the same concentration of VC. CA, chicoric acid; DPPH, 2,2-diphenyl-1-picrylhydrazyl radical; VC, vincristine.</p></caption>
<graphic xlink:href="etm-16-04-3651-g00.tif"/>
</fig>
<fig id="f2-etm-0-0-6596" position="float">
<label>Figure 2.</label>
<caption><p>Anti-lipid peroxidation activity of different concentrations of CA. Values are expressed as the mean &#x00B1; standard deviation. &#x002A;P&#x003C;0.05 vs. control group; <sup>#</sup>P&#x003C;0.05 vs. TBHQ group. CA, chicoric acid; TBHQ, tert-butylhydroquinone; meq, milli-equivalents.</p></caption>
<graphic xlink:href="etm-16-04-3651-g01.tif"/>
</fig>
<fig id="f3-etm-0-0-6596" position="float">
<label>Figure 3.</label>
<caption><p>Anti-biotic activities of different concentrations of CA against selected bacterial strains. Values are expressed as the mean &#x00B1; standard deviation. ND, not detectable; CA, chicoric acid.</p></caption>
<graphic xlink:href="etm-16-04-3651-g02.tif"/>
</fig>
<fig id="f4-etm-0-0-6596" position="float">
<label>Figure 4.</label>
<caption><p>Inhibitory effects of the different concentrations of CA on lipid droplet formation in 3T3-L1 cells. (A) Oil red O staining results (magnification, &#x00D7;10; scale bar, 200 &#x00B5;m); (B) quantitative analysis of the Oil red O staining results. Values are expressed as the mean &#x00B1; standard deviation. &#x002A;P&#x003C;0.05 vs. positive control; <sup>#</sup>P&#x003C;0.05 vs. metformin group. CA, chicoric acid; OD<sub>500</sub>, optical density at 500 nm.</p></caption>
<graphic xlink:href="etm-16-04-3651-g03.tif"/>
</fig>
<fig id="f5-etm-0-0-6596" position="float">
<label>Figure 5.</label>
<caption><p>Effect of different concentrations of CA on the protein levels of (A) IL-1&#x03B2; and (B) TNF-&#x03B1; in LPS-induced RAW264.7 cells. Values are expressed as the mean &#x00B1; standard deviation. &#x002A;P&#x003C;0.05 vs. control group; <sup>#</sup>P&#x003C;0.05 vs. LPS group. CA, chicoric acid; LPS, lipopolysaccharide; TNF, tumor necrosis factor; IL, interleukin.</p></caption>
<graphic xlink:href="etm-16-04-3651-g04.tif"/>
</fig>
</floats-group>
</article>
