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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.2019.7667</article-id>
<article-id pub-id-type="publisher-id">ETM-0-0-7667</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Ellagic acid, a plant phenolic compound, activates cyclooxygenase-mediated prostaglandin production</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Wang</surname><given-names>Hui Rong</given-names></name>
<xref rid="af1-etm-0-0-7667" ref-type="aff">1</xref>
<xref rid="fn1-etm-0-0-7667" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Sui</surname><given-names>Hao Chen</given-names></name>
<xref rid="af2-etm-0-0-7667" ref-type="aff">2</xref>
<xref rid="fn1-etm-0-0-7667" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Zhu</surname><given-names>Bao Ting</given-names></name>
<xref rid="af1-etm-0-0-7667" ref-type="aff">1</xref>
<xref rid="af2-etm-0-0-7667" ref-type="aff">2</xref>
<xref rid="c1-etm-0-0-7667" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-etm-0-0-7667"><label>1</label>Department of Biology, Southern University of Science and Technology, Shenzhen, Guangdong 518055, P.R. China</aff>
<aff id="af2-etm-0-0-7667"><label>2</label>School of Science and Engineering, The Chinese University of Hong Kong, Shenzhen, Guangdong 518172, P.R. China</aff>
<author-notes>
<corresp id="c1-etm-0-0-7667"><italic>Correspondence to</italic>: Dr Bao Ting Zhu, School of Science and Engineering, The Chinese University of Hong Kong, 2001 Longxiang Road, Longgang, Shenzhen, Guangdong 518172, P.R. China, E-mail: <email>btzhu@cuhk.edu.cn</email></corresp>
<fn id="fn1-etm-0-0-7667"><label>&#x002A;</label><p>Contributed equally</p></fn>
</author-notes>
<pub-date pub-type="ppub">
<month>08</month>
<year>2019</year></pub-date>
<pub-date pub-type="epub">
<day>13</day>
<month>06</month>
<year>2019</year></pub-date>
<volume>18</volume>
<issue>2</issue>
<fpage>987</fpage>
<lpage>996</lpage>
<history>
<date date-type="received"><day>18</day><month>04</month><year>2018</year></date>
<date date-type="accepted"><day>22</day><month>08</month><year>2018</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Wang et al.</copyright-statement>
<copyright-year>2019</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license>
</permissions>
<abstract>
<p>In recent years, ellagic acid (EA), a naturally-occurring phenolic compound richly contained in some of the human food sources such as <italic>Longan</italic> and <italic>Litchi</italic>, was reported to have a number of biological effects. Based on our earlier 3D-QSAR/CoMFA models for cyclooxygenase (COX) I and II, we hypothesize that EA may have the potential to modulate the catalytic activity of COX enzymes, and this hypothesis is examined in the present study. The results from both <italic>in vitro</italic> and <italic>in vivo</italic> experiments show that EA is an activator of COX enzyme-catalyzed production of prostaglandin E2, a representative prostaglandin tested. Mechanistically, EA can activate the peroxidase active site of COX enzymes by serving as a co-substrate, presumably for the reduction of protoporphorin IX with Fe<sup>IV</sup> inside. The effect of EA is abrogated by the co-presence of galangin, which is known to bind to COX&#x0027;s peroxidase active site and thereby blocks the effect of the reducing co-substrates. In view of the known physiological functions of COX enzymes in the body, it is suggested that some of the pharmacological and/or toxicological effects of EA may result from an increased production of certain prostaglandins and their related derivatives in the body.</p>
</abstract>
<kwd-group>
<kwd>ellagic acid</kwd>
<kwd>cyclooxygenase</kwd>
<kwd>peroxidase activity</kwd>
<kwd>mechanism of catalytic activation</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Ellagic acid (EA<sup>4</sup>) is a naturally-occurring phenolic compound (structure shown in <xref rid="f1-etm-0-0-7667" ref-type="fig">Fig. 1</xref>) found in certain oak species (<xref rid="b1-etm-0-0-7667" ref-type="bibr">1</xref>), medicinal mushroom <italic>Phellinus linteus</italic> (<xref rid="b2-etm-0-0-7667" ref-type="bibr">2</xref>), and macrophyte <italic>Myriophyllum spicatum</italic> (<xref rid="b3-etm-0-0-7667" ref-type="bibr">3</xref>). It is also richly contained in some human food sources (<xref rid="b4-etm-0-0-7667" ref-type="bibr">4</xref>&#x2013;<xref rid="b12-etm-0-0-7667" ref-type="bibr">12</xref>). High levels of EA are found in <italic>Longan</italic> (also known as <italic>Dimocarpus longan</italic>), <italic>Litchi</italic> (<italic>Litchi chinensis</italic>), walnuts, pecans, cranberries, raspberries, strawberries, grapes, and peach (<xref rid="b4-etm-0-0-7667" ref-type="bibr">4</xref>&#x2013;<xref rid="b12-etm-0-0-7667" ref-type="bibr">12</xref>). EA has been reported to have a number of biological activities, including antioxidant and antiproliferative properties as observed in some of the <italic>in vitro</italic> and animal models (<xref rid="b10-etm-0-0-7667" ref-type="bibr">10</xref>,<xref rid="b13-etm-0-0-7667" ref-type="bibr">13</xref>&#x2013;<xref rid="b16-etm-0-0-7667" ref-type="bibr">16</xref>). As with other polyphenol antioxidants, it has been suggested that EA may have a chemoprotective effect in cellular models by inhibiting reactive chemical carcinogens [e.g., nitrosamines (<xref rid="b17-etm-0-0-7667" ref-type="bibr">17</xref>,<xref rid="b18-etm-0-0-7667" ref-type="bibr">18</xref>) and polycyclic aromatic hydrocarbons (<xref rid="b19-etm-0-0-7667" ref-type="bibr">19</xref>)] from covalently modifying DNA (<xref rid="b17-etm-0-0-7667" ref-type="bibr">17</xref>&#x2013;<xref rid="b19-etm-0-0-7667" ref-type="bibr">19</xref>). It is noteworthy that in recent years, EA has been controversially marketed as a dietary supplement with a number of assumed benefits against cancer, heart disease, as well as other medical issues, and these claims have received warnings from the US Food and Drug Administration (FDA) (<xref rid="b20-etm-0-0-7667" ref-type="bibr">20</xref>).</p>
<p>Cyclooxygenase I and II (COX I and II) are key enzymes that catalyze the metabolism of arachidonic acid (AA), resulting in the formation of important biological mediators including prostaglandins (PGs), prostacyclins, thromboxanes, and others (<xref rid="b21-etm-0-0-7667" ref-type="bibr">21</xref>&#x2013;<xref rid="b24-etm-0-0-7667" ref-type="bibr">24</xref>). Since these mediators affect many pathological and physiological processes, COX enzymes have become important targets in pharmacology and toxicology. Pharmacological modulation of the COX enzyme activity has become an effective approach in treating many medical conditions (<xref rid="b25-etm-0-0-7667" ref-type="bibr">25</xref>&#x2013;<xref rid="b28-etm-0-0-7667" ref-type="bibr">28</xref>).</p>
<p>We have recently shown that certain natural phenolics, such as quercetin and myricetin, can activate the catalytic activity of COX I and II in enzymatic assays by functioning as reducing co-substrates for these enzymes (<xref rid="b29-etm-0-0-7667" ref-type="bibr">29</xref>). This phenomenon was further confirmed when they were tested in cultured cells (<xref rid="b29-etm-0-0-7667" ref-type="bibr">29</xref>) and animal models (<xref rid="b30-etm-0-0-7667" ref-type="bibr">30</xref>). Notably, these compounds are effective in activating COX enzyme activity for PG biosynthesis in intact cells with effective concentrations in the nM range (<xref rid="b29-etm-0-0-7667" ref-type="bibr">29</xref>). Additional mechanistic studies showed that some of the flavonoids can bind inside the peroxidase active site of the enzymes and directly interact with protoporphorin IX with Fe<sup>IV</sup> inside (P<sup>&#x002B;</sup>Fe<sup>IV</sup>) to facilitate the electron transfer from these reducing compounds to the Fe ion (<xref rid="b31-etm-0-0-7667" ref-type="bibr">31</xref>).</p>
<p>Based on our earlier three dimensional (3D)-QSAR/CoMFA models for COX I and II that were derived from experimental study of representative flavonoids (<xref rid="b29-etm-0-0-7667" ref-type="bibr">29</xref>), we predicted that EA may share the COX enzyme-modulating activity. In the present study, we aimed to experimentally examine the ability of EA to modulate PG production using cultured cells and intact animals. The possible mechanism for its modulating effect was explored using computational modeling approach by studying their binding interaction with the COX-1 and COX-2 enzymes.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Chemicals and reagents</title>
<p>EA (purity &#x003E;99&#x0025;), galangin, AA, lipopolysaccharide (LPS; from <italic>Escherichia coli</italic>, serotype 055:b5), and Dulbecco&#x0027;s modified Eagle&#x0027;s medium (DMEM) were purchased from Sigma-Aldrich (St. Louis, &#x039C;O, USA). The anti-COX I and anti-COX II antibodies were obtained from Abcam (Cambridge, UK), and the anti-GAPDH antibody was obtained from Cell Signaling Technology (Danvers, MA, USA). Fetal bovine serum (FBS) was obtained from Gibco-Thermo Fisher Scientific, Inc. (Waltham, MA, USA), and the enzymatic immunoassay (EIA) kit for detecting PGE<sub>2</sub> was obtained from Cayman Chemical (Ann Arbor, MI, USA).</p>
</sec>
<sec>
<title>Cell culture experiments and compound screening</title>
<p>The murine macrophage RAW264.7 cell line was obtained from the American Type Culture Collection (Manassas, VA, USA), and maintained in DMEM containing L-glutamine, glucose and sodium bicarbonate supplemented with 10&#x0025; FBS at 37&#x00B0;C under 5&#x0025; CO<sub>2</sub>. In the experiments that were designed to determine the effect of these phenolic compounds on the formation of PGE<sub>2</sub> in cultured RAW264.7 cells, the cells were first stimulated with 1 &#x00B5;g/ml LPS for 2 h to induce the expression of COX enzymes. Then the medium was removed and replaced with 300 &#x00B5;l serum-free DMEM with or without different concentrations (0.01, 0.1, 1, 10, and 100 &#x00B5;M) of a phenolic compound of interest. After an additional 2-h incubation, the culture media were collected for measurement of PGE<sub>2</sub> level by using an EIA kit obtained from Cayman Chemical.</p>
</sec>
<sec>
<title>In vivo animal experiments</title>
<p>All the procedures involving the use of live animals as described in this study were approved by the Institutional Animal Care and Use Committee of the Southern University of Science and Technology (approval number: SUSTC-G-2014009), and the guidelines for humane treatment of animals accepted by the National Institutes of Health (NIH) of the USA were followed. The male Sprague-Dawley rats (4 to 5-week-old, specific pathogen-free) were obtained from Guangdong Medical Laboratory Animal Center (Guangdong, China), and they were maintained in our institute&#x0027;s central animal facility. After arrival, the animals were allowed to acclimatize for one week prior to being used for experimentation. The animals were housed under constant conditions of temperature (20&#x00B1;1&#x00B0;C) and 12-h light/dark cycle, and had free access to food and water.</p>
<p>Male rats were divided into the following two groups: The control group (receiving vehicle treatment only) and the EA group (treated with 6 mg/kg body weight EA, dissolved in 1.5 ml of 1&#x0025; methyl cellulose). Blood samples were collected through tail bleeding at different time points (0, 3, 6, 12, and 24 h) following administration, and stored in small vials containing heparin. Plasma was prepared from the collected blood by centrifugation at 1,000 &#x00D7; g for 10 min at 37&#x00B0;C. The plasma level of PGE<sub>2</sub> was determined using an EIA kit (Cayman Chemical) according to the manufacturer&#x0027;s instructions.</p>
<p>Molecular docking analysis of the binding interaction of EA with COX II. Energy minimization and molecular docking were performed on a Dell PowerEdge R730 Server with the Discovery Studio modeling software (version 2007; Accelrys, San Diego, CA, USA).</p>
</sec>
<sec>
<title>Protein processing</title>
<p>Since the X-ray structure of sheep COX I protein [PDB code: 1q4g (<xref rid="b32-etm-0-0-7667" ref-type="bibr">32</xref>)] and mouse COX II protein [(DB code: 3nt1 (<xref rid="b33-etm-0-0-7667" ref-type="bibr">33</xref>)] in complex with P<sup>&#x002B;</sup>Fe<sup>IV</sup> are available, we used these structures as templates for computational docking analysis. All small molecules except P<sup>&#x002B;</sup>Fe<sup>IV</sup> that are non-covalently attached to the COX protein were removed, and then the amino acid residues in the protein structure were re-numbered according to the correct known sequences. The Clean Protein module in Discovery Studio was used to complete the side chains for amino acid residues, correct bonding and bond orders, and add hydrogens back. Notably, P<sup>&#x002B;</sup>Fe<sup>IV</sup> in the sheep COX I protein [PDB code: 1q4g (<xref rid="b32-etm-0-0-7667" ref-type="bibr">32</xref>)] and mouse COX II structure (PDB code: 3nt1 (<xref rid="b33-etm-0-0-7667" ref-type="bibr">33</xref>)] are already contained in the structure as complex, and the ion atom is set as Fe<sup>IV</sup>. Lastly, the Prepare Protein module in Discovery Studio was used for protein preparation along with the CHARMm force field.</p>
</sec>
<sec>
<title>Ligand processing</title>
<p>The structure of EA was downloaded from the Protein Data Bank and minimized with the CHARMm force field. In addition, we used the Prepare Ligands module to generate EA in a non-ionizing state and two partially-ionizing states. The non-ionizing state has all hydrogens of the four phenolic hydroxyl groups retained, whereas the ionizing states each have one proton removed (i.e., deprotonation) from a different hydroxyl group in EA, which include the C-4-OH in the <italic>A</italic>-ring (equivalent to the C-4&#x2032;-OH in the <italic>B</italic>-ring) and the C-3-OH in the <italic>A</italic>-ring (equivalent to the C-3&#x2032;-OH in the <italic>B</italic>-ring) (<xref rid="f1-etm-0-0-7667" ref-type="fig">Fig. 1</xref>).</p>
</sec>
<sec>
<title>Flexible docking</title>
<p>For flexible docking, we used the Find Sites from Receptor Cavities module to identify the binding site in the prepared 1q4g COX I and 3nt1 COX II structures. According to our earlier study, the target site is the peroxidase active site in these two COX proteins (<xref rid="b31-etm-0-0-7667" ref-type="bibr">31</xref>). We selected all amino acid residues within a 5-&#x00C5; reach of the target site and allow them to have flexible side chains. The SBD Site Sphere is centered at the target site and then expanded to a 13-radius size. Under the Flexible Docking mode with conformation method set to BEST, the Simulated Annealing docking method was then applied to dock EA into the target sites of COX I and COX II. Notably, two flexible docking modes were separately executed for COX I and II, corresponding to the two different ionizing states of EA. The whole structure of each COX protein was further minimized with the CHARMm force field.</p>
</sec>
<sec>
<title>Calculation of binding energy</title>
<p>The Calculate Binding Energies module in Discovery Studio is used to find the complexes with the lowest binding energy values. According to Discovery Studio, the free energy for the binding interaction between a protein and its ligand is estimated according to the free energies of the complex, the protein, and the ligand. These free energy values are separately calculated using the CHARMm force field and the generalized Born with smooth switching (GBSW) method (<xref rid="b34-etm-0-0-7667" ref-type="bibr">34</xref>). In this approach, a van der Waals-based surface with a smooth dielectric boundary is used in the calculation of the self-electrostatic solvation energy. The ligand conformational entropy is also considered during the free binding energy calculation. The following equation is used to calculate the binding energy (<italic>&#x0394;G</italic><sub>binding</sub>) between EA and the COX I or COX II protein: <italic>&#x0394;G</italic><sub>binding</sub> = G<sub>complex</sub> - (<italic>G</italic><sub>COX</sub> &#x002B; <italic>G</italic><sub>ligand</sub>), where <italic>G</italic><sub>complex</sub> is the absolute free energy of the complex, <italic>G</italic><sub>COX</sub> is the absolute free energy of the COX protein, and <italic>G</italic><sub>ligand</sub> is the absolute free energy of the ligand (<xref rid="b35-etm-0-0-7667" ref-type="bibr">35</xref>,<xref rid="b36-etm-0-0-7667" ref-type="bibr">36</xref>). The <italic>&#x0394;G</italic><sub>binding</sub> value is used to reflect the relative interaction affinity between the COX enzyme and EA.</p>
<p>Statistical analysis. Data were determined as mean &#x00B1; SD of triple determinations.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Effect of EA on PGE<sub>2</sub> production in vitro and in vivo</title>
<sec>
<title>In vitro studies</title>
<p>To determine whether EA can modulate PG production in cultured RAW264.7 cells, the cells were first stimulated with 1 &#x00B5;g/ml LPS for 2 h to induce the expression of COX proteins as well as PG production (<xref rid="f2-etm-0-0-7667" ref-type="fig">Fig. 2</xref>). We found that LPS pretreatment mostly induced COX II expression in these cells as confirmed by western blotting (<xref rid="f2-etm-0-0-7667" ref-type="fig">Fig. 2A</xref>), which is in agreement with an earlier report (<xref rid="b21-etm-0-0-7667" ref-type="bibr">21</xref>). The increased expression of COX II also correlated with increased production of PGE<sub>2</sub>, a representative PG selected for testing in this study (<xref rid="f2-etm-0-0-7667" ref-type="fig">Fig. 2B</xref>).</p>
<p>Using LPS-pretreated RAW264.7 cells as an <italic>in vitro</italic> model, we then tested the modulating effect of EA on PGE<sub>2</sub> production. Following LPS pretreatment, the medium was removed and replaced with 300 &#x00B5;l serum-free DMEM with or without different concentrations (0.01, 0.1, 1, 10, and 100 &#x00B5;M) of EA. After an additional 2-h incubation, the culture media were collected for measurement of PGE<sub>2</sub>. We found that EA at 10 nM showed a weak stimulatory effect on PGE<sub>2</sub> production, and this stimulation reached a plateau when the concentration of EA reached 100&#x2013;1,000 nM. The maximal stimulation of COX-mediated PGE<sub>2</sub> production by EA was approximately 140&#x0025; above the control in these cells (<xref rid="f3-etm-0-0-7667" ref-type="fig">Fig. 3</xref>, left panel). Notably, when EA concentration further increased to 10 &#x00B5;M, PGE<sub>2</sub> production is slightly reduced. It is noteworthy that this phenomenon was also observed in our earlier <italic>in vitro</italic> and <italic>in vivo</italic> studies with other reducing co-substrates such as quercetin and myricetin (<xref rid="b29-etm-0-0-7667" ref-type="bibr">29</xref>,<xref rid="b30-etm-0-0-7667" ref-type="bibr">30</xref>). For comparison, we also included for testing the effect of morin (an analog of quercetin) on PGE<sub>2</sub> production. We found that morin modulates the production of PGE<sub>2</sub> in a similar manner as EA (<xref rid="f3-etm-0-0-7667" ref-type="fig">Fig. 3</xref>, right panel).</p>
<p>In this study, we confirmed that galangin (a known competitive inhibitor of the COX peroxidase active site) (<xref rid="b37-etm-0-0-7667" ref-type="bibr">37</xref>) does not have a significant stimulatory effect on PGE<sub>2</sub> production when it is added alone to LPS-pretreated RAW264.7 cells in culture. However, when it is added along with EA, it can inhibit EA-stimulated PGE<sub>2</sub> production in a concentration-dependent manner, with an IC<sub>50</sub> value of &#x003C;1 &#x00B5;M (<xref rid="f4-etm-0-0-7667" ref-type="fig">Fig. 4</xref>, left panel). Notably, when galangin was added alone to the LPS-pretreated RAW264.7 cells, it also inhibited the baseline production of PGE<sub>2</sub> in a similar manner (<xref rid="f4-etm-0-0-7667" ref-type="fig">Fig. 4</xref>, right panel).</p>
</sec>
<sec>
<title>In vivo studies</title>
<p>In the present study, we also determined the effect of EA on the plasma levels of PGE<sub>2</sub> by using normal male Sprague-Dawley rats as an <italic>in vivo</italic> model. The reason for use of this animal model is because it was successfully used earlier to study the effect of other representative phenolic compounds on plasma and tissue levels of several PG products (<xref rid="b30-etm-0-0-7667" ref-type="bibr">30</xref>). We found that administration (oral route or injection) of these phenolic compounds to normal male rats can significantly increase the tissue and blood levels of PG products <italic>in vivo</italic> (<xref rid="b30-etm-0-0-7667" ref-type="bibr">30</xref>).</p>
<p>In this experiment, the animals receive a single oral dose of EA alone (at 6 mg/kg body weight). Blood samples were collected through tail bleeding at different time points, and plasma samples were prepared for PGE<sub>2</sub> measurement. We found that oral administration of EA alone markedly increased the plasma level of PGE<sub>2</sub> in a time-dependent manner (<xref rid="f5-etm-0-0-7667" ref-type="fig">Fig. 5</xref>). Plasma PGE<sub>2</sub> level started to increase significantly at 3 h after administration, and peaked at approximately 6 h after administration, with a maximal increase of the plasma PGE<sub>2</sub> level by approximately 3.5-fold (<xref rid="f5-etm-0-0-7667" ref-type="fig">Fig. 5</xref>). This observation is very similar to the observations made in our earlier study with two other COX activators (quercetin and myricetin) (<xref rid="b30-etm-0-0-7667" ref-type="bibr">30</xref>).</p>
<p>In summary, <italic>in vitro</italic> experiments using LPS-pretreated RAW264.7 cells and <italic>in vivo</italic> experiments using rats both showed that EA is an activator of COX-mediated production of PGE<sub>2</sub>. This effect is abrogated by the co-presence of galangin, an inhibitor of the peroxidase activity of COX, presumably by blocking the effect of the reduction of co-substrates.</p>
<p>Computational docking analysis of EA binding inside the peroxidase active sites of COX I and II</p>
<p>We employed sheep COX I [PDB code: 1q4g (<xref rid="b32-etm-0-0-7667" ref-type="bibr">32</xref>)] and mouse COX II [PDB code: 3nt1 (<xref rid="b33-etm-0-0-7667" ref-type="bibr">33</xref>)] proteins as templates to model the docking interaction between EA and COX I/II. The 3D structural models of these two proteins were prepared using Discovery Studio. Using these structural models, we docked EA in three different ionizing states (one non-ionizing state vs. two partially-ionizing states) into the peroxidase active sites of COX I/II (<xref rid="f6-etm-0-0-7667" ref-type="fig">Figs. 6</xref> and <xref rid="f7-etm-0-0-7667" ref-type="fig">7</xref>). The results are summarized below.</p>
</sec>
<sec>
<title>COX I</title>
<p>Docking analysis of EA in a non-ionizing state suggests that it can bind inside the peroxidase active site in two possible binding modes: One with its <italic>A</italic>-ring structure inside the peroxidase site facing P<sup>&#x002B;</sup>Fe<sup>IV</sup>, and the other one with its <italic>B</italic>-ring structure inside the peroxidase site. Based on binding energy <italic>&#x0394;G</italic><sub>binding</sub> values (<xref rid="tI-etm-0-0-7667" ref-type="table">Table I</xref>), it is predicted that the binding mode with its <italic>B</italic>-ring inside is the dominant binding pose (<italic>&#x0394;G</italic><sub>binding</sub> of &#x2212;3.180 kcal/mol). However, in this pose, all hydroxyl groups of EA are not too close to the Fe ion of P<sup>&#x002B;</sup>Fe<sup>IV</sup> (<xref rid="f6-etm-0-0-7667" ref-type="fig">Fig. 6A and B</xref>), suggesting that this binding pose is an inactive pose, and would not be able to transfer its electrons to the Fe ion of P<sup>&#x002B;</sup>Fe<sup>IV</sup> for reduction. For poses ranked 2&#x2013;10, all hydroxyl groups of EA are even slightly farther away from the Fe ion of P<sup>&#x002B;</sup>Fe<sup>IV</sup> than the dominant binding pose.</p>
<p>Potential hydrogen bonds between COX I and EA in its dominant binding pose as suggested by the Receptor-Ligand Hydrogen Bonds module are shown in <xref rid="f6-etm-0-0-7667" ref-type="fig">Fig. 6C</xref>, and they involve five amino acid residues: two with His207 (1.314 and 2.289 &#x00C5;), two with Phe210 (1.928 and 1.949 &#x00C5;), and one with Gln289 (2.219 &#x00C5;).</p>
<p>It is estimated that under physiological conditions, a small fraction of the hydroxyl groups in EA&#x0027;s <italic>A</italic>-ring would undergo ionization (deprotonation), i.e., removal of a proton. Results from our recent study (<xref rid="b38-etm-0-0-7667" ref-type="bibr">38</xref>) suggest that the binding interaction of a reducing substrate (such as quercetin) under partial ionization is dramatically enhanced in comparison with the non-ionizing state. Therefore, we also performed docking analysis using the partially-ionizing EA. Predicted by the Discovery Studio, C-4-OH has a higher tendency to deprotonate than C-3-OH under physiological conditions. In the present study, we chose to determine the docking conformation when deprotonation occurs only with one hydroxyl group at any given moment, because simultaneous deprotonation of multiple protons in the same molecule is considered nearly impossible to occur under physiological pH conditions.</p>
<p>We found that when each of the hydroxyl groups in <italic>A</italic>-ring is individually deprotonated, the dominant poses (based on <italic>&#x0394;G</italic><sub>binding</sub> values; <xref rid="tI-etm-0-0-7667" ref-type="table">Table I</xref>) all have its <italic>A</italic>-ring inside (<xref rid="f6-etm-0-0-7667" ref-type="fig">Fig. 6D and G</xref>). Under C-4-OH deprotonation (<xref rid="f6-etm-0-0-7667" ref-type="fig">Fig. 6E</xref>; <italic>&#x0394;G</italic><sub>binding</sub> of &#x2212;78.7952 kcal/mol), the distance between Fe and O<sup>&#x2212;</sup> is 2.259 &#x00C5;. Under C-3-OH deprotonation (<xref rid="f6-etm-0-0-7667" ref-type="fig">Fig. 6H</xref>; <italic>&#x0394;G</italic><sub>binding</sub> of &#x2212;15.470 kcal/mol), the distance between the Fe ion and O<sup>&#x2212;</sup> is 3.067 &#x00C5;.</p>
<p>Potential hydrogen bonds between COX I and EA in two ionizing states as suggested by the receptor-ligand hydrogen bonds are shown in <xref rid="f6-etm-0-0-7667" ref-type="fig">Fig. 6F and I</xref>. Under C-4-OH deprotonation, EA in its dominant binding pose only forms one hydrogen bond with Gln203 (2.297 &#x00C5;), and under C-3-OH deprotonation, it forms two hydrogen bonds with His207 (1.494 and 1.786 &#x00C5;).</p>
</sec>
<sec>
<title>COX II</title>
<p>As predicted according to the binding energy <italic>&#x0394;G</italic><sub>binding</sub> value (<italic>&#x0394;G</italic><sub>binding</sub> of &#x2212;3.061 kcal/mol), the dominant binding pose of EA in a non-ionizing state has its <italic>B</italic>-ring inside COX II&#x0027;s peroxidase site (<xref rid="f7-etm-0-0-7667" ref-type="fig">Fig. 7A</xref>). All hydroxyl groups in this pose are very far away from the Fe ion of P<sup>&#x002B;</sup>Fe<sup>IV</sup> (shortest distance at 8.515 &#x00C5;; <xref rid="f7-etm-0-0-7667" ref-type="fig">Fig. 7B</xref>). For poses ranked 2&#x2013;10, the hydroxyl groups of EA are even slightly farther away from the Fe ion of P<sup>&#x002B;</sup>Fe<sup>IV</sup> than the dominant pose.</p>
<p>We also analyzed the docking conformations when deprotonation occurs individually with EA&#x0027;s C-4-OH and C-3-OH hydroxyl groups (data shown in <xref rid="f7-etm-0-0-7667" ref-type="fig">Fig. 7D and E</xref>, respectively). We found that when C-4-OH is deprotonated, the dominant pose has its <italic>A</italic>-ring closer to the Fe ion of P<sup>&#x002B;</sup>Fe<sup>IV</sup> (<italic>&#x0394;G</italic><sub>binding</sub> of &#x2212;76.923 kcal/mol), particularly the O<sup>&#x2212;</sup> ion in EAs C-4-OH (distance of 2.206 &#x00C5;; <xref rid="f7-etm-0-0-7667" ref-type="fig">Fig. 7G</xref>). Under C-3-OH deprotonation, the dominant pose (<xref rid="f7-etm-0-0-7667" ref-type="fig">Fig. 7H</xref>) also has its <italic>A</italic>-ring inside (<italic>&#x0394;G</italic><sub>binding</sub> of &#x2212;47.614 kcal/mol), with the distance of 2.607 &#x00C5; between Fe ion and O- ion in EA&#x0027;s C-3-OH. The suggested hydrogen bonds in the dominant poses in three different states are shown in <xref rid="f7-etm-0-0-7667" ref-type="fig">Fig. 7C, F and I</xref>.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>The results from both <italic>in vitro</italic> and <italic>in vivo</italic> experiments in this study showed to the best of our knowledge, for the first time, that EA is an activator of the COX enzyme-catalyzed production of PGE<sub>2</sub>. Mechanistically, EA likely exerts this effect through activating the peroxidase active site of COX enzymes by serving as a reducing co-substrate for the Fe ion of P<sup>&#x002B;</sup>Fe<sup>IV</sup>. The effect of EA is very similar to the effect of some naturally-occurring flavonoids, such as quercetin and myricetin, that were reported earlier by our group, which can activate the catalytic activity of the COX I and II enzymes by functioning as reducing co-substrates (<xref rid="b29-etm-0-0-7667" ref-type="bibr">29</xref>).</p>
<p>Our earlier study revealed that the hydroxyl groups of the <italic>B</italic>-ring of quercetin play a critical role in re-activating the COX I/II catalytic activity (<xref rid="b29-etm-0-0-7667" ref-type="bibr">29</xref>,<xref rid="b31-etm-0-0-7667" ref-type="bibr">31</xref>). Recently, we have further shown that galangin, a flavonoid that has the same <italic>A/C</italic>-ring structure as quercetin but does not have any hydroxyl group in its <italic>B</italic>-ring, can function as a COX inhibitor, by competitively blocking the binding of those flavonoids that can serve as reducing co-substrates for the COX enzymes (<xref rid="b37-etm-0-0-7667" ref-type="bibr">37</xref>). In this study, we confirmed that galangin does not have a stimulatory effect on PGE<sub>2</sub> production when it is added to LPS-pretreated RAW264.7 cells in culture, but it can inhibit EA-stimulated PGE<sub>2</sub> production in a concentration-dependent manner, with an IC<sub>50</sub> value of &#x003C;1 &#x00B5;M (<xref rid="f4-etm-0-0-7667" ref-type="fig">Fig. 4</xref>, left panel). Notably, when galangin is added alone to the LPS-pretreated RAW264.7 cells in culture, it also inhibits the baseline production of PGE<sub>2</sub> in a similar manner (<xref rid="f4-etm-0-0-7667" ref-type="fig">Fig. 4</xref>, right panel). This phenomenon was also observed in our recent study (<xref rid="b37-etm-0-0-7667" ref-type="bibr">37</xref>), which likely is due to the presence of other reducing substrates either indigenously produced by the cells or contained in the cell culture medium, and these compounds can support the basal COX activity as detected in cultured cells. In support of this explanation, we observed earlier that when galangin is tested in the <italic>in vitro</italic> biochemical enzyme assays involving COX I and II proteins where no other unknown chemicals are introduced, it does not have any meaningful stimulatory or inhibitory effect (<xref rid="b37-etm-0-0-7667" ref-type="bibr">37</xref>). The observed modulating effect of galangin on EA mirrors the effect of galangin on quercetin-induced PG production as observed in our recent study (<xref rid="b37-etm-0-0-7667" ref-type="bibr">37</xref>), providing support for the concept that EA has a similar mechanism of action as quercetin.</p>
<p>Computational docking analysis provides insight into the mechanism of the COX-activating action of EA at the molecular level. Comparison of EA in both non-ionizing and partially-ionizing states indicates that ionization of C-4-OH and C-3-OH shortens the distance between Fe<sup>4&#x002B;</sup> and the respective O- (from 6.903 to 2.259 and 3.067 &#x00C5;, respectively) and increases the binding infinity (from &#x2212;3.180 to &#x2212;78.952 and &#x2212;15.470 kcal/mol, respectively). These data suggest that deprotonation would facilitate the transfer of electron from EA to P<sup>&#x002B;</sup>Fe<sup>IV</sup> for peroxidase reduction. In addition, when deprotonation of C-4-OH and C-3-OH is compared, the former shows a shorter distance and higher binding infinity than the latter, suggesting that C-4-OH can more readily transfer its electron to P<sup>&#x002B;</sup>Fe<sup>IV</sup> than C-3-OH.</p>
<p>When a partially-ionizing EA is bound inside the peroxidase active site, its estimated shortest distance is 2.259 &#x00C5;, and this interaction distance is expected to enable a facile transfer of an electron from its hydroxyl group to P<sup>&#x002B;</sup>Fe<sup>IV</sup>. Notably, while the best binding poses of ionizing EA in COX I and II proteins are very different, the distances between the Fe ion and oxygen ion are very similar, as are their overall binding energy values. This observation provides additional support for the suggestion that ionic interaction between Fe ion and the respective O<sup>&#x2212;</sup> is the dominant force that determines the binding energy level and binding affinity.</p>
<p>It appears that the number of suggested hydrogen bonds does not correlate with the overall binding energy values. The reasons for this apparent discrepancy might be: First, the strong ionic interaction between ionized EA (which contains a negatively-charged O<sup>&#x2212;</sup> ion) and the positively-charged Fe ion plays a more important role than hydrogen bonds (<xref rid="b39-etm-0-0-7667" ref-type="bibr">39</xref>). This suggestion is consistent with the fact that hydrogen bonds are far weaker than the ionic interactions. Second, some of the suggested hydrogen bonds may be of negligible significance in strength due to their rather long bond distance.</p>
<p>Earlier studies have shown that EA is richly present in <italic>Longan</italic> and <italic>Litchi</italic> (<italic>Lychee</italic>) at high concentrations (<xref rid="b4-etm-0-0-7667" ref-type="bibr">4</xref>&#x2013;<xref rid="b9-etm-0-0-7667" ref-type="bibr">9</xref>,<xref rid="b14-etm-0-0-7667" ref-type="bibr">14</xref>). <italic>Longan</italic> and <italic>Litchi</italic> are members of the soapberry family (Sapindaceae). These plants are grown extensively in China and South East Asia, as well as in Australia, Florida (USA), southern Europe, and southern Africa (<xref rid="b40-etm-0-0-7667" ref-type="bibr">40</xref>,<xref rid="b41-etm-0-0-7667" ref-type="bibr">41</xref>). In traditional Chinese medicine, <italic>Longan</italic> and <italic>Litchi</italic> are fruits with health beneficial functions, but they are also best known for their &#x2018;hot&#x2019; properties when overdosed, i.e., overingestion of <italic>Longan</italic> and <italic>Litchi</italic> is known to promote inflammatory-type responses. In recent years, there are increasing reports in Southeast Asia regions of Litchi-associated acute encephalitis syndrome among children (<xref rid="b42-etm-0-0-7667" ref-type="bibr">42</xref>&#x2013;<xref rid="b45-etm-0-0-7667" ref-type="bibr">45</xref>). However, the mechanism for some of their beneficial as well as their pro-inflammatory effects is poorly understood at present. The results of the present study showed that EA, a natural phenolic compound richly contained in <italic>Longan</italic> and <italic>Litchi</italic>, can stimulate the catalytic activity of the COX I and II enzymes <italic>in vitro</italic> by functioning as a reducing co-substrate for these enzymes. This unique effect may help partially account for some of the beneficial as well as pro-inflammatory effects of <italic>Litchi</italic> and <italic>Longan</italic>.</p>
<p>Lastly, it is noteworthy that most of the pharmacological design and strategies aim to inhibit the COX I/II enzymes, because of their well-known roles in some of the pathogenic processes. However, it is of note that abnormally-low levels of COX I activity are also associated with some serious pathogenic conditions, such as gastrointestinal ulceration and bleeding and cardiovascular diseases (<xref rid="b28-etm-0-0-7667" ref-type="bibr">28</xref>,<xref rid="b46-etm-0-0-7667" ref-type="bibr">46</xref>&#x2013;<xref rid="b48-etm-0-0-7667" ref-type="bibr">48</xref>). Thus, too low basal levels of the COX activity (particularly COX I) are not beneficial for optimal health. Our finding that some of the natural phenolics can be used in the body as reducing co-substrates of COX enzymes to support their normal catalytic activity for biosynthesis of PG-related mediators may offer a new mechanistic explanation for some of their health beneficial functions in the body.</p>
<p>In summary, both <italic>in vitro</italic> and <italic>in vivo</italic> experiments showed that EA is an activator of PGE<sub>2</sub> production. Mechanistically, it is suggested that EA can activate the peroxidase active site of COX enzymes by serving as a reducing co-substrate for the reduction of P<sup>&#x002B;</sup>Fe<sup>IV</sup> in the catalytic site. The effect of EA is abrogated by the co-presence of galangin, which is known to bind to COX&#x0027;s peroxidase active site and thereby blocks the effect of the reducing co-substrates.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>Not applicable</p>
</ack>
<sec>
<title>Funding</title>
<p>The present study was supported by research grants from the National Natural Science Foundation of China (NSFC nos. 81473224 and 81630096), Shenzhen City Basic Science Project (no. JCYJ20140714151402768), and Shenzhen Peacock Plan (no. KQTD2016053117035204).</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>HRW conducted the cell culture and animal experiments, analyzed the data, and prepared part of the initial draft of the manuscript; HCS performed the computational analysis, analyzed the data, and prepared part of the initial draft of the manuscript; BTZ had the initial ideas and designed all the experiments, analyzed the data, and prepared and finalized the manuscript.</p>
</sec>
<sec>
<title>Ethics approval and consent to participate</title>
<p>All procedures involving the use of live animals as described in the present study were approved by the Institutional Animal Care and Use Committee of the Southern University of Science and Technology (approval number: SUSTC-G-2014009), and the guidelines for the humane treatment of animals accepted by the National Institutes of Health (USA) were followed.</p>
</sec>
<sec>
<title>Consent for publication</title>
<p>Not applicable.</p>
</sec>
<sec>
<title>Competing interests</title>
<p>The authors declare that they have no competing interests..</p>
</sec>
<glossary>
<def-list>
<title>Abbreviations</title>
<def-item><term>EA</term><def><p>ellagic acid</p></def></def-item>
<def-item><term>COX I and COX II</term><def><p>cyclooxygenase I and II</p></def></def-item>
<def-item><term>AA</term><def><p>arachidonic acid</p></def></def-item>
<def-item><term>PG</term><def><p>prostaglandin</p></def></def-item>
<def-item><term>P<sup>&#x002B;</sup>Fe<sup>IV</sup></term><def><p>protoporphorin IX with Fe<sup>IV</sup> inside</p></def></def-item>
</def-list>
</glossary>
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</back>
<floats-group>
<fig id="f1-etm-0-0-7667" position="float">
<label>Figure 1.</label>
<caption><p>Chemical structure of EA, a natural phenolic compound. Note that EA is a symmetric compound, and its A- and B-rings are equivalent, and the C- and D-rings are equivalent. For instance, after ionization (i.e., deprotonation) of C-4 hydroxyl group, its oxygen atom carries a negative charge, with an additional electron retained. Similar ionization can also occur with the C-3-OH group as well as with the C-4&#x2032;-OH and C-3&#x2032;-OH groups. EA, ellagic acid.</p></caption>
<graphic xlink:href="etm-18-02-0987-g00.jpg"/>
</fig>
<fig id="f2-etm-0-0-7667" position="float">
<label>Figure 2.</label>
<caption><p>Effect of different length of treatment with LPS on (A) COX I/II protein levels in cultured RAW265.7 cells and (B) PGE2 levels in cell culture media. After treatment with 1 &#x00B5;g/ml LPS for 0, 2, 4, 6, 8, and 10 h, RAW264.7 cells were incubated with serum-free medium for an additional 2 h, and the supernatants were collected for measurement of PGE<sub>2</sub> levels by using an enzymatic immunoassay kit. Western blot analysis of cell lysates was performed with antibodies COX I or II, coupled with a secondary antibody conjugated with horseradish peroxidase. LPS, lipopolysaccharide; COX I and COX II, cyclooxygenase I and II, respectively.</p></caption>
<graphic xlink:href="etm-18-02-0987-g01.jpg"/>
</fig>
<fig id="f3-etm-0-0-7667" position="float">
<label>Figure 3.</label>
<caption><p>Effect of EA on the release of PGE<sub>2</sub> from LPS-pretreated RAW264.7 cells. The cells were pretreated with 1 &#x00B5;g/ml LPS for 2 h to induce COX II expression, and then the culture media were removed and replaced with 300 &#x00B5;l serum-free medium containing EA for another 2 h. The following concentrations of the test compound were used: 0.01, 0.1, 1, and 10 &#x00B5;M. The levels of PGE<sub>2</sub> were measured using an enzymatic immunoassay kit. Each point was the mean &#x00B1; SD of triple determinations. EA, ellagic acid; LPS, lipopolysaccharide; COX I and COX II, cyclooxygenase I and II, respectively.</p></caption>
<graphic xlink:href="etm-18-02-0987-g02.jpg"/>
</fig>
<fig id="f4-etm-0-0-7667" position="float">
<label>Figure 4.</label>
<caption><p>Effect of galangin on ethyl gallate-stimulated PGE<sub>2</sub> release from LPS-pretreated RAW264.7 cells. Cells were pretreated with 1 &#x00B5;g/ml LPS for 2 h to induce COX II expression, and then the culture media were removed and replaced with 300 &#x00B5;l serum-free medium containing 1 &#x00B5;M ethyl gallate plus different concentrations (0.01, 0.1, 1 and 10 &#x00B5;M) of galangin for another 2 h. The levels of PGE<sub>2</sub> were measured using an enzymatic immunoassay kit (Cayman Chemical, Ann Arbor, MI, USA). Each point was the mean &#x00B1; SD of triple determinations. LPS, lipopolysaccharide; COX I and COX II, cyclooxygenase I and II, respectively; EA, ellagic acid.</p></caption>
<graphic xlink:href="etm-18-02-0987-g03.jpg"/>
</fig>
<fig id="f5-etm-0-0-7667" position="float">
<label>Figure 5.</label>
<caption><p>Time-dependent effect of EA on plasma levels of PGE<sub>2</sub> in rats. Male Sprague-Dawley rats were given oral administration of EA (6 mg/kg body weight) or vehicle alone. Blood samples were collected from tail bleeding at 3, 6, 9, 12, 24, and 48 h after oral administration. The plasma was immediately prepared and stored at &#x2212;80&#x00B0;C. The plasma levels of PGE<sub>2</sub> were measured using an enzymatic immunoassay kit. Each data point is the mean &#x00B1; SD (n=5). EA, ellagic acid.</p></caption>
<graphic xlink:href="etm-18-02-0987-g04.jpg"/>
</fig>
<fig id="f6-etm-0-0-7667" position="float">
<label>Figure 6.</label>
<caption><p>Molecular docking analysis of the binding interaction of COX I with non-ionizing EA (A-C), C4-OH-ionizing EA (D-F), and C-3-OH-ionizing EA (G-I). (A, D and G) The dominant docking result for non-ionizing EA (A), C4-OH-ionizing EA (D) and C-3-OH-ionizing EA (G) inside the peroxidase active site of COX I. The protein structure is shown in a flat ribbon format. In P<sup>&#x002B;</sup>Fe<sup>IV</sup>, carbon is colored in orange, nitrogen in blue, oxygen in red, hydrogen in white, and iron in navy blue. In EA, carbon is colored in green, oxygen in red, and hydrogen in white. (B, E and H) The same structure as in respective panels (A, D and G) with a white dash line added to indicate the distance between Fe<sup>4&#x002B;</sup> ion and O in one of EA&#x0027;s OHs. (C, F and I) Suggested potential hydrogen bonds (green dash lines) between the amino acid residues and the non-ionizing EA (C), C-4-OH-ionizing EA (F), and C-3-OH-ionizing EA (I). The amino acid residues are colored in light blue. EA, ellagic acid; COX I and COX II, cyclooxygenase I and II, respectively.</p></caption>
<graphic xlink:href="etm-18-02-0987-g05.jpg"/>
</fig>
<fig id="f7-etm-0-0-7667" position="float">
<label>Figure 7.</label>
<caption><p>Molecular docking analysis of the binding interaction of COX II with non-ionizing EA (A-C), C4-OH-ionizing EA (D-F), and C-3-OH-ionizing EA (G-I). (A, D and G) The dominant docking result for non-ionizing EA (A), C4-OH-ionizing EA (D) and C-3-OH-ionizing EA (G) inside the peroxidase active site of COX II. The protein structure is shown in a flat ribbon format. In P<sup>&#x002B;</sup>Fe<sup>IV</sup>, carbon is colored in orange, nitrogen in blue, oxygen in red, hydrogen in white, and iron in navy blue. In EA, carbon is colored in green, oxygen in red, and hydrogen in white. (B, E and H) The same structure as in respective panels (A, D and G) with a white dash line added to indicate the distance between Fe<sup>4&#x002B;</sup> ion and O in one of EA&#x0027;s OHs. (C, F and I) Suggested potential hydrogen bonds (green dash lines) between the amino acid residues and the non-ionizing EA (C), C-4-OH-ionizing EA (F), and C-3-OH-ionizing EA (I). The amino acid residues are colored in light blue. EA, ellagic acid; COX I and COX II, cyclooxygenase I and II, respectively.</p></caption>
<graphic xlink:href="etm-18-02-0987-g06.jpg"/>
</fig>
<table-wrap id="tI-etm-0-0-7667" position="float">
<label>Table I.</label>
<caption><p>Computed binding energy values (<italic>&#x0394;G</italic><sub>binding</sub>, kcal/mol) for the molecular docking analysis of the best binding poses between EA (partially-ionized vs. non-ionized) and COX I/II proteins.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th/>
<th align="center" valign="bottom" colspan="3">Binding energy value <italic>&#x0394;G</italic><sub>binding</sub> (kcal/mol)</th>
</tr>
<tr>
<th/>
<th align="center" valign="bottom" colspan="3"><hr/></th>
</tr>
<tr>
<th align="left" valign="bottom">Type of protein</th>
<th align="center" valign="bottom">No ionization</th>
<th align="center" valign="bottom">C-4-OH ionization</th>
<th align="center" valign="bottom">C-3-OH ionization</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">COX I protein</td>
<td align="center" valign="top">&#x2212;3.180</td>
<td align="center" valign="top">&#x2212;78.952</td>
<td align="center" valign="top">&#x2212;15.470</td>
</tr>
<tr>
<td align="left" valign="top">COX II protein</td>
<td align="center" valign="top">&#x2212;3.061</td>
<td align="center" valign="top">&#x2212;76.923</td>
<td align="center" valign="top">&#x2212;47.614</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn1-etm-0-0-7667"><p>EA, ellagic acid; COX I and COX II, cyclooxygenase I and II, respectively.</p></fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</article>
