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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.2013.988</article-id>
<article-id pub-id-type="publisher-id">etm-05-05-1345</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Saikosaponin A mediates the inflammatory response by inhibiting the MAPK and NF-&#x003BA;B pathways in LPS-stimulated RAW 264.7 cells</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>ZHU</surname><given-names>JIE</given-names></name><xref rid="af1-etm-05-05-1345" ref-type="aff"><sup>1</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>LUO</surname><given-names>CHENGQUN</given-names></name><xref ref-type="corresp" rid="c1-etm-05-05-1345"/><xref rid="af1-etm-05-05-1345" ref-type="aff"><sup>1</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>WANG</surname><given-names>PING</given-names></name><xref rid="af2-etm-05-05-1345" ref-type="aff"><sup>2</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>HE</surname><given-names>QUANYONG</given-names></name><xref rid="af1-etm-05-05-1345" ref-type="aff"><sup>1</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>ZHOU</surname><given-names>JIANDA</given-names></name><xref rid="af1-etm-05-05-1345" ref-type="aff"><sup>1</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>PENG</surname><given-names>HAO</given-names></name><xref rid="af1-etm-05-05-1345" ref-type="aff"><sup>1</sup></xref></contrib></contrib-group>
<aff id="af1-etm-05-05-1345">
<label>1</label>Department of Burns and Plastic Surgery, Third Xiangya Hospital, Central South University, Changsha, Hunan 410013, 
<country>P.R. China</country></aff>
<aff id="af2-etm-05-05-1345">
<label>2</label>Centre of PET-CT, Hunan Provincial Tumor Hospital, Changsha, Hunan 410013, 
<country>P.R. China</country></aff>
<author-notes>
<corresp id="c1-etm-05-05-1345">Correspondence to: Professor Chengqun Luo, Department of Burns and Plastic Surgery, Third Xiangya Hospital of Central South University, 138 Tongzipo Road, Changsha, Hunan 410013, P.R. China, E-mail: <email>luochengqun2012@163.com</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>5</month>
<year>2013</year></pub-date>
<pub-date pub-type="epub">
<day>04</day>
<month>03</month>
<year>2013</year></pub-date>
<volume>5</volume>
<issue>5</issue>
<fpage>1345</fpage>
<lpage>1350</lpage>
<history>
<date date-type="received">
<day>04</day>
<month>12</month>
<year>2012</year></date>
<date date-type="accepted">
<day>07</day>
<month>02</month>
<year>2013</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2013, Spandidos Publications</copyright-statement>
<copyright-year>2013</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>Saikosaponin A (SSA) is a major triterpenoid saponin isolated from <italic>Radix bupleuri</italic> (RB), a widely used Chinese traditional medicine to treat various inflammation-related diseases. The aim of this study was to investigate the anti-inflammatory activity, as well as the molecular mechanism of SSA in lipopolysaccharide (LPS)-stimulated RAW 264.7 cells. In this study, we demonstrated that SSA markedly inhibits the expression of certain immune-related cytotoxic factors, including cyclooxygenase-2 (COX-2) and inducible nitric-oxide synthase (iNOS), as well as pro-inflammatory cytokines, including tumor necrosis factor (TNF)-&#x003B1;, interleukin (IL)-1&#x003B2; and IL-6. It also significantly upregulates the expression of IL-10, an important anti-inflammatory cytokine, suggesting its anti-inflammatory activity in LPS-stimulated macrophages. We further demonstrated that SSA inhibits the activation of the nuclear factor-&#x003BA;B (NF-&#x003BA;B) signaling pathway by suppressing the phosphorylation of inhibitory NF-&#x003BA;B inhibitor &#x003B1; (I&#x003BA;B&#x003B1;) and thus holding p65 NF-&#x003BA;B in the cytoplasm to prevent its translocation to the nucleus. In addition, SSA also inhibits the mitogen-activated protein kinase (MAPK) signaling pathway by downregulating the phosphorylation of p38 MAPK, c-Jun N-terminal kinase (c-JNK) and extracellular signal-regulated kinase (ERK), the three key components of the MAPK family. In conclusion, our study demonstrates that SSA has an anti-inflammatory effect by regulating inflammatory mediators and suppressing the MAPK and NF-&#x003BA;B signaling pathways in LPS-stimulated RAW 264.7 cells.</p></abstract>
<kwd-group>
<kwd>saikosaponin A</kwd>
<kwd>inflammation</kwd>
<kwd>lipopolysaccharide</kwd>
<kwd>inflammatory cytokine</kwd>
<kwd>nuclear factor-&#x003BA;B</kwd>
<kwd>mitogen-activated protein kinase</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p><italic>Radix Bupleuri</italic> (RB), isolated from the dried roots of <italic>Bupleurum chinense</italic> DC or <italic>Bupleurum scorzonerifolium</italic> Willd, has been used as a health product and natural remedy for centuries in traditional Chinese medicine, based on its hepato-protective, antipyretic, analgesic, immunomodulatory and anti-inflammatory effects (<xref rid="b1-etm-05-05-1345" ref-type="bibr">1</xref>,<xref rid="b2-etm-05-05-1345" ref-type="bibr">2</xref>). As major bioactive compounds isolated from RB, saikosaponins have numerous biological activities, including immunoregulatory, anti-inflammatory, anti-bacterial and anti-viral activity (<xref rid="b3-etm-05-05-1345" ref-type="bibr">3</xref>,<xref rid="b4-etm-05-05-1345" ref-type="bibr">4</xref>). One study demonstrated that saikosaponin A (SSA) exhibits anti-inflammatory activity (<xref rid="b5-etm-05-05-1345" ref-type="bibr">5</xref>). However, the potential molecular mechanism of SSA in terms of the anti-inflammatory signaling pathways has not been fully determined.</p>
<p>Inflammation is a beneficial host response to foreign challenge or tissue injury, helping facilitate the restoration of tissue structure. However, prolonged inflammation is not beneficial as it contributes to the pathology of a number of diseases (<xref rid="b6-etm-05-05-1345" ref-type="bibr">6</xref>,<xref rid="b7-etm-05-05-1345" ref-type="bibr">7</xref>). Therefore, anti-inflammatory agents have potential therapeutic effects for various inflammation-related diseases. It is well established that activated immunocytes are involved in the inflammation process, particularly macrophages, which play a crucial role in the specific and non-specific immune responses during inflammation (<xref rid="b8-etm-05-05-1345" ref-type="bibr">8</xref>). Lipopolysaccharide (LPS) induces the release of inflammatory mediators in macrophages, leading to the production of inducible nitric oxide synthase (iNOS), tumor necrosis factor (TNF)-&#x003B1;, interleukin (IL)-1&#x003B2; and IL-6 (<xref rid="b9-etm-05-05-1345" ref-type="bibr">9</xref>,<xref rid="b10-etm-05-05-1345" ref-type="bibr">10</xref>).</p>
<p>Cytokines play essential roles in the inflammatory response, mainly due to their crucial effects on the differentiation, maturation and activation of cells (<xref rid="b11-etm-05-05-1345" ref-type="bibr">11</xref>). However, excessive production of cytokines harms organisms (<xref rid="b6-etm-05-05-1345" ref-type="bibr">6</xref>). It has been reported that patients suffering from inflammatory diseases present abnormalities in pro- and anti-inflammatory cytokines (<xref rid="b12-etm-05-05-1345" ref-type="bibr">12</xref>). Inflammatory cytokine release in response to LPS is mediated by the activation of nuclear factor &#x003BA;-light-chain enhancer of activated B cells (NF-&#x003BA;B) and mitogen-activated protein kinase (MAPK) (<xref rid="b13-etm-05-05-1345" ref-type="bibr">13</xref>,<xref rid="b14-etm-05-05-1345" ref-type="bibr">14</xref>). NF-&#x003BA;B is a family of transcription factors and regulates the expression of a number of immune-related cytotoxic factors, including iNOS and cyclooxygenase-2 (COX-2), and pro-inflammatory cytokines, including TNF-&#x003B1;, IL-1&#x003B2;, IL-6 and IL-8 (<xref rid="b15-etm-05-05-1345" ref-type="bibr">15</xref>,<xref rid="b16-etm-05-05-1345" ref-type="bibr">16</xref>). The MAPK family also induces the production of immune-related cytotoxic factors and pro-inflammatory cytokines (<xref rid="b17-etm-05-05-1345" ref-type="bibr">17</xref>,<xref rid="b18-etm-05-05-1345" ref-type="bibr">18</xref>). Therefore, NF-&#x003BA;B and MAPKs are well-recognized as targets of anti-inflammatory agents.</p>
<p>In the present study, we examined the effects of SSA on the production of various inflammatory cytokines in LPS-stimulated mouse RAW 264.7 macrophages. We also investigated its anti-inflammatory mechanism, focusing on inflammatory signaling pathways. To our knowledge, this is the first report demonstrating that SSA inhibits the production of immune-related cytotoxic factors and inflammatory cytokines induced by LPS by inhibiting the NF-&#x003BA;B and MAPK signaling pathways.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Reagents</title>
<p>SSA was purchased from Sichuan Victory Biotechnology Co., Ltd. (Sichuan, China), with 98&#x00025; purity detected by high performance liquid chromatography (HPLC). LPS (<italic>Escherichia coli</italic> 026:B6), dimethyl sulfoxide (DMSO) and 3-&#x0005B;4,5-dimethylthiazol- 2-yl&#x0005D;-2,5-diphenyltetrazolium bromide (MTT) were purchased from Sigma (St. Louis, MO, USA). TNF-&#x003B1;, IL-1&#x003B2;, IL-6 and IL-10 enzyme-linked immunosorbent assay (ELISA) kits were purchased from R&#x00026;D Systems (Minneapolis, MN, USA). Dulbecco&#x02019;s modified Eagle&#x02019;s medium (DMEM) and fetal bovine serum (FBS) were purchased from HyClone Laboratories of Thermo Scientific (Logan, UT, USA).</p>
<p>The antibodies, including iNOS, COX-2, NF-&#x003BA;B (p65) and &#x003B2;-actin were obtained from Cayman Chemical Co. (Ann Arbor, MI, USA). Antibodies for phospho-extracellular signal-regulated kinases (ERK)1/2, ERK, phospho-p38, p38, phospho-Jun N-terminal kinase (JNK), JNK, I&#x003BA;B&#x003B1; and p65 were obtained from Cell Signaling Technology (Danvers, MA, USA).</p></sec>
<sec>
<title>Cell culture and sample treatment</title>
<p>The mouse macrophage cell line RAW 264.7 was obtained from the Center of Cellular Resources, Central South University, Changsha, China. Cells were cultured in DMEM supplemented with 10&#x00025; heat-inactivated FBS, 3 mM glutamine, 100 U/ml penicillin and 100 <italic>&#x003BC;</italic>g/ml streptomycin at 37&#x000B0;C under a humidified atmosphere of 5&#x00025; CO<sub>2</sub>. In all experiments, cells were left to acclimate for 24 h before treatment. SSA was added 1 h prior to LPS (1 mg/l) treatment. The study was approved by the ethics committee of Central South University, Changsha, China.</p></sec>
<sec>
<title>MTT assay for cell viability</title>
<p>Cytotoxicity induced by SSA was analyzed by MTT assay. RAW 264.7 cells were plated at a density of 1&#x000D7;10<sup>4</sup> cells/ml onto 96-well plates containing 100 <italic>&#x003BC;</italic>l DMEM and incubated overnight. After acclimating for 24 h, the cells were treated with 100 <italic>&#x003BC;</italic>l SSA at various concentrations (3.125, 6.25, 12.5, 25, 50 and 100 <italic>&#x003BC;</italic>M) for 1 h, followed by stimulation with 50 <italic>&#x003BC;</italic>l LPS (1 mg/l) for 18 h. Subsequently, 20 <italic>&#x003BC;</italic>l MTT (5 mg/ml, 20 <italic>&#x003BC;</italic>l/well) in FBS-free medium was added to each well and further incubated for 4 h. Cell-free supernatants were then removed and cells were resolved with 150 <italic>&#x003BC;</italic>l DMSO per well, followed by optical density measurement at 490 nm with a ELX800-UV absorbance microplate reader (BioTek Instruments Inc., Winooski, VT, USA).</p></sec>
<sec>
<title>Cytokine determination</title>
<p>To determine the effects of SSA on cytokine release in LPS-stimulated cells, the production of TNF-&#x003B1;, IL-1&#x003B2;, IL-6 and IL-10 was measured by ELISA. RAW 264.7 cells were grown in a 6-well plate at a density of 3&#x000D7;10<sup>5</sup> cells/well for 24 h. The cells were pretreated with various concentrations of SSA compounds for 2 h and further challenged with LPS for an additional 18 h at 37&#x000B0;C with 5&#x00025; CO<sub>2</sub>. The supernatants were then collected and centrifuged at 1,000 x g, 4&#x000B0;C for 10 min. The levels of TNF-&#x003B1;, IL-1&#x003B2;, IL-6 and IL-10 in the supernatants were determined using ELISA kits, according to the manufacturer&#x02019;s instructions.</p></sec>
<sec>
<title>Real-time fluorescent quantitative polymerase chain reaction (PCR)</title>
<p>RAW 264.7 cells (4&#x000D7;10<sup>5</sup> cells/ml), cultured in 6-well plates for 24 h, were pretreated with various concentrations (3.125, 6.25 and 12.5 <italic>&#x003BC;</italic>M) of SSA for 2 h before treatment with 1 <italic>&#x003BC;</italic>g/ml LPS for 3 h in a 37&#x000B0;C, 5&#x00025; CO<sub>2</sub> incubator. Following two washes with ice-cold phosphate-buffered saline (PBS), the cells were harvested and total cellular RNA was isolated using the TRIzol reagent, according to the manufacturer&#x02019;s instructions (Invitrogen Life Technologies, Carlsbad, CA, USA). For the real-time PCR, 1 <italic>&#x003BC;</italic>g total RNA was reverse-transcribed to synthesize cDNA using a first-strand cDNA synthesis kit (Takara, Dalian, China). Quantitative real-time PCR was performed on a Bio-Rad CFX 96 real-time PCR detection system in a 30 ml reaction volume containing iQ&#x02122; SYBR-Green Supermix (Bio-Rad, Hercules, CA, USA), 100 nM primers and 1 ml appropriately diluted cDNA template. The parameters of the PCR reaction were as follows: 94&#x000B0;C for 3 min for one cycle, then 94&#x000B0;C for 30 sec, 55&#x02013;59&#x000B0;C for 30 sec, 72&#x000B0;C for 45 sec for 30 cycles and 72&#x000B0;C for 5 min for one cycle. The relative gene expression was calculated by the comparative Ct method (2<sup>&#x02212;&#x00394;&#x00394;Ct</sup>), using glyceraldehyde 3-phosphate dehydrogenase (GAPDH) as the house keeping gene. The primer sequences for analysis of TNF-&#x003B1;, IL-1&#x003B2;, IL-6 and GAPDH mRNA are presented in <xref rid="t1-etm-05-05-1345" ref-type="table">Table I</xref>.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>Western blot analysis was performed to evaluate the effect of the test compound on iNOS, COX-2, NF-&#x003BA;B (p65) and inhibitory NF-&#x003BA;B inhibitor &#x003B1; (I&#x003BA;B&#x003B1;) in the cytosol and nucleus, as well as the expressions of P38 MAPK, c-JNK and ERK. The RAW 264.7 cells were cultivated in a 6-well plate for 24 h and then received appropriate treatment with SSA in the absence or presence of LPS for 2 h. After treatment for 18 h with LPS, the cells were harvested and the total protein, cytosol protein and nuclear protein were extracted using a Nuclear-Cytosol Extraction Kit (Cell Signaling Technology). &#x003B2;-actin was used as the control. The protein was separated on polyacrylamide gels and then transferred onto a polyvinylidene fluoride (PVDF) membrane. The membranes were blocked and incubated with different antibodies, followed by incubation with the horseradish peroxidase (HRP)-linked secondary antibody. The signals were detected using an enhanced chemiluminescence (ECL) reagent (Bio-Rad). The images were quantified by Bio-Rad Quantity One software. The quantities of the target bands were normalized by &#x003B2;-actin.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Data, expressed as means &#x000B1; standard deviation, were analyzed by one-way analysis of variance (ANOVA). Significant differences were determined with Tukey&#x02019;s multiple range tests. All tests were performed using SPSS 13.0 software (SPSS Inc., Chicago, IL, USA). P&#x0003C;0.05 was considered to indicate a statistically significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Cytotoxicity of SSA on RAW 264.7 cells</title>
<p>Prior to evaluating the anti-inflammatory activity of SSA, the cytotoxic effect of SSA on RAW 264.7 cells was tested using the MTT assay. As shown in <xref rid="f1-etm-05-05-1345" ref-type="fig">Fig. 1</xref>, cell viability was significantly reduced with 12.5&#x02013;100 <italic>&#x003BC;</italic>M SSA, while 3.125 and 6.25 <italic>&#x003BC;</italic>M SSA had no effect on LPS-stimulated RAW 264.7 cells.</p></sec>
<sec>
<title>SSA inhibits the release of LPS-induced pro-inflammatory cytokines in RAW 264.7 cells</title>
<p>TNF-&#x003B1;, IL-1&#x003B2;, IL-6 and IL-10 concentrations in the culture supernatants of RAW 264.7 cells were evaluated by ELISA. As shown in <xref rid="f2-etm-05-05-1345" ref-type="fig">Fig. 2A</xref>, TNF-&#x003B1; was significantly inhibited by pretreatment with SSA in a dose-dependent manner. A similar tendency was also observed in IL-6 and IL-1&#x003B2; production at various concentrations of SSA (<xref rid="f2-etm-05-05-1345" ref-type="fig">Fig. 2B and C</xref>). However, SSA pretreatment had no significant effect on IL-10 compared to the control group in this assay (<xref rid="f2-etm-05-05-1345" ref-type="fig">Fig. 2D</xref>).</p></sec>
<sec>
<title>SSA inhibits the mRNA level of TNF-&#x003B1;, IL-1&#x003B2;, IL-6 and IL-10 in LPS-stimulated RAW 264.7 cells</title>
<p>Real-time PCR was employed to quantitate TNF-&#x003B1;, IL-6, IL-1&#x003B2; and IL-10 gene expression from cDNA samples. For the mRNA expression of pro-inflammatory cytokines, SSA pretreatment for 1 h significantly inhibited the expression of TNF-&#x003B1;, IL-1&#x003B2; and IL-6 compared to the control group, and upregulated the expression of IL-10 (<xref rid="f3-etm-05-05-1345" ref-type="fig">Fig. 3</xref>).</p></sec>
<sec>
<title>SSA suppresses the expression of iNOS and COX-2 in LPS-stimulated RAW 264.7 cells</title>
<p>Real-time PCR and western blotting were performed to determine the inhibitory effect of SSA on the mRNA and protein levels of iNOS and COX-2, respectively. As shown in <xref rid="f4-etm-05-05-1345" ref-type="fig">Fig. 4A and B</xref>, the mRNA expressions of iNOS and COX-2 were reduced in a dose-dependent manner by SSA in LPS-stimulated RAW 264.7 cells. Also, SSA strongly downregulated iNOS and COX-2 protein expression (<xref rid="f4-etm-05-05-1345" ref-type="fig">Fig. 4C</xref>).</p></sec>
<sec>
<title>SSA suppresses the LPS-induced activation of NF-&#x003BA;B signaling in RAW 264.7 cells</title>
<p>Western blotting was performed to determine the effect of SSA on LPS-induced NF-&#x003BA;B activation. The results revealed that p65 NF-&#x003BA;B and I&#x003BA;B&#x003B1; protein expression were downregulated by SSA. The p65 NF-&#x003BA;B and I&#x003BA;B&#x003B1; protein expression demonstrated a dose-dependent effect on suppression induced by SSA (<xref rid="f5-etm-05-05-1345" ref-type="fig">Fig. 5</xref>).</p></sec>
<sec>
<title>SSA suppresses the LPS-induced activation of MAPK signaling in RAW 264.7 cells</title>
<p>In order to understand the mechanism by which SSA inhibits LPS-induced production of inflammatory cytokines, we detected the possible connection between SSA and the MAPK pathway. Following SSA treatment, the phosphorylation of p38 MAPK and c-JNK had markedly decreased compared to the control in a dose-dependent manner (<xref rid="f6-etm-05-05-1345" ref-type="fig">Fig. 6</xref>).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Macrophages play a crucial role in the specific and non-specific immune responses during the inflammatory process by producing a large amount of inflammatory mediators, including immune-related cytotoxic factors and inflammatory cytokines. Despite the beneficial effect during infection, excessive production of inflammatory mediators may cause edema, cellular metabolic stress and tissue necrosis (<xref rid="b12-etm-05-05-1345" ref-type="bibr">12</xref>). As a result, agents regulating inflammatory cytokines may have therapeutic effects. The present study demonstrated that LPS effectively induces the activation of macrophages, which is consistent with previous reports (<xref rid="b19-etm-05-05-1345" ref-type="bibr">19</xref>,<xref rid="b20-etm-05-05-1345" ref-type="bibr">20</xref>). By activating several signals and transcription factors, including MAPKs and NF-&#x003BA;B, LPS induces the activation of inflammatory cytokines in macrophages, leading to the production of TNF-&#x003B1;, IL-6, IL-1&#x003B2; and IL-10 (<xref rid="b9-etm-05-05-1345" ref-type="bibr">9</xref>,<xref rid="b10-etm-05-05-1345" ref-type="bibr">10</xref>). In the present study, we demonstrated that SSA markedly inhibits immune-related cytotoxic factors, including iNOS and COX-2, and pro-inflammatory cytokines, including TNF-&#x003B1;, IL-1&#x003B2; and IL-6. It also increased the protein and mRNA levels of the anti-inflammatory cytokine, IL-10, in LPS-stimulated RAW 264.7 macrophages. These data demonstrate the anti-inflammatory activity of SSA in macrophages stimulated by LPS.</p>
<p>To further clarify the molecular mechanism of the inhibitory effect of SSA on inflammatory mediators, we investigated the effects of SSA on the activation of two signaling pathways, NF-&#x003BA;B and MAPKs, in LPS-stimulated macrophages. LPS has been shown to induce the NF-&#x003BA;B signaling pathway in macrophages (<xref rid="b21-etm-05-05-1345" ref-type="bibr">21</xref>). NF-&#x003BA;B, a family of transcription factors, is universally expressed in various types of cells and regulates the transcription of a number of key inflammatory mediators, including COX-2, TNF-&#x003B1;, IL-1&#x003B2;, IL-6 and IL-10 (<xref rid="b22-etm-05-05-1345" ref-type="bibr">22</xref>). Therefore, the NF-&#x003BA;B signaling pathway acts as a core regulator of inflammation. Under normal conditions, NF-&#x003BA;B associates with I&#x003BA;Bs, which sequester NF-&#x003BA;B in the cytoplasm. The activation of NF-&#x003BA;B begins with the phosphorylation of I&#x003BA;B&#x003B1;. Then, the phosphorylation of I&#x003BA;B&#x003B1; allows itself to be ubiquitinated and eventually degraded by the 26S proteasome (<xref rid="b23-etm-05-05-1345" ref-type="bibr">23</xref>). Once I&#x003BA;B&#x003B1; is degraded, the nuclear localization signal of NF-&#x003BA;B is not masked and NF-&#x003BA;B is able to translocate to the nucleus and promote the transcription of target genes (<xref rid="b24-etm-05-05-1345" ref-type="bibr">24</xref>). As demonstrated in the present study, in the control group, the phosphorylation levels of I&#x003BA;B&#x003B1; and p65 NF-&#x003BA;B were high following exposure to LPS; however, following administration of SSA, the phosphorylation of p65 NF-&#x003BA;B and I&#x003BA;B&#x003B1; were markedly decreased in a dose-dependent manner. These data indicate that SSA blocks the NF-&#x003BA;B signaling pathway by inhibiting the phosphorylation of I&#x003BA;B&#x003B1;, preventing NF-&#x003BA;B translocation to the nucleus.</p>
<p>The other major extracellular signaling pathway induced by inflammatory mediators is the MAPK pathway. In the MAPK family, p38 MAPK, c-JNK and ERKs are the most important components (<xref rid="b18-etm-05-05-1345" ref-type="bibr">18</xref>). LPS has been shown to induce the MAPK signaling pathway in macrophages (<xref rid="b25-etm-05-05-1345" ref-type="bibr">25</xref>), which is consistent with our data. In the present study, we identified that phosphorylation of p38 MAPK and c-JNK was high in LPS-stimulated macrophages; however, following administration of SSA, the phosphorylation of p38 MAPK and c-JNK significantly reduced in a dose-dependent manner, suggesting that the activation of the MAPK signaling pathway is inhibited by SSA. Since it is well established that MAPKs regulate various inflammatory mediators, including TNF, IL-1, IL-2, IL-6 COX-2 and iNOS (<xref rid="b26-etm-05-05-1345" ref-type="bibr">26</xref>&#x02013;<xref rid="b28-etm-05-05-1345" ref-type="bibr">28</xref>), we consider that the anti-inflammatory activity of SSA is associated with its inhibitory effect on the MAPK signaling pathway.</p>
<p>In conclusion, this study demonstrated that SSA has an inhibitory effect on pro-inflammatory cytokines, as well as a facilitative effect on anti-inflammatory cytokines in LPS-stimulated macrophages. The mechanism of these actions involves the regulation of MAPK and NF-&#x003BA;B signals.</p></sec></body>
<back>
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<sec sec-type="display-objects">
<title>Figures and Table</title>
<fig id="f1-etm-05-05-1345" position="float">
<label>Figure 1</label>
<caption>
<p>Effects of SSA on the viability of LPS-stimulated RAW 264.7 cells. Cells were treated with various concentrations of SSA. Cell viability was measured by MTT assay. Data were presented as mean &#x000B1; SD from three separate experiments. <sup>&#x0002A;</sup>P&#x0003C;0.05, compared to the control group. SSA, saikosaponin A; LPS, lipopolysaccharide; SD, standard deviation.</p></caption>
<graphic xlink:href="ETM-05-05-1345-g00.tif"/></fig>
<fig id="f2-etm-05-05-1345" position="float">
<label>Figure 2</label>
<caption>
<p>Effects of SSA on TNF-&#x003B1; (A), IL-1&#x003B2; (B), IL-6 (C) and IL-10 (D) expression in LPS-stimulated RAW 264.7 cells. Cells were treated with various concentrations of SSA. Data were derived from six independent experiments and presented as mean &#x000B1; SD. <sup>&#x0002A;</sup>P&#x0003C;0.05, compared to the control group. SSA, saikosaponin A; LPS, lipopolysaccharide; TNF, tumor necrosis factor; IL, interleukin; SD, standard deviation.</p></caption>
<graphic xlink:href="ETM-05-05-1345-g01.tif"/></fig>
<fig id="f3-etm-05-05-1345" position="float">
<label>Figure 3</label>
<caption>
<p>Inhibitory effects of SSA on TNF-&#x003B1; (A), IL-1&#x003B2; (B), IL-6 (C) and IL-10 (D) mRNA expression in LPS-stimulated RAW 264.7 cells. Cells were treated with various concentrations of SSA. Data are presented as mean &#x000B1; SD from three separate experiments. <sup>&#x0002A;</sup>P&#x0003C;0.05, compared to the control group. SSA, saikosaponin A; LPS, lipopolysaccharide; TNF, tumor necrosis factor; IL, interleukin; SD, standard deviation.</p></caption>
<graphic xlink:href="ETM-05-05-1345-g02.tif"/></fig>
<fig id="f4-etm-05-05-1345" position="float">
<label>Figure 4</label>
<caption>
<p>(A) Inhibitory effects of SSA on iNOS mRNA expression in LPS-stimulated RAW 264.7 cells. (B) Inhibitory effects of SSA on COX-2 mRNA expression in LPS-stimulated RAW 264.7 cells. (C) Inhibitory effects of SSA on iNOS and COX-2 protein expression in LPS-stimulated RAW 264.7 cells. Cells were treated with various concentrations of SSA. Data are presented as mean &#x000B1; SD from three separate experiments. <sup>&#x0002A;</sup>P&#x0003C;0.05, compared to the control group. SSA, saikosaponin A; iNOS, inducible nitric oxide synthase; LPS, lipopolysaccharide; COX, cyclooxygenase; SD, standard deviation.</p></caption>
<graphic xlink:href="ETM-05-05-1345-g03.tif"/></fig>
<fig id="f5-etm-05-05-1345" position="float">
<label>Figure 5</label>
<caption>
<p>Inhibitory effects of SSA on the phosphorylation of p65 NF-&#x003BA;B and I&#x003BA;B&#x003B1; in LPS-stimulated RAW 264.7 cells. Cells were treated with various concentrations of SSA. SSA, saikosaponin A; NF, nuclear factor; LPS, lipopolysaccharide.</p></caption>
<graphic xlink:href="ETM-05-05-1345-g04.tif"/></fig>
<fig id="f6-etm-05-05-1345" position="float">
<label>Figure 6</label>
<caption>
<p>Inhibitory effects of SSA on the phosphorylation of p38 MAPK and c-JNK in LPS-stimulated RAW 264.7 cells. Cells were treated with various concentrations of SSA. SSA, saikosaponin A; MAPK, mitogen-activated protein kinase; c-JNK, c-Jun N-terminal kinase; LPS, lipopolysaccharide.</p></caption>
<graphic xlink:href="ETM-05-05-1345-g05.tif"/></fig>
<table-wrap id="t1-etm-05-05-1345" position="float">
<label>Table I</label>
<caption>
<p>Primers used for real-time PCR.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="middle">Gene</th>
<th align="center" valign="middle">Primer</th>
<th align="center" valign="middle">Sequence (5&#x02032;-3&#x02032;)</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top" rowspan="2">iNOS</td>
<td align="center" valign="top">Sense</td>
<td align="left" valign="top">CAAGCTGAACTTGAGCGAGGA</td></tr>
<tr>
<td align="center" valign="top">Antisense</td>
<td align="left" valign="top">TTTACTCAGTGCCAGAAGCTGGA</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">COX-2</td>
<td align="center" valign="top">Sense</td>
<td align="left" valign="top">CTGGAACATGGACTCACTCAGTTTG</td></tr>
<tr>
<td align="center" valign="top">Antisense</td>
<td align="left" valign="top">AGGCCTTTGCCACTGCTTGT</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">TNF-&#x003B1;</td>
<td align="center" valign="top">Sense</td>
<td align="left" valign="top">CCGCTCGTTGCCAATAGTGATG</td></tr>
<tr>
<td align="center" valign="top">Antisense</td>
<td align="left" valign="top">CATGCCGTTGGCCAGGAGGG</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">IL-1&#x003B2;</td>
<td align="center" valign="top">Sense</td>
<td align="left" valign="top">GCACTACAGGCTCCGAGATGAA</td></tr>
<tr>
<td align="center" valign="top">Antisense</td>
<td align="left" valign="top">GTCGTTGCTTGGTTCTCCTTGT</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">IL-6</td>
<td align="center" valign="top">Sense</td>
<td align="left" valign="top">CTTGGGACTGATGCTGGTGACA</td></tr>
<tr>
<td align="center" valign="top">Antisense</td>
<td align="left" valign="top">GCCTCCGACTTGTGAAGTGGTA</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">IL-10</td>
<td align="center" valign="top">Sense</td>
<td align="left" valign="top">CGATGTTCTGTTCTGGTT</td></tr>
<tr>
<td align="center" valign="top">Antisense</td>
<td align="left" valign="top">AAGACGCTTGACTTGAAG</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">GAPDH</td>
<td align="center" valign="top">Sense</td>
<td align="left" valign="top">AGTGGCAAAGTGGAGATT</td></tr>
<tr>
<td align="center" valign="top">Antisense</td>
<td align="left" valign="top">GTGGAGTCATACTGGAACA</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-etm-05-05-1345">
<p>PCR, polymerase chain reaction; iNOS, inducible nitric oxide synthase; COX, cyclooxygenase; TNF, tumor necrosis factor; IL, interleukin; GAPDH, glyceraldehyde 3-phosphate dehydrogenase.</p></fn></table-wrap-foot></table-wrap></sec></back></article>
