- Research article
- Open Access
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Anti-inflammatory activities of Guang-Pheretima extract in lipopolysaccharide-stimulated RAW 264.7 murine macrophages
BMC Complementary and Alternative Medicinevolume 18, Article number: 46 (2018)
Guang-Pheretima, which is originated from Pheretima aspergillum, has been documented in academic Chinese herbal studies for nearly 2000 years for its prominent treating effects of various inflammatory diseases such as asthma, cough and fever. However, the anti-inflammatory activity and mechanism of Guang-Pheretima has been rarely reported. Hence, we investigated the inhibitory effect and the underlying mechanism of Guang-Pheretima aqueous extracts on inflammatory response in RAW 264.7 cells.
RAW 264.7 macrophages were pretreated with various concentrations of Guang-Pheretima decoction (GPD) or protein-free Guang-Pheretima decoction (PF-GPD) and subsequently stimulated with lipopolysaccharide (LPS) to trigger the inflammatory response. Productions of nitric oxide (NO) were determined by Griess reaction, and prostaglandin E2 (PGE2), tumor necrosis factor-α (TNF-α), interleukin (IL)-1β, IL-6 were measured by enzyme-linked immunosorbent assays (ELISA). The protein expressions and messenger ribonucleic acid (mRNA) amounts of inducible nitric oxide synthase (iNOS) and cyclooxygenase (COX)-2 were analyzed by Western Blot and Real-Time polymerase chain reaction (PCR), respectively. Finally, the translocation of nuclear factor (NF)-κB was observed by Western Blot.
GPD of the experimental concentrations showed no anti-inflammatory activity. In contrast, PF-GPD at concentrations of 40–320 μg/mL significantly inhibited NF-κB activation and reduced the production of inflammatory mediators, such as NO, PGE2, TNF-α, as well as the related key synthases including iNOS and COX-2. Moreover, PF-GPD markedly suppressed the release of inflammatory cytokines, such as IL-1β and IL-6.
These results demonstrate the excellent anti-inflammatory properties of PF-GPD, and suggest that Guang-Pheretima may be used to treat and prevent certain inflammatory diseases.
Inflammation, mainly manifesting as redness, swelling, fever and pain, is a bodily defense mechanism in response to injury, infection and other stimuli, and plays a vital role in defending against diseases and pathogen invasion. During inflammation, activated macrophages secrete excessive inflammatory mediators, such as nitric oxide (NO) and prostaglandins (PGs), as well as pro-inflammatory cytokines, such as tumor necrosis factor-α (TNF-α) and interleukin-1β (IL-1β) . In the inflammation research, lipopolysaccharide (LPS), an endotoxin derived from the cell wall of Gram-negative bacteria , is widely used to induce inflammation as it can stimulate the secretion of pro-inflammatory cytokines in macrophages .
During the course of inflammation, NO free radicals that are produced by inducible nitric oxide synthase (iNOS) play an important role in the innate immune response to infection . Elevated expression of iNOS is often associated with a variety of inflammatory diseases, such as asthma and colitis . In the inflamed tissue, cyclooxygenase-2 (COX-2) plays a key role in converting arachidonic acid into prostaglandin E2 (PGE2) which causes fever and pain in the body . Moreover, the stimulated macrophages produce large amounts of inflammatory cytokines, including TNF-α, IL-1β and IL-6, and TNF-α, which evoke the production of other inflammatory cytokines and leads to multiple immune disorders and pain [7, 8]. IL-1β is able to cause fever and hypotension . IL-6, on the other hand, plays a crucial role in the formation of Th17 cells, and it stimulates the release of diverse inflammatory substances that may lead to immune disorders and chronic inflammation .
Genes encoding inflammatory mediators, such as iNOS and COX-2, are normally maintained at a low transcriptional level in the healthy condition [11,12,13]. In contrast, overexpression of iNOS during inflammation is closely associated with activation of nuclear factor-κB (NF-κB), which is found to be interactive with COX-2 in many inflammation and cancer [14, 15]. NF-κB is a key transcription factor that regulates the expression of pro-inflammatory genes, including iNOS, TNF-α, IL-1β and IL-6 [16,17,18]. Under normal circumstances, NF-κB is present in the cytoplasm as a dimer and associates with the inhibitor κB-α (IκB-α). When the cell is challenged by a stimulus such as lipopolysaccharide (LPS), IκB kinase drives phosphorylation of IκB, resulting in ubiquitination-mediated degradation of IκB and release of the NF-κB dimer. Subsequently, NF-κB translocates into the cell nucleus and engages in the transcription of inflammatory genes, leading to the occurrence and progression of inflammation .
Pheretima was first documented in “Shen Nong’s Herbal Classic” 2000 years ago , and it has been widely used as a traditional Chinese medicine for the treatment of asthma, fever, epilepsy, stroke and urolithiasis . According to the Chinese pharmacopoeia, there are four sources of Pheretima, namely Pheretima aspergillum, P. guillelmi, P. vulgaris and P. pectinifera. P. aspergillum is usually called Guang-Pheretima as it is mainly distributed in Guangdong and Guangxi in China, and is generally considered the best source of Pheretima. As a traditional Chinese medicine with multiple targets in multiple systems, the pharmacological activity and molecular mechanism of Guang-Pheretima in cardiovascular, nervous and even orthopaedic diseases have been well studied [22,23,24,25], yet the anti-inflammatory property of Guang-Pheretima has seldom been reported.
In the present study, we investigated the effects of Guang-Pheretima decoction (GPD) and protein-free Guang-Pheretima decoction (PF-GPD) on the LPS-induced production of inflammatory cytokines (IL-1β and IL-6) and inflammatory mediators (NO, PGE2 and TNF-α) in the mouse macrophage cell line, RAW 264.7. Furthermore, we evaluated the effects of PF-GPD on the expression of iNOS and COX-2, and studied the relationship between the anti-inflammatory activities and the NF-κB signaling pathway. Our study reveals part of the molecular mechanisms underlying the anti-inflammatory properties of Guang-Pheretima.
Preparation of GPD and PF-GPD
P. aspergillum was collected from March to May 2014 in Guangzhou, Guangdong Province, China, and identified by Professor Wei Li from the Department of Chinese Medicine Identification in Guangzhou University of Chinese Medicine. P. aspergillum was processed to medicinal grade according to the method of traditional Chinese medicine processing , and kept at − 20 °C for later use. A voucher specimen (GPMTCM-2017050301) was deposited in the Guangdong Provincial Museum of Traditional Chinese Medicine. When used, Guang-Pheretima was minced, soaked in 20-times volume of double distilled water (DDW) for 30 min, and then boiled in a reflux condensation system for 1 h. Subsequently, Guang-Pheretima was boiled with fresh DDW again, and the Guang-Pheretima decoction (GPD) was pooled together and filtered through 8 layers of medical gauze. A part of the filtered decoction was lyophilized. The powder was dissolved in Roswell Park Memorial Institution (RPMI) 1640 culture medium to a stock concentration of 1 g/mL, and the stock was filtered through a 0.22 μm filter membrane and stored at − 20 °C. For the remaining filtered decoction, absolute ethanol was added with stirring, up to 80% total volume. The supernatant was then subjected to two rounds of vacuum distillation at 50 °C to remove ethanol. The final protein-free Guang-Pheretima decoction (PF-GPD) was verified by biuret and lyophilized, and the stability and similarity were investigated in our previous study . Although the compositions of PF-GPD are not clearly revealed, we ensured that L-Leucine, L-Lysine and L-valine are existed in PF-GPD by LC/MS/MS, which are 3 key components specified in PHERETIMA in the Pharmacopoeia of People’s Republic of China . The lyophilized PF-GPD powder was dissolved in RPMI 1640 to a stock concentration of 1 g/mL, and the stock was filtered through a 0.22 μm filter membrane and stored at − 20 °C for subsequent experiments.
The RAW 264.7 cell line was purchased from the American Type Culture Collection (ATCC). Cells were cultured in RPMI 1640 supplemented with 10% fetal bovine serum (FBS), 100 IU/ml penicillin and 100 μg/mL streptomycin, and maintained at 37 °C in an environment containing 5% CO2. The cells were grown in 25 cm2 flasks and passaged when they reached 80% confluence. During passaging, the old medium was removed, and 2 mL fresh medium was added to the flask. The cells were dissociated by pipetting the medium 2–3 times against the flask bottom with a 1000 μL pipette. Thereafter, the cells were sub-cultured in 2 new flasks containing 5 mL culture medium. After passaging, the death rate was below 1% according to Trypan blue test.
Cell viability assay
Cell viability was measured by a modified method based on previous reports [28, 29]. RAW 264.7 cells were seeded in a 96-well plate at a density of 1 × 104 cells/well, and cultured in RPMI 1640 containing 10% FBS overnight. The cells were treated with differing concentrations of GPD or PF-GPD for 24 h, or pre-treated with GPD or PF-GPD for 2 h followed by 24 h treatment with 1 μg/mL LPS. Thereafter, the medium was aspirated, and 100 μL MTT-PBS solution (500 μg/mL) was added into each well and cultured at 37 °C. Four hours later, the supernatant was aspirated and 150 μL DMSO was added into each well. The plate was placed in a plate-reader for 10 min with low speed oscillation, before the absorbance at 490 nm was read. The cell viability was presented as a ratio. The experiment was performed in triplicate.
Measurement of NO
The activity of NO synthesis can be deduced from the nitrite content of the culture medium as determined by the Griess reaction [29, 30]. RAW 264.7 cells were seeded in a 24-well plate at a density of 4 × 105 cells/well, and cultured for 24 h. The cells were cultured with RPMI 1640 alone, or treated with 1 μg/mL LPS in the absence or presence of differing concentrations of experimental drugs, and 0.5 μg/mL dexamethasone were performed as positive control. The conditioned medium was collected and centrifuged at 2000×g for 10 min, and the supernatant was stored at − 80 °C. To determine the concentration of nitrite, 50 μL conditioned medium was mixed with 50 μL Griess reagent, and the absorbance was read by a plate reader 15 min later at 540 nm. The nitrite concentration was calculated based on the standard curve of NaNO2, with fresh RPMI 1640 set as the blank control. The experiment was repeated 4 times.
Determination of PGE2, TNF-α, IL-1β and IL-6
The productions of PGE2, TNF-α, IL-1β and IL-6 in RAW 264.7 cells under different conditions were measured by enzyme-linked immunosorbent assay (ELISA) . RAW 264.7 cells were seeded in a 96-well plate at a density of 1 × 104 cells/well, and cultured overnight in RPMI 1640 containing 10% FBS. The cells were pre-treated with GPD or PF-GPD for 2 h, or pre-treated with indomethacin (2.5 μL/mL) or dexamethasone (0.5 μL/mL) as a positive control for 2 h, and then treated with 1 μg/mL LPS for 24 h. The medium was then centrifuged at 2000×g at 4 °C, and the supernatant was used to determine the levels of the above factors in accordance with the instructions of the ELISA kits.
Semi-quantitative analysis of iNOS and COX-2 by western blot
In the presence of the reduced form of nicotinamide-adenine dinucleotide phosphate (NADPH) and oxygen, iNOS can synthesize NO using the nitrogen atom from the L-arginine end , and COX-2 is a key enzyme during the synthesis of PGE2 . Hence, we studied the relationship between the anti-inflammatory activity of Guang-Pheretima with iNOS and COX-2. From the results of the previous studies, we found that GPD at non-cytotoxic concentrations was not able to suppress the release of inflammatory factors in LPS-induced inflammatory model in RAW 264.7 cells. Thus, we continued the subsequent experiments only with gradient concentrations of PF-GPD.
RAW 264.7 cells were cultured in 6-well plates (1 × 106 cells/well) overnight. The cells were pre-treated with differing concentrations of PF-GPD for 6 h (RPMI 1640 as control), and treated with 1 μg/mL LPS for 24 h except for the control group. Total proteins were extracted on ice with RIPA lysis buffer (Pierce, Rockford, IL, USA) with 10 min incubation, and the lysates were centrifuged at 12000×g for 10 min at 4 °C. Supernatants were collected and assayed for protein concentration with BCA assay kit based on a bovine serum albumin (BSA) standard curve. The samples were adjusted to the same protein concentration, and 30 μg protein from each sample was subjected to sodium dodecyl sulfonate- polyacrylamide gel electrophoresis (SDS-PAGE) and transferred onto a polyvinylidene fluoride (PVDF) membrane at 120 mA. The membrane was blocked at room temperature for 1 h with 5% skim milk solution containing 0.05% Tween-20. Subsequently, the membrane was washed three times with 0.05% Tween-20, and incubated with a primary antibody overnight at 4 °C, followed by incubation with a horseradish peroxidase-conjugated secondary antibody at room temperature for 1 h. After washing three times, the membrane was incubated with enhanced chemiluminescence (ECL) reagent for 2 min and exposed to a film. The relative levels of the target proteins were determined by a gel imaging system.
Real-time PCR analysis of iNOS and COX-2 mRNA levels
In order to further investigate the effects of Guang-Pheretima on the LPS-induced RAW 264.7 cell inflammation model, the relative mRNA levels of iNOS and COX-2 were determined by Real-Time PCR. RAW 264.7 cells were cultured in 6-well plates (1 × 106 cells/well) overnight, pre-treated with different concentrations of PF-GPD or dexamethasone (0.5 μg/mL) or indomethacin (2.5 μg/mL) for 6 h (RPMI 1640 as control), and treated with 1 μg/mL LPS for 18 h (except for the control group). Total RNA was extracted with Trizol (Invitrogen, USA) and then reverse-transcribed to complementary deoxyribonucleic acid (cDNA) according to the manufacturer’s instructions (Reverse Transcriptase M-MLV, TAKARA, Japan). Samples were then amplified using qPCR (ABI 7500, Applied Biosystems, Foster City, CA, USA) according to the instructions of the fluorescence quantification kit (SYBR® Premix Ex Taq™, TAKARA, Japan). The PCR conditions were as follows: 95 °C for 30 s, 35 cycles of 95 °C for 3 s and 60 °C for 34 s. The PCR primers for iNOS and COX-2 are listed in Table 1. All data was collected and calculated as 2 -△△Ct.
Western blot analysis of NF-κB translocation
In order to observe translocation of NF-κB and degradation of IκB-α, RAW 264.7 cells were cultured in 6-well plates (1 × 106 cells/well) overnight, pre-treated with different concentrations of PF-GPD for 6 h (RPMI 1640 as control), and treated with 1 μg/mL LPS for 1 h (except for the control group). Cytosolic proteins were extracted with NE-PER lysis buffer according to the manufacturer’s instructions, followed by Western Blot analysis using the method described in section 2.6. All antibodies were purchased from Cell Signaling Technology.
All experiments were parallel repeated at least three times with consistent results. Data was analyzed and expressed as mean ± standard error of measurement (SEM). Statistical significance of the differences were performed by one-way ANOVA for multiple comparisons followed by the LSD test for comparisons between groups. A P-value of less than 0.05 was accepted as significant.
Cytotoxicity of GPD and PF-GPD to RAW 264.7 cells
After analyzing the indicator constituents in the PF-GPD with LC-MS/MS (Fig. 1), the cytotoxicity in the different concentrations of GPD and PF-GPD against RAW 264.7 cells in the presence or absence of 1 μg/mL LPS was assessed with MTT assay (Fig. 2a and b) (P < 0.01); PF-GPD was not cytotoxic at any of the tested concentrations (Fig. 2c and d) (P > 0.05). Based on the above results, 5–20 μg/mL GPD and 40–320 μg/mL PF-GPD were used for the subsequent experiments.
Effect of GPD and PF-GPD on NO synthesis
To evaluate the effect of GPD and PF-GPD on the synthesis of the inflammatory mediator NO, we performed a Griess test to measure the concentration of NaNO2 in the conditioned medium of LPS-stimulated RAW 264.7 cells. The results indicated that the concentration of NaNO2 increased in LPS-stimulated RAW 264.7 cells (P < 0.01), suggesting that LPS induced the production of NO in the cells. At all tested concentrations GPD did not affect LPS-induced NO production (P > 0.05), whereas 40–320 μg/mL PF-GPD significantly attenuated LPS-induced elevation of NaNO2 in a dose-dependent manner (P < 0.01) (Fig. 3).
Effect of GPD and PF-GPD on PGE2, TNF-α and pro-inflammatory cytokines
PGE2 and TNF-α are important mediators of inflammation, while IL-1β and IL-6 are pro-inflammatory cytokines that are secreted in the early stages of inflammation. Thus, we examined the levels of PGE2, TNF-α, IL-1β and IL-6 in the conditioned medium of LPS-stimulated RAW 264.7 cells by ELISA. The ELISA results showed that GPD at the tested concentrations was not able to reduce PGE2, TNF-α, IL-1β nor IL-6 levels in the conditioned medium, whereas PF-GPD significantly inhibited LPS-stimulated secretion of PGE2, TNF-α, IL-1β and IL-6 compared to LPS-stimulated cells without treatment (P < 0.01) (Fig. 4a-d). In addition, we found that high concentrations of GPD (20 μg/mL) did not decrease LPS-induced secretion of TNF-α in RAW 264.7 cells, instead, it significantly elevated TNF-α secretion (P < 0.05) (Fig. 4b). The possible reason for this result is that the active component in GPD that could inhibit TNF-α secretion was too dilute at the above concentrations to have an effect, and the diluted active component was not able to suppress TNF-α secretion that was induced by other toxic substance(s) in GPD.
Effect of PF-GPD on the expression of iNOS and COX-2
iNOS and COX-2 are key enzymes in the synthesis of NO and PGE2, respectively. In order to explore the mechanism behind the inhibitory effect of PF-GPD on the LPS-induced secretion of NO and PGE2 in RAW 264.7 cells, we analyzed the expression of iNOS and COX-2 proteins in the inflammation model by Western Blot. The results showed that at 80–320 μg/mL of PF-GPD could markedly decrease the relative expression level of iNOS (P < 0.01), while PF-GPD at a high concentration (320 μg/mL) could recover the expression of iNOS to a level comparable to that of normal control (NC) cells (Fig. 5a). On the other hand, PF-GPD significantly reduced the expression of COX-2 in the cells, as compared to the LPS treatment group (P < 0.01) (Fig. 5b). Taken together, PF-GPD inhibited LPS-induced expression of iNOS and COX-2 in RAW 264.7 cells, and the inhibitory effect was dose dependent.
Effect of PF-GPD on the relative levels of iNOS and COX-2 mRNA
Based on the Western Blot results, in order to test the hypothesis that PF-GPD downregulates the expression of iNOS and COX-2 proteins by inhibiting iNOS and COX-2 transcription, we assessed the effect of PF-GPD on the synthesis of iNOS and COX-2 mRNA in LPS-stimulated RAW 264.7 cells by real-time PCR. The results indicated that PF-GPD at all tested concentrations (40–320 μg/mL) markedly reduced the relative level of iNOS mRNA (P < 0.01) (Fig. 6a) and COX-2 mRNA (P < 0.01) (Fig. 6b).
Effect of PF-GPD on nuclear translocation of NF-κB
It has been extensively reported that the nuclear translocation of NF-κB is a common hallmark of inflammation and cancer . The engagement of NF-κB to the nucleus activates transcription, and it may lead to overexpression of iNOS and other inflammation-related factors. To investigate the effect of PF-GPD on the nuclear translocation of NF-κB and the underlying molecular mechanism, we performed Western blotting to examine the relative levels of nuclear and cytosolic NF-κB p65 as well as the degradation of IκB-α in LPS-stimulated RAW 264.7 cells with or without PF-GPD treatment. The results showed that LPS stimulation caused degradation of IκB-α compared with negative control cells (P < 0.05) (Fig. 7a), whereas PF-GPD blocked LPS-induced degradation of IκB-α (P < 0.01), and inhibited NF-κB p65 translocation from the cytoplasm (Fig. 7b) to the nucleus (Fig. 7c), thus interrupting the transcription and translation of inflammatory genes.
In traditional Chinese medicine, Guang-Pheretima is widely used in the treatment of asthma, fever, and many other inflammatory diseases, and it is a “top 10 prestigious Guangdong medicine” for its outstanding efficacy. Although the anti-inflammatory activity of Guang-Pheretima has been studied clinically and experimentally, the underlying molecular mechanism has seldom been reported. Hence, in this study, we investigated the anti-inflammatory activity of Guang-Pheretima and the underlying molecular mechanism in an inflammation model using LPS-stimulated RAW 264.7 murine macrophages.
As so far, the anti-inflammatory bioactive compounds of Guang-Pheretima are not comprehensively revealed, only some enzymes, purines, proteins, peptides, amino acids and fatty acids are investigated in it . In this study, we analyzed L-Leucine, L-Lysine and L-valine with LC/MS/MS in PF-GPD (Fig. 1), which were enlisted in the Pharmacopoeia of People’s Republic of China and considered to be related with growth and repair in body tissue, and aid in the production of antibodies and enzymes.
As the first line of innate immunity, macrophages play a crucial role in the initiation, progression and elimination of inflammation. Macrophages evoke innate immune responses by releasing cytokines and inflammatory mediators upon pathogen invasion [35, 36]. Thus, macrophages are extensively used in the study of inflammation and immunity. During inflammation, activated macrophages produce excessive inflammatory mediators including NO, PGE2 and TNF-α, as well as inflammatory cytokines such as IL-1β and IL-6. All these substances promote the progression of inflammation and aggravate inflammation through synergistic actions with other inflammatory mediators . In this study, although GPD at tested concentrations did not show any anti-inflammatory effects, PF-GPD reduced the production of inflammatory mediators (NO, PGE2 and TNF-α) and cytokines (IL-1β and IL-6) in LPS-stimulated RAW 264.7 cells in a dose-dependent manner. Moreover, the MTT assay showed that GPD at 5 μg/mL and 10 μg/mL was not cytotoxic (Fig. 2a and b) but significantly upregulated the secretion of TNF-α as evidenced by ELISA (Fig. 4b), whereas the stimulatory effect of GPD was not seen in IL-1β or IL-6. One possible reason is that the active component(s) which could inhibit TNF-α secretion was/were under the minimal effective concentration in 5 μg/mL and 10 μg/mL GPD, and the active component(s) was/were not able to suppress TNF-α secretion that was induced by other toxic substance(s) in GPD. In addition, compared to other cytokines, TNF-α is more sensitive to inflammatory stimuli .
iNOS and COX-2 are the key enzymes in the synthesis of NO and PGE2, respectively. Therefore, they are the major targets of anti-inflammatory agents in current research. In our study, after we found that PF-GPD could markedly reduce LPS-induced production of NO and PGE2 in RAW 264.7 cells, we subsequently investigated the activity of PF-GPD in the regulation of iNOS and COX-2 expression at both protein and mRNA levels. The results showed that PF-GPD downregulated the expression of iNOS and COX-2 proteins (Fig. 5) by reducing the transcription of iNOS and COX-2 mRNA (Fig. 6), therefore suppressing the production of NO and PGE2.
NF-κB is a critical transcription factor that regulates the transcription of iNOS and interact with COX-2 in many inflammation and cancer [38, 39]. Under normal circumstances, NF-κB is present in the cytoplasm as a heterodimer in association with Inhibitor κB-α (IκB-α). When the cells were challenged by a stimulus such as LPS, IκB is phosphorylated, ubiquitinated, and recognized and degraded by proteases, leading to NF-κB translocation from the cytoplasm into the nucleus and subsequent deoxyribonucleic acid (DNA) binding to initiate the transcription of multiple inflammatory genes . In the present study, we found that PF-GPD inhibited LPS-induced degradation of IκB (Fig. 7a), thus retaining NF-κB in the cytoplasm and reducing its nuclear translocation (Fig. 7b and c), and ultimately decreasing the expression of multiple inflammatory factors.
In summary, PF-GPD blocked the nuclear translocation of NF-κB by inhibiting degradation of IκB, thus suppressing the synthesis of iNOS mRNA and protein. As well as the inhibition of COX-2 mRNA and protein, PF-GPD downregulating the expression of inflammatory cytokines (TNF-α, IL-1β and IL-6) in LPS-induced RAW 264.7 cells. As there was a reduction in the levels of key enzymes (iNOS and COX-2), the production of NO and PGE2 was reduced. Through the above mechanisms, PF-GPD exerted its anti-inflammatory effect. On the other hand, the MTT assay showed that GPD at 40 μg/mL and above (40–320 μg/mL) was cytotoxic, whereas PF-GPD at all tested concentrations (5–320 μg/mL) was not cytotoxic. It is probably that GPD may contain certain high molecular-weight substances that may damage RAW 264.7 cells (such as thermoresistant metallothionein or polysaccharides). PF-GPD, by contrast, was obtained through two-step ethanol precipitation, so the high molecular-weight substances were precipitated, and the toxic substances were removed. However, the constituents of Guang-Pheretima are complicated, we may not affirm that the deprived components in GPD exert no anti-inflammatory or other activities. Although we analyzed L-Leucine, L-Lysine and L-valine in the PF-GPD according to Pharmacopoeia of China, the anti-inflammatory and cytotoxic substances and their mechanisms of action have not been characterized and remain to be explored in future studies.
By investigating the effects of GPD and PF-GPD on the inflammatory model of LPS-stimulated RAW 264.7 cells, we found that PF-GPD at all tested concentrations (40–320 μg/mL) could exert anti-inflammatory activity. As is shown in the Fig. 8, our study demonstrated that PF-GPD could significantly inhibit IκB degradation and NF-κB translocation in LPS-stimulated murine macrophages, and downregulate the synthesis of iNOS and COX-2, reducing the production of the inflammatory mediators (NO, PGE2 and TNF-α) and various inflammatory cytokines. Our findings can be considered as scientific evidence to support the clinical use of Guang-Pheretima in the treatment of asthma, fever and other inflammatory diseases, and our study provides a foundation for further studies of the anti-inflammatory properties of Guang-Pheretima.
Complementary deoxyribonucleic acid
Enzyme linked immunosorbent assay
Fetal bovine serum
Inducible nitric oxide synthase
Messenger ribonucleic acid
Thiazolyl blue tetrazolium bromide
Polymerase chain reaction
Protein-free Guang-Pheretima decoction
Roswell Park Memorial Institution
Sodium dodecyl sulfonate- polyacrylamide gel electrophoresis
Tumor necrosis factor-α
McGettrick AF, O'Neill LA. How metabolism generates signals during innate immunity and inflammation. J Biol Chem. 2013;288(32):22893–8.
Kaufmann S, Ilg K, Mashaghi A, Textor M, Priem B, Aeb M, Reimhult E. Supported lipopolysaccharide bilayers. Langmuir. 2012;28(33):12199–208.
Wang L, Trebicka E, Fu Y, Waggoner L, Akira S, Fitzgerald K, Kagan J, Cherayil B. Regulation of lipopolysaccharide-induced translation of tumor necrosis factor-alpha by the toll-like receptor 4 adaptor protein TRAM. J Innate Immun. 2011;3(5):437–46.
Moreno B, Jukes J, Vergarairigaray N, Errea O, Villoslada P, Perry V, Newman T. Systemic inflammation induces axon injury during brain inflammation. Ann Neurol. 2011;70(6):932–42.
Kroncke KD, Fehsel K, Kolb-Bachofen V. Inducible nitric oxide synthase in human diseases. Clin Exp Immunol. 1998;113:147–56.
Satoh H, Amagase K, Ebara S, Akiba Y, Takeuchi K. Cyclooxygenase (COX)-1 and COX-2 both play an important role in the protection of the duodenal mucosa in cats. J Pharmacol Exp Ther. 2013;344(1):189–95.
Chen J, Song Y, Yang J, Zhang Y, Zhao P, Zhu X, Su H. The contribution of TNF-α in the amygdala to anxiety in mice with persistent inflammatory pain. Neurosci Lett. 2013;541:275–80.
Ogawa H, Mukai K, Kawano Y, Minegishi Y, Karasuyama H. Th2-inducing cytokines IL-4 and IL-33 synergistically elicit the expression of transmembrane TNF-α on macrophages through the autocrine action of IL-6. Biochem Bioph Res Co. 2012;420(1):114–8.
Duque J, Diaz-Munoz MD, Fresno M, Iniguez MA. Up-regulation of cyclooxygenase-2 by interleukin-1β in colon carcinoma cell. Cell Signal. 2006;18(8):1262–9.
Lee J, Nakagiri T, Oto T, Harada M, Morii E, Shintani Y, Inoue M, Iwakura Y, Miyoshi S, Okumura M, Hirano T, Murakami M. IL-6 amplifier, NF-κB-triggered positive feedback for IL-6 signaling, in grafts is involved in allogeneic rejection responses. J Immunol. 2012;189(4):1928–36.
Kolyada AY, Savikovsky N, Madias NE. Transcriptional regulation of the human iNOS gene in vascular-smooth-muscle cells and macrophages: evidence for tissue specificity. Biochem Bioph Res Co. 1996;220(3):600–5.
Schmidt N, Pautz A, Art J, Rauschkolb P, Jung M, Erkel G, Goldring M, Kleinert H. Transcriptional and post-transcriptional regulation of iNOS expression in human chondrocytes. Biochem Pharmacol. 2010;79(5):722–32.
Bagga D, Wang L, Farias-Eisnert R, Glaspy JA, Reddy ST. Differential effects of prostaglandin derived from ω-6 and ω-3 polyunsaturated fatty acids on COX-2 expression and IL-6 secretion. P Natl Acad Sci USA. 2003;100(4):1751–6.
Madonna R, Caterina R. Relevance of new drug discovery to reduce NF-κB activation in cardiovascular disease. Vasc Pharmacol. 2012;57(1):41–7.
Abdel-Latif MM, Kelleher D, Reynolds JV. Potential role of NF-κB in esophageal adenocarcinoma: as an emerging molecular target. J Surg Res. 2009;153(1):172–80.
Nguyen DP, Li J, Yadav SS, Tewari AK. Recent insights into NF-κB signalling pathways and the link between inflammation and prostate cancer. BJU Int. 2014;114(2):168–76.
DiDonato JA, Mercurio F, Karin M. NF-κB and the link between inflammation and cancer. Immunol Rev. 2012;246(1):379–400.
Poligone B, Baldwin AS. Positive and negative regulation of NF-κB by COX-2: roles of different prostaglandins. J Bio Chem. 2001;276(42):38658–64.
Hayden MS, Ghosh S. NF-κB in immunobiology. Cell Res. 2011;21(2):223–44.
Ma J. The edition and annotation of Sheng Nong's herbal classic. Beijing: People’s Medical Publishing House; 2013. p. 313–4.
Chinese-Pharmacopoeia-Commission. Pharmacopoeia of People's Republic of China, in part 1. Beijing: China Medical Science Press; 2015. p. 113–4.
Cooper EL, Balamurugan M, Huang CY, Tsao CR, Heredia JJB, Tommaseoponzetta M, Paoletti MG. Earthworms dilong: ancient, inexpensive, noncontroversial models may help clarify approaches to integrated medicine emphasizing neuroimmune systems. Evid Based Compl Alt. 2012;2012:164152.
Li PC, Tien YC, Day CH, Pai P, Kuo W, Chen T, Kuo C, Tsai C, Ju D, Huang C. Impact of LPS-induced cardiomyoblast cell apoptosis inhibited by earthworm extracts. Cardiovasc Toxicol. 2015;15(2):172–9.
Fu YT, Chen KY, Chen YS, Yao CH. Earthworm (Pheretima aspergillum) extract stimulates osteoblast activity and inhibits osteoclast differentiation. BMC Complem Altern Med. 2014;14:440–9.
Wang KY, Tull L, Cooper E, Wang N, Liu D. Recombinant protein production of earthworm lumbrokinase for potential antithrombotic application. Evid Based Compl Alt. 2013;2013:783971.
Gong Q. Chinese medicine processing. Beijing: Chinese Medicine Press; 2012.
Huang C, Li W, Zhang Q, Chen L, Chen W, Zhang H, Ni Y. Pheretima aspergillum decoction suppresses inflammation and relieves asthma in a mouse model of bronchial asthma by NF-κB inhibition. J Ethnopharmacol. 2016;189(2):22–30.
Oh BK, Mun J, Seo HW, Ryu SY, Kim YS, Lee BH, Oh K. Euonymus alatus extract attenuates LPS-induced NF-κB activation via IKKβ inhibition in RAW 264.7 cells. J Ethnopharmacol. 2011;134(2):288–93.
Chen X, Zhang S, Xuan Z, Ge D, Chen X, Zhang J, Wang Q, Wu Y, Liu B. The phenolic fraction of Mentha Haplocalyx and its constituent linarin ameliorate inflammatory response through inactivation of NF-κB and MAPKs in lipopolysaccharide-induced RAW264.7 cells. Molecules. 2017;22:811.
Liu GJ, Geng M, Xu R, Hui R, Zhao J, Xu Q, Xu H, Li J. Synthesis of a novel series of diphenolic chromone derivatives as inhibitors of NO production in LPS-activated RAW264.7 macrophages. Bioorg Med Chem Lett. 2010;18(8):2864–71.
Yang J, Li S, Xie C, Ye H, Tang H, Chen L, Peng A. Anti-inflammatory activity of ethyl acetate fraction of the seeds of Brucea Javanica. J Ethnopharmacol. 2013;147(2):442–6.
Udit AK, Bellistonbittner W, Glazer EC, Nguyen YHL, Gillan JM, Hill MG, Marletta MA, Goodin DB, Gray HB. Redox couples of inducible nitric oxide synthase. J Am Chem Soc. 2005;127(32):11212–3.
Chen EP, Smyth EM. COX-2 and PGE2-dependent immunomodulation in breast cancer. Prostag Oth Lipid M. 2011;96(1–4):14–20.
Wang G, Hu D, Chen J, Zou Y, Chen P. Analysis of chemical components from Pheretima. J Chin Med Mater. 1998;21:133–5.
Korns D, Frasch SC, Fernandez-Boyanapalli R, Henson PM, Bratton DL. Modulation of macrophage efferocytosis in inflammation. Front Immunol. 2011;2:1–10.
Guha M, Mackman N. LPS induction of gene expression in human monocytes. Cell Signal. 2011;2:1–10.
Bessueille L, Magne D. Inflammation: a culprit for vascular calcification in atherosclerosis and diabetes. Cell Mol Life Sci. 2015;72(13):2475–89.
Kleinert H, Pautz A, Linker K, Schwarz PM. Regulation of the expression of inducible nitric oxide synthase. Eur J Pharmacol. 2004;500(1–3):255–66.
Yeoh A, Gibson R, Yeoh EK, Bowen JM, Stringer AM, Giam K, Logan RM, Keefe DMK. Radiation therapy-induced mucositis: relationships between fractionated radiation, NF-κB, COX-1, and COX-2. Cancer Treat Rev. 2006;32(8):645–51.
Lu T, Stark GR. NF-κB: regulation by methylation. Cancer Res. 2015;75(18):3692–5.
This work was supported by a grant from National Natural Science Foundation of China (Project No. 81374035).
This work was supported by a grant from National Natural Science Foundation of China (Project No. 81374035).
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