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INFLAMMATION AND IMMUNOPHARMACOLOGY
Biotech Center, Rutgers University, New Brunswick, New Jersey
Received October 3, 2005; accepted December 21, 2005.
| Abstract |
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Chronic inflammation, carcinogenesis, autoimmune disorders, and metabolic syndrome are mechanistically linked (Ohshima and Bartsch, 1994
; Heiss et al., 2001
; Esposito and Giugliano, 2004
) and therefore may benefit from similar treatments. Chronic inflammation and infection lead to the up-regulation of enzymes and signaling proteins in affected tissues and cells. For example, proinflammatory enzyme inducible nitric-oxide synthase (iNOS) is involved in multiple sclerosis and Parkinson's and Alzheimer's diseases, as well as colon cancer (Hantraye et al., 1996
; Simonian and Coyle, 1996
; Hooper et al., 1997
; Takahashi et al., 1997
; Heiss et al., 2001
). iNOS-initiated overproduction of nitric oxide contributes to the development of cancer by nitrosative deamination of DNA bases, lipid peroxidation, and DNA strand breaks (Sporn and Roberts, 1986
; Heiss et al., 2001
). Thus, agents that suppress iNOS overexpression have potential therapeutic value when associated with inflammation and carcinogenic processes.
Proinflammatory cytokines such as interleukin 1
(IL1
) are mediators in the pathogenesis of many chronic inflammatory diseases, including rheumatoid arthritis, a classic example of an autoimmune disorder. IL1
plays a significant role in synovitis and cartilage destruction (Martin and Near, 1995
; Krakauer, 2004
). Chronic inflammation may be a triggering factor for metabolic syndrome. Stimuli such as overnutrition, physical inactivity, and aging can result in cytokine (like IL1
) hypersecretion, leading to insulin resistance and diabetes in genetically or metabolically predisposed individuals (Esposito and Giugliano, 2004
). Therefore, anticytokine therapy in general and the inhibition of IL1
in particular is a logical clinical target for the treatment of arthritis and prevention of metabolic syndrome and cardiovascular diseases.
Down-regulation of cyclooxygenase 2 (COX2) has been used as another important target for the relief of inflammation (Krakauer, 2004
). Elevated expression levels of COX2 leads to excessive production of prostaglandin (PG) via arachidonic acid metabolism (Subbaramaiah et al., 1997
; Heiss et al., 2001
). In addition to their role as proinflammatory mediators, PGs suppress immune functions, inhibit apoptosis, enhance proliferation, and increase the invasiveness of cancer cells (Goodwin and Ceuppens, 1983
; Ben-Av et al., 1995
; Sheng et al., 1998
; Heiss et al., 2001
). Hence, inhibition of COX2 expression also provides a strategy to treat cancer (Steinbach et al., 2000
; Heiss et al., 2001
).
Inflammatory diseases are currently treated with steroidal and nonsteroidal anti-inflammatory drugs (NSAIDs) (Langman, 1998
). Unfortunately, both of these widely prescribed drug classes have significant negative side effects, reducing their use in certain segments of the population (Juni et al., 2005
; Pathak et al., 2005
). Hence, there is a need to develop new drugs with novel modes of action that do not produce considerable side effects. Natural product-based anti-inflammatory agents with a transcriptional mode of action, good efficacy, and lower risk of side effects offer promising treatment and prevention of inflammation-related conditions. In this report, we summarize the anti-inflammatory activities of two extracts from Barbarea verna seeds rich in PEITC, Barbarea seed preparation (BSP) and PEITC essential oil (PEO). PEO is an enriched version of BSP using an alternative extraction method, creating an extract ideal for use in a mammalian system. Because PEITC is the primary active component of both PEO and BSP, the effect of synthetic PEITC was compared with that of the two Barbarea extracts. We have also compared the activity of PEITC with other forms of isothiocyanates and two commonly used anti-inflammatory drugs to gauge its relative effectiveness as an anti-inflammatory agent. Carrageenan-induced inflammation in the rodent paw presents a classic model of edema formation and hyperalgesia (Krakauer, 2004
). This model was used for the in vivo experiments. For all in vitro studies, expression of known proinflammatory marker genes, such as IL1
, iNOS, and COX2, were examined in LPS-stimulated mouse macrophages (RAW 264.7).
| Materials and Methods |
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Preparation of BSP and PEO. PEO (containing >95% PEITC) was extracted by hydrodistillation of ground winter cress seed for 4 to 5 h with a modified Clevenger apparatus. Generally, 200 g of ground seed plus 1 liter of distilled water would yield 1 to 2 ml of essential oil after hydrodistillation. This process was repeated to produce larger quantities of oil.
For the production of BSP, 200 g of finely ground winter cress seed was soaked with 100 ml of distilled water. The wet material was thinly spread on a disposable aluminum tray (230 x 280 cm) and floated in a covered water bath at 37°C for 20 min followed by lyophilization to a final temperature of 18°C (Ribnicky et al., 2001
). To fortify the seed mixture, 22 g of PEO was dissolved in 100 ml of 95% ethanol and added to the dried seed material as described above and mixed until the moisture was evenly distributed. After the seed mixture was evenly spread into the aluminum tray (230 x 280 cm), the ethanol was evaporated in a fume hood for 6 to 8 h. The resulting dried material was defined as BSP, and the PEITC content was measured to be 7.8% by gas chromatography/mass spectrometry (GC/MS).
GC/MS Analysis. For analysis, 1 g of BSP was dissolved into 50 ml of ethyl acetate and particulates were removed by centrifugation at 2000g for 10 min. Samples were injected into a GC/MS Hewlett-Packard mass spectrometer (model 6890N/5973N; Agilent, Palo Alto, CA) equipped with a 30-m x 0.25-mm DB-5MS fused silica capillary column (J&W Scientific, Folsom, CA). Chromatographic parameters were as follows: injection temperature at 150°C, and initial oven temperature at 50°C for 5 min followed by a ramp at 30°C/min to 280°C for 3 min. The MS was operated in the scanning mode from 50 to 650 (m/z). The retention time of PEITC was 11.3 min and appeared as the primary compound in the BSP (Ribnicky et al., 2001
). The major ion of PEITC has a mass of 91 (m/z) and molecular ion a mass of 163 (m/z). The abundance of these ions and the integration value of the entire peak were used together with standard curves created from a PEITC chemical standard to quantify the PEITC concentration in BSP.
Rat Paw Edema Anti-Inflammatory Assay. All studies were performed in accordance with the Guide for the Care and Use of Laboratory Animals as adopted and promulgated by the U.S. National Institutes of Health. Adult male Wistar rats (100200 g) were used throughout this study. Fifteen rats, five per cage, were housed in a room maintained at a constant temperature of 2426°C with 12-h light/dark cycle and had free access to food and water. Before experimentation, animals had 1 week to adapt to the conditions of the facility. Prior to the start of the experiment, body weights were measured individually to determine proper treatment dose, and animals were randomly divided into three different groups of five rats. Initial paw sizes (basal volume) were measured by a volume displacement method using a digital plethysmometer (Ugo Basile, Comerio VA, Italy).
Paw edemas were induced by subcutaneous injection of 100 µl of 1% lambda carrageenan solution (Sigma) (w/v solution in saline, 0.9% NaCl) in the plantar aponeurosis of the right hind paw. Carrageenan is a sulfated polysaccharide [International Union of Pure and Applied Chemistry (IUPAC) nomenclature unavailable] that promotes acute inflammation by activating proinflammatory cells. One hour after carrageenan injection, PEO and aspirin (Sigma) were orally gavaged at 200-mg/kg body weight. An equal volume of the vehicle (4% apricot kernel balm) was given to the control group. Edemas were measured 3, 5, 24, and 48 h after PEO and aspirin treatments. Time-dependent paw edema size reduction reflected the anti-inflammatory effect of the specific treatment. The increase in volume and the percent change (Fig. 1) caused by the irritant were estimated after subtracting the basal volume of the paw before injection. A lower numerical value (in percent) would indicate stronger anti-inflammatory activity.
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Cells were seeded at a density of 0.4 x 106 cells per well (viable cell counts were carried out by trypan blue staining using a hemocytometer) in 24-well plates 12 h prior to treatment. The cells were then treated with test compounds at predetermined doses for 2 h before elicitation with LPS at 1 µg/ml for an additional 6 h. In the case of the time course experiment, to compare the activities of rofecoxib and PEITC (Fig. 5), longer incubations were carried out. For every experiment, one positive control (cells treated only with LPS) and one negative control (cells without any treatment) were included. Two replicates were made for both the treatments and the controls. At the end of the treatment period, cells were harvested in TRIzol reagent (Invitrogen Inc.) for subsequent cellular RNA extraction. BSP stock solution was prepared by dissolving BSP (50 mg/ml) in 95% ethyl alcohol for 15 min by sonication. Sonication released PEITC into the clear supernatant, which was later used for cell culture treatment.
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Total RNA Extraction, Purification, and cDNA Synthesis. Total RNA was extracted from RAW macrophages using TRIzol reagent (Invitrogen Inc.) following the manufacturer's instructions. RNA was quantified spectrophotometrically by absorption measurements at 260 and 280 nm using the NanoDrop system (NanoDrop Technologies Inc., Wilmington, DE). The quality of RNA was assessed by separation using gel electrophoresis. RNA was then treated with DNaseI (Invitrogen Inc.) following the manufacturer's guidelines to remove any traces of DNA contamination. The cDNAs were synthesized using 3 µg of RNA for each sample using Stratascript Reverse Transcriptase, an RNA-dependent DNA polymerase (Stratagene), following the manufacturer's protocol.
Quantitative Polymerase Chain Reaction and Data Analysis. The synthesized cDNAs were diluted 4-fold. Two microliters of each diluted sample were added to 0.5-µl gene-specific primers (6 µM; oligos synthesized by IDT Inc., Coralville, IA) and 12.5 µl of Brilliant SYBR green PCR master mix (2x) (Stratagene) containing green jump-start Taq ready mix, and final volume was brought to 25 µl by adding sterile distilled water. ROX (Stratagene) was used as an internal dye. To avoid interference due to genomic DNA contamination, only intron-overlapping primers were selected using the Primer Express version 2.0 software (Applied Biosystems, Foster City, CA) as follows (forward and reverse pairs of the primers are indicated as "F" and "R", respectively):
-actin (accession number NM_007393
[GenBank]
), F: 5'-AACCGTGAAAAGATGACCCAGAT-3', R: 5'-CACAGCCTGGATGGCTACGT-3'; COX2-(accession number NM_011198
[GenBank]
), F: 5'-TGGTGCCTGGTCTGATGATG-3', R: 5'-GTGGTAACCGCTCAGGTGTTG-3'; iNOS-(accession number XM_147149), F: 5'-CCCTCCTGATCTTGTGTTGGA-3', R :5'-TCAACCCGAGCTCCTGGAA-3'; and IL1
-(accession number NM_008361
[GenBank]
), F: 5'-CAACCAACAAGTGATATTCTCCATG-3', R: 5'-GATCCACACTCTCCAGCTGCA-3'.
PCR amplifications were performed on MX3000p system (Stratagene) using one cycle at 50°C for 2 min, one cycle of 95°C for 10 min, followed by 40 cycles of 15 s at 95°C and 1 min at 60°C. The dissociation curve was completed with one cycle of 1 min at 95°C, 30 s of 55°C, and 30 s of 95°C. Nonreverse transcription control and no template control were included in the PCR program as quality control steps.
RNA expressions for COX2, iNOS, and IL1
, normalized with respect to the expression of housekeeping
-actin gene, were analyzed using the 
Ct method (Winer et al., 1999
). The 
Ct values obtained from these analyses directly reflect the relative mRNA quantities for the specific gene in response to a particular treatment (Figs. 2, 3, 4, and 5). A value of less than 1.0 indicates transcriptional down-regulation (inhibition of gene expression) compared with LPS positive control, which shows maximum genetic induction (1.0). Therefore, lower values indicate greater anti-inflammatory activity. The changes in gene expression as reflected by 
Ct values can also be expressed as percentage of genetic inhibition [(1 
Ct) x 100], indicating anti-inflammatory properties of the test compounds. Values higher than 1.0 imply overexpression of the particular gene in excess of LPS stimulation. Amplification of specific transcripts was further confirmed by obtaining melting curve profiles. All samples were run in duplicate.
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| Results |
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0.05) h, inflamed paw sizes continued to shrink, showing that the treatment was pharmacologically active for a prolonged time. However, with the further incubation up to 48 h, the statistical significance between the effects in treated and untreated group was lost (p
0.05) (Fig. 1).
The in vitro experiments were designed to quantify the relative amount of transcripts for target genes (COX2, iNOS, and IL1
) within the total RNA in individual cell batches undergoing dose-dependent treatments with synthetic PEITC (Fig. 2A), BSP (Fig. 2B), aspirin (Fig. 3), rofecoxib (Fig. 4), and four other forms of isothiocyanates (phenyl, tertiary-butyl, allyl, and isopropyl) (Fig. 6). All experiments were started with an equal number of cells for each treatment. For each assay, two control sets were monitored (Figs. 2, 3, and 4). The positive control (treated only with LPS) showed the maximum up-regulation of the marker genes (except in the case of COX2, which is discussed in the following section). The negative control (received no LPS treatment) maintained a constant amount of transcripts for all constitutively expressed genes and served as a reference baseline. Since noncytotoxic doses were predetermined by the MTT assay (data not shown), the observed changes in gene expression (genetic down-regulation) were not due to cell death. A change (decrease) in relative mRNA quantity, compared with the positive control, indicated the inhibitory effect and hence, anti-inflammatory activity of the particular treatment. Monitoring the expression of
-actin, a constitutively expressed housekeeping gene, served as a quality control step for determining RNA degradation during the course of the assay.
The in vitro experiments showed synthetic PEITC and BSP to be highly anti-inflammatory (significant at p < 0.001 by ANOVA) in assays with all of the target genesCOX2, iNOS, and IL1
(Fig. 2). Above 20 µM PEITC and 50 µg/ml BSP (equivalent to 23.5 µM PEITC content), the inhibitory effects measured by gene down-regulation were almost 100% (corresponding to a relative mRNA quantity of
0.00) (Fig. 2). One to 40 µM PEITC (Fig. 2A) and 1.56 to 100 µg/ml BSP (Fig. 2B) were tested to determine the dose response. Pronounced dose-dependent inhibition of iNOS and IL1
further confirmed the activity of PEITC and BSP. For COX2, the inhibitory effects of both PEITC and BSP were not clearly dose-dependent but were strong only above a certain concentration (
20 µM) (Fig. 2). Either complete inhibition (
20 µM) or minimal suppression (<20 µM) of COX2 was observed. Furthermore, low concentrations of PEITC (
1 µM) reproducibly induced the levels of COX2 gene expression to the levels above those observed with LPS alone (Fig. 2). However, in the absence of LPS, induction of COX2 expression was not achieved in RAW macrophages by either PEITC or BSP (data not shown). Nevertheless, in all experiments, PEITC and BSP showed very similar responses (statistical significance in both cases were at p < 0.001 by ANOVA), further confirming that PEITC is the primary active compound in BSP.
The effects of aspirin (Fig. 3) and rofecoxib (Figs. 4 and 5) on the mRNA levels of the inflammation-related genes were much less than that of PEITC. Aspirin showed minor dose-dependent inhibition of iNOS, whereas rofecoxib showed some dose-dependent inhibition of COX2 expression. Rofecoxib also displayed a time-dependent activity for both COX2 and iNOS (Fig. 5, A and B). When activity of PEITC was compared with the other forms of isothiocyanates (Fig. 6), PEITC was by far the most inhibitory in both iNOS and IL1
assays, indicating highest anti-inflammatory activity. Only allyl isothiocyanate showed somewhat comparable inhibitory effects on iNOS and IL1
expression to that of PEITC at 5 µM but had higher cytotoxicity than PEITC in the MTT assay at 10 µM. All forms of isothiocyanate including PEITC showed persistent high mRNA-relative quantity in the COX2 assay (Fig. 6A).
| Discussion |
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Here, we present the first preclinical study of a botanical formulation containing PEITC that shows pronounced anti-inflammatory activity in vivo (Fig. 1). The rat paw edema model was chosen to study acute inflammation in a mammalian system. PEO was bioavailable when orally gavaged in rats and had pharmacological activity as soon as 3 h after carrageenan injection. No obvious loss in growth or appetite occurred in any group. PEO demonstrated similar efficacy to that of aspirin in vivo, significantly reducing induced paw edema for up to 24 h. These data indicate PEO may be an excellent candidate for development as a therapy for inflammation.
In vitro, our data demonstrate that PEITC and BSP were able to inhibit the LPS-elicited induction of IL1
(Fig. 2), a positive marker for inflammation, metabolic syndrome, and immune suppression. In addition, PEITC and BSP were able to inhibit the LPS-elicited transcription of inducible proinflammatory enzyme coding genes like COX2 and iNOS. All three genes have a binding site in their promoter region for nuclear factor kappa B (NF
B) (Baeuerle and Baltimore, 1996
; Lee et al., 2003
; Yamamoto and Gaynor, 2004
). In vitro effects of PEITC on the inhibition of NF
B-mediated inducible nitric oxide production and PG synthesis have been previously reported in context of its chemopreventive activity (Heiss et al., 2001
; Chen et al., 2003
; Gerhauser et al., 2003
; Rose et al., 2005
). Therefore, it is likely that transcriptional down-regulation of inflammatory genes by PEITC and BSP was mediated through the transcription factor NF
B.
At low concentrations, PEITC and BSP up-regulated the COX2 gene compared with LPS control (Fig. 2). The experiment was repeated several times with the same results; however, when cells were treated in the absence of LPS, COX2 expression was unaffected by either PEITC or BSP. Probable explanations for such effects may lie in the complex, pleiotropic activities of numerous interplaying cellular factors, such as feedback mechanisms of genetic regulation within a cell (Krakauer, 2004
). It is also possible that in addition to NF
B, other transcription controlling factors may be involved in partly controlling the COX2 expression (von Knethen and Brune, 2000
).
When we compared the effects of aspirin with those of BSP and synthetic PEITC on the transcription of iNOS, COX2, and IL1
, comparable inhibitions were not observed at the concentrations tested (Fig. 3). This was not surprising, however, because existing data (Kwon et al., 1997
) showed that aspirin inhibited iNOS at the post-transcriptional level. Therefore, it is likely that PEITC in the form of BSP or PEO possesses a mechanism of anti-inflammatory action that is different from that of aspirin.
The safety of selective COX2 inhibitor drugs has recently become controversial (Juni et al., 2005
). Because PEITC and BSP inhibit COX2 expression (
20 µM), an in vitro comparison of actions between rofecoxib and BSP/PEITC (Figs. 4 and 5) was carried out. Rofecoxib (10 µM) was previously shown to suppress COX2 and iNOS expression levels after 18 h of LPS activation, and the inhibition was LPS-dose-dependent (effect was observed only at 100 ng/ml or lower LPS concentrations) (Callejas et al., 2003
). In our experimental system optimized with 6 h of LPS activation at 1 µg/ml, rofecoxib was unable to significantly inhibit gene expression (Fig. 4). Therefore, longer incubations (9 and 21 h) (Fig. 5) were investigated using the standard (1 µg/ml) and 10-fold lower (100 ng/ml) LPS concentrations (data not shown). Because BSP showed very similar activities to that of synthetic PEITC in the prior experiments, comparison of activities in response to variation in time and LPS concentrations were limited to rofecoxib and synthetic PEITC only (Fig. 5). The following observations were noted when synthetic PEITC (5 µM) was compared with 5 µM rofecoxib: 1) PEITC suppresses the expression of proinflammatory genes (IL1
, iNOS, and COX2) with LPS activation at 1 µg/ml. In contrast, rofecoxib action of similar magnitude is only achievable on COX2 and iNOS with at least a 10-fold lower (100 ng/ml) LPS activation (data not shown). 2) The effect of PEITC was most pronounced on IL1
, a known marker for metabolic syndrome, inflammation, and immune suppression (Figs. 2 and 4C). Rofecoxib did not show any effect on this proinflammatory cytokine. Longer incubation did not show any change in activity of PEITC or rofecoxib on IL1
expression (Fig. 5C). 3) Both PEITC and rofecoxib showed suppression of iNOS expression; PEITC was the stronger inhibitor. Changes in incubation time had similar effects for both, showing an increase in suppression up to the 9th h, followed by a decline at the 21st h (Figs. 4B and 5B). 4) Rofecoxib showed very strong activity on COX2 inhibition at the 21st h. The activity of rofecoxib increased steadily with the duration of treatment. The activity of PEITC on COX2 suppression also increased significantly but only up to the 9th h (Fig. 5A). These observations indicate that the anti-inflammatory mechanisms of actions of PEITC and hence, that of BSP, are likely to be distinct from that of rofecoxib.
In summary, PEITC, applied as a synthetic compound or as a botanical formulation, is capable of suppressing the expression of the inflammation-related genes in the in vitro assays. The rat study shows that PEO is biologically available and pharmacologically active, reducing acute inflammation in a mammalian experimental system. No obvious loss in growth or appetite occurred in any group. The safety of BSP and PEO is further substantiated by the fact that winter cress has been consumed by people for centuries, apparently without any known adverse effects. In addition, a previous report (Hecht, 1997
) on hematology and blood chemistry of prolonged PEITC-treated rats did not show any toxic effects. Nevertheless, detailed preclinical pharmacology and toxicology studies with BSP are needed to further establish BSP as a promising candidate for human clinical use.
| Acknowledgements |
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| Footnotes |
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ABBREVIATIONS: PEITC, phenethylisothiocyanate; iNOS, inducible nitric-oxide synthase; IL1
, interleukin 1
; COX, cyclooxygenase; PG, prostaglandin; NSAID, nonsteroidal anti-inflammatory drug; BSP, Barbarea verna seed preparation; PEO, PEITC essential oil; LPS, lipopolysaccharide; GC/MS, gas chromatography/mass spectrometry; MTT, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-tetrazolium bromide; PCR, polymerase chain reaction; ANOVA, analysis of variance; NF
B, nuclear factor
B.
1 Current affiliation: Institute of Cardiology, Ministry of Health of Republic Uzbekistan, Tashkent, Republic of Uzbekistan. ![]()
Address correspondence to: Prof. Ilya Raskin, Rutgers University, Biotech Center, 59 Dudley Road, New Brunswick, NJ 08901. E-mail: raskin{at}aesop.rutgers.edu
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