Orostachys japonicus Inhibits Expression of the TLR4, NOD2, iNOS, and COX-2 Genes in LPS-Stimulated Human PMA-Differentiated THP-1 Cells by Inhibiting NF-κB and MAPK Activation

Orostachys japonicus is traditionally used as an inflammatory agent. In this report, we investigated the effects of O. japonicus extract on the expression of genes encoding pathogen-recognition receptors (TLR2, TLR4, NOD1, and NOD2) and proinflammatory factors (iNOS, COX-2, and cytokines) in LPS-stimulated PMA-differentiated THP-1 cells and the NF-κB and MAPK pathways. O. japonicus induced toxicity at high concentrations but had no effect at concentrations lower than 25 μg/mL. O. japonicus inhibited LPS-induced TLR4 and NOD2 mRNA levels, suppressed LPS-induced iNOS and COX-2 transcription and translocation, and downregulated LPS-induced proinflammatory cytokine (IL-1β, IL-6, IL-8, and TNF-α) mRNA levels. In addition, O. japonicus inhibited LPS-induced NF-κB activation and IκBα degradation and suppressed LPS-induced JNK, p38 MAPK, and ERK phosphorylation. Overall, our results demonstrate that the anti-inflammatory effects of O. japonicus are mediated by suppression of NF-κB and MAPK signaling, resulting in reduced TLR4, NOD2, iNOS, and COX-2 expression and inhibition of inflammatory cytokine expression.


Introduction
Orostachys japonicus (O. japonicus) is traditionally used as an inflammatory agent, antifebrile, homeostatic agent, and antidote and anticancer agent [1]. The methanol extract of Orostachys japonicus is thought to contain several different classes of phytochemicals, including triterpenes, sterols, and flavonoids [2]. Inflammation is caused by a variety of factors, including physical and chemical agents, the immune response, and tissue necrosis [3]. However, further studies on O. japonicus are required due to the lack of information on signaling pathways and physiological activity.
Immune cells can recognize pathogen-associated molecules, such as the lipopolysaccharide (LPS) of Gram-negative bacteria, the peptidoglycan (PGN) of Gram-positive bacteria, and mannans of yeast cells through toll-like receptors (TLRs) expressed on the cell surface [4]. Humans have various pathogen-recognition receptors including TLRs, nucleotidebinding oligomerization domain-(NOD-) like receptors (NLRs), and retinoic acid-inducible gene-1-(RIG-1-) like receptors [5][6][7]. These receptors transduce signals to activate nuclear factor-B (NF-B), which subsequently drives the induction of several proinflammatory cytokines and chemokines [8][9][10]. TLRs are an integral component of the inflammation process. TLR2 and TLR4, along with their ligands, are best characterized in terms of innate responses to bacteria, including Chlamydia. TLR2 is involved in the recognition of a broad range of microbial products, and TLR4 is the signal-transducing receptor for LPS [11]. NOD1 and NOD2 are involved primarily in mediating antibacterial defenses [12]. NOD1 recognizes mainly Gram-negative bacteria, whereas NOD2 recognizes most Gram-positive and Gram-negative bacteria [13].
Inducible nitric oxide synthase (iNOS) is expressed widely in various cell types and is highly expressed in LPSactivated macrophages [14]. Expression of the iNOS gene in macrophages is regulated mainly at the transcriptional level. Evidence-Based Complementary and Alternative Medicine NF-B is a pivotal regulator of important immunoregulatory genes involved in immune and inflammatory responses, including iNOS [15]. Cyclooxygenase-2 (COX-2) is expressed in the presence of many proinflammatory mediators, including LPS, interlukin-1 (IL-1 ), and tumor necrosis factor-(TNF-), through which high concentrations of prostaglandin E 2 (PGE 2 ) are produced [16]. iNOS and COX-2 expression are regulated by NF-B. NF-B is a transcription factor that regulates several genes, including iNOS, COX-2, IL-1 , IL-6, and TNF-, which are important for immunity and LPS-induced inflammation [17]. NF-B is activated by phosphorylation of inhibitory B (I B ) through activation of mitogen-activated protein kinases (MAPKs), such as c-Jun N-terminal kinase (JNK), p38, and extracellular signalregulated kinase (ERK)1/2 [18,19]. In the present study, we investigated the effects of O. japonicus on the expression of genes encoding pathogen-recognition receptors (TLR2, TLR4, NOD1, and NOD2) and proinflammatory factors (iNOS, COX-2, and cytokines) in LPS-stimulated PMA-differentiated THP-1 cells, as well as the NF-B and MAPK pathways. (20 g) was extracted by overnight incubation at 60 ∘ C in 500 mL of 80% methanol. The solution was filtered through Whatman No. 1 filter paper and concentrated using a rotary evaporator (Buchi, Flawil, Switzerland). The concentrated extract was freeze-dried (EYELA, Tokyo, Japan) and stored at 4 ∘ C in a vacuum container until use.

Cell
Culture. Human monocytic leukemia THP-1 cells were supplied by the Korean Cell Line Bank. Cells were cultured in RPMI 1640 medium (GIBCO, Grand Island, NY, USA) containing 10% fetal bovine serum and antibiotics. Cells were incubated at 37 ∘ C in a humidified atmosphere of 5% CO 2 in 95% air. THP-1 cells were treated with 100 nM of phorbol myristate acetate (PMA, Sigma-Aldrich Co., St. Louis, MO, USA) for 72 h to induce differentiation into macrophages. After differentiation, nonattached cells were removed by aspiration and adherent macrophages were washed with RPMI 1640 medium three times and then incubated in cell culture medium at 37 ∘ C.

Cell Viability. Cell proliferation was measured with
CellTiter 96 Aqueous One Solution (Promega, Madison, WI, USA). Cells were seeded at 1 × 10 4 per well in 96-well plates and incubated with different concentrations of O. japonicus at 37 ∘ C for 24 h, respectively. Cell viability was determined using a colorimetric assay with PMS/MTS solution. The absorbance was determined at 490 nm with background subtraction at 650 nm. point, total RNA and protein were isolated from the cultured THP-1 cells.

RNA Extraction and Real-Time PCR.
Total RNA was purified from cultured cells using the TRIzol reagent following the manufacturer's protocol (Invitrogen, Carlsbad, CA, USA). First-strand cDNA synthesis was performed with 1 g of total RNA and it was transcribed to cDNA using a reverse transcription system with random hexamers (Promega) according to the manufacturer's protocol. The sequences for gene-specific primers were as follows: TLR2 of target genes with -actin was calculated using the formula 2 −(target gene− -actin) , and the relative amounts were quantified.    (Figures 2(b) and 2(d)). In contrast, TLR2 and NOD1 mRNA levels were not significantly affected after LPS stimulation (Figures 2(a) and 2(c)).

Discussion
In TLRs are expressed predominantly in monocytes/macrophages and neutrophils [20]. TLR2 and TLR4 are transmembrane receptors that transmit LPS signals to intracellular components in signal transduction pathways and play important roles in the immune system. TKR4 is associated with the recognition of Gram-negative bacterial LPS, and TLR2 is considered the receptor for Gram-positive bacteria [21]. While O. japonicus was shown to express both TLR2 and TLR4 in the present study, in the presence of LPS, TLR2 expression was higher than that of TLR4. Our findings suggest that O. japonicus could elicit inflammatory reactions in PMA-activated THP-1 cells and contribute to inflammatory processes, a process mediated by TLR4 and, to a lesser extent, TLR2. The peptidoglycan subunits are recognized by the NOD family proteins, in particular by NOD2. NOD2 is an intracellular protein involved in innate immunity and is associated with chronic inflammatory diseases in humans [22]. We found that O. japonicus downregulated LPS-induced NOD2 expression, with no effect on NOD1. Taken together, these results suggest that O. japonicus mediated inflammatory reactions through TLR4 and NOD2. Evidence-Based Complementary and Alternative Medicine iNOS and COX-2 are important enzymes that mediate inflammatory processes and have been associated with the pathogenesis of certain types of human cancers, as well as inflammatory disorders [23]. Since proper regulation of iNOS and COX-2 expression could provide an effective and promising approach to treat inflammation related to diseases, much effort has been made to identify iNOS and COX-2 modulators, especially from plant sources [24,25]. The present study demonstrates that O. japonicus extract can effectively suppress transcription and translational levels of iNOS and COX-2 expression. In addition, O. japonicus inhibited cytokine (IL-1, IL-6, IL-8, and TNF-) expression in THP-1 cells stimulated by LPS. We evaluated transcription of proinflammatory cytokines, including IL-1 , IL-6, IL-8, and TNF-, which play pivotal roles in the development and progression of inflammation, in LPS-stimulated cells. Our findings further suggest that O. japonicus possesses potent anti-inflammatory activity. Harpagophytum procumbens suppresses LPS-stimulated expression of iNOS and COX-2 in the fibroblast cell line L929 [26] and inhibits LPS-induced release of cytokines (IL-1 , IL-6, and TNF-) and PGE 2 from human monocytes [27]. Arisaema cum bile extract inhibits the production of proinflammatory cytokines, including IL-1, IL-6, and TNF-, and also inhibits iNOS and COX-2 expression, which are responsible for the production of NO and PGE 2 in THP-1 cells [28]. The dichloromethane fraction from O. japonicus (OJD) inhibited NO production and TLR4, IL-1 , iNOS, and COX-2 expression in LPS-stimulated murine RAW 264.7 macrophage cells and inhibited LPS-induced NF-B p65 activation by suppressing I B phosphorylation. However, phosphorylation of JNK and p38 MAPK was suppressed by OJD in a dose-dependent manner in LPS-stimulated cells [29]. Harpagoside inhibited LPS-stimulated NF-B promoter activity based on a gene reporter in RAW 264.7 cells, indicating that harpagoside interfered with the activation of gene transcription. These results suggest that the inhibition of iNOS and COX-2 expression by harpagoside suppresses NF-B activation [30]. Inhibition of the NF-B and MAPK pathways has been proposed to be a major mechanism underlying the attenuation of LPS-induced inflammatory cytokine production. NF-B plays a crucial role as the transcription factor in regulating many of the proinflammatory cytokine genes. LPS stimulation elicits a cascade leading to the activation of NF-B [31]. Cryptotanshinone suppressed LPS-induced production of IL-6 and TNF-by inhibiting the activation of NF-B and MAPKs [32]. MAPKs, such as JNK, p38 MAPK, and ERK, mediate the signal transduction involved in cell proliferation, differentiation, transformation, survival, and death [33].
Expression of the NO, TNF-, and IL-6 genes is dependent on activation of the transcription factor NF-B, which plays a crucial role in immune and inflammatory responses [34]. Activation of NF-B requires phosphorylation and proteolytic degradation of the inhibitory protein I B , an endogenous inhibitor that binds to NF-B in the cytoplasm [35]. Upon stimulation with LPS, NF-B is activated and translocated into the nucleus as a result of phosphorylationmediated degradation of I B proteins in the lung of AL1 mice. However, pretreatment with a suitable drug could decrease the degradation of I B and nuclear translocation of NF-B p65 and, therefore, downstream TNF-and IL-6 production. However, MAPKs including JNK, p38 MAPK, and ERK play an important role in signal transduction pathways and regulate cytokine release [36]. In this study, MAPK was activated in LPS-induced THP-1 cells. However, drug treatment markedly suppressed LPS-induced phosphorylation of JNK, p38 MAPK, and ERK. The inhibition of IL-1 , IL-6, IL-8, and TNF-production by O. japonicus occurs through pathways that converge on p38 MAPK and I B activation since these kinases are known to regulate cytokine production in LPS-induced THP-1 cells. O. japonicus inhibits anti-inflammatory responses by inhibiting the degradation of I B and nuclear translocation of NF-B and downstream cytokine expression. These results suggest that drug activity was dependent in part on the inhibition of MAPK and NF-B signaling pathways.

Conclusion
In this study, we found that treatment with O. japonicus blocked the activation of JNK, p38 MAPK, and ERK1/2, suggesting that O. japonicus suppresses LPS-induced NF-B translocation by inhibiting the activation of these intracellular signaling cascades and reducing iNOS and COX-2 expression.