Anti-Inflammatory and Antimicrobial Activities of Compounds Isolated from Distichochlamys benenica

Distichochlamys benenica is a native black ginger that grows in Vietnam. In point of fact, there is limitation of available information in the literature making mention of the chemical constituents and bioactive properties of this plant. This study is aimed at isolating trans-o-coumaric acid (1), trans-cinnamic acid (2), and borneol (3) from the rhizomes of D. benenica Q.B.Nguyen & Škorničk and evaluate the anti-inflammatory and antimicrobial activities of 1-3 using the carrageenan paw edema model and the dilution broth method, respectively. This revealed that 1 was as effective as diclofenac in reducing the intensity of the edema development. The in silico research showed that the activity of 1 might be derived from inhibiting COX-2 by generating h-bonds at the positions of Arg 120, Tyr 355, and Arg 513 residues. The antimicrobial activities against Gram-positive strains (Staphylococcus aureus and Bacillus subtilis) were comparable, with the minimum inhibitory concentrations ranging from 1.52 to 3.37 mM. This is the first study of the bioactivity of compounds isolated from D. benenica Q.B.Nguyen & Škorničk. Our results suggest that 1 may be a nature-derived compound which demonstrates the anti-inflammatory properties and inhibit the proliferation of several Gram-positive bacteria.


Introduction
Inflammation is an immune response to pathogen invasion that is mediated by the release of mediators including cytokines, histamine, prostaglandin, and leukotrienes, as well as enhanced vascular permeability, leading to the recruitment of leukocytes to the site of inflammation, resulting in the clearing of pathogens [1,2]. Nevertheless, if inflammation is not regulated properly, it may cause different diseases including autoimmune, neurodegenerative, and cardiovascular diseases, cancer, diabetes mellitus, and diseases [2][3][4]. Hence, compounds which enable amelioration of the inflammation can enhance the efficiency in treating those diseases. Many plant extracts and their isolated compounds are effective at reducing inflammatory mediators, recruiting leukocytes, moderating swelling, and alleviating inflammatory symptoms [5][6][7]. Additionally, plants are also valuable sources of antimicrobials [8,9]. With the development of antibiotic resistance, alternative antimicrobial compounds are urgently needed.
The genus Distichochlamys (Zingiberaceae) was discovered in Bach Ma National Park, Thua Thien Hue Province, Vietnam, in 1995 by M. F. Newman [10]. Traditionally, this genus is used by ethnic Pako as food and as medicine for abdominal pain, blood coagulation, wound healing, and pus removal. Four congenerics have been identified: D. citrea M.F. Newman, D. rubrostriata W.J. Kress and Rehse, D. benenica Q.B. Nguyen & Škorničk, and D. orlowii K. Larsen and M.F. Newman. The extracts of Zingiberaceae possessed antioxidant, antimicrobial, and anti-inflammatory properties [11][12][13][14]. Although the chemical compositions of the Distichochlamys genus have been investigated [15][16][17], few studies have examined the bioactivity. One study mentioned that the essential oil from the rhizomes of D. benenica possesses acetylcholinesterase activity [18].
In this study, we isolated trans-o-coumaric acid (1) [26], trans-cinnamic acid (2) [31], and borneol (3) [32] from the rhizomes of D. benenica Q.B.Nguyen & Škorničk, elucidated their structures, and investigated their bioactive properties. For the first time, the bioactivities of compounds isolated from D. benenica have been investigated. The anti-inflammatory activity was examined in vivo using a carrageenan-induced edema assay, and the antimicrobial activity was evaluated using the broth dilution test.

Materials and Methods
2.1. Materials. Diclofenac, carrageenan, and solvents such as n-hexane, chloroform, acetone, ethyl acetate, and methanol were obtained from Sigma-Aldrich (St Louis, MO, USA). Mueller-Hinton Broth was purchased from Thermo Fisher Scientific (Massachusetts, USA). Silica gel (60 N, spherical, neutral, 40-50 μm) was obtained from Kanto Chemical Co., Inc. (Tokyo, Japan). Plethysmometer was purchased from Panlab, Havard Apparatus. Infrared spectra were recorded on an IR Prestige-21 spectrometer (Shimadzu, Kyoto, Japan). NMR spectra were recorded using a Bruker Avance 500 spectrometer (Bruker, MA, USA), with TMS as an internal reference. HRESIMS data were measured on an Agilent 6530 Accurate-Mass spectrometer (Agilent, CA, USA). Analytical TLC was performed on precoated silica gel 60F 254 and RP-18 F 254 plates (0.25 or 0.50 mm thickness, Merck KGaA, Darmstadt, Germany). Spots were detected under UV radiation (254 nm and 365 nm) and by spraying the plates with 10% sulfuric acid followed by heating with a heat gun.
D. benenica Q.B.Nguyen & Škorničk was collected in January 2020 at Quang Nam province and identified by Hue University of Agriculture and Forestry. A voucher specimen (DB1) was deposited in the Faculty of Chemistry at the Hue University of Education.

Experimental
Mice. Swiss albino mice of 6-8 weeks of age (18 ± 2 g) were obtained from Pasteur Institute, Ho Chi Minh City, Vietnam. They were housed under standard husbandry conditions with a 12 h light-dark cycle for at least 1 week to acclimate with the laboratory environment. They were supplied ad libitum with standard chow and distilled water. The healthy mice were used in the experiments. The experimental procedure was strictly complied with the Declaration of Helsinki (1964).

The
Anti-Inflammation Assay. The anti-inflammatory ability of 1-3 was evaluated using the carrageenan-induced paw edema method following the previously described protocol [33]. The mice were divided into 5 groups of 6 mice each. Mice were intraperitoneally pretreated with 1-3 at a dose of 20 mg/kg. Mice treated with saline (0.9% w/v NaCl, p.o) and diclofenac (10 mg/kg, p.o) were used as negative and positive controls, respectively. One hour later, mice were subplantar injected with 40 μL 1% carrageenan (suspended in saline) into the right hind paw to stimulate the edema. The paw volume was measured using a plethysmometer before carrageenan treatment (C 0 ) and after carrageenan injection at selected time intervals 1, 2, 3, and 4 h (C t ).
The anti-inflammatory activity was calculated using the following equation: where ðC t − C 0 Þ control is the difference of the paw volume in the negative control group, and ðC t − C 0 Þ treated is the difference of the paw volume in the tested or positive control groups.

BioMed Research International
The highest anti-inflammatory compound was confirmed further at different concentrations. The protocol is similar to the aforementioned one. Briefly, the mice were peritoneally injected with the compound at dosages of 5, 10, and 20 mg/kg 1 h before injection of carrageenan into the right hind paw. Mice treated with saline (0.9% w/v NaCl, p.o) and diclofenac (10 mg/kg, p.o) were used as negative and positive controls, respectively. The volume of the paw was assessed before (C 0 ) and after carrageenan injection (C t ) hourly until 4 h using a plethysmometer. The anti-inflammatory activity was determined following the aforementioned equation.
After 4 h of carrageenan treatment, the inflamed paws were pictured to compare the change in appearance of treated groups.

The Antimicrobial
Assay. The antimicrobial activity of 1-3 was determined using the broth microdilution method [34]. The test was performed using sterile polystyrene 96well plates. 100 μL of autoclaved Muller-Hinton Broth supplemented with different concentrations of 1-3 (1, 0.5, 0.25, 0.125, 0.0625, and 0.03125 mg/mL) was added into each well. Subsequently, 5 μL of the bacteria including Staphylococcus aureus, Bacillus subtilis, Pseudomonas aeruginosa, and Escherichia coli at the concentration of approximately 10 8 CFU/mL was added. The plate was shaken and incubated at 37°C for 24 h. 0.1% DMSO was used as a negative control, and ciprofloxacin was used as a positive control. Minimum inhibitory concentration (MIC) was defined as the lowest concentration of the extract at which the microorganisms showed no visible growth.

Ligand
Docking. The two targeted proteins used in ligand docking are cyclooxygenase 1 (COX-1) and cyclooxygenase 2 (COX-2), which are the two main proteins responsible for the inflammatory process. The published crystal structures of COX-1 (PDB 2OYU) and COX-2 (PDB 4COX) were imported and prepared by Maestro software (Schrödinger Release 2020-3). The general procedure of the Protein Preparation Wizard [35] was used to assign bond orders, remove waters, generate het states using Epik, optimize the h-bond, and minimize the protein with the OPLS3e force field. The grid box for the docking job was defined by centroid of native ligands in two proteins expanded to 20 Å in a three-dimensional space.
2.2.6. Molecular Dynamics Simulations. Three molecules 1, 2, 3 and the reference drug diclofenac were created and prepared by Ligprep [36] to obtain possible ionization states at physiological pH = 7 ± 2. These compounds and the native ligand of crystallized protein were then docked to the grid box of two proteins by using two successive methods Glide [37] SP (standard precision) and XP (extra precision). The refined XP top scores were used to feed the MM-GBSA [38] calculations (molecular mechanics/generalized Born and surface area method) with the VSGB solvation model and same force field. The relative free binding energy values obtained from these calculations are used to compare the inhibition capacity of 1-3 with reference standards. From there, the system set-up of molecular dynamics simulations was built for docked ligands with COX-1 and COX-2 by using Desmond [39]. The solvent model was predefined with SPC, and the force field was kept unchanged OPLS3e. The total simulation time lasted 50 ns for each system, and 50 ps was set to trajectory recording intervals. The system energy was 1.2, and the ensemble class used was NPT at 300.0 K temperature and at 1.01325 bar pressure. The relax model system was a default option before simulations.
2.2.7. Statistical Analysis. All data are presented as the mean ± standard error ðSEÞ. Statistical analyses were performed using the SPSS statistical software program (SPSS, version 18.0, Chicago, IL). A Student's t-test was used to determine the statistical significance of group means. All tests were two sided, and p values less than 0.05 were considered statistically significant.

Anti-Inflammatory Assay.
To determine the antiinflammatory activity, an in vivo experiment examined acute carrageenan-induced inflammation in mice. Particularly, mice were injected intraperitoneally with 1-3 or positive or negative controls 1 h before inducing inflammation at the right hind paw with 1% carrageenan. The intensity of edema  Figure 3: The effect of different concentrations of 1 on carrageenan-induced rat paw edema. The mice were peritoneally injected with 1 at different concentrations (20 mg/kg, 10 mg/kg, and 5 mg/kg), positive or negative control 1 h before induction of inflammation at the right hind paw using 1% carrageenan. The paw edema was measured using a plethysmometer before exposure to the compounds and at 1 h, 2 h, 3 h, and 4 h after treatment of carrageenan. Data are presented as means ± SD (n = 6). * p < 0:05, * * p < 0:01, and * * * p < 0:0001 as compared with the negative control group. development was measured via plethysmometry. Of the three, 1 significantly reduced edema at a dose of 20 mg/kg, similar to that of the positive control ( Figure 2). Four hours after the carrageenan treatment, the paw volume of group 1 mice was reduced by 68% (p < 0:05) compared to 48% (p < 0:05) for the positive control. The swelling in the negative control group was almost unchanged 4 h after the carrageenan treatment. Similar results were attained in groups 2 and 3 with slight edema suppression, approximately 12% and 28%, respectively (p > 0:05). Therefore, 1 was chosen for further study. The anti-inflammatory bioactivity of 1 at different concentrations was confirmed using a similar method. The mice were injected intraperitoneally with 5, 10, or 20 mg/kg of 1 1 h before carrageenan was injected to induce inflammation. As displayed in Figure 3, 1 significantly ameliorated the inflammation in a dose-dependent manner. At 5 mg/kg, 1 significantly reduced the edema 4 h after carrageenan treatment (p < 0:05). At 10 mg/kg and 20/kg, 1 effectively moderated the paw edema intensity to approximately 67% and 79%, respectively, (p < 0:0001), 4 h after carrageenan treatment compared to 62% for the positive control (p < 0:0001). There was no significant difference in the paw volume reduction between dosages of 10 mg/kg and 20 mg/kg.
The photographs of inflamed mouse paws in groups 1, the negative control, and the positive control are shown in Figure 4. The reduction in the paw volumes of the mice in group 1 and the positive controls was obvious.

Antimicrobial Assay.
To evaluate the antimicrobial ability of 1-3, different concentrations of 1-3 were added to Gram-positive (S. aureus, B subtilis) and Gram-negative (P. aeruginosa, E. coli) bacterial cultures. After incubation, the MIC was determined and the result is shown (Table 1). Both 1 and 2 comparably inhibited the growth of Gram-positive strains without affecting Gram-negative strains. No obvious bacterial inhibition was observed for 3 against either Grampositive or Gram-negative strains.

Docking Studies.
The RMSD of the native ligands when redocked to COX-1 and COX-2 were 0.56 and 0.45 Å, respectively. These values showed a good binding mode which was reliable for relative free binding energy MM-GBSA postcalculations.
In COX-1 protein, the reference diclofenac had the lowest free energy at -29.3 kcal/mol, and 1 and 2 had higher values at -8.2, and -8.8 kcal/mol, respectively, while 3 was screened out of both COX-1 and COX-2 proteins due to large steric effect structure (Table 2, Supporting S23). In COX-2 protein, diclofenac maintained its best inhibitor activity at -33.9 kcal/mol and molecule 1 showed competitiveness with diclofenac at -29.7 kcal/mol. These estimates were well consistent with in vivo results where 1 ameliorated significantly the inflammation similar to diclofenac. Molecule 2 exhibited a poorer inhibitory capacity at -25.2 kcal/mol. In XP docking results, ligand 1 was held tightly by three h-bond donors from the Arg 120, Tyr 355, and Ser 530 residues whereas ligand 2 possessed only two h-bonds donors with Arg 120 and Tyr 355 (Table 2, Figure 5). Taken together, 1 showed a competitive inhibition with diclofenac in COX-2 and has the relative free binding energy similar to diclofenac.

Molecular Dynamics Simulations Predict the Inhibition
Mechanism by Molecule 1. Simulation time 50 ns with RMSD protein and ligand RMSD in the range 1-3 Å showed that the system had equilibrium. From the early stages of the simulation process, the h-bond between ligand 1 and Ser 530 in docking pose was not stable, whereby the Arg 120, Tyr 355, and Arg 513 were the main contact residues over the course of the trajectory. Arg 120 stands out with a percentage of hbond interactions greater than 1.2, followed by Tyr 355 at 1.1 and Arg 513 at 0.7. The contribution of water bridges was minor for Arg 120 and Tyr 355 but 0.5 for Arg 513 Figures 6(a), B and 6(b). On the other hand, quantifying the RMSF showed that most atoms ligand 1 fluctuated in the range of 1.5 when fitted with COX-2 protein. This finding demonstrated the thermodynamic stability of the ligandprotein system (Figure 6(c)). In general, the in silico research exhibited the COX-2 inhibitor capacity of compound 1 by generating h-bonds at the positions of Arg 120, Tyr 355, and Arg 513 residues.        PRO_86  VAL_89  HIS_90  THR_94  VAL_116  VAL_349  LEU_352  SER_353  TYR_355  LEU_359  TRP_387  ARG_513  PHE_518  VAL_523  GLU_524  ALA_527  SER_530  LEU_531  ARG_120  ASN_87 H-bonds Hydrophobic Ionic Water bridges (b) evaluated in vivo and in vitro, respectively, revealing that 1 inhibited inflammation, while 1 and 2 had antimicrobial activity against Gram-positive bacteria.

Discussion
Since inflammation is involved in diseases, the finding of compounds that inhibit inflammation is of interest. Many methods have been applied to determine the antiinflammation activity. Carrageenan-induced paw edema is one of the in vivo models which has been used to evaluate anti-inflammatory activities and has long been established as a valid model to study new anti-inflammatory drugs. Carrageenan causes acute inflammation by inhibiting monocyte migration and preventing prostaglandin release [40,41]. Diclofenac is a commonly nonsteroidal anti-inflammatory drug (NSAID) that is effective for treating acute, chronic pain and inflammatory conditions. Similar to other NSAIDs, diclofenac inhibits prostaglandin release by targeting cyclooxygenase-1 and cyclooxygenase-2 (COX-1 and COX-2) [42]. Here, 1 significantly alleviated the edema caused by carrageenan in mice comparably to diclofenac (Figures 3 and 4). Our result is consistent with the anti-inflammatory effect of p-coumaric acid, as p-coumaric acid isolated from Oldenlandia diffusa also ameliorated inflammation symptoms [23]. In arthritic rats, p-coumaric acid prevented the expression of tumor necrosis factor (TNF-α) in synovial tissues and circulating immune complexes [43]. In lipopolysaccharide-(LPS-) stimulated RAW264.7, p-coumaric acid significantly inhibited the expression of inducible nitric oxide synthase, COX-2, interleukin-1β, and TNF-α. Here, for the first time, we demonstrated the antiinflammatory properties of trans-o-coumaric acid (Figures 2  and 3). Liao et al. found that trans-cinnamic did not have anti-inflammatory activity [44]. In our study, trans-cinnamic acid exhibited low anti-inflammatory activity ( Figure 2). However, our result for 3 differed from that reported for borneol, which significantly decreased the expression of inflammatory factors, including nitric oxide, TNF-α, and interleukin-6 in LPS-induced RAW 264.7 macrophages in vitro [29]. In another study, mice treated with ≥50 mg/kg borneol showed significantly reduced migration of carrageenan-induced leukocytes to the peritoneal cavity [30]. In our study, 20 mg/kg borneol slightly ameliorated the swelling compared to the negative control, by approximately 38% after 4 h of carrageenan treatment (Figure 3).

Conclusions
We isolated 1-3 from an n-hexane extract of D. benenica Q.B.Nguyen & Škorničk rhizomes and evaluated their anti-inflammatory and antimicrobial bioactivities. In a carrageenan-induced paw edema assay, 1 inhibited the intensity of edema comparably to diclofenac. The in silico research exhibited that the anti-inflammation activity of 1 may be mediated by inhibiting COX-2 via generating h-bonds at the positions of Arg 120, Tyr 355, and Arg 513 residues. Furthermore, in an antimicrobial assay, 1 and 2 hampered the growth of Gram-positive (S. aureus and B. subtilis) but had low activity against Gram-negative strains. Taken together, our results revealed that 1 isolated from D. benenica might have the anti-inflammatory function whereas 1 and 2 could reduce the growth of several Gram-positive bacteria.

Data Availability
The data used to support the findings of this study are available from the corresponding author upon request.