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Vicenin-2 and scolymoside inhibit high glucose-induced vascular inflammation in vitro and in vivo
From 1Department of Anatomy and Histology, College of Korean Medicine, Daegu Haany University,
Gyeongsan 712-715 Republic of Korea; 2College of Pharmacy, CMRI, Research Institute of Pharmaceutical
* Corresponding Author:
Acknowledgements
This study was supported by the National Research Foundation of Korea (NRF) funded by the Korea
Abstract
The vascular inflammatory process has been suggested to play a key role in the initiation and progression of
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atherosclerosis, a major complication of diabetes mellitus. Thus, in this study, we attempted to determine
whether 2 structurally related flavonoids found in Cyclopia subternata, vicenin-2 and scolymoside, can suppress
high-glucose (HG)-induced vascular inflammatory processes in human umbilical vein endothelial cells
(HUVECs) and mice. The effects of vicenin-2 and scolymoside on HG-induced vascular inflammation were
determined by measuring vascular permeability, leukocyte adhesion and migration, cell adhesion molecule
(CAM) expression levels, and reactive oxygen species (ROS) formation. In addition, the anti-inflammation
mechanism was investigated using immunofluorescence staining and western blotting. The data showed that HG
markedly increased vascular permeability, monocyte adhesion, expression of cell adhesion molecules (CAMs),
formation of reactive oxygen species (ROS), and activation of nuclear factor (NF)- κB. Remarkably,
pretreatment with vicenin-2 and scolymoside attenuated all of the above-mentioned vascular inflammatory
effects of HG. HG-induced vascular inflammatory responses are critical events underlying the development of
various diabetic complications; therefore, our results suggest that vicenin-2 and scolymoside have significant
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Introduction
Diabetes mellitus is a common metabolic disorder associated with various diseases such as
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atherosclerosis, nephritis, and hypertension (Grundy et al. 1999; Whiting et al. 2011). This widespread disorder
is a major threat to global public health that is rapidly worsening, and its biggest impact is on adults of working
age in developing countries (Thomas and Foody 2007). Although diabetes is often not recorded as the cause of
death, it is believed to have been the fifth leading cause of death globally in 2000 after transmissible diseases,
cardiovascular disease, cancer, and injuries (Roglic et al. 2005). In modern medicine, no satisfactory effective
therapy is available thus far to cure diabetes mellitus (Rubino and Gagner 2002). Therefore, the search for more
effective and safer hypoglycemic agents has continued to be an area of active research. Many indigenous
medicinal plants have been found to be useful for successful management of diabetes and some of these plants
have been evaluated experimentally and their active ingredients have been isolated (Li et al. 2012). The World
Health Organization (WHO) has also recommended that these plants be evaluated for their effectiveness and
optimal dosing conditions for diseases/disorders for which safe modern drugs are lacking (Day 1998).
Teas and herbal infusions are natural beverages containing compounds that are of particular interest to
the health sciences owing to their potential in vivo biological properties (Prior and Cao 1999; Warren 1999).
have been documented for the active compounds in Cyclopia subternata, Peperomia blanda, Ocimum sanctum,
Perilla frutescens, Urtica circularis, and Potentilla discolor (Islam et al. 2014; Joubert et al. 2011; Leiro et al.
2003; Pardo Andreu et al. 2010; Sanchez et al. 2000). C. subternata is known to contain abundant flavonoids,
particularly, vicenin-2 (VCN) and scolymoside (SCL) (Kazuno et al. 2005). Further, previous reports showed
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that VCN has anti-diabetic, anti-glycation, and anti-inflammatory activities (Islam et al. 2014; Marrassini et al.
2011). However, the effects of vicenin-2 (VCN) and scolymoside (SCL) on high-glucose (HG)-induced
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inflammatory responses have not been reported. Therefore, in the current study, we attempted to determine
whether VCN or its structural analogue, SCL, could suppress the vascular inflammatory responses induced by
Reagents
VCN, SCL, D-glucose, L-glucose, D-mannitol, Evans blue, 2-mercaptoethanol, and antibiotics
(penicillin G and streptomycin) were purchased from Sigma (St. Louis, MO). Fetal bovine serum (FBS) and
Cell culture
Primary human umbilical vein endothelial cells (HUVECs) were obtained from Cambrex Bio Science
(Charles City, IA) and were maintained as described previously (Bae et al. 2014; Ku and Bae 2014; Ku et al.
2014; Ku et al. 2015). Briefly, the cells were cultured to confluency at 37°C and 5% CO2 in EBM-2 basal media
supplemented with growth supplements (Cambrex Bio Science). Human neutrophils were freshly isolated from
whole blood (15 mL) obtained by venipuncture from 5 healthy volunteers and were maintained as previously
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Male C57BL/6 mice (6–7-wk old; average weight, 27 g) purchased from Orient Bio Co. (Sungnam,
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KyungKiDo, Republic of Korea) were used in this study after a 12-day acclimatization period. The animals were
housed at 5 per polycarbonate cage under controlled temperature (20–25°C) and humidity (40%–45%) and a
12:12-hour light/dark cycle. A normal rodent pellet diet and water ad libitum was provided for the animals
during acclimatization. All animals were treated in accordance with the Guidelines for the Care and Use of
MTT was used as an indicator of cell viability. The cells were grown in 96-well plates at a density of 5
× 103 cells/well. After 24 h, the cells were washed with fresh medium and were subsequently treated with each
compound. The cells were washed after a 48-h incubation period and 100 µl of MTT (1 mg/ml) was added,
followed by incubation for 4 h. Finally, DMSO (150 µl) was added in order to solubilize the formazan salt
formed; the amount of formazan salt was determined by measuring the OD at 540 nm using a microplate reader
quantified by spectrophotometric measurement of the flux of Evans blue-bound albumin across functional cell
monolayers by using a modified 2-compartment chamber model, as previously described (Kim et al. 2012).
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HUVECs were plated (5 × 104/well) in 3-µm pore size, 12-mm diameter transwells for 3 days. Confluent
monolayers were incubated with increasing concentrations of each compound for 6 h, followed by incubation
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with the indicated HG concentrations for 24 h. Then, the transwell inserts were washed with PBS (pH 7.4) and
0.5 ml of Evans blue (0.67 mg/ml) diluted in growth medium containing 4% BSA was added. Fresh growth
medium was then added to the lower chamber and the medium in the upper chamber was replaced with Evans
blue/BSA. Ten minutes later, the optical density was measured at 650 nm in the lower chamber.
For the in vivo study, male mice were anesthetized with 2% isoflurane (Forane, JW Pharmaceutical,
South Korea) in oxygen delivered via a small rodent gas anesthesia machine (RC2, VetEquip, Pleasanton, CA);
the anesthesia was first delivered in a breathing chamber and subsequently via facemask. The mice were allowed
to breath spontaneously during the procedure. Cervical dislocation was used for euthanasia. The mice were
intravenously administered each compound; after 6 h, 1% Evans blue dye solution in normal saline was
mg/kg). The average circulating blood volume for mice is 72 mL/kg (Diehl et al. 2001); thus, because the
average weight of the mice was 27 g and the average blood volume was 2 ml, the injected VCN or SCL (11.9 or
23.8 µg per mouse, respectively) produced a maximum concentration of 10 or 20 µM in the peripheral blood,
respectively. The mice were sacrificed 30 minutes later and the peritoneal exudates were collected after being
washed with 5 ml of normal saline and centrifuged at 200 × g for 10 min. The absorbance of the supernatant was
read at 650 nm. Vascular permeability was expressed in terms of dye (µg/mouse), which represents leakage into
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the peritoneal cavity according to the standard curve of Evans blue dye, as previously described (Bae et al. 2012;
For assessment of leukocyte migration, the mice were euthanized and the peritoneal cavities were
washed with 5 mL of normal saline. Samples (20 µl) of peritoneal fluid were mixed with 0.38 mL of Turk's
solution (0.01% crystal violet in 3% acetic acid), and the leukocytes were counted under a light microscope.
Expression of vascular cell adhesion molecule-1 (VCAM-1), intercellular adhesion molecule-1 (ICAM-
1), and E-selectin was determined by using whole-cell ELISA. Briefly, HUVEC monolayers were treated with
each compound at the indicated concentrations for 6 h, followed by treatment with HG (25 mM) for 24 h; the
monolayers were subsequently fixed in 1% paraformaldehyde. After 3 washes, mouse anti-human monoclonal
antibodies (VCAM-1, ICAM-1, or E-selectin; Temecula, CA; 1:50 each) were added, and the cells were
incubated for 1 h (37 °C, 5% CO2). The cells were then washed, treated with peroxidase-conjugated anti-mouse
IgG antibody (Sigma, St. Louis, MO) for 1 h, and washed 3 times; development was performed by using o-
phenylenediamine substrate (Sigma, St. Louis, MO). All measurements were performed in triplicate wells.
Adherence of monocytes to endothelial cells was evaluated by using fluorescent labeling of monocytes.
Briefly, monocytes were labeled with 5 µM Vybrant DiD for 20 min at 37°C in phenol red-free RPMI containing
5% fetal bovine serum. After 2 washings, the cells (1.5 × 106/ml, 200 µl/well) were resuspended in adhesion
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medium (RPMI containing 2% fetal bovine serum and 20 mM HEPES) and were added to confluent monolayers
of HUVECs in 96-well plates. These cells were treated for 6 h with each compound followed by HG (25 mM for
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24 h). The fluorescence of the labeled cells was measured (total signal) by using a fluorescence microplate
reader (Tecan Austria GmbH, Austria). After incubation for 1 hour at 37°C, the non-adherent cells were removed
by washing 4 times with pre-warmed RPMI, and the fluorescent signals of the adherent cells were measured by
using previously described methods. The percentage of adherent monocytes was calculated by using the
following formula, as described (Akeson and Woods 1993; Kim et al. 2001): % adherence = (adherent
HUVECs were grown in 6-well plates and were incubated with each compound for 6 h, followed by
HG 25 mM for 24 h. The High Pure RNA Isolation Kit (Roche Diagnostics) was used to isolate RNA from cell
cultures, and RNA quality was tested by measuring the ratio 260/280 nm in a UV spectrophotometer. For each
sample, 0.5 µg of total RNA was reverse transcribed into cDNA by using the Transcriptor First Strand cDNA
Synthesis Kit (Roche Diagnostics). Real-time PCR analysis was performed by using the
LightCycler® 96 System (Roche Diagnostics, Mannheim, Germany) with FastStart Essential DNA Green Master
(Roche Diagnostics) according to the manufacturer’s instructions. GAPDH was used as an internal control. The
relative quantification of mRNA expression was calculated as the ratio of the target gene to GAPDH. Specific
sense and anti-sense primers used were as follows: MCP-1, sense: 5′- TGCAGAGGCTCGCGAGCTA- 3′; anti-
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Confluent monolayers were incubated with increasing concentrations of each compound for 6 h,
followed by incubation with the indicated concentrations of HG for 24 h. SOD and CAT activities were
measured using spectrophotometric assays. The extraction medium for the measurement of the enzyme activities
was 10 mM sodium phosphate buffer at pH 7.4. Total SOD activity was measured by superoxide anion-induced
inhibition of the cytochrome c reduction rate, monitored at 550 nm at 25°C; the xanthine/xanthine oxidase
system was utilized as the source of O2-. SOD competes for superoxide and decreases the reduction rate of
cytochrome c (Flohe and Otting 1984). One unit of SOD is defined as the amount of enzyme that inhibits the rate
of cytochrome c reduction by 50% under specified conditions. The CAT activity levels in cell supernatants were
measured by using the CAT Assay Kit (Cayman Chemical, Ann Arbor, MI).
Extracellular production of H2O2 was quantified by using the Amplex Red Hydrogen Peroxide Assay
Kit (Molecular Probes; Eugene, OR) according to the manufacturer's recommendations. HUVECs were grown in
6-well plates and were incubated with each compound for 6 h, followed by incubation with HG (25 mM) for 0 to
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120 min. The cells were washed twice with ice-cold PBS, harvested by microcentrifugation, and resuspended in
a Krebs-Ringer phosphate (KRPG) solution; 100 µL of the reaction mixture (50 µM Amplex Red reagent
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containing 0.1 U/mL HRP in KRPG) was added to each microplate well and was prewarmed at 37 °C for 10 min.
The reaction was initiated by adding the resuspended cells in 20 µL of KRPG. Fluorescence readings became
stable within 30 min of starting the reaction equipped for absorbance at ∼560 nm (Multiskan, Thermo
Labsystems Inc., Franklin, MA). A reagent H2O2 standard curve was used to calculate the H2O2 concentration.
The cells were harvested rapidly by sedimentation and nuclear and cytoplasmic extracts were prepared
on ice, as previously described (Mackman et al. 1991). Briefly, the cells were harvested and were washed with 1
ml of buffer A (10 mM HEPES, pH 7.9, 1.5 mM MgCl2, 19 mM KCl) for 5 min at 600 × g. Subsequently, the
cells were resuspended in buffer A, centrifuged at 600 × g for 3 min, resuspended in 30 µl of buffer B (20 mM
HEPES, pH 7.9, 25% glycerol, 0.42M NaCl, 1.5mM MgCl2, 0.2 mM EDTA), rotated for 30 min at 4°C, and
centrifuged at 13,000 × g for 20 min. The supernatant was used as the nuclear extract. The nuclear and cytosolic
extracts were analyzed for protein content by using the Bradford assay.
Western blotting
Total cell extracts were prepared by lysing the cells, and the protein concentration was determined by
using the Bradford assay. Equal amounts of protein were separated by SDS-PAGE (10%) and were
electroblotted overnight onto an Immobilon membrane (Millipore, Billerica, MA). The membranes were blocked
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for 1 h with 5% low-fat milk-powder TBS (50 mM Tris-HCl, pH 7.5, 150 mM NaCl) containing 0.05% Tween
20 and were then incubated with NF-κB p65 for 1.5 h at room temperature (1:1000, Santa Cruz, CA).
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Subsequently, the membranes were incubated with horseradish-peroxidase-conjugated secondary antibody, and
ECL detection was performed according to the manufacturer's instructions. β-actin (1:1000, Santa Cruz) or lamin
A/C (1:1000, Santa Cruz) was used as a loading control for cytoplasmic or nuclear extracts, respectively.
Immunofluorescence staining
HUVECs were grown to confluence on glass cover slips coated with 0.05% poly-L-lysine in complete
media containing 10% FBS and were maintained for 48 h. The cells were then stimulated with HG (25 mM) for
24 h with or without prior treatment with each compound for 6 h. After several washes with PBS, the cells were
fixed in 4% formaldehyde in PBS (v/v) for 15 min at room temperature. For immunostaining, the cells were
permeabilized in 0.05% Triton X-100 in PBS for 15 min and were blocked in blocking buffer (5% BSA in PBS)
overnight at 4°C. The cells were incubated with F-actin labeled fluorescein phalloidin (F 432; Molecular Probes,
Invitrogen) or primary rabbit monoclonal NF-κB p65 antibody, anti-rabbit Alexa 488, overnight at 4°C. The
nuclei were counterstained with 4,6-diamidino-2-phenylindole dihydrochloride (DAPI). The cells were then
visualized by using confocal microscopy at 63× magnification (TCS-Sp5, Leica Microsystems, Germany).
Statistical Analysis
The results are expressed as the mean ± standard error of mean (SEM) of at least 3 independent
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experiments. Statistical significance was determined by using analysis of variance (ANOVA; SPSS, version 14.0,
SPSS Science, Chicago, Il), and p-values less than 0.05 (p < 0.05) were considered significant.
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Results
C. subternata plants, are traditionally used for the production of South African herbal tea, honeybush, and,
recently, as aqueous extracts for the food industry (Joubert et al. 2011). In this study, we determined the effects
of these 2 active flavones, VCN and SCL (Fig. 1), on high-glucose (HG)-induced vascular inflammation in vitro
and in vivo.
Effects of VCN and SCL on HG-induced disruption of the endothelial barrier function in HUVECs and mice
First, we investigated the effects of glucose on the albumin permeability of endothelial cells. Treatment
with HG (25 and 50 mM) led to a rapid increase in endothelial cell permeability, with the effect beginning at 12
h after incubation and reaching a maximum at 24 h (data not shown). A significant increase was observed at a
glucose concentration of 10 mM. Concentrations above 50 mM did not further increase the glucose-induced
permeability (data not shown). L-glucose and D-Mannose (25 mM), which were used as osmotic controls, had
Next, we investigated whether VCN or SCL could alter HG-induced hyperpermeability. Treatment
with 20 µM of each compound alone did not result in alteration of barrier integrity; further, treatment with VCN
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or SCL resulted in a dose-dependent decrease in HG-mediated membrane disruption (Fig. 1B). To confirm this
vascular barrier protective effect in vivo, HG-mediated vascular permeability was assessed in mice. Treatment
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with VCN or SCL resulted in marked inhibition of HG-induced peritoneal leakage of dye (Fig. 1C).
Because cytoskeletal proteins are important for the maintenance of cell integrity and shape, we next
examined the effects of VCN or SCL on actin cytoskeletal arrangement in HUVECs by immunofluorescence
staining of HUVEC monolayers with F-actin-labeled fluorescein phalloidin. Control HUVECs exhibited a
random distribution of F-actin throughout the cells, with some localization of actin filament bundles at the cell
boundaries (Fig. 1D). Barrier disruption in HUVECs induced by HG treatment (25 mM) was accompanied by
the formation of paracellular gaps (indicated by arrows). In addition, treatment with VCN or SCL (20 µM)
inhibited the formation of HG-induced paracellular gaps, with the formation of dense F-actin rings (Fig. 1D).
These results suggest that VCN or SCL treatment inhibited the HG-mediated morphological changes and gap
formation in endothelial cells that are associated with F-actin redistribution, thereby increasing vascular barrier
integrity. To test the effects of VCN or SCL on cellular viability, MTT assays were performed in HUVECs
treated with each compound for 24 h. VCN or SCL did not affect cell viability at concentrations up to 50 µM
(Fig. 1E).
Effects of VCN and SCL on HG-mediated expression of CAMs and neutrophil adhesion
We determined the effects of HG on the expression of CAMs and the adhesion of monocytes to
HUVECs in response to HG. ELISA was used to determine the expression of CAMs, such as VCAM-1, ICAM-1,
and E-selectin, according to the HG concentration. Exposure of the primary cultured HUVECs to HG resulted in
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significantly increased expression of VCAM-1, ICAM-1, and E-selectin after incubation with 25 mM D-glucose;
the maximum inhibitory effect of VCN or SCL (Fig. 2A) was observed at 20 µM.
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In addition, in order to explore the effect of VCN or SCL on endothelial cell-leukocyte interaction, we
examined the adhesion of human neutrophils to high glucose-activated HUVECs and the migration of leukocytes
in vivo. Control HUVECs showed minimal binding to human neutrophils; however, adhesion markedly
increased upon treatment with HG. Pretreatment with VCN or SCL (20 µM) resulted in a decrease in the number
of human neutrophils adhering to HG-induced HUVECs (Fig. 2B and 2C). These results were corroborated in
vivo by inhibition of HG-induced migration of leukocytes in the peritoneal space (Fig. 2D). Thus, VCN or SCL
is a therapeutic drug candidate for targeting the expression of CAMs in diabetic vascular inflammation in order
Next, we measured the effect of VCN or SCL on HG-induced changes on MCP-1 and IL-8 mRNA
levels by using real time qRT-PCR. HG induced an increase in the expression of MCP-1 (up to 4.9-fold) and IL-
8 (up to 5.3-fold) mRNAs, whereas pretreatment with VCN or SCL decreased the inductions in MCP-1 and IL-8
mRNAs by HG (Fig. 3A and 3B). These results suggest that VCN or SCL would be useful for preventing the
To determine whether VCN or SCL have a protective effect on HG-induced oxidative stress, we first
measured the effect of HG on the cellular H2O2 concentration. The H2O2 level significantly increased after
incubation for 10 min with 25 mM glucose, and a maximal increase was observed at 1 h (Fig. 3C). Pretreatment
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with 20 µM VCN or SCL significantly inhibited the HG-induced increase in the H2O2 level (Fig. 3C). In addition,
VCN or SCL alone did not induce oxidative stress, suggesting the importance of utilizing HG to induce
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oxidative stress in HUVECs when determining the character of the diabetic complication as well as vascular
inflammation. Because a high concentration of glucose causes overexpression of SOD and CAT in cultured
human endothelial cells, we determined the effects of VCN or SCL on the HG-induced expression and activity of
SOD and CAT. The data revealed that pretreatment with 20 µM of VCN or SCL significantly inhibited HG-
induced expression of SOD and CAT (Fig. 3D) and HG-induced increases in the activity of SOD and CAT (Fig.
3E).
To determine the effects of VCN and SCL on NF-κB activation, we measured HG-induced
translocation of NF-κB from the cytosol to the nucleus. Western blotting analysis revealed that the level of the
active subunit of the NF-κB complex, p65, was increased in the nuclear extracts of HUVECs treated with HG,
and the cytosolic extracts exhibited an appreciable loss of p65 protein content (Figs. 4A and 4B). In addition,
pretreatment with VCN or SCL resulted in inhibition of the HG-induced increase of p65 NF-κB expression
levels (Figs. 4A and 4B). Immunocytochemistry was performed by using p65 NF-κB and fluorescein
isothiocyanate (FITC)-conjugated antibody to confirm the results from western blotting. HG induced an increase
in the expression of p65 NF-κB in the nucleus, whereas this was not elevated under normal conditions. In
addition, treatment with 20 µM VCN or SCL resulted in a decrease in HG-induced expression of p65 NF-κB in
the nucleus (Figs. 4C). These results are consistent with those of the western blotting experiments (Figs. 4A and
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4B). These findings demonstrate that VCN or SCL inhibits HG-induced activation of NF-κB, indicating that
VCN or SCL has an inhibitory effect on the NF-κB pathway specific to HG induction of adhesion molecules in
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HUVECs.
Discussion
Diabetes mellitus is associated with increased endothelial dysfunction and the development of
atherosclerotic vascular diseases (Grundy et al. 1999; Whiting et al. 2011). HG is known to induce the
expression of CAMs and to promote the hyperpermeability and the adhesion and migration of leukocytes.
Further, flavonoids such as saponarin (Seo et al. 2014), orientin and isoorientin (Lee et al. 2014; Yoo et al. 2014),
vitexin (Borghi et al. 2013), and isovitexin (Lin et al. 2005) are structural analogues of VCN or SCL with
significant anti-inflammatory activities. Therefore, in this study, we determined the anti-inflammatory responses
Endothelial dysfunction and damage are early steps in the pathophysiology of diabetes-associated
vascular complications (Laakso 1999). Hyperglycemia is the central initiating factor for all types of diabetic
microvascular disease, and it may be involved in the pathogenesis of macrovascular complications (Kannel and
McGee 1979; Laakso 1999; Nannipieri et al. 1995). In addition, endothelial cell permeability, which is altered in
diabetes mellitus, may be enhanced by high concentrations of extracellular glucose (Wardle 1994). Leakage of
serum proteins, particularly albumin, through the endothelium is observed in the retinal vessels early in diabetes
mellitus (Tooke 1995; Wardle 1994). Increased endothelial cell permeability in larger vessels can also lead to the
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development of interstitial edema, possibly resulting in enhanced cell proliferation and matrix production
(Nannipieri et al. 1995). Based on the current finding that VCN and SCL inhibited HG-mediated endothelial
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disruption and maintained endothelial cell barrier integrity in mice and human endothelial cells treated with HG,
we conclude that VCN and SCL may be useful for the treatment of vascular inflammatory diseases.
Two key events in the pathogenesis of atherosclerosis are adhesion of monocytes to the endothelium,
followed by transmigration into the subendothelial space and enhanced vascular cellular permeability (Gerrity
1981; Wardle 1994). Enhanced monocyte-endothelial interactions in vivo and in vitro have been demonstrated in
diabetes models (Esposito et al. 2001; Gerrity 1981). Of particular importance, hyperglycemia/HG-induced
augmentation of leukocyte adhesion to the endothelium has been reported to occur through the upregulation of
CAMs, and transendothelial migration (TEM) has been reported to be dependent on NF-κB activation (Hamuro
et al. 2002; Morigi et al. 1998). In addition, CAMs are believed to participate in the pathogenesis of
atherosclerosis (Lopes-Virella and Virella 1992). These proteins regulate the interactions between the
endothelium and leukocytes, and an increase in their expression on the endothelial surface causes increased
adhesion of leukocytes, particularly monocytes, which is one of the first steps in the process leading to atheroma
(Lopes-Virella and Virella 1992). In particular, over-expression of ICAM-1, VCAM-1, and E-selectin in the
endothelial cells of human atherosclerotic lesions has been reported (Bae 2012). The effects of HG
concentrations on the expression of CAMs in endothelial cells have been widely investigated. Increased
expression of ICAM-1 has been reported in human aortic endothelial cells cultured in HG (Kado et al. 2001).
These data are consistent with the finding that HG is a potent promoter of leukocyte adhesion to endothelial cells
under flow conditions, and that this process is dependent upon upregulation of E-selectin, ICAM-1, and VCAM-
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1 (Morigi et al. 1998). Furthermore, adhesion of monocytes to the endothelium is one of the earliest events in the
vascular inflammation process, which is followed by their infiltration and differentiation into macrophages
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(Hansson and Libby 2006). This key step is mediated by an interaction between monocytes and molecules
expressed on the surface of endothelial cells (Hansson and Libby 2006). In this study, VCN and SCL inhibited
the expression of CAMs and the adhesion of monocytes in HG-treated human endothelial cells.
Inflammatory responses have been mechanistically linked to the production of ROS (Inoguchi et al.
2000). Previous observations have indicated that hyperglycemia triggers the generation of free radicals, and that
oxidative stress and ROS production are considered important mediators of several biologic responses, including
cell proliferation and extracellular matrix deposition (Dunlop 2000; Han et al. 2005). The antioxidative activity
of VCN and SCL is related to their ability to scavenge superoxide radicals via endogenous antioxidant enzymes
such as SOD and CAT, suggesting that the capacity of VCN and SCL to inhibit ROS formation is partly owing
to the modulation of a key gene that regulates mediators of intracellular antioxidant capacity, i.e., SOD and CAT.
Therefore, it is possible that VCN and SCL have intracellular antioxidant activities in endothelial cells.
Importantly, activation of transcription factors such as NF-κB is known to affect CAM expression and to induce
coordinated up-regulation of other pro-inflammatory cytokines and chemoattractants, which may provide the
molecular link between the cell redox state and endothelial cell dysfunction (Rimbach et al. 2000). In addition,
ROS have been shown to activate various transcription factors, including NF-κB, in cultured endothelial cells,
leading to enhanced expression of MCP-1 and IL-8, which are chemokines strongly implicated in the
atherogenesis process (Uemura et al. 2001). Specifically, MCP-1 is a key mediator of monocyte trafficking and
IL-8 promotes neutrophil chemotaxis (Boisvert 2004). We demonstrated that HG induced MCP-1 and IL-8
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transcription and enhanced the production of ROS and the translocation of NF-κB into the nucleus in human
endothelial cells. Importantly, all of these effects were significantly attenuated by VCN and SCL, indicating that
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VCN and SCL may prevent diabetic complications, such as arteriosclerotic vascular disorder and vascular
In this study, we showed that intravenously injected VCN or SCL at 23.8 µg/mouse (equal to 20 µM in
peripheral blood) showed anti-inflammatory responses against HG-induced responses. Given that the average
weight of the mice used in this study was 27 g and the average weight of an adult human is 70 kg, we would
require 61.7 µg of VCN or SCL to achieve anti-diabetic effects if the compound was administrated intravenously
in humans. However, if the compounds are ingested as herbal tea, an amount greater than the calculated amounts
of these compounds is needed for the following reasons: 1) large differences exist between intravenous injection
and the oral route; 2) after ingesting the tea, several pharmacological processes are required for the compound
(VCN or SCL) to reach the blood stream, such as absorption, distribution, metabolism, and excretion; and 3) the
entire content of the compound in the herbal tea is not absorbed. In order for a consumed compound to be
utilized by the body's vascular system, the following 4 criteria, which represent the disposition of a
pharmaceutical compound within an organism, should be met: absorption, distribution, metabolism, and
excretion (ADME). These 4 criteria influence the compound levels and the kinetics of exposure of the tissues to
the compound; hence, these criteria influence the performance and pharmacological activity of the compound.
Our data demonstrate that treatment with VCN or SCL resulted in blockade of HG-induced vascular
inflammation via inhibition of NF-κB in primary human endothelial cells. These results suggest that VCN or
SCL has significant therapeutic benefits against diabetic complications and atherosclerosis by attenuating HG-
19
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induced generation of H2O2, increasing activation of NF-κB, upregulating adhesion molecules, influencing
monocyte-endothelial adhesion/migration, and disrupting endothelial barrier function. Our findings indicate that
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VCN or SCL can be regarded as a candidate for use in treatment of diabetic vascular inflammatory diseases.
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Figure Legends
Figure 1. Effects of vicenin-2 (VCN) and scolymoside (SCL) on high glucose (HG)-mediated permeability
Can. J. Physiol. Pharmacol. Downloaded from www.nrcresearchpress.com by University of Waterloo on 11/03/15
in vitro and in vivo. (A) Chemical structures of VCN and SCL. (B) The effects of pretreatment with different
concentrations of VCN (white bar) or SCL (gray bar) for 6 h on barrier disruption caused by 25 mM (HG) for 24
h. (C) The effects of VCN (white bar) or SCL (gray bar) injected intravenously (i.v.) on HG-induced (9
mg/mouse, i.v.) vascular permeability in mice were determined by measuring the levels of Evans blue dye in
peritoneal washings (expressed as µg/mouse, n = 5). (D) Staining for F-actin. Human umbilical vein endothelial
cell (HUVEC) monolayers grown on glass coverslips were stimulated with HG (25 mM) for 24 h, treated with
each compound (20 µM) for 6 h, and stained for F-actin. The arrows indicate intercellular gaps. (E) The effects
of VCN (white bar) or SCL (gray bar) on cellular viability were measured by using MTT assays. The results are
expressed as the mean ± standard error of the mean of at least 3 independent experiments. *P < 0.05 vs. HG
Figure 2. Effects of vicenin-2 (VCN) and scolymoside (SCL) on high glucose (HG)-mediated pro-
inflammatory responses. HG-induced (25 mM, for 24 h) expression of cell adhesion molecules on human
umbilical vein endothelial cells (HUVECs) was determined after treating cells with VCN or SCL (20 µM each)
for 6 h. VCAM-1 (white bar), ICAM-1 (gray bar), and E-Selectin (black bar) were detected by using ELISA. (B,
C) HG-induced (25 mM, for 24 h) adherence of human neutrophils to HUVEC monolayers was assessed after
pretreating cells with VCN or SCL for 6 h. The amounts of adherent human neutrophils were monitored by using
(B) the cell-cell adhesion assay and (C) fluorescence microscopy. (D) As described for Fig. 1C, except that
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leukocyte migration into the peritoneal cavities of mice was analyzed. The data are expressed as the mean ±
standard error of the mean of 3 independent experiments. *P < 0.05 vs. HG alone.
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Figure 3. Effects of vicenin-2 (VCN) and scolymoside (SCL) on high glucose (HG)-induced expression of
MCP-1 and IL-8 mRNA and ROS formation. (A, B) The cells were pretreated with VCN or SCL for 6 h and
were subsequently incubated with HG (25 mM) for 24 h. mRNA was extracted, and real time qRT-PCR analysis
was performed by using specific primers for MCP-1 (A), IL-8 (B), and GAPDH, as described in the Materials
and methods. (C) Cells were pretreated with VCN or SCL for 6 h and were then stimulated with HG for 0 to 120
min; H2O2 assays were performed as described in the Materials and methods. (D, E) The same as (A, B), except
that expression of SOD and CAT (D) and the activities of SOD and CAT (E) were measured, as described in the
Materials and methods. The data are expressed as the mean ± standard error of the mean of 3 independent
Figure 4. Effects of vicenin-2 (VCN) and scolymoside (SCL) on high glucose (HG)-induced activation of
κB. The cells were pretreated with VCN or SCL for 6 h and were subsequently stimulated
nuclear factor (NF)-κ
with HG for 24 h. (A) The expression levels of NF-κB in nuclear or cytoplasmic extracts were evaluated by
using western blotting. β-actin and lamin A/C were used as the loading controls for cytoplasmic and nuclear
extracts, respectively. (B) The graphs show the densitometric intensities of NF-κB normalized to lamin A/C for
nuclear extracts or β-actin for cytoplasmic extracts (N = 3 blots). (C) NF-κΒ p65 was visualized by using rabbit
anti-p65 monoclonal antibody (1:100 dilution), which only recognized NF-κB p65. Goat anti-rabbit antibody
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(1:100 dilution) conjugated to fluorescein isothiocyanate was used. The subcellular localization of NF-κB p65
microscope. The images are representative of 3 independent experiments. * P < 0.05 as compared to HG only.
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