Professional Documents
Culture Documents
Nguyen-Hai Nam*
Abstract: NF-B is a ubiquitous and well-characterised protein responsible for the regulation of complex phenomena,
with a pivotal role in controlling cell signalling in the body under certain physiological and pathological conditions.
Among other functions, NF-B controls the expression of genes encoding the pro-inflammatory cytokines (e. g., IL-1, IL-
2, IL-6, TNF-, etc.), chemokines (e. g., IL-8, MIP-1, MCP1, RANTES, eotaxin, etc.), adhesion molecules (e. g., ICAM,
VCAM, E-selectin), inducible enzymes (COX-2 and iNOS), growth factors, some of the acute phase proteins, and im-
mune receptors, all of which play critical roles in controlling most inflammatory processes. Since NF-B represents an
important and very attractive therapeutic target for drugs to treat many inflammatory diseases, including arthritis, asthma,
and the auto-immune diseases, most attention has been paid in the last decade to the identification of compounds that se-
lectively interfere with this pathway. Recently, a great number of plant-derived substances have been evaluated as possi-
ble inhibitors of the NF-B pathway. These include a wide range of compound classess, such as lignans (manassantins,
(+)-saucernetin, (-)-saucerneol methyl ether), sesquiterpenes (costunolide, parthenolide, celastrol, celaphanol A), diterpe-
nes (excisanin, kamebakaurin), triterpenes (avicin, oleandrin), polyphenols (resveratrol, epigallocatechin gallate, quer-
cetin), etc. In this mini-review we will discuss the medicinal chemistry of these compounds with regards to the NF-B in-
hibition.
Keywords: NF-B inhibitors, natural products, sesquiterpene lactones, curcumin, lignans.
PLANT-DERIVED PHENOLS AND POLYPHENOLS dation that in turn reduce tissue injury. The authors sug-
AFFECTING NF-KB SYSTEM gested that curcumin may be useful in the management of
human inflammatory bowel disease [10].
Curcumin (1) (Fig. (1)), is a major component of tur-
meric (Curcuma longa), which is commonly used as a spice The antioxidant compound caffeic acid phenethyl ester
to give flavor and yellow color to curry and widely adopted (CAPE) (2) (Fig. (1)) is an anti-carcinogenic, anti-inflam-
as an anti-inflammatory compound in Eastern folklore medi- matory and immunomodulatory substance present in Apis
cine. It has been reported that in endothelial cells, curcumin mellifera propolis. CAPE has also been reported to prevent
inhibited NF-B activation in a concentration-dependent activation of the NF-B pathway by a wide variety of in-
manner [5]. The mechanism may be also related to its capac- flammatory agents including TNF-, phorbol ester, okadaic
ity to induce the heat shock response. In in vitro HeLa cells, acid and H2O2 [11]. The action of CAPE is selective for the
curcumin induced expression of heat shock protein 70 via NF-B pathway since other transcription factors were not
activation of the transcription enhancer heat shock factor-1 affected. An in vivo study has revealed that CAPE also in-
[6]. Gukovsky et al. [7] reported that curcumin ameliorates hibits formation of the neointima by inhibiting NF-B acti-
ethanol- and non-ethanol-induced experimental pancreatitis vation [11]. The mechanism by which CAPE inhibits the
(causing pronounced inhibition of the serum amylase and NF-B pathway appears to be related to its ability to sup-
lipase increase, reduction of neutrophil influx and inhibition press the interaction of NF-B with DNA, without affecting
of intrapancreatic trypsin activation). They found that the IB degradation [11]. These findings further support the re-
inhibition of NF-B and AP-1, another important pro- ported anti-inflammatory and anticancer properties of CAPE
inflammatory transcription factor, is largely responsible for and could certainly account for the anti-inflammatory and
this effect. The authors concluded that curcumin, which is immunomodulatory effects described for propolis extract
currently in clinical trials for cancer prevention, has thera- [12].
peutic potential for the management of pancreatitis. Flavonoids are naturally occurring phenolic compounds
Jobin et al. [8] demonstrated that curcumin blocks cyto- that are ubiquitous in plants, and have been used to suppress
kine-induced pro-inflammatory gene expression in intestinal inflammation, prevent the development of cancer and protect
epithelial cells by inhibition of the signal leading to IKK against vascular disease. Several studies demonstrate that
activation, subsequent IB phosphorylation/degradation, and flavonoids such as quercetin and apigenin mediate their ef-
NF-B activation. Furthermore, evidence also indicates that fects by inhibiting NF-B signalling [16,17]. The flavonoids
curcumin is able to inhibit the IB kinase 1 and IB kinase 2 quercetin and apigenin (4,5) (Fig. (1)) have also been shown
activities induced after stimulation with LPS [9]. Recently, to down-modulate the constitutive expression of NF-B/p65
Ukil et al. [10] showed that curcumin exerts beneficial ef- in the human prostate adenocarcinoma cell line LNCaP.
fects on 2,4,6-trinitrobenzenesulphonic acid-induced colitis Such data suggest that apigenin and quercetin have strong
in mice, a model for inflammatory bowel disease. The anti- potential for the development of agents to prevent prostate
inflammatory effects of curcumin are associated with an in- cancer [18].
hibition of up-regulation of the pro-inflammatory Th1 cyto- Resveratrol (6) (Fig. (1)), is one phenolic compound that
kine response leading to the suppression of iNOS and at- has attracted a great deal of interests recently. A wide variety
tenuation of the recruitment of neutrophils and lipid peroxi- of biological activity has been described for resveratrol. Re-
O O O
H3CO OCH3 HO
O
HO OH HO
1 2
Curcumin O Caffeic acid phenethyl ester
H3CO
N
H
R1 HO 3
Capsaicin OH
OH
OH OH
HO O
HO O OH
HO
O
R2 OH
OH O
OH O O
4 Quercetin (R1 = R2 = OH) OH
6 7
5 Apigenin (R1 = R2 = H) Epigallocatechin-3-gallate
Resveratrol
garding the NF-B system, resveratrol has been reported to diterpenes and triterpenes, have also been reported to have
inhibit expression of iNOS and to decrease nitric oxide pro- inhibitory effects on NF-B system.
duction in activated macrophages, which is associated with
Parthenolide (8) (Fig. (2)) is a sesquiterpene lactone pre-
inhibition of LPS-induced I- phosphorylation and the
sent in several medicinal plants that have been used in folk
NF-B DNA-binding activity [16]. Resveratrol is also able
to induce apoptosis in Rat-1 cells by inhibiting Ras-mediated medicine for their anti-inflammatory and analgesic proper-
ties. Several in vitro studies have shown that a great part of
activation of NF-B [17]. These results indicate that at least
the anti-inflammatory action of this compound appears to be
some of the biological activities of resveratrol are mediated
related to its ability to inhibit the NF-B pathway. In vitro
by inhibition of NF-B pathways. It remains to be examined,
studies have proven that the sesquiterpene lactone parthe-
however, whether resveratrol act as a direct IKK inhibitor.
nolide does not interfere with the generation of oxygen radi-
Green tea is a common drink in many Eastern countries, cals [30], whereas it specifically inhibits activation of the
and has been a subject of a number of scientific researches. NF-B pathway by targeting IKK [29] and/or preventing the
Remarkable antiinflammatory and cancer chemopreventive degradation of IB- and IB- [30]. Furthermore, parthe-
effects in many animal tumor bioassays, cell culture systems, nolide has recently been reported to exert beneficial effects
and epidemiologic studies have been demonstrated for green during endotoxic shock in rats through inhibition of NF-B
tea [19]. These biological effects of green tea are mediated DNA binding in the lung [31]. These effects of parthenolide
by tea polyphenols, known also as tea catechins, which may may also accounts for its inhibition of proinflammatory me-
inhibit NF-B activation. Epigallocatechin 3-gallate (EGCG), diator genes, such as the gene for the inducible nitric oxide
the major polyphenol present in green tea, has been shown to synthase after endotoxin stimulation in rat smooth muscle
inhibit TNF--induced degradation of IkB and activation of cells [32] and the gene for IL-8 in immunostimulated human
NF-B in cancer and normal cells [20]. The impairment of respiratory epithelial cells [33]. In addition, parthenolide has
NF-B activity afforded by treatment with EGCG appears to also been demonstrated to protect against myocardial ische-
be a sequential event of a depressed IKK activity. In cytoso- mia and reperfusion injury in the rat by selective inhibition
lic extracts of TNF--stimulated cells, EGCG specifically of IKK activation and IB degradation [34].
inhibited IKK activity, whereas antioxidants were ineffective
[21]. The therapeutic effect of green tea has also been proven Costunolide (9) (Fig. (2)) is a closely related sesquiter-
in in vivo experimental inflammatory processes; orally ad- pene lactone analogue of parthenolide present in several
ministered green tea polyphenols reduced TNF- production plants such as Magnolia grandiflora, Tanacetum parthenium.
and improved survival in a murine model of lipopolysaccha- Koo et al. showed that costunolide also dose-dependently
ride-mediated lethality [22]. inhibited LPS-induced NF-B activation. In this assay sys-
tem, costunolide even exhibited more potent inhibitory activ-
Since NF-B plays a central role in most disease proc- ity than parthenolide. Detailed mechanism studies revealed
esses, and since it can regulate the expression of many key that, similar to parthenolide, costunolide also significantly
genes involved in inflammatory as well as in a variety of inhibited the degradation of IB- and IB-. In addition,
human cancers [13-15], NF-B represents a relevant and costunolide also inhibited the phosphorylation of IB-.
promising target for the development of new chemopreven- These accumulative results indicate that costunolide inhibits
tive and chemotherapeutic agents. And naturally occurring NF-B activation by preventing the phosphorylation of IB,
phenols and polyphenols like curcumin, CAPE, resveratrol, and therefore, sequestering the complex in an inactive form
flavonoids quercetin and apigenin, or EGEG exerting inhibi- [35].
tory effects on the NF-B activation may have potentials for
this purpose. However, it should be aware that the ubiquitous Since different types of sesquiterpene lactones showed
nature of NF-B suggests that such drugs would exhibit inhibition of NF-B activation at similar concentrations, this
some undesirable side effects. effect seems to be characteristic for many of the sesquiter-
pene lactones with an exomethylene group like parthenolide
TERPENOIDS AS NF-KB INHIBITORS and costunolide. Exomethylene groups of ,-unsaturated
carbonyl compounds can react by Michael type addition to
Many herbal preparations from medicinal plants, e.g. sulfhydryl groups of cysteine residues in the DNA binding
flowers of some plants from the Asteraceae family, have domain of the NF-B subunit [36]. This may be also the case
been used as folk remedies for various inflammatory condi- for helenalin [37]. Recently, Lyu et al. provided evidence
tions, such as rheumatoid arthritis, asthma, psoriasis, and that a sesquiterpene lactone, helenalin (10) (Fig. (2)), con-
migraine [23,24]. Despite their currently popular use as natu- taining two functional groups, namely ,-unsaturated car-
ral alternative medicine in both Eastern and Western coun- bonyl group and -methylene--lactone ring, exerts its effect
tries, only a few in vivo experimental studies have investi- by direct alkylation of the p65 subunit of NF-B without
gated their therapeutic potential as anti-inflammatory drugs inhibition of IB degradation [37]. In vitro studies also dem-
in models of paw or ear edema, chronic arthritis [23, 25], onstrated that helenalin selectively modifies the p-65 subunit
gastritis, and colitis in rodents [26,27]. Recently, in vitro of NF-B at the nuclear level, therefore inhibiting its DNA
experiments have proposed that the antiinflammatory me- binding [38]. However, costunolide differs from helenalin in
tabolites of these natural preparations are sesquiterpene lac- a number of functional groups and inhibits degradation of
tones that are specific potent inhibitors of NF-B pathway IB by inhibiting phosphorylation of IB. Therefore, another
[28,29]. Some most frequently found sesquiterpene lactones functional group other than the exomethylene group and the
include parthenolide, costunolide, and henenalin. Beside ses- molecular geometry of sesquiterpene lactone compounds
quiterpene lactones, a number of other terpenoids, including appear to be important factors to determine the mode of NF-
948 Mini-Reviews in Medicinal Chemistry, 2006, Vol. 6, No. 8 Nguyen-Hai Nam
R4 OAc Cpd R1 R2 R3 R4
R3 R1 11 (orbiculin H) H OFu OAc OFu
9 1 12 (orbiculin I) OFu OFu H OFu
8 10 2
O 7 5 13 (orbiculin A) OAc OFu H OBz
O 6 3
O 4 14 (orbiculin D) H OFu H OFu
O O O 15 (orbiculin E) OAc OFu H OBz
8 9 R2 16 (orbiculin F) OFu OFu H OBz
Parthenolide Costunolide
COOH OH
OH
H
O H
O
O
O O
HO
HO OH
10 17 18
Henenalin Celastrol Celaphanol A
OH
H OCH3 OH
OH OH OH OH
O O
OH OH OH OH
O
O O O O
OH
19 20 21 22
Kamebanin Kamebacetal A Kamebakaurin Excisanin A
B inhibition. However, the epoxide group in parthenolide is phatase gene) in the culture medium was measured. Celastrol
not likely important because parthenolide is at least less ef- (17) showed the most potent inhibitory activity in the re-
fective to inhibit both NF-B activation and NO production. porter gene expression, with an IC50 value of 0.27 M, and
celaphanol (18) was also active with an IC50 value of 18.2
Sesquiterpene lactones have been proven to be effica-
M. Among six dihydro--agarofuran sesquiterpenes, com-
cious also in murine models of endotoxemia. Treatment with pounds 11, 12, and 14 (having two furoyloxy groups at C-6
parthenolide or isohelenin improved the cardiovascular de-
and C-9) exhibited moderate inhibitory activities, with IC50
rangement in rats and increased the survival rate in mice
values of 33.5, 61.5, and 36.7 M, respectively; however,
subjected to endotoxic shock [39,40]. An important finding
compounds 13, 15, and 16 (having a benzoyloxy group at C-
of clinical relevance in these studies was that the sesquiter-
9) showed very weak activity with IC50 values of >300 M.
pene lactones exerted a beneficial effect even when given to
These results suggest that the furoyloxy groups at C-6 and C-
the animals as posttreatment of endotoxin challenge, i.e., 9 are important structural factors of dihydro--agarofuran
when most of the adverse effects of endotoxin occurred.
sesquiterpenes in the modulation of NF-B activity.
Therefore, these data clearly indicate that interruption of the
NF-B pathway, even after inflammatory challenge, might Since NF-B regulates the expression of numerous target
be of clinical benefit in sepsis. genes encoding inflammatory factors, notably the iNOS gene
[1,2]. The excessive production of NO, which is produced by
Besides sesquiterpene lactones, a number of other ses-
iNOS in macrophages and endothelial cells, is responsible
quiterpenes have been described to have inhibitory effects on for the inflammatory response and implicated in the patho-
NF-B activation. Jin et al. (2002) isolated a series of ses-
genesis of several inflammatory diseases such as septic
quiterpene esters, including orbiculin H (11), orbiculin H
shock, rheumatoid arthritis, graft rejection, and diabetes [42].
(12), orbiculin A (13), orbiculin D (14), orbiculin E (15),
The effect of compounds 11-18 on the NO production was
orbiculin F (16) [Fig. (2)] from Celastrus orbiculatus [41].
tested in LPS-stimulated RAW264.7 cells with respect to
Two other compounds including celastrol (17) and celapha-
aminoguanidine, an iNOS inhibitor. Compounds 11, 12, 14,
nol A (18) (Fig. (2)) were also reported from this plant [41]. 17, and 18 inhibited LPS-induced NO production in the
Compounds 11-18 were examined for their dose-response
RAW264.7 cells dose-dependently with IC50 values of 50.4,
effect on the LPS-induced NF-B activation using the NF-
51.2, 43.6, 0.23, and 32.6 M, respectively. These data are
B mediated reporter gene assay system. RAW264.7 cells,
comparable to that of aminoguanidine (IC50 16.3 M) (a
which were stably transfected with a NF-B-mediated re-
positive control) and to those for the NF-B activation. The
porter gene construct, were stimulated with LPS in the pres-
cell viability measured by MTT assay showed that all the
ence of various concentrations of compounds 11-18, and compounds had no significant cytotoxicity to the RAW264.7
then the expression of reporter gene (secreted alkaline phos-
Naturally Occurring NF- B Inhibitors Mini-Reviews in Medicinal Chemistry, 2006, Vol. 6, No. 8 949
cells at their effective concentration for the inhibition of NF- could be the possible functional group responsible for the
B activation and NO production. inhibition of NF-B activation. However, other factors such
Isodon japonicus is a medicinal plant that has been used as lipophilicity and molecular geometry of naturally occur-
in folk medicine in China, Japan, and Korea for a remedy for ring diterpenes would be important factors in the inhibition
gastrointestinal disorder, tumor, and inflammatory diseases. of NF-B activation [46]. Further studies remained to be
In an effort to identify the compound(s) that account for the elucidated how do kaurane diterpenes participate in the steps
antiinflammatory property of Isodon japonicus, Hwang et al. of NF-B activation. However, from the available evidences,
(2001) have reported several kaurane diterpenes from this these kaurane diterpenes, especially kamabakaurin, are valu-
plant with significant inhibitory effects on the NF-B activa- able candidates for the intervention of NF-B-dependent
tion [43,44]. These kaurane diterpenes include kamebanin pathological conditions such as inflammation and cancer.
(19), kamebacetal A (20), kamebakaurin (21), and excisanin A novel triterpenoid, 2-cyano-3,12-dioxooleana-1,9-dien-
A (22) [Fig. (2)]. It was found that all diterpene compounds 28-oic acid inhibits NF-B-mediated gene expression at
inhibited LPS-induced DNA-binding activity of NF-B some stage after translocation of activated NF-B to the nu-
dose-dependently and NF-B activation was completely in- cleus in ML-1 leukaemia cells [47].
hibited in the presence of 10 g/ml (26.6 M) of kame-
bakaurin (21) or excisanin A (22). Further studies on kame- LIGNANS AS NF-KB INHIBITORS
bakaurin also confirmed that kamabakaurin (21) prevents the
activation of NF-B by different stimuli in various cell types Hwang et al. (2003) reported a series of lignans and ses-
by directly targeting the DNA-binding activity of p50 [43- quineolignans including saucerneol D (23), saucerneol E
45]. Also, treatment of cells with kamebakaurin prevented (24), ()-saucerneol methyl ether (25), (+)-saucernetin (26),
TNF--induced expression of antiapoptotic NF-B target manassantin A (27), and manassantin B (28), (Fig. (3)) from
genes encoding c-IAP1 (hiap-2) and c-IAP2 (hiap-1) mem- Saururus chinensis [48]. The lignans were evaluated for in-
bers of the inhibitor of apoptosis family, and Bfl-1/A1, a hibitory effects on the NF-B activation in Hela cells, which
prosurvival Bcl-2 homologue, and augmented the TNF-- were transiently transfected with the plasmid of NF-B di-
induced caspase 8 activity, thereby resulting in sensitizing rected luciferase expression system. Manassantin A (27) and
MCF-7 cells to TNF--induced apoptosis. B (28) showed the most potent inhibitory activity with IC50
values of 2.5 and 2.7 M, respectively. Saucerneol D (23),
Furthermore, the kaurane diterpenes 19-21 also signifi-
saucerneol E (24), and ()-saucerneol methyl ether (25) also
cantly inhibited LPS-induced NO and PGE2 production
exhibited comparable inhibitory activities with IC50 values of
while they did not influence the DNA binding of AP-1.
6.1 and 12.7, and 16.9 M, respectively. Only (+)-saucernetin
Therefore, it is likely that the suppression of NF-B activa-
(26) had a weak activity (IC50 > 30 M). The relative po-
tion could be an inhibitory mechanism of LPS-induced NO tency of these lignans was found to be in the order dilignan >
and PGE2 production of these kaurane diterpenes [44].
sesquineolignan > lignan, suggesting that the phenylpropanoid
Structurally, as the case of sesquiterpene lactones, the moiety attached to C-4 and/or C-4’ was important for the
exocyclic methylene moiety of the kaurane diterpenes 19-22 inhibition of the stimuli induced NF-B activation process.
OCH3
HO
O R3 O
R2 O H3CO OCH3
R1 OCH3 OCH3 OCH3
Cpd R1 R2 R3 26
23 (saucerneol D) -OCH2O- -OCH3 (+)-saucernetin)
24 (saucerneol E) -OCH2O- -OH
25 ((-)-saucerneol
-OCH3 -OCH3 -OCH3
methyl ether)
R2 OCH3
OH HO
R1 O OCH3
O O
OCH3 OCH3
Cpd R1 R2
27 (manassantin A) -OCH3 -OCH3
28 (manassantin B)
-OCH2O-
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Received: October 6, 2005 Revised: April 18, 2006 Accepted: April 19, 2006