Professional Documents
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Anti Inflammation
Anti Inflammation
Review
An insight into
anti-inflammatory Introduction
Fungi are an attractive source of physiologically functional
foods and drug precursors, displaying a wide range of phar-
effects of fungal macological activities such as anti-inflammatory, anti-tu-
mor and immuno-modulating effects (Ruan, Su, Dai, &
beta-glucans Wu, 2005). Fungi are also used increasingly in food and
pharmaceutical industry (Rop, Mlcek, & Jurikova, 2009).
Fungi-derived natural products have been an excellent
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52
Table 1 (continued )
Name Sources Solubility Primary structures Conformation Anti-inflammatory activity References
b-Glucan Saccharomyces Water-insoluble e e Display a protective effect in the DSS Jawhara et al.,
cerevisiae (yeast) mouse model 2012
b-Glucan Candida albicans Water-insoluble e e Display a protective effect in the
DSS mouse model
b-Glucan Agrocybe chaxingu e e e Inhibit (p < 0.01) LPS-induced Lee et al., 2009
iNOS and COX-2 expression levels
in Raw 264.7 cells
Lentinan Lentinus edodes Water-soluble Stimulate macrophages by inducing Xu et al., 2011
phosphorylation of MAPKs ERK1/2
and JNK1/2, but not p38
b-Glucan Lingzhi (Ganoderma Water-soluble e e Induce both NO and iNOS. Batbayar
NO: nitric oxide; NF-kB: nuclear factor-kB; TNF-a: tumor necrosis factor-a; DSS: dextran sulfate sodium; PGE2: prostaglandin E2; DCs: dendritic cells; EP: E-series prostanoid receptor; TLR: Toll-
production by RAW 264.7 cells, hydrogen peroxide pro-
Johnson et al.,
Johnson et al.,
Førland et al., duction by murine peritoneal exudate cells and IL-8 pro-
Zhu et al.,
2009
2011
2012
Therefore, it is recommended to consider the cytokines pro-
duction in anti-inflammatory activity of b-glucans.
Moreover, polysaccharides from lingzhi (Ganoderma lu-
A decline of especially pro-inflammatory
b-Glucan
b-Glucan
Zymosan
Effects on non-cytokine mediator cells. In one study, Xu, Chen, Zhang, and Ashida (2011) re-
Recent studies have shown that Th17 polarization is also ported that a lentinan from L. edodes activated NF-kB p65
regulated by non-cytokine mediators of the inflammatory and triggered its nuclear translocation as determined by
milieu, such as prostaglandin E2 (PGE2) (Chizzolini & Western blotting. Meanwhile, lentinan enhanced NF-kB-
Brembilla, 2009), which is one of the prostanoid lipid me- luciferase activity in a Dual-Luciferase gene system assay.
diators derived from arachidonic acid through the activity Its upstream signaling molecules, MAPKs such as ERK1/2
of COX enzymes. It is found that b-glucan purified from and JNK1/2, were shown to be activated by assessing the
yeast C. albicans stimulated human dendritic cells (DCs) level of phosphorylation in time- and concentration-
to secrete a pro-Th17 cytokine pattern. b-Glucan induces dependent manners, but its downstream pro-inflammatory
PGE2 production, which has been shown to play a pivotal enzyme, inducible NOS, was not observed.
role in Th17 cell expansion. Inhibition of PGE2 synthesis Moreover, pustulan, linear b(1 / 6)-glucan from Lasal-
or blockade of PGE2 receptors E-series prostanoid receptor lia pustulata is recognized by the membrane-bound Dectin-
2 (EP2) and E-series prostanoid receptor 4 (EP4) drastically 1, a C-type lectin-like pattern recognition receptor. Detec-
reduced IL-23 production by b-glucan-activated DCs. tion of b-glucans by Dectin-1 receptor leads to the
Moreover, b-glucan promoted the expansion of Th17 cells, CARD9-dependent activation of NF-kB and MAP kinases
which was strongly decreased by EP2 and EP4 receptor (Goodridge, Wolf, & Underhill, 2009).
blockade on DCs (Gagliardi et al., 2010). In the context
of understanding of the non-cytokine mediator in the anti- Effects on the arachidonic acid metabolism
inflammatory effect of b-glucans, it is clear that the mech- Arachidonic acid is oxygenated and further transformed
anism is still unclear. For instance, studies can be extended into a variety of products which mediate or modulate inflam-
towards detailed molecular experiments. Moreover, mRNA matory reactions (Samuelsson, 1991). Castro, Ralston,
and protein expression can be applied to support the Morgenthaler, Rohrbach, and Limper (1994) examined the
studies. roles of b-glucan components from C. albicans in mediating
the arachidonic acid metabolism. Macrophage release of
Effects on master transcription factors (NF-kB) arachidonic acid was significantly inhibited. The observa-
Nuclear factor kappa B (NF-kB) is a transcriptional tions indicated that macrophage arachidonic acid meta-
regulator that consists of homo- and heterodimers of pro- bolism was partly mediated by b-glucan constituents from
teins. It was reported that NF-kB is maintained as a latent C. albicans. However, there are still major gaps and research
form in the cytoplasm of cells where it is complexed to that can be pursued with regard to arachidonic acid meta-
IkB inhibitor protein (Miguel, 2010). The effects of poly- bolism. The molecular pathway of arachidonic acid meta-
saccharide from Armillariella mellea on secretions of bolism was not clear.
TNF-a and IL-6 after LPS stimulation were determined
in RAW 264.7 macrophages. Time-course study showed The other factors
that a polysaccharide from 49-day-cultured mycelia ex- Blood platelets belong to principal haemostatic repre-
hibited maximal inhibition of TNF-a and IL-6 with respec- sentatives, but beyond hemostasis and thrombosis, they
tive values of 31.2% and 62.7%. The observations showed also play a key role in inflammation. Saluk, Bijak,
that the suppression of NF-kB activation might be respon- Ponczek, Nowak, and Wachowicz (2013) evaluated the in-
sible for their anti-inflammatory effects of polysaccharide fluence of b-D-glucan from baker’s yeast (S. cerevisiae) on
from mycelia of A. mellea (Chang, Lur, Lu, & Cheng, destructive activity of LPS on human blood platelets. The
2013). Moreover, it has been speculated that b-glucan in vitro results demonstrated that b-D-glucan might combat
from A. bisporus lowered NF-kB transactivation in Caco- the oxidative stress caused by LPS stroke associated with
2 cells (Volman et al., 2010). In a recent study, Wang, nutritive and oxidative damages of human platelet biomol-
Yuan, and Yue (2014) demonstrated that the water- ecules. Moreover, Wang et al. (2014) reported that b-glucan
insoluble linear b-(1 / 3)-D-glucan extracted from lingzhi from yeast inhibited oxLDL-induced pro-inflammatory ef-
(G. lucidum) exhibited significant inhibition against inflam- fects in human monocytic leukemia cells macrophages
mation induced by LPS in RAW 264.7 cells in a dose- via regulation of p38 MAPK phosphorylation. This novel
dependent manner. This linear glucan decreased the NO finding may provide insight for new therapeutic strategies.
production, at least partially, via blocking NF-kB and inhib- Overall these reports indicate that the research in vitro
iting the phosphorylation of JNK MAPK signal pathways. model can form the basis for anti-inflammatory activity in
Toll-like receptor 2 (TLR2) played a major role on anti- the animal model and human study.
inflammation activity of b-glucan. Additionally, Zhu et al.
(2013) demonstrated that b-glucan attenuated LPS induc- Animal studies on anti-inflammatory activities of b-
tion of TLR4/MyD88/NF-kB and inhibited the LPS- glucans
induced inflammation factors in mammary epithelial cells, Despite in vitro studies, numerous animal studies have
thereby providing a possibly protective effect in the preven- been conducted to evaluate the anti-inflammatory activities
tion of LPS-induced dysfunction in mammary epithelial of b-glucans. Studies on anti-inflammatory properties of
B. Du et al. / Trends in Food Science & Technology 41 (2015) 49e59 55
carbohydrates have led to positive results. Firstly, the intes- and formaldehyde-induced paw edema in the animals. The
tinal anti-inflammatory activity of lentinan was studied. results indicated that this polysaccharide possessed signifi-
Dextran sulfate sodium (DSS)-induced colitis mice were cant anti-inflammatory activity suggesting its potential as
used to elucidate effects of lentinan in vivo. Oral administra- an anti-inflammatory agent for use in the treatment of
tion of lentinan significantly ameliorated DSS-induced coli- various inflammatory-related diseases (Li, Lu, Zhang, Lu,
tis in body weight loss, shortening of colon lengths, & Liu, 2008). Furthermore, Joseph, Sabulal, George,
histological score, and mRNA expression of inflammatory Antony, and Janardhanan (2011) investigated the anti-
cytokine in inflamed tissues. It can be concluded that len- inflammatory activity of b-glucan isolated from G. lucidum
tinan exhibited intestinal anti-inflammatory activity through using in vivo models. b-Glucan showed significant dose-
inhibition of IL-8 mRNA expression associated with the in- dependent activity in carrageenan-induced inflammation
hibition of NF-kB activation which was triggered by TNF and formalin-induced inflammation. This study showed
receptor 1 endocytosis and lowered their expression in intes- that b-glucan of G. lucidum has marked anti-inflammatory
tinal epithelial cells (Nishitani et al., 2013). In this context, activity. It is also well demonstrated that b-glucan from Lac-
the DSS-induced mice model should be more specifically tarius rufus had the anti-inflammatory and antinociceptive
recognized. Nevertheless, Jawhara et al. (2012) assessed potential using the formalin model. Soluble b-glucan pro-
the capabilities of yeast C. albicans and yeast cell wall com- duced potent inhibition of inflammatory pain caused by
ponents (b-glucan) to modulate intestinal inflammation in formalin when compared with the insoluble one, suggesting
DSS-induced mice model. It was striking that yeast b-glucan that solubility or branching degree could alter the activities
fractions or pure b-glucans from C. albicans displayed the of b-glucans (Ruthes, Carbonero, Cordova, Baggio,
most potent anti-inflammatory effect in the in vivo DSS Santos, et al., 2013). In a similar study, Ruthes, Carbonero,
model. Queiroz et al. (2010) reported that b-glucan from Cordova, Baggio, Sassaki, et al. (2013) evaluated that a
Caripia montagnei significantly reduced the inflammatory (1 / 3), (1 / 6)-linked b-D-glucan from Amanita musca-
infiltrate produced in the thioglycolate-induced peritonitis ria produced potent inhibition of inflammatory pain. In
model. The b-glucan at a concentration of 50 mg/kg had another study, Jedinak, Dudhgaonkar, Wu, Simon, and
good anti-inflammatory effect. They also found that b- Sliva (2011) evaluated anti-inflammatory properties of b-
glucan increased the level of IL-10 concomitant with a glucan from mushroom Pleurotus ostreatus in vivo. Oral
reduction of IFN-g. The results indicated that b-glucan administration of b-glucan markedly suppressed secretion
from C. montagnei had excellent anti-inflammatory activity of TNF-a and IL-6 in mice challenged with LPS in vivo.
at a concentration of 50 mg/kg. Anti-inflammatory activities of b-glucans were confirmed
Experiments on mice showed that acetic acid injection by the inhibition of secretion of IFN-g, IL-2, and IL-6
induced an inflammatory process by causing tissue injury. from concanavalin A (ConA)-stimulated mouse splenocytes.
A b-glucan from the basidiomycete Pleurotus pulmonarius Vetvicka and Vetvickova (2011) evaluated the potential
was tested for its effects on the acetic acid-induced writhing effects of b (1-3)-D-glucan, a yeast-derived insoluble
reaction in mice, a typical model for quantifying inflamma- Glucan No. 300, using an established anthralin-induced
tory pain (Smiderle et al., 2008). The b-glucan exhibited a skin inflammation test. Results showed that Glucan No.
marked and dose-dependent anti-inflammatory response, 300 consistently inhibited the skin irritation for up to
demonstrated by the inhibition of leukocyte migration to 24 h. In ear edema model induced by croton oil, Guerra
injured tissues (82 6%) with an infective dose (ID50) of Dore et al. (2007) reported the anti-inflammatory property
1.19 (0.74e1.92) mg/kg. Furthermore, animals previously of b-glucan from Geastrum saccatum. The ear edema
treated with the glucan (3 mg/kg i.p.), showed a reduction induced by croton oil was inhibited (60.4%) by b-glucan
of 85 5% of writhes, after receiving the acetic acid injec- (at 10 mg/kg). They concluded that the b-glucan had
tion. These data showed that the glucan had potent anti- anti-inflammatory properties, and its anti-inflammatory ef-
inflammatory activity. In addition, the effects of the b-glucan fects were mediated by inhibition of both NOS and COX.
from A. chaxingu on 12-O-tetradecanoylphorbol 13-acetate In another study, the effects of pleuran (b-1,3 glucan) iso-
(TPA)-induced ear edema in mice were examined. Topical lated from P. ostreatus were studied in a model of acute co-
application of b-glucan resulted in markedly ( p < 0.01) in- litis induced by intracolonic administration of acetic acid.
hibition against TPA-induced ear edema in mice. The study There was a reduction of the colonic damage score, colonic
provided evidence of the topical anti-inflammatory effects of wet weight and wet/dry weight ratio 48 h after single
the polysaccharide by assessing the protective effects of luminal 2% pleuran suspension pretreatment. The results
polysaccharide on TPA-induced skin inflammation (Lee on the protective effect of orally applied pleuran in the pre-
et al., 2009). The anti-inflammatory activity of polysaccha- vention or dietetic therapy of inflammatory colon disease
ride from Pholiota nameko was evaluated with mice using are promising (Nosal’ova, Bobek, Cerna, Galbav y, &
xylene-induced ear edema, egg albumin-, carrageenan-, Stvrtina, 2001). Moreover, effects on arthritis in an animal
and formaldehyde-induced paw edema. This polysaccharide model have been observed after oral administration of b-
inhibited topical edema on the mice ears, and it significantly glucan. Rovensky, Stancıkova, Svık, Bauerova, and
suppressed the development of egg albumin-, carrageenan-, Jurcovicova (2011) discussed the effect of b-glucan
56 B. Du et al. / Trends in Food Science & Technology 41 (2015) 49e59
isolated from P. ostreatus on prophylactic treatment of especially pro-inflammatory and chemotactic cytokines as
adjuvant arthritis with methotrexate (MTX) in rats. b- well as a reduction in faecal calprotectin in patients with ul-
Glucan administered alone significantly decreased both cerative colitis. These promising results warrant further
the hind paw swelling and arthritic score. The results studies on additional biological parameters and potential
showed that b-glucan from P. ostreatus decreased the adju- improvement of clinical outcomes in these patients
vant arthritis development in rats and had additional bene- (Førland et al., 2011).
ficial effect to MTX treatment. Oral administration of In another study, oral intake (60 mL daily) an A. blazei
proteoglycan derived from Phellinus linteus could prevent Murill extract over 12 days in eight healthy volunteers,
or treat collagen-induced arthritis (CIA) in mice as an reduced the monocyte and granulocyte release of major
experimental model of autoimmune disease (Kim et al., pro-inflammatory cytokines in vivo, suggesting an anti-
2003). The inhibition of CIA by oral administration of pro- inflammatory effect. These results supported that the oral
teoglycan was associated with the decrease in anti-CII IgG intake of A. blazei Murill b-glucan exhibited an anti-
and IgG2a antibodies as well as varying kinds of cytokines inflammatory effect in human in vivo (Johnson et al.,
including IL-12, TNF-a, and IFN-g. The observations 2012). In-depth insights in the anti-inflammatory activity of
showed that administration of proteoglycan was followed b-glucans could be gained by carrying out the double-
by the decreases of CIA of the mice in pre- and post- blind, placebo-controlled, randomized clinical trial of
administration groups. human.
In the latest study, the anti-inflammatory effects of the
aqueous extracts from medicinal mushrooms (Fomes fo- Structure-anti-inflammatory activity relationship
mentarius, Ganoderma applanatum and Trametes hirsuta) b-Glucans is the common name given to a group of
were evaluated using carrageenan-induced paw edema chemically heterogeneous polysaccharides (Barsanti,
model. The results showed that the anti-inflammatory ef- Passarelli, Evangelista, Frassanito, & Gualtieri, 2011).
fects of the different doses (50, 100 and 500 mg/kg) of Viewed from the point of the structure, b-glucans vary in
the three basidiomycetes were close to the positive control molecular weight, degree of branching and conformational
(indomethacin; 15 mg/kg) after five hours of carrageenan structure. In fungal b-glucans, fine structure, molecular
injection. The considerable anti-inflammatory effects of weight, conformation and solubility have been shown to in-
three basidiomycetes, may be due to polysaccharide com- fluence biological activities (Bohn & BeMiller, 1995;
ponents (b-glucan) of the extracts (Vazirian et al., 2014). Leung, Liu, Koon, & Fung, 2006; Soltanian, Stuyven,
Cox, Sorgeloos, & Bossier, 2009). b-Glucan molecular
Human studies on anti-inflammatory activities of b- weight and fine structure, such as 1 / 3 to 1 / 6 linkage
glucans ratio, lengths, number and distribution of cellulosic oligo-
To date, very few human intervention studies have ad- saccharides will together with amount and nature of co-
dressed the effects of b-glucans on systemic inflammation. extracted compounds in a b-glucan preparation influence
Further human clinical trials are required to support the hy- solubility, aggregate formation and polymer conformation
potheses regarding the benefits of b-glucan for individuals (Rieder & Samuelsen, 2012). b-Glucans of different sizes,
with inflammatory bowel disease. branching patterns and conformation may have significantly
Johnson et al. (2009) studied the effect of Agaricus variable anti-inflammatory potency. Indeed, it has been
blazei Murill extract (mainly b-glucan) on release of demonstrated that the molecular weight, conformation,
several cytokines in human whole blood from healthy vol- chemical modification and solubility of b-glucans signifi-
unteers both after stimulation ex vivo and in vivo after oral cantly affect their anti-inflammatory activities. For
intake over several days. The in vivo results showed that the example, Ohno, Hashimoto, Adachi, and Yadomae (1996)
eight volunteers who completed the daily intake (60 mL) of demonstrated that NO synthesis in vivo were significantly
this mushroom extract for 12 days, a significant reduction different between triple helical (SPG) and single helical
in levels of IL-1b (97%), TNF-a (84%), IL-17 (50%) and (alkaline-treated SPG, SPG-OH) b-glucans. It was found
IL-2 (46%) was observed. Moreover, patients with Crohn’s that SPG-OH, but not SPG, enhanced NO synthesis
disease (n ¼ 11) and with ulcerative colitis (n ¼ 10) in vitro. Concentrations of IL-1a, IL-6 and TNF-a in the
consumed 60 ml/day of b-glucan from A. blazei Murill. Pa- culture supernatant of SPG-OH were significantly higher
tient blood plasma was harvested before and after six hours than those in that of SPG. Consequently, the anti-
LPS (1 ng/mL) stimulation ex vivo. Plasma and faecal cal- inflammatory activity of b-glucan may be explained by its
protectin levels were analyzed using ELISA and 17 cyto- structure and physicochemical properties. The solubility
kines (IL-2, IFN-g, IL-12 (Th1), IL-4, IL-5, IL-13 (Th2), of b-glucans in water is dependent, above all, on their struc-
IL-7, IL-17, IL-1b, IL-6, TNF-a, IL-8, MIP-1b, MCP-1, tures, and this is associated with their origins. The solubility
G-CSF, GM-CSF and IL-10) by multiplex assay. Consump- increases with temperature. The previous reports also
tion of an A. blazei Murill-based medicinal mushroom showed that an insoluble/particle glucan strongly induced
extract for 12 days by patients with inflammatory bowel inflammatory cytokine production (Ishibashi, Miura,
disease resulted in no side-effects and a decline of Adachi, Ohno, & Yadomae, 2001). Therefore, it is thought
B. Du et al. / Trends in Food Science & Technology 41 (2015) 49e59 57
that the differences in b-(1 / 6)-glucan side chain and mo- perspective, research should be extended to double-blind,
lecular weight influenced cytokine production (Ishibashi placebo-controlled, randomized clinical trial.
et al., 2004). Previous data indicated that the solubility of
b-glucan is very important for anti-tumor activity (Tao, Acknowledgments
Zhang, & Cheung, 2006). Previous data also indicated This project is jointly supported by Natural Science
that the more water-soluble polymers are more active Foundation of Guangdong Province, China (Project
(Bohn & BeMiller, 1995). Furthermore, Ishibashi et al. Code: S2012010008961), and by Beijing Normal Univer-
(2002) compared the biological activities of the glucan par- sity-Hong Kong Baptist University United International
ticles oxidized under various conditions. These facts College (grant number: UIC201329).
strongly suggested that the solubility and assembly of the
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