Expression of pro-inflammatory mediators is inhibited by an avocado/soybean unsaponifiables and epigallocatechin gallate combination
© Ownby et al.; licensee BioMed Central Ltd. 2014
Received: 26 July 2012
Accepted: 24 March 2014
Published: 28 March 2014
Osteoarthritis (OA) is characterized by inflammation, joint immobility, and pain. Non-pharmacologic agents modulating pro-inflammatory mediator expression offer considerable promise as safe and effective treatments for OA. We previously determined the anti-inflammatory effect of an avocado/soybean unsaponifiables (ASU) and epigallocatechin gallate (EGCG) combination on prostaglandin E2 (PGE2) production and nuclear factor-kappa B (NF-κB) translocation. The aim of this study was to evaluate the effects of ASU + EGCG on pro-inflammatory gene expression.
Articular chondrocytes from carpal joints of mature horses were pre-incubated for 24 hours with control media alone or ASU (8.3 μg/mL) + EGCG (40 ng/mL), followed by one hour activation with interleukin-1 beta (IL-1β, 10 ng/mL) and tumor necrosis factor-alpha (TNF-α, 1 ng/mL). Total cellular RNA was isolated and real-time PCR performed to measure IL-1β, TNF-α, interleukin-6 (IL-6), cyclooxygenase-2 (COX-2), and interleukin-8 (IL-8) gene expression. Intracellular localization of NF-κB was analyzed by immunohistochemistry and Western blot. Pre-treatment with ASU + EGCG significantly (P < 0.001) decreased gene expression of IL-1β, TNF-α, IL-6, COX-2, and IL-8 in cytokine-activated chondrocytes. Western blot and immunostaining confirmed NF-κB translocation inhibition.
We demonstrate that ASU + EGCG inhibits cytokine-induced gene expression of IL-1β, TNF-α, IL-6, COX-2, and IL-8 through modulation of NF-κB. Our results indicate that the activity of ASU + EGCG affects a wide array of inflammatory molecules in addition to decreasing PGE2 synthesis in activated chondrocytes. The responsiveness of chondrocytes to this combination supports its potential utility for the inhibition of joint inflammation.
KeywordsASU EGCG NF-κB Inflammation Chondrocytes Cyclooxygenase Cytokine
Osteoarthritis (OA) is a degenerative joint disease characterized by articular cartilage erosion, synovial inflammation, and subchondral bone alterations resulting in pain and impaired joint function . There is excess production of pro-inflammatory mediators such as interleukin-1 beta (IL-1β), tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6), and interleukin-8 (IL-8) . Cyclooxygenase-2 (COX-2), the enzyme that regulates prostaglandin E2 (PGE2) synthesis, is also up-regulated. Current treatments for OA rely heavily on the use of non-steroidal anti-inflammatory drugs (NSAIDs). However, concerns regarding adverse side-effects have prompted a search to identify non-pharmacologic agents that can inhibit pro-inflammatory mediator production . Studies show expression of many genes encoding pro-inflammatory mediators and matrix degrading enzymes are regulated by the transcription factor, nuclear factor-kappa B (NF-κB) . Suppression of the NF-κB activating cascade using non-pharmacologic agents could effectively down-regulate the expression of pro-inflammatory mediators [3, 4].
Several non-pharmacologic products targeting the NF-κB transduction pathway and promoting joint health have been reported. Among these products is avocado/soybean unsaponifiables (ASU) which is used in Europe for OA management [5, 6]. ASU suppresses gene expression of IL-1β, TNF-α, COX-2, and inducible nitric oxide synthase (iNOS), as well as PGE2 and nitric oxide production in bovine and human joint tissue cells [6, 7]. When combined with other compounds such as glucosamine, chondroitin sulfate, and pentosan polysulfate, ASU potentiated anti-inflammatory activity [8, 9]. Another compound reported to have anti-inflammatory activity is epigallocatechin gallate (EGCG). It is the most abundant polyphenol in green tea and is reported to exhibit a variety of biologic activities including anti-inflammatory and anti-oxidant . It has been shown to inhibit inflammatory gene expression in human chondrocytes and fibroblasts via NF-κB suppression [11, 12].
While EGCG has not been evaluated in vivo for its potential treatment use in OA, ASU has been assessed in several studies . In one study, horses with experimentally-induced OA were treated orally with ASU. Although clinical signs of pain did not decrease, a disease-modifying effect was observed in horses receiving ASU when compared to the placebo group . Christensen et al. (2008) conducted a review with a meta-analysis of randomized controlled trials using ASU to treat OA symptoms . They concluded patients, specifically those with knee OA, may be recommended to try ASU for approximately three months. Another in vivo study demonstrated that ASU reduced the development of early osteoarthritic cartilage and subchondral bone lesions in a canine OA model, as well as inhibited iNOS and matrix metalloproteinase (MMP)-13 production .
We previously showed that ASU + EGCG in combination more effectively decreased PGE2 production than either compound alone in cytokine-activated equine chondrocytes . Based on these results, we hypothesize that ASU + EGCG will significantly decrease pro-inflammatory gene expression in activated articular chondrocytes.
Materials and methods
Chondrocyte culture and experimental design
Articular cartilage was harvested from radio- and intercarpal joints of carpi from three adult mares (8 to 24 years old), scheduled for euthanasia for reasons unrelated to this study in compliance with Mississippi State University’s Institutional Animal Care and Use Committee. Cartilage was processed to retrieve chondrocytes as previously described which were subsequently propagated in monolayer culture until confluent . All experimental tests were run in triplicate (n = 3).
Chondrocytes (passage 3 to 5) were seeded onto 6-well plates (5 × 105 cells/9.5 cm2) or 8-well chamber slides (1 × 104 cells/0.7 cm2) for 24 h and incubated with control media alone or the combination of ASU (8.3 μg/mL; NMX1000®; Nutramax Laboratories Veterinary Sciences, Inc., Edgewood, MD) and EGCG (40 ng/mL; Sigma-Aldrich, St. Louis, MO) for an additional 24 h. Concentrations of ASU and EGCG selected for this study have been reported to be physiologically relevant and were based on previous results conducted by our laboratory [7, 16, 17]. Following pre-treatment, cultures were incubated with control media alone or activated with human recombinant cytokines IL-1β (10 ng/mL; R&D Systems, Minneapolis, MN) and TNF-α (1 ng/mL; Sigma-Aldrich) for 1 h to measure gene expression by real-time PCR, NF-κB immunohistochemistry, or Western blot. Earlier studies have confirmed the combination of IL-1β + TNF-α at these concentrations to be a potent activator for chondrocytes from several different species including equine and camel [8, 16]. Following activation, supernatant was removed and a set of 6-well plates was stored at -80°C for gene expression analysis while another set was used for nuclear fractionation. Chamber slides were immunostained to determine NF-κB translocation and aggrecan and types I and II collagen as described previously .
Total RNA isolation, reverse transcription, and quantitative real-time PCR
Total cellular RNA was isolated using TRIzol (Invitrogen, Carlsbad, CA) and followed our previously published protocol . RNA quantity and quality were evaluated using the NanoDrop2000 spectrophotometer (Thermo Fisher Scientific, St. Louis, MO). Complementary DNA (cDNA) was prepared utilizing the Advantage RT-for-PCR Kit (BD Biosciences Clontech, Mountain View, CA).
Primer sequences for real-time PCR
Primer sequences: forward/reverse (5′ to 3′)
NF-ĸB immunohistochemistry and western blot analysis
Nuclear translocation of NF-κB was monitored by immunohistochemistry as previously described using a primary antibody specific to the p65 subunit of NF-κB (rabbit anti-NF-κB; Santa Cruz Biotechnology, Santa Cruz, CA), which we earlier determined to cross-react with equine and camel chondrocytes [8, 16]. System controls were included which consisted of normal serum to substitute for the primary specific antibody in which only background staining was observed. Slides were viewed using a Nikon Eclipse TE200 inverted fluorescence microscope (Nikon Instruments, Melville, NY) equipped with a Nikon Spot Camera (Nikon Instruments).
Nuclear fractions of chondrocytes for Western blot analysis were collected according to protocol using the Active Motif Nuclear Extract Kit (Carlsbad, CA). Total protein (10 μg protein/lane) was separated by 4-15% Mini-PROTEAN® TGX™ gradient gels (Bio-Rad) and transferred to polyvinylidene difluoride membranes (Bio-Rad). Membranes were incubated with rabbit anti-NF-κB antibody (1:3,000; Santa Cruz Biotechnology) and transferred proteins visualized with secondary horseradish peroxidase-conjugated goat anti-rabbit IgG antibody (1:50,000; Santa Cruz Biotechnology) followed by chemiluminescence detection using ECL Plus™ (GE Healthcare, Piscataway, NJ).
SigmaStat 3.0 Software Version 3.5 was used for data analysis where results are presented as the mean ± 1 standard deviation (SD) using one-way analysis of variance (ANOVA). Tukey post-hoc analysis was performed where differences of P < 0.05 were considered statistically significant.
Results and discussion
Excess production of pro-inflammatory molecules by chondrocytes and other joint tissues is considered pivotal in the pathogenesis of OA [2, 21]. It is also recognized that PGE2 plays a key role in OA as it mediates inflammation and sensitizes pain fibers in the joint . These pro-inflammatory mediators are known to be regulated by NF-κB, prompting efforts to identify agents that can inhibit activation of the NF-κB pathway [3, 23]. It is thought that this approach could help in relieving joint inflammation and pain in OA.
ASU and EGCG have both been documented for their anti-inflammatory activity [7, 8, 11, 12]. Of the two compounds, ASU has been reported to have pro-anabolic activity and has been used for OA management in both humans and animals [6, 24]. In contrast, EGCG has been reported as an anti-oxidant but not clinically studied for its effect on OA [6, 11]. EGCG is the most abundant green tea polyphenol and is believed responsible for the benefits observed with green tea consumption [10, 25]. In earlier experiments, we evaluated the effect of various concentrations of ASU and EGCG alone on PGE2 synthesis by activated equine chondrocytes. We found that the combination of the two showed significantly greater inhibitory effect than either compound alone . The present study aims to further characterize the effect of ASU and EGCG in combination at the level of gene expression.
The principal finding is ASU + EGCG down-regulates an array of pro-inflammatory genes, and that this inhibition is associated with inhibition of NF-κB translocation. Although a limited number of cell lines were evaluated (n = 3), the response of equine chondrocytes to cytokine activation and subsequent inhibition by ASU + EGCG was consistently similar. Demonstration that ASU + EGCG successfully modulates cytokines IL-1β, TNF-α, IL-6, IL-8, as well as COX-2 illustrates a mode of action different from that of traditional NSAIDs. Several NSAIDs have been shown to suppress NF-κB activation ; however, comparisons between the IC50 of NSAIDs against COX and NF-κB inhibition suggest disparate efficacies. It has been reported that some NSAIDs, such as carprofen, inhibited inflammatory mediators through additional mechanisms other than NF-κB . These comparisons have led to the conclusion that some NSAIDs have COX-independent effects which are mediated through inhibition of NF-κB . Results from this study suggest that the ASU + EGCG combination may exert a COX-independent effect mediated, at least in part, through NF-κB inhibition. Gabay et al. (2008) showed ASU alone to decrease MMP-3 and -13 expression, PGE2 synthesis, as well as prevent NF-κB nuclear translocation and inhibit the ERK1/2 signaling pathway in stressed hyalin chondrocytes . Another study has shown EGCG to inhibit LPS-induced IκBα degradation, NF-κB nuclear translocation, and NF-κB DNA binding activity in bone marrow-derived macrophages (BMMs) . They also determined that EGCG inhibited phosphorylation of ERK1/2, JNK, and p38 in BMMs, thereby further inhibiting the inflammatory cascade. Although ASU is reported to affect NF-κB, little is known about its effects on other molecules involved in the NF-κB signaling pathway. The most important conclusion to draw from this study is the observation that the ASU + EGCG combination targets NF-κB, which regulates inflammatory processes. Therefore, modulation of the NF-κB cell signaling pathway by ASU + EGCG could be beneficial in managing joint inflammation associated with OA.
The ASU + EGCG combination demonstrated anti-inflammatory activity through down-regulation of pro-inflammatory cytokine and COX-2 expression through the NF-κB signaling pathway. An approach of using a non-pharmacologic compound combination, such as ASU + EGCG, could be a promising strategy for inhibiting joint inflammation associated with OA.
This study was supported by Nutramax Laboratories Veterinary Sciences, Inc. We would like to thank Dr. Reinhard Grzanna for designing the immunohistochemistry and Western blot experiments as well as for constructive review of the manuscript.
- Brandt KD, Radin EL, Dieppe PA, van de Putte L: Yet more evidence that osteoarthritis is not a cartilage disease. Ann Rheum Dis. 2006, 65: 1261-1264. 10.1136/ard.2006.058347.PubMedPubMed CentralView Article
- Fernandes JC, Martel-Pelletier J, Pelletier JP: The role of cytokines in osteoarthritis pathophysiology. Biorheology. 2002, 39: 237-246.PubMed
- Roshak AK, Callahan JF, Blake SM: Small-molecule inhibitors of NF-kappaB for the treatment of inflammatory joint disease. Curr Opin Pharmacol. 2002, 2: 316-321. 10.1016/S1471-4892(02)00165-0.PubMedView Article
- Saklatvala J: Inflammatory signaling in cartilage: MAPK and NF-kappaB pathways in chondrocytes and the use of inhibitors for research into pathogenesis and therapy of osteoarthritis. Curr Drug Targets. 2008, 8: 305-313.View Article
- Ernst E: Avocado-soybean unsaponifiables (ASU) for osteoarthritis - a systematic review. Clin Rheumatol. 2003, 22: 285-288. 10.1007/s10067-003-0731-4.PubMedView Article
- Henrotin Y, Lambert C, Couchourel D, Ripoll C, Chiotelli E: Nutraceuticals: do they represent a new era in the management of osteoarthritis? - A narrative review from the lessons taken with five products. Osteoarthritis Cartilage. 2011, 19: 1-21. 10.1016/j.joca.2010.10.017.PubMedView Article
- Au RY, Al-Talib TK, Au AY, Phan PV, Frondoza CG: Avocado soybean unsaponifiables (ASU) suppress TNF-alpha, IL-1beta, COX-2, iNOS gene expression, and prostaglandin E(2) and nitric oxide production in articular chondrocytes and monocyte/macrophages. Osteoarthritis Cartilage. 2007, 15: 1249-1255. 10.1016/j.joca.2007.07.009.PubMedView Article
- Frondoza CG, Heinecke LF, Grzanna MW, Au AY, Ownby SL: Modulation of cytokine-induced prostaglandin E production in cultures of articular chondrocytes obtained from carpal joints of camels (Camelus dromedarius). Am J Vet Res. 2011, 72: 51-58. 10.2460/ajvr.72.1.51.PubMedView Article
- Grzanna MW, Ownby SL, Heinecke LF, Au AY, Frondoza CG: Inhibition of cytokine expression and prostaglandin E2 production in monocyte/macrophage-like cells by avocado/soybean unsaponifiables and chondroitin sulfate. J Integ Comp Med. 2010, 7: Article 10-
- Serafini M, Del Rio D, Yao DN, Bettuzzi S, Peluso I: Health benefits of tea. Herbal Medicine: Biomolecular and Clinical Aspects. Edited by: Benzie IFF, Wachtel-Galor S. 2011, Boca Raton: CRC Press, 2
- Akhtar N, Haqqi TM: Epigallocatechin-3-gallate suppresses the global interleukin-1beta-induced inflammatory response in human chondrocytes. Arthritis Res Ther. 2001, 13: R93-View Article
- Huang GS, Tseng CY, Lee CH, Su SL, Lee HS: Effects of (-)-epigallocatechin-3-gallate on cyclooxygenase 2, PGE(2), and IL-8 expression induced by IL-1beta in human synovial fibroblasts. Rheumatol Int. 2010, 30: 1197-1203. 10.1007/s00296-009-1128-8.PubMedView Article
- Kawcak CE, Frisbie DD, McIlwraith CW, Werpy NM, Park RD: Evaluation of avocado and soybean unsaponifiable extracts for treatment of horses with experimentally induced osteoarthritis. Am J Vet Res. 2007, 68: 598-604. 10.2460/ajvr.68.6.598.PubMedView Article
- Christensen R, Bartels EM, Astrup A, Bliddal H: Symptomatic efficacy of avocado-soybean unsaponifiables (ASU) in osteoarthritis (OA) patients: a meta-analysis of randomized controlled trials. Osteoarthritis Cartilage. 2008, 16: 399-408. 10.1016/j.joca.2007.10.003.PubMedView Article
- Boileu C, Martel-Pelletier J, Caron J, Msika P, Guillou GB, Baudouin C, Pelletier JP: Protective effects of total fraction of avocado/soybean unsaponifiables on the structural changes in experimental dog osteoarthritis: inhibition of nitric synthase and matrix metalloproteinase-13. Arthritis Res Ther. 2009, 11: R41-10.1186/ar2649.View Article
- Heinecke LF, Grzanna MW, Au AY, Mochal CA, Rashmir-Raven A, Frondoza CG: Inhibition of cyclooxygenase-2 expression and prostaglandin E2 production in chondrocytes by avocado soybean unsaponifiables and epigallocatechin gallate. Osteoarthritis Cartilage. 2010, 18: 220-227. 10.1016/j.joca.2009.08.015.PubMedView Article
- Lippiello L, Nardo JV, Harlan R, Chiou T: Metabolic effects of avocado/soy unsaponifiables on articular chondrocytes. Evid Based Complement Alternat Med. 2008, 5: 191-197. 10.1093/ecam/nem132.PubMedPubMed CentralView Article
- Dell’Aquila ME, Caillaud M, Maritato F, Martoriati A, Gerard N, Aiudi G, Minoia P, Goudet G: Cumulus expansion, nuclear maturation and connexin 43, cyclooxygenase-2 and FSH receptor mRNA expression in equine cumulus-oocyte complexes cultured in vitro in the presence of FSH and precursors for hyaluronic acid synthesis. Reprod Biol Endocrinol. 2004, 2: 44-10.1186/1477-7827-2-44.PubMedPubMed CentralView Article
- Allen CA, Payne SL, Harville M, Cohen N, Russell KE: Validation of quantitative polymerase chain reaction assays for measuring cytokine expression in equine macrophages. J Immunol Methods. 2007, 328: 59-69. 10.1016/j.jim.2007.08.006.PubMedPubMed CentralView Article
- Figueiredo MD, Salter CE, Andrietti AL, Vandenplas ML, Hurley DJ, Moore JN: Validation of a reliable set of primer pairs for measuring gene expression by real-time quantitative RT-PCR in equine leukocytes. Vet Immunol Immunopathol. 2009, 131: 65-72. 10.1016/j.vetimm.2009.03.013.PubMedView Article
- Aigner T, Kurz B, Fukui N, Sandell L: Roles of chondrocytes in the pathogenesis of osteoarthritis. Curr Opin Rheumatol. 2002, 14: 578-584. 10.1097/00002281-200209000-00018.PubMedView Article
- Grubb BD, Birrell GJ, McQueen DS, Iggo A: The role of PGE2 in the sensitization of mechanoreceptors in normal and inflamed ankle joints of the rat. Exp Brain Res. 1991, 84: 383-392.PubMedView Article
- Roman-Blas JA, Jimenez SA: NF-kappaB as a potential therapeutic target in osteoarthritis and rheumatoid arthritis. Osteoarthritis Cartilage. 2006, 14: 839-848. 10.1016/j.joca.2006.04.008.PubMedView Article
- David F, Farley J, Huang H, Lavoie JP, Laverty S: Cytokine and chemokine gene expression of IL-1β stimulated equine articular chondrocytes. Vet Surg. 2007, 36: 221-227. 10.1111/j.1532-950X.2007.00253.x.PubMedView Article
- Joo SY, Song YA, Park YL, Myung E, Chung CY, Park KJ, Cho SB, Lee WS, Kim HS, Rew JS, Kim NS, Joo YE: Epigallocatechin-3-gallate inhibits LPS-induced NF-κB and MAPK signaling pathways in bone marrow-derived macrophages. Gut Liver. 2012, 6: 188-196. 10.5009/gnl.2012.6.2.188.PubMedPubMed CentralView Article
- Bryant CE, Farnfield BA, Janicke HJ: Evaluation of the ability of carprofen and flunixin meglumine to inhibit activation of nuclear factor kappa B. Am J Vet Res. 2003, 64: 211-215. 10.2460/ajvr.2003.64.211.PubMedView Article
- Takada Y, Bhardwaj A, Potdar P, Aggarwal BB: Nonsteroidal anti-inflammatory agents differ in their ability to suppress NF-kappaB activation, inhibition of expression of cyclooxygenase-2 and cyclin D1, and abrogation of tumor cell proliferation. Oncogene. 2004, 23: 9247-9258.PubMed
- Gabay O, Gosset M, Levy A, Salvat C, Sanchez C, Pigenet A, Sautet A, Jacques C, Berenbaum F: Stress-induced signaling pathways in hyalin chondrocytes: inhibition by Avocado-Soybean Unsaponifiables (ASU). Osteoarthritis Cartilage. 2008, 16: 373-384. 10.1016/j.joca.2007.06.016.PubMedView Article
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