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Structural composition of components of geoherb Moutan Cortex contributes to anti-diabetic nephropathy activity

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Liang Feng _, Mao-Mao Zhu, Jun-Fei Gu, Ming-Hua Zhang, Chun-Fei Wang, Gang Wang, Jie Song, Xiaobin Tan, Yuanli Zhou, Juan Chen, Rong Li, Ling Qiao, Jia Song, Chaochao Wang, Li Zhang and Xiao-Bin Jia

Abstract

Liang Feng1,3,4,*, Mao-Mao Zhu2,*, Jun-Fei Gu1,3,*, Ming-Hua Zhang1,4,5, Chun-Fei Wang1, Gang Wang1, Jie Song1, Xiaobin Tan1, Yuanli Zhou1, Juan Chen1,4, Rong Li2, Ling Qiao2, Jia Song2, Chaochao Wang2, Li Zhang2 and Xiao-Bin Jia1,4

1Key Laboratory of New Drug Delivery Systems of Chinese Materia Medica, Jiangsu Provincial Academy of Chinese Medicine, Nanjing 210028, China

2Nanjing Institute of Product Quality Inspection, Nanjing 210028, China

3State Key Laboratory Breeding Base of Dao-di Herbs, China Academy of Chinese Medical Sciences, Beijing 100700, China

4College of Pharmacy, Nanjing University of Chinese Medicine, Nanjing 210023, China

5Wuxi Xishan People's Hospital, Wuxi 214011, China

*These authors contributed equally to this work

Correspondence to:

Liang Feng, email: [email protected]

Keywords: Moutan Cortex; structural composition of components; geoherb; anti-diabetic nephropathy; HBZY-1 cells

Received: October 10, 2017     Accepted: December 05, 2017     Published: December 28, 2017

ABSTRACT

Moutan Cortex (MC), a well-known medicinal herb and distributed in multiple regions of China, has been found to be benefical for improving diabetic nephropathy (DN). The geoherb one worked particularly well with specific structural composition of components (SCC). However, whether its better efficacy of geoherb MC than others on DN was attributed to SCC was still unclear. Medicinal plants of MC were collected from ten regions of China, including Gansu, Chongqing, Shandong, Sichuan, Zhejiang, Hunan, Guizhou, Hebei, Henan and Anhui provinces, which were classified for three categories by cluster analysis. HPLC analysis demonstrated that the content and structural composition of 13 compounds were discrepancy. Principal component analysis (PCA) showed six compounds including oxypaeoniflorin, paeoniflorin, trigalloyl glucose, pentagalloyl glucose, benzoylpaeoniflorin and paeonol were the main contributors to its anti-DN activity via increasing superoxide dismutase (SOD) activity, decreasing malondialdehyde (MDA) content, reducing IL-6 and MCP-1 levels in vitro. The results of advanced glycation end products (AGEs)-induced HBZY-1 cells and STZ-induced DN rats showed a significant efficacy difference among MC from ten regions on catalase (CAT), glutathione peroxidase (GSH-Px) activities, intercellular adhesion molecule-1 (ICAM-1), transforming growth factor-β1 (TGF-β1) and fibronectin (FN) protein expression in vivo and in vitro. The recombination of SCC in Hebei MC (worst efficacy) to Anhui MC (best efficacy) showed a similar efficacy. The results demonstrated that the efficacy of MC was closely related to its SCC. Our findings provide evidence for the importance of SCC in quality control about Chinese materia medica and also provide an novel insight into the better efficacy of geoherb one.


INTRODUCTION

The quality of Chinese materia medica (CMM) is a key factor to ensure the efficacy. The quality inconsistency of CMM from different regions has been found to be closely related to non-repeatability of clinical efficacy and safety [1]. However, the reason why the inconsistency in efficacy and safety of CMM from different regions is not only associated with contained compounds, but also with structural composition of components (SCC). The stable SCC acts as a crucial contributor to the quality consistency of CMM which is related to the better efficacy and monitored safety.

Geoherbs, the famous authentic herbs, which grew under the specific natural conditions and ecological environment, play an indispensable role in the prevention and treatment of diseases in clinic [2]. Geoherbs had been considered as the best quality of CMM with better efficay than others [3]. The best quality with better function is caused by the special and stable proportion of active components, namely SCC, not the unique compounds or higher content of some compounds in geoherbs. Therefore, the structural proportion of these components could not only reveal the constitutive characteristics of CMM, but also provide effective strategy for the quality control of CMM.

Moutan Cortex (MC), the dried root bark of dicotyledonous plants Paeonia suffruticosa Andr., has a significant efficacy on detoxification and blood circulation [4, 5]. MC, recorded in the “Shen Nong’s Herbal Classic”, was used for the treatment of cardiovascular disease, hepatoprotective effect, hypoglycemic, hypolipidemic, hypotensive and the central nervous system [68]. Additionally, our previous research has confirmed the attenuation of MC on oxidative stress for renal injury in AGEs-induced mesangial cells dysfunction and streptozotocin-induced DN rats [911]. MC, distributed in multiple regions of China, has a good protective effect on DN, especially the geoherb one. There were great differences between SCC and efficacy in MC from different regions. To reveal the better efficacy of geoherb MC and provide further experimental support for quality control of CMM, the present study was designed to compare the difference on SCC and efficacy of MC between geoherb and non-geoherb and also clarified the SCC related to the active components in geoherbs.

RESULTS

Comparison of MC from different regions on CAT and GSH-Px activities in AGEs-induced HBZY-1 mesangial cells

As shown in Table 1, the CAT (2.29 ± 0.21 U/mL) and GSH-Px (204.17 ± 37.10 U/L) activities in HBZY-1 mesangial cells were decreased remarkably by 200 μg/mL AGEs, compared with blank control group (P < 0.001). The treatment of MC from different regions could improve AGEs-decreased CAT and GSH-Px activities significantly (P < 0.001, P < 0.01). Interestingly, Anhui MC, geoherb one, was considered to have the best activity on improving CAT (6.81 ± 0.42 U/mL) and GSH-Px (413.44 ± 8.45 U/L) activities. The results demonstrated that MC from different regions made different contributions to attenuate AGEs-induced oxidative stress. Especially, the geoherb MC (Anhui) held the better activity on improving the activities of CAT and GSH-Px than others.

Table 1: Effect of Moutan Cortex from different regions on AGEs-induced CAT and GSH-Px activities (n = 6)

NO.

CAT (U/mL)

GSH-Px (U/L)

BSA

4.34 ± 0.43

329.44 ± 29.55

AGEs

2.29 ± 0.21###

204.17 ± 37.10###

AGEs + AG

5.48 ± 0.15***

337.92 ± 34.46***

AGEs + Anhui MC

6.81 ± 0.42***

413.44 ± 8.45***

AGEs + Guizhou MC

5.88 ± 0.11***$$

255.93 ± 55.5$$$

AGEs + Zhejiang MC

6.27 ± 0.15***$

353.98 ± 21.53***$$

AGEs + Henan MC

5.55 ± 0.07***$$

272.17 ± 19.35*$$$

AGEs + Hunan MC

5.57 ± 0.26***$$

307.57 ± 30.15*$$$

AGEs + HebeiMC

4.52 ± 0.18***$$$

236.02 ± 7.74$$$

AGEs + Sichuan MC

6.47 ± 0.41***

318.91 ± 33.53**$$$

AGEs + Chongqing MC

6.12 ± 0.32***$

295.09 ± 23.78*$$$

AGEs + Shandong MC

5.46 ± 0.11***$$

371.37 ± 37.33***$

AGEs + Gansu MC

4.89 ± 0.46***$$$

297.03 ± 32.17*$$$

Note: ###P < 0.001 vs. BSA group; *P < 0.05, **P < 0.01 and ***P < 0.001 vs. AGEs group; $P < 0.05, $$P < 0.01 and $$$P < 0.001 vs. Anhui MC group.

Difference of MC on ICAM-1, TGF-β1 and FN expressions in AGEs-induced HBZY-1 mesangial cells

Western blotting was used to evaluate the protein expressions of ICAM-1, TGF-β1 and FN after HBZY-1 mesangial cells exposed to AGEs in the presence of MC from different regions. As shown in Figure 1A, the stimulation of AGEs could increase significantly these protein expressions. The treatment of MC from different regions could significantly decrease the levels of inflammatory factors in AGEs-induced mesangial cells. The pharmacological order of MC from different regions on decreasing ICAM-1 expression from high to low was Anhui, Guizhou, Zhejiang, Henan, Shandong, Hunan, Hebei, Sichuan, Gansu and Chongqing (Figure 1B). Similarly, the order of MC to decrease the TGF-β1 expression from high to low was Anhui, Sichuan, Shandong, Gansu, Chongqing, Hunan, Henan, Zhejiang, Guizhou and Hebei (Figure 1C). The results shown in Figure 1D indicated that the pharmacological order of MC decreasing FN expression from high to low were Shandong, Anhui, Sichuan, Guizhou, Zhejiang, Gansu, Hunan and Hebei. Generally, Anhui MC, geoherb one, was considered as the best to decrease ICAM-1, TGF-β1 and FN expressions.

Comparison on the down-regulation of Moutan Cortex from different regions on protein expression levels of ICAM-1,TGF-&#x03B2;1 and FN.

Figure 1: Comparison on the down-regulation of Moutan Cortex from different regions on protein expression levels of ICAM-1,TGF-β1 and FN. HBZY-1 mesangial cells were treated with 200 μg/mL AGEs in the presence or absence of Moutan Cortex (MC) extract of 200 μg/mL. Aminoguanidine of 10 μM was used as the positive control while BSA (200 μg/mL) as blank control. (A) Western blotting was performed to compare the protein expression levels. (B–D) The grayscale scan results of ICAM-1, TGF-β1 and FN. a, Control; b, 200 μg/mL AGEs; c, Positive control aminoguanidine group; “d-m” represent MC from Anhui, Guizhou, Zhejiang, Henan, Hunan, Hebei, Sichuan, Chongqing, Shandong, Gansu. Data are expressed as means ± SD, n = 3. ###P < 0.001 vs. BSA group; *P < 0.05, **P < 0.01 and ***P < 0.001 vs. AGEs group; $P < 0.05, $$P < 0.01 and $$$P < 0.001 vs. MC from Anhui group.

Effects of MC from different regions on CAT and GSH-Px activities in DN rats

After the treatment of MC from different regions, CAT and GSH-Px activities in serum of DN rats were shown in Table 2. CAT and GSH-Px activities of control group were 5.42 ± 0.410 U/mL and 458.01 ± 39.112 U/L, respectively. However, these activities in model group were reduced significantly (CAT: P < 0.01, GSH-Px: P < 0.001). Compared with the model group, their activities were increased in MC-treated groups and positive drug (AG) group. The ability to improve CAT activity from high to low was Anhui, Sichuan, Hunan, Guizhou, Chongqing, Gansu, Zhejiang, Shandong, Henan and Hebei; while the ability to increase GSH-Px activity from high to low was as follow: Anhui, Shandong, Henan, Zhejiang, Chongqing, Sichuan, Hebei, Hunan, Guizhou and Gansu. The results also showed that Anhui MC had the best efficacy on increasing CAT and GSH-Px activities in vivo.

Table 2: Effect of Moutan Cortex from different regions on CAT activity and GSH-Px activity (n = 6)

Groups

Dose (g/kg)

CAT (U/mL)

GSH-Px (U/L)

Control

0.1

5.42 ± 0.41

458.01 ± 39.112

Model

0.1

2.54 ± 0.15##

319.83 ± 18.62###

Positive

0.1

4.99 ± 0.31*

442.63 ± 16.60*

Gansu MC

5

4.13 ± 0.37*$$$

367.05 ± 26.09*$$$

Chongqing MC

5

4.47 ± 0.28*$$$

415.45 ± 25.19*$

Shandong MC

5

3.51 ± 0.15**$$$

450.34 ± 57.28*

Sichuan MC

5

5.22 ± 0.14*$

411.78 ± 10.67*$

Zhejiang MC

5

3.62 ± 0.07**$$$

419.48 ± 12.24*$

Anhui MC

5

5.50 ± 0.14*

462.53 ± 18.83**

Hunan MC

5

5.10 ± 0.19**$

394.56 ± 16.97**$$

Guizhou MC

5

5.06 ± 0.26*$$

375.96 ± 12.44**$$$

Hebei MC

5

3.45 ± 0.26***$$$

409.79 ± 12.57*$

Henan MC

5

3.48 ± 0.11***$$$

424.55 ± 39.95*

Note: Control was control blank rats, model was DN model rats and positive was 0.1 g/kg AG-treated rats. ##P < 0.01 and ###P < 0.001 vs. Control group; *P < 0.05, **P < 0.01 and ***P < 0.001 vs. Model group; $P < 0.05, $$P < 0.01 and $$$P < 0.001 vs. Anhui MC group.

Reduction of MC on ICAM-1 and TGF-β1 expressions in vivo

As shown in Figure 2, there were no obvious pathological changes in kidney tissues of control group. Namely, ICAM-1 and TGF-β1 expressions were observed normal under light microscope. In DN model group, ICAM-1 and TGF-β1 expressions were significantly increased compared with control group. When DN rats were treated with MC from 10 regions and AG, the relative expression levels of these inflammation cytokines ICAM-1 and TGF-β1 in DN rats was relived significantly. Figure 2A showed that MC from Anhui, Sichuan and Shandong declined ICAM-1 expression more obviously, while Hunan MC decreased TGF-β1 expression more obviously than others (Figure 2B).

Effect of Moutan Cortex from different regions on ICAM-1 and TGF-&#x03B2;1 protein expression levels in kidney of DN rats.

Figure 2: Effect of Moutan Cortex from different regions on ICAM-1 and TGF-β1 protein expression levels in kidney of DN rats. After being treated with STZ and/or MC extract of 5g/kg or , immunohistochemistry was conducted to evaluate the expression levels of ICAM-1 (A) and TGF-β1 (B) of renal tissues. “a” represents normal control; “b” represents model group (DN rats); “c” represents Positive control 0.1 g/kg AG; “d-m” represent Gansu, Chongqing, Shangdong, Sichuan, Zhejiang, Anhui, Hunan, Guizhou, Hebei, Henan.

Pharmacodynamic cluster analysis of MC from ten regions

The classification results were given directly by cluster analysis. By the comparative analysis of physiological, biochemical indexes after administration of MC from 10 regions, which was proved that the efficacy was different between MC from different regions. Cluster analysis method could effectively classify different efficacy of MC. As shown in Figure 3A, MC from Guizhou, Zhejiang, Henan and Anhui were classified as a category due to the high efficacy. MC from Hunan, Hebei, Chongqing, Gansu, Sichuan and Shandong were classified as another class for the poor efficacy. It was indicated that there were no obvious differences of efficacy between MC from Anhui, Guizhou, Zhejiang and Henan. However, it also indicated the essential differences in quality of MC from different regions.

Figure 3:

Figure 3: Cluster analysis of active ingredients (A) and efficacy dendrogram (B) of Moutan Cortex from different regions. SPSS16.0 sofeware was performed for Cluster analysis.

MS analysis and comparison on the content of active components of MC from different regions

MCs from 10 different regions were collected in our research (Figure 4A). The results in Table 3 showed the extraction rate of MC from different origins was different. As shown in Figure 4B and Table 4, it showed no significant difference in the categories of components but SCC with respect to the active components was different among MC from 10 regions. Thus, the cause of pharmacodynamic differences of MC from different regions was the stability of these efficacy components.

Pieces characteristics, powder characteristics and composition differences analysis.

Figure 4: Pieces characteristics, powder characteristics and composition differences analysis. (A) Characteristics comparison of Moutan Cortex and their powder from different regions. (B) HPLC chromatogram of Moutan Cortex from different regions. The order of absorption peaks that from front to back was from A to J. (C) The chromatogram of active ingredients in Moutan Cortex.

Table 3: Extract results of Moutan Cortex from different regions

Province of origin

Herbs Weight (kg)

Extracts Weight (g)

Extraction rate (%)

Hunan

1

182.38

18.24

Anhui

1

267.56

26.75

Gansu

1

156.72

15.67

Chongqing

1

231.74

23.17

Sichuan

1

100. 99

10.10

Guizhou

1

215.50

21.55

Henan

1

227.55

22.76

Hebei

1

273.82

27.38

Zhejiang

1

194.32

19.43

Shandong

1

245.09

24.51

Table 4: Peak area comparison of 20 compounds in Moutan Cortex from different regions

Peak No.

Hunan

Anhui

Gansu

Chong qing

Sichuan

Guizhou

Henan

Hebei

Zhe jiang

Shan dong

1

7342.3

8021.7

4402.1

2171.7

9639.1

5049.3

3887.5

7240.2

2832.0

6493.9

2

1983.0

1744.7

1764.54

788.34

908.34

1039.2

845.2

775.5

615.8

1033. 6

3

4449.1

4481.5

5998.1

8022.4

8678.6

4528.1

3659.3

2519.1

5913.4

5375.7

4

209.0

442.3

489.3

484.0

775.0

449.1

375.8

294.3

477.4

512.1

5

8474.4

10000.1

10784.5

5382.3

5070.0

5482.3

10374.7

2541.2

3176.4

12211.6

6

3618.3

3088.4

2090.1

1880.3

3367.6

1774.6

1759.0

2876.6

1561.5

2999.7

7

298.83

440.9

436.34

634.54

245.45

276.63

213.3

397.16

155.4

653.3

8

1530.7

1635.7

2202.6

2337.6

3287.5

2173.7

1310.4

837.8

2084.6

1706.6

9

2978.1

2973.0

2155.1

3334.8

2452.0

1375.9

2244.6

651.0

830.3

2323.0

10

1242.1

1195.4

1101.9

1040

2975.2

1018.9

938.5

1182.2

2298.5

1465.5

11

764.1

611.2

600.4

490.5

1070.3

591.2

472.6

226.2

992.9

866.9

12

4173.1

3413.5

1363.4

702.4

2536.9

2004.2

2143.0

1067.8

1634.1

3729.5

13

3186.3

2454.0

8364.3

7213.0

14956.8

3729.9

1272.5

11017.5

825.1

3653.5

14

23868.3

18626.6

19801.2

12850.1

26839.0

16328.4

9691.1

12806.7

6466.7

27246.2

15

927.2

683.6

921.8

1375.0

1356.9

765.9

752.3

488.9

1969.5

1138.1

16

673.23

958.6

743.35

1106.34

973.11

605.82

463.7

345.4

339.1

452.4

17

975.34

1159.9

744.0

1254.34

1054.34

739.63

561.1

662.3

441.0

645.2

18

2069.3

1198.4

1316.0

151.2

485.4

718.98

536.7

1759.7

426.6

3891.8

19

4971.1

4822.9

1689.2

981.7

1966.0

3031.4

2906.9

1936.9

2165.7

3966.8

20

1507.5

1033.2

1368.7

1214.7

2390.3

691.4

517.7

382.7

413.5

1673.0

21

2185.4

1335.4

1900.2

1752.9

2139.6

864.7

772.4

1376.6

489.7

2029.9

22

283.8

1890.0

282.3

860.0

356.6

1116.7

1038.2

1074

618.8

306.2

23

898.0

1610.8

1062.6

1733.5

1841.6

1057.7

730.0

913.1

539.4

1062.6

24

51959.9

26336.4

25964.1

20926.5

27467.6

16480.1

13617.8

14555.7

9426.5

29885.6

The active components in each MC were identified by LC-MS analysis. Peaks (No. 2, 7, 13, 14, 16, 17, 18, 19, 20, 21, 22, 23 and 24) in Table 4 were identified as mudanoside B, paeoniflorin sulfonate, oxypaeoniflorin, paeoniflorin, trigalloyl glucose, tetragalloyl glucose, tetragalloyl glucose, pentagalloyl glucose, hexagalloyl glucose, galloylpaeoniflorin, benzoylpaeoniflorin, mudanoside A, paeonol, as we published before (Figure 4C) [9]. The component analysis for MC from different regions showed in Table 5 revealed that MC from each region had its own unique intrinsic ratio of active components.

Table 5: SCC in Moutan Cortex from different regions

Province of origins

Structural composition of components

Hunan

1: 0.1: 1.1: 12.0: 0.3: 0.4: 1.0: 2.5: 0.7: 1.1: 0.1: 0.4: 26.2

Anhui

1: 0.2: 1.4: 10.4: 0.5: 0.6: 0.6: 2.7: 1.1: 0.7: 1.0: 1.1: 14.9

Gansu

1: 0.2: 4.7: 11.2: 0.4: 0.4: 0.7: 0.9: 0.7: 1.0: 0.1: 0.6: 14.7

Chongqing

1: 0.8: 9.1: 16.3: 1.4: 1.5: 0.1: 1.2: 1.5: 2.2: 1.0: 2.1: 26.5

Sichuan

1: 0.2: 16.4: 29.5: 1.0: 1.1: 0.5: 2.1: 2.6: 2.3: 0.3: 2.0: 30.2

Guizhou

1: 0.2: 3.5: 15.7: 0.5: 0.7: 0.6: 2.9: 0.6: 0.8: 1.1: 1.0: 15.8

Henan

1: 0.2: 1.5: 13.9: 0.5: 0.6: 0.6: 3.4: 0.6: 0.9: 1.2: 0.8: 16.1

Hebei

1: 0.5: 14.2: 16.5: 0.4: 0.8: 2.2: 2.4: 0.4: 1.7: 1.3: 1.1: 18.7

Zhejiang

1: 0.2: 1.3: 10.5: 0.5: 0.7: 0.6: 3.5: 0.6: 0.7: 1.0: 0.8: 15.3

Shandong

1: 0.6: 3.5: 26.3: 0.4: 0.6: 3.7: 3.8: 1.6: 1.9: 0.2: 1.0: 28.9

Cluster analysis for MC from different regions

The peak areas of 13 chemical compositions in MC from different regions were set as quantitative traits to conduct cluster analysis by SPSS16.0. Combined with the cluster analysis of peak area, MC from Zhejiang, Henan and Anhui were considered as a class for the same constituted composition. It was indicated that geographical advantages would affect the quality of the CMM. MC from Zhejiang, Henan and Anhui were grouped as another class due to the similar constitution. As shown in Figure 3B, Hebei MC was divided into a separate class due to the significant difference in the ratio of active components compared with Anhui MC.

Principal component analysis for active components in MC

A few indicators could be filtered by principal component analysis to reflect the overall message. To select representative compounds among 13, the peak areas of 13 compounds (mudanoside B, paeoniflorin sulfonate, oxypaeoniflorin, paeoniflorin, trigalloyl glucose, tetragalloyl glucose, tetragalloyl glucose, pentagalloyl glucose, hexagalloyl glucose, galloylpaeoniflorin, benzoylpaeoniflorin, mudanoside A, paeonol) from 10 regions were analyzed by principal component analysis using SPSS 16.0. The 13 compounds were set to x1~x13 as variables to establish the data file of 10 regions. As shown in Table 6 and Table 7, they revealed that the cumulative contribution rate of the first six principal components main up to 95.08%, which indicated that the six representative compounds could be used as the main components due to their high content. The six main components were known as oxypaeoniflorin, paeoniflorin, benzoylpaeoniflorin, paeonol, trigalloyl glucose and pentagalloyl glucose by correlation matrix analysis. These six components were preferred as the representative active components contributing to the efficacy.

Table 6: Characteristic value and the variance contribution rate

Compents

Initial eigenvalues

Load of square extracting

Eigenvalues

Variance %

Cumulative %

Total

Variance %

Cumulative %

Mudanoside B

5.645

43.421

43.421

5.645

43.421

43.421

Paeoniflorin sulfonate

2.981

22.932

66.353

2.981

22.932

66.353

Oxypaeoniflorin

1.993

15.331

81.684

1.993

15.331

81.684

Paeoniflorin

1.165

8.959

90.643

1.165

8.959

90.643

Trigalloyl glucose

0.570

4.385

95.082

0.570

4.385

95.082

Tetragalloyl glucose

0.422

3.250

98.278

0.422

3.250

98.278

Tetragalloyl glucose

0.197

1.513

99.791

Pentagalloyl glucose

0.021

0.159

99.950

Hexagalloyl glucose

0.007

0.050

100.000

Galloylpaeoniflorin

6.82E-16

5.24 E-15

100.000

Benzoylpaeoniflorin

4.09 E-16

3.15 E-15

100.000

Mudanoside A

8.61 E-17

6.62 E-16

100.000

Paeonol

-2.8 E-16

-2.15 E-15

100.000

Table 7: Matrix of relative principal components

Compents

principal components

1

2

3

4

5

6

Mudanoside B

0.560

0.432

0.461

–0.258

0.452

0.560

Paeoniflorin sulfonate

0.502

–0.038

0.003

0.531

0.045

0.462

Oxypaeoniflorin

0.460

–0.508

0.775

–0.061

–0.123

0.802

Paeoniflorin

0.878

0.772

–0.152

–0.025

0.672

–0.052

Trigalloyl glucose

0.685

–0.606

0.334

–0.092

0.245

–0.035

Tetragalloyl glucose

0.734

–0.484

0.427

0.007

0.102

0.568

Tetragalloyl glucose

0.344

0.304

–0.179

0.478

0.357

0.268

Pentagalloyl glucose

0.238

0.709

0.588

–0.061

–0.017

0.433

Hexagalloyl glucose

0.893

–0.039

–0.270

–0.180

–0.082

0.168

Galloylpaeoniflorin

0.794

–0.102

–0.255

0.046

0.662

–0.485

Benzoylpaeoniflorin

–0.319

–0.308

0.545

0622

–0.381

0.544

Mudanoside A

0.705

–0.643

0.172

0.117

0.161

–0.066

Paeonol

0.941

0.470

0.141

–0.241

–0.007

0. 938

Effects of active components on SOD activity and MDA content in AGEs-induced HBZY-1 mesangial cells

We measured SOD activity and MDA content to evaluate the activity of these components. As shown in Figures 5A and 6B, SOD activity was significantly decreased whereas MDA content was increased remarkably by AGEs, compared with the control group (P < 0.05). After the treatment of these active components, SOD activity was increased while MDA content was decreased, which means that oxypaeoniflorin, paeoniflorin, benzoylpaeoniflorin, paeonol, trigalloyl glucose and pentagalloyl glucose can reduce the AGEs-induced oxidative stress.

Figure 5:

Figure 5: Effect of components on AGEs-induced SOD activity (A), MDA (B), IL-6 (C) and MCP-1 (D) content. The determination of these detection indicators according to manufacturer's instructions. OD value of samples was determined at 550 nm for SOD, 532 nm for MDA, 450 nm for IL-6 and MCP-1. Data are expressed as means ± SD, n = 3. ###P < 0.001 vs. BSA group; *P < 0.05, **P < 0.01 and ***P < 0.001 vs. AGEs group.

Effect of components on FN protein expression in AGEs-induced mesangial cells.

Figure 6: Effect of components on FN protein expression in AGEs-induced mesangial cells. a, 200 μg/ mL BSA; b, 200 μg/mL AGEs; c, AG (10 μM) + 200 μg/mL AGEs; d1, paeonol (10-4 M) + 200 μg/mL AGEs; d2, paeonol (10-5 M) + 200 μg/ml AGEs; d3, paeonol (10-6 M) + 200 μg/mL AGEs; e1, Tri (10-4 M) + 200 μg/mL AGEs; e2, Tri (10-5 M) + 200 μg/mL AGEs; e3, Tri (10-6 M) + 200 μg/mL AGEs; f1, Pen (10-4 M) + 200 μg/mL AGEs; f2, Pen (10-5 M) + 200 μg/mL AGEs; f3, Pen (10-6 M) + 200 μg/mL AGEs; g1, Pae (10-4 M) + 200 μg/mL AGEs; g2, Pae (10-5 M) + 200 μg/ml AGEs; g3, Pae (10-6 M) + 200 μg/mL AGEs; h1, Oxypae (10-4 M) + 200 μg/mL AGEs; h2, Oxypae (10-5 M) + 200 μg/mL AGEs; h3, Oxypae (10-6 M) + 200 μg/mL AGEs; i1, Ben (10-4 M) + 200 μg/mL AGEs; i2, Ben (10-5 M) + 200 μg/mL AGEs; i3, Ben (10-6 M) + 200 μg/mL AGEs. Data are expressed as means ± SD, n = 6. ###P < 0.001 vs. BSA group; *P < 0.05, **P < 0.01 and ***P < 0.001 vs. AGEs group..

Effects of active components on IL-6 and MCP-1 levels in AGEs-induced HBZY-1 mesangial cells

The contents of IL-6 and MCP-1 in supernatants of HBZY-1 mesangial cells were measured by ELISA kits according to the manufacturer’s protocols. As shown in Figures 5C and 6D, the contents of IL-6 and MCP -1 could be increased by AGEs significantly (P < 0.001). After the treatment of these active components, the contents of IL-6 and MCP-1 were reduced significantly (P < 0.05, P < 0.01, P < 0.001). The results showed that the screened active components (oxypaeoniflorin, paeoniflorin, benzoylpaeoniflorin, paeonol, trigalloyl glucose and pentagalloyl glucose) could reduce IL-6 and MCP-1 contents in AGEs-induced mesangial cells.

Reduction of active components on FN expression in AGEs-induced HBZY-1 cells

As shown in Figure 6, FN protein expression was reduced by the active components (P < 0.01, P < 0.001) when compared with the AGEs-induced cells. Statistical analysis was performed based on the value of scanned grayscale. Results showed that these six components could inhibit FN secreting.

To clarify the pharmacological effects of oxypaeoniflorin, paeoniflorin, trigalloyl glucose, pentagalloyl glucose, benzoylpaeoniflorin and paeonol, their effects on pathological phenomena of AGEs-induced HBZY-1 mesangial cells, such as oxidative stress, inflammation, thickening of the basement membrane were observed and detected. The results showed that the six preferred active components could increase SOD activity, decrease MDA content, reduce the content of IL-6, MCP-1 and FN protein.

SCC in Anhui geoherb MC and Heibei non-geoherb MC

As shown in Figure 3B, the result of cluster analysis showed that MC from Zhejiang, Henan, Anhui were considered as a class for the same constituted compositions, while Hebei MC was divided into a separate class for the significant difference in active components compared with the Anhui MC. Contents of six active components of geoherb (Anhui) and non-geoherb (Hebei) MC were measured. The test solutions of Anhui MC and Hebei MC were a mixture of oxypaeoniflorin, paeoniflorin, trigalloyl glucose, pentagalloyl glucose, benzoylpaeoniflorin and paeonol in the ratio 1:7.5:0.3:0.4:0.7:10.7, respectively. The concentrations of each component were oxypaeoniflorin (1.94 μg/mL), paeoniflorin (14.56 μg/mL), trigalloyl glucose (0.58 μg/mL), pentagalloyl glucose (0.58 μg/mL), benzoylpaeoniflorin (2.04 μg/mL) and paeonol (20.78 μg/mL) in cell experiment. Ratio of the six active components in geoherb MC was 1:7.5:0.3:0.4:0.7:10.7, the result was consistent with ratio of peak area in Table 5. As shown in Table 8, the ratio of Hebei non-geoherb MC was 1:1.2:0.03:0.03:0.1:1.3, similar with the result of comparison of the peak area. The results demonstrated that the prevention and treatment of geoherb MC on DN was due to SCC instead of the categories of compounds.

Table 8: Content of six components in geoherb (Anhui) and non-geoherb (Hebei) Moutan Cortex and their compositions structure (μg/mL)

Origins

Oxypaeoniflorin

Paeoniflorin

Trigalloyl glucose

Pentagalloyl glucose

Benzoylpaeoniflorin

Paeonol

Ratio

Anhui

12.98

97.47

5.06

5.45

9.99

139.28

1:7.5:0.3:0.4:0.7:10.7

Hebei

57.68

74.88

2.02

2.19

5.96

77.8

1:1.2:0.03:0.03:0.1:1.3

Effects of SCC transformation of non-geoherb MC on SOD activity, and MDA, IL-6, MCP-1 levels

The results of Table 9 demonstrated that, after recombination, the efficacy was superior to the geoherb one. The SCC of oxypaeoniflorin, paeoniflorin, trigalloyl glucose, pentagalloyl glucose, benzoylpaeoniflorin and paeonol in Hehei was adjusted from 1:1.2:0.03:0.03:0.1:1.3 to 1:7.5:0.3:0.4:0.7:10.7 as Anhui MC’s. SOD activity of Anhui was 7.71 ± 0.98 U/mL, while Hebei recombination one was 7.17 ± 0.53 U/mL. MDA content of Anhui was 0.46 ± 0.05 nM while Hebei recombination one was 0.43 ± 0.06 nM. Meanwhile, IL-6 and MCP-1 contents of Anhui MC were 3.20 ± 0.1 ng/L and 13.67 ± 0.12 ng/L, respectively. These two contents in Hebei recombination were 3.62 ± 0.10 ng/L and 3.85 ± 0.16 ng/L. There was no significant difference in efficacy between Hebei recombination and Anhui MC. This further validated that SCC acted as a crucial contributor to the quality consistency of MC which was related to the better efficacy.

Table 9: Recombination of SCC in Heibei MC

Groups

SOD(U/mL)

MDA(nmol/mL)

IL-6(ng/L)

MCP-1(ng/L)

Control (BSA)

6.56 ± 0.59

0.26 ± 0.14

3.15 ± 0.17

3.76 ± 0.15

Model (AGEs)

2.08 ± 0.28###

0.93 ± 0.12###

4.88 ± 0.23##

4.58 ± 0.06##

Positive (AG)

9.60 ± 0.17***

0.39 ± 0.04***

3.14 ± 0.12**

3.68 ± 0.14**

Anhui

7.71 ± 0.98**

0.46 ± 0.05**

3.20 ± 0.11**

3.67 ± 0.12**

Hebei

6.72 ± 0.41*

0.55 ± 0.01**$$

3.86 ± 0.08**$$$

4.31 ± 0.09*$$$

Hebei recombination

7.17 ± 0.53**

0.43 ± 0.06**&&&

3.62 ± 0.10**$$&

3.85 ± 0.16**&&

Note: ##P < 0.01 and ###P < 0.001 vs. BSA group; *P < 0.05, **P < 0.01 and ***P < 0.001 vs. AGEs group; $P < 0.05, $$P < 0.01 and $$$P < 0.001 vs. Anhui group; &P < 0.05, &&P < 0.01 and &&&P < 0.001 vs. Hebei group.

DISCUSSION

CMM is the material basis of TCM to prevent or treat disease. Its quality directly affects the clinical efficacy. Geoherbs are the representative with particular area, excellent quality, and good efficacy making them become the proverbial superiors of TCM [1]. The material basis of geoherbs efficacy is their internal components. Its SCC contributes to the level of efficacy and the pros and cons of quality [12]. The scientific connotation of geoherbs quality and the relationship between the quality and efficacy of geoherbs are the emphases and difficulty in the study of geoherbs. MC is one of the commonly used TCM with significant activity against DN [13]. The prevention of MC on DN included series pharmacological effects, including its improvement on the basement membrane thickening, oxidative stress, inflammation, and so on. In our present study, body weight, the content of blood glucose, urinary albumin and serum creatinine of DN rats were determined to reflect the treatment of MC from 10 regions. Among them, Anhui MC hold more significant reduction on the blood glucose, 24 h urine protein and serum creatinine. Therefore, Anhui MC, geoherb one, had a better anti-DN efficacy than other non-geoherb MCs (Figure 2). To further confirm the superior effect of Anhui MC on the treatment of DN, CAT, GSH-Px activity, the protein expression of ICAM-1, TGF-β1 and FN were detected to reflect the efficacy of MC from different regions. Finally, these samples were classified by cluster analysis, results indicated that geoherb MC from Anhui Tongling held the best efficacy in the treatment of DN. MC from Guizhou, Zhejiang and Henan were classified as a category due to their similar efficacy. MC from Hunan, Hebei, Chongqing, Gansu, Sichuan and Shandong were classified as another classification based on their poor efficacy .

The material basis of geoherbs is composed of various components with a stable compositional characteristic, related to the stable SCC but not new compounds. Structural inconsistencies directly result in pharmacodynamic differences. Based on the overall concept of Chinese medicine and “component structure theory” [3], we compared the difference of efficacy and components between geoherb and non-geoherb MC. The efficacy of MC from different regions was not same. Unique stable SCC in geoherb MC contributed to a better efficacy on prevention and treatment of DN. Our study confirmed the different traits and extraction rate of MC from different regions, but there was no significant difference in the types of active components. The cluster analysis of efficacy component was introduced combined with peak areas of MC from 10 regions. After analyzing the belonging of the 13 components, we found that composition of Zhejiang was the same as Henan and Anhui MC. The composition of Hebei MC was quite different with Anhui. According to PCA, SCC of six components (oxypaeoniflorin, paeoniflorin, trigalloyl glucose, pentagalloyl glucose, benzoylpaeoniflorin and paeonol) have been recombinated for further study. These six active components also have been reported to have a good therapeutic effect on kidney disease and diabetes [14, 15]. In the present study, both SOD activity and MDA content of AGEs-induced mesangial cells were increased or decreased by active components screened from MC. The results indicated that the screened active components could inhibit oxidative stress of DN. IL-6 expression in mesangial cells was enhanced by the screened six active components of MC. The screened active components of MC could significantly down-regulate AGEs-induced MCP-1. The selected components of MC also reduced FN secretion, down-regulated FN protein expression, which revealed that MC could inhibit the synthesis of FN to prevent the thickening of basement membrane.

In conclusion, the SCC of oxypaeoniflorin, paeoniflorin, trigalloyl glucose, pentagalloyl glucose, benzoylpaeoniflorin and paeonol in Heibei was 1:1.2:0.03:0.03:0.1:1.3, while the ratio with distinct pharmacodynamic effect in Anhui geoherb MC was 1:7.5:0.3:0.4:0.7:10.7. Hebei MC had worse efficacy and different SCC from Anhui MC. The results showed that the stable and orderly structural integrity of active components in MC from Anhui, geoherb one, acts as an important contributor to the prevention and treatment of DN. Adjusting SCC of Hebei MC (with worst efficacy) to geoherb MC from Anhui (with best efficacy) showed a similar activity in AGEs-induced HBZY-1 cells. These demonstrated that the efficacy of MC was related closely to its stable SCC.

This paper revealed the SCC of geoherb MC, initially provided the material basis for a better prevention and treatment of geoherb MC on DN. The results demonstrated that the quality of MC materia medica was related closely to its stable SCC. Our findings provide evidence for the importance of SCC in CMM efficacy, and also provide a new insight into quality control of TCM.

MATERIALS AND METHODS

Materials, solvent and chemicals

Root bark of Paeonia suffruticosa Andr. were collected from 10 different regions including Tongling, Anhui province (Batch No. 20120415); Longnan, Gansu province (Batch No. 20120510); Dianjiang, Chongqing province (Batch No. 20120422); Heze, Shandong province (Batch No. 20120525); Guanxian, Sichuan province (Batch No. 20120603); Qingan, Zhejiang province (Batch No. 20120617); Yongzhou, Hunan province (Batch No. 20120622); Guiyang, Guizhou province (Batch No. 20120705); Baoding, Hebei province (Batch No. 20120711); Luoyang, Henan province (Batch No. 20120720), in October and November, 2011.

After excavation, MC was obtained by scraping and drying the root bark. The pharmacognosy identification of all the samples was identified by Professor Dekang Wu (Nanjing University of Chinese Medicine). The remaining voucher specimens were deposited at Jiangsu Provincial Academy of Chinese Medicine. The deposited number were No. ACM20120430 (Anhui), No. ACM20120518 (Gansu), No. ACM20120615 (Sichuan), No. ACM20120429 (Chongqing), No. ACM20120605 (Shandong), No. ACM20120628 (Zhejiang), No. ACM20120702 (Hunan), No. ACM20120717 (Guizhou), No. ACM20120726 (Hebei) and No. ACM20120806 (Henan), respectively.

SOD WST-1 assay kit (Lot: 20121101), MDA assay kit (Lot: 20121026), CAT assay kit (Lot: 20121011), GSH-Px assay kit (Lot: 20121018), and urinary protein kit (Lot: 20120923) were purchased from Jiancheng Bioengineering Institute (Nanjing, China). Rat IL-6 (Lot: 20130315) and MCP-1 (Lot: 20130311) ELISA kits were purchased from Victoria Reagent Co., Ltd. (Shanghai, China); RIPA cell lysates was offered by KeyGEN (Nanjing, China). Rabbit anti-mouse FN, TGF-β1 and ICAM-1 monoclonal antibodies were offered by Boster Biological Engineering Co., Ltd. (Wuhan, China). Standard substances of oxypaeoniflorin, paeoniflorin, benzoylpaeoniflorin, paeonol, more than 98%, were all ordered from National Instisutes for Food and Drug Control. Trigalloyl glucose, pentagalloyl glucose were supplied by BOC Sciences (NY, USA). Streptozotocin (STZ, Lot: 20130316) was offered by Sigma Aldrich (St. Louis., MO, USA). High-sugar high-fat diet was consisted of 10% sucrose, 10% egg yolk powder, 5 % lard, 1 % cholesterol and 0.2% bile salts (W/W).

Sample preparations of MC from different regions

MC from 10 different regions were processed as follows: MC of 1.0 kg was extracted with 8 L ethanol (v/v, 75 %) for three times (2 h/time) in reflux extraction device. The extracts were filtrated by gauze, merged and then concentrated to dry by rotavapor R-220 under reduced pressure (BUCHI, Switzerland). Then the dry powder was used for the further study.

Preparation of AGEs

The preparation of advanced glycation end products (AGEs) was as previous description [16]. Bovine serum albumin (BSA) of 5.0 g and D-glucose of 9.0 g were weighed accurately and then placed in 100 mL phosphate buffer solution (PBS, pH = 7.2) in sterile glass container. The solution was filtered over a 0.22 μm membrane before being sealed and incubated three months at 37oC. AGEs were obtained by the brown reaction solution being dialyzed to remove small molecules in PBS solution. A fluorescence spectrophotometer (PerkinElmer, Waltham, MA, USA) was used to measure AGEs-specific fluorescence at excitation/emission of 370 nm/440 nm. The content of AGEs was detected by AGEs ELISA kit, the final concentration was 858 mg/mL [17,18].

Cell culture and treatment

HBZY-1 mesangial cells were purchased from Shanghai Institute of Biochemistry and Cell Biology (Shanghai, China). HBZY-1 rat mesangial cells were maintained in low-glucose Dulbecco’s modified Eagle’s medium (DMEM) (Gibco, USA) supplemented with 10 % FBS (Gibco, USA). And cells were kept in an incubator with 5% CO2 at 37˚C. Medium should be replaced every 2 days to.

After HBZY-1 cells in the logarithmic growth phase digestion, cells (1.5 × 105 cells/well) were seeded in 24-well plates with 0.5 mL cell suspension per well. After being incubated for 24 h, the medium was discarded. AGEs of 200 μg/mL was used to induce mesangial injury. Aminoguanidine (AG, 10 μM) was used as the positive control while BSA (200 μg/mL) as blank control. MC extract (200 μg/mL) was used to treat cells in the presence of 200 μg/mL AGEs. For active compounds, such as paeonol, trigalloyl glucose, pentagalloyl glucose, paeoniflorin, oxypaeoniflorin and benzoylpaeoniflorin, different concentrations (10–4 M, 10–5 M, and 10–6 M) were used for evaluating activity. After treatment, cells were maintained in a HERA CELL 500 incubator (Thermo Scientific, MA, USA) with 5% CO2 at 37oC for 24 h.

Animal model and drug treatment

Male Sprague-Dawley rats (180–220 g), provided by Shanghai SLAC Laboratory Animal Co. Ltd. (Shanghai, China), were housed for 7 d to adapt the environment and maintained at a temperature of 25oC with the relative humidity of 45%. All animals were housed in Experimental Animal Center in Jiangsu Province (Nanjing, China) on a 12 h/12 h light/dark cycle with ad libitum access to food and water.

DN rats were developed according to previous method [8]. Ten rats were injected with 0.1 M citrate buffer (pH = 4.5) as blank control. Other rats were treated with the high glucose-fat diet for 2 weeks followed by a single intraperitoneal injection of 45 mg/kg STZ (dissolved in 0.1 M citrate buffer, pH = 4.5) for inducing DN rats. DN rats were confirmed successfully when blood glucose exceeded 16.7 mM, urine protein was superior to 20 mg/24 h. DN rats were randomly divided into 12 groups with 10 rats in each group: the model group (DN), positive control group (0.1 g/kg AG), MC from 10 regions (5g crude drug/kg). The same amount of saline was used for control and model group. The administration was continued for 30 days. All animal experiment procedures were performed strictly in accordance with national and international laws for the use and care of laboratory animals.

After fasting, rats were weighed and anesthetized with 10% chloral hydrate (3 mL/kg) by intraperitoneal injection. Rats were fixed to cut abdomen along the midline, 5 mL blood was taken from abdominal aortic. After being taken and weighted, kidney tissues were fixed with 10 % formalin. The blood was centrifuged at 3000 rpm for 10 min. The supernatant was collected and stored at –80oC.

Instrumentation and analysis conditions

MC powder of 0.2 mg was dissolved in 1 mL methanol with an ultrasound for 15 min. Then the samples were centrifuged at 11000 rpm for 10 min. The supernatant was obtained for HPLC analysis.

Agilent (Palo Alto, CA, USA) 1100 series HPLC system, equipped with an online degasser, a quaternary pump, an auto-injector, a column thermostat and a DAD detector, was performed for analysis of components. The chromatographic experiments were conducted on Agilent TC-C18 column (4.6 × 250 mm, 5 μm) (Thermo Electron Corp, MA, USA) under gradient elution at 25˚C. Mobile phase was consisted of CAN (A) and 0.1 % formic acid in water (v/v) (B). Elution gradient was as follows: 0–20 min, 5 %–10 %A; 20–30 min, 10 %–10 %A; 30–80 min, 10 %–18 %A; 80–120 min, 18 %–50 %A. The flow rate was set at 0.8 mL/min. The injection volume was 10 μL and the UV detection wavelength was kept at 254 nm.

Varian 310 triple quadrupole mass spectrometer equipped with ESI ion source (Varian, USA) was used for MS analysis in our study. Negative ion detection mode was conducted in this analysis. Nitrogen (N2) was set at a flow rate of 0.45 L/min as atomization gas, 0.2 L/min as the curtain gas. The depolarization potential (DP) was -20 V while focusing potential was -80 V. The mass data was recorded within the range of 50–1200 Da.

Assays for SOD, CAT, GSH-Px activity and MDA content

Cell suspension or serum was centrifuged with 3000 rpm for 10 min and the supernatant was collected for the measurement. The levels of CAT, GSH-Px, SOD and MDA were determined according to manufacturer’s protocols. Optical density (OD) value of samples was determined with microplate reader (Thermo Scientific, MA, USA) at wavelength of 405 nm (CAT), 412 nm (GSH-Px), 550 nm (SOD) and 532 nm (MDA) respectively.

ELISA for inflammatory cytokines IL-6 and MCP-1

Cell supernatant was taken for the determination of inflammatory cytokines. IL-6 and MCP-1 ELISA kits were used to determine cytokines levels according to manufacturer’s protocols. Wavelength at 450 nm was chosen to read the OD value of samples with microplate reader (Thermo Scientific, MA, USA). The contents of inflammatory cytokines were calculated according to the standard curve.

Western blotting analysis for TGF-β1, ICAM-1 and FN

HBZY-1 cells were washed with ice-cold PBS and cell lysate was performed on the ice for 30 min. The lysates were centrifuged at 1500 rpm for 3 min, then supernatant was taken for measuring. An equal amount of total protein was separated by 10 % SDS-PAGE and then transferred from the SDS-PAGE gel to PVDF membrane. After being blocked with 1 % BSA in tris-buffered saline Tween-20 (TBST), membrane was incubated with the primary antibodies ICAM-1(1:400), TGF-β1 (1:400), FN (1:400) overnight. Then membrane was washed thrice and incubated with the peroxidase-conjugated secondary antibody (1:1000). Finally, the bands in the membrane incubated with chemiluminescence color and photographed by an ECL minicamera. β-actin was used as loading control. The quantification of proteins was analyzed by Image pro plus (IPP 6.0, Media Cybernetics, MD, USA) software.

Immunohistochemistry for TGF-β1and ICAM-1 expressions

Kidney tissues were dehydrated by serial gradient concentrations of alcohol, and then embedded in paraffin blocks for 3 h. After the paraffin embedded, the tissues were cut into serial sections at the thickness of 5 μm. Sections were heated and washed with 10 mM sodium citrate buffer. After quenching endogenous peroxidase and blocking with normal goat serum, the sections were incubated overnight at 4 ˚C with rabbit anti-rat antibodies specific against TGF-β1 (1:200) and ICAM-1(1:200), respectively. After washing with PBS, the sections were incubated at 37 ˚C for 2 h with the secondary antibodies, and then stained by DAB. Finally, the results were observed under IX83 microscopic (Olympus, Japan).

SOD activity, MDA, IL-6, MCP-1 content after component compatibility

AGEs-induced HBZY-1 cell model was established as in the section “Cell culture and extract treatment”, cells were divided into six groups. 200 μg/mL AGEs was used to induce mesangial injury. Aminoguanidine (AG) of 10 μM was used as the positive control while BSA of 200 μg/mL as blank control. Drug groups were given extractions of MC (200 μg/mL) from Anhui, Hebei and Hebei transformations which the intrinsic ratio of oxypaeoniflorin, paeoniflorin, trigalloyl glucose, pentagalloyl glucose, benzoylpaeoniflorin and paeonol was adjusted from 1:1.2:0.03:0.03:0.1:1.3 to 1:7.5:0.3:0.4:0.7:10.7, respectively. Medium was added to 2 mL before culture plates were incubated at 37 ˚C, 5% CO2 for 24 h. And then, SOD activity, MDA content and inflammatory cytokines like IL-6, MCP-1 were determined according to manufacturer’s protocols.

Data analysis

All data were expressed as means ± standard deviation (SD). Statistical analysis was performed by GraphPad Prism TM 5.0 statistical package with analysis of variance. Comparison between groups was using ANOVA, followed by Dunnett’s significant post-hoc analysis for pair-wise multiple comparisons. The value of P less than 0.05 was considered to be a statistically significant difference. Cluster analysis and principal component analysis were performed by SPSS 16.0.

Author contributions

LF and JG analysis and interpretation of data, conception and design; MZ, CW and MZ acquisition of data and writing of the manuscript; GW, JS, XT, YZ, JC, RL, LQ, CW and LZ, analysis and interpretation of data, statistical analysis; LF, XJ, development of methodology, revision of the manuscript, technical support, study supervision, revision of the manuscript.

CONFLICTS OF INTEREST

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

FUNDING

The authors gratefully acknowledge the financial support of the National Natural Science Foundation of China (81473394, 81503314, 81703775); Significant changes in the central level support projects (2060302); “333 high-level personnel training project” of Jiangsu Province (BRA2015475); “Six Talent Peak” Project of Jiangsu Province (YY-012); Innovative Research Team of Health Development Project with Science and Education in Jiangsu Province (CXTDB2017003); Program for Innovative Research Team of Six Talent Peaks Project in Jiangsu Province (SWYY-CXTD-004); Scientific Research Project of State Traditional Chinese Medicine Clinical Base Construction (JDZX2015072) and Jiangsu Province Youth Medical Key Talent Project (QNRC2016634) and Jiangsu province high-level health personnel "Five-One Project " (LGY2017085).

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