Osteogenesis activity of fractions extracted from clinacanthus nutans (burm. F) lindau

Effects of C. nutans EtOH and EtOAC fractions on bone mineralization activity of MC3T3-E1 osteoblast cells The matrix mineralization stage is the third (final) stage of the osteoblast differentiation process. At the end of the mineralization, calcium deposits (bone mineralization) can be observed with appropriate staining. The results in Figure 4 show that the EtOH and the EtOAc fraction can enhance the mineralization activity significantly, up to > 100% with the EtOAc fraction. Thus, this fraction could be a potential source for the acquisition of desired substances that induce bone regeneration. Because the currently using synthetic antiosteoporosis drugs has some limitations and causes undesirable side effects when used over a long period. Thus, investigations on natural substances, especially phytochemicals from traditional medicinal plants that have been historically used to treat osteoporosis and osteoarthritis diseases are urgently needed. Among the published reports, berberine has been extensively studied. This is an alkaloid compound found in the roots and stems of the Huangshi tree (Coscinium usitatum L.). Lee et al. (2008) showed that berberine increased the expression of a number of marker genes in bone differentiation process, including osteopontin and osteocalcin. It also enhances the activity of the main transcription factor Runx2 during bone formation. Tai et al. (2009) isolated chrysoeriol compound from leaves of Vietnamese Eurya ciliata Merr and found that it can stimulate proliferation of MC3T3-E1 cells at a concentration of 0.2–5.0 g/mL. This compound also enhanced ALP activity and matrix mineralization at 5 g/mL. However, the mechanism of action at the molecular level, as well as the full evaluation on the in vivo model has not been investigated yet.

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ACADEMIA JOURNAL OF BIOLOGY 2020, 42(2): 85–91 DOI: 10.15625/2615-9023/v42n2.14830 85 OSTEOGENESIS ACTIVITY OF FRACTIONS EXTRACTED FROM Clinacanthus nutans (Burm. F.) Lindau Pham Thi Thu Phuong 1 , Nguyen Thi Hong Minh 2 , Quach Thi Lien 1 , Nguyen Thi Thanh Huong 3 , Nguyen Thi Mai Phuong 1,4,* 1 Institute of Biotechnology, VAST, Vietnam 2 University of Science and Technology of Hanoi, VAST, Vietnam 3 Institute of Ecology and Biological Resources, VAST, Vietnam 4 Graduate University of Science and Technology, VAST, Vietnam Received 16 February 2020, accepted 5 June 2020 ABSTRACT Osteogenesis activity of fractions extracted from Clinacanthus nutans was evaluated on an in vitro model using osteoblast MC3T3-E1 cells. The results showed that all fractions, including ethanol (EtOH), n-hexane, ethyl acetate (EtOAc) and butanol (BuOH) were not significantly toxic to the osteoblast cells at the test concentrations of 5, 10, 25, and 50 µg/mL. The EtOH and EtOAc fractions exhibited the highest osteogenesis activity in terms of enhancement of alkaline phosphatase (ALP) and mineralization activity of MC3T3-E1 cells, especially the EtOAc fraction which increased ALP activity up to > 30% and mineralization activity up to > 100%. Thus, the EtOAc fraction shows osteogenesis activity through stimulating activites of the two markers for bone generation including ALP and mineralization in osteoblast cells. The fraction is now under extensive investigation to isolate and fully understand the modes of action of the active compounds. Keywords: Clinacanthus nutans, osteoblast MC3T3-E1, osteogenesis activity. Citation: Pham Thi Thu Phuong, Nguyen Thi Hong Minh, Quach Thi Lien, Nguyen Thi Thanh Huong, Nguyen Thi Mai Phuong, 2020. Osteogenesis activity of fractions extracted from Clinacanthus nutans (Burm. F.) Lindau. Academia Journal of Biology, 42(2): 85–91. https://doi.org/10.15625/2615-9023/v42n2.14830. *Corresponding author email: phuongnguyenibt@gmail.com ©2020 Vietnam Academy of Science and Technology (VAST) Pham Thi Thu Phuong et al. 86 INTRODUCTION Osteoporosis is a common global disease. Osteoporosis is an increase of the brittleness of the bones, leading to higher risk of fractures, thus seriously affecting the health and life of individuals and the whole society. The World Health Organization (WHO) is very concerned and wants to improve this situation to ameliorate human health and life quality. Statistics show that over 200 million people worldwide and about 2.8 million Vietnamese suffer from osteoporosis (Sözen et al., 2017). Osteoporosis occurs due to an imbalance between bone loss and bone formation, in which bone formation occurs more slowly than bone loss. Studies focusing on the discovery of active substances that increase bone formation or reduce bone loss to treat osteoporosis are of interests (Tabatabaei- Malazy et al., 2017; An et al., 2016). In addition, the long-term use of current chemical anti-osteoporosis medications has some limitations in effectiveness as well as side effects (Tabatabaei-Malazy et al., 2017). Therefore, the discovery and use of natural substances that are able to induce new bone regeneration with less adverse effects to treat osteoporosis and maintain bone strength are a new research approach with great potential in application not only osteoporosis, but also other related diseases. Some medicinal plants have been traditionally used for quick bone healing; shorten the treatment time for broken bones and safe. These medicinal plants will be the potential sources for screening and researching of substances that induce new bone regeneration activity. Clinacanthus nutans is an traditional herbal medicine to treat fractures in some Asian countries like China and Vietnam. The tree popularly grows in many provinces of Vietnam such as Thanh Hoa, Hoa Binh, Lam Dong and Tay Ninh... Studies on the chemical composition of this plant showed that it contains various groups of compounds such as flavonoids, steroids, triterpenoids, cerebrosides, glycoglycero- lipids, glycerides, glycosides containing sulfur (Tu et al., 2014, Kamarudin et al., 2017; Mai et al., 2016). The isolated substances have different biological activities such as antioxidant, antiviral, anti-inflammatory, anti- infection and anti-angiogenesis. Although C. nutans has long been used as a traditional medicine to hasten fracture healing, the intensive study of bone regeneration inducers in this plant has not yet been reported. We think that C. nutans may contain substances capable of inducing new bone regeneration. In this paper, the ostogenesis activity of some extracts from C. nutans was evaluated using a osteoblast cell line. The results are promissing for further studies on the isolation of desired substances and molecular mechanisms of action, as well as for prediction/confirmation of practical application for fractures. MATERIALS AND METHODS Plant samples were collected in Da Lat, Lam Dong Province in October 2019, stored and identified by Dr. Nguyen Thi Thanh Huong, Institute of Ecology and Biological Resources, Vietnam Academy of Science and Technology. Pre-osteoblast cell line MC3T3-E1 were purchased from Sigma (USA). Minimum Essential Medium Eagle-alpha modification (Alpha MEM) cell culture medium and fetal bovine serum (FBS) were purchased from Invitrogen (USA). Alizarin red S (anthraquinone derivative), p-NPP and MTT were purchased from Sigma (USA). The TLC 60 F254 silica gel pre-coated plates (20 × 20 cm) were purchased from Merck (Germany). Other chemicals are all in analytical grade. Preparation of the plant extracts The stems and leaves of C. nutans (10 kg) were dried at <50°C, then grinded into a fine powder. The powder was then extracted with ethanol (EtOH) by immersion method at room temperature for two weeks. The extract was then collected by filtration through a filter paper and removal of the solvent under low pressure (<50 atm) with a rotary evaporator to obtain ethanol residue. The ethanol residue was dissolved in water and extracted successively using various organic solvents Osteogenesis activity of fractions extracted 87 including n-hexane, ethyl acetate (EtOAc) and n-butanol (BuOH), to obtain three fractions for further experiments. Separation of components by thin layer chromatography (TLC) The analysis was carried out on a silica gel prepared aluminum plate with a thickness of 1 mm (Silica gel 60, F254, Merck). The analytical solvent systems used include: i) hexane: acetone at the ratio of 8.0 : 2.0; ii) toluene : ethyl acetate : acetone : formic acid (TEAF) at a ratio of 5 : 2 : 2 : 1; and iii) dichloromethane (DCM) : MeOH in the ratio of 8:2. The plate was stained with a solution containing cesium chloride and ammonium molybdate. Evaluation of bone regeneration induction activity of the fractions MC3T3-E1 cells were cultured in alpha- MEM medium supplemented with 10% FBS at 37 o C in a 5% CO2 incubator. Cell differentiation was performed in an osteogenic differentiation medium (ODM) containing alpha-MEM supplemented with 5% FBS 1% penicillin-streptomycin, 100 μg/mL ascorbic acid, 10 nM dexamethasone and 10 mM -glycerophosphate. Cell viability was assessed by MTT method. Cells were cultured in 96 well plates at a density of 5 × 10 3 cells/well under the presence of the testing substances at concentrations of 5, 10, 25 and 50 µg/mL. The negative control was DMSO solvent. After incubation for 24 hr, the cells were washed and 100 µl MTT (1 mg/mL) was added to the wells. The plate was incubated further 4 hr. Finally, DMSO (150 µl) was added and the absorbance was measured at A540 nm. Based on the MTT results, the concentrations that did not affect the cell survival were selected for subsequent in vitro studies to assess the effect of the test samples on the differentiation of bone-forming cells (Nguyen et al., 2011, 2013, 2014). Evaluation of alkaline phosphatase activity (ALP) Alkaline phosphatase (ALP) activity was determined using previous methods of Nguyen et al. (2011, 2014). To evaluate ALP activity, MC3T3-E1 cells were cultured in 24 well plates in alpha-MEM medium supplemented with 10% FBS for 1 day. The culture medium was then replaced with ODM medium containing test samples at concentrations of 5, 10, 25 and 50 µg/mL or DMSO (control) and the plate was incubated for further 6 days. The cells were then incubated for 1 hr at 37°C in 250 mM carbonate buffer containing 1.5 mM MgCl2 and 15 mM p-NPP. ALP activity in samples was measured at 405 nm using a spectrophotometer. ALP activity was calculated based on the formula:  ALP (%) = 100% A Ao Ao Where: A was the absorption of the cells supplemented with the test sample, and Ao was the absorption of the cells without test sample. Evaluation of bone mineralization The level of mineralization of osteoblast cells was determined by staining the cells with alizarin red-S in a 6-well plate as described previously (Nguyen et al., 2011, 2013, 2014; Park et al., 2016). The cells were cultured at a concentration of 1 x 10 5 cells/well in alpha- MEM under the presence of test samples at concentrations of 5, 10, 25 and 50 µg/mL or solvent (DMSO) alone. 100% ethanol was used to fix the cells and then the plate was stained with alizarin red-S 40 mM (pH 4.2) for 1 hour. The cells were washed for 15 minutes with 10% cetylpyridium chloride and dissolved in 10 mM sodium phosphate buffer (pH 7.0). The staining of the cells shows the level of mineralization and the optical density is measured at 562 nm. Bone mineralization activity was calculated based on the formula:   (%) = 100%Mineraliza A Ao Ao tion Where: A was the absorption of the cells supplemented with the test substance, and Ao was the absorption of the cells without the test sample. Pham Thi Thu Phuong et al. 88 Statistical analysis The data were statistically analyzed using t-test or ANOVA. The difference between the samples was considered to be significant when P value is <0.05. RESULTS AND DISCUSSION Phytochemical screening of C. nutans fractions The phytochemicals in the fractions of C. nutans were analyzed qualitatively by thin layer chromatography in three different solvent systems, as a basis for the isolation of active substances. The results are shown in Figure 1. The chromatogram combined with staining using specific dyes suggested that EtOH, hexane, and EtOAc fractions mainly contained flavonoids, alkaloid, cumarin and glycoside groups, while the BuOH fraction mainly contained flavonoid group (data not shown). A 1 2 3 4 1 2 3 4 1 2 3 4 B A C A Figure 1. TLC chromatogram of C. nutans fractions. A. hexane : acetone (5:2); B. toluene : ethyl acetate: acetone: formic acid (5:2:2:1); C. DCM : methanol (8:2). 1. ethanol fraction; 2. hexane fraction; 3. ethyl acetate fraction; 4. n-butanol fraction The viability of osteoblast when treated with fractions The results in Figure 2 show that the samples at concentrations of 5, 10, 25 and 50 µg/mL were non-toxic to MC3T3-E1 cells. Therefore, these concentrations were selected to assess the effect of the fractions of interest on the differentiation of osteoblasts. Figure 2. Cell viability of MC3T3-E1 cells under the presence of C. nutans fractions. DMSO C el l v ia b il it y ( % ) Figure 2. Cell viability of MC3T3-E1 cells under the presence of C. nutans fractions. DMSO (Control); Ethanol extract (EtOH-BB1); Hexane fraction (BB2); Ethyl acetate fraction (EtOAc- BB3); Butanol fraction (BuOH-BB4) Osteogenesis activity of fractions extracted 89 Effects of C. nutans fractions on ALP activity of osteoblasts The differentiation of osteoblasts can be classified into three stages: i) cell proliferation; ii) maturation of the matrix (matrix maturation); and iii) matrix mineralization. Stage ii) is defined as the time of the maximum expression of ALP activity, which is an important indicator of bone regeneration. The results in Figure 3 show that, among the test samples, the EtOAc and total EtOH extracts have the most pronounced effect on stimulating ALP activity, increasing from 10% (at concentrations of 5 and 10 µg/mL) to 30% (at concentrations of 25 and 50 µg/mL). These fractions were further evaluated for the effect on mineralization activity of MC3T3 cell lines. 1. Figure 3. Effects of C. nutans fractions on ALP activity of MC3T3-E1 osteoblasts. DMSO (Control); Ethanol extract (EtOH-BB1); Hexane fraction (BB2); Ethyl acetate fraction (EtOAc-BB3); n- Butanol fraction (BuOH-BB4). A L P a ct iv it y ( % ) Figure 3. Effects of C. nutans fractions on ALP activity of MC3T3-E1 osteoblasts. DMSO (Control); Ethanol extract (EtOH-BB1); Hexane fraction (BB2); Ethyl acetate fraction (EtOAc- B3); Butanol fraction ( uOH-BB4) Effects of C. nutans EtOH and EtOAC fractions on bone mineralization activity of MC3T3-E1 osteoblast cells The matrix mineralization stage is the third (final) stage of the osteoblast differentiation process. At the end of the mineralization, calcium deposits (bone mineralization) can be observed with appropriate staining. The results in Figure 4 show that the EtOH and the EtOAc fraction can enhance the mineralization activity significantly, up to > 100% with the EtOAc fraction. Thus, this fraction could be a potential source for the acquisition of desired substances that induce bone regeneration. Because the currently using synthetic anti- osteoporosis drugs has some limitations and causes undesirable side effects when used over a long period. Thus, investigations on natural substances, especially phytochemicals from traditional medicinal plants that have been historically used to treat osteoporosis and osteoarthritis diseases are urgently needed. Among the published reports, berberine has been extensively studied. This is an alkaloid compound found in the roots and stems of the Huangshi tree (Coscinium usitatum L.). Lee et al. (2008) showed that berberine increased the expression of a number of marker genes in bone differentiation process, including osteopontin and osteocalcin. It also enhances the activity of the main transcription factor Runx2 during bone formation. Tai et al. (2009) isolated chrysoeriol compound from leaves of Vietnamese Eurya ciliata Merr and found that it can stimulate proliferation of MC3T3-E1 cells at a concentration of 0.2–5.0 g/mL. This compound also enhanced ALP activity and matrix mineralization at 5 g/mL. However, the mechanism of action at the molecular level, as well as the full evaluation on the in vivo model has not been investigated yet. Pham Thi Thu Phuong et al. 90 1. vivo model has not been investigated yet. 2. Figure 4. Effect of C. nutans EtOH and EtOAC fractions on bone mineralization activity of M in er al iz at io n ( % ) Figure 4. Effect of C. nutans EtOH and EtOAC fractions on bone mineralization activity of osteoblast cells MC3T3-E1. DMSO (Control); Ethanol extract (EtOH-BB1); Hexane fraction (BB2); Ethyl acetate fraction (EtOAc-BB3); Butanol fraction (BuOH-BB4) CONCLUSION Ethanol, hexane, ethyl acetate and butanol fractions of C. nutans exhibited bone regeneration activity to various extents. Among them, ethyl acetate fraction can increase ALP enzyme activity and mineralization activity of osteoblast cells up to > 30% and up to > 100%, respectively. Ethyl acetate fraction of C. nutans should be explored further to isolate natural osteogenic compound(s) that can induce bone regeneration for therapeutic applications. Acknowledgments: This study was completed with the financial support from a scientific project of the Vietnam Academy of Science and Technology under grant VAST04.05/20-21. REFERENCES An J., Yang H., Zhang Q., Liu C., Zhao J., Zhang L., Chen B., 2016. Natural products for treatment of osteoporosis: The effects and mechanisms on promoting osteoblast- mediated bone formation. Life Sci., 147: 46–58 Kamarudin M. N. A., Sarker M. M. R., Kadir H. A., Ming L. C., 2017. Ethnopharmacological uses, phytochemistry, biological activities, and therapeutic applications of Clinacanthus nutans (Burm. f.) Lindau: A comprehensive review. J. Ethnopharmacol., 206: 245−266. Mai C. 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Chrysoeriol isolated from the leaves of Eurya ciliata stimulates proliferation and differentiation of osteoblastic MC3T3-E1 cells. J. Asian Nat. Prod. Res., 11(9): 817−825.

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