Abstract
Background and Purpose
Hypertension is a multifactorial disease, manifested by vascular dysfunction, increased superoxide production, and perivascular inflammation. In this study, we have hypothesized that 1,2,3,4,6‐penta‐O‐galloyl‐β‐d‐glucose (PGG) would inhibit vascular inflammation and protect from vascular dysfunction in an experimental model of hypertension.
Experimental Approach
PGG was administered to mice every 2 days at a dose of 10 mg·kg−1 i.p during 14 days of Ang II infusion. It was used at a final concentration of 20 μM for in vitro studies in cultured cells.
Key Results
Ang II administration increased leukocyte and T‐cell content in perivascular adipose tissue (pVAT), and administration of PGG significantly decreased total leukocyte and T‐cell infiltration in pVAT. This effect was observed in relation to all T‐cell subsets. PGG also decreased the content of T‐cells bearing CD25, CCR5, and CD44 receptors and the expression of both monocyte chemoattractant protein 1 (CCL2) in aorta and RANTES (CCL5) in pVAT. PGG administration decreased the content of TNF+ and IFN‐γ+ CD8 T‐cells and IL‐17A+ CD4+ and CD3+CD4−CD8− cells. Importantly, these effects of PGG were associated with improved vascular function and decreased ROS production in the aortas of Ang II‐infused animals independently of the BP increase. Mechanistically, PGG (20 μM) directly inhibited CD25 and CCR5 expression in cultured T‐cells. It also decreased the content of IFN‐γ+ CD8+ and CD3+CD4−CD8− cells and IL‐17A+ CD3+CD4−CD8− cells.
Conclusion and Implication
PGG may constitute an interesting immunomodulating strategy in the regulation of vascular dysfunction and hypertension.
Linked Articles
This article is part of a themed section on Immune Targets in Hypertension. To view the other articles in this section visit http://onlinelibrary.wiley.com/doi/10.1111/bph.v176.12/issuetoc
Abbreviations
- CCR5
C–C chemokine receptor 5
- CD
cluster of differentiation
- MCP‐1
monocyte chemoattractant protein 1
- MIP‐1
macrophage inflammatory protein 1
- PGG
1,2,3,4,6‐penta‐O‐galloyl‐β‐d‐glucose
- pVAT
perivascular adipose tissue
- RANTES
regulated on activation, normal T‐cell expressed and secreted
- SNP
sodium nitroprusside
- VAT
visceral adipose tissue, epididymal fat
What is already known
PGG has a wide range of biological activities including anti‐cancer, anti‐inflammatory, anti‐oxidative effects.
Little is known about the effect of PGG on hypertension or vascular inflammation.
What this study adds
PGG is a candidate for targeting vascular inflammation and protecting from both oxidative stress and endothelial dysfunction
PGG has direct effects on T cell activation and their perivascular recruitment;
What is the clinical significance
Penta‐O‐galloyl‐β‐D‐glucose may provide opportunities for the effective treatment of vascular inflammation in cardiovascular disease and hypertension
1. INTRODUCTION
Vascular inflammation plays a pivotal role in the development and progression of hypertension and atherosclerosis (Guzik et al., 2007; Mikolajczyk et al., 2016; Skiba et al., 2017). Recent studies have shown the involvement of different leukocyte populations such as T‐cells (Guzik et al., 2007; Mikolajczyk et al., 2016), monocytes (Fujisawa et al., 2017; Wenzel et al., 2011), macrophages (Chan et al., 2012; Moore et al., 2015), dendritic cells (Kirabo et al., 2014), and NK cells (Kossmann et al., 2013) in hypertension (Guzik, Skiba, Touyz, & Harrison, 2017). Angiotensin II (Ang II) and other pro‐hypertensive stimuli induce immune cell activation and infiltration to the adventitia and peri‐adventitial fat (Guzik et al., 2007). These cells can produce a number of pro‐inflammatory cytokines and chemokines accelerating inflammation and contributing to vascular disease in hypertension (Guzik et al., 2007; Kusters, Lutgens, & Seijkens, 2018; Mikolajczyk et al., 2016). While a myriad of antihypertensive agents is available (Nguyen, Dominguez, Nguyen, & Gullapalli, 2010), only a few partially target these inflammatory mechanisms (Hermann & Ruschitzka, 2006). Current antihypertensive drugs, including those which target the Ang II system, are effective in controlling BP only in a subset of patients; however, they do not provide sufficient prevention of target organ damage in these individuals (Wright et al., 2002). Therefore, a more comprehensive way of targeting the pathology of hypertension is required, rather than solely focusing on BP regulation (Williams et al., 2018). This indicates a need for targeting the pathomechanisms involved in target organ damage including endothelial dysfunction, oxidative stress, and inflammation. The combination of a current antihypertensive agent with an anti‐inflammatory compound, which targets the immune system, would be more efficacious in preventing tissue damage. Suppression of vascular inflammation processes may inhibit or delay the progression of both hypertension and atherosclerosis. While systemic immunomodulation using anti‐cytokine treatment has recently been provided with an important proof‐of‐concept, it is imperative to identify novel agents that lack strong systemic immunosuppressive properties (Ridker et al., 2017). Many natural compounds derived from plants have shown anti‐inflammatory activity. The naturally occurring 1,2,3,4,6‐penta‐O‐galloyl‐β‐d‐glucose (PGG) is a polyphenolic compound highly enriched in Oenothera paradoxa (Jaszewska, Kosmider, Kiss, & Naruszewicz, 2009; Kiss, Derwinska, Dawidowska, & Naruszewicz, 2008; Kiss, Filipek, Czerwinska, & Naruszewicz, 2010). PGG has a wide range of biological activities including anticancer, anti‐diabetic, anti‐inflammatory, anti‐oxidative, anti‐allergy, antiviral, and antibacterial effects (Cryan et al., 2013; Zhang, Li, Kim, Hagerman, & Lu, 2009). Little is known about the effect of PGG on hypertension or vascular inflammation. However, PGG was shown to reverse cholesterol transport by influencing the expression of scavenger receptors, suggesting that this polyphenolic component may represent a novel candidate in the prevention and treatment of atherosclerosis in humans (Zhao, Haller, & Ritsch, 2015). Therefore, we aimed to investigate the effect of i.p. PGG administration on perivascular inflammation, vascular dysfunction, and BP elevation in an experimental model of Ang II‐dependent hypertension.
2. METHODS
2.1. Isolation of PGG
PGG was isolated from defatted seed extract of O. paradoxa Hudziok obtained from Agropharm S. A. (Tuszyn, Poland). One hundred grams of the seeds were dissolved in water (500 ml) and extracted with ethyl acetate (3 × 500 ml). Ethyl acetate fractions were dried under vacuum at 45 °C (giving a residue of ~10 g). The ethyl acetate extract was further fractionated on a polyamide column (5 cm × 8 cm; particle size 0.05–0.16 mm, Carl Roth, Germany) and eluted with acetone–water (7:3 [vol:vol]). One hundred fractions (50 ml each) were collected and pooled into 1A–6A main fractions based on their polyphenolic profile. PGG presence was monitored using HPLC. Fraction 5A (675 mg) was further subfractionated on a Toyopearl HW‐40, fine grade column (2.5 cm × 35 cm; Tosoh, Japan) using methanol–water (7:3 [vol:vol]) and acetone–water (7:3 [vol:vol]) as eluents. One hundred twenty fractions (10 ml each) were collected. Fractions 111–119 were separated again, eluted with acetone–water (4:6 [vol:vol]) as eluent to obtain a compound of purity >95% (390 mg). Chromatograms of crude seed extract and isolated PGG are presented in Figure S1.
2.2. Characterization of PGG
Off‐white powder; UV, λ max 281 nm; ESI‐MS (negative ion mode) m/z 939.0 [M‐H]−. 1H NMR (MD3OD) glucose moiety: δ 6.46 (1H, d, J = 8 Hz, H‐1), 6.20 (1H, t, H‐3), 5.85 (1H, m, H‐4), 4.78 (1H, m, H‐5), 4.51 (1H, m, H‐6). Galloyl moieties: δ 7.16, 7.18, 7.23, 7.25, 7.32 (each 2H, s). 13C NMR (MD3OD) glucose moiety: 93.85 (C‐1), 74.45 (C‐5), 74.13 (C‐3), 72.21 (C‐4), 69.82 (C‐2), 63.15 (C‐6). Galloyl moieties: 167.99, 167.35, 167.08, 166.98, 166.28 (carbonyl group signals), 146.63, 146.53, 146.50, 146.44, 146.34 (C‐3, C‐5), 141.00, 140.53, 140.48, 140.27, 140.14 (C‐4), 121.00, 120.31, 120.17, 120.13, 119.62 (C‐1), 110.63, 110.48, 110.42, 110.40, 110.35 (C‐2, C‐6). 1H and 13C spectra of PGG are presented in Figure S2.
2.3. Animals
Male C57BL/6J (RRID:IMSR_JAX:000664, Bar Harbor, ME, USA) mice (n = 70) were obtained from Jackson Laboratory. Mice were housed in controlled 12‐hr light/dark conditions at a constant temperature (21 ± 3 °C) with ad libitum access to water and standard diet (rat and mouse no. 1 maintenance diet, Special Diet Services). Twelve‐week‐old mice underwent either sham (buffer) or Ang II (490 ng·min−1·kg−1 s.c.) treatment for 14 days, using an osmotic minipump (Alzet Model 2002, Alzet Corporation, CA) as previously described (Mikolajczyk et al., 2016). This model of experimental hypertension in C57BL/6 mice has been well characterized previously (Guzik et al., 2007). Surgical procedures were performed under general anaesthesia by using isoflurane (3–5% for induction and 1.5–3% for maintenance of anaesthesia). PGG 10 mg·kg−1 was injected i.p. every 2 days, as previously described (Huh et al., 2005), starting 1 week before minipump implantation. PGG was initially dissolved in 96% ethanol, and then, 0.9% saline solution was added. The final concentration of ethanol was 7%. As a placebo, we used 0.9% saline solution with 7% ethanol. Mice were randomly assigned to either sham or Ang II and placebo or PGG‐treated groups. Individual mice were assigned numbers during randomization, therefore, data analysis for all subsequent endpoints was blinded for the treatment assignment groups. Placebo was administered to control animals. All animals underwent non‐invasive BP measurement by tail‐cuff plethysmography (Visitech bp 2000 bp Analysis System), following a 1‐week period of adaptation before surgery. Two weeks after minipump implantation, mice were killed, and aorta and adipose tissue (perivascular and visceral fat) were collected. All animal procedures were approved by Local Ethics Committee no. 1 in Krakow (Poland; permission no. 16/2012) and by the Home Office according to the Animals (Scientific Procedures) Act 1986 (project licence 60/9021). Animal studies are reported in compliance with the ARRIVE guidelines (Kilkenny et al., 2010) and with the recommendations made by the British Journal of Pharmacology.
2.4. Vascular reactivity measurements
Isometric tension studies in response to the endothelium‐dependent and endothelium‐independent vasodilators, ACh and sodium nitroprusside (SNP), were performed following preconstriction with 1 μM PGF2α in 3‐ to 4‐mm segments of aorta using tissue organ bath system 750TOBS (Danish Myo Technology) filled with Krebs solution (in mM: 124 NaCl, 4.6 KCl, 2.5 CaCl2, 1.2 MgSO4, 1.2 KH2PO4, 0.01 EDTA, 23 NaHCO3, and 11 glucose) as reported previously (Mikolajczyk et al., 2016; Siedlinski et al., 2017). All relaxation responses are expressed as a percentage of the PGF2α preconstriction. The level of the preconstriction response to PGF2α was matched between groups to the level of ~80% of maximal constriction. Moreover, PGG did not affect vascular contractility in response to PGF2α in sham and Ang II‐infused animals.
2.5. Analysis of leukocytes in adipose tissue
For analysis of immune cells in adipose tissue compartments, perivascular adipose tissue (pVAT) or epididymal (visceral adipose tissue [VAT]) fat was digested using collagenase type XI (125 U·ml−1), collagenase type IS (450 U·ml−1), and hyaluronidase IV‐S (60 U·ml−1), which had been dissolved in PBS containing calcium and magnesium for 20 min at 37 °C, with regular agitation. Afterwards, digestion was stopped by addition of ice‐cold PBS with 20% FBS. The digested tissue was then passed through a 70‐μm sterile cell strainer (Falcon; BD Biosciences, San Jose, CA) to yield a single‐cell suspension. Cells were washed twice in PBS with 1% FBS, resuspended and counted; 0.5 × 106 cells were stained with fluorophore‐ conjugated monoclonal antibodies: anti‐CD45‐FITC (Clone 30‐F11, BD Biosciences, San Jose, CA, USA), anti‐CD3e‐APC (Clone 145‐2C11, BD Biosciences), anti‐CD4‐APHC7 (Clone GK1.5, BD Biosciences), anti‐CD8a‐PERCP (Clone 53–6.7, BD Biosciences), anti‐CD25‐PE (Clone PC61.5, eBioscience, San Diego, CA, USA), anti‐CD195‐PE (Clone HM–CCR5 [7A4], eBioscience), anti‐CD44‐FITC (Clone IM7, BD Biosciences), anti‐F4/80‐APC (Clone BM8, eBioscience), and anti‐CD11b‐PE (Clone M1/70, BD Biosciences). After 20 min of staining on ice, cells were washed twice in PBS with 1% FBS and were analysed using a BD FACSVerse™ flow cytometer with BD FACSuite™ software (BD Biosciences). T‐cells were analysed from CD45 positive cells based on CD3 expression and Side scatter (SSC) signal. Next, within the CD3 gate, CD4, CD8, and CD3+CD4–CD8– cells were analysed. Macrophages were defined as the F4/80+CD11b+ population. For each experiment, we performed fluorescence minus one controls for each fluorophore to establish gates. Dead cells were eliminated from the analysis using BD Horizon™ Fixable Viability Stain 510 (BD Biosciences). Data were analysed by FlowJo (RRID:SCR_008520) software (FlowJo, Ashland, OR).
2.6. Assessment of intracellular cytokines
Splenocytes (1 × 106 ) were suspended in RPMI 1640 medium (Gibco, Life Technologies, USA) with 10% FBS, 200‐mM l‐glutamine, and 5 mg ml−1 gentamicin (Sigma‐Aldrich, St. Louis, MO, USA) and were cultured without or with PGG in a final concentration of 20 μM for 30 min.
In parallel in vivo experiments, leukocytes isolated from pVAT from sham‐ and Ang II‐infused animals treated with PGG or placebo were studied. Next, cells were stimulated with leukocyte activation cocktail with BD Golgi Plug from BD Biosciences for 4 hr at 37 °C in a 5% CO2 humidified atmosphere. Cells were then washed in PBS with 1% FBS and stained with monoclonal antibodies: anti‐CD3e‐APC (Clone 145‐2C11, BD Biosciences), anti‐CD4‐APHC7 (Clone GK1.5, BD Biosciences), and anti‐CD8a‐PERCP (Clone 53–6.7, BD Biosciences). Following washing, fixation and permeabilization solution (eBioscience) was used for 30 min on ice. After fixation/permeabilization, cells were washed with permeabilization buffer (eBioscience) and stained for 20 min with monoclonal antibodies: anti‐TNF‐PE (Clone MP6‐XT22, BD Biosciences), anti‐IL‐17A‐PE (Clone eBio17B7, eBioscience), anti‐IL‐17A‐PE‐Cy7 (Clone eBio17B7, eBioscience), and anti‐IFN‐γ‐FITC (Clone XMG1.2, BD Biosciences). Dead cells were eliminated from the analysis using BD Horizon™ Fixable Viability Stain 510 (BD Biosciences). After additional washes, cells were analysed using a BD FACSVerse™ flow cytometer.
2.7. Assessment of T‐cell activation markers in vitro
To evaluate the effect of PGG on the expression of activation markers on the surface of T‐cells, anti‐CD3 plates were used; 96‐well plates were coated with anti‐CD3 monoclonal antibodies (Clone 145‐2C11; Thermo Fisher Scientific, Waltham, MA, USA, Cat# 16‐0031‐81, RRID:AB_468846). Splenocytes were isolated from C57Bl/6J mice and then were suspended in RPMI 1640 medium (Gibco, Life Technologies, Grand Island, NY, USA) with 10% FBS, 200‐mM l‐glutamine, and 5 mg ml−1 gentamicin (Sigma‐Aldrich) and were cultured with or without PGG (20 μM) on anti‐CD3‐coated plates for 20 hr. After being washed in PBS with 1% FBS, they were stained with monoclonal antibodies to identify T‐cell subsets (see above) and with activation marker monoclonal antibodies: anti‐CD25‐PECY7 (Clone PC61, BD Biosciences), anti‐CD195‐PE (Clone HM‐CCR5 [7A4], eBioscience), and anti‐CD44‐FITC (Clone IM7, BD Biosciences). Dead cells were eliminated from the analysis using BD Horizon™ Fixable Viability Stain 510 (BD Biosciences). After being stained the cells were washed in PBS with 1% FBS and were collected using a BD FACSVerse™ flow cytometer.
2.8. Detection of vascular superoxide production
Aortic segments were equilibrated in oxygenated Krebs‐HEPES (in mM: NaCl 99.0, NaHCO3 25, KCl 4.7, KH2PO4 1.0, MgSO4 1.2, glucose 11.0, CaCl 22.5, and Na‐HEPES 20.0) buffer for 15 min at 37 °C. Lucigenin‐enhanced chemiluminescence (5 μmol·L−1) from intact vessels was measured in buffer (2 ml) containing lucigenin at 37 °C using FB12 Tube Luminometer (Tritertek Berthold) as previously described (Sagan et al., 2012; Siedlinski et al., 2017). Superoxide production was expressed as RLU·s·mg−1 of dry weight as described before (Siedlinski et al., 2017).
2.9. Cell culture and gene expression measurements
SW 872 cells (ATCC, USA) were grown at 37 °C in a 5% CO2 atmosphere in DMEM supplemented with 10% FBS, 50 U·mL−1 penicillin, and 50 U·mL−1 streptomycin. For SW872 differentiation to adipocytes, medium was replaced with 10% FBS DMEM with insulin (1 μM; Cell Applications, San Diego, CA), dexamethasone (0.25 μM; Sigma‐Aldrich), and IBMX (0.5 mM; Sigma‐Aldrich) for 48 hr. Medium was replaced with 10% FBS DMEM with insulin (1 μM) for another 48 hr. For the next 4 days, medium was replaced with 10% FBS DMEM. A day before stimulation, cells were starved in 1% FBS DMEM and then were stimulated with 50 μM PGG for 24 hr. Total RNA was obtained from cells using RNeasy Mini Kit (Qiagen, Hilden, Germany) and was measured by Nanodrop 1000 (Thermo Fisher Scientific). Reverse transcription of 1 μg RNA was performed using High Capacity cDNA Reverse Transcription Kit (Applied Biosystems). mRNA expressions of chosen genes were analysed using Fast SYBR® Green Master Mix (Thermo Fisher Scientific) and designed primers (TNF, forward primer sequence [5′ → 3′] AGCCCATGTTGTAGCAAACC, reverse primer sequence [5′ → 3′] TGAGGTACAGGCCCTCTGAT; MCP‐1 (CCL2) forward primer sequence [5′ → 3′] CCCCAGTCACCTGCTGTTAT, reverse primer sequence [5′ → 3′] AGATCTCCTTGGCCACAATG; RANTES (CCL5) forward primer sequence [5′ → 3′] CGCTGTCATCCTCATTGCTA, reverse primer sequence [5′ → 3′] GAGCACTTGCCACTGGTGTA (Eurofins, Luxembourg). Reactions were prepared and run on 384‐well plates on the QuantStudio™ 7 Flex Real‐Time PCR System with standard protocol. Calculations were made using QuantStudio™ Real‐Time PCR Software. Data were normalized to levels of GAPDH mRNA, and relative quantification was calculated in comparison to control.
2.10. Gene expression measurements in aortic and pVAT
Collected tissue was stored in RNAlater stabilization solution (Ambion, Thermo Fisher Scientific) until RNA isolation. Total RNA was obtained from cells using RNeasy Mini Kit (Qiagen) and was measured by Nanodrop 1000 (Thermo Fisher Scientific). Reverse transcription of 1 μg RNA was performed using High Capacity cDNA Reverse Transcription Kit (Applied Biosystems, Foster City, CA, USA). mRNA expressions of chosen genes were analysed using TaqMan assays for CCL2 (MCP‐1; Mm00441242_m1), CCL3 (Mm00441259_g1), CCL4 (Mm00443111_m1), and CCL5 (RANTES; Mm01302427_m1). Reactions were prepared and run on 384‐well plates on the QuantStudio™ 7 Flex Real‐Time PCR System with standard protocol. Calculations were made using QuantStudio™ Real‐Time PCR Software. Data were normalized to levels of Eukaryotic Translation Elongation Factor 2 (EEF2) (Mm05700170_g1) mRNA, and relative quantification was calculated in comparison to control.
2.11. Statistical analysis
For comparison of the effects of Ang II and PGG on parameters in different groups of mice, we used two‐way ANOVA with a Bonferroni post hoc test. For comparisons of vascular function in organ chamber experiments, repeated‐measures ANOVA was used.
For comparison of two groups, Student's paired t test was used. Values of P < 0.05 were considered significant. For statistical analysis, GraphPad PRISM version 6.0c was used. The data and statistical analysis comply with the recommendations of the British Journal of Pharmacology on experimental design and analysis in pharmacology.
2.12. Nomenclature of targets and ligands
Key protein targets and ligands in this article are hyperlinked to corresponding entries in http://www.guidetopharmacology.org, the common portal for data from the IUPHAR/BPS Guide to PHARMACOLOGY (Harding et al., 2018), and are permanently archived in the Concise Guide to PHARMACOLOGY 2017/18 (Alexander et al., 2017).
3. RESULTS
3.1. Effect of PGG on immune cell infiltration into pVAT during Ang II‐dependent hypertension
The effect of PGG on leukocyte infiltration into the perivascular tissue was investigated in a mouse model of experimental hypertension. In line with previous findings, 14‐day administration of Ang II significantly increased the content of total leukocytes in pVAT (Figure 1a). Absolute number of leukocytes significantly increased following Ang II infusion (730 ± 79 vs. 1640 ± 150 cells·mg−1, P < 0.05; Figure 1b). Importantly, i.p. administration of PGG (every 2 days) 1 week prior to implantation of minipumps and during 2 weeks of Ang II infusion significantly reduced the total number of CD45+ cells in the pVAT in comparison to animals which did not receive this drug (1640 ± 150 vs. 1028 ± 57 cells·mg−1, P < 0.05). In summary, PGG prevented leukocyte infiltration of pVAT during Ang II infusion (Figure 1b). As identified before, CD3+ T‐cells were particularly increased following Ang II administration (158 ± 28 vs. 321 ± 22 cells·mg−1, P < 0.05) and PGG efficiently prevented this infiltration (321 ± 22 vs. 158 ± 18 cells·mg−1, P < 0.05; Figure 1a,c). It is important to note that we also observed a statistically significant change in F4/80 cell content in the placebo group and a lack of such an increase in PGG‐treated mice, indicating that an effect was also observed on recruitment of macrophages (Figure 1a,d). Further characterization has shown that all major T‐cell subsets, including CD4+, CD8+, and CD3+CD4−CD8− cells (Figure 2a–c), were increased in Ang II‐treated mice, and PGG prevented these increases (Figure 2a–c).
The effect of Ang II infusion on the total number of leukocytes, T‐cells, and elevation of macrophages was particularly seen in pVAT but not in VAT (Figure S3a–c). Administration of PGG had no effect on the number of CD45+, CD3+, and F4/80+CD11b+ cells in VAT (Figure S3).
3.2. Effect of PGG on the content of activated T‐cells during Ang II‐dependent hypertension
As we had previously identified that the RANTES–CCR5 axis is essential for activated T‐cell recruitment in hypertension (Mikolajczyk et al., 2016), we next studied the effects of PGG on the expression of CCR5 and activation status of infiltrating T‐cells. Ang II‐dependent hypertension was associated with an increased number of CCR5 positive (both CD4+ and CD8+) T‐cells in pVAT (Figure 3a). Additionally, the number of CD25+CD4+, but not CD25+CD8+ T‐cells, was increased following Ang II infusion (Figure 3a). This effect was not seen in mice that had received PGG during Ang II administration (Figure 3a). Administration of PGG during Ang II‐dependent hypertension significantly decreased the number of CCR5+CD4+ and CCR5+CD8+ cells (Figure 3a). PGG also efficiently reduced the content of CD4+ cells bearing CD25 during the development of hypertension (Figure 3a). Ang II infusion increased the number of CD44+ (both CD4+ and CD8+) T‐cells, and PGG efficiently reduced the content of these cells when it was administered together with Ang II (Figure 3a).
3.3. PGG exhibits anti‐inflammatory effects in vitro
To investigate the effect of PGG on T‐cell activation in vitro, we cultured freshly isolated splenocytes on anti‐CD3‐coated plates in the absence or presence of PGG in the final concentration 20 μM. After 20 hr of cell culture, we observed that addition of PGG to the splenocytes slightly reduced the percentage of CCR5+CD3+ and CCR5+CD4+ cells. In addition, the mean intensity of fluorescence for CCR5 was decreased within CD4+ T‐cells (Table 1). PGG also decreased the mean intensity of fluorescence for CD25 in both CD4+ and CD8+ T‐cells but had no effect on the expression of hyaluronan receptor—CD44 (Table 1), confirming possible direct effects of PGG on T‐cell biology, which were observed in vivo.
Table 1.
CD3+ | CD4+ | CD8+ | CD3+CD4−CD8− | |||||
---|---|---|---|---|---|---|---|---|
Placebo | PGG | Placebo | PGG | Placebo | PGG | Placebo | PGG | |
CCR5 % (mean) | 33 ± 1.3 (328 ± 17) | 30.5 ± 0.6* (301 ± 4.4) | 32 ± 1 (352 ± 22.5) | 29 ± 1* (295 ± 4.3)* | 32.9 ± 1,3 (311 ± 18) | 30.7 ± 0.5 (295 ± 3.9) | 36.7 ± 2 (305 ± 6.4) | 35 ± 1.7 (308 ± 15) |
CD25 % (mean) | 46.4 ± 4 (2,144 ± 66) | 45 ± 4 (1,785 ± 54)* | 55.9 ± 5.6 (2,608 ± 147) | 48.8 ± 4.4 (2,193 ± 69)* | 40.7 ± 3.76 (1,770 ± 74) | 41.5 ± 4 (1,420 ± 83)* | 47.7 ± 3.8 (1,934 ± 100) | 53 ± 3.8* (1,762 ± 57) |
CD44 % (mean) | 75 ± 2 (5,247 ± 276) | 74 ± 1.9 (5,375 ± 270) | 93 ± 1.16 (4,176 ± 321) | 93 ± 1 (4,282 ± 238) | 60 ± 2.8 (4,384 ± 159) | 58 ± 2 (4,670 ± 289) | 87.9 ± 2.4 (13,499 ± 813) | 90 ± 1.7 (13,551 ± 814) |
Note: Freshly isolated splenocytes were cultured on anti‐CD3‐coated plates in the presence of PGG (final concentration 20 μM) for 20 hr. Expressions of CCR5, CD25, and CD44 on T‐cell (CD3+) and their subsets (CD4+, CD8+, and CD3+CD4−CD8−) cultured with the presence of PGG or placebo. The percentage (%) of the CCR5, CD25, and CD44 positive cells within T‐cell (CD3+) compartment and their subsets are indicated. Corresponding values of mean intensity of fluorescence (mean) on individual cell populations are provided (n = 7).
P < 0.05.
However, PGG at a dose of 50 μM had no effect on RANTES (CCL5) mRNA expression but effectively decreased the level of chemokine (C–C motif) ligand 2 (CCL2; also referred to as MCP‐1) mRNA in the line of fibroblasts SW872 differentiated to adipocytes (Figure S4a,b), suggesting that the mechanism of this anti‐inflammatory effect is more complex.
3.4. PGG inhibits chemokine expression in vivo
Next, we investigated the effect of PGG on chemokine expression in a mouse model of experimental hypertension. Fourteen days of administration of Ang II significantly increased the expression of MCP‐1 and RANTES in both aorta and pVAT (Figure 3b). We also observed increased expression of macrophage inflammatory protein 1 α (MIP‐1α; also known as CCL3) in pVAT following Ang II infusion (Figure 3b). Interestingly, the administration of PGG significantly decreased the expression of both MCP‐1 in aorta and RANTES in pVAT (Figure 3b) while not exerting statistically significant effects on the expression of MIP‐1α and MIP‐1β (also known as CCL4; Figure 3b).
3.5. Effect of PGG on T‐cell cytokine production
Considering the ability of PGG to decrease the expression of some cell activation markers, we next investigated its effect on the production of cytokines by T‐cells. Addition of PGG to T‐cells 30 min prior to stimulation had no effect on the content of CD4+TNF+, CD8+TNF+, and CD3+CD4−CD8–TNF+ T‐cells (Figure 4a). Using SW872 human fibroblasts differentiated to adipocytes, we have observed no effect of PGG on mRNA encoding TNF expression (Figure S4c). PGG decreased the content of IFN‐γ positive cells, and this effect was particularly seen within CD8+ and CD3+CD4−CD8− T‐cells (Figure 4b). PGG had no effect on the content of CD4+IFN‐γ+ cells (Figure 4b). PGG administration during stimulation of T‐cells with leukocyte activating cocktail decreased the content of IL‐17A positive CD4+ as well as CD3+CD4−CD8– cells, but this effect was statistically significant only in relation to double negative (CD3+CD4−CD8−) T‐cells (Figure 4c). Additional performed experiments confirmed that PGG in a final concentration of 20 μM did not affect, to a significant degree, the percentage of dead cells in T‐cell culture (data not shown).
3.6. Effect of PGG on T‐cell cytokine production in Ang II‐dependent hypertension
Next, we examined the effect of PGG on cytokine production by T‐cells isolated from pVAT from sham‐ and Ang II‐treated mice. Chronic Ang II administration increased the number of CD4+TNF+, CD8+TNF+, and CD3+CD4−CD8−TNF+ T‐cells in either PGG‐treated or placebo group (Figure 5a). Interestingly, an i.p. administration of PGG (every 2 days) starting 1 week before minipump implantation and throughout the Ang II infusion significantly reduced the number of CD8+TNF+ cells but had no effect on CD4+TNF+ and CD3+CD4−CD8−TNF+ T‐cells (Figure 5a). Ang II administration significantly increased the number of CD8+IFN‐γ+ T‐cells, and PGG administration decreased the content of these cells (Figure 5b).
Ang II infusion increased the content of CD4+IL‐17A+ and CD3+CD4−CD8−IL‐17A+ T‐cells. This effect was not observed in the group treated with PGG. Interestingly, the administration of PGG significantly reduced the content of IL‐17A positive CD4+ as well as CD3+CD4−CD8− T‐cells (Figure 5c).
3.7. Effect of PGG on vascular dysfunction and BP elevation in response to Ang II
We next investigated the effect of PGG on vascular function, ROS production, and BP regulation in the context of alterations to inflammatory processes previously linked to hypertensive pathology. Importantly, PGG partially prevented development of endothelial dysfunction evoked by Ang II‐induced hypertension (Figure 6a), while endothelium‐independent responses to SNP were not altered (Figure 6b). In line with this, PGG prevented vascular oxidative stress as measured by lucigenin‐enhanced chemiluminescence in aortic rings (Figure 6c). Interestingly, these changes were independent of BP regulation as Ang II increased BP to the same extent in both placebo‐treated and PGG‐treated mice (Figure 6d).
4. DISCUSSION
As we are learning about the potential benefits of limiting vascular inflammation (Kusters et al., 2018; Ridker et al., 2017), there is an urgent need to identify novel ways to target vascular inflammation and investigate their effects on cardiovascular parameters. PGG represents a promising candidate in the prevention and therapy of many inflammatory diseases, diabetes, and cancer (Zhang et al., 2009). While numerous studies have focused on its antitumour activity in a number of pathologies, primarily through the induction of apoptosis of cancer cells, several key papers have suggested significant anti‐inflammatory properties of PGG (Feldman et al., 2001; Kang et al., 2005; Kiss, Filipek, Zyzynska‐Granica, & Naruszewicz, 2013; Wu & Gu, 2009). In the present study, we focused on specific effects of PGG on vascular inflammation, showing that it affects, in particular, cellular components of the inflammatory infiltrate and may also inhibit T‐cell activation and recruitment to the vessel wall. This is important in the prevention of vascular damage as a consequence of hypertension, which we have used as a model system of vascular inflammation. In preliminary experiments, we observed that PGG decreased the number of T‐cells in pVAT while having only a moderate effect on macrophages. For this reason, we have focused on characterization of T‐cell subsets in more details. In addition, this direction of study follows our previous investigations showing the effect on T‐cells on vascular function in hypertension (Mikolajczyk et al., 2016), while macrophages were demonstrated to be more important in models of atherosclerosis (Skiba et al., 2017).
Our studies are in line with previous reports of systemic anti‐inflammatory activity of PGG, which suppresses a number of pro‐inflammatory cytokines (such as TNF‐α) from human peripheral blood mononuclear cells exposed to LPS (Feldman et al., 2001). Through the suppression of TNF‐α, PGG effectively protects from otherwise lethal doses of LPS challenge (Genfa et al., 2005). PGG significantly reduced LPS‐induced NO production in macrophages, decreased gene expression and production of iNOS in a dose‐dependent manner (Kim et al., 2009; Lee, Lee, & Mar, 2003), and inhibited COX‐2 activity in LPS‐activated macrophages (Lee et al., 2003) as well as the activation of NF‐κB (Kim et al., 2009). In addition, PGG, inhibited gene expression and secretion of IL‐8, a major mediator of acute neutrophil‐mediated inflammation, and CCL‐2, a major mediator of chronic macrophage‐mediated inflammation in human monocytic U937 cells stimulated with phorbol myristate acetate (Oh et al., 2003).
However, no studies to date have addressed the effect of this compound on vascular inflammation and cytokine production, particularly essential for the regulation of endothelial function. We have recently shown that IFN‐γ produced by CD8 cells infiltrating pVAT appears to be particularly important in the regulation of vascular function in hypertension (Kossmann et al., 2013; Mikolajczyk et al., 2016). This is essential because endothelial dysfunction precedes development of atherosclerosis and leads to the clinical complications of hypertension (Wilk et al., 2013).
In the present study, we show for the first time that 20 μM of PGG suppressed PMA‐ and calcium ionophore‐induced release of IFN‐γ from both CD8+ and CD3+CD4−CD8− cells.
Interestingly, while PGG administration affected a variety of immune cells and pro‐inflammatory mechanisms, there was a marked decrease in the production of IFN‐γ in CD8+ T‐cells upon Ang II infusion in comparison to the same group treated with placebo.
While PGG supressed other markers of T‐cell activation, it did not induce cell death in the examined T‐cells.
Our findings are in line with recent studies by Kim et al. (2015) who observed that p.o. administration of PGG suppressed the production of T helper 2 (IL‐4 and IL‐13) and T helper 1 (IFN‐γ) as well as pro‐inflammatory cytokines such TNF‐α and IL‐6. However, this was not observed in the case of anti‐inflammatory IL‐10 in ovalbumin‐restimulated splenocytes from ovalbumin‐sensitized mice.
Interestingly, PGG selectively induced IL‐10 production in serum related to regulatory T‐cells (Kim et al., 2015). Effects of PGG on macrophages are better characterized. PGG has been shown to suppress IL‐1β, TNF‐α, and IL‐6 in LPS‐stimulated peritoneal macrophages while increasing expression of the anti‐inflammatory cytokine IL‐10. This effect was mediated by suppression of NF‐κB and MAPK signalling pathways in a MyD88 adaptor protein‐dependent manner (Jang, Hyam, Jeong, Han, & Kim, 2013).
Although we did not observe a decreased in vitro production of TNF‐α after PGG administration in neither T‐cells nor SW872‐derived adipocytes, such an effect was evident in response to in vivo administration of PGG. PGG significantly reduced the number of CD8+TNF+ cells but had no effect on the content of CD4+TNF+ and CD3+CD4−CD8−TNF+ T‐cells.
Previous studies have demonstrated an essential role of IL‐17 in hypertensive vascular dysfunction (Madhur et al., 2010); (Saleh, Norlander, & Madhur, 2016). Therefore, we investigated the effects of PGG on the expression of this cytokine upon activation. While we observed the suppression of IL‐17 production across all T‐cell subsets in vitro, it reached statistical significance only in CD3+CD4−CD8− cells, which is in line with the fact that these cells are the predominant source of IL‐17 in hypertension (Caillon et al., 2017; Saleh et al., 2016). In vivo study using an experimental model of Ang II‐dependent hypertension confirmed that PGG also effectively inhibited the production of IL‐17A by CD4+ and CD3+CD4−CD8− T‐cell subsets. Interestingly, while we observed a number of vasoprotective effects in relation to vascular inflammation, endothelial dysfunction, and vascular oxidative stress, these effects were independent of BP regulation, as i.p. injection of PGG at a dose of 10 mg·kg−1 every 2 days did not attenuate Ang II‐induced hypertension. There was, however, a modest trend towards a mild BP reduction in these mice. It is also important to note that we have only performed tail‐cuff BP measurement, and the use of telemetry could result in a more sensitive effect. Lack of antihypertensive effect may also be linked to the model we used. Interestingly, PGG revealed a strong dose‐dependent hypotensive effect, reducing the BP significantly in spontaneously hypertensive rats with infusion of angiotensin I (Liu et al., 2003). However, in that study, the authors used a complex model of spontaneous hypertension (through the use of spontaneously hypertensive rats), which is more sophisticated than the model of Ang II‐induced hypertension (Lin, Lee, Chan, & Tse, 2016; Liu et al., 2003). It should be emphasized that in that study, the authors also investigated the acute effect of PGG preceded by an infusion of Ang I. In contrast, we focused on the chronic effects of PGG, which did not reduce BP response to Ang II in our study.
ROS plays an important role in the regulation of endothelial function (Radziwon‐Balicka et al., 2017; Shafique et al., 2017; Tsai et al., 2017). It is well known that PGG acts as a ROS scavenger (Viswanatha, Shylaja, & Mohan, 2013). Moreover, recently published studies have revealed that PGG induced SOD activity in Caenorhabditis elegans and reduced intracellular ROS accumulation in a dose‐dependent manner (Ahn et al., 2013). Early studies on PGG have demonstrated that it can protect cells from oxidative stress via heme oxygenase‐1 induction, indicating that the PGG can also act as an indirect antioxidant (Choi et al., 2002). The effects of PGG on vascular function are important. Although they may be partially linked to the reduction of vascular inflammation, PGG may also have direct effects on the vasculature. Indeed, we observed a significant reduction of vascular oxidative stress by PGG, in line with the fact that tannins have antioxidant properties (Riedl & Hagerman, 2001; Viswanatha et al., 2013) in a number of cellular models (Abdelwahed et al., 2007; Okubo et al., 2000).
It is likely that the effects on endothelial function are mediated in part by the direct antioxidant properties of PGG, leading to an increase of NO bioavailability and in part indirectly, by reducing perivascular inflammation. The latter mechanism is supported by our previous study showing that perivascular T‐cell infiltration may stimulate both oxidative stress and endothelial function (Mikolajczyk et al., 2016). In that study, we demonstrated that IFN‐γ was pivotal in the induction of endothelial dysfunction (Mikolajczyk et al., 2016). Interestingly, PGG affected T‐cell IFN‐γ production to the largest extent in the present in vivo study. This possible pleiotropic effect may indicate that compounds such as PGG may target multiple mechanisms of vascular dysfunction and disease, which could make them particularly valuable in multifactorial diseases such as hypertension. We observed that PGG normalized ROS production but only modestly improved vascular function. However, in our study, we used lucigenin‐enhanced chemiluminescence, which allows detection of superoxide anion production. It is known that other radicals (hydroxyl radical, lipid peroxyl radical, and alkoxyl radical) and other molecules including peroxynitrite, hypochlorous acid, and hydrogen peroxide have strong oxidant properties and can affect vascular function (Guzik et al., 2002). Furthermore, Ang II and H2O2 cause the phosphorylation of eNOS on Tyr657, attenuating NO production (Carnicer et al., 2017; Douglas et al., 2018; Loot, Schreiber, Fisslthaler, & Fleming, 2009). Finally, Ang II could cause an H4B deficiency leading to eNOS uncoupling, resulting in lower NO production. All factors mentioned above are likely to work in concert, leading to the impairment of endothelium‐dependent vasodilatation in hypertensive animals.
We observed that in response to SNP, there was a rightward shift in Ang II‐treated aortas. This was seen in both PGG and placebo groups. This phenomenon is common in vascular studies of aortas from Ang II‐infused animals and was observed previously by our group as well as others (Itani et al., 2016; Madhur et al., 2010; Mikolajczyk et al., 2016; Siedlinski et al., 2017) and may be linked to the impaired sensitivity of vascular smooth muscle cells and soluble guanylyl cyclase to NO upon chronic Ang II infusion (Sorop et al., 2017). Reduction of vascular oxidative stress and endothelial dysfunction may serve as important mechanisms in the reduction of vascular inflammation as both chemokines and adhesion molecules are redox sensitive. Indeed, in a recent study, PGG was shown to inhibit a number of pro‐inflammatory mediators such as LTB4, IL‐8, and myeloperoxidase in human neutrophils through the suppression of ROS, particularly O2 − (Kiss et al., 2010). PGG is also known to inhibit β2‐integrin (CD11b) and L‐selectin (CD62L) expression on leukocytes (Kiss et al., 2013). Our findings support and extend these observations, showing reduced expression of molecules critical for the development of perivascular inflammation including CCR5 and CD44. This resulted in significantly decreased total leukocyte and T‐cell infiltration in pVAT.
Experiments performed by our group on a human line of SW872 fibroblasts differentiated to adipocytes revealed that PGG at a dose of 50 μM effectively decreased the level of CCL‐2 mRNA while having no effect on RANTES expression. However, the administration of PGG decreased RANTES mRNA level in pVAT during Ang II‐dependent hypertension, which could be associated with decreased T‐cells and infiltration by their subsets (especially CD4+CCR5+ and CD8+CCR5+) into the pVAT. We also observed decreased expression of MCP‐1 after PGG treatment in Ang II‐infused aorta, but this effect was not seen in pVAT. This finding can be related to the moderate effect of PGG on macrophage contents in pVAT. While we have only focused on a limited number of mechanisms known to be particularly linked to hypertensive vascular dysfunction, Kang et al. (2005) have previously shown that PGG suppresses the expression of adhesion molecules such as endothelial intracellular cell adhesion molecule‐1 and vascular cell adhesion molecule‐1 induced by TNF‐α in concert with reduced CCL‐2 expression.
In summary, our results suggest that PGG is an important candidate for targeting vascular inflammation through both vascular effects (protection from vascular oxidative stress and endothelial dysfunction) and direct effects on T‐cell activation and their perivascular recruitment. Thus, PGG, may provide opportunities for the effective treatment of hypertension.
CONFLICT OF INTEREST
The authors declare no conflicts of interest.
AUTHOR CONTRIBUTIONS
T.P.M. designed and conducted the majority of in vivo and in vitro experiments, analysed the data, prepared figures, and wrote the manuscript; R.N. performed vascular experiments and participated in data analysis; D.S. performed in vitro experiments on adipocytes; J.K. performed tail‐cuff BP measurements and sample preparation for flow cytometry; M.M. performed tail‐cuff BP and ROS measurements; A.S.J‐J. took part in RNA isolation and gene expression measurements; P.K. took part in partial ROS measurements; Z.K. took part in partial ROS measurements; A.S‐L. performed tail‐cuff BP measurements; K.L. critically revised the manuscript; P.M. made intellectual contributions to the manuscript; D.G. contributed to in vivo experiment and made intellectual contributions to the manuscript; A.K. performed PGG isolation and characterization and made intellectual contributions to the manuscript; M.N. revised critically for intellectual contribution to the manuscript; T.J.G. conceived, designed, and supervised experiments, obtained funding, and wrote the manuscript.
DECLARATION OF TRANSPARENCY AND SCIENTIFIC RIGOUR
This Declaration acknowledges that this paper adheres to the principles for transparent reporting and scientific rigour of preclinical research as stated in the BJP guidelines for Design & Analysis, Immunoblotting and Immunochemistry, and Animal Experimentation, and as recommended by funding agencies, publishers and other organisations engaged with supporting research.
Supporting information
ACKNOWLEDGEMENTS
This study was supported by the Wellcome Trust [International Senior Research Fellowship to T.J.G], European Commission Marie Curie CIG (Nr 631773), European Research Council (InflammaTENSION), British Heart Foundation Centre for Excellence (RE/13/5/30177), Polish National Science Center Grant (2013/09/N/NZ4/02211‐MM), and the Mobility Plus Program of Polish Ministry of Science and Higher Education (1280/MOB/IV/2015/0—T.P.M.) and (1300/1/MOB/IV/2015/0—D.S.).
Mikolajczyk TP, Nosalski R, Skiba DS, et al. 1,2,3,4,6‐Penta‐O‐galloyl‐β‐d‐glucose modulates perivascular inflammation and prevents vascular dysfunction in angiotensin II‐induced hypertension. Br J Pharmacol. 2019;176:1951–1965. 10.1111/bph.14583
REFERENCES
- Abdelwahed, A. , Bouhlel, I. , Skandrani, I. , Valenti, K. , Kadri, M. , Guiraud, P. , … Chekir‐Ghedira, L. (2007). Study of antimutagenic and antioxidant activities of gallic acid and 1,2,3,4,6‐pentagalloylglucose from Pistacia lentiscus. Confirmation by microarray expression profiling. Chemico Biological Interactions, 165, 1–13. 10.1016/j.cbi.2006.10.003 [DOI] [PubMed] [Google Scholar]
- Ahn, D. , Cha, D. S. , Lee, E. B. , Kim, B. J. , Lee, S. Y. , Jeon, H. , … Kim, D. K. (2013). The longevity properties of 1,2,3,4,6‐penta‐O‐galloyl‐β‐D‐glucose from Curcuma longa in Caenorhabditis elegans . Biomolecules & Therapeutics, 21, 442–446. 10.4062/biomolther.2013.073 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Alexander, S. P. H. , Christopoulos, A. , Davenport, A. P. , Kelly, E. , Marrion, N. V. , Peters, J. A. , … CGTP Collaborators (2017). The Concise Guide to PHARMACOLOGY 2017/18: G protein‐coupled receptors. British Journal of Pharmacology, 174(Suppl 1), S17–s129. 10.1111/bph.13878 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Caillon, A. , Mian, M. O. R. , Fraulob‐Aquino, J. C. , Huo, K. G. , Barhoumi, T. , Ouerd, S. , … Schiffrin, E. L. (2017). γδ T Cells mediate angiotensin II‐induced hypertension and vascular injury. Circulation, 135, 2155–2162. 10.1161/CIRCULATIONAHA.116.027058 [DOI] [PubMed] [Google Scholar]
- Carnicer, R. , Suffredini, S. , Liu, X. , Reilly, S. , Simon, J. N. , Surdo, N. C. , … Casadei, B. (2017). The subcellular localisation of neuronal nitric oxide synthase determines the downstream effects of NO on myocardial function. Cardiovascular Research, 113, 321–331. 10.1093/cvr/cvx002 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Chan, C. T. , Moore, J. P. , Budzyn, K. , Guida, E. , Diep, H. , Vinh, A. , … Drummond, G. R. (2012). Reversal of vascular macrophage accumulation and hypertension by a CCR2 antagonist in deoxycorticosterone/salt‐treated mice. Hypertension (Dallas, Tex: 1979), 60, 1207–1212. 10.1161/HYPERTENSIONAHA.112.201251 [DOI] [PubMed] [Google Scholar]
- Choi, B. M. , Kim, H. J. , Oh, G. S. , Pae, H. O. , Oh, H. , Jeong, S. , … Chung, H. T. (2002). 1,2,3,4,6‐Penta‐O‐galloyl‐β‐D‐glucose protects rat neuronal cells (Neuro 2A) from hydrogen peroxide‐mediated cell death via the induction of heme oxygenase‐1. Neuroscience Letters, 328, 185–189. 10.1016/S0304-3940(02)00513-X [DOI] [PubMed] [Google Scholar]
- Cryan, L. M. , Bazinet, L. , Habeshian, K. A. , Cao, S. , Clardy, J. , Christensen, K. A. , & Rogers, M. S. (2013). 1,2,3,4,6‐Penta‐O‐galloyl‐β‐D‐glucopyranose inhibits angiogenesis via inhibition of capillary morphogenesis gene 2. Journal of Medicinal Chemistry, 56, 1940–1945. 10.1021/jm301558t [DOI] [PMC free article] [PubMed] [Google Scholar]
- Douglas, G. , Hale, A. B. , Patel, J. , Chuaiphichai, S. , Al Haj Zen, A. , Rashbrook, V. S. , … Channon, K. M. (2018). Roles for endothelial cell and macrophage Gch1 and tetrahydrobiopterin in atherosclerosis progression. Cardiovascular Research, 114, 1385–1399. 10.1093/cvr/cvy078 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Feldman, K. S. , Sahasrabudhe, K. , Lawlor, M. D. , Wilson, S. L. , Lang, C. H. , & Scheuchenzuber, W. J. (2001). In vitro and In vivo inhibition of LPS‐stimulated tumor necrosis factor‐alpha secretion by the gallotannin beta‐D‐pentagalloylglucose. Bioorganic & Medicinal Chemistry Letters, 11, 1813–1815. 10.1016/S0960-894X(01)00332-8 [DOI] [PubMed] [Google Scholar]
- Fujisawa, T. , Wang, K. , Niu, X. L. , Egginton, S. , Ahmad, S. , Hewett, P. , … Ahmed, A. (2017). Angiopoietin‐1 promotes atherosclerosis by increasing the proportion of circulating Gr1+ monocytes. Cardiovascular Research, 113, 81–89. 10.1093/cvr/cvw223 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Genfa, L. , Jiang, Z. , Hong, Z. , Yimin, Z. , Liangxi, W. , Guo, W. , … Lizhao, W. (2005). The screening and isolation of an effective anti‐endotoxin monomer from Radix Paeoniae Rubra using affinity biosensor technology. International Immunopharmacology, 5, 1007–1017. 10.1016/j.intimp.2005.01.013 [DOI] [PubMed] [Google Scholar]
- Guzik, T. J. , Hoch, N. E. , Brown, K. A. , McCann, L. A. , Rahman, A. , Dikalov, S. , … Harrison, D. G. (2007). Role of the T cell in the genesis of angiotensin II induced hypertension and vascular dysfunction. The Journal of Experimental Medicine, 204, 2449–2460. 10.1084/jem.20070657 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Guzik, T. J. , Mussa, S. , Gastaldi, D. , Sadowski, J. , Ratnatunga, C. , Pillai, R. , & Channon, K. M. (2002). Mechanisms of increased vascular superoxide production in human diabetes mellitus: Role of NAD(P)H oxidase and endothelial nitric oxide synthase. Circulation, 105, 1656–1662. 10.1161/01.CIR.0000012748.58444.08 [DOI] [PubMed] [Google Scholar]
- Guzik, T. J. , Skiba, D. S. , Touyz, R. M. , & Harrison, D. G. (2017). The role of infiltrating immune cells in dysfunctional adipose tissue. Cardiovascular Research, 113, 1009–1023. 10.1093/cvr/cvx108 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Harding, S. D. , Sharman, J. L. , Faccenda, E. , Southan, C. , Pawson, A. J. , Ireland, S. , … NC‐IUPHAR (2018). The IUPHAR/BPS Guide to PHARMACOLOGY in 2018: Updates and expansion to encompass the new guide to IMMUNOPHARMACOLOGY. Nucleic Acids Research, 46, D1091–d1106. 10.1093/nar/gkx1121 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hermann, M. , & Ruschitzka, F. (2006). Novel anti‐inflammatory drugs in hypertension. Nephrology, Dialysis, Transplantation, 21, 859–864. 10.1093/ndt/gfk054 [DOI] [PubMed] [Google Scholar]
- Huh, J. E. , Lee, E. O. , Kim, M. S. , Kang, K. S. , Kim, C. H. , Cha, B. C. , … Kim, S. H. (2005). Penta‐O‐galloyl‐beta‐D‐glucose suppresses tumor growth via inhibition of angiogenesis and stimulation of apoptosis: Roles of cyclooxygenase‐2 and mitogen‐activated protein kinase pathways. Carcinogenesis, 26, 1436–1445. 10.1093/carcin/bgi097 [DOI] [PubMed] [Google Scholar]
- Itani, H. A. , Dikalova, A. E. , McMaster, W. G. , Nazarewicz, R. R. , Bikineyeva, A. T. , Harrison, D. G. , & Dikalov, S. I. (2016). Mitochondrial cyclophilin D in vascular oxidative stress and hypertension. Hypertension (Dallas, Tex: 1979), 67, 1218–1227. 10.1161/HYPERTENSIONAHA.115.07085 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jang, S. E. , Hyam, S. R. , Jeong, J. J. , Han, M. J. , & Kim, D. H. (2013). Penta‐O‐galloyl‐β‐D‐glucose ameliorates inflammation by inhibiting MyD88/NF‐κB and MyD88/MAPK signalling pathways. British Journal of Pharmacology, 170, 1078–1091. 10.1111/bph.12333 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jaszewska, E. , Kosmider, A. , Kiss, A. K. , & Naruszewicz, M. (2009). Pro‐oxidative and pro‐apoptotic action of defatted seeds of Oenothera paradoxa on human skin melanoma cells. Journal of Agricultural and Food Chemistry, 57, 8282–8289. 10.1021/jf901395t [DOI] [PubMed] [Google Scholar]
- Kang, D. G. , Moon, M. K. , Choi, D. H. , Lee, J. K. , Kwon, T. O. , & Lee, H. S. (2005). Vasodilatory and anti‐inflammatory effects of the 1,2,3,4,6‐penta‐O‐galloyl‐beta‐D‐glucose (PGG) via a nitric oxide‐cGMP pathway. European Journal of Pharmacology, 524, 111–119. 10.1016/j.ejphar.2005.08.061 [DOI] [PubMed] [Google Scholar]
- Kilkenny, C. , Browne, W. , Cuthill, I. C. , Emerson, M. , & Altman, D. G. (2010). Animal research: Reporting in vivo experiments: The ARRIVE guidelines. British Journal of Pharmacology, 160, 1577–1579. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kim, M. S. , Park, S. B. , Suk, K. , Kim, I. K. , Kim, S. Y. , Kim, J. A. , … Kim, S. H. (2009). Gallotannin isolated from Euphorbia species, 1,2,6‐tri‐O‐galloyl‐beta‐D‐allose, decreases nitric oxide production through inhibition of nuclear factor‐kappa>B and downstream inducible nitric oxide synthase expression in macrophages. Biological & Pharmaceutical Bulletin, 32, 1053–1056. 10.1248/bpb.32.1053 [DOI] [PubMed] [Google Scholar]
- Kim, Y. H. , Yang, X. , Yamashita, S. , Kumazoe, M. , Huang, Y. , Nakahara, K. , … Tachibana, H. (2015). 1,2,3,4,6‐Penta‐O‐galloyl‐β‐D‐glucopyranose increases a population of T regulatory cells and inhibits IgE production in ovalbumin‐sensitized mice. International Immunopharmacology, 26, 30–36. 10.1016/j.intimp.2015.02.025 [DOI] [PubMed] [Google Scholar]
- Kirabo, A. , Fontana, V. , de Faria, A. P. , Loperena, R. , Galindo, C. L. , Wu, J. , … Harrison, D. G. (2014). DC isoketal‐modified proteins activate T cells and promote hypertension. The Journal of Clinical Investigation, 124, 4642–4656. 10.1172/JCI74084 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kiss, A. K. , Derwinska, M. , Dawidowska, A. , & Naruszewicz, M. (2008). Novel biological properties of Oenothera paradoxa defatted seed extracts: Effects on metallopeptidase activity. Journal of Agricultural and Food Chemistry, 56, 7845–7852. 10.1021/jf801372h [DOI] [PubMed] [Google Scholar]
- Kiss, A. K. , Filipek, A. , Czerwinska, M. , & Naruszewicz, M. (2010). Oenothera paradoxa defatted seeds extract and its bioactive component penta‐O‐galloyl‐β‐D‐glucose decreased production of reactive oxygen species and inhibited release of leukotriene B4, interleukin‐8, elastase, and myeloperoxidase in human neutrophils. Journal of Agricultural and Food Chemistry, 58, 9960–9966. 10.1021/jf101740y [DOI] [PubMed] [Google Scholar]
- Kiss, A. K. , Filipek, A. , Zyzynska‐Granica, B. , & Naruszewicz, M. (2013). Effects of penta‐O‐galloyl‐β‐D‐glucose on human neutrophil function: Significant down‐regulation of L‐selectin expression. Phytotherapy Research: PTR, 27, 986–992. 10.1002/ptr.4822 [DOI] [PubMed] [Google Scholar]
- Kossmann, S. , Schwenk, M. , Hausding, M. , Karbach, S. H. , Schmidgen, M. I. , Brandt, M. , … Wenzel, P. (2013). Angiotensin II‐induced vascular dysfunction depends on interferon‐γ‐driven immune cell recruitment and mutual activation of monocytes and NK‐cells. Arteriosclerosis, Thrombosis, and Vascular Biology, 33, 1313–1319. 10.1161/ATVBAHA.113.301437 [DOI] [PubMed] [Google Scholar]
- Kusters, P. J. H. , Lutgens, E. , & Seijkens, T. T. P. (2018). Exploring immune checkpoints as potential therapeutic targets in atherosclerosis. Cardiovascular Research, 114, 368–377. 10.1093/cvr/cvx248 [DOI] [PubMed] [Google Scholar]
- Lee, S. J. , Lee, I. S. , & Mar, W. (2003). Inhibition of inducible nitric oxide synthase and cyclooxygenase‐2 activity by 1,2,3,4,6‐penta‐O‐galloyl‐β‐D‐glucose in murine macrophage cells. Archives of Pharmacal Research, 26, 832–839. 10.1007/BF02980029 [DOI] [PubMed] [Google Scholar]
- Lin, H. Y. , Lee, Y. T. , Chan, Y. W. , & Tse, G. (2016). Animal models for the study of primary and secondary hypertension in humans. Biomedical Reports, 5, 653–659. 10.3892/br.2016.784 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Liu, J. C. , Hsu, F. L. , Tsai, J. C. , Chan, P. , Liu, J. Y. , Thomas, G. N. , … Lin, J. Y. (2003). Antihypertensive effects of tannins isolated from traditional Chinese herbs as non‐specific inhibitors of angiontensin converting enzyme. Life Sciences, 73, 1543–1555. 10.1016/S0024-3205(03)00481-8 [DOI] [PubMed] [Google Scholar]
- Loot, A. E. , Schreiber, J. G. , Fisslthaler, B. , & Fleming, I. (2009). Angiotensin II impairs endothelial function via tyrosine phosphorylation of the endothelial nitric oxide synthase. The Journal of Experimental Medicine, 206, 2889–2896. 10.1084/jem.20090449 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Madhur, M. S. , Lob, H. E. , McCann, L. A. , Iwakura, Y. , Blinder, Y. , Guzik, T. J. , & Harrison, D. G. (2010). Interleukin 17 promotes angiotensin II‐induced hypertension and vascular dysfunction. Hypertension (Dallas, Tex: 1979), 55, 500–507. 10.1161/HYPERTENSIONAHA.109.145094 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mikolajczyk, T. P. , Nosalski, R. , Szczepaniak, P. , Budzyn, K. , Osmenda, G. , Skiba, D. , … Guzik, T. J. (2016). Role of chemokine RANTES in the regulation of perivascular inflammation, T‐cell accumulation, and vascular dysfunction in hypertension. FASEB Journal: Official Publication of the Federation of American Societies for Experimental Biology, 30, 1987–1999. 10.1096/fj.201500088R [DOI] [PMC free article] [PubMed] [Google Scholar]
- Moore, J. P. , Vinh, A. , Tuck, K. L. , Sakkal, S. , Krishnan, S. M. , Chan, C. T. , … Drummond, G. R. (2015). M2 macrophage accumulation in the aortic wall during angiotensin II infusion in mice is associated with fibrosis, elastin loss, and elevated blood pressure. American Journal of Physiology Heart and Circulatory Physiology, 309, H906–H917. 10.1152/ajpheart.00821.2014 [DOI] [PubMed] [Google Scholar]
- Nguyen, Q. , Dominguez, J. , Nguyen, L. , & Gullapalli, N. (2010). Hypertension management: An update. American Health & Drug Benefits, 3, 47–56. [PMC free article] [PubMed] [Google Scholar]
- Oh, G. S. , Pae, H. O. , Choi, B. M. , Jeong, S. , Oh, H. , Oh, C. S. , … Chung, H. T. (2003). Inhibitory effects of the root cortex of Paeonia suffruticosa on interleukin‐8 and macrophage chemoattractant protein‐1 secretions in U937 cells. Journal of Ethnopharmacology, 84, 85–89. 10.1016/S0378-8741(02)00285-4 [DOI] [PubMed] [Google Scholar]
- Okubo, T. , Nagai, F. , Seto, T. , Satoh, K. , Ushiyama, K. , & Kano, I. (2000). The inhibition of phenylhydroquinone‐induced oxidative DNA cleavage by constituents of Moutan Cortex and Paeoniae Radix. Biological & Pharmaceutical Bulletin, 23, 199–203. 10.1248/bpb.23.199 [DOI] [PubMed] [Google Scholar]
- Radziwon‐Balicka, A. , Lesyk, G. , Back, V. , Fong, T. , Loredo‐Calderon, E. L. , Dong, B. , … Jurasz, P. (2017). Differential eNOS‐signalling by platelet subpopulations regulates adhesion and aggregation. Cardiovascular Research, 113, 1719–1731. 10.1093/cvr/cvx179 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ridker, P. M. , Everett, B. M. , Thuren, T. , MacFadyen, J. G. , Chang, W. H. , Ballantyne, C. , … CANTOS Trial Group (2017). Antiinflammatory therapy with canakinumab for atherosclerotic disease. The New England Journal of Medicine, 377, 1119–1131. 10.1056/NEJMoa1707914 [DOI] [PubMed] [Google Scholar]
- Riedl, K. M. , & Hagerman, A. E. (2001). Tannin‐protein complexes as radical scavengers and radical sinks. Journal of Agricultural and Food Chemistry, 49, 4917–4923. 10.1021/jf010683h [DOI] [PubMed] [Google Scholar]
- Sagan, A. , Mrowiecki, W. , Mikolajczyk, T. P. , Urbanski, K. , Siedlinski, M. , Nosalski, R. , … Guzik, T. (2012). Local inflammation is associated with aortic thrombus formation in abdominal aortic aneurysms. Relationship to clinical risk factors. Thrombosis and Haemostasis, 108, 812–823. 10.1160/TH12-05-0339 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Saleh, M. A. , Norlander, A. E. , & Madhur, M. S. (2016). Inhibition of interleukin 17‐A but not interleukin‐17F signaling lowers blood pressure and reduces end‐organ inflammation in angiotensin ii‐induced hypertension. JACC Basic to Translational Science, 1, 606–616. 10.1016/j.jacbts.2016.07.009 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shafique, E. , Torina, A. , Reichert, K. , Colantuono, B. , Nur, N. , Zeeshan, K. , … Abid, M. R. (2017). Mitochondrial redox plays a critical role in the paradoxical effects of NAPDH oxidase‐derived ROS on coronary endothelium. Cardiovascular Research, 113, 234–246. 10.1093/cvr/cvw249 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Siedlinski, M. , Nosalski, R. , Szczepaniak, P. , Ludwig‐Galezowska, A. H. , Mikolajczyk, T. , Filip, M. , … Guzik, T. J. (2017). Vascular transcriptome profiling identifies Sphingosine kinase 1 as a modulator of angiotensin II‐induced vascular dysfunction. Scientific Reports, 7, 44131 10.1038/srep44131 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Skiba, D. S. , Nosalski, R. , Mikolajczyk, T. P. , Siedlinski, M. , Rios, F. J. , Montezano, A. C. , … Guzik, T. J. (2017). Anti‐atherosclerotic effect of the angiotensin 1‐7 mimetic AVE0991 is mediated by inhibition of perivascular and plaque inflammation in early atherosclerosis. British Journal of Pharmacology, 174, 4055–4069. 10.1111/bph.13685 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sorop, O. , Olver, T. D. , van de Wouw, J. , Heinonen, I. , van Duin, R. W. , Duncker, D. J. , & Merkus, D. (2017). The microcirculation: A key player in obesity‐associated cardiovascular disease. Cardiovascular Research, 113, 1035–1045. 10.1093/cvr/cvx093 [DOI] [PubMed] [Google Scholar]
- Tsai, S. H. , Lu, G. , Xu, X. , Ren, Y. , Hein, T. W. , & Kuo, L. (2017). Enhanced endothelin‐1/Rho‐kinase signalling and coronary microvascular dysfunction in hypertensive myocardial hypertrophy. Cardiovascular Research, 113, 1329–1337. 10.1093/cvr/cvx103 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Viswanatha, G. L. , Shylaja, H. , & Mohan, C. G. (2013). Alleviation of transient global ischemia/reperfusion‐induced brain injury in rats with 1,2,3,4,6‐penta‐O‐galloyl‐β‐d‐glucopyranose isolated from Mangifera indica. European Journal of Pharmacology, 720, 286–293. 10.1016/j.ejphar.2013.10.016 [DOI] [PubMed] [Google Scholar]
- Wenzel, P. , Knorr, M. , Kossmann, S. , Stratmann, J. , Hausding, M. , Schuhmacher, S. , … Münzel, T. (2011). Lysozyme M‐positive monocytes mediate angiotensin II‐induced arterial hypertension and vascular dysfunction. Circulation, 124, 1370–1381. 10.1161/CIRCULATIONAHA.111.034470 [DOI] [PubMed] [Google Scholar]
- Wilk, G. , Osmenda, G. , Matusik, P. , Nowakowski, D. , Jasiewicz‐Honkisz, B. , Ignacak, A. , … Guzik, T. J. (2013). Endothelial function assessment in atherosclerosis: Comparison of brachial artery flowmediated vasodilation and peripheral arterial tonometry. Polskie Archiwum Medycyny Wewnetrznej, 123, 443–452. [DOI] [PubMed] [Google Scholar]
- Williams, B. , Mancia, G. , Spiering, W. , Agabiti Rosei, E. , Azizi, M. , Burnier, M. , … Brady, A. (2018). 2018 ESC/ESH Guidelines for the management of arterial hypertension. European Heart Journal, 39, 3021–3104. 10.1093/eurheartj/ehy339 [DOI] [PubMed] [Google Scholar]
- Wright, J. T. Jr. , Bakris, G. , Greene, T. , Agodoa, L. Y. , Appel, L. J. , Charleston, J. , … African American Study of Kidney Disease and Hypertension Study Group (2002). Effect of blood pressure lowering and antihypertensive drug class on progression of hypertensive kidney disease: Results from the AASK trial. Jama, 288, 2421–2431. 10.1001/jama.288.19.2421 [DOI] [PubMed] [Google Scholar]
- Wu, M. , & Gu, Z. (2009). Screening of bioactive compounds from moutan cortex and their anti‐inflammatory activities in rat synoviocytes. Evidence‐Based Complementary and Alternative Medicine: Ecam, 6, 57–63. 10.1093/ecam/nem066 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zhang, J. , Li, L. , Kim, S. H. , Hagerman, A. E. , & Lu, J. (2009). Anti‐cancer, anti‐diabetic and other pharmacologic and biological activities of penta‐galloyl‐glucose. Pharmaceutical Research, 26, 2066–2080. 10.1007/s11095-009-9932-0 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zhao, W. , Haller, V. , & Ritsch, A. (2015). The polyphenol PGG enhances expression of SR‐BI and ABCA1 in J774 and THP‐1 macrophages. Atherosclerosis, 242, 611–617. 10.1016/j.atherosclerosis.2015.08.025 [DOI] [PubMed] [Google Scholar]
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