Hsin-Te Hsu 1 and You-Lan Yang 2 and Wan-Chen Chen 3 and Chi-Ming Chen 4 and Wun-Chang Ko 1, 3
Academic Editor:Akio Tomoda
1, Department of Otolaryngology, Taipei Medical University Hospital, 252 Wu-Hsing Street, Taipei 110, Taiwan
2, School of Respiratory Therapy, College of Medicine, Taipei Medical University, Taiwan
3, Department of Pharmacology, College of Medicine, Taipei Medical University, 250 Wu-Hsing Street, Taipei 110, Taiwan
4, Department of Medicinal Chemistry, College of Pharmacy, Taipei Medical University, Taipei, Taiwan
Received 10 February 2014; Revised 20 June 2014; Accepted 21 June 2014; 10 July 2014
This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
1. Introduction
The rhizomes of Ligusticum chuanxiong Hort. (previously named L. wallichii Franch.) and Angelica sinensis Diels. (Apiaceae) have been used by the Chinese for several thousand years. In ancient medical literature, such as Shen-Nung-Pen-Tsao-Ching, the rhizome of L. chuanxiong Hort. was delineated to prevent and restore stroke-induced dyskinesia. We reported that butylidenephthalide (Bdph), a neutral oil constituent of the rhizome, inhibited cyclooxygenase to have antiplatelet effects [1]. Other investigators reported that shimotsu-to, a prescription of traditional Chinese medicine (TCM), had antiproliferative effects in primary cultures of mouse aorta smooth muscle cells [2], mainly due to Cnidium rhizome-derived phthalides, such as senkyunolide, ligustilide, and Bdph [3]. Both antiplatelet and antiproliferative effects of these crude drugs benefit to prevent stroke. To recover from stroke-induced dyskinesia the damaged nerve cells need to be repaired mainly by themselves. The vasodilating effects of Bdph [4-6] improve the circulation and may partially benefit this restoration. Recently, Bdph was reported to provide neuroprotection by reducing the release of various proinflammatory molecules from activated microglia [7]. It is also reported to maintain stem cell pluripotency by activating the Jak2/Stat3 pathway and increasing the efficiency of induced pluripotent stem cells generation [8]. These results highlight the ability for these crude drugs to aid in the recovery from dyskinesia. Interestingly, Bdph was also reported to inhibit growth of malignant brain tumor [9], lung adenocarcinoma [10], and glioblastomas [11] with a high therapeutic ratio [12].
Bdph (50~250 μ M) was reported to noncompetitively inhibit ACh-, KCl-, and BaCl2 -induced contractions in guinea-pig ileum [13]. Bdph (30~300 μ M) was also reported to noncompetitively inhibit phenylephrine- and KCl-induced contractions in rat aortic rings [6]. However, in preliminary test, we found that Bdph (30~300 μ M) failed to, except at very high concentrations (600~1000 μ M), inhibit histamine (10 μ M)-induced contraction in isolated guinea-pig trachea. More surprisingly, we found that Bdph (30~300 μ M) alone can significantly induce enhancement of baseline tension in the tissue. Therefore we are interested in investigating the mechanism(s) of Bdph-induced contraction in the tissue.
2. Methods and Materials
2.1. Drugs and Animals
Bdph was synthesized and yielded a light yellow oily substance according to the previously described method [14]. Its purity (99.8%) was analyzed by using high performance liquid chromatography and the structure is shown in Figure 1 [15]. 4-Aminopiridine (4-AP), atropine sulfate, α -chymotrypsin, diltiazem, glibenclamide (GBC), histamine diphosphate, indomethacin, nicardipine, nifedipine (Nif), pyrilamine maleate, tetraethylammonium bromide (TEA), and verapamil (Vrp) were purchased from Sigma-Aldrich, St. Louis, MO. U.S.A. Papaverine was purchased from Narcotics Bureau, Taipei, Taiwan. Cromakalim, methysergide, and FPL 557121 were gifts from SmithKline Beecham Pharmaceutical, U.K., Sandoz, Swiss, and Fisons, U.K., respectively.
Figure 1: The chemical structure of butylidenephthalide (Bdph, mol. wt. 188.23).
[figure omitted; refer to PDF]
Male Hartley guinea-pigs (250~400 g) were obtained from the Animal Center of the National Science Council (Taipei, Taiwan). The animals were housed in ordinary cages at 22 ± 1 °C with a humidity of 50%~60% under a constant 12/12-h light/dark cycle and provided with food and water ad libitum . Under a protocol approved by the Animal Care and Use Committee of Taipei Medical University, the following in vitro experiments were performed.
2.2. Tracheal Preparation
The guinea-pigs were sacrificed by cervical dislocation after anesthesia, and their tracheas were removed. Each trachea was cut into six segments. Each segment consisted of three cartilage rings. All segments were cut open opposite the trachealis. The segments were randomized to minimize regional variability. Each segment was tied at one end to a holder via silk sutures, placed in 5 mL of Krebs solution containing indomethacin (3 μ M) throughout the entire experiment, bubbled with a 95% O2 and 5% CO2 mixture at 37°C, and attached by the other end to a force displacement transducer (Grass FT03) for the isometric recording of tension changes on a polygraph (Gould RS3200). The composition of the Krebs solution was (mM): NaCl 120, KCl 4.7, MgSO4 0.5, KH2 PO4 1.2, CaCl2 2.5, NaHCO3 25, and dextrose 11.0. The tissues were suspended under an initial tension of 1.5 g and allowed to equilibrate for 1 h with washing at 15-min intervals. After equilibration, the following experiments were performed.
2.3. Bdph Enhanced Baseline Tension but Relaxed Precontraction at High Concentrations
Bdph (30~1000 μ M) or its vehicle (0.03~1% ethyl alcohol) was cumulatively added to examine the tension change of baseline. After the histamine (10 μ M)-induced precontraction reached steady state, Bdph (30~1000 μ M) or its vehicle was cumulatively added to the organ bath. At the end of experiment, papaverine (0.1 mM) was added to maximally relax the tissue and to standardize the relaxation (100%). The log concentration-response curves of Bdph for both baseline tension and relaxation were constructed.
2.4. Cromakalim Antagonized Bdph-Induced Enhancement of Baseline Tension
In order to examine the possible transmitter(s) or mediators which may enhance the tracheal baseline tension, some pharmacological agents, such as 1 μ M atropine (a cholinergic antagonist), 1 μ M FPL 55712 (a leukotriene receptor antagonist) [16], 1~10 μ M pyrilamine (a histamine receptor antagonist), 1 μ M methysergide (a serotonin receptor antagonist), and 2 u/mL α -chymotrypsin (a neuropeptidase), were added 30 min prior to the cumulative addition of Bdph (30~300 μ M). However, 1~3 μ M cromakalim (an ATP-sensitive K+ channel opener) was pretreated for only 10 min which was enough to reach equilibration [17].
2.5. Bdph Also Antagonized Cromakalim-Induced Relaxation
After preincubation of Bdph (30~300 μ M) or its vehicle for 20 min, histamine (10~30 μ M) was added to reach a half-maximal contraction and then cumulatively added cromakalim (0.1~10 μ M). At the end of experiment, papaverine (0.1 mM) was added to maximally relax the tissue and to standardize the relaxation (100%). The log concentration-response curves of cromakalim in the absence and presence of Bdph were constructed.
2.6. Interaction between Bdph and Other K+ Channel Blockers to Antagonize Cromakalim-Induced Relaxation
After preincubation of Bdph (100 or 300 μ M) and other K+ channel blockers, such as GBC (1 μ M), TEA (8 mM), and 4-AP (5 mM) alone or combination for 20 min, histamine (10~30 μ M) was added to reach a half-maximal contraction, and then cromakalim (0.1~10 μ M) was cumulatively added. At the end of experiment, papaverine (0.1 mM) was added to maximally relax the tissue and to standardize the relaxation (100%). The log concentration-response curves of cromakalim in the absence and presence of drug(s), such as Bdph and other K+ channel blockers, alone or combination, were constructed.
2.7. Interaction between Bdph and Other Ca2+ Channel Blockers to Antagonize Cromakalim-Induced Relaxation
First, Vrp, Nif, diltiazem, nicardipine, or their vehicles were cumulatively added to examine the tension change of baseline in the isolated trachea. Second, after preincubation of Bdph (300 μ M) or its vehicle for 20 min, histamine (10~30 μ M) was added to reach a half-maximal contraction, and then Vrp (0.01~10 μ M) or Nif (0.001~1 μ M) was cumulatively added. At the end of experiment, papaverine (0.1 mM) was added to maximally relax the tissue and to standardize the relaxation (100%). The log concentration-response curves of Vrp and Nif in the absence and presence of Bdph were constructed. Third, after preincubation of Bdph (300 μ M), Vrp (1 μ M), and Nif (0.1 μ M) alone or combination for 20 min, histamine (10~30 μ M) was added to reach a half-maximal contraction, and then cromakalim (0.1~10 μ M) was cumulatively added. At the end of experiment, papaverine (0.1 mM) was added to maximally relax the tissue and to standardize the relaxation (100%). The log concentration-response curves of cromakalim in the absence and presence of drugs, such as Bdph, Vrp, and Nif, alone or combination were constructed.
2.8. Statistical Analysis
The tracheal contraction was expressed as percentage of maximal contraction (100%), with some exceptions expressed as tension. However, the tracheal relaxation was expressed as percentage of maximal relaxation induced by papaverine (100%) at the end of experiment. All values are expressed as mean ± SEM, n is the number of experiment. Student's unpaired t -test was used for statistical analysis between test and control with P values < 0.05 being regarded as significant.
3. Results
3.1. Effects of Bdph on Baseline and Histamine-Induced Precontraction
The effect of Bdph (30~1000 μ M), compared to its vehicle, on the baseline tension in isolated guinea-pig trachea is shown in Figures 2 and 3(b). Bdph (30~300 μ M) did not significantly relax the histamine (10 μ M)-induced precontraction, except at higher concentrations of 600~1000 μ M in the tissue (Figure 3(a)). In contrast, Bdph (30~300 μ M) significantly enhanced its baseline tension (Figure 3(b)).
Figure 2: Typical tracing of baseline tension change induced by cumulative butylidenephthalide (Bdph, lower panel) compared to its vehicle (0.03~1% ethyl alcohol, upper panel) in isolated guinea-pig trachea. The vertical line indicates tension change.
[figure omitted; refer to PDF]
Log concentration relaxant (a) and contractile (b) response curves of butylidenephthalide (Bdph) in isolated guinea-pig trachea. The relaxant and contractile effects of cumulative Bdph (30~1000 μ M) on histamine (10 μ M)-induced precontraction and on baseline tension were performed as method described, respectively. All values are shown as mean ± SEM, and n is the number of experiments. P * < 0.05 , P * * < 0.01 , and P * * * < 0.001 compared to its vehicle.
(a) [figure omitted; refer to PDF]
(b) [figure omitted; refer to PDF]
3.2. Cromakalim Antagonized Bdph-Induced Enhancement of Baseline Tension
Atropine (1 μ M), FPL 55712 (1 μ M), pyrilamine (1 and 10 μ M), methysergide (1 μ M), or α -chymotrypsin (2 u/mL) did not significantly influence the Bdph-induced enhancement of baseline tension (Figure 4). However, cromakalim (3 μ M) significantly antagonized the Bdph-induced enhancement of baseline tension (Figure 5).
Inhibitory effects of atropine, FPL 55712, or pyrilamine 1 μ M (a), as well as pyrilamine 10 μ M or methysergide (b) and α -chymotrypsin (c) on cumulative butylidenephthalide- (Bdph-) induced contraction of baseline tension in isolated guinea-pig trachea. All values are shown as mean ± SEM, and n is the number of experiments. There is no significant difference between test and respective control.
(a) [figure omitted; refer to PDF]
(b) [figure omitted; refer to PDF]
(c) [figure omitted; refer to PDF]
Figure 5: Inhibitory effect of cromakalim on cumulative butylidenephthalide (Bdph)-induced contraction of baseline tension in isolated guinea-pig trachea. All values are shown as mean ± SEM, and n is the number of experiments. P * < 0.05 compared to its vehicle.
[figure omitted; refer to PDF]
3.3. Bdph Also Antagonized Cromakalim-Induced Relaxation
Bdph (300 μ M) significantly antagonized cromakalim-induced relaxation (Figure 6).
Figure 6: Inhibitory effect of butylidenephthalide (Bdph) on cumulative cromakalim-induced relaxant response to histamine-induced precontraction in isolated guinea-pig trachea. All values are shown as mean ± SEM, and n is the number of experiments. P * < 0.05 compared to its vehicle.
[figure omitted; refer to PDF]
3.4. Interaction between Bdph and Other K+ Channel Blockers to Antagonize Cromakalim-Induced Relaxation
Bdph at concentrations of 100 μ M and 300 μ M did not significantly influence the antagonistic effects of GBC (1 μ M) against the cromakalim-induced relaxation (Figure 7). Bdph (300 μ M) never influenced the antagonistic effects of TEA at 8 mM (Figure 8(a)). However, Bdph (300 μ M) and 4-AP (5 mM) in combination significantly antagonized the cromakalim-induced relaxation, compared to the individual effects on the relaxation, and rightward shifted the log concentration-response curve of cromakalim. The antagonistic effect of the combination is almost equal to the sum of individual effects (Figure 8(b)).
Influences of glibenclamide (GBC) to the antagonistic effects of butylidenephthalide (Bdph) 100 μ M (a) and 300 μ M (b) on cumulative cromakalim-induced relaxant response to histamine-induced precontraction in isolated guinea-pig trachea. All values are shown as mean ± SEM, and n is the number of experiments. P * < 0.05 , P * * < 0.01 , and P * * * < 0.001 compared to its vehicle.
(a) [figure omitted; refer to PDF]
(b) [figure omitted; refer to PDF]
Influences of tetraethylamine (TEA, (a)) and 4-aminopyridine (4-AP, (b)) to the antagonistic effect of butylidenephthalide (Bdph) on cumulative cromakalim-induced relaxant response to histamine-induced precontraction in isolated guinea-pig trachea. All values are shown as mean ± SEM, and n is the number of experiments. P * < 0.05 , P * * < 0.01 , and P * * * < 0.001 compared to its vehicle.
(a) [figure omitted; refer to PDF]
(b) [figure omitted; refer to PDF]
3.5. Interaction between Bdph and Other Ca2+ Channel Blockers to Antagonize Cromakalim-Induced Relaxation
All Ca2+ channel blockers used did not enhance or reduce the baseline tension of the isolated guinea-pig trachea (data not shown). Bdph did not influence the relaxant effects of Vrp (Figure 9(a)) and Nif (Figure 9(b)) on the histamine-induced precontraction. Vrp (1 μ M) and Nif (0.1 μ M) also did not influence the antagonistic effect of Bdph (300 μ M) against the cromakalim-induced relaxation (Figure 10).
Antagonistic effects of butylidenephthalide (Bdph) on cumulative verapamil-induced (a) and nifedipine-induced (b) relaxant response to histamine-induced precontraction in isolated guinea-pig trachea. All values are shown as mean ± SEM, and n is the number of experiments. There is no significant difference between test and respective control.
(a) [figure omitted; refer to PDF]
(b) [figure omitted; refer to PDF]
Figure 10: Influences of verapamil (Vrp) and nifedipine (Nif) to the antagonistic effect of butylidenephthalide (Bdph) on cumulative cromakalim-induced relaxant response to histamine-induced precontraction in isolated guinea-pig trachea. All values are shown as mean ± SEM, and n is the number of experiments. P * < 0.05 and P * * < 0.01 compared to its vehicle.
[figure omitted; refer to PDF]
4. Discussion
The present results suggest that the enhancement of basal tension by Bdph is unrelated to the release of cholinergic transmitter, leukotrienes, histamine, serotonin, and neuropeptides [18]. It is also unrelated to the release of prostaglandins, as the experiment was conducted throughout in the presence of indomethacin. However, the enhancement was antagonized by cromakalim (3 μ M), an ATP-sensitive K+ channel opener [17], which may increase outflux of K+ and hyperpolarize the membrane of tracheal smooth muscle cells and cause relaxation. Furthermore, Bdph (300 μ M) also antagonized and rightward shifted the log concentration-relaxation curve of cromakalim on histamine-induced precontraction in the isolated guinea-pig trachea (Figure 6). Thus, Bdph may be a kind of K+ channels blockers, which have been reviewed to have a potential clinical use for Alzheimer disease [19]. Indeed, Bdph have been reported to reverse the deficits of inhibitory avoidance performance and improve memory in rats [20]. GBC (1 μ M), a specific ATP-sensitive K+ channel blocker [17], effectively antagonized and rightward shifted the curve of cromakalim. Bdph neither at 100 μ M nor at 300 μ M influenced the antagonistic effect of GBC. Also, Bdph at 300 μ M did not affect the antagonistic effect of TEA (8 mM), a nonselective big (BKca) and intermediate (IKca) conductance Ca2+ -activated K+ channels blocker [21]. However, Bdph at 300 μ M significantly enhanced the antagonistic effect of 4-AP (5 mM) and rightward shifted the curve in the combination. The antagonistic effect of the combination was almost the sum of individual effects (Figure 8(b)). This result strongly suggests that the mechanism of Bdph may be similar to that of 4-AP to antagonize cromakalim. The mechanism of Bdph was unrelated to Ca2+ -dependent K+ channels, as all Ca2+ channel blockers did not influence the antagonistic effect of Bdph against cromakalim.
Episodic ataxia type 2 (EA2) is a form of hereditary neurological disorder caused by cerebellar malfunction and is characterized by interictal ataxia and frequent attacks of dyskinesia, vertigo, and imbalance [22]. Recently, 4-AP was reported to treat EA2 [23, 24]. The targets of 4-AP are K v 1 family of K+ channels, possibly the K v 1.5 subtype [25]. Further investigation is needed to determine whether Bdph is useful in treating EA2.
In conclusion, Bdph (30~300 μ M) concentration-dependently evoked an enhancement of baseline tension in isolated guinea-pig trachea. The enhancement was antagonized by cromakalim, and Bdph (300 μ M) also antagonized cromakalim-induced relaxation. Furthermore, Bdph (300 μ M) and 4-AP (5 mM) in combination rightward shifted the log concentration-response curve of cromakalim and significantly antagonized the cromakalim-induced relaxation. The antagonistic effect of the combination is almost equal to the sum of individual effects. Therefore, Bdph may be similar to 4-AP, a blocker of K v 1 family of K+ channels, to enhance the baseline tension of guinea-pig trachea.
Acknowledgment
This work was supported by a grant (TMU98-AE1-B18) from the Taipei Medical University, Taipei, Taiwan.
Conflict of Interests
The authors declare that there is no conflict of interests.
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Abstract
Butylidenephthalide (Bdph, 30~300 μM), a constituent of Ligusticum chuanxiong Hort., significantly enhanced tension in isolated guinea-pig trachea. In this study, we investigate the mechanism(s) of Bdph-induced contraction in the tissue. Isolated trachea was bathed in 5 mL of Krebs solution containing indomethacin (3 μM), and its tension changes were isometrically recorded. Cromakalim (3 μM), an ATP-dependent K+ channel opener, significantly antagonized the Bdph-induced enhancement of baseline tension. Bdph (300 μM) also significantly antagonized cromakalim-induced relaxation. Bdph (300 μM) did not significantly influence the antagonistic effects of glibenclamide (GBC, 1 μM) and tetraethylammonium (TEA, 8 mM) against the cromakalim-induced relaxation. However, Bdph (300 μM) and 4-aminopiridine (4-AP, 5 mM), a blocker of K v 1 family of K+ channels, in combination significantly rightward shifted the log concentration-relaxation curve of cromakalim. The antagonistic effect of the combination almost equals the sum of the individual effects of Bdph and 4-AP, suggesting that the antagonistic mechanism of Bdph may be similar to that of 4-AP. All calcium channel blockers influenced neither the baseline tension nor antagonistic effect of Bdph against cromakalim. In conclusion, Bdph may be similar to 4-AP, a blocker of K v 1 family of K+ channels, to enhance the baseline tension of guinea-pig trachea.
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