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Cichoric acid reverses insulin resistance and suppresses inflammatory responses in the glucosamine-induced HepG2 cells Di Zhu, Yutang Wang, Qingwei Du, Zhigang Liu, and Xuebo Liu J. Agric. Food Chem., Just Accepted Manuscript • DOI: 10.1021/acs.jafc.5b04533 • Publication Date (Web): 21 Nov 2015 Downloaded from http://pubs.acs.org on December 13, 2015

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Cichoric Acid Reverses Insulin Resistance and Suppresses Inflammatory

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Responses in the Glucosamine-induced HepG2 Cells

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Di Zhu#†, Yutang Wang#†, Qingwei Du§, Zhigang Liu#, Xuebo Liu#*

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Yangling 712100, China

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College of Food Science and Engineering, Northwest A&F University,

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Functional Food Engineering and Technology Research Center of Shaanxi Province, Xi’an 710054, China

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Authors Di Zhu and Yutang Wang contributed equally to this work

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* Correspondence to: Prof. Xuebo Liu, College of Food Science and Engineering,

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Northwest A&F University, 28. Xi-nong Road, Yangling 712100, China.

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Tel: +86-029-87092325; Fax: +86-029-87092325; E-mail: [email protected]

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ABSTRACT: Cichoric acid, a caffeic acid derivative found in Echinacea purpurea,

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basil and chicory, has been reported to have bioactive effects, such as,

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anti-inflammatory, anti-oxidant, and preventing insulin resistance. In this study, to

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explore the effects of CA on regulating insulin resistance and chronic inflammatory

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responses, the insulin resistance model was constructed by glucosamine in HepG2

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cells. CA stimulated glucosamine-mediated glucose uptake by stimulating

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translocation of the glucose transporter 2. Moreover, the production of reactive

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oxygen, the expression of COX-2 and iNOS, and the mRNA levels of TNF-α and IL-6

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were attenuated. Furthermore, CA was verified to promote glucosamine-mediated

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glucose uptake and inhibited inflammation through PI3K/Akt, NF-κB and MAPK

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signaling pathways in HepG2 cells. These results implied that CA could increase

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glucose uptake, improve insulin resistance and attenuate glucosamine-induced

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inflammation, suggesting that CA is a potential nature nutraceutical with anti-diabetic

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properties and anti-inflammatory effects.

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KEYWORDS: Cichoric acid, Insulin resistance, GLUT2, PI3K/Akt, Inflammatory

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response

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Introduction

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Diabetes has gradually developed into a global disease with a serious impact on

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human health.1 Accumulating evidences suggest insulin resistance is the common

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basis of metabolic syndrome, such as type II diabetes, obesity, hypertension,

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hyperlipidemia, and coronary heart disease.2 Liver is a target organ for insulin action

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and plays an essential role in the systemic insulin resistance and inflammation.3.

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Insulin resistance is known to play a critical role in further impair insulin signaling

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and sensitize the liver to inflammatory injury, such as non-alcoholic fatty liver disease

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(NAFLD) and non-alcoholic steatohepatitis (NASH),4 induced by a variety of stimuli5.

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The latter progresses with hyperinsulinemia and inhibition of the insulin receptor

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substrate (IRS).6 Our previous study also showed that dietary-induced hepatic insulin

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resistance elicited serious fatty liver and inflammatory responses through inactivating

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IRS-1/Akt pathway and stimulating MAPK and NF-κB pathway7.

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Chronic inflammation is always accompanied by insulin resistance.8 Through the

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mediation of pro-inflammatory cytokines, such as TNF-α and IL-6 mediation,

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especially.9, 10 Studies have also indicated that TNF-α induced insulin resistance by

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activating p38.11 JNK and p38 MAPK are important in the pathogenesis of insulin

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resistance. In the obesity and insulin resistance patient, the p38 levels of the liver and

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adipose tissue are reported to have been increased.12 JNK, a serine kinase, affects the

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normal phosphorylation of IRS-1 tyrosine and hinders the insulin signal transduction,

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leading to insulin resistance.13 The inflammatory responses induced by the activation

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of NF-κB makes contribute to insulin resistance in liver.7 Thus, the key inflammatory

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pathways, NF-κB and MAPKs, have important influence in the process of insulin

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resistance.

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Many plant extracts play positive roles in improving the insulin resistance, by

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suppressing inflammation, such as salicylate14 and eriodictyol.15 Cichoric acid (CA),

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which is a caffeic acid derivative, is a very important immunologically active

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ingredient in Echinacea purpurea16, basil17 and chicory18. Echinacea is one of the

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most popular natural health products (NHPs) in North America16, and the content of

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CA in Echinacea purpurea roots was 16.80–24.30mg/g19. Studies have reported that

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CA can enhance immune and anti-inflammatory properties20 and facilitate the glucose

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uptake in L6 muscle cells21. These results suggest that CA is a potential nature

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nutraceutical in improving insulin resistance. However, the possible mechanisms

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underlying the effect of CA on restoring insulin resistance by suppressing

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inflammation is rarely reported.

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To simulate insulin resistance, glucosamine is a suitable inducer. Glucosamine

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affects the regulation of fat accumulation and glucose absorption.22, 23The HepG2

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cells which are derived from human embryonic liver tumor cells, retains many

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biological characteristics of liver cells, with its surface high affinity expression of

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insulin receptor to meet the standards required by a typical insulin receptor.24 This

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study was designed to investigate the effect of CA against the development of insulin

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resistance and inflammatory responses using HepG2 cells and elucidate the possible

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mechanisms. To this end, we assessed the ability of CA on the glucose uptake and

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insulin sensitivity and GLUT2 translocation via PI3K/Akt signaling, and the

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intervention of CA on the inflammatory response via MAPKs and I-κB/NF-κB

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signaling in the HepG2 cells with glucosamine-induced insulin resistance.

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Materials and Methods

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Reagents and antibodies

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Cichoric acid (purity ≥ 98 %) was obtained from Chengdu Pufei De Biotech Co.,

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Ltd (Chengdu, Sichuan, China), which was extracted from Echinacea purpurea.

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RPMI 1640 medium and fetal bovine serum (FBS) were obtained from Thermo Fisher

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Scientific. (Shanghai, China). MTT (purity ≥93%) was purchased from Wolsen

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Biotechnology. Insulin and 2', 7'-dichlorofluorescin diacetate (DCFH-DA) were

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purchased from Sigma Chemical Co. (St. Louis, MO, USA). All the inhibitors were

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purchased from Selleck (Shanghai, China). Glucosamine (purity ≥ 99%) was provided

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by Beyotime Institute of Biotechnology (Haimen, Jiangsu, China). The Glucose

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uptake analysis kit (E1010) from Applygen (Beijing, China). All other chemicals were

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analytical grade.

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The

primary antibodies

against COX-2,

iNOS,

GAPDH,

Lamin

B,

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Na+/K+-ATPase α1, GLUT2 and horseradish peroxidase-conjugated secondary

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antibodies were purchased from Santa Cruz Biotechnology (Santa Cruz, CA, USA).

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NF-κB p65, p-p44/42 MAPK (ERK1/2), p44/42 MAPK (ERK1/2), p-SAPK/JNK

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(Thr183/Tyr185), SAPK/JNK, p-p38 MAPK, p38 MAPK, p-Akt and Akt were

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purchased from Cell Signaling Technology Company (Shanghai, China). Alexa Fluor

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488 conjugated Donkey anti-Goat IgG (H+L) was got from Invitrogen (Shanghai,

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China).

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Cell culture and treatment

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HepG2 cells were obtained from the Fourth Military Medical University (Xi’an,

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Shaanxi, China). After cells recovery, HepG2 cells were cultured at 37°C under a

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humidified atmosphere containing 5% CO2 and 95% air in a RPMI 1640 medium

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supplemented with 10% FBS and 1% penicillin-streptomycin. The logarithmically

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growing cells were used in the follow experiment. CA, rosiglitazone (ROG) and

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inhibitors were dissolved in DMSO, and glucosamine was dissolved in phosphate

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buffer. In the control group, the medium was added the same amount of DMSO with

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other groups, as control. Prior to drug treatment, the cells were starved for 2 h, using

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serum-free medium.

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Cell viability

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The cell viability was detected by MTT. The HepG2 cells were digested to single

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cell suspension with 0.25% trypsin and were adjusted concentration with RPMI-1640

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medium to 1×106 cells/mL in 96-well cell culture plate, which were cultured at 37°C

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with 5% (v/v) CO2 for 24 h. After treatments, the medium was replaced by MTT

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solution (dissolved by serum-free DMEM) for 4 h at 37°C. Then formazan crystals

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formed on the bottom of each plant. The culture solution were suck dry and 100 µL

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DMSO was added to solute the crystals formed. The absorbance values were

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measured at 570 nm using a micro plate reader (Bio-Rad Model 680, Bio-Rad

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Laboratories Ltd., shanghai, China).

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Glucose uptake

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Insulin resistance model were optimized by the glucose uptake. After insulin

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resistance model established, the medium was replaced with serum-free medium for 2

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h. The control group, the glucosamine group, CA treatment group, and the positive

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control ROG group were set up. With or without 100 nmol/L insulin, the medium was

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replaced with serum-free medium (the control group and the glucosamine group), CA

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(diluted to 0, 25, 50, 100 µmol/L with serum-free medium), or rosiglitazone (diluted

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to 10 µmol/L with serum-free medium). And then, the medium supernatant was

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collected respectively. In accordance with instructions of the glucose diagnostic kit,

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the mediums were measured at 570 nm with enzyme standard instrument. According

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to the optical density of each well and the standard curve of glucose, the glucose

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content in the medium was calculated. The glucose content of the experimental

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groups and the original RPMI-1640 mediums were measured. Glucose uptake was the

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difference value between the original RPMI-1640 mediums and the medium

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supernatant of the experimental group medium.

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GLUT2 Immunofluorescence

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On HepG2 cell membrane, GLUT2 was observed by immunofluorescence

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staining. When cells grew to confluence on glass coverslips, the cells were washed 3

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times with 1×PBS. Cells were fixed in freshly prepared 4% paraformaldehyde at room

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temperature for 20 to 30 min. Then the cells were washed 3 times. 5% skim milk was

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used to block at 37°C shaker for 30 minutes, and then discard the skim milk. The

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primary antibodies anti-GLUT2 (diluted with 1×PBS) were added and the cells were

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shook at 37°C for 2 h. After washed 3 times, cells were incubated with the Alexa

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Fluor 488 conjugated Donkey anti-Goat IgG (H+L) (diluted with 1% PBS) at 37°C

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shaker for 2 h without light. After washed 3 times, nuclei was stained with DAPI. It

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was observed and photographed by an inverted fluorescence microscope (Olympus

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IX71, Tokyo, Japan). Fluorescence excitation was obtained at 488 nm via

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argon/krypton laser line for Alexa 488. The green and blue channels were assigned to

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GLUT2 and the nuclei, respectively.

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Measurement of NO assay

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The NO content of the culture supernatant was detected by Griess method. First,

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we configured A and B reagent of Griess. Reagent A was a mixed solution with 1.0%

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anhydrous sulfanilic and 5% concentrated phosphoric acid (85%) and reagent B was

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0.1% of N-(1-naphthyl)-ethylenediamine. In the 96-well plates, 50 uL of the culture

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supernatant was added in per-well, and the reagent A was added in per-well for 10

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min at 37°C. Then the Reagent B was added for another 10 min at 37°C. After the

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solution mixed and shocked, the value of culture supernatant for per-well was

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determined at OD 540 nm by enzyme standard instrument. Each sample was repeated

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for 8 times. According to the standard curve produced by NaNO2 standard solution,

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the concentration of NO was calculated, and was standardized by protein

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concentration. The control group was set to be benchmark, and the corresponding

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ratio was calculated for each group.

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Detection of intracellular ROS production

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After the treatments, cells were washed twice with PBS, 10 µM final

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concentration of H2DCFDA solution was added to each well, which can diffuse

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readily into the cells and be oxidized to DCF with intensity fluorescence by the

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oxidant in cells. The cells were incubated at 37°C for 30 min. After the cells washed

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twice, the generation of ROS was observed and took photographs under an inverted

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fluorescence microscope. Cells were treated as above. After washing with PBS, the

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cells were lysed immediately by the cell lysis buffer and the cell extract was collected.

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The fluorescence was read in cell extract supernatant at OD 485/520 nm by

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fluorescence micro plate reader, and was standardized by the protein concentration.

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RNA isolation and PCR

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The total mRNA was extracted from cultured cells using the mRNA extraction

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kit. Used for reverse transcription, 1 µg of total mRNA were converted to first-strand

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complementary DNA in 20 µL of the reaction using the cDNA synthesis kit. The

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sequences for the PCR primers were as follows: Human β-actin: forward 5’-TGGATC

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AGCAAGCAGGAGTA-3’, reverse 5’-TCGGCCACATTGTGAACTTT-3’; Human

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TNF-α: forward 5’-GGCAGTCAGATCATCTTCTCGAA-3’, reverse 5’- TGAAGAG

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GACCTGGGAGTAGATG-3’; Human IL-6: forward 5’- CTCAGCCCTGAGAAAG

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GAGA-3’, reverse 5’-TTTTCTGCCAGTGCCTCTTT-3’. PCR reactions were

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performed as follows: 10 min at 95°C; 40 cycles of 15 s at 95°C, 30 s at 55°C, and 45

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s at 72°C; a final extension of 71 cycles of 30 s at 60°C. The PCR products were

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resolved in a 1%-agarose gels.

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Western Blot

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The treated HepG2 cells were washed twice with PBS (pH 7.4) and lysed in

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responsive lysis buffer, containing 1% PMSF and 20 mM NaF for 15 min. The cell

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debris were scraped and collected into the 1.5 mL centrifuge tube. Centrifuge it for 10

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min at 15000 r/min at 4°C, and collect the supernatant. Cell protein concentration was

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measured by the BCA kit. SDS loading buffer (a quarter of the sample volume) was

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added. The mix was placed in 95°C bath for 10 min to make protein denaturation, and

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was stored at -20°C. Take the equal amount of each sample to SDS-PAGE

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electrophoresis. The protein was concentrated by 80 V for 40 min, and separated by

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120 V for 90 min. After constant 10 V semi-dry transfer for 25 min, the proteins on

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the gel were transferred to PVDF membrane

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semidry transfer apparatus (Bio-Rad, Shanghai, China). The membrane was placed in

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5% nonfat milk to block, which was dissolved in TBST, at room temperature for 2 h.

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Wash the membrane 4 times with TBST. The membrane was placed in diluted primary

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antibody incubation overnight at 4°C. After washing for 4 times, membranes were

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placed in diluted secondary antibody, and incubated with rocked at room temperature

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for 2 h. Wash the membrane 4 times. The ECL emitting kit (Thermo Scientific,

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Waltham, MA, USA) was uniformly added at 0.45 µm pore PVDF membrane, and

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then Molecular Imager Chemidoc XRS System (Bio-Rad, Shanghai, China) and

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Quantity one software was used to expose and gray semi-quantitative analysis.

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Statistical analysis

(Millipore, Bedford, MA, USA) by a

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All of the experiments were performed at least three independent experiments

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per sample, and the data were presented as the means ± standard deviation (S.D.). The

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data were analyzed by using the one-way analysis of variance25 followed by Tukey's

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multiple-range test with the SPSS 19.0 system. Any p-values less than 0.05 were

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considered to be statistically significant.

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Results

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Effect of CA on glucose uptake under the insulin resistance cell model induced by

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glucosamine

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Previous research demonstrated that glucosamine could induce insulin resistance

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in several cell models.23,

26

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reduced glucose uptake in dose-dependent and time-dependent manner in HepG2 cells,

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which suggested that it was a potential model to stimulate insulin resistance on

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hepatocytes. And this insulin resistance model was stable for 24 h after treated with

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18 mM glucosamine for 18 h. The glucosamine and CA had no effects on cell

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viability (Figure 1E).

As shown in Figure 1A and Figure 1B, glucosamine

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To assess the effect of CA on reversing insulin resistance, glucosamine-induced

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HepG2 cells were incubated with CA, in either absence or presence of insulin. In

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Figure 1C, CA dramatically improved glucose uptake in a dose-dependent manner,

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and CA further enhanced insulin-induced glucose uptake by 57.7%. In Figure 1D, CA

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significantly reversed glucosamine-induced glucose uptake decreasing after 24 h

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treatment. Rosiglitazone (ROG), an insulin sensitizer, was a positive control (10 µM).

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In the following experiments, the insulin resistance model was constructed by 18 mM

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glucosamine for 18 h, and the addition of CA was 100 µM for 24 h.

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CA restored glucosamine-induced impairment of GLUT2 translocation through

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activating PI3K/Akt pathway

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To further explore whether CA improved glucose uptake by promoting the

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translocation of GLUT2 from the cytoplasm to the membrane via PI3K/Akt pathway,

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the expression of GLUT2 and the activation of Akt were detected. As shown in Figure

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2A, by immunofluorescence staining, CA (100 µM) significantly improved GLUT2

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translocation. In Figure 2B and 2C, the expression of GLUT2 on the cell membrane of

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the glucosamine-induced cells was dramatically reduced by 73.0%, which led to

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marked reduction of cell glucose uptake. CA (100 µM) or ROG (10 µM) substantially

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elevated the decreased GLUT2 expression by 1.4-fold and 2.9-fold than control group,

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respectively, in membrane fractions of glucosamine model. In contrast with the

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insulin group, the treatment of insulin and CA (100 µM) was increased by 17.0%. As

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downstream of insulin signaling pathway, the phosphorylation of Akt was detected.

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As shown in Figure 2D and 2E, compared to glucosamine group, CA (100 µM) with

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or without insulin increased the phosphorylation of Akt by 1.1-fold and 1.7-fold,

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respectively.

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Effects of CA on inflammatory responses induced by glucosamine

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Insulin resistance has been linked to a low-grade chronic inflammatory

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response.9, 10, 27 To assess the effects of CA on inflammation induced by glucosamine,

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the pro-inflammatory cytokines and mediators were detected. As shown in Figure 3A,

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the production of nitrite (NO stable final product) was significantly increased by 80.0%

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in the glucosamine-induced HepG2 cells. CA (100 µM) dose-dependently attenuated

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the glucosamine-induced release of nitrite by 10.1% in CA group. CA (100 µM)

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significantly attenuated the increased mRNA levels of IL-6 and TNF-α in the

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glucosamine-induced cells (Figure 3B).

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As shown in Figure 3C and 3D, glucosamine increased the expression of iNOS

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and COX-2 levels by 1.42 and 1.96 times than the control group, respectively. In

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contrast with the glucosamine group, CA (100 µM) significantly reduced the

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expression of iNOS and COX-2 by approximately 46.4% and 38.3%, respectively.

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The inhibition of CA on the generation of ROS induced by glucosamine

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Impairment of insulin signaling and hepatic insulin resistance has been attributed

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to mitochondrial-generated ROS28. As shown in Figure 4A and 4B, glucosamine

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markedly increased ROS levels by 16.2% compared with control group. As shown in

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Figure 4C and 4D, the treatment of CA (100 µM) significantly decreased ROS level

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by 37.8% compared with glucosamine group. NAC, ROS scavenger, and CA (100 µM)

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had the synergistic effect on down-regulation expressions of iNOS and COX-2 by

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54.6% and 33.6%, respectively. With the pretreatment of NAC, CA (100 µM)

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synergistically promoted the glucose uptake by 25.9%, compared with the treatment

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only with CA, as shown in Figure 4E.

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Effect of CA on the inflammation and glucose uptake via suppressing MAPKs

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pathway

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Compared

to

control

group,

glucosamine

significantly

induced

the

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phosphorylation of JNK and p38 by 59.4% and 56.8%, respectively. The expression

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of the phosphorylation of JNK and p38 were markedly decreased by 30.8% and 47.2%

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compared with CA (100 µM) treatment. However, CA has no significant effect on

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phosphorylation of ERK1/2, as shown in Figure 5A and 5B. The ERK1/2 inhibitor

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U0126, p38 inhibitor SB203580, and JNK inhibitor SP600125 were added, and the

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expression of COX-2 and iNOS were substantially reduced in p38 and JNK inhibitors

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treatment group (p