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Korean Journal of Medicinal Crop Science - Vol. 22 , No. 6

[ ARTICLE ]
Korean Journal of Medicinal Crop Science - Vol. 22, No. 6, pp.457-462
Abbreviation: Korean J. Medicinal Crop Sci.
ISSN: 1225-9306 (Print) 2288-0186 (Online)
Print publication date Dec 2014
Received 22 Sep 2014 Revised 7 Oct 2014 Reviewed 3 Nov 2014 Reviewed 6 Nov 2014 Accepted 16 Nov 2014
DOI: https://doi.org/10.7783/KJMCS.2014.22.6.457

피부 각질세포에 대한 비파엽 에탄올 추출물의 PGE2 조절 작용과 상처치료 효과
임도연*이경인**,
*광주여자대학교 교양교직과정부
**동신대학교 생물자원산업화지원센터

Prostaglandin E2 Up-regulation and Wound Healing Effect of the Ethanol Extract of Eriobotryae Folium in Human Keratinocyte
Do Youn Im*Kyoung In Lee**,
*Division of Liberal Arts and Teacher Training, Kwangju Women’s University, Kwangju 506-713, Korea.
**Biotechnology Industrialization Center, Dongshin University, Naju 520-811, Korea.
Corresponding Author : (Phone) +82-61-336-3104 kilee@bic.re.kr


© The Korean Society of Medicinal Crop Science. All rights reserved
This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0 ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

ABSTRACT

Prostaglandin (PG) E2 is an important mediator of skin wound healing without excessive scarring and gastric ulcer healing. However, PGE2 has a short lifetime in vivo because it is metabolized rapidly by 15-hydroxyprostaglandin dehydrogenase (15-PGDH). Ethanol extract of Eriobotryae folium (EFEE) elevated intracellular and extracellular PGE2 levels in HaCaT cells and inhibited 15-PGDH (ED50 : 168.4 ㎍/mL) with relatively low cytotoxicity (IC50 : 250.0 ㎍/mL). Real-time PCR analysis showed that mRNA expression of cyclooxygenase (COX)-1 and COX-2 enzymes were increased and prostaglandin transporter (PGT) was decreased in HaCaT cells by EFEE. Moreover, wound healing effect of EFEE (168.4 ㎍/mL) was comparable to that of TGF-β1 (300 pg/mL) as a positive control. These results demonstrate that EFEE may be valuable therapeutic materials for the treatment of PGE2 level dependent diseases.


KeyWords: Eriobotryae Folium, Prostaglandin E2, Wound Healing

INTRODUCTION

Eriobotrya japonica (Thunb.) Lindley is an evergreen tree of the Rosaceae family. The plant originated in southeastern China and later became naturalized in Japan, India, Korea and many other countries. The dried leaf of E. japonica (Eriobotryae folium) is a famous traditional medicine for treatment to clear away lung-heat, eliminate phlegm, lower the adverse-rising energy, relieve cough and regulate the stomach to restrain vomiting (Ito et al., 2000). Especially, various triterpenes, sesquiterpenes, flavonoids and tannins have been found in the Eriobotryae folium. Moreover extract and isolated compound from leaves of this plant have been reported to be physiological active, exhibiting antioxidant, anti-inflammatory, antitumor, hypoglycemic effect, liver protective effect and antimutagenic (Banno et al., 2005; Bae et al., 2010; Cha et al., 2011a, 2011b; Choi et al., 2011). Moreover, antifibrosis effects of triterpene acids of Eriobotryae folium has been reported (Yang et al., 2012).

Prostaglandins are a family of biologically potent fatty acids derived from arachidonic acid (AA) through the cyclooxygenase (COX) pathway. Prostaglandin (PG) E2 acts as both an inflammatory mediator and fibroblast modulator (Sandulache et al., 2002). In addition, COX is a ratelimiting enzyme in the biosynthesis of PGs from AA, and exists in two isoforms (COX-1 and COX-2). PGs are not stored in cells but are released into the cellular environment, where they exert autocrine or paracrine effect on neighboring cells. Synthesized PGE2 is simply diffused and actively extruded by the multidrug resistance-associated protein 4 (MRP4) from the cells (Schuster, 2008). After acting via its PGE2 receptor (EPR), pericellular PGE2 is cleared via re-uptake by PG transporter (PGT) and then rapidly metabolized by cytosolic enzyme named NAD+- dependent 15-hydroxyprostaglandin dehydrogenase (15-PGDH) (Schuste, 1998). PGE2 has been identified as an important mediator for gastric ulcer healing (Chatterjee et al., 2012; Yamamoto et al., 2012; de-Faria et al., 2012), dermal wound healing (Choi et al., 2013; Wilgus et al., 2004) and anti-fibrotic activity (Zhou et al., 2012).

In this study, the ethanol extract of Eriobotryae folium (EFEE) as a 15-PGDH inhibitor after screening plant extracts was selected and investigated the regulation and expression of COX-1, COX-2, MRP4 and PGT in fibroblast cell line (HaCaT) for the regulation of PGE2 level. Moreover, the effect of EFEE during wound healing in HaCaT cells was investigated.


MATERIALS AND METHODS
1. Plant materials and extraction

Eriobotryae folium was collected from Wando, Jeonnam, Korea in June 2013. It was authenticated by Professor BS Pyo of the department of Oriental Medicine Materials, Dongshin University and the voucher specimen (No. DSUBIC-13-02) was preserved in the herbarium of the Biotechnology Industrialization Center of Dongshin University. Plant material was shade dried at room temperature, chopped followed by pulverization. Two hundred grams of powdered plant material were extracted by reflux with 94.0% ethanol for 3 h. The extract was evaporated to dryness by using a rotary vacuum evaporator at 50℃ to get crude extract (EFEE, 38 g).

2. Instruments and reagent

PGE2, NAD+, NADH, gluthathione-sepharose 4B, dithiothreitol (DTT), sodium dodecyl sulfate (SDS), EDTA, reduced glutathione, and rest of essential chemicals and reagents were purchased from Sigma (St. Louis, MO, USA). The GST gene fusion pGEX-2T expression vector was purchased from Pharmacia Crop. (Piscataway, New Jersey, USA). The cDNA of human 15-PGDH was cloned from a human placenta cDNA library, as described previously (Ensor et al., 1990). The UV spectra were obtained using a UV-VIS spectrophotometer (Shimadzu, Kyoto, Japan). PGE2 enzyme immunoassay kit was purchased from Thermo Scientific (Rockford, IL, USA). Real-time PCR was performed with the Light Cycler 2.0 Instrument (Roche, Mannheim, Germany).

3. Expression and purification of 15-PGDH

15-PGDH cDNA plasmid containing BamHI and EcoRI sites of the pGEX-2T expression vector was used to transform Escherichia coli BL-21 lysS. The cells were grown in 500mL medium containing 50㎍/mL ampicillin at 37℃ and 220 rpm until the OD600 reached 0.6. Isopropyl B-D-thiogalactoside (1 M stock solution) of 500 μL was added and the cells were allowed to grow for 12 h at 25℃. Then the cells were harvested by centrifugation at 4000 × g for 30 min at 4℃. The cell pellets were resuspended in 20 mL cold cell Lysis buffer (1 × PBS buffer pH 7.4 containing 1 mM EDTA and 0.1 mM DTT) and sonicated (4 × 10 s at 4℃). The disrupted cells were centrifuged at 4000 × g for 20 min at 4℃. The supernatant was applied slowly to a gluththione-sepharose 4B column, which was equilibrated at 4℃ with a lysis buffer. The column was washed with lysis buffer until OD280 reached below 0.005. The 15-PGDH was eluted from the glutathione-sepharose 4B column by incubation at room temperature for 5 min with the elution buffer (50 mM Tris-HCl pH 8.0 containing 10mM reduced glutathione, 1mM EDTA and 0.1mM DTT). The concentration of enzyme was determined and the purity of the 15-PGDH was assessed by sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE).

4. 15-PGDH assay

Assay for the activity of the 15-PGDH inhibitors was performed using a fluorescence spectrophotometer by measuring the formation of NADH at 468㎚ following excitation at 340㎚. Tris-HCl buffer (50 mM, pH 7.5) containing 0.1 mM DTT, 0.25 mM NAD+, purified enzyme (10㎍), 21 μM PGE2 and various concentrations of EFEE (total 2 mL) were added to each cell. Each concentration was assayed in triplicate. The absorbance at 340㎚ after incubation with EFEE was determined from a standard curve of various concentrations of NADH.

5. Cell culture and cell viability assay

HaCaT cells, a human keratinocyte cell line, were cultured in Dulbecco’s modified Eagle’s media (DMEM). The cultured media were supplemented with 10% heat inactivated fetal bovine serum (Sigma, St. Louis, MO, USA) and 100㎍/mL penicillin, in 5% CO2 at 37℃. Cell viability was determined by the MTT assay. HaCaT cells (1 × 104) were seeded in 96 well plates per 90 μL of DMEM medium. After the overnight of incubation, EFEE was treated for 72 h followed by 4 h of incubation with 10 μL of MTT (5㎎/mL stock solution). Then medium was removed and followed by addition of 150 μL of DMSO to dissolve formazan. Absorbance was measured at 540㎚ using an microplate reader (Perkin-Elmer, Waltham, MA, USA).

6. Determination of PGE2 release

HaCaT cells was seeded (5 × 105 cells/well) on to 6-well culture plates in DMEM medium containing fetal bovine serum and antibiotic for overnight in 5% CO2 incubator at 37℃. EFEE of different concentrations were treated and media was collected after 12 h of sample treatment. PGE2 levels were determined by PGE2 enzyme immunoassay kits according to manufacturer’s protocol.

7. Quantitative real-time PCR

Total cellular RNA was isolated from HaCaT cells using TRI reagent (RNAiso Plus, Takara Bio Inc., Shiga, Japan) according to manufacturer’s protocol. cDNA for each RNA sample was synthesized in 20 μL reactions using the SuperScript First Strand synthesis system for reverse transcription-PCR (Invitrogen, Carlsbad, CA, USA) following manufacturer’s protocol. PCR reaction contained 4 μL of 1 : 5 diluted cDNA, 4 mM MgCl2 10 pmole of each primer and 4 μL of Fast Starter Mix buffer (dNTPs, SYBR Green dye and Tag polymerase). Primers used for real-time PCR were as follows: Human PGT forward, 5’- GGATGCTGTTTGGAGGAATCCTCA-3’ and reverse, 5’- GCAC GATCCTGTCTTTGCTGAA-3’; MRP4 forward, 5’- AACCTCTAACC GACATTCCTG-3’ and reverse, 5’-TCAA CATATTACAGCCACCATC-3’; COX-1 forward 5’-CCTCAT GTTTGCCTTCTTTGC-3’ and reverse 5’-GGCGGGTACATT TCTCCATC-3’; COX-2 forward, 5’-GATCTACCCTCCTCA A-3’ and reverse 5’-GAACAACTGCTCATCAC-3’ and β-actin forward 5’-GACTATGACTTAGTTGCGTTA-3’ and reverse 5’- GTTGAAC TCTCTACATACTTCCG-3’.

8. Wound healing effect by in vitro scratch assay

For the in vitro scratch assay (Hintermann et al., 2001; Koivisto et al., 2006), HaCaT cells were seeded onto six well plates in a density of 5 × 105 cells/well, and grown until they reached about 80% confluence. Then the media was changed with serum free DMEM containing mitomycin (10㎍/mL) and incubated for 2 h to prevent wound proliferation followed by extensive washing with PBS. A scratch was made using a sterile 200 μL pipette tip and cells were washed. TGF-β1 (300 pg/mL) as a positive control and EFEE as a 15-PGDH inhibitor were added to the medium. Pictures were taken exactly at the same position before and after the incubation to document the wound healing process. Experiments were repeated twice and delegate pictures are shown. Scratches were picture under the microscope (× 100) immediately after scratch making and once more after 48 h incubation at 37℃, 5% CO2 incubator.

9. Statistical analysis

The results are expressed as the mean ± SD. Data between groups were analyzed by a Student’s unpaired two-tailed t-test and p-values less than 0.05 were considered significant.


RESULTS AND DISCUSSION
1. Determination of extracellular and intracellular PGE2 levels

PGE2 has been known as an important mediator of healing of gastric ulcer, dermal wound and so on (Chatterjee et al., 2012; Yamamoto et al., 2012; Choi et al., 2013; Li et al., 2011). It is reported that 15-PGDH is inhibited by a variety of pharmacological agents including NSAIDs such as indomethacin, anti-paltelet aggregatory drugs such as panaxynol (Moustafa et al., 2013; Fujimoto et al., 1998), anti-allergic drugs such as flavonoid baicalein (Iijima et al., 1980), and so on. As shown in Table 2, EFEE increased 18.33% of extracellular PGE2 level and 39.68% of intracellular PGE2 level compared to control group in HaCaT cells.

Table 2. 

Intracellular and extracellular PGE2 levels after the treatment of ethanol extract of Eriobotryae folium (EFEE) in HaCaT cells.


Intracellular (pg/㎍) Extracellular (pg/mL)

Control 1.89 ± 0.20 393.67 ± 12.46*
EFEE 2.64 ± 0.50* 465.84 ± 47.42
Values are mean ± SD (n = 4).
p < 0.05 compared to the control group.

2. 15-PGDH inhibitory activity and cytotoxicity

15-PGDH is the key metabolic senzyme of PGE2 (Choi et al., 2013). Therefore, inhibition of 15-PGDH is supposed to facilitate previous biological effects by increasing PGE2. Inhibitors of 15-PGDH will be valuable for the disease therapy requiring PGE2 elevation (Moustafa et al., 2013). For this reason, we have searched EFEE for potential 15- PGDH inhibitory activity. The effective dose for 50% inhibition (ED50) was used for the expression of 15-PGDH inhibitory activity. We found that EFEE contained 15- PGDH inhibitor ED50 value, 168.4㎍/mL (Table 1). On the other hand, cytotoxicity is very important for pharmaceutical application. The cytotoxicity of EFEE was determined by MTT assay. IC50 (concentration for 50% of cell survival) of EFEE in HaCaT cells appeared was 250.0㎍/mL.

Table 1. 

15-PGDH inhibitory activity and cytotoxicity of ethanol extract of Eriobotryae folium (EFEE) in HaCaT cells.


Concentrations

15-PGDH inhibition (ED50) 168.4 ㎍/mL
Cytotoxicity (IC50) 250.0 ㎍/mL

3. COX-1, COX-2, MRP4 and PGT expression

COX pathway increased PGE2 level by inducing the synthesis of PGE2 from arachidonic acid in biological system. In this connection, expression of COX-1, COX-2, MRP4 and PGT is essential for PGE2 synthesis and transportation. PGE2 can cross through the membrane by simple diffusion or via a prostaglandin efflux transporter, such as MRP4. After acting via its EPR, pericellular PGE2 is cleared via re-uptake by PGT and then rapidly metabolized by cytosolic 15-PGDH (Lee et al., 2012). Thus, PGE2 levels would be functions of expression levels of these genes. Therefore, we treated HaCaT cells with EFEE and checked the regulation of COX-1, COX-2, MRP4 and PGT. Real-time PCR assay showed that EFEE increased expression of COX-1 and COX-2 (Fig. 1). On the other hand, expression of MRP4 and PGT decreased by EFEE treatment. In Table 2 and Fig. 1, intracellular and extracellular PGE2 level in HaCaT cells elevated by the increasing of COX-1 and COX-2 expression, and the decreasing of MRP4 and PGT expression. In addition, EFEE contained 15-PGDH inhibitory effect (Table 1). Interestingly, it has been reported that Eriobotryae folium extract suppressed LPS-induced nitric oxide and PGE2 production through the inhibition of inducible nitric oxide synthase and COX-2 expression in lipopolysaccharidestimulated RAW264 cells (Uto et al., 2010). Therefore, it is estimated that EFEE has different functions working in different cells such as murine macrophages, keratinocytes.


Fig. 1.  Effect of ethanol extract of Eriobotryae folium (EFEE) on mRNA expression of COX-1, COX-2 (A) and MRP4, PGT (B).

HaCaT cells were treated with EFEE (168.4㎍/mL) for 12 h. Values are mean ± SD (n = 4). *p < 0.05 and **p < 0.001 compared to the control group.



4. Wound healing effect by in vitro scratch assay

For the wound healing study, in vitro scratch assay was performed to compare the result of samples. EFEE facilitated wound healing as compared to the negative control. Moreover, the wound healing effect of EFEE (168.4㎍/mL) was comparable to that of TGF-β1 (300 pg/ mL) as a positive control. TGF-β1 is one of endogenous growth factors, including EGF, FGF and PDGF, that are released from some T cells at the around site and presumed to be a necessary part of wound healing (Liu et al., 2006; Strutz et al., 2001). By measuring the distance of scratch, the recovery % of samples compared with negative control was calculated. EFEE treatment group showed 228% recovery, while TGF-β1 treatment group showed 241% recovery of scratched wounds (Fig. 2).


Fig. 2.  Pictures (A) of wound healing effect (B) in HaCaT cells by in vitro scratch assay.

EFEE; ethanol extract of Eriobotryae folium. HaCaT cells were treated with EFEE (168.4 ㎍/mL) and TGF-β1 (300 pg/mL) as a positive control. The pictures were taken at 0 h and 48 h after treatment of samples. Values are mean ± SD (n = 3). **p < 0.001 compared to the control group.



Many studies have reported that PGE2 is an important mediator of dermal wound healing (Kolodsick et al., 2003; Savla et al., 2001). Likewise, there is a close connection between wound healing effect of EFEE and PGE2 upregulation by controlled expression of MRP4, PGT, COX-1 and COX-2. Moreover, 15-PGDH inhibition effect of EFEE facilitated PGE2 up-regulation. These results indicate that EFEE could be applicable to therapeutic materials for the treatment of PGE2 level dependent diseases such as dermal wound, gastric ulcer and so on.


REFERENCES
1. Bae, DH, You, YH, Yoon, HG, Kim, KM, Lee, YH, Kim, YJ, Baek, HY, Kim, SO, Lee, JM, Jun, WJ, Protective effects of loquat(Eriobotrya japonica) leaves against ethanol-inducedtoxicity in HepG2 cells transfected with CYP2E1, Food Science and Biotechnology, (2010), 19, p1093-1096.
2. Banno, N, Akihisa, T, Tokuda, H, Yasukawa, K, Taguchi, Y, Akazawa, H, Ukiya, M, Kimura, Y, Suzuki, T, Nishino, H, Anti-inflammatory and antitumor-promoting effects of the triterpene acids from the leaves ofEriobotrya japonica, Biological and Pharmaceutical Bulletin, (2005), 28, p1995,-1999,.
3. Cha, DS, Eun, JS, Jeon, H, Anti-inflammatory and antinociceptive properties of the leaves ofEriobotrya japonica, Journal of Ethnopharmacology, (2011a), 134, p305-312.
4. Cha, DS, Shin, TY, Eun, JS, Kim, DK, Jeon, H, Antimetastatic properties of the leaves ofEriobotyra japonica, Archives of Pharmacal Research, (2011b), 34, p425-436.
5. Choi, YG, Seok, YH, Yeo, SJ, Jeong, MY, Lim, S, Protective changes of inflammation-related gene expression by the leaves of Eriobotyra japonica in the LPS-stimulated human gingival fibroblast Microarray analysis, Journal of Ethnopharmacology, (2011), 135, p636-645.
6. Chatterjee, A, Chatterjee, S, Das, S, Saha, A, Chattopadhyay, S, Bandyopadhyay, SK, Ellagic acid facilitates indomethacin-induced gastric ulcer healing via COX-2 upregulation, Acta Biochimica et Biophysica Sinica, (2012), 44, p565-576.
7. Choi, DB, Piao, YL, Wu, Y, Cho, H, Control of the intracellular levels of prostaglandin E2 through inhibition of the 15-hydroxyprostaglandin dehydrogenase for wound healing, Bioorganic and Medicinal Chemistry, (2013), 21, p4477-4484.
8. Ensor, CM, Yang, JY, Okita, RT, Tai, HH, Cloning and sequencing analysis of the cDNA for human placental NAD+-dependent15-hydroxyprostaglandin dehydrogenase, Journal of Biological Chemistry, (1990), 265, p14888-14891.
9. de-Faria, FM, Almeida, ACA, Luiz-Ferreira, A, Dunder, RJ, Takayama, C, Silva, MS, Silva, MA, Vilegas, W, Rozza, AL, Pellizzon, CH, Toma, W, Souza-Brito, ARM, Mechanisms of action underlying the gastric antiulcer activity of theRhizophora mangleL, Journal of Ethnopharmacology, (2012), 139, p234-243.
10. Fujimoto, Y, Sakuma, S, Komatsu, S, Sato, D, Nishida, H, Xiao, YQ, Bada, K, Fujita, T, Inhibition of 15-hydroxyprostaglandin dehydrogenase activity in rabbit gastric antral mucosa by panaxynol isolated from oriental medicines, Journal of Pharmacy and Pharmacology, (1998), 50, p1075-1078.
11. Hintermann, E, Bilban, M, Sharabi, A, Quaranta, V, Inhibitory role of alpha 6 beta 4-associated erbB-2 and phosphoinositide 3-kinase in keratinocyte haptotactic migration dependent on alpha 3 beta 1 integrin, Journal of Cell Biology, (2001), 153, p465-478.
12. Iijima, Y, Kawakita, N, Yamazaki, M, Inhibition of 15-hydroxyprostaglandin dehydroxygenase by antiallegic agents, Biochemical and Biophysical Research Communications, (1980), 93, p912-918.
13. Ito, H, Kobayashi, E, Takamatsu, Y, Li, SH, Hatano, T, Sakagami, H, Kusama, K, Satoh, K, Suqita, D, Shimura, S, Itoh, Y, Yoshida, T, Polyphenols fromEriobotrya japonicaand their cytotoxicity against human oral tumor cell lines, Chemical and Pharmaceutical Bulletin, (2000), 48, p687-693.
14. Koivisto, L, Jiang, G, Häkkinen, L, Chan, B, Larjava, H, HaCaT keratinocyte migration is dependent on epidermal growth factor receptor signaling and glycogen synthase kinase-3alpha, Experimental Cell Research, (2006), 312, p2791-2805.
15. Kolodsick, JE, Peters-Golden, M, Larios, J, Toews, GB, Thannickal, VJ, Moore, BB, Prostaglandin E2 inhibits fibroblast to myofibroblast transition viaE. prostanoidreceptor 2 signaling and cyclic adenosine monophosphate elevation, American Journal of Respiratory Cell and Molecular Biology, (2003), 29, p537-544.
16. Lee, KI, Moon, YS, Pyo, BS, Choi, CH, Extracellular prostaglandin E2 upregulation effect of the methanol extract of Artemisia argyi, Natural Product Science, (2012), 18, p211-214.
17. Li, YJ, Wang, XQ, Sato, T, Kanaji, N, Nakanishi, M, Kim, M, Michalski, J, Nelson, AJ, Sun, JH, Farid, M, Basma, H, Patil, A, Toews, ML, Liu, X, Rennard, SI, Prostaglandin E2 inhibits human lung fibroblast chemotaxis through disparate actions on different E-prostanoidreceptors, American Journal of Respiratory Cell and Molecular Biology, (2011), 44, p99-107.
18. Liu, Y, Dulchavsky, DS, Gao, X, Kwon, D, Chopp, M, Dulchavsky, S, Gautam, SC, Wound repair by bone marrow stromal cells through growth factor production, Journal of Surgical Research, (2006), 136, p336-341.
19. Moustafa, TM, El-Azab, MF, Fouda, A, 15-PGDH inhibitors The antiulcer effects of carbenoxolone, pioglitazone and verapamil in indomethacin induced peptic ulcer rats, European Review for Medical and Pharmacological Sciences, (2013), 17, p2000-2009.
20. Savla, U, Appel, HJ, Sporn, PH, Waters, CM, Prostaglandin E(2):regulates wound closure in airway epithelium, Lung Cellular and Molecular Physiology, (2001), 280, pL421-431.
21. Sandulache, VC, Parekh, A, Li-Korotky, H, Dohar, JE, Hebda, PA, Prostaglandin E2 inhibition of keloid fibroblast migration, contraction, and transforming growth factor(TGF)-ß1-induced collagen synthesis, Wound Repair and Regeneration, (2007), 15, p122-133.
22. Schuster, VL, Molecular mechanisms of prostaglandin transport, Annual Review of Physiology, (1998), 60, p221-242.
23. Schuster, VL, Prostaglandin transport, Prostaglandins and Other Lipid Mediators, (2002), 68-69, p633-647.
24. Strutz, F, Zeisberg, M, Renziehausen, A, Raschke, B, Becker, V, van Kooten, C, Muller, G, TGF-beta 1 induces proliferation in human renal fibroblasts via induction of basic fibroblast growth factor(FGF-2), Kidney International, (2001), 59, p579-592.
25. Wilgus, TA, Bergdall, VK, Tober, KL, Hill, KJ, Mitra, S, Flavahan, NA, Oberyszyn, TM, The impact of cyclooxygenase-2 mediated inflammation on scarless fetal wound healing, American Journal of Pathology, (2004), 165, p753-761.
26. Yamamoto, S, Watabe, K, Araki, H, Kamada, Y, Kato, M, Kizu, T, Kiso, S, Tsutsui, S, Tsujii, M, Kihara, S, Funahashi, T, Shimomura, I, Hayashi, N, Takehara, T, Protective role of adiponectin against ethanol-induced gastric injury in mice, Gastrointestinal and Liver Physiology, (2012), 302, pG773-G780.
27. Uto, T, Suangkaew, N, Morinaga, O, Eriobotryae foliumextract suppresses LPS-induced iNOS and COX-2 expression by inhibition of NF-kappaB and MAPK activation in murine macrophages, American Journal of Chinese Medicine, (2010), 38, p985-994.
28. Yang, Y, Huang, Y, Huang, C, Lv, X, Liu, L, Wang, Y, Li, J, Antifibrosis effects of triterpene acids ofEriobotrya japonica(Thunb) Lindl leaf in a rat model of bleomycininduced pulmonary fibrosis, Journal of Pharmacy and Pharmacology, (2012), 64, p1751-1760.
29. Zhou, H, Felsen, D, Sandulache, VC, Amin, MR, Kraus, DH, Branski, RC, Prostaglandin(PG) E2 exhibits anti-fibrotic activity in vocal fold fibroblasts, Laryngoscope, (2012), 121, p1261-1265.