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http://dx.doi.org/10.4110/in.2015.15.6.331 BRIEF COMMUNICATION pISSN 1598-2629 eISSN 2092-6685

Ginsenoside Rg1 and 20(S)-Rg3 Induce IgA Production by Mouse B Cells

Ha-Yan Park1,2#, Sang-Hoon Lee1,2#, Kyu-Seon Lee1,2, Hee-Kyung Yoon1,2, Yung-Choon Yoo1,2, Junglim Lee1,2, Jae Eul Choi3, Pyeung-Hyeun Kim4 and Seok-Rae Park1,2* 1Department of Microbiology, 2Myunggok Medical Research Institute, College of Medicine, Konyang University, Daejeon 35365, 3College of Agriculture and Life Science, Chungnam National University, Daejeon 34134, 4Department of Molecular Bioscience, School of Biomedical Science, Kangwon National University, Chuncheon 24341, Korea

Ginsenosides are the major components of , which INTRODUCTION is known to modulate blood pressure, , and im- mune function, and has been used to treat various diseases. Ginseng (Panax ginseng) has been widely used in tradi- It has been reported that ginseng and several ginsenosides tional oriental tonic medicine for thousands of years to have immunoregulatory effects on the innate and T cell- treat various diseases and to maintain body homeostasis. mediated immune response. However, their effects on the Many reports show that ginseng has multifunctional bio- humoral immune response have not been fully explored. logical effects in immune function, anti-inflammatory, an- The present study examined the direct effects of red gin- ti-cancer, anti-oxidant, metabolic processes (anti-diabetic) seng extract (RGE) and ginsenosides on mouse B cell pro- and the neuro-endocrine and cardiovascular system (blood liferation and on antibody production and the expression of pressure regulation) (1-6). Ginseng contains many active germline transcripts (GLT) by mouse B cells in vitro. RGE ingredients including ginsenosides, polysaccharides, pep- slightly reduced B cell proliferation, but increased IgA tides, , polyacetylenic alcohols and fatty acids production by LPS-stimulated B cells. Furthermore, ginse- (2,4,7). Among them, ginsenosides are known to have the noside Rg1 and 20(S)-Rg3 selectively induced IgA pro- most pharmacological and immunological activity (4,8). In duction and expression of GLTα transcripts by LPS-stimu- the case of Korean ginseng, 38 ginsenosides have been lated B cells. Collectively, these results suggest that ginse- identified and classified into three groups: protopanaxadiol noside Rg1 and 20(S)-Rg3 can drive the differentiation of (PPD), protopanaxatriol (PPT) and oleanane (4). B cells into IgA-producing cells through the selective in- Recent investigations have demonstrated that ginseno- duction of GLTα expression. sides are responsible for regulation of the immune res- [Immune Network 2015;15(6):331-336] ponse. It has been reported that ginsenoside Rg1 regulates the innate immune response in dendritic cells and macro- Keywords: Ginseng, Ginsenoside, IgA, Germline α tran- phages by differentially modulating the production of in- scripts, B cells flammatory cytokines (9,10). Rg1 also increases CD4+ T cell activity and modulates Th1/Th2 differentiation in vitro and in vivo (11,12). In addition, ginsenoside Rb1, Rd and

Received on October 16, 2015. Revised on November 27, 2015. Accepted on November 30, 2015. CC This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any me- dium, provided the original work is properly cited. *Corresponding Author. Seok-Rae Park, Department of Microbiology, College of Medicine, Konyang University, Daejeon 35365, Korea. Tel: 82-42-600-6497; Fax: 82-42-600-6314; E-mail: [email protected] #These authors contributed equally to this work.

Abbreviations: GLT, germline transcripts; RGE, red ginseng extract

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Re elicit a Th1 and Th2 immune response (13-16), and and separated using a LS column and MACS Separator recent studies have demonstrated that these ginsenosides (Miltenyi Biotec, Auburn, CA, USA). The purity of B cells (Rg1, Rb1, Rd, Re and Rg3) have immunological adjuvant (≥98%) was assessed by FACSCalibur (BD Biosciences, activity to enhance the immune response (17-23). San Jose, CA, USA) after staining the cells with an- Mature IgM+ B cells undergo Ig class switch recombi- ti-CD43 FITC (eBioscience, San Diego, CA, USA) and/or nation (CSR) at the switch region on the heavy chain locus anti-B220 PE (BD Biosciences). Cells were cultured at o to produce other Ig isotypes (IgG, IgA and IgE) and this 37 C in a humidified CO2 incubator (Forma Scientific, class switching is selectively induced by cytokines such as Marietta, OH, USA) in RPMI-1640 medium (WelGENE) IL-4, IFN-γ and TGF-β1 (24). In addition, expression of supplemented with 10% fetal bovine serum (PAA germline transcripts (GLTs) for each switch region is a Laboratories, Etobicoke, ON, Canada). Purified B cells prerequisite for each Ig CSR process (25). That is, the ex- were stimulated with LPS (1 μg/ml, InvivoGen, San pression of GLα transcripts induces IgA CSR. Diego, CA, USA; 12.5 μg/ml, Sigma-Aldrich, St Louis, As mentioned above, ginsenosides act as adjuvants and MO, USA), red ginseng extract (200 μg/ml, Prepared by then elicit both a humoral antibody response and a T cell Dr. JE Choi, Chungnam National University, Daejeon, mediated immune response. However, the direct effects of Korea) (26), ginsenoside Rb1, Rg1, 20(S)-Rg3 (each 2 μg/ ginsenosides on the B cell response have not yet been ml, Ambo Institute, Daejeon, Korea) and TGF-β1 (0.2 investigated. To address this, we purified B cells from ng/ml, R&D Systems, Minneapolis, MN, USA). mouse splenocytes and examined the effects of red ginseng extract (RGE) and ginsenosides on B cell proliferation, an- Cell proliferation assay tibody production, and expression of GLTs in vitro. Our Cell proliferation was determined using an EZ-Cytox cell study reveals that ginsenoside Rg1 and 20(S)-Rg3 se- viability assay kit (Daeil Lab Service Co, Seoul, Korea) lectively induce IgA production and GLTα expression by as previously described (27). Briefly, 20 μl of EZ-Cytox LPS-activated mouse B cells. kit reagent was added to each well of a 96-well microplate o and then incubated at 37 C in a humidified CO2 incubator MATERIALS AND METHODS for 3 h. After incubation, the optical density (OD) was measured at a wavelength of 450 nm using an Absorbance Animals Microplate Reader (BioTek Instruments, Inc., Winooski, BALB/c mice were purchased from Damool Science VT, USA). (Daejeon, Korea) and maintained on an 8:16 h light:dark cycle in an animal environmental control chamber. Eight- Isotype-specific ELISA to twelve-week-old mice were used, and animal care was Antibodies produced in B cell cultures were detected using in accordance with the institutional guidelines of the isotype-specific ELISA. Affinity-purified anti-isotype spe- Institutional Animal Care and Use Committee of Konyang cific antibodies were added at 1.2 μg/ml in 0.05 M sodium University. bicarbonate buffer (pH 9.5) to 96-well U bottomed poly- vinyl microplates (Falcon, Becton Dickinson & Co., Ox- Purification of B cells, cell culture, and reagents nard, CA, USA). Plates were washed with PBS containing Mouse splenic B cells were purified by positive selection 0.05% Tween-20 (PBST) followed by overnight incubation of B220+ cells using anti-B220 microbeads or by depletion at 4oC, and blocked for 1 h with 0.25% BSA solution. of CD43+ cells using anti-CD43 microbeads and high-gra- After washing, 50 μl of standard myeloma proteins and dient magnetic cell separation (MACS; Miltenyi Biotec, culture supernatants were added to each well and in- Bergisch Gladbach, Germany) according to manufacturer’s cubated for 1 h at 37oC. After washing, horseradish-per- instructions. Briefly, BALB/c mouse spleen cell suspen- oxidase (HRPO) conjugated anti-isotype specific antibo- sions were washed with HBSS (WelGENE, Daegu, Korea) dies (Southern Biotechnology, Birmingham, AL, USA) and treated with 0.83% ammonium chloride to lyse the red were added to each well and incubated for 1 h. Plates were blood cells. Spleen cells were treated with either anti- then washed, and TMB substrate (BD Biosciences) was mouse B220 microbeads or anti-mouse CD43 microbeads added. After incubation, 0.05 M sulfuric acid was added

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to each well, and colorimetric reaction was measured at solved by electrophoresis on 2% agarose gels. 450 nm with an Absorbance Microplate Reader. Statistical analysis RT-PCR Statistical differences between experimental groups were RNA preparation, reverse transcription, and PCR were per- determined by analysis of variances. Values with p<0.05 formed as previously described (28). The following PCR by an unpaired two tailed Student’s t-test were considered primers were synthesized by Bioneer (Daejeon, Korea): significant. GLTα, forward 5'-CTACCATAGGGAAGATAGCCT-3', reverse 5'-TAATCGTGAATCAGGCAG-3' (product size, RESULTS AND DISCUSSION 206 bp); GLTγ1, forward 5'-CAGCCTGGTGTCAACT- AG-3', reverse 5'-CTGTACATATGCAAGGCT-3' (product Effects of red ginseng extracts on mouse B cell proli- size, 532 bp); GLTγ2b, forward 5'-GGGAGAGCACTGG- feration and antibody production GCCTT-3', reverse 5'-AGTCACTGACTCAGGGAA-3' (pro- Red ginseng is usually produced by steaming ginseng root duct size, 318 bp); β-actin, forward 5'-CATGTTTGAGA- at 95∼100oC for 2∼4 h, and then drying at 50∼60oC un- CCTTCAACACCCC-3', reverse 5'-GCCATCTCCTGCTC- til the moisture content is <15% (29). In this study, we GAAGTCTAG-3' (product size, 320 bp). All reagents for used two kinds of Korean red ginseng extracts (RGEs), RT-PCR were purchased from iNtRON Biotechnology which were prepared by water extraction (26): RGE1 was (Seongnam, Korea). PCR for β-actin was performed in extracted at 75oC for 24 h; RGE2 was extracted at 85oC parallel to normalize the cDNA concentrations within each for 12 h. We first examined the effect of RGEs on B cell set of samples. Aliquots of the PCR products were re- proliferation in vitro. As shown in Fig. 1A, both RGE1

Figure 1. Effects of red ginseng extract on B cell proliferation and antibody production. Puri- fied mouse splenic B cells were stimulated with LPS (1 μg/ml) and red ginseng extracts (RGE1 and RGE2; each 200 μg/ml). (A) After 2, 3 and 4 days of culture, cell proliferation (OD) was mea- sured using an EZ-Cytox cell via- bility assay. Data are averages of two independent experiments with ranges (bars). (B) After 7 days of culture, supernatants were harvested, and levels of Igs production were determined us- ing an isotype-specific ELISA. Data represent means±SEM of triplicate samples. *p<0.05.

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and RGE2 substantially inhibited LPS-induced mouse sple- inflammation, and obesity, and 20(S)-Rg3 is found only nic B cell proliferation. Next, we determined the effect of in red ginseng. It has been reported that ginsenoside Rb1, the RGEs on antibody production by B cells. The RGEs Rg1, and Rg3 regulate the T cell-mediated immune re- induced IgA production while decreasing other isotypes in- sponse (11-13,23). Therefore, we first examined whether cluding IgM, IgG1 and IgG2b (Fig. 1B). RGE alone did Rb1, Rg1 and 20(S)-Rg3 have a direct effect on antibody not stimulate B cell proliferation or antibody production production by mouse B cells. None of the ginsenosides (data not shown). Thus, the RGEs selectively induced IgA alone were able to stimulate B cell proliferation or anti- production by LPS-stimulated mouse B cells. Further stud- body production (data not shown). As shown in Fig. 2A, ies will be required to analyze the ginsenoside composition ginsenoside Rg1 and 20(S)-Rg3 significantly increased of the RGEs and to verify which ginsenoside(s) contributes IgA production (1.7- and 1.9-fold increase, respectively, p to the selective induction of IgA production. <0.05) by LPS-stimulated B cells, while Rb1 had no sig- nificant effect on IgA production. Rg1, 20(S)-Rg3 and Rb1 Ginsenoside Rg1 and 20(S)-Rg3 increase IgA produc- did not increase IgM, IgG1 and IgG2b production. Rather, tion and induce expression of germline α transcripts IgG1 production was decreased by Rb1 and Rg1. TGF-β1 by LPS-stimulated mouse B cells is a well-known IgA and IgG2b class-switching factor The most abundant ginsenosides in Korean red ginseng are (30,31). We observed that TGF-β1 selectively enhances Rb1 and Rg1 (4). In addition, Rg3 [20(R)-Rg3 and 20(S)- IgA and IgG2b production by LPS-activated B cells (Fig. Rg3] is one of the most effective ginsenosides for cancer, 2A). All three ginsenosides had no effect on B cell pro-

Figure 2. Effects of ginsenosides on antibody production and ex- pression of germline transcripts. Purified mouse splenic B cells were stimulated with LPS (12.5 μg/ml), ginsenoside [Rb1, Rg1, and 20(S)-Rg3; each 2 μg/ml], and TGF-β1 (0.2 ng/ml). (A) After 7 days of culture, superna- tants were harvested and levels of Igs production were determined using an isotype-specific ELISA. Data represent the average±SEM of three independent experi- ments. *p<0.05. (B) After 2 and 3 days of culture, cell prolifera- tion (OD) was measured using an EZ-Cytox cell viability assay. Data are averages of two inde- pendent experiments with ranges (bars). (C) After 2.5 days of cul- ture, RNAs were isolated, and GLTs and β-actin mRNA levels were measured by RT-PCR. Data are representative of two inde- pendent experiments.

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liferation (Fig. 2B). Furthermore, we observed that Rg1 fects and medicinal components of Korean Panax ginseng C A and 20(S)-Rg3 selectively induce expression of GLTα in Meyer. Acta. Pharmacol. Sin. 29: 1109-1118. 5. Jia, L., and Y. Zhao. 2009. Current evaluation of the millennium LPS-activated B cells (Fig. 2C). Our results show that, at phytomedicine--ginseng (I): etymology, pharmacognosy, phyto- least in part, ginsenoside Rg1 and 20(S)-Rg3 induce GLα chemistry, market and regulations. Curr. Med. Chem. 16: 2475- transcription, resulting in IgA production by B cells. 2484. In summary, in this report, we show for the first time 6. Leung, K. W., and A. S. Wong. 2010. of ginseno- sides: a literature review. Chin. Med. 5: 20. that RGE and ginsenoside Rg1/(20)-S Rg3 can directly 7. Gillis, C. N. 1997. Panax ginseng pharmacology: a nitric oxide drive B cells to produce IgA. Further investigation is need link? Biochem. Pharmacol. 54: 1-8. to explore the mechanism(s) by which the ginsenosides in- 8. Yue, P. Y., N. K. Mak, Y. K. Cheng, K. W. Leung, T. B. Ng, duce GLα transcription. It will also be interesting to ex- D. T. Fan, H. W. Yeung, and R. N. Wong. 2007. Pharmacogeno- mics and the Yin/Yang actions of ginseng: anti-tumor, angiomodu- amine the direct effects of other ginsenosides, such as Rc, lating and -like activities of ginsenosides. Chin. Med. 2: 6. Rd and Rh1, on antibody production because it has been 9. Rhule, A., B. Rase, J. R. Smith, and D. M. Shepherd. 2008. Toll- reported that intravenous injection of ginsenoside Rc and like receptor ligand-induced activation of murine DC2.4 cells is Rd differentially regulate antibody production (32) and attenuated by Panax notoginseng. J. Ethnopharmacol. 116: 179- ginsenoside Rh1 can alleviate inflammatory symptoms in 186. 10. Wang, Y., Y. Liu, X. Y. Zhang, L. H. Xu, D. Y. Ouyang, K. atopic dermatitis via reduction of IgE (33). P. Liu, H. Pan, J. He, and X. H. He. 2014. Ginsenoside Rg1 regu- Rats fed a ginsenoside diet had a significantly higher lates innate immune responses in macrophages through differ- number of IgA+ cells in the jejunal lamina propria, sug- entially modulating the NF-kappaB and PI3K/Akt/mTOR path- gesting that ginsenosides enhance IgA production and sup- ways. Int. Immunopharmacol. 23: 77-84. 11. Lee, E. J., E. Ko, J. Lee, S. Rho, S. Ko, M. K. Shin, B. I. Min, port a protective effect against mucosal infections (34). M. C. Hong, S. Y. Kim, and H. Bae. 2004. Ginsenoside Rg1 en- This, together with our results, suggests that ginsenosides hances CD4(+) T-cell activities and modulates Th1/Th2 differen- [especially, Rg1 and 20(S)-Rg3] could be a selective ad- tiation. Int. Immunopharmacol. 4: 235-244. juvant to enhance IgA production by B cells and could be 12. Lee, J. H., and Y. Han. 2006. 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