Evidence-Based Complementary and Alternative Medicine

Evidence-Based Complementary and Alternative Medicine / 2014 / Article
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Traditional Medicines in the World: Where to Go Next?

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Research Article | Open Access

Volume 2014 |Article ID 681352 | https://doi.org/10.1155/2014/681352

Xi Tan, Yuan-Lai Wang, Xiao-Lu Yang, Dan-Dan Zhang, "Ethyl Acetate Extract of Artemisia anomala S. Moore Displays Potent Anti-Inflammatory Effect", Evidence-Based Complementary and Alternative Medicine, vol. 2014, Article ID 681352, 10 pages, 2014. https://doi.org/10.1155/2014/681352

Ethyl Acetate Extract of Artemisia anomala S. Moore Displays Potent Anti-Inflammatory Effect

Academic Editor: Kam-Ming Ko
Received08 Jan 2014
Accepted04 Feb 2014
Published12 Mar 2014


Artemisia anomala S. Moore has been widely used in China to treat inflammatory diseases for hundreds of years. However, mechanisms associated with its anti-inflammatory effect are not clear. In this study, we prepared ethyl acetate, petroleum ether, n-BuOH, and aqueous extracts from ethanol extract of Artemisia anomala S. Moore. Comparing anti-inflammatory effects of these extracts, we found that ethyl acetate extract of this herb (EAFA) exhibited the strongest inhibitory effect on nitric oxide (NO) production in LPS/IFNγ-stimulated RAW264.7 cells. EAFA suppressed the production of NO in a time- and dose-dependent manner without eliciting cytotoxicity to RAW264.7 cells. To understand the molecular mechanism underlying EAFA’s anti-inflammatory effect, we showed that EAFA increased total cellular anti-oxidant capacity while reducing the amount of inducible nitric oxide synthase (iNOS) in stimulated RAW264.7 cells. EAFA also suppressed the expression of IL-1β and IL-6, whereas it elevates the level of heme oxygenase-1. These EAFA-induced events were apparently associated with NF-κB and MAPK signaling pathways because the DNA binding activity of p50/p65 was impaired and the activities of both ERK and JNK were decreased in EFEA-treated cells comparing to untreated cells. Our findings suggest that EAFA exerts its anti-inflammatory effect by inhibiting the expression of iNOS.

1. Introduction

Artemisia anomala S. Moore (Nan-Liu-Ji-Nu) is a perennial herbaceous plant categorized to Artemisia genus Compositae family. Many species of Artemisia have been used as medicinal materials. In fact, Artemisia anomala S. Moore has been used for centuries to treat fever, empyrosis, inflammation, and dissipated liver function caused by hepatitis in China. For example, Artemisia oil can potently inhibit the growth of bacteria, yeasts, dermatophytes, and Aspergillus niger and has thus been extensively used as an anti-inflammatory agent [1]. The most well-known medicine from Artemisia genus is probably artemisinin and its derivatives that have the rapidest action against malaria among all antimalaria drugs. The regiment containing at least one artemisinin derivative (artemisinin-combination therapies) is the standard protocol to treat P. falciparum malaria worldwide [2]. The therapeutic effect of Artemisia anomala S. Moore is likely to be linked to its ability to counteract against inflammation, oxidation [3], and viral infection [4]. Recent studies show that dimeric guaianolides and sesquiterpenoids extracted from the aerial part of Artemisia anomala can suppress cyclooxygenase 2- (COX2-) associated effects [5]. Commonly used prostaglandin-like fatty acid derivatives anomalone A-D were actually isolated from Artemisia anomala [6]. Although sufficient evidences have demonstrated Artemisia anomala S. Moore as an effective anti-inflammatory agent, systematically evaluating its anti-inflammatory effects with inflammatory parameters has yet been performed.

Acute inflammatory response represents an initial protective mechanism in the body. In contrast, excessive and chronic inflammation results in severe damages of cells and tissues. Emerging evidences support the hypothesis that chronic inflammation plays a critical role in various pathological conditions, including hypertension, atherosclerosis, stroke, metabolic diseases, cancer, autoimmune disorders, and neurodegenerative diseases [710]. Nitric oxide (NO) is a free radical that is synthesized from L-arginine by nitric oxide synthase (NOS). There are three types of NOS: two constitutive NOS, eNOS and nNOS, and one inducible NOS (iNOS). Constitutive NOSs generate nanomolar concentration of NO and are known to mediate various physiological functions. Contrarily, iNOS produces NO at the level of micromolar that often results in pathological consequences such as chronic inflammation. Inflammatory stimuli can induce iNOS expression through distinct signaling pathways. Proinflammatory cytokines released from inflammation-stimulated cells, for example, macrophages, can further upregulate iNOS expression and augment inflammatory responses [11, 12]. The expression of proinflammatory cytokines, including interleukin-1 (IL-1), interleukin-6 (IL-6), is often regulated through the NF-B and MAPK signaling pathways [13, 14]. Endogenous anti-inflammatory response is also involved in inducible heme oxygenase-1 (HO-1). Because of the ability of HO-1 to attenuate iNOS expression [15, 16], HO-1 is thought to play a protective role during inflammation [17, 18].

The objective of this study is to determine the most effective fraction of Artemisia anomala S. Moore that can inhibit iNOS-induced NO production. To identify such fraction, we prepared ethyl acetate, petroleum ether, n-BuOH, and aqueous extracts from ethanol extract of Artemisia anomala S. Moore. With the aid of the well-established murine macrophage RAW264.7 cell inflammation model, we found that ethyl acetate extraction of Artemisia anomala S. Moore (EAFA) exhibited the strongest inhibitory effect on LPS/IFN-induced NO production and proinflammatory cytokine expression. Since NF-B and MAPK activities were significantly reduced in EAFA-treated cells, we suggest that EAFA exerts its inhibitory action by interfering with both NF-B and MAPK signaling pathways.

2. Materials and Methods

2.1. Reagents

Murine recombinant IFN, NF-B p50/p65 EZ-TFA transcription factor assay system, and mouse IL-6 ELISA kit were purchased from Millipore (MA, USA); lipopolysaccharide (LPS, Escherichia coli O111:B4), dimethyl sulfanilamine, N-(1-naphthyl)-ethylenediamine dihydrochloride, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazoleum (MTT), L--(1-Iminoethyl)lysine hydrochloride (L-NIL), and Trolox were obtained from Sigma (St. Louis, MO). TRIzol Reagent was obtained from Invitrogen (Carlsbad, CA). Mouse IL-1beta instant ELISA was obtained from eBioscience (San Diego, CA). Takara SYBR kit and OligodT were obtained from Shanghai Invitrogen (Shanghai, China). Nuclear Extraction Kit was obtained from Biyuntian (Shanghai, China). Antibodies used in this study include murine iNOS monoclonal antibody from BD Transduction Laboratories (Lexington, KY); murine -actin and HO-1 antibodies from Santa Cruz Biotechnology (Santa Cruz, CA); phosphor-p38, p38, phosphor-JNK, JNK, and phosphor-ERK1/2 and ERK1/2 antibodies from Cell Signaling Technology (Danvers, MA).

2.2. Herb Extraction and Fractionation

Artemisia anomala S. Moore was purchased from Yang-He Tang Co. (Zhangjiang High-Tech Park, Shanghai, China) and confirmed by Shanghai Institute for Food and Drug Control (SIFDC). The dried plants were first extracted with 70% ethanol at 80°C for three times (200 g raw material/1 L/60 min each time) and the obtained ethanol extract was then suspended in water followed by the constitutive partition with petroleum ether, ethyl acetate, n-butanol, and water. After evaporation of these partitioned solutions, five extract fractions were generated: ethanol (yield 6.73%), petroleum ether (0.17%), ethyl acetate (0.25%), n-butanol (0.33%), and aqueous fractions (1.64%). Each fraction was dissolved in DMSO and stored at −20°C until use.

2.3. Cell Culture

RAW264.7 cells were originally obtained from the American Tissue Culture Collection. Cells were maintained in RPMI 1640 medium supplemented with 10% FBS at 37°C in a humidified 5% CO2 atmosphere.

2.4. Measurement of NO Production

RAW264.7 cells were plated in a 96-well plate ( cells/well) for overnight and then serum-starved for 10 h followed by the addition of 10 U/mL IFN and 100 ng/mL LPS for 24 h in the presence or absence of different Artemisia anomala S. Moore fractions with finally concentration at 10, 100, 200 g/mL and used L-NIL (50 M) as positive drug control for primary screening. After obtaining the strongest fraction, the posttreat, pretreat, and simultaneous-treat of this fraction and stimulation would underprocess for secondary screening. To analyze NO production, 100 L of supernatant was incubated with equal volume of Griess solution at room temperature for 10 min and absorbance was then read at 540 nm. Since NO content was reflected by the amount of nitrite, a calibration curve was generated using sodium nitrite. The amount of nitrite in the supernatants was calculated based on the calibration curve. The percentage inhibition of NO production is evaluated using the formula [(nitrite amount of fraction – treated)/(nitrite amount of vehicle) × 100.

2.5. Assay for Cell Viability

Cell viability was assessed by MTT assay. Briefly, after using the 100 L supernatants to do Griess reaction, the rest cells were incubated with 10 L MTT (5 mg/mL in phosphate-buffered saline, pH = 7.4) for 4 h at 37°C followed by adding 50 L 0.01 mol/L HCl buffer containing 10% SDS and 10% Isopropanol. Absorbance was measured at 540 and 630 nm in a microplate reader. The absorbance of control (untreated) cells was considered as 100% of viability.

2.6. Measurement of Total Antioxidant Capacity

Total antioxidant activity was measured by modified FRAP assay as previously described [19]. Briefly, RAW264.7 cells ( cells/30 mm dish) were pretreated with varying concentration of EAFA (50, 100, 200 g/mL) for 1 h followed by costimulation of 100 ng/mL LPS and 10 U/mL IFN- for 6 h. Cells were harvested, whereas the supernatants were collected. FRAP reagent was prepared by mixing 300 mmol/L acetate buffer (pH 3.6), 10 mmol/L 2,4,6-tripyridyl-s-triazine (TPTZ) in 40 mmol/L HCl solution and 20 mmol/L FeCl3 in a 10 : 1 : 1 ratio and 245 L of freshly prepared FRAP solution was added to each well of a 96-well plate that contained 5 L of supernatant. After 10 min incubation at room temperature, absorbance was measured at 593 nm with the aid of a microplate reader. A standard curve was prepared with various concentrations of Trolox (0.03125 to 2 mmol/L). The potency of total antioxidant capacity for each sample was determined by comparing the antioxidant capacity of 1 mM Trolox.

2.7. Detection of IL-1 and IL-6 in Supernatant

Inhibitory effects of EAFA on the cytokine IL-6 and IL-1 production from LPS plus IFN- treated RAW264.7 cells were detected by sandwich ELISA. The procedure was carried out under the instructions from respective kit. After preincubation of 1 h with different dosage of EAFA and stimulation with LPS plus IFN- on RAW264.7 cells for 24 h, supernatants were harvested and assayed for IL-1 and IL-6. Results of three independent experiments were used for statistical analysis.

2.8. RNA Isolation and Quantitative RT-PCR

Total RNA was isolated using TRIzol Reagent according to manufacturer’s instruction. Quantitative RT-PCR (qRT-PCR) was performed with Takara SYBR kit using the primers sets in Table 1 as previously described [20]. The method was utilized to analyze the fold increase.

Gene nameForward primerReverse primer


2.9. Nuclear Extract Preparation and NF-B DNA Binding Assay

Nuclear extracts were prepared using Nuclear Extraction Kit according to the manufacturer’s instruction. DNA binding activity of NF-B in nuclear extracts was assessed using NF-B p50/p65 EZ-TFA transcription factor assay kit which detects the amount of NF-B in the nucleus.

2.10. Statistical Analysis

Student’s test was used to analyze the difference between treated and untreated groups. Comparisons between multiple groups were performed with one-way ANOVA test. was considered statistically significant.

3. Results

3.1. EAFA Displays the Strongest Inhibitory Effect on LPS/IFN-Induced NO Production

The ethanol extract of Artemisia anomala S. Moore has been shown to exhibit inhibition of NO production in our previous screening [21]. We extracted ethanol extract of Artemisia anomala S. Moore further with petroleum ether, ethyl acetate, n-butanol, and water, and each of these obtained extracts was tested for its ability to inhibit NO production in RAW264.7 cells costimulated with LPS and IFN. Griess reaction assay showed that of original ethanol extract (EEA) was 31.07 g/mL (Figure 1). of petroleum ether fraction (PEFA), n-butanol fraction (BFA), and aqueous fraction (AFA) from the EEA was 21.73, 39.10, and 49.25 g/mL, respectively (Figure 1), which were similar to that of the original EEA. In contrast, of ethyl acetate fraction (EAFA) was 15.85 g/mL (Figure 1), representing twice stronger inhibitory effect over the original EEA.

In a parallel experiment, we investigated the effect of EAFA on NO production in unstimulated RAW264.7 cells. Contrary to its ability to dose-dependently inhibit NO production in LPS/IFN-stimulated cells (Figure 2(a)), EAFA displayed little effect on NO production in unstimulated cells (Figure 2(a)). MTT assays further showed that EAFA promoted viability of LPS/IFN-stimulated RAW246.7 cells in dose-dependent manner while it exhibited effect on the viability of unstimulated cells (Figure 2(b)). These results suggest that EAFA selectively inhibits NO production. Since EAFA promotes cell viability in LPS/IFN-stimulated RAW264.7 cells (Figure 2(b)), these results also indicate that the inhibitory effect of EAFA on NO production in LPS/IFN-stimulated cells is not caused by LPS/IFN-induced cellular toxicity.

3.2. Both Pre- and Posttreatments of EAFA Inhibit LPS/IFN-Induced NO Production and Cellular Toxicity in RAW264.7 Cells

To further characterize the pharmacological action by EAFA, we pretreated RAW264.7 cells with EAFA for 6 and 12 hrs followed by LPS/IFN stimulation. Griess reaction assays showed that EAFA pretreatment resulted in significantly better inhibitory effect on NO production in LPS/IFN-stimulated RAW264.7 cells than adding EAFA at the time of LPS/IFN stimulation (Figure 3(a)). Similarly, EAFA pretreatment promoted cell viability in a greater degree than adding EAFA simultaneously with the stimulants (Figure 3(b)). In subsequent study, RAW264.7 cells were first stimulated with LPS/IFN for 6 or 12 h and then treated with EAFA. Although less inhibitory effect on NO production and cell viability was detected with EAFA posttreatment compared with EAFA pretreatment, we still observed 16.22% of reduction in NO production and 98.58% of increase in cell viability in RAW264.7 cells treated with EAFA at dosage of 200 g/mL (Figures 3(c) and 3(d)). Taken together, these results suggest than EAFA can potentially be used both as a preventive and therapeutic agent against chronic inflammation.

3.3. EAFA Pretreatment Prevents LPS/IFN-Suppressed Antioxidant Capacity and Inhibits iNOS Expression

NO at high concentration is often considered as oxidant stress [22]. Since EAFA can effectively reduce LPS/IFN-induced NO production, we hypothesized that EAFA might also possess potent antioxidant activity. To test this hypothesis, RAW264.7 cells were pretreated with varying concentrations of EAFA for 1 h followed by LPS/IFN stimulation for 6 h. Total ferric reducing-antioxidant power (FRAP) assay showed that LPS/IFN stimulation greatly reduced antioxidant capacity (TAC) in RAW264.7 cells (Figure 4(a)). However, EAFA pretreatment reversed LPS/IFN-caused reduction in TAC (Figure 4(a)).

The fact that iNOS is responsible for LPS/IFN-induced NO production indicates that EAFA might block NO production by decreasing the amount of iNOS. Because iNOS is mainly regulated at transcription level [23], we tested this possibility by determining the effect of EAFA on iNOS mRNA in LPS/IFN-stimulated RAW264.7 cells with the aid of quantitative RT-PCR (qRT-PCR). LPS/IFN stimulation elevated the level of iNOS; however, pretreatment of EAFA at 100 and 200 g/mL led to 41.78% () and 85.29% () reduction in LPS/IFN-induced iNOS expression (Figure 4(b)). Western blot analysis also showed that EAFA pretreatment diminished LPS/IFN-induced iNOS protein expression in RAW264.7 cells (Figure 4(c)). Taken together, these results support the notion that EAFA is a potent preventive agent against inflammation.

3.4. EAFA Blocks Inflammatory Cytokines Production and Increases HO-1 Expression in RAW246.7 Cells

LPS/IFN costimulation has been reported to induce the expression of a plethora of proinflammatory cytokines in macrophages [24]; we thus investigated the effect of EAFA on IL-1 and IL-6 expressions in LPS/IFN-stimulated RAW246.7 cells. qRT-PCR showed that LPS/IFN stimulation led to over 1.5-fold increase in IL-1 and 104-fold increase in IL-6 expression. Pretreatment of EAFA dose-dependently abrogated LPS/IFN-induced IL-1 and IL-6 expression (Figures 5(a) and 5(c)). ELISA with the conditioned media also showed that EAFA pretreatment diminished LPS/IFN-induced IL-1 and IL-6 secretion by RAW246.7 cells (Figures 5(b) and 5(d)). The nature of HO-1 as a stress-inducible protein with anti-inflammatory feature [17, 18] also prompted us to determine how EAFA affected HO-1 expression in LPS/IFN-stimulated RAW246.7 cells. Western blot analysis showed that EAFA pretreatment upregulated HO-1 abundance while qRT-PCR revealed that EAFA increased the level of HO-1 mRNA in a dose-dependent manner (Figures 5(e) and 5(f)). These results indicate that the ability of EAFA to prevent inflammatory responses was two-folded: one is to abolish inflammatory cytokine expression and the other is to increase HO-1 expression in macrophages.

3.5. NF-B and MAPK Signaling Pathways Are the Target of EAFA-Mediated Inhibition

NF-B activity is known to be critical for the expression of iNOS [2527]. To investigate how EAFA affected LPS/IFN-induced NF-B activity, we analyzed the extent of p50 and p65 binding to NF-B consensus sequence-containing oligonucleotides in nuclear extracts. LPS/IFN stimulation resulted in more than 5-fold increase in the amount of p50 and p65 bound to the NF-B consensus sequence-containing oligonucleotides compared with unstimulated RAW246.7 cells (Figures 6(a) and 6(b)). However, EAFA inhibited LPS/IFN-induced NF-B activation and, at 200 g/mL, completely abolished this activation (Figures 6(a) and 6(b)). In addition to NF-B, members of MAPK families have also been implicated to play an essential role in the inflammatory reaction. To determine the effect of EAFA on LPS/IFN-induced MAPK activation, western blots were performed to analyze the levels of phosphor-Erk, JNK, and p38 in RAW246.7 cells. LPS/IFN stimulation (30 min) evocated significant increases in the levels of phosphorylated Erk, JNK, and p38 in RAW246.7 cells. However, pretreatment of EAFA markedly inhibited the extent of Erk and JNK phosphorylation (Figure 6(c)). These results suggest that EAFA blocks inflammatory responses by the combination of blocking NF-B, Erk, and JNK activation.

4. Discussion

Inhibition of iNOS has been shown to soothe pathological conditions characterized as inflammation. For example, iNOS-knockout mice are resistant to pleurisy and lung injury caused by carrageenan [28]. Selective inhibition of iNOS improves erosive joint disease [29], prevents experimental allergic encephalomyelitis [30], and attenuates immune dysfunction following trauma [8]. In addition, expression of iNOS has also been associated with various tumor types including brain, breast, lung, pancreas, liver, colon, and prostate cancers [9]. Selective NOS-2 inhibitors L-N6-(1-iminoethyl) lysine 5-tetrazole-amide (SC-51) and aminoguanidine (AG) actually show chemopreventive effect against the incidence of azoxymethane- (AOM-) induced colonic aberrant crypt foci [31], whereas NOS-2 blocker N-(3-(aminomethyl)benzyl) acetamidine (1400 W) is capable of suppressing tumor development in human colon adenocarcinoma DLD-1 xenograft [32]. These findings implicate the benefits of identifying novel agents targeting iNOS and its pertinent pathways. With this goal, we previously screened the ethanol extracts of 81 herbs for their ability to block LPS/IFN-induced inflammatory responses. Among them, we found that ethanol extract of Artemisia anomala S. Moore is effective to block LPS/IFN-induced NO production in RAW264.7 cells. In this study, we extracted ethanol extract of Artemisia anomala S. Moore further with four different solvents and found that ethyl acetate fraction (EAFA) had over 2-fold better potency than the original ethanol extract in the capability to inhibit NO production in LPS/IFN-stimulated RAW264.7 cells (Figure 1). Interestingly, EAFA also displayed significant protective effect to the viability of LPS/IFN-stimulated RAW264.7 cells without cytotoxicity in unstimulated cells (Figure 2). Our studies thus indicate the potential of using EAFA as anti-inflammatory effect.

Oxidative stress, which can arise from excessive ROS and/or RNS such as NO and its derivatives superoxide anions, may cause many diseases. The FRAP assay showed the antioxidative capacity of EAFA in inflammatory stimulation elicited cell damage as a cytoprotectant (Figure 4(a)). LPS/IFN-induced NO production is mediated by iNOS [22, 23]. We showed that EAFA blocked both iNOS mRNA and protein expression in activated macrophages (Figures 4(b) and 4(c)). HO-1 is the inducible isoform of the rate-limiting enzyme of heme degradation. Induction of HO-1 protects against the cytotoxicity of oxidative stress. HO-1 has been recognized to have anti-inflammatory properties [33]. EAFA induced the expression of HO-1 on mRNA and protein level (Figure 5). So, EAFA had dual properties in depressing the proinflammatory enzyme and inducing the anti-inflammatory enzyme.

Induction of iNOS is often accompanied with upregulation proinflammatory cytokines in macrophages [13, 14]. EAFA can also diminish the expression and secretion of IL-1 and IL-6 (Figure 5). The expression of a number of immunity and inflammatory related genes such as iNOS, IL-1, and IL-6 was modulated by activated NF-B [34]. Under inflammatory conditions, inhibitory protein IBs are promptly phosphorylated and degraded from p50 and p65 subunits binding site of NF-B; the activated NF-B subunits migrate to the nucleus. To investigate the possible preventive capability of EAFA on NF-B activation, we studied p50/p65 nuclear translocation by NF-B p50/p65 EZ-TFA transcription factor assay kit. LPS/IFN stimulate the activation of NF-B and induce p50/p65 movement to nucleus; EAFA repressed the amount of p50/p65 in the nucleus (Figures 6(a) and 6(b)). So EAFA displayed the interference in progress of NF-B active heterology dimmer heading to the nucleus.

MAPKs and NF-B signaling mechanisms have been previously linked to both iNOS and proinflammatory factor expression under inflammatory conditions. Moreover, several studies have shown that MAPKs play a critical role in the activation of NF-B [35]. Depending on the cell system, p38, ERK, and JNK have proven to have ROS-sensitive kinase activity [36]. According to the antioxidant activity of EAFA, we investigated whether MAPK pathway was involved in attenuating inflammatory mediators express and final NO/RNS reduction. In fact, our study showed that EAFA was able to abolish LPS/IFN-induced activation of Erk and JNK in RAW246.7 cells (Figure 6(c)). Together, we reason that the anti-inflammatory effect of EAFA is at least partly by attenuating NF-B and MAPKs activation.

In conclusion, our study indicates that EAFA can potently suppress inflammatory responses, and it hence warrants further identification of the effective component(s) in EAFA.


EAFA:Ethyl acetate extraction of Artemisia anomala S. Moore
NO:Nitric oxide
iNOS:Inducible nitric oxide synthase
HO-1:Inducible haemoxygenase
NF-B:Nuclear factor-kappa B
ERK:Extracellular signal-regulated kinase
JNK:c-Jun N-terminal kinase
MAPK:Mitogen-activated protein kinase.

Conflict of Interests

The authors declare that there is no conflict of interests regarding the publication of this paper.


This work is supported by the National Science and Technology Major Project of the Ministry of Science and Technology of China (2009ZX09311-003); the Young Scientists Fund of the National Natural Science Foundation of China (81001666); Innovation Program of Shanghai Municipal Education Commission (13YZ048); the Foundation of Shanghai Education commission for Outstanding Young Teachers in University (SZY07029).


  1. D. Lopes-Lutz, D. S. Alviano, C. S. Alviano, and P. P. Kolodziejczyk, “Screening of chemical composition, antimicrobial and antioxidant activities of Artemisia essential oils,” Phytochemistry, vol. 69, no. 8, pp. 1732–1738, 2008. View at: Publisher Site | Google Scholar
  2. Y. Tu, “The discovery of artemisinin (qinghaosu) and gifts from Chinese medicine,” Nature Medicine, vol. 17, no. 10, pp. 1217–1220, 2011. View at: Publisher Site | Google Scholar
  3. H. Liao, L. K. Banbury, and D. N. Leach, “Antioxidant activity of 45 Chinese herbs and the relationship with their TCM characteristics,” Evidence-based Complementary and Alternative Medicine, vol. 5, no. 4, pp. 429–434, 2008. View at: Publisher Site | Google Scholar
  4. M. S. Zheng, “An experimental study of the anti-HSV-II action of 500 herbal drugs,” Journal of Traditional Chinese Medicine, vol. 9, no. 2, pp. 113–116, 1989. View at: Google Scholar
  5. J. Wen, H. Shi, Z. Xu et al., “Dimeric guaianolides and sesquiterpenoids from Artemisia anomala,” Journal of Natural Products, vol. 73, no. 1, pp. 67–70, 2010. View at: Publisher Site | Google Scholar
  6. K. Zan, S.-X. Zhou, X.-Q. Chen, Q. Fu, and P.-F. Tu, “Prostaglandin-like fatty acid derivatives from Artemisia anomala,” Journal of Asian Natural Products Research, vol. 12, no. 6, pp. 492–497, 2010. View at: Publisher Site | Google Scholar
  7. E. R. Ropelle, J. R. Pauli, D. E. Cintra et al., “Targeted disruption of inducible nitric oxide synthase protects against aging, S-nitrosation, and insulin resistance in muscle of male mice,” Diabetes, vol. 62, no. 2, pp. 466–470, 2013. View at: Google Scholar
  8. S. S. Darwiche, R. Pfeifer, C. Menzel et al., “Inducible nitric oxide synthase contributes to immune dysfunction following trauma,” Shock, vol. 38, no. 5, pp. 499–507, 2012. View at: Google Scholar
  9. K. Bian, F. Ghassemi, A. Sotolongo et al., “NOS-2 signaling and cancer therapy,” IUBMB Life, vol. 64, no. 8, pp. 676–683, 2012. View at: Google Scholar
  10. M. J. Alcaraz and M. I. Guillén, “Nitric oxide related therapeutic phenomenon: a challenging task,” Current Pharmaceutical Design, vol. 8, no. 3, pp. 215–231, 2002. View at: Publisher Site | Google Scholar
  11. K. Bian and F. Murad, “Nitric oxide (NO)—Biogeneration, regulation, and relevence to human diseases,” Frontiers in Bioscience, vol. 8, pp. d264–d278, 2003. View at: Google Scholar
  12. C. J. Lowenstein and E. Padalko, “iNOS (NOS2) at a glance,” Journal of Cell Science, vol. 117, no. 14, pp. 2865–2867, 2004. View at: Publisher Site | Google Scholar
  13. G. Bonizzl, E. Dejardin, B. Piret, J. Piette, M.-P. Merville, and V. Bours, “Interleukin-1β induces nuclear factor κB in epithelial cells independently of the production of reactive oxygen intermediates,” European Journal of Biochemistry, vol. 242, no. 3, pp. 544–549, 1996. View at: Google Scholar
  14. B. Dawn, Y.-T. Xuan, Y. Guo et al., “IL-6 plays an obligatory role in late preconditioning via JAK-STAT signaling and upregulation of iNOS and COX-2,” Cardiovascular Research, vol. 64, no. 1, pp. 61–71, 2004. View at: Publisher Site | Google Scholar
  15. L. Speranza, S. Franceschelli, M. Pesce et al., “Negative feedback interaction of HO-1/INOS in PBMC of acute congestive heart failure patients,” Journal of Biological Regulators & Homeostatic Agents, vol. 27, no. 3, pp. 739–748, 2013. View at: Google Scholar
  16. S. W. Ryter, J. Alam, and A. M. K. Choi, “Heme oxygenase-1/carbon monoxide: from basic science to therapeutic applications,” Physiological Reviews, vol. 86, no. 2, pp. 583–650, 2006. View at: Publisher Site | Google Scholar
  17. R. Gozzelino, V. Jeney, and M. P. Soares, “Mechanisms of cell protection by heme Oxygenase-1,” Annual Review of Pharmacology and Toxicology, vol. 50, pp. 323–354, 2010. View at: Publisher Site | Google Scholar
  18. N. G. Abraham, A. Asija, G. Drummond, and S. Peterson, “Heme oxygenase -1 gene therapy: recent advances and therapeutic applications,” Current Gene Therapy, vol. 7, no. 2, pp. 89–108, 2007. View at: Publisher Site | Google Scholar
  19. S. Chen, X. Shen, S. Cheng et al., “Evaluation of garlic cultivars for polyphenolic content and antioxidant properties,” PLoS One, vol. 8, no. 11, article e79730, 2013. View at: Google Scholar
  20. L. Zhao, J.-Y. Tao, S.-L. Zhang et al., “Inner anti-inflammatory mechanisms of petroleum ether extract from Melilotus suaveolens Ledeb,” Inflammation, vol. 30, no. 6, pp. 213–223, 2007. View at: Publisher Site | Google Scholar
  21. C. L. Chen and D. D. Zhang, “Anti-inflammatory effects of 81 Chinese herb extracts and their correlation with the characteristics of Traditional Chinese Medicine,” Evidence-Based Complementary and Alternative Medicine, vol. 2014, Article ID 985176, 8 pages, 2014. View at: Publisher Site | Google Scholar
  22. F. Aktan, “iNOS-mediated nitric oxide production and its regulation,” Life Sciences, vol. 75, no. 6, pp. 639–653, 2004. View at: Publisher Site | Google Scholar
  23. H. Kleinert, A. Pautz, K. Linker, and P. M. Schwarz, “Regulation of the expression of inducible nitric oxide synthase,” European Journal of Pharmacology, vol. 500, no. 1–3, pp. 255–266, 2004. View at: Google Scholar
  24. W. Wongchana and T. Palaga, “Direct regulation of interleukin-6 expression by Notch signaling in macrophages,” Cellular and Molecular Immunology, vol. 9, no. 2, pp. 155–162, 2012. View at: Publisher Site | Google Scholar
  25. C. K. Glass and K. Saijo, “Nuclear receptor transrepression pathways that regulate inflammation in macrophages and T cells,” Nature Reviews Immunology, vol. 10, no. 5, pp. 365–376, 2010. View at: Publisher Site | Google Scholar
  26. G. Zhang and S. Ghosh, “Molecular mechanisms of NF-κB activation induced by bacterial lipopolysaccharide through Toll-like receptors,” Journal of Endotoxin Research, vol. 6, no. 6, pp. 453–457, 2000. View at: Publisher Site | Google Scholar
  27. A. F. Valledor and M. Ricote, “Nuclear receptor signaling in macrophages,” Biochemical Pharmacology, vol. 67, no. 2, pp. 201–212, 2004. View at: Publisher Site | Google Scholar
  28. S. Cuzzocrea, E. Mazzon, G. Calabro et al., “Inducible nitric oxide synthase—Knockout mice exhibit resistance to pleurisy and lung injury caused by carrageenan,” American Journal of Respiratory and Critical Care Medicine, vol. 162, no. 5, pp. 1859–1866, 2000. View at: Google Scholar
  29. N. L. McCartney-Francis, X.-Y. Song, D. E. Mizel, and S. M. Wahl, “Selective inhibition of inducible nitric oxide synthase exacerbates erosive joint disease,” Journal of Immunology, vol. 166, no. 4, pp. 2734–2740, 2001. View at: Google Scholar
  30. D. C. Hooper, O. Bagasra, J. C. Marini et al., “Prevention of experimental allergic encephalomyelitis by targeting nitric oxide and peroxynitrite: Implications for the treatment of multiple sclerosis,” Proceedings of the National Academy of Sciences of the United States of America, vol. 94, no. 6, pp. 2528–2533, 1997. View at: Publisher Site | Google Scholar
  31. C. V. Rao, C. Indranie, B. Simi, P. T. Manning, J. R. Connor, and B. S. Reddy, “Chemopreventive properties of a selective inducible nitric oxide synthase inhibitor in colon carcinogenesis, administered alone or in combination with celecoxib, a selective cyclooxygenase-2 inhibitor,” Cancer Research, vol. 62, no. 1, pp. 165–170, 2002. View at: Google Scholar
  32. L. L. Thomsen, J. M. J. Scott, P. Topley, R. G. Knowles, A.-J. Keerie, and A. J. Frend, “Selective inhibition of inducible nitric oxide synthase inhibits tumor growth in vivo: studies with 1400 W, a novel inhibitor,” Cancer Research, vol. 57, no. 15, pp. 3300–3304, 1997. View at: Google Scholar
  33. A. Paine, B. Eiz-Vesper, R. Blasczyk, and S. Immenschuh, “Signaling to heme oxygenase-1 and its anti-inflammatory therapeutic potential,” Biochemical Pharmacology, vol. 80, no. 12, pp. 1895–1903, 2010. View at: Publisher Site | Google Scholar
  34. J. Hambleton, S. L. Weinstein, L. Lem, and A. L. Defranco, “Activation of c-Jun N-terminal kinase in bacterial lipopolysaccharide-stimulated macrophages,” Proceedings of the National Academy of Sciences of the United States of America, vol. 93, no. 7, pp. 2774–2778, 1996. View at: Google Scholar
  35. E. D. Chan and D. W. H. Riches, “IFN-γ + LPS induction of iNOS is modulated by ERK, JNK/SAPK, and p38mapk in a mouse macrophage cell line,” American Journal of Physiology—Cell Physiology, vol. 280, no. 3, pp. C441–C450, 2001. View at: Google Scholar
  36. B. L. Fiebich, K. Lieb, S. Engels, and M. Heinrich, “Inhibition of LPS-induced p42/44 MAP kinase activation and iNOS/NO synthesis by parthenolide in rat primary microglial cells,” Journal of Neuroimmunology, vol. 132, no. 1-2, pp. 18–24, 2002. View at: Publisher Site | Google Scholar

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