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Vertebrate reproductive science and technology
RESEARCH ARTICLE (Open Access)

Betulonic acid regulates oviduct epithelial cell inflammation through the TLR4, MAPK, and JAK/STAT signalling pathways

Liang Shao A , Yan Yan B , Nansu Wang B , Qiongfang Tan B , Yuying Huang B , Lei Lei C , Dongmei Yang D and Ling Liu https://orcid.org/0000-0002-9833-3289 B *
+ Author Affiliations
- Author Affiliations

A Department of Emergency, The First Affiliated Hospital of Hunan Traditional Chinese Medicine College, Zhuzhou, Hunan, China.

B Department of TCM Gynaecology, The First Affiliated Hospital of Hunan Traditional Chinese Medicine College, Zhuzhou, Hunan, China.

C Combine Traditional Chinese and Western Medicine Institute, Hunan University of Chinese Medicine, Changsha, Hunan, China.

D Medical School, Hunan University of Chinese Medicine, Changsha, Hunan, China.

* Correspondence to: liuling930@126.com

Handling Editor: Alison Care

Reproduction, Fertility and Development 35(8) 480-491 https://doi.org/10.1071/RD21380
Published online: 5 May 2023

© 2023 The Author(s) (or their employer(s)). Published by CSIRO Publishing. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)

Abstract

Context

Infertility is a common disease among women of childbearing age and seriously endangers the reproductive health of human beings.

Aims

We aimed to study the active effect and mechanism of betulonic acid (BTA) on tubal inflammatory infertility.

Methods

An inflammatory model was established in isolated rat oviduct epithelial cells. Immunofluorescence of cytokeratin 18 was performed in cells. The therapeutic effect of BTA on cells was observed. Subsequently, we added JAK/STAT inhibitor AG490 and MAPK inhibitor U0126 and measured the levels of inflammatory factors via enzyme-linked immunosorbent assay and qRT-PCR. CCK-8 assay was applied to test cell proliferation, whereas flow cytometry was used to measure apoptosis. The levels of TLR4, IκBα, JAK1, JAK2, JAK3, Tyk2, STAT3, p38, ERK and the phosphorylation of p65 were determined by Western blotting.

Key results

Betulonic acid inhibited the activation of TLR4 and NF-κB signalling pathways, and significantly downregulated IL-1β, IL-6, and TNF-α, with high doses being the most effective. Furthermore, high-dose BTA promoted the proliferation of oviduct epithelial cells and inhibited apoptosis. In addition, BTA inhibited the activation of JAK/STAT signalling pathway to perform effectively in oviduct epithelial cells inflammation. The addition of AG490 led to the inhibition of the JAK/STAT signalling pathway. BTA also inhibited the activation of MAPK signalling pathway in oviduct epithelial cells inflammation. Under U0126 treatment, the inhibition of proteins in MAPK pathway by BTA was weakened.

Conclusions

Therefore, BTA inhibited the TLR, JAK/STAT and MAPK signalling pathways.

Implications

Our study provided a new therapeutic strategy for infertility caused by oviduct inflammation.

Keywords: betulonic acid, JAK, MAPK, NF-κB, rat oviduct epithelial cells, STAT, tubal inflammatory infertility, TLR4.

References

Baczynska A, Funch P, Fedder J, Knudsen HJ, Birkelund S, Christiansen G (2007) Morphology of human fallopian tubes after infection with Mycoplasma genitalium and Mycoplasma hominisin vitro organ culture study. Human Reproduction 22(4), 968-979.
| Crossref | Google Scholar |

Bulut Y, Faure E, Thomas L, Karahashi H, Michelsen KS, Equils O, Morrison SG, Morrison RP, Arditi M (2002) Chlamydial heat shock protein 60 activates macrophages and endothelial cells through toll-like receptor 4 and MD2 in a MyD88-dependent pathway. Journal of Immunology 168(3), 1435-1440.
| Crossref | Google Scholar |

Chen H, Wang X, Yan X, Cheng X, He X, Zheng W (2018) RETRACTED: LncRNA MALAT1 regulates sepsis-induced cardiac inflammation and dysfunction via interaction with miR-125b and p38 MAPK/NFκB. International Immunopharmacology 55, 69-76.
| Crossref | Google Scholar |

Cheng WX, Zhong S, Meng XB, Zheng NY, Zhang P, Wang Y, Qin L, Wang XL (2020) Cinnamaldehyde inhibits inflammation of human synoviocyte cells through regulation of JAK/STAT pathway and ameliorates collagen-induced arthritis in rats. Journal of Pharmacology and Experimental Therapeutics 373(2), 302-310.
| Crossref | Google Scholar |

Dai L, Lu A, Zhong LLD, Zheng G, Bian Z (2017) Chinese herbal medicine for hyperlipidaemia: a review based on data mining from 1990 to 2016. Current Vascular Pharmacology 15(6), 520-531.
| Crossref | Google Scholar |

Darville T, O’Neill JM, Andrews CW, Jr, Nagarajan UM, Stahl L, Ojcius DM (2003) Toll-like receptor-2, but not toll-like receptor-4, is essential for development of oviduct pathology in chlamydial genital tract infection. Journal of Immunology 171(11), 6187-6197.
| Crossref | Google Scholar |

Drake SK, Hortin GL (2010) Improved detection of intact tyrosine sulfate-containing peptides by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry in linear negative ion mode. International Journal of Biochemistry & Cell Biology 42(1), 174-179.
| Crossref | Google Scholar |

Dubinin MV, Semenova AA, Ilzorkina AI, Mikheeva IB, Yashin VA, Penkov NV, Vydrina VA, Ishmuratov GY, Sharapov VA, Khoroshavina EI, Gudkov SV, Belosludtsev KN (2020) Effect of betulin and betulonic acid on isolated rat liver mitochondria and liposomes. Biochimica et Biophysica Acta (BBA) - Biomembranes 1862(10), 183383.
| Crossref | Google Scholar |

Garrington TP, Johnson GL (1999) Organization and regulation of mitogen-activated protein kinase signaling pathways. Current Opinion in Cell Biology 11(2), 211-218.
| Crossref | Google Scholar |

Gupta R, Beck JL, Ralph SF, Sheil MM, Aldrich-Wright JR (2004) Comparison of the binding stoichiometries of positively charged DNA-binding drugs using positive and negative ion electrospray ionization mass spectrometry. Journal of the American Society for Mass Spectrometry 15(10), 1382-1391.
| Crossref | Google Scholar |

Huang Z, Zhuang X, Xie C, Hu X, Dong X, Guo Y, Li S, Liao X (2016) Exogenous hydrogen sulfide attenuates high glucose-induced cardiotoxicity by inhibiting NLRP3 inflammasome activation by suppressing TLR4/NF-κB pathway in H9c2 cells. Cellular Physiology and Biochemistry 40(6), 1578-1590.
| Crossref | Google Scholar |

Jiang G, Gong M, Song H, Sun W, Zhao W, Wang L (2020) Tob2 inhibits TLR-induced inflammatory responses by association with TRAF6 and MyD88. Journal of Immunology 205(4), 981-986.
| Crossref | Google Scholar |

Jiang S, Wang H, Zhou Q, Li Q, Liu N, Li Z, Chen C, Deng Y (2021) Melatonin ameliorates axonal hypomyelination of periventricular white matter by transforming A1 to A2 astrocyte via JAK2/STAT3 pathway in septic neonatal rats. Journal of Inflammation Research 14, 5919-5937.
| Crossref | Google Scholar |

Kang JL, Xia W, He QY (2001) Clinical study on treatment of oviduct obstruction by integrative traditional Chinese and Western Medicine. Zhongguo Zhong Xi Yi Jie He Za Zhi 21(6), 416-418 [In Chinese].
| Google Scholar |

Kraatz J, Clair L, Rodriguez JL, West MA (1999) Macrophage TNF secretion in endotoxin tolerance: role of SAPK, p38, and MAPK. Journal of Surgical Research 83(2), 158-164.
| Crossref | Google Scholar |

Kyriakis JM, Avruch J (2012) Mammalian MAPK signal transduction pathways activated by stress and inflammation: a 10-year update. Physiological Reviews 92(2), 689-737.
| Crossref | Google Scholar |

Laisk T, Peters M, Saare M, Haller-Kikkatalo K, Karro H, Salumets A (2010) Association of CCR5, TLR2, TLR4 and MBL genetic variations with genital tract infections and tubal factor infertility. Journal of Reproductive Immunology 87(1–2), 74-81.
| Crossref | Google Scholar |

Lian F, Sun NQ, Xia GC (1991) Experimental and clinical study of tong jing bao and angelicae complex injection in treating fallopian tube obstruction. Zhong Xi Yi Jie He Za Zhi 11(5), 282-285 [In Chinese].
| Google Scholar |

Liao WT, Chiang JH, Li CJ, Lee MT, Su CC, Yen HR (2018) Investigation on the use of traditional Chinese medicine for polycystic ovary syndrome in a nationwide prescription database in Taiwan. Journal of Clinical Medicine 7(7), 179.
| Crossref | Google Scholar |

Mardh P-A (2004) Tubal factor infertility, with special regard to chlamydial salpingitis. Current Opinion in Infectious Diseases 17(1), 49-52.
| Crossref | Google Scholar |

Meng LL, Wang JL, Xu SP, Zu LD, Yan ZW, Zhang JB, Han YQ, Fu GH (2018) Low serum gastrin associated with ER+ breast cancer development via inactivation of CCKBR/ERK/P65 signaling. BMC Cancer 18(1), 824.
| Crossref | Google Scholar |

Merhi Z, Buyuk E, Berger DS, Zapantis A, Israel DD, Chua S, Jr, Jindal S (2013) Leptin suppresses anti-Mullerian hormone gene expression through the JAK2/STAT3 pathway in luteinized granulosa cells of women undergoing IVF. Human Reproduction 28(6), 1661-1619.
| Crossref | Google Scholar |

Nicolardi S, Kilgour DPA, van der Burgt YEM, Wuhrer M (2020) Improved N- and C-terminal sequencing of proteins by combining positive and negative ion MALDI in-source decay mass spectrometry. Analytical Chemistry 92(18), 12429-12436.
| Crossref | Google Scholar |

O’Neill LAJ, Bowie AG (2007) The family of five: TIR-domain-containing adaptors in toll-like receptor signalling. Nature Reviews Immunology 7(5), 353-364.
| Crossref | Google Scholar |

Popov SA, Semenova MD, Baev DS, Sorokina IV, Zhukova NA, Frolova TS, Tolstikova TG, Shults EE, Turks M (2019) Lupane-type conjugates with aminoacids, 1,3,4-oxadiazole and 1,2,5-oxadiazole-2-oxide derivatives: Synthesis, anti-inflammatory activity and in silico evaluation of target affinity. Steroids 150, 108443.
| Crossref | Google Scholar |

Prebeck S, Brade H, Kirschning CJ, da Costa CP, Dürr S, Wagner H, Miethke T (2003) The gram-negative bacterium chlamydia trachomatis L2 stimulates tumor necrosis factor secretion by innate immune cells independently of its endotoxin. Microbes and Infection 5(6), 463-470.
| Crossref | Google Scholar |

Qin H, Buckley JA, Li X, Liu Y, Fox TH, 3rd, Meares GP, Yu H, Yan Z, Harms AS, Li Y, Standaert DG, Benveniste EN (2016) Inhibition of the JAK/STAT pathway protects against α-synuclein-induced neuroinflammation and dopaminergic neurodegeneration. Journal of Neuroscience 36(18), 5144-5159.
| Crossref | Google Scholar |

Ren Q, Guo F, Tao S, Huang R, Ma L, Fu P (2020) Flavonoid fisetin alleviates kidney inflammation and apoptosis via inhibiting Src-mediated NF-κB p65 and MAPK signaling pathways in septic AKI mice. Biomedicine & Pharmacotherapy 122, 109772.
| Crossref | Google Scholar |

Semenova MD, Popov SA, Sorokina IV, Meshkova YV, Baev DS, Tolstikova TG, Shults EE (2022) Conjugates of lupane triterpenoids with arylpyrimidines: synthesis and anti-inflammatory activity. Steroids 184, 109042.
| Crossref | Google Scholar |

Shames BD, Selzman CH, Pulido EJ, Meng X, Meldrum DR, McIntyre RC, Jr., Harken AH, Banerjee A (1999) LPS-induced NF-κB activation and TNF-α release in human monocytes are protein tyrosine kinase dependent and protein kinase C independent. Journal of Surgical Research 83(1), 69-74.
| Crossref | Google Scholar |

Shaw JLV, Wills GS, Lee KF, Horner PJ, McClure MO, Abrahams VM, Wheelhouse N, Jabbour HN, Critchley HOD, Entrican G, Horne AW (2011) Chlamydia trachomatis infection increases fallopian tube PROKR2 via TLR2 and NFκB activation resulting in a microenvironment predisposed to ectopic pregnancy. The American Journal of Pathology 178(1), 253-260.
| Crossref | Google Scholar |

Song J, Chen WY, Wu LY, Zheng LP, Lin W, Gao D, Kaptchuk TJ, Chen KJ (2012) A microarray analysis of angiogenesis modulation effect of Xuefu Zhuyu decoction on endothelial cells. Chinese Journal of Integrative Medicine 18(7), 502-506.
| Crossref | Google Scholar |

Song KN, Lu YJ, Chu CJ, Wu YN, Huang HL, Fan BY, Chen GT (2021) Biotransformation of betulonic acid by the fungus Rhizopus arrhizus CGMCC 3.868 and antineuroinflammatory activity of the biotransformation products. Journal of Natural Products 84(10), 2664-2674.
| Crossref | Google Scholar |

Vander Borght M, Wyns C (2018) Fertility and infertility: definition and epidemiology. Clinical Biochemistry 62, 2-10.
| Crossref | Google Scholar |

Vasilevsky SF, Govdi AI, Shults EE, Shakirov MM, Sorokina IV, Tolstikova TG, Baev DS, Tolstikov GA, Alabugin IV (2009) Efficient synthesis of the first betulonic acid-acetylene hybrids and their hepatoprotective and anti-inflammatory activity. Bioorganic and Medicinal Chemistry 17(14), 5164-5169.
| Crossref | Google Scholar |

Wen H, Fu J, Tang H, Ge M, Feng L (2015) Hydrotubation combined with Chinese herbal medicine for salpingitic infecundity: a systematic review and meta-analysis. Cell Biochemistry and Biophysics 71(2), 519-527.
| Crossref | Google Scholar |

Wu J, Li L, Sun Y, Huang S, Tang J, Yu P, Wang G (2015) Altered molecular expression of the TLR4/NF-κB signaling pathway in mammary tissue of Chinese holstein cattle with mastitis. PLoS ONE 10(2), e0118458.
| Crossref | Google Scholar |

Xin M, He J, Zhang Y, Wu Y, Yang W, Liang X, Yin X (2019) Chinese herbal decoction of Wenshen Yangxue formula improved fertility and pregnancy rate in mice through PI3K/Akt signaling. Journal of Cellular Biochemistry 120(3), 3082-3090.
| Crossref | Google Scholar |

Xin P, Xu X, Deng C, Liu S, Wang Y, Zhou X, Ma H, Wei D, Sun S (2020) The role of JAK/STAT signaling pathway and its inhibitors in diseases. International Immunopharmacology 80, 106210.
| Crossref | Google Scholar |

Xing Z, Xia Z, Peng W, Li J, Zhang C, Fu C, Tang T, Luo J, Zou Y, Fan R, Liu W, Xiong X, Huang W, Sheng C, Gan P, Wang Y (2016) Xuefu Zhuyu decoction, a traditional Chinese medicine, provides neuroprotection in a rat model of traumatic brain injury via an anti-inflammatory pathway. Scientific Reports 6, 20040.
| Crossref | Google Scholar |

Xu X, Yin H, Tang D, Zhang L, Gosden RG (2003) Application of traditional Chinese medicine in the treatment of infertility. Human Fertility 6(4), 161-168.
| Crossref | Google Scholar |

Yang XJ (2016) Telocytes in inflammatory gynaecologic diseases and infertility. Advances in Experimental Medicine and Biology 913, 263-285.
| Crossref | Google Scholar |

Yang P, Han Y, Gui L, Sun J, Chen YL, Song R, Guo JZ, Xie YN, Lu D, Sun L (2013) Gastrodin attenuation of the inflammatory response in H9c2 cardiomyocytes involves inhibition of NF-κB and MAPKs activation via the phosphatidylinositol 3-kinase signaling. Biochemical Pharmacology 85(8), 1124-1133.
| Crossref | Google Scholar |

Yao L, Xu B, Li X (2020) Neisseria gonorrhoeae-induced salpingitis is targeted by circular RNA EIF3K via miR-139-5p and regulating MAPK/NF-κB signaling pathway to promotes apoptosis and autophagy bacterial cells. Microbial Pathogenesis 142, 104051.
| Crossref | Google Scholar |

Yuan J, Liang X, Zhou W, Feng J, Wang Z, Shen S, Guan X, Zhao L, Deng F (2021) TRPA1 promotes cisplatin-induced nephrotoxicity through inflammation mediated by the MAPK/NF-κB signaling pathway. Annals of Translational Medicine 9(20), 1578.
| Crossref | Google Scholar |

Zhang X, Du Q, Yang Y, Wang J, Dou S, Liu C, Duan J (2017) The protective effect of luteolin on myocardial ischemia/reperfusion (I/R) injury through TLR4/NF-κB/NLRP3 inflammasome pathway. Biomedicine & Pharmacotherapy 91, 1042-1052.
| Crossref | Google Scholar |

Zhang J, Yu C, Zhang X, Chen H, Dong J, Lu W, Song Z, Zhou W (2018) Porphyromonas gingivalis lipopolysaccharide induces cognitive dysfunction, mediated by neuronal inflammation via activation of the TLR4 signaling pathway in C57BL/6 mice. Journal of Neuroinflammation 15(1), 37.
| Crossref | Google Scholar |

Zhvansky ES, Eliferov VA, Sorokin AA, Shurkhay VA, Pekov SI, Bormotov DS, Ivanov DG, Zavorotnyuk DS, Bocharov KV, Khaliullin IG, Belenikin MS, Potapov AA, Nikolaev EN, Popov IA (2021) Assessment of variation of inline cartridge extraction mass spectra. Journal of Mass Spectrometry 56(4), e4640.
| Crossref | Google Scholar |

Zou SE, Jin Y, Ko YL, Zhu J (2014) A new classification system for pregnancy prognosis of tubal factor infertility. International Journal of Clinical and Experimental Medicine 7(5), 1410-1416.
| Google Scholar |