Attenuation of Inflammatory Mediators (TNF-α and Nitric Oxide) and Up-Regulation of IL-10 by Wild and Domesticated Basidiocarps of Amauroderma rugosum (Blume & T. Nees) Torrend in LPS-Stimulated RAW264.7 Cells

Amauroderma rugosum, commonly known as “Jiǎzī” in China, is a wild mushroom traditionally used by the Chinese to reduce inflammation, to treat diuretic and upset stomach, and to prevent cancer. It is also used by the indigenous communities in Malaysia to prevent epileptic episodes and incessant crying by babies. The aim of this study was to compare the wild and domesticated basidiocarps of A. rugosum for antioxidant and in vitro anti-inflammatory effects in LPS-stimulated RAW264.7 cells. The wild basidiocarps of A. rugosum were collected from the Belum Forest, Perak, Malaysia and the domesticated basidiocarps of A. rugosum were cultivated in the mushroom house located in the University of Malaya, Kuala Lumpur, Malaysia. Both the wild and domesticated basidiocarps were subjected to ethanolic extraction and the extracts were tested for antioxidant and anti-inflammatory activities. In this study, the crude ethanolic extract of wild (WB) and domesticated (DB) basidiocarps of A. rugosum had comparable total phenolic content and DPPH scavenging activity. However, WB (EC50 = 222.90 μg/mL) displayed a better ABTS cation radical scavenging activity than DB (EC50 = 469.60 μg/mL). Both WB and DB were able to scavenge nitric oxide (NO) radical and suppress the NO production in LPS-stimulated RAW264.7 cells and this effect was mediated through the down-regulation of inducible nitric oxide synthase (iNOS) gene. In addition, both WB and DB caused down-regulation of the inflammatory gene TNF-α and the up-regulation of the anti-inflammatory gene IL-10. There was no inhibitory effect of WB and DB on nuclear translocation of NF-κB p65. In conclusion, the wild and domesticated basidiocarps of A. rugosum possessed antioxidant and in vitro anti-inflammatory properties. WB and DB inhibited downstream inflammatory mediators (TNF-α and NO) and induced anti-inflammatory cytokine IL-10 production. No inhibitory effects shown on upstream nuclear translocation of NF-κB p65. WB and DB exhibited antioxidant activity and attenuation of proinflammatory mediators and therefore, A. rugosum may serve as a potential therapeutic agent in the management of inflammation.


Introduction
Reactive oxygen species (ROS) are products of normal cellular metabolism. The products of partial reduction of oxygen such as superoxide anion radical (O -2 ), hydroperoxyl radical (HOO · ) and hydroxyl radical ( · OH) are highly reactive [1]. These reactive molecules play an important role in the defence against microbial pathogens [2]. However, overproduction of ROS can oxidise and damage normal functions of lipids, proteins and DNA [3]. Therefore, increased production of ROS is often associated with chronic inflammation and a wide variety of diseases [4].
Inflammation is a biological response of tissue in attempting self-protection against harmful stimuli such as pathogens, damaged cells and irritants. There are two types of inflammation; acute and chronic inflammation. Acute inflammation is often characterised in the four classical signs which are redness, heat, swelling, and loss of function. Monocytes extravasate from blood vessels into the injured site and transform into macrophages. Macrophages play a vital role in inflammatory response in the initiation, maintenance and resolution of inflammation. However, if the cause of inflammation cannot be eliminated, inflammation will prolong and vary in intensity over time [5]. Prolonged or chronic inflammation may contribute to detrimental outcomes such as chronic inflammatory diseases. Macrophages are activated by proinflammatory mediators such as lipopolysaccharide (LPS), interleukin-1β (IL-1β), and interferon-γ (IFN-γ) by binding to toll-like receptor-4 (TLR-4) which in turn activate the inflammatory signalling pathway nuclear factor kappa B (NF-κB) [6]. This subsequently stimulates the release of numerous proinflammatory mediators such as nitric oxide (NO), tumour necrosis factor-α (TNF-α), and interleukin-6 (IL-6) [6]. These proinflammatory mediators play a major role in the pathogenesis of various inflammatory disorders and serve as potent biomarkers for the assessment of the inflammatory process. Recent evidence also indicates that inflammation may be the main contributor to seizure generation and development of neurological disorders such as epilepsy [7]. Therefore, biomarkers of inflammation may serve as important molecular targets for the development of potential anti-inflammatory drugs and may be used to facilitate diagnosis and management of inflammatory disorders and neurologic diseases such as epilepsy [7 -8].
Mushrooms have been used in traditional medicine for many centuries and they are well known for their medicinal properties. Ganoderma lucidum or commonly known as "Reshi"or "Lingzhi", has a long history in traditional Chinese medicine for more than 4000 years and has been known to promote health and longetivity [9]. This popular medicinal mushroom has been reported to be used to prevent and treat various diseases such as chronic hepatitis, arthritis, hypertension, hyperlipedemia, asthma, diabetes and cancers [10]. Ganoderma lucidum belongs to the family Ganodermataceae and it is the most well studied member. Ganodermataceae comprises 15 genera and Amauroderma is one of them. Amauroderma is found in tropical areas and consists of about 30 species [11]. Amauroderma rugosum is a wild medicinal mushroom with a black stipe and a white-pored hymenium that bruises to a blood red colour when touched [12]. Amauroderma sp. is also known as the "epileptic child mushroom" or "cendawan MOHE/SC/02 (HIR F00002-21001) [http://www.ippp. um.edu.my/] from the Ministry of Education, Malaysia. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Competing Interests: The authors have declared that no competing interests exist.

Ethics statement
The wild basidiocarps (KLU-M 1369) of A. rugosum were collected from the Royal Belum Rainforest Reserve, Perak, Malaysia (N05°28'58.80 E101°20'24.72) with the permission from Pulau Banding Foundation, Perak, Malaysia during the 2 nd Temengor Scientific Expedition 2012. The specimens are not endangered or protected species.

Mushroom collection and cultivation
The wild basidiocarps (KLU-M 1369) of A. rugosum were collected from the Royal Belum Rainforest Reserve, Perak, Malaysia (N05°28'58.80 E101°20'24.72) and authenticate identified by Mushroom Research Centre, University of Malaya, Kuala Lumpur, Malaysia, through morphology and molecular studies. The mycelium pure culture of A. rugosum was obtained by tissue culture from the fresh basidiocarp. Mycelia of A. rugosum was maintained on PDA medium as described in the previous study [16]. Mushroom cultivation of A. rugosum was done according to Moonmoon et al. [17] with slight modifications. The wheat grain was cleaned and soaked in tap water overnight. Thereafter, the soaked grains were drained and autoclaved at 121°C for 15 minutes. The sterilised grains were allowed to cool for 24 hours before inoculating with mycelia culture of A. rugosum and were then incubated at room temperature for 14 days until the mycelium completely covered the grains. Each mushroom bag contained 300 g of substrate comprising CaCO 3 (1%), rice bran (10%), rubberwood saw dust (89%) and water (70%). The bags filled with the substrates were autoclaved at 121°C for 15 minutes to sterilise them. Then, the sterilised bags were left to cool for 24 hours before inoculating them with the prepared spawn. The bags were stored in the mushroom house (University of Malaya, Kuala Lumpur, Malaysia) under indirect sun light at 26°C with 80 to 85% relative humidity.

Preparation of A. rugosum extracts
The wild and domesticated basidiocarps of A. rugosum were freeze dried and extracted with ethanol at a ratio of 1:10 (w/v) for two days at room temperature. The ethanolic extracts of the wild (WB) and domesticated (DB) basidiocarps of A. rugosum were decanted and filtered using Whatman No. 4 filter paper. The extraction process was repeated five times with ethanol at a ratio of 1:10 (w/v), the filtrates were combined, and the excess solvent was evaporated using rotary evaporator.

Anti-inflammatory potential of extract
Cell culture. The murine macrophage cell line (RAW264.7 cells) was purchased from American Type Culture Collection (ATCC, CAT #: TIB-71). The cells were maintained in DMEM containing 10% FBS, 0.1% penicillin-streptomycin, 0.1% L-glutamine and 0.1% fungizone at 37°C in a humidified atmosphere containing 5% CO 2 . RAW264.7 cells were subcultured at 3-4 days interval. The cell viability was determined by trypan blue dye exclusion method and direct counting with a hemocytometer.
Cell viability. MTT assay was performed as previously described [16] to determine the cytotoxicity effect of A. rugosum extracts on RAW264.7 cells. Briefly, RAW264.7 cells (4 X 10 3 cells/well) were seeded on a 96-well plate and incubated overnight at 37°C in a humidified atmosphere containing 5% CO 2 . The attached cells were treated with different concentrations of A. rugosum extracts. After 24 hours incubation, 5mg/mL of MTT reagent was added to each of the 96 wells. The supernatant was removed after 4 hours incubation and 100% DMSO was added to dissolve the formazan salt. The absorbance was read at 560 nm with a spectrophotometer. The untreated cells incubated in medium only were denoted as a negative control.
Nitric oxide determination. The nitric oxide (NO) assay was performed as previously described [16]. RAW264.7 cells (4 X 10 5 cells/well) were seeded into 96-well plates and incubated at 37°C in a humidified atmosphere containing 5% CO 2 for 24 hrs. The attached cells were co-incubated with A. rugosum extract and 1 μg/mL of Escherichia coli (O55:B5) lipopolysaccharide (LPS) at 37°C in a humidified atmosphere containing 5% CO 2 for another 24 hours. Subsequently, 50 μL of culture supernatant was mixed with an equal volume of Griess reagent (1% sulphanilamide and 0.1% N-(1-napthyl)ethylenediamine in 2.5% H 3 PO 4 ) and the absorbance was measured at 540 nm. The amount of nitrite in the extract was calculated based on the standard curve generated with sodium nitrite (0-100 μM). The cell viability was determined using MTT assay. L-NAME at a concentration of 250 μM was used as a standard iNOS inhibitor (positive control). Each assay was carried out in triplicate and the results were expressed as micromolar concentration of NO production.
Nitric oxide radical scavenging assay. The nitric oxide radical scavenging assay was performed according to the method reported previously [16]. Briefly, 90 μL of sodium nitroprusside (5 mM dissolved in PBS) solution was added to 10 μL of A. rugosum extract. The plate was incubated for 90 minutes under exposure to light. Next, 100 μL of Griess reagent was added to the wells containing the mixture and the nitrite levels were measured at 540 nm. Quercetin was used as a positive control. Each assay was carried out in triplicate and the results were expressed as percentage of NO production.
Immunofluorescence staining of NF-κB p65 and iNOS. RAW264.7 cells (5 X 10 4 cells/ well) were seeded in a chamber slide and incubated at 37°C in a humidified atmosphere containing 5% CO 2 for overnight. The attached cells were co-incubated with A. rugosum extract and 1 μg/mL of Escherichia coli (O55:B5) lipopolysaccharide (LPS) at 37°C in a humidified atmosphere containing 5% CO 2 for 24 hours. After the cells were washed with phosphate-buffered saline (PBS), the cells were fixed immediately with 4% of paraformaldehyde for 20 minutes. Then, the cells were permeabilised with 0.5% of PBS-Triton X-100 (PBST) for 10 minutes. The slides were then incubated with primary antibody against NF-κB p65 or iNOS (1: 100 dilution; Cell Signaling Tecnology (CST, USA)) for 2 hours in room temperature. Next, the slides were washed with 0.3% of PBST and incubated with FITC-conjugated anti-rabbit IgG secondary antibodies at 1:80 dilutions (Merck Millipore, Germany) at room temperature for another 2 hours in dark. The slides were then washed again with 0.3% of PBST. The cells were mounted with Prolong 1 Gold Antifade Reagent with DAPI (Thermo Fisher Scientific, USA). Slides were observed under fluorescence microscope with FITC and DAPI filters and images were captured using Nikon's Imaging Software, NIS-Elements. Measurement of TNF-α and IL-10 production. The levels of TNF-α and IL-10 were measured using ELISA kits (Thermo Scientific, USA) according to the manufacturer's instructions. Briefly, RAW264.7 cells (5 X 10 6 cells) were seeded into a 25 cm 3 tissue culture flask and incubated at 37°C in a humidified atmosphere containing 5% CO 2 overnight. The attached cells were co-incubated with A. rugosum extracts and 1 μg/mL LPS at 37°C in a humidified atmosphere containing 5% CO 2 for 24 hours. Then, the supernatant were collected to determine the TNF-α and IL-10 levels by ELISA.
Gene expression study. RAW264.7 cells (5 X 10 6 cells) were seeded into a 25 cm 3 tissue culture flask and incubated at 37°C in a humidified atmosphere containing 5% CO 2 for 24 hours. The attached cells were co-incubated with A. rugosum extracts and 1 μg/mL LPS at 37°C in a humidified atmosphere containing 5% CO 2 for another 24 hours. The RNA extraction was done using RNAqueous 1 -4PCR kit (Ambion, USA). The purity of the isolated RNA was determined based on the ratio of the absorbance at 260 nm and 280 nm. Purified RNA with a A 260 / A 280 ratio between 1.8 and 2.0 was further used to synthesise complementary DNA (cDNA) by polymerase chain reaction (PCR) approach. The integrity of the RNA samples was assessed using an Agilent 1 2100 Bioanalyzer. RNA samples with RNA integrity number (RIN) of 8 to 10 were used for the subsequent experiment. High Capacity cDNA Reverse Transcription Kit (Applied Biosystems, USA) which contains all reagents needed for reverse transcription (RT) of total RNA to single-stranded cDNA was used in this study. Generally, 10 μLHigh Capacity cDNA Reverse Transcription master mix (RT buffer, dNTP mix, randoms primers, Multiscribe reverse™ transcriptase enzyme and nuclease free water) was added to 10 μL RNA samples. The mixture was then loaded into a thermal cycler (Biorad, USA) and PCR was carried out according to optimized thermal cycling conditions as recommended by the manufacturer. Table 1 shows the list of genes investigated in this study and the corresponding accession numbers. Mouse β-actin (ACTB) was used as the endogenous control in this study. All TaqMan 1 probes (Applied Biosystems, USA) used in this investigation were labelled with FAM™ reporter dye at the 5' end and MGB quencher at the 3' end. The fold change in the target genes normalised to ACTB and relative to LPS was calculated using the 2 -ΔΔCT method [18].

Antioxidant activity
The DPPH assay was performed as described previously [16]. Five microliters of A. rugosum extracts were added into a 195 μL reaction mixture which consisted of DPPH radical in ethanol solution. The mixture was incubated for 3 hours in the dark and the absorbance was measured at 515 nm using a spectrophotometer (BioTek, USA). Ascorbic acid, trolox and BHT served as positive controls. The values were expressed as EC 50 . EC 50 is defined as the amount of antioxidant required to scavenge 50% of the DPPH radicals. The ABTS assay was used to measure the antioxidant capacity of the A. rugosum extracts. This assay was carried out based on the method reported previously [16]. Briefly, 7 mM ABTS was mixed with 2.45 mM potassium persulphate and incubated in the dark at room temperature for 12-16 hours to allow the production of ABTS radical cation (ABTS ċ+ ). The ABTS ċ+ solution was further diluted with ethanol to an absorbance of 0.70 (± 0.02) at 734 nm and equilibrated at 30°C. Then, 100 μL of ABTS ċ+ solution was added to 10 μL of A. rugosum extract and the absorbance at 734 nm was measured after 1 minute. Ascorbic acid, trolox and BHT were used as positive controls. The values were expressed as EC 50 .

Total phenolic content (TPC)
Total phenolic content of A. rugosum extracts were measured by Folin-Ciocalteu's phenol reagent according to the method reported previously [16]. First, 50 μL of 10% Folin-Ciocalteau phenol reagent was added to 50 μL of extract. The mixed solution was incubated in the dark at room temperature for 3 minutes. Then, 100 μL of 10% Na 2 CO 3 was added to the solution and was incubated in the dark at room temperature for 1 hr. The absorbance was measured at 750 nm using spectrophotometer. Gallic acid was used as a standard phenolic compound. All samples were analysed in triplicate and the total phenolics were expressed as gallic acid equivalents (GAEs).

Statistical analysis
All values are expressed as means ± standard deviation (SD) of triplicate values. Statistical analysis was performed using one-way analysis of variance (ANOVA) followed by Duncan's Multiple Comparison Test using Statistical Product and Service Solutions, SPSS 1 Statistics for Windows, Version 17.0. Differences were considered statistically significant when P< 0.05 and exact P values were shown unless P< 0.001. Effective concentrations (EC 50 ) were calculated using GraphPad Prism software version 5.0.

Growth stages
The observations on growth stages of A. rugosum basidiocarps are depicted in Table 2. The mycelia fully colonised the 300 g substrate in 15 days. In about 25 days, pinhead started probe mix. Assay ID with "Mm" is referred to as "Mus musculus". All Gene Expression Assay kits indicated are FAM/MGB probed. emerging and they grew into matured basidiocarps after 1-2 weeks. The domesticated basidiocarps of A. rugosum (9.6 ± 3.8 g; Fig 1B) showed a higher average fresh weight compared to the basidiocarps grown in the wild (7.6 ± 3.9 g; Fig 1A).

Effects of WB and DB on RAW264.7 cell viability
MTT assay was performed to examine the cytotoxic effect of A. rugosum to RAW264.7 cells. The viability of untreated cells (positive control) was denoted as 100%. When RAW264.7 cells were incubated with 0.1, 1, and 10 μg/mL of WB, the cell proliferation was increased by 10.57%, 21.31%, and 21.21%, respectively (Fig 2). However, in the presence of 100 μg/mL of WB, the cell viability decreased by 22.66%.

Effects of WB and DB on LPS-stimulated NO production and expression
The inhibitory effect of WB and DB on LPS-stimulated NO production in RAW264.7 cells were evaluated using the Griess reaction. Both WB and DB showed inhibition of NO production in LPS-stimulated RAW264.7 cells (Fig 3). At the concentration of 0.1 μg/mL, WB and DB were able to suppress the NO production in LPS-stimulated RAW264.7 cells by 46.79% Table 2. The colonisation of sawdust bags and basidiocarp formation by A. rugosum.

Effects of WB and DB on NO radical scavenging activity
The NO scavenging effect of WB and DB were assessed. Both WB and DB scavenged the NO radical in a dose-dependent manner (Fig 6). Significant (p < 0.001) scavenging activities of WB (49.97%) and DB (54.59%) were observed at 500 μg/mL. Quercetin, a flavonoid widely found in plants and well known for its antioxidant and radical scavenging properties was used as a positive control and it scavenged 39.44% of NO radical at 6.25 μg/mL (p < 0.001).

Effects of WB and DB on LPS-stimulated TNF-α and IL-10 levels and expression in RAW264.7 cells
The WB and DB attenuated the level of TNF-α in LPS-stimulated RAW264.7 cells (Fig 7) which was due to the down-regulation of the TNF-α gene expression (Fig 8). Besides, WB and DB promoted the production of IL-10, an anti-inflammatory cytokine (Fig 9). Significant upregulation of IL-10 expression by WB and DB was evident (Fig 10). Effects of WB and DB on LPS-stimulated NF-κB p65 expression in RAW264.7 LPS-stimulated proinflammatory mediators production in RAW264.7 cells have been reported to be induced through NF-κB activation [19]. Fig 11 shows the effect of WB and DB on the NF-κB p65 gene expression level in LPS-stimulated RAW264.7 cells. There was no significant effect of WB and DB on the NF-κB p65 subunit. Protein expression showed presence of NF-κB p65 activity (Fig 12A and 12B). Dexamethasone (1 μM) and aspirin (0.1 mM) were used as positive controls. Table 3 shows the antioxidant activity and total phenolic content of WB and DB. The antioxidant activity of A. rugosum extracts were evaluated based on DPPH and ABTS assays. Both WB and DB showed similar total phenolic content and DPPH scavenging activity. However, WB displayed a higher ABTS scavenging activity compared to DB.

Discussion
Mushroom cultivation is a profitable agribusiness. The development and innovation in mushroom cultivation is important for food security, reduction of poverty, and development of economic status of small farmers [20]. Mushrooms are sources of food and contain useful medicinal properties against diabetes [21], cancer [22], and heart disorder [23]. Amauroderma rugosum has been documented to be traditionally used as a remedy to prevent epileptic episodes in children [14], [15]. Clinical and experimental evidences suggest that infection or inflammation may be the main contributor to seizure predisposition and occurrence, and other neurological disorders such as epilepsy [24]. It has also been reported that proinflammatory cytokines are involved in the pathophysiology of seizures and may be a new target for therapies against epilepsy [25][26][27]. Besides, the Chinese population has been using A. rugosum to reduce inflammation, to treat diuretic and upset stomach, and it is believed to have cancer prevention properties [13]. To our knowledge, the antioxidant and anti-inflammatory properties of A.
rugosum are yet to be explored and this is the first report which shows successful cultivation of A. rugosum. The mycelium of A. rugosum was obtained from tissue culture and maintained on PDA medium. Overall, the growth rate of A. rugosum was fast as compared to the other mushrooms reported previously (Table 4). Studies have shown that factors such as genotype of mushroom strains, type of substrate, and environment susceptibility, may affect the growth and fructification of mushrooms [17,28]. It has generally been known that the overproduction of ROS can adversely alter and damage lipids, proteins and DNA, and have been implicated in a number of human diseases. Thus, extensive research has been actively conducted for many years to search for antioxidant properties in natural products. Recently, mushrooms have gained significant interest as a new source of therapeutic agents. Many studies on antioxidant activity of mushrooms have been conducted [33][34][35][36]. In the present study, WB and DB showed similar total phenolic content and DPPH scavenging activity. However, WB displayed a higher ABTS cation radical scavenging activity as compared to DB. Alvarez-Parrilla et al. [37] showed that in general, wild mushrooms have higher phenolic content than commercial ones. The same group of researchers also proved that the methanolic extract of wild Agaricus bisporus has higher total phenol concentration than the commercial species. Conversely, the present study showed ethanolic extracts of wild and domesticated A. rugosum have similar total phenolic content. The discrepancy between the two studies may be due to the difference in the growth conditions and types of polyphenolic components present in the extracts.
The MTT assay was performed to assess the cytotoxic effect of WB and DB on RAW264.7 cells. A. rugosum extracts showed no toxic effect on RAW264.7 cells except for WB at a concentration of 100 μg/mL. Nitric oxide (NO) is a free radical generated by nitric oxide synthase (NOS) from L-arginine and mediates a variety of biological actions such as vasodilation, neurotransmission, inhibition of platelet adherence and aggregation, and macrophage-and-neutrophil-mediated killing of pathogens. However, excessive production of NO has been implicated in the pathogenesis of a variety of inflammatory diseases [38]. Griess assay was used to measure the accumulation of nitrite, which is the stable metabolite of NO. The quantity of nitrite in the culture medium was measured as an indicator of NO production. The current study showed that the A. rugosum extracts were able to scavenge NO radicals and suppress the NO production in macrophages. Both WB and DB showed inhibition of NO production in LPS-stimulated RAW264.7 cells at a concentration of 0.1 μg/mL. To determine whether the inhibition of NO production was due to cell death or down-regulation of iNOS expression, the MTT assay was performed after challenging the cells with LPS. The inhibition of NO production in LPS-stimulated macrophages by WB and DB was found to be not due to the reduction in the number of cells. In fact, A. rugosum extracts markedly down-regulated the expression of iNOS gene, which is responsible for the production of NO. In addition, WB and DB were able to scavenge the NO radicals in a dose-dependent manner and at a concentration of 500 μg/mL, both WB and DB scavenged > 50% of NO radicals. Although WB and DB showed effective NO scavenging activity at 500 μg/mL, this concentration was not used in cell-based bioassay experiments, as concentration of extracts exceeding 100 μg/mL were cytotoxic to macrophage cells. A previous report on plants showed that high level of antioxidants is associated with genotoxic properties in human peripheral blood mononuclear cells [39]. The DB did not exert a dosedependent effect on NO production in LPS-stimulated RAW264.7 cells. Unexpectedly, at the lowest concentration tested (0.01 μg/mL), DB caused significant elevation of NO production but in contrast, at higher concentrations this extract inhibited NO production effectively in LPS-stimulated RAW264.7 cells. This may in part be attributed to the "double-edged sword" effect that many natural compounds are known to exert on living systems and DB used in the present study is not an exception. One plausible explanation is that, low concentration of extract may promote inflammation as active compounds in the extract may be recognised as foreign substance by macrophages. However, at higher concentrations, the mixture of the compounds present in the extract may work synergistically to facilitate better interactions in the signal transduction pathway to affect a favourable response by inhibiting NO production effectively. This suggests that critical dosage of DB is required to exhibit potent anti-inflammatory effect. In the initial screening of A. rugosum extracts, WB showed a slight toxic effect towards RAW264.7 cells (4 X 10 3 cells/well). However, the MTT assay carried out after the removal of Fig 12. (A) Effects of A. rugosum extracts on NF-κB activity in LPS-stimulated RAW264.7 cells. NF-κB p65 was localised by fluorescence microscopy after immunofluorescence staining with NF-κB p65 antibody (green). Cells were stained with DAPI for visualization of nuclei (blue); (B) Quantification of fluorescence intensity (S1 Dataset). The fluorescence intensity was quantified using ImageJ and displayed in CTCF. Results shown represent the mean ± SD, n = 3 and *p < 0.05 versus LPS-induced p65 NF-κB expression alone. spent media for NO assay, WB showed no toxic effect towards LPS-stimulated RAW264.7 cells (4 X 10 5 cells/well) which possibly due to the significantly larger number of cells. Evidently, the concentration of the extract (based on extract w/v) was not sufficient to exert significant toxicity on the much higher concentration of cells. Nuclear factor kappa B (NF-κB) is a transcription factor that has been found to be active in immune response, apoptosis and cellular growth [40]. It is tightly regulated by interaction with inhibitory IκB proteins such as IκBα, IκBβ, IκBγ and IκBε [41]. Activation of NF-κB pathway through the binding of stimuli to TLR-4 causes phosphorylation of IκB proteins by IκB kinase (IKK). The phosphorylated IκB followed by its ubiquitination and 26S proteosomal degradation leads to the dissociation of IκB and enables the free NF-κB to translocate into the nucleus and bind to the target genes [42,43]. The NF-κB regulates a series of gene expression that are responsible for immune responses. These targeted genes include proinflammatory cytokines (e.g. IL-1, IL-2, IL-6, TNF-α), anti-inflammatory cytokines (e.g. IL-10), chemokines (e.g. IL-8), adhesion molecules (e.g. endothelial leukocyte adhesion molecule, vascular cell adhesion molecule and intercellular adhesion molecule), and inducible enzymes (e.g. iNOS and COX-2) [34,38]. However, overproduction of proinflammatory mediators often leads to fatal outcomes of chronic inflammatory diseases such as arthritis, asthma, multiple sclerosis and atherosclerosis [44,45,46]. Therefore, blocking the activity of proinflammatory cytokines and specific inflammatory pathways such as NF-κB may serve as a useful strategy for treating inflammation.
The present study demonstrated that WB and DB possessed a suppressive effect on downstream production of inflammatory mediators of nitric oxide and TNF-α, and promoted the production and expression of anti-inflammatory cytokine IL-10. This is similar to the study done by Jedinak et al. [47], which also demonstrated that the oyster mushroom concentrate markedly inhibited the expression of iNOS and TNF-α in LPS-stimulated macrophages. On the other hand, IL-10 is a potent anti-inflammatory cytokine which controls the inflammatory processes by suppressing various proinflammatory mediators [48]. Numerous studies have suggested that the induction of IL-10 production might exert beneficial effects in reducing the chronic inflammatory response found in patients with inflammatory disorders [49][50][51]. NF-κB plays a pivotal role in the immune response, where it controls the expression of various inflammatory cytokines. WB and DB did not show any inhibitory effect on the nuclear translocation of NF-κB p65. Therefore, it is possible that attenuation of proinflammatory mediators is attributed to direct inhibition.Alternatively, DB may be effective in inhibiting other upstream inflammatory signalling molecules such as p38 MAPK and JNK signalling [52,53]. Hence, further studies are required to investigate on the upstream mechanism of WB and DB on inflammatory pathways. On the whole, WB and DB showed similar total phenolic content and DPPH scavenging activity except for ABTS scavenging activity, WB displayed a better antioxidant activity than DB. It is possible that WB may contain different types of polyphenols which contribute to better ABTS scavenging activity. Besides, ABTS assay is the second rapid and precise method of determining antioxidant activity and it is appropriate for hydrophilic and lipophilic antioxidant systems. On the other hand, DPPH assay has more limitations and lower sensitivity, and it is only applicable for hydrophobic systems [54]. For the evaluation of anti-inflammatory activities, generally DB displayed slightly better anti-inflammatory activities than WB except for nitric oxide, IL-10, and NF-κB activities, both crude ethanolic extracts of wild and domesticated basidiocarps showed comparable results. Domesticated basidiocarps may exhibit better activities than the wild basidiocarps due to the optimised and controlled cultivation medium and growth condition. Also, media constituents and composition may influence fungi and plant cells metabolism and production of metabolites.

Conclusion
Overall, wild (WB) and domesticated (DB) basidiocarps of A. rugosum possessed significant antioxidant and anti-inflammatory activities. Both WB and DB had comparable total phenolic content and DPPH scavenging activity, but WB displayed higher ABTS cation scavenging activity compared to DB. Besides, WB and DB were able to scavenge NO radicals and suppress NO production in LPS-stimulated RAW264.7 cells. The suppressive effect was associated with the down-regulation of the iNOS gene. Moreover, WB and DB demonstrated effective downregulation of the proinflammatory cytokine, TNF-α and up-regulation of anti-inflammatory cytokine, IL-10. However, the nuclear translocation of NF-κB p65 was not blocked. In summary, anti-inflammatory activity of A. rugosum demonstrated in this study validated the traditional use of this mushroom to reduce inflammation by the Chinese population.