To characterize the changes in global gene expression in the distal colon of constipated SD rats in response to the laxative effects of aqueous extracts of Liriope platyphylla (AEtLP), including isoflavone, saponin, oligosaccharide, succinic acid and hydroxyproline, the total RNA extracted from the distal colon of AEtLP-treated constipation rats was hybridized to oligonucleotide microarrays. The AEtLP treated rats showed an increase in the number of stools, mucosa thickness, flat luminal surface thickness, mucin secretion, and crypt number. Overall, compared to the controls, 581 genes were up-regulated and 216 genes were down-regulated by the constipation induced by loperamide in the constipated rats. After the AEtLP treatment, 67 genes were up-regulated and 421 genes were down-regulated. Among the transcripts up-regulated by constipation, 89 were significantly down-regulated and 22 were recovered to the normal levels by the AEtLP treatment. The major genes in the down-regulated categories included Slc9a5, klk10, Fgf15, and Alpi, whereas the major genes in the recovered categories were Cyp2b2, Ace, G6pc, and Setbp1. On the other hand, after the AEtLP treatment, ten of these genes down-regulated by constipation were up-regulated significantly and five were recovered to the normal levels. The major genes in the up-regulated categories included Serpina3n, Lcn2 and Slc5a8, whereas the major genes in the recovered categories were Tmem45a, Rerg and Rgc32. These results indicate that several gene functional groups and individual genes as constipation biomarkers respond to an AEtLP treatment in constipated model rats.
Citation: Kim JE, Park SH, Kwak MH, Go J, Koh EK, Song SH, et al. (2015) Characterization of Changes in Global Genes Expression in the Distal Colon of Loperamide-Induced Constipation SD Rats in Response to the Laxative Effects of Liriope platyphylla. PLoS ONE 10(7): e0129664. https://doi.org/10.1371/journal.pone.0129664
Editor: Seungil Ro, University of Nevada School of Medicine, UNITED STATES
Received: July 24, 2014; Accepted: May 12, 2015; Published: July 7, 2015
Copyright: © 2015 Kim et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Data Availability: All microarray data was submitted to the GEO database (http://www.ncbi.nlm.nih.gov/geo) under accession number GSE62041.
Funding: This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIP) (No. MRC-2008-0062275). Also, this research was supported by a grant from the Regional Innovation System (RIS) of the Ministry of Knowledge Economy in Korea.
Competing interests: The authors have declared that no competing interests exist.
Constipation is a chronic gastrointestinal disorder that exhibits symptoms, such as infrequent bowel movements, difficulties during defecation, and the sensation of incomplete bowel evacuation [1,2,3]. This disease is often caused by insufficient dietary fiber intake, inadequate fluid intake, decreased physical activity, medication side effects, hypothyroidism, and obstructions by colorectal cancer in adults . To date, a range of chemical drugs including senna, correctol, exlax, senokot, and gaviscon, are commonly used for the treatment of constipation; however, their use is limited due to their high cost and undesirable side effects [5,6]. In addition, some promotility agents, including cisapride and tegaserod, are used widely for the treatment of constipation, even though they cause cardiac arrhythmia and coronary artery contraction [7,8]. Furthermore, some plant extracts, such as extracts of Aloe ferox Mill., ethanol extracts of agarwood (Aquilaria sinensis, Aquilaria crasna) leaves and Ficus carica paste, exhibit laxative properties based on their ability to increase the intestinal motility, frequency and weight of stools, and ileum tension [9,10].
Recently, several herbal medicines have received increased attention as novel therapeutic drugs for the treatment of constipation. Among these, L. platyphylla containing saponin, isoflavone, oligosaccharide, and succinic acid have long been used for the treatment of asthma as well as bronchial and lung inflammation [11,12]. L. platyphylla is known to potently inhibit airway inflammation and hyper-responsiveness in a murine model of asthma by modulating the relationship between Th1/Th2 cytokine imbalance , atopic dermatitis induced by phthalic anhydride treatment [13,14], and act effectively on the process of obesity and diabetes [15,16]. In addition, significant alteration of nerve growth factor (NGF) secretion as well as its related signaling pathway has been observed in the extracts and compounds isolated from L. platyphylla-treated PC12 cells [17,18]. In particular, L. platyphylla induced laxative effects including an enhancement of the stool weight, urine excretion, villus length, crypt layer, mucin secretion, and lipid droplet secretions . Nevertheless, there are no reports of the genes regulated by an AEtLP treatment during constipation induced by a loperamide treatment in SD rats.
This study characterized the changes in global gene expression in the distal colon of constipated model rats in response to the laxative effects of AEtLP.
Composition and functional components of L. platyphylla
As shown Fig 1, the roots of L. platyphylla contain high concentrations of several bioactive components related to the laxative effects. The concentration of total phenolic compounds and total flavonoid compounds were 4.32 mg/g and 0.75 mg/g, respectively. In addition, a peak indicating high level of spicatoside A as well as some sugars was detected in the LP at an appropriate retention time by high performance liquid chromatography (HPLC) analysis.
(A) The concentration of total phenolic compounds and flavonoid compounds was measured, as described in the Materials and Methods. (B) Spicatoside A, glucose, fructose and maltose in LP were detected at the corresponding retention times in the HPLC chromatogram.
Identification of the laxative effects in constipated SD rats
The administration of loperamide successfully induced constipation, as indicated by the decreased stool number, stool weight, water contents of the stool, and urine volume in SD rats. On the other hand, these levels were almost recovered to those in the non-constipation group in response to the AEtLP treatment, even though the type of stool was maintained in their original form as hard feces (Table 1). Furthermore, after the AEtLP treatment, the mucosa thickness, the average muscle thickness, flat luminal surface thickness, mucin production, number of goblet cells and number of lieberkuhn crypts increased by more than 10.9–190% compared to the vehicle-treated constipation group, while the expression of muscarinic acetylcholine receptor (mAchR) decreased with 7.7–25%. Most histological alterations and enhancement of mAchR expression in the distal colon were mostly recovered to these of the Non-constipation group, even though there were small differences between them. (Fig 2A and Table 2). These results show that AEtLP may induce smoothing of the hard stool in constipation through the functional and histological alterations of the distal colon in the constipated SD rats induced by a loperimide treatment and may induce changes in the regulation of gene expression.
(A) H&E or Alcian blue-stained sections and ultra-thin sections of the distal colon in the non-constipation group (Aa, d, g and j), vehicle-treated constipation group (Ab, e, h and k), or AEtLP-treated constipation group (Ac, f, i and l) were observed by optical microscopy and TEM at the indicated magnifications. (B) Scatter plots. Each point represents the average expression for the same gene from the non-constipation/constipation group (Ba) and vehicle-/AEtLP-treated constipation group. (Bb) The Cy3-channel indicates the control sample and the Cy5-channel indicates the test sample. The Cy5-channel axis shows that the probe of the Cy5-channel (vehicle-treated constipation group or AEtLP-treated constipation group) shows a signal intensity more than two times higher than that of the Cy3-channel (non-constipation group or constipation group), whereas the Cy3-channel axis shows the reverse situation.
Filtering and selection for differentially-expressed genes
As shown Fig 2B, a considerable number of genes are also expressed at elevated or at reduced levels in the distal colon of the constipation group relative to the non-constipation group, even though the expression levels of most genes showed no difference. Compared to the non-constipation SD rats, a total of 20,020 genes were detected as differentially expressed genes in the constipation SD rats. Further analysis revealed 797 up-regulated and down-regulated genes in the constipation rats compared to the non-constipation rats (Table 3A). In addition, a total of 20,331 genes were found to be expressed differentially in the AEtLP-treated constipation rats compared to the vehicle-treated constipation rats. Additional analysis revealed 488 up-regulated or down-regulated genes in the AEtLP-treated constipation rats (Table 3A).
Ontology categories of constipation-regulated gene expression
PANTHER/X ontology identified 15 GO categories showing significantly elevated expression in the list of up-regulated transcripts as well as 14 GO categories showing markedly decreased expression in the list of down-regulated transcripts (Table 4). Furthermore, the ontology classification of AEtLP-regulated gene expression was categorized in the distal colon of the AEtLP treated rats. Fourteen GO categories showed significantly elevated expression in the list of the up-regulated transcripts, whereas 16 markedly overexpressed GO categories were identified in the list of the down-regulated transcripts (Table 5).
Genes simultaneously altered by loperamide and AEtLP treatment
The genes recovered by the AEtLP treatment among those regulated by constipation based on a 2-fold change in expression were selected from the total transcripts of the distal colon. Among the up-regulated genes, 89 transcripts were down-regulated by more than 2-fold after the AEtLP treatment, whereas 22 were recovered to the normal levels. In addition, a total of 15 down-regulated genes could be classified as either up-regulated or recovered to the normal levels (Table 6). Overall, these results suggest that constipation and laxative effects are more closely related to the up-regulated genes than the down-regulated genes.
Genes showing the greatest up-regulation and down-regulation
To characterize the genes down-regulated by the AEtLP treatment after overexpression induced by constipation, those that showed at least a 2-fold change were selected, resulting in 89 down-regulated genes and 22 recovered genes. Of the 89 down-regulated genes, the largest difference was observed in Slc9a5 (11.6-fold), which was identified as a sodium ion transport-related gene, followed by Slc5a4a, Klk10, Fgf15, Alpi, and Chmp4bl1 (Table 7). In addition, 22 down-regulated genes including Cyp2b2, Ace, Cyp2j4, G6pc, Setbp1, and Nphs1 were recovered to the normal level after the AEtLP treatment (Table 8).
To characterize the genes up-regulated by the AEtLP treatment after down-regulation induced by constipation, those showing at least a 2-fold change were selected from the ten up-regulated genes and five recovered genes. Of the ten up-regulated genes, the largest decrease in the transcripts of constipation rats was observed for Serpina3n (0.19-fold), followed Lcn2, Slc5a8, C3, Rerg, and Arhgap8 (Table 9). In addition, five up-regulated genes, including the Tmem45a gene, Rerg and Rgc32, were recovered to the normal levels after the AEtLP treatment (Table 10). Overall, these results suggest that the AEtLP treatment is closely involved in regulating the genes associated with transporters, metabolic enzymes, growth factor receptors, and blood vessel development under the condition of constipation induced by a loperamide treatment.
Validation of microarray data
To test the reliability of the results obtained from the microarray analysis, two up-regulated genes (Slc9a5, and Klk10) and two down-regulated genes (LCN2 and Atrip) were selected. When comparing the results of the microarray data and that of the RT-PCR, the pattern of increase was similar despite the difference in the increase or decrease rate (Fig 3). Furthermore, in the reliability test with western blot, the expression pattern of one down-regulated gene (Fgf) and one recovered gene (ACE) in muscle layer was consistent with the microarray data although the mucosa layer showed the different pattern (Fig 4). These results corroborate the data from microarray analysis. Especially, the protein expression from each layer indicated the possibility that the data from microarray may well reflect muscle layer than mucosa layer.
The distal colons of the rats in each group were pooled prior to mRNA analysis. The mRNA levels of the Slc9a5, Klk10, LCN2, and Atrip genes were examined by RT-PCR using the specific primers. The data shown are the means ± SD from three replicates. a, P<0.05 relative to the non-constipation group. b, P<0.05 relative to the vehicle-treated constipation group.
Total tissue lysates were prepared from each layer collected from the distal colons of loperamide injected rats treated with vehicle or AEtLP as described in the Materials and Methods. A total of 50 μg of protein per sample were immunoblotted with specific antibodies for each protein. Three samples were assayed in triplicate by Western blotting. Data are reported as the mean±SD. a, P<0.05 relative to the non-constipation group. b, P<0.05 relative to the vehicle-treated constipation group.
The expression of the genes in cells or an organism can be influenced by external signal factors, including natural products, drugs, chemicals, temperature, and light, as well as the organism's internal factors, including hormones and metabolism . Among many external factors, this study focused on the correlation between phytochemical compounds and the improvement-related genes for constipation, even though many unknown substances remained in AEtLP. On the other hand, there are no reports of NHE5 and Klk10 altered by an AEtLP treatment correlating with a treatment of flavonoid and phenolic compounds, whereas accumulated studies have shown a correlation with other members within each gene family. In particular, the expression of three genes including LCN2, ACE2 and CYP2B2 is affected by the treatment of phytochemical compounds. The significant down-regulation of LCN2 mRNA was detected in ovarian cancer cells treated with estradiol and genistein, whereas the mRNA expression of ACE2 increased in the kidney after a high dose puerarin and apigenin treatment [21,22,23]. In addition, caffeic acid phenethyl ester and isoquercitrin induced a decrease in the CYP2B2 protein and mRNA level in the livers of Fischer 344 rats administered diethylnitrosamine [24,25]. Therefore, these results provide novel evidence that some genes listed in the present study may link the treatment of phytochemical compounds despite not showing a direct correlation between a single compound and each gene.
This study found several interesting genes related to the mechanism and pathogenesis of constipation. First, the Na+/H+ exchangers (NHE5) encoded in the Slc9a5 gene are membrane-bound transporters that catalyze the regulation of the intracellular pH and volume by mediating the electroneutral transport of H+ against the influx of Na+ ions . NHE5 is expressed only in the brain and is tightly associated with end-stage renal disease and hypertension [27,28,29]. On the other hand, there are no reports indicating that NHE5 is a candidate protein for the regulation of constipation. In addition, decreased intestinal sodium absorption by selective NHE3 inhibition in the gut have been shown to induce a decrease in high blood pressure and an increase in feces water excretion . In this study, the expression level of the NHE5 transcript was increased dramatically by a loperamide treatment, after which its level was recovered by the AEtLP treatment, as shown in Table 7. Accordingly, the results this study are the first to indicate NHE5 as key marker gene for screening therapeutic compounds with laxative effects. Nevertheless, further studies will be needed to determine the application possibility of NHE5 as a marker gene under clinical conditions.
Klk10 encodes serine proteases, including a member of the human tissue kallikrein family, and may play a role as a tumor suppressor gene to inhibit tumor formation in nude mice [31,32]. The exon 3 CpG island methylation of Klk10 is found in breast, ovarian, prostate, acute lymphoblastic leukemia (ALL), and gastric cancers [33,34]. Despite Klk10 being identified years ago as being prominently associated with cancer regulation, little is known about its biological involvement in intestinal diseases. Firstly, a relatively high level of active Klk was detected in the underlying colonic muscle of patients with ulcerative colitis, and diverticular disease . In addition, a Klk inhibitor was considered to be a potential therapeutic agent for inflammatory arthritis and inflammatory bowel disease because the pretreatment of a specific plasma Klk inhibitor relieved the acute and chronic arthritis as well as the acute changes in the characteristics of enterocolitis . In this study, the expression pattern of the Klk10 transcript was similar to that of the colonic muscle in patients with ulcerative colitis, even though their increase ratios differed between the two groups. Nevertheless, these results are the first to suggest that Klk10 is associated with the regulation of constipation in the loperamide and AEtLP-treated SD rats. Therefore, the above results including the present study suggest that an alteration of Klk expression may reflect an inflammatory condition induced by various factors in each tissue.
A large subset of cytochrome P450 (CYP) enzymes was expressed in various tissues including the liver, intestines, kidneys, and airways [37,38]. Among these subsets, the expression of CYP2B2 was induced by several structurally divergent compounds associated with phenobarbital, even though prototypical inducers, such as dexamethasone and pregnenolone 16α carbonitrile did not induce CYP2B2 expression . On the other hand, a few studies have been conducted to determine if CYP2B2 expression can be regulated by a loperamide treatment. In the present study, the loperamide treatment induced an increase in CYP2B2 expression, but these levels were recovered to normal by the AEtLP treatment. On the other hand, further studies will be need to verify the possibility of an interaction between loperamide and AEtLP because the results from 128 case reports or case series and 80 clinical trials provided evidence for the possible interaction between herbal medicines and conventional drugs through induction analysis of CYP450 and or P-glycoprotein .
ACE is the major participant in the renin-angiotensin system (RAS), which regulates arterial vasoconstriction and the extracellular volume through the conversion of angiotensin I to angiotensin II [41,42]. ACE is also expressed in the lung, vascular endothelial cells, epithelial kidney cells, and testicular Leydig cells, but it is not expressed in the intestine . Although no studies have examined the direct correlation between ACE and constipation, several accumulated reports suggest that the inhibition of ACE2 can ameliorate inflammatory bowel disease including ulcerative colitis and Crohn’s disease. The treatment of potent and selective AEC2 inhibitors, such as enalapril and GL1001, resulted in a markedly attenuated colon pathology and myeloperoxidase activity by down-regulating the NF-κB and TGF-β signaling pathway [44,45,46]. In the present study, an alteration of the regulation of ACE2 was similar to that of CYP2B2. As shown Table 7 and Fig 4, the AEtLP treatment induced recovery from the increased ACE mRNA and protein expression induced by the loperamide treatment. Especially, the significant alteration on this protein expression was detected in muscle layer. These findings provide novel information regarding the role of the ACE function in constipation regulation as well as the regulation of their expression in muscle layer of distal colon.
Lcn2 (lipocalin-2) is a 25-kDa secreted adipokine involved in the binding and transportation of small molecules, including retinoid, fatty acid, iron, and steroids [47,48,49,50,51]. This protein is associated with the pathogenesis of heart failure and kidney damage [52,53,54,55]. In particular, Lcn2 in microarray and proteomic analysis has been considered as a biomarkers of cancer diagnosis and drug efficacy in the colon of an azoxymethane-induced colon carcinogenesis model and pancreatic cancer of human patients [56,57]. Furthermore, this protein also marks the severity of intestinal inflammation because the significant up-regulation of Lcn2 also observed in both active ulcerative colitis and active Crohn’s disease [47,58]. Basically, a change in Lcn2 expression observed in the present work is an extension of previous studies, which indicated a role of the marker in the condition of several diseases. The present study provided novel evidence showing that Lcn2 can play a role as a sensitive and broad biomarker for constipation and laxative effects.
Fgf was widely known to multifunctional regulators affecting a variety of physiological regulations and events in mammals . They contribute to organogenesis, tissue remodeling, nervous system regulation, angiogenesis and metabolism control [59,60,61]. Especially, Fgf-2 can regulate cell survival, proliferation, differentiation, migration, and replication of intestinal epithelial cells [62,63,64]. The protein level of Fgf-2 was increased in intestinal epithelial cells after radiation injury , while Fgf-19 expression in human ileum was induced by chenodeoxycholate and glycochenodeoxycholate treatment . In this study, the expression of Fgf protein was increased or decrease in the muscle and mucosa layer of constipation rats induced with loperamide, although their level was simultaneously decreased after AEtLP treatment. Therefore, the present study provided first evidence that the expression of Fgf protein may differentially regulate in the muscle and mucosa layer of constipation rats.
Some extracts of L. platyphylla contain a wide variety of functional components, but further analyses will be needed to verify the correlation between their functions and therapeutic effects. Basically, the dry roots of L. platyphylla consist of carbohydrates (6.89 g/100 g) and sodium (Na; 6.32 g/100 g), and to a much lesser extent, proteins, fats, and sugars, whereas saturated fat, trans-fat and cholesterol are not present . Moreover, AEtLP extracted from L. platyphylla roots contains saponins (1.73%), oligosaccharide (6.54%), succinic acid (111.48 mg), hydroxyproline (1,290 μg), and potassium (151.35 mg) . In addition, the ethanolic extract of L. platyphylla was purified, leading to the isolation of five novel compounds including (+)platyphyllarin A/B, ethyltributanoate and (-)-liriopein A/B along with 21 known secondary metabolites . Although the concentration and distribution of several components in L. platyphylla have been determined, further studies will be needed to examine the correlation between the components and expression of the corresponding genes.
Moreover, in humans, chronic constipation is subdivided into three groups based on an assessment of the colonic transit and anorectal function; 1) normal transit or irritable bowel syndrome, 2) pelvic floor dysfunction (functional defecatory disorders) and 3) slow transit constipation . Indeed, more than 59% of patients with chronic constipation are normal transit. The remainder of the patients has functional defecatory disorders (25%), slow transit (13%) and a combination of defecatory disorders and slow transit (3%) . Among these groups, models of pharmacological constipation induced by Lop can only show slow transit constipation, which presented less daily fecal excretion, lower water content, smaller number of fecal pellets and thinner fecal mucus [71, 72]. Therefore, these results have some limits and restrictions to a clinical translation of the results obtained from Lop-induced rats to human conditions, even though the experimental procedure for rat models, which is easy and reproducible without negative side effects or histologically detectable damage, is used widely for the evaluation and development of therapeutic drugs . Further studies will be needed to determine the potential applications of NHE5, Klk10, CYP2B2, ACE2, and LCN2 as marker gene in clinical conditions.
In conclusion, the differential gene expression due to constipation and laxative effects was identified and validated using the transverse colon regions from vehicle- and AEtLP-treated constipation rats. The results of the present study identified 123-differentially expressed genes associated with constipation and laxative effects in chemically-induced constipation model rats, which were confirmed by RT-PCR. Therefore, these genes might be useful for the development of new therapeutic targets.
Materials and Methods
Analysis of bioactive compounds in the roots of LP
The amount of total phenolics in LP was determined using the Folin-Ciocalteu method . The amount of total flavonoids in the RLP extract was determined according to the method reported by Meda et al. . The concentration of spicatoside A and sugars in LP were analyzed using an iLC 3000 HPLC system (Interface Engineering, Seoul, Korea) equipped with a Corona CAD Detector (ESA Bioscinece, Inc., Chelmsford, MA, USA). Chromatographic separation was performed on a CAPCELL PAK MG C18 (4.6 mm×250 mm, particle size 5 μm, Shiseido Co. Ltd., Tokyo, Japan).
Induction of constipation and animal experimental design
The animal protocol used in this study was reviewed and approved based on the ethical procedures and scientific care by the Pusan National University-Institutional Animal Care and Use Committee (Approval Number; PNU-2012-0010). All animals were handled at the Pusan National University Laboratory Animal Resources Center accredited by AAALAC International (Accredited Unit Number; 001525) according to the National Institutes of Health guidelines.
For the experiment, 8-week-old Sprague Dawley (SD) rats (n = 18) were assigned to either a non-constipation group (n = 6) or a constipation group (n = 12). Constipation was induced in the SD rats by a subcutaneous injection of loperamide (4 mg/kg weight) in 0.9% sodium chloride twice (9 AM and 6 PM) a day for 3 days, whereas the non-constipation group was injected with 0.9% sodium chloride alone, as described in a previous study . At 15 hr after the final loperamide treatment, the constipation group was divided further into a vehicle-treated constipation group (n = 6) and AEtLP-treated constipation group (n = 6). They received a consistent volume of water or 15 μL/g body weight of AEtLP (1,000 mg/kg weight) via oral administration once at 9 AM. At 24 h after the AEtLP or vehicle treatments, all animals were euthanatized using CO2 gas and tissue samples were acquired and stored in Eppendorf tubes at -70°C until assayed. Furthermore, the stools and urine excreted from each SD rat were measured at 10:00 am every day in the metabolic cage (Daejong Co., Korea).
Measurement of stool number and urinary volume
All SD rats were bred in metabolic cages during the experimental period to avoid contamination with other dust. The stools and urine excreted from each SD rat were collected at 9 AM every day during the experimental process in the metabolic cage (Daejong Co., Korea). The number of stools was counted using a key cell counter and the urine volume was measured three times using a measuring cylinder.
The distal colons collected from the SD rats were fixed with 10% formalin for 48 h, embedded in paraffin wax, sectioned into 4 μm thick slices, and then stained with hematoxylin & eosin (H&E, Sigma-Aldrich, MO, USA). The morphological features of these sections were observed by optical microscopy. The muscle thickness, flat luminal surface thickness, number of goblet cells, and number of lieberkuhn crypt were measured using the Leica Application Suite (Leica Mycrosystems, Switzerland).
For mucin staining, transverse colons collected from the rats were fixed with 10% formalin for 48 h, embedded in paraffin wax, and sectioned into 3 μm thick slices that were then deparaffinized with xylene and rehydrated. The samples were then rinsed with distilled water and stained using an Alcian blue stain kit (IHC WORLD, MD, USA). Finally, the stained colon sections were observed by optical microscopy and the size, number, and morphology of the crypts were measured using Leica Application Suite (Leica Microsystems, Switzerland).
For TEM analysis, the transverse colons collected from rats were first fixed in 2.5% glutaraldehyde in 1x PBS buffer, washed, dehydrated with ascending concentrations of ethanol, incubated in 1% OsO4 for 1 h at room temperature, and then embedded in Epon812 media (Polysciences, Inc., Germany). Ultra-thin sections (70 nm) were then collected on holy formvar coated grids, contrasted with uranyl acetate and lead citrate, and examined by TEM (Hitachi, Japan).
The distal colons from SD rats of the No, vehicle, and AEtLP treated groups were used to isolate the total RNA using Trizol (Invitrogen Life Technologies, Carlsbad, USA), after which they were purified using RNeasy columns (Qiagen, Valencia, USA). Both procedures were conducted according to the manufacturer’s protocol. Briefly, 100 mg of the frozen distal colons were homogenized in a lysis buffer using a rotor-stator homogenizer. Subsequently, 70% ethanol was added to the homogenate, after which the samples were applied to an RNAeasy minispin column to bind the total RNA, which was then eluted in RNase-free-water. After DNase digestion and clean-up, the RNA samples were quantified, divided into aliquots and stored at -80°C until needed. For quality control, the RNA purity and integrity were evaluated by denaturing gel electrophoresis, OD 260/280 ratio, and analysis on an Agilent 2100 Bioanalyzer (Agilent Technologies, Palo Alto, USA).
Labeling and purification
The total RNA was amplified and purified using an Ambion Illumina RNA amplification kit (Ambion, Austin, USA). To produce biotinylated cRNA according to the manufacturer’s instructions, 550 ng of the total RNA was reverse-transcribed to cDNA using a T7 oligo(dT) primer. A second-strand of cDNA was synthesized, transcribed in vitro, and labeled with biotin-NTP. After purification, the cRNA was quantified using an ND-1000 Spectrophotometer (NanoDrop, Wilmington, USA).
Hybridization and data export
The labeled cRNA samples (750 ng) were hybridized to each Rat-6 Expression BeadChip for 16–18 h at 58°C according to the manufacturer's instructions (Illumina, Inc., San Diego, USA). The array signal was then detected using Amersham fluorolink streptavidin-Cy3 (GE Healthcare Bio-Sciences, Little Chalfont, UK) according to the manufacturer's protocols. The arrays were scanned using an Illumina bead array reader confocal scanner (BeadStation 500GXDW; Illumina, Inc., San Diego, CA) according to the manufacturer's instructions. The array data export processing and analysis was performed using an Illumina BeadStudio.
Raw data preparation
The quality of hybridization and the overall chip performance were monitored by a visual inspection of both the internal quality control checks and the raw scanned data. The raw data was extracted using the software provided by the manufacturer (BeadStudio v.3.1). The array data was filtered using a P value set at <0.05 in at least 50% of the samples. A filtering criterion was applied for data analysis, with higher signal values required to obtain a detection (P <0.05). The selected gene signal values were log transformed and normalized using the quantile method to remove systemic bias. The data reliability was measured using the scatter plot method. The correlation coefficients (Rs) of the normalized samples ranged from 0.95 to 0.99, which indicates that a systematic variation of non-biological origin was removed. Comparative analysis between the vehicle-treated rats and AEtLP-treated rats samples was conducted using a t-test (|fold|> or <2) and the adjusted Benjamini-Hochberg FDR (false discovery rate) (P <0.05). Also, if the value of fold change are between 0.5< and <1.5 after AEtLP treatment, these gene decided as recovered genes and now functioning normally. Furthermore, volcano plots and hierarchical cluster analysis were conducted using a complete linkage and Euclidean distance as a measure of similarity. Time-dependent profiling was achieved by k-means cluster analysis (k; 9, Euclidean distance, complete linkage). All data analysis and visualization of the differentially expressed genes was conducted using ArrayAssist (Stratagene, La Jolla, USA). The biological pathway and ontology-based analysis were performed using the PANTHER (Protein ANalysis THrough Evolutionary Relationships) database (http://www.pantherdb.org). All microarray data was submitted to the GEO database (http://www.ncbi.nih.gov/geo) under accession number GSE62041.
The complementary DNA was synthesized using mixture containing the total RNA (5 μg), oligo-dT primer (500 ng, Invitrogen, CA, USA), dNTP and reverse transcriptase (200 units, Invitrogen) according to the method described elsewhere . Furthermore, the PCR product of each gene was amplified using the specific primers, as described in previous studies .
Firstly, in order to separately collect muscle and mucosa layer, the distal colon of SD rats were cut along a colon tube using scissors and washed with 1x PBS. Next, the mucosa layer were scraped out from the muscle layer using surgical knife and collected in homogenized tube. Whole distal colon, muscle layer and mucosa layer collected from a subset of the groups were homogenized using a PRO-PREP Solution Kit (iNtRON Biotechnology, Sungnam, Korea) supplemented with half of a protein inhibitor cocktail tablet (Roche, Penzberg, Germany), then centrifuged at 10,000 ×g for 10 min. The prepared proteins were subsequently subjected to 10% SDS-PAGE, after which they were transferred to a nitrocellulose membrane (Amersham Biosciences, Corston, UK) for 2 h at 45 V in transfer buffer (25 mM Trizma-base, 192 mM glycine, and 20% methanol). The efficiency of the transfer and equal protein loading were evaluated by staining the membrane with Amido Black Staining Solution (Sigma-Aldrich Co.) and the gel with Coomassie Blue. Appropriate dilutions of primary antibodies, anti-FGF antibody (Santa Cruz, CA, USA), anti-ACE antibody (R&D Systems, Minneapolis, MN, USA) and anti-β-actin (Sigma-Aldrich Co.) were added to the membranes and allowed to hybridize overnight at 4°C. After the antibodies were removed, the membrane was washed three times in a solution composed of 10 mM Trizma-base (pH 7.6), 150 mM NaCl, and 0.05% Tween-20 for 10 min. The membrane was then incubated with horseradish peroxidase-conjugated anti-secondary antibody for 1 h at room temperature, after which it was washed again as described above and developed using an enhanced chemiluminescence detection system (Amersham Biosciences). Finally, the results were quantified using the Image Analyzer System (Eastman Kodak 2000MM, Eastman Kodak, Rochester, NY, USA) and expressed as the fold-increase over control values. These results were confirmed by two independent researchers conducting the experiments at least twice.
The significant differences in the results of microarray analyses between the non-constipation group and constipation group were identified using a t-test. In addition, one-way ANOVA (SPSS for Windows, Release 10.10, Standard Version, Chicago, IL) was used to determine the variance and to identify the significant differences in the specific mRNA expression between the vehicle-treated constipation group and AEtLP-treated constipation group. All values are presented as the mean ± standard deviation (SD). A P <0.05 was considered significant.
We thank Jin Hyang Hwang, the animal technicians, for directing the Animal Facility and Care at the Laboratory Animal Resources Center. This study was supported by grants to Dr. Dae Youn Hwang from the National Research Foundation of Korea. In addition, this study was supported by the National Research Foundation of Korea [NRF] grant funded by the Korea government (MSIP)(No. MRC-2008-0062275).
Conceived and designed the experiments: DYH HSL JEK. Performed the experiments: DYH JEK SHP MHK SHS JES. Analyzed the data: DYH SHP JEK HSL JTH. Contributed reagents/materials/analysis tools: JG EKK SHS JES. Wrote the paper: DYH JEK HSL JTH.
- 1. Walia R, Mahajan L, Steffen R (2009) Recent advances in chronic constipation. Curr Opin Pediatr 21: 661–666. pmid:19606041
- 2. McCallum IJD, Ong S, Mercer-Jones M (2009) Chronic constipation in adults. BMJ 338: 831.
- 3. Emmanuel AV, Tack J, Quigley EM, Talley NJ (2009) Pharmacological management of constipation. Neurogastroenterol Motil 21: 41–54. pmid:19824937
- 4. Leung FW (2007) Etiologic factors of chronic constipation: review of the scientific evidence. Dig Dis Sci 52: 313–316. pmid:17219073
- 5. Erasto P, Adebola PO, Grierison DS, Afolayan AJ (2005) An ethnobotanical study of plants used for the treatment of diabetes in Eastern Cape Province, South Africa. Afr J Biotechnol 4: 1458–1460.
- 6. Wintola OA, Sunmonu TO, Afolayan AJ (2010) The effect of Aloe ferox Mill. in the treatment of loperamide-induced constipation in Wistar rats. BMC Gastroenterol 10: 95. pmid:20723249
- 7. Altabas K, Bilic A, Jurcic D, Dorosulic Z, Mihanovic M, Sunic-Omejc M, et al. (2003) The efficacy of cisapride vs. placebo and diet in patients with chronic constipation. Coll Antropol 27: 197–204. pmid:12974147
- 8. Pemberton GR 3rd, Phillips JH, Phillips SF (2000) AGA technical review on constipation. Gastroenterology 119: 1766–1778. pmid:11113099
- 9. Kakino M, Izuta H, Ito T, Tsuruma K, Araki Y, Shimazawa M, et al. (2010) Agarwood induced laxative effects via acetylcholine receptors on loperamide-induced constipation in mice. Biosci Biotechnol Biochem 74: 1550–1555. pmid:20699592
- 10. Lee HY, Kim JH, Jeung HW, Lee CU, Kim DS, Li B et al. (2012) Effects of Ficus carica paste on loperamide-induced constipation in rats. Food Chem Toxicol 50: 895–902. pmid:22178225
- 11. Lee YC, Lee JC, Seo YB., Kook YB (2005) Liriopis tuber inhibits OVA-induced airway inflammation and bronchial hyperresponsiveness in murine model of asthma. J Ethnopharmacol 101: 144–152. pmid:15982838
- 12. Kim SW, Chang IM, Oh KB (2002) Inhibition of the bacterial surface protein anchoring transpeptidase sortase by medicinal plants. Biosci Biotechnol Biochem 66: 2751–2754. pmid:12596883
- 13. Kim HJ, Kim J, Kim SJ, Lee SH, Park YS, Park BK, et al. (2010) Anti-inflammatory effect of quercetin on picryl chloride-induced contact dermatitis in BALB/c mice. Lab Anim Res 26: 7–13.
- 14. Kim JE, Lee YK, Nam SH, Choi SI, Goo JS, Jang MJ, et al. (2010) The symptoms of atopic dermatitis in NC/Nga mice were significantly relieved by the water extract of Liriope platyphylla. Lab Anim Res 26: 377–384.
- 15. Choi SB, Wha JD, Park S (2004) The insulin sensitizing effect of homoisoflavone-enriched fraction in Liriope platyphylla Wang et Tang via PI3-kinase pathway. Life Sciences 75: 2653–2664. pmid:15369701
- 16. Jeong S, Chae K, Jung YS, Rho YH, Lee J, Ha J, et al. (2008) The Korean traditional medicine Gyeongshingangjeehwan inhibits obesity through the regulation of leptin and PPARα action in OLETF rats. J Ethnopharmacol 119: 245–251. pmid:18674606
- 17. Hur J, Lee P, Moon E, Kang I, Kim SH, Oh MS, et al. (2009) Neurite outgrowth induced by spicatoside A, a steroidal saponin, via the tyrosine kinase A receptor pathway. Eur J Pharmacol 620: 9–15. pmid:19695245
- 18. Choi SI, Goo JS, Kim JE, Nam SH, Hwang IS, Lee HR, et al. (2012) Differential effects of the steaming time and frequency for manufactured red Liriope platyphylla on nerve growth factor secretion ability, nerve growth factor receptor signaling pathway and regulation of calcium concentration. Mol Med Rep 6: 1160–1170. pmid:22895564
- 19. Kim JE, Lee YJ, Kwak MH, Ko J, Hong JT, Hwang DY. (2013) Aqueous extracts of Liriope platyphylla induced significant laxative effects on loperamide-induced constipation of SD rats. BMC Complement Altern Med 13: 333. pmid:24274470
- 20. Shankaran H, Resat H, Wiley HS (2007) Cell surface receptors for signal transduction and ligand transport: a design principles study. PLoS Comput Biol 3: e101. pmid:17542642
- 21. Parker LP, Taylor DD, Kesterson S, Gercel-Taylor C (2009) Gene expression profiling in response to estradiol and genistein in ovarian cancer cells. Cancer Genomics Proteomics 6: 189–194. pmid:19487548
- 22. Ye XY, Song H, Lu CZ (2008) Effect of puerarin injection on the mRNA expressions of AT1 and ACE2 in spontaneous hypertension rats. Zhongguo Zhong Xi Yi Jie He Za Zhi 28: 824–827. pmid:19065898
- 23. Sui H, Yu Q, Zhi Y, Geng G, Liu H, Xu H. (2010) Effects of apigenin on the expression of angiotensin-converting enzyme 2 in kidney in spontaneously hypertensive rats. Wei Sheng Yan Jiu 39: 693–696. pmid:21351633
- 24. Beltrán-Ramírez O, Pérez RM, Sierra-Santoyo A, Villa-Treviño S (2012) Cancer prevention mediated by caffeic acid phenethyl ester involves cyp2b1/2 modulation in hepatocarcinogenesis. Toxicol Pathol 40: 466–472. pmid:22291063
- 25. Morita R, Shimamoto K, Ishii Y, Kuwata K, Ogawa B, Imaoka M, et al. (2011) Suppressive effect of enzymatically modified isoquercitrin on phenobarbital-induced liver tumor promotion in rats. Arch Toxicol 85: 1475–1484. pmid:21445586
- 26. Yu H, Freedman BI, Rich SS, Bowden DW (2000) Human Na+/H+ exchanger genes: identification of polymorphisms by radiation hybrid mapping and analysis of linkage in end-stage renal disease. Hypertension 35: 135–143. pmid:10642288
- 27. Xu H, Chen R, Ghishan FK (2005) Subcloning, localization, and expression of the rat intestinal sodium-hydrogen exchanger isoform 8. Am J Physiol Gastrointest Liver Physiol 289: 36–41.
- 28. Sardet C, Franchi A, Pouysségur J (1989) Molecular cloning, primary structure, and expression of the human growth factor-activatable Na+/H+ antiporter. Cell 56: 271–280. pmid:2536298
- 29. Linz D, Wirth K, Linz W, Heuer HO, Frick W, Hofmeister A, et al. (2012) Antihypertensive and laxative effects by pharmacological inhibition of sodium-proton-exchanger subtype 3-mediated sodium absorption in the gut. Hypertension 60: 1560–1567. pmid:23108657
- 30. Hoogerwerf WA, Tsao SC, Devuyst O, Levine SA, Yun CH, Yip JW, et al. (1996) NHE2 and NHE3 are human and rabbit intestinal brush-border proteins. Am J Physiol 270: 29–41.
- 31. Borgono CA, Diamandis EP (2004) The emerging roles of human tissue kallikreins in cancer. Nat Rev Cancer 4: 876–890. pmid:15516960
- 32. Goyal J, Smith KM, Cowan JM, Wazer DE, Lee SW, Band V (1998) The role for NES1 serine protease as a novel tumor suppressor. Cancer Res 58: 4782–4786. pmid:9809976
- 33. Sidiropoulos M, Pampalakis G, Sotiropoulou G, Katsaros D, Diamandis EP (2005) Downregulation of human kallikrein 10 (KLK10/NES1) by CpG island hypermethylation in breast, ovarian and prostate cancers. Tumour Biol 26: 324–336. pmid:16254462
- 34. Roman-Gomez J, Jimenez-Velasco A, Agirre X, Barrios M, Navarro G, Andreu E et al. (2004) The normal epithelial cell-specific 1 (NES1) gene, a candidate tumor suppressor gene on chromosome 19q13.3–4, is down-regulated by hypermethylation in acute lymphoblastic leukemia. Leukemia 18: 362–365. pmid:14628074
- 35. Zeitlin IJ, Smith AN (1973) Mobilization of tissue kallikrein in inflammatory disease of the colon. Gut 14: 133–138. pmid:4735245
- 36. Colman RW, Stadnicki A, Kettner CA, Adam AA, DeLa Cadena RA, Sartor RB (1997) Activation of the kallikrein-kinin system in arthritis and enterocolitis in genetically susceptible rats: modulation by a selective plasma kallikrein inhibitor. Proc Assoc Am Physicians 109: 10–22. pmid:9010912
- 37. Nebert DW, Dieter MZ (2000) The evolution of drug metabolism. Pharmacology 61: 124–135. pmid:10971198
- 38. Niwa T, Murayama N, Yamazaki H (2009) Oxidation of endobiotics mediated by xenobiotic-metabolizing forms of human cytochrome. Curr Drug Metab 10: 700–712. pmid:19594405
- 39. Martin P, Riley R, Thompson P, Williams D, Back D, Owen A (2010) Effect of prototypical inducers on ligand activated nuclear receptor regulated drug disposition genes in rodent hepatic and intestinal cells. Acta Pharmacol Sin 31: 51–65. pmid:20048746
- 40. Izzo AA, Ernst E (2009) Interactions between herbal medicines and prescribed drugs: an updated systematic review. Drugs 69: 1777–1798. pmid:19719333
- 41. Zhang R, Xu X, Chen T, Li L, Rao P (2004) An assay for angiotensin-converting enzyme using capillary zone electrophoresis. Anal Biochem 280: 286–290.
- 42. Imig JD (2004) ACE Inhibition and bradykinin-mediated renal vascular responses: EDHF involvement. Hypertension 43: 533–535. pmid:14757781
- 43. Lazartigues E, Feng Y, Lavoie JL (2007) The two fACEs of the tissue renin-angiotensin systems: implication in cardiovascular diseases. Curr Pharm Des 13: 1231–1245. pmid:17504232
- 44. Byrnes JJ, Gross S, Ellard C, Connolly K, Donahue S, Picarella D (2009) Effects of the ACE2 inhibitor GL1001 on acute dextran sodium sulfate-induced colitis in mice. Inflamm Res 58: 819–827. pmid:19517214
- 45. Koga H, Yang H, Adler J, Zimmermann EM, Teitelbaum DH (2008) Transanal delivery of angiotensin converting enzyme inhibitor prevents colonic fibrosis in a mouse colitis model: development of a unique mode of treatment. Surgery 144: 259–268. pmid:18656634
- 46. Lee C, Chun J, Hwang SW, Kang SJ, Im JP, Kim JS (2014) Enalapril inhibits nuclear factor-κB signaling in intestinal epithelial cells and peritoneal mactophages and attenuates experimental colitis in mice. Life Sci 95: 29–39. pmid:24239644
- 47. Chassaing B, Srinivasan G, Delgado MA, Young AN, Gewirtz AT, Vijay-Kumar M (2012) Fecal lipocalin 2, a sensitive and broadly dynamic non-invasive biomarker for intestinal inflammation. PLoS One 7: 44328.
- 48. Raffatellu M, George MD, Akiyama Y, Hornsby MJ, Nuccio SP, Paixao TA et al. (2009) Lipocalin-2 resistance confers an advantage to Salmonella enterica serotype Typhimurium for growth and survival in the inflamed intestine. Cell Host Microbe 5: 476–486. pmid:19454351
- 49. Schwartz N, Michaelson JS, Putterman C (2007) Lipocalin-2, TWEAK, and other cytokines as urinary biomarkers for lupus nephritis. Ann NY Acad Sci 1109: 265–274. pmid:17785315
- 50. Kjeldsen L, Johnsen AH, Sengeløv H, Borregaard N (1993) Isolation and primary structure of NGAL, a novel protein associated with human neutrophil gelatinase. J Biol Chem 268: 10425–10432. pmid:7683678
- 51. Flower DR (1996) The lipocalin protein family: structure and function. Biochem J 318: 1–14. pmid:8761444
- 52. Bolignano D, Basile G, Parisi P, Coppolino G, Nicocia G, Buemi M (2009) Buemi M. Increased plasma neutrophil gelatinase-associated lipocalin levels predict mortality in elderly patients with chronic heart failure. Rejuvenation Res 12: 7–14. pmid:19196011
- 53. Poniatowski B, Malyszko J, Bachorzewska-Gajewska H, Malyszko JS, Dobrzycki S (2009) Serum neutrophil gelatinase-associated lipocalin as a marker of renal function in patients with chronic heart failure and coronary artery disease. Kidney Blood Press Res 32: 77–80. pmid:19287180
- 54. Mishra J, Ma Q, Prada A, Mitsnefes M, Zahedi K, Yang J, et al. (2003) Identification of neutrophil gelatinase associated lipocalin as a novel early urinary biomarker for ischemic renal injury. J Am Soc Nephrol 14: 2534–2543. pmid:14514731
- 55. Mori K, Lee HT, Rapoport D, Drexler IR, Foster K, Yang J, et al. (2005) Endocytic delivery of lipocalin-siderophore-iron complex rescues the kidney from ischemia-reperfusion injury. J Clin Invest 115: 610–621. pmid:15711640
- 56. Bousserouel S, Lamy V, Gossé F, Lobstein A, Marescaux J, Raul F (2011) Early modulation of gene expression used as a biomarker for chemoprevention in a preclinical model of colon carcinogenesis. Pathol Int 61: 80–87. pmid:21255184
- 57. Grønborg M, Bunkenborg J, Kristiansen TZ, Jensen ON, Yeo CJ, Hruban RH, et al. (2004) Comprehensive proteomic analysis of human pancreatic juice. J Proteome Res 3: 1042–1055. pmid:15473694
- 58. Østvik AE, Granlund AV, Torp SH, Flatberg A, Beisvåg V, Waldum HL, et al. (2013) Expression of Toll-like receptor-3 is enhanced in active inflammatory bowel disease and mediates the excessive release of lipocalin 2. Clin Exp Immunol 173: 502–511. pmid:23668802
- 59. Imamura T (2014) Physiological functions and underlying mechanisms of fibroblast growth factor (FGF) family members: recent findings and implications for their pharmacological application. Biol Pharm Bull 37: 1081–1089. pmid:24988999
- 60. Vlodavsky I, Bar-Shavit R, Ishar Michael R, Bashkin P, Fuks Z (1991) Extracellular sequestration and release of fibroblast growth factor: a regulatory mechanism? Trends Biochem Sci 16: 268–271. pmid:1926336
- 61. Johnson DE, Williams LT (1993) Structural and functional diversity in the FGF receptor multigene family. Adv Cancer Res 60: 1–41. pmid:8417497
- 62. Dignass AU, Tsunekawa S, Podolsky DK (1994) Fibroblast growth factors modulate intestinal epithelial cell growth and migration. Gastroenterology 106: 1254–1262. pmid:7513666
- 63. Podolsky DK (1993) Regulation of intestinal epithelial proliferation: a few answers, many questions. Am J Physiol 27: 179–186.
- 64. Potten CS, Booth C, Pritchard DM (1997) The intestinal epithelial stem cell: the mucosal governor. Int J Exp Pathol 78: 219–243. pmid:9505935
- 65. Houchen CW, George RJ, Sturmoski MA, Cohn SM (1999) GFG-2 enhances intestinal stem cell survival and its expression is induced after radiation injury. Am J Physiol 276: 249–258.
- 66. Zhang JH, Nolan JD, Kennie SL, Johnston IM, Dew T, Dixon PH, et al. (2013) Potent stimulation of fibroblast growth factor 19 expression in the human ileum by bile acids. Am J Physilo Gastrointest Liver physiol 304: 940–948.
- 67. Kim SD, Ku YS, Lee IZ, Kim ID, Youn KS (2001) General components and sensory evaluation of hot water extract from Liriopis tuber. J Korean Soc Food Sci Nutr 30: 20–21.
- 68. Kim JE, Nam SH, Choi SI, Hwang IS, Lee HR, Jang MJ, et al. (2011) Aqueous extracts of Liriope platyphylla are tightly-regulated by insulin secretion from pancreatic islets and by increased glucose uptake through glucose transporters expressed in liver hepatocytes. Biomol Ther 19: 348–356.
- 69. Bharucha AE (2007) Constipation. Best Pract Res Clin Gastroenterol 214: 709–731.
- 70. Nyam DC, Pemberton JH, Ilstrup DM, Rath DM (1997) Long-term results of surgery for chronic constipation. Dis Colon Rectum 40: 273–279. pmid:9118740
- 71. Hou XY, Wang WL, Yong LI (2013) DNA fingerprinting of intestinal flora in rats with slow transit constipation. J China Med Univ 42: 348–354.
- 72. Yang ZH, Yu HJ, Pan A, Du JY, Ruan YC, Ko WH, et al. (2008) Cellular mechanisms underlying the laxative effect of flavonol naringenin on rat constipation model. PLoS One 3: 3348.
- 73. Neri F, Cavallari G, Tsivian M, Bianchi E, Aldini R, Cevenini M, et al. (2012) Effect of colic vein ligature in rats with loperamide-induced constipation. J Biomed Biotechnol 1: 896162.
- 74. Singleton VL, Orthofer R, Lamuela-Raventos RM (1999) Analysis of total phenols and other oxidation substrates and antioxidants by means of Folin-Ciocalteu reagent. Meth Enzymol 299: 152–178.
- 75. Meda A, Lamien CE, Romito M, Millogo J, Nacoulma OG (2005) Determination of the total phenolic, flavonoid and proline contents in Burkina Fasan honey, as well as their radical scavenging activity. Food Chem 91: 571–577.
- 76. Kwak MH, Kim JE, Hwang IS, Lee YJ, An BS, Hong JT, et al. (2013) Quantitative evaluation of therapeutic effect of Liriope platyphylla on phthalic anhydride-induced atopic dermatitis in IL-4/Luc/CNS-1 Tg mice. J Ethnoparmacol 148: 880–889.
- 77. Goo JS, Kim YB, Shim SB, Jee SW, Lee SH, Kim JE, et al. (2013) Nicastrin overexpression in transgenic mice induces aberrant behavior and APP processing. Mol Neurobiol 48: 232–243. pmid:23595812