Dendropanax morbiferus leaf extract facilitates oligodendrocyte development
Novel Targets for Enhancing Myelination
Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul 120-749, Republic of Korea
Department of Integrative Biosciences, University of Brain Education, Cheonan 31228, Republic of Korea
Department of Biochemistry and Integrative Medical Biology, School of Medicine, Keio University, Tokyo 160-8582, Japan
Department of Health Science and Daily Sports, Global Cyber University, Cheonan 31228, Republic of Korea
Cheju Halla University, Jeju 63092, Republic of Korea
Department of Medical Science, International St Mary's Hospital, Catholic Kwandong University, Gangneung, Republic of Korea
Korea Institute of Brain Science, Seoul, Republic of Korea
Author for correspondence: Hyun-Jeong Yang e-mail: yang@ube.ac.krAbstract
Treatment of multiple sclerosis is effective when anti-inflammatory, neuroprotective and regenerative strategies are combined. Dendropanax morbiferus (DM) has anti-inflammatory, anti-oxidative properties, which may be beneficial for multiple sclerosis. However, there have been no reports on the effects of DM on myelination, which is critical for regenerative processes. To know whether DM benefits myelination, we checked differentiation and myelination of oligodendrocytes (OLs) in various primary culture systems treated with DM leaf EtOH extracts or control. DM extracts increased the OL membrane size in the mixed glial and pure OL precursor cell (OPC) cultures and changed OL-lineage gene expression patterns in the OPC cultures. Western blot analysis of DM-treated OPC cultures showed upregulation of MBP and phosphorylation of ERK1/2. In myelinating cocultures, DM extracts enhanced OL differentiation, followed by increased axonal contacts and myelin gene upregulations such as Myrf, CNP and PLP. Phytochemical analysis by LC-MS/MS identified multiple components from DM extracts, containing bioactive molecules such as quercetin, cannabidiol, etc. Our results suggest DM extracts enhance OL differentiation, followed by an increase in membrane size and axonal contacts, thereby indicating enhanced myelination. In addition, we found that DM extracts contain multiple bioactive components, warranting further studies in relation to finding effective components for enhancing myelination.
1.Introduction
Dendropanax morbiferus (DM) grows in eastern Asia, central and south America and the Malaysian peninsula [1]. Recent scientific researches on DM have shown its antioxidant effects [2,3], protective effects on human dopaminergic cells [4], induction of human leukaemia U937 cell apoptosis [5] and of human osteosarcoma cell autophagy [6], anti-thrombotic effects [7] and anti-inflammatory [8], particularly neuroinflammatory, effects [9].
Multiple sclerosis is a major demyelinating disease of the central nervous system leading to focal plaque of primary demyelination and diffuse neurodegeneration in the grey and white matter of the brain and spinal cord [10].
Patients with multiple sclerosis show increased oxidative stress markers and inflammation [11]. Recent studies on DM suggest that DM might be effective on multiple sclerosis symptoms because of its antioxidant [2,3], cell-protective [4] and anti-inflammatory properties [8,9].
Remyelination fails in many chronically demyelinated multiple sclerosis plaques [12,13]. The remyelination failure is mainly attributable to reduced oligodendrocyte precursor cell (OPC) recruitment and differentiation [14]. Among these events, it is thought that disrupted differentiation is the major time-limiting factor because OPC mitogen and recruitment factor PDGF overexpression do not increase remyelination [15]. Currently, it is understood that oligodendrocyte (OL) differentiation failure is the biggest cause of remyelination failure [16]. Study of various developmental markers of OLs has shown that OPC is not fully differentiated in multiple sclerosis lesions [12,13,17,18]. Therefore, enhancement of OL differentiation and myelination is an important problem to solve in relation to multiple sclerosis treatment.
Although recent research has reported that DM has anti-oxidative, cell-protective and anti-inflammatory properties, which can be useful in multiple sclerosis treatment, the link between DM's benefits and myelin-forming OLs has not been investigated yet. In the present study, we aimed to reveal the effects of DM on OL differentiation, and myelination using multiple primary culture systems, including in vitro myelination cultures.
2.Material and Methods
2.1.Mice
Timed pregnant females (day 13.5 of pregnancy) or pups (postnatal day 0–2) of CrljOri:CD1(ICR) mouse line were purchased from ORIENT BIO Inc. (Seongnam, Korea). All experiments were performed in compliance with the relevant laws and institutional guidelines and were approved by the University of Brain Education's Animal Care and Use Committee (approval no. 2017-AE-01).
2.2.Preparation of plant extracts
The leaves, stem barks and roots of 6-, 20- and 50-year-old DM were collected on Jeju island and were identified and provided by Mago-Yeongnong-Johap (Jeju, Korea). Other dried plants, except DM, were identified and purchased from Jirisan Cheongjung Yakcho (Sancheong, Kyoungnam, Korea): Eucommia ulmoides (EU), Achyranthes aspera (AcA), Xanthium strumarium (XS), Astragalus membranaceus (AM), Artemisia princeps (ArP), Actinidia polygama (AP), Rehmannia glutinosa (RG), Ledebouriella seseloides (LS) and Artemisia annua (AA). The product year of these plants was 2016. All the specimens were deposited in the University of Brain Education Herbarium. The deposition numbers are as follows: 6-year-old DM stem (2017-05-3), leaf (2017-12-1) and root (2017-12-2); 20-year-old DM leaf (2017-13); 50-year-old DM stem (2017-05-2) and leaf (2017-14); EU (2017-03); AcA (2017-07); XS (2017-08); AM (2017-09); ArP (2017-04); AP (2017-01); RG (2017-06); LS (2017-11) and AA (2017-10). Dried plant samples were chopped and ground into a fine powder because lowering particle size increases surface-contact area between samples and extraction solvents, resulting in efficient extraction [19]. Eight grams of each powder were soaked into EtOH with up to 50 ml volume. Plant samples were incubated in the shaking rotator for one week at room temperature. After one week, the insoluble materials were removed by centrifugation and the resulting supernatant was collected and concentrated by evaporation at 70°C. The extracts were adjusted to 8 g ml−1 and stored in aliquots at −20°C [19,20].
2.3.Cell cultures
Mixed glial cultures were prepared from cortices of mice at postnatal days 0–2 on poly-d-lysine (PDL)-coated flasks or coverslips and were maintained in DMEM/F-12 medium containing 10% fetal bovine serum, 5% horse serum and 1× penicillin–streptomycin (Gibco). For OPC pure cultures, OPCs were isolated by shaking from the flasks containing mixed glial cultures on days in vitro (DIV) 10. After removing the astrocytes by dish-panning, the OPCs were seeded on PDL-coated coverslips and were maintained in Sato medium (DMEM containing 1× B-27 supplement, 1× Glutamax, 1× penicillin–streptomycin, 1% horse serum, 1× sodium pyruvate, 0.34 µg ml−1 T3 and 0.4 µg ml−1 T4). For cocultures, mouse dorsal root ganglia (DRG) neuronal cultures and mouse glial mixed cultures were separately prepared in advance. DRG neurons were prepared as described previously [21]. The OPCs were isolated by shaking and were seeded on DRG neuronal cultures and were maintained in coculture medium (DMEM containing B-27 supplement, N-2 supplement, 5 µg ml−1 N-Acetyl-cysteine, 5 μM forskolin and penicillin–streptomycin). For plant extract treatment, the above prepared plant extracts were diluted with the medium into 1 : 1000 (high, if not indicated) or 1 : 100 000 (low) and filtered through a 0.22 µm syringe filter. Cells were incubated with the plant extract-diluting medium or control medium for DIV 8–12 in the mixed glial cultures, for DIV 1–3 in the pure OPC cultures and for DIV 1–7 or 1–12 for DRG/OPC cocultures. Control or plant extract-containing medium was changed with fresh medium every two days. If not indicated, the leaf part of six-year-old DM was used in the treatment.
2.4.Immunofluorescence
For immunocytochemistry, the cells were fixed with 4% paraformaldehyde (PFA)/phosphate-buffered saline (PBS) for 15 min at room temperature; washed with PBS; and blocked for 45 min at room temperature with blocking solution (PBS containing 5% normal donkey serum, 0.5% Triton X-100 and 0.05% sodium azide). The samples were incubated overnight at 4°C with primary antibodies diluted in blocking solution, washed three times in PBS, incubated for 45 min with secondary antibodies and washed in PBS and mounted with mounting medium (Vectashield H-1400, vectorlabs). For primary antibodies, the following antibodies were used: rat monoclonal antibody to MBP (1 : 300, MAB386, Chemicon), mouse hybridoma supernatants to O4 (1 : 5), rabbit polyclonal antibodies to Olig2 (1 : 500, AB9610, Chemicon) and Caspr (1 : 1000) [22]. Secondary antibodies were obtained from Jackson Immunoresearch. DAPI was obtained from Invitrogen.
2.5.Real-time PCR
Total RNA was isolated with TRIzol (Sigma) from cultured OPC cells on DIV 3 or myelinating cultures on DIV12. The isolated RNA was treated with DNaseI to eliminate genomic DNA before reverse transcription. Mouse cDNAs were prepared using SuperScript II Reverse Transcriptase (Invitrogen). Specific primer sets were used for Olig1 (forward, 5′-GCTCGCCCAGGTGTTTTGT-3′; reverse, 5′-GCATGGAACGTGGTTGGAAT-3′), Id2 (forward, 5′-CCTGCATCACCAGAGACCTG-3′; reverse, 5′-TTCGACATAAGCTCAGAAGGGAA-3′), Ascl1 (forward, 5′-CAACCGGGTCAAGTTGGTCA-3′; reverse, 5′-CTCATCTTCTTGTTGGCCGC-3′), MBP (forward, 5′-CCAGAGCGGCTGTCTCTTCC-3′; reverse, 5′-CATCCTTGACTCCATCGGGCGC-3′), Myrf (forward, 5′-TGGCAACTTCACCTACCACA-3′; reverse, 5′-GTGGAACCTCTGCAAAAAGC-3′), CNP (forward, 5′-GTTCTGAGACCCTCCGAAAA-3′; reverse, 5′-CCTTGGGTTCATCTCCAGAA-3′), PLP (forward, 5′-GGTACAGAAAAGCTAATTGAGACC-3′; reverse, 5′-GATGACATACTGGAAAGCATGA-3′) and GAPDH (forward, 5′-GGTCGGTGTGAACGGATTTG-3′; reverse, 5′-TCGTTGATGGCAACAATCTCCACT-3′). Real-time PCR was performed in the Step One Plus Real-Time PCR System (Applied Biosystems) using SYBR Green mix. All reactions were performed in triplicate and GAPDH was used for normalization.
2.6.Western blot analysis
Western blot analysis was performed using OPC cultures lysed in loading buffer, and chemiluminescence was detected using Amersham Imager 600 (GE Healthcare Life Sciences). Rat antibody against MBP (1 : 500, MAB386, Chemicon), rabbit antibodies against phospho-p42/44 (1 : 1000, 4370P, Cell signaling), and β-actin (1 : 5000, Abcam) were used for immunoblotting.
2.7.Image analysis
Images were obtained using a Leica TCS SPE microscope and Axio Imager Z1 equipped with Apotome (Carl Zeiss). Image analysis was performed using Image J. The images were given to the investigators without the sample names but only with numbers for analysis. Thus, the images were scored blinded to the plant names. For MBP+ or Caspr+ area per cell, the images were manually analysed in a random manner to detect single cells under the same threshold throughout all images. If distinguishing a single cell was difficult because of the density, the cells were excluded from the analysis. For Olig2+ or Dapi+ cell number, the cells were automatically detected and counted under the same threshold throughout all images in Image J. For O4+ or MBP+ area per field, marker-positive areas were automatically detected and measured under the same threshold throughout all images in Image J.
2.8.Statistical analyses
All graph data are presented as the mean ± s.e.m. Statistical analyses were performed using unpaired Student's t-test with two tails, unequal variance. Sample size was based on similar studies in the field.
3.Results
3.1.Dendropanax morbifera extracts increased the oligodendrocyte membrane size in the mixed glial cultures
To check whether DM extract conferred any effects on the formation of the OL membrane sheath, we performed mixed glial cultures from the cortices of the postnatal days 0–2 ICR pups on PDL-coated coverslips. The cultures were initially incubated in the regular glial medium, and after eight days the medium was changed to Sato medium containing either the ethanol control (figure 1a,c) or the following medicinal plant extracts, which have been appeared as their neurological recovery function in traditional literature [24]: DM (figure 1b,d), EU, AcA, XS, AM, ArP, AP, RG, LS and AA (figure 1a–e; electronic supplementary material, figure S1). On DIV 12, the cultures were fixed and stained with MBP to determine the size of the OL membrane sheath. MBP is the major marker of mature myelinating OLs [21]; therefore, we used MBP-positive percentage area per field on DIV 12 as the indication of membrane formation. Using Image J, MBP-positive percentage area per field was measured. The pictures were taken in low magnification to include as many mature OLs as possible. Many of the investigated medicinal plant extracts in the study including DM leaf extract induced increases in MBP-positive membrane size compared with EtOH control (figure 1e). ArP and DM showed the highest effects on MBP-positive percentage area per field in the glial mixed culture system. The glial mixed cultures contain three major glial cell types: OLs, astrocytes and microglia. Therefore, the effects of DM on OL membrane sheath formation may derive not only from the OLs but also from the combined effects of the three cell types, because astrocytes and microglia also affect myelin synthesis [25,26].
3.2.Dendropanax morbiferus extracts increased the size of oligodendrocyte membrane sheath in the isolated oligodendrocyte precursor cell cultures
To clarify whether the changes in membrane size by DM extracts derive directly from OL or indirectly through astrocytes or microglia, we isolated OPCs from the mixed glial culture on DIV 10 by shaking. Isolated OPCs were seeded on PDL-coated coverslips and incubated in Sato medium containing differentiating hormones T3 and T4 [21]. On DIV 1, the medium was changed to fresh medium containing either the control EtOH (figure 1f,l) or the following plant extracts: DM (figure 1g,m), AA (figure 1h), AP (figure 1i), EU (figure 1j), LS (figure 1k), DF and ArP (figure 1n). The cultures were fixed on DIV 4 and were then used for MBP staining. The images were taken and blindly analysed using Image J. MBP staining images were converted into 8 bit pictures (electronic supplementary material, figure S2 h), and all single cells per field were identified manually and numbered (electronic supplementary material, figure S2i). MBP-positive area per cell was calculated using the Image J (figure 1n). In pure OPC cultures, DM extract-treated OLs showed the largest membrane size (figure 1n), suggesting that the DM extracts contain components that directly enhance OL membrane synthesis independent of other glial cell types. Unlike the results in the glia mixed culture, ArP showed only half of the membrane size compared with DM-treated OLs in pure OPC cultures, suggesting its action may require the combinatory mechanism with astrocytes or microglia.
3.3.Dendropanax morbiferus showed different effects on oligodendrocyte membrane synthesis depending on its part
DM may have different biological activities depending on its parts [27,28]. To clarify the part of DM that would be the most effective for OL membrane synthesis, we tested leaves, stems and roots of DM. Pure OPC cultures were prepared and control EtOH or DM extracts were added from DIV 1, and the cultures were fixed on DIV 3. Compared with control EtOH, DM leaf extracts induced a marked increase in MBP-positive area per cell (***p < 0.001, n = 3 experiments, Student's t-test), DM roots showed a relatively small increase (*p < 0.05, n = 3 experiments, Student's t-test), and DM stem did not show any significant changes (figure 1o). MBP-positive areas per cell were dependent on the concentration of the extracts (electronic supplementary material, figure S2j). A higher concentration of DM leaf led to a larger OL membrane size than lower concentration. This suggests that the effective components of DM on OL membrane synthesis exist strongly in the leaves of DM.
3.4.Dendropanax morbiferus leaf extracts induced changes in gene expressions related with OL differentiation
To check whether DM leaf altered the gene expression in OLs, we used pure OPC cultures and treated them with control EtOH or DM leaf extract of low or high concentrations (figure 2a–d, see Material and Methods for concentrations) from DIV 1 and collected cells to isolate RNA at DIV 3, followed by cDNA synthesis and real-time PCR. Gene expressions related to OL differentiation, such as Olig1, ID2, Ascl1 and MBP, were investigated. GAPDH was used to normalize the expression of the indicated genes. The relative expression of Olig1 and ID2 were significantly decreased (figure 2a,b), while that of MBP showed a tendency of increase (figure 2d) compared with EtOH control. The relative expression of Ascl1 was not changed by the treatment (figure 2c). During OPC differentiation, the expressions of Olig1 [29], ID2 [30] and Ascl1 [31] are downregulated, whereas MBP expression is upregulated [32]. Therefore, real-time PCR results suggest that the DM leaf extract contains biologically effective components for OL differentiation, supporting the immunocytochemistry data, which showed the positive effects of DM leaf on OL membrane synthesis.
Next, to see whether we can find changes in protein levels, we performed western blot analysis in the same system on DIV 3 using OPCs treated with either DM leaf or control during DIV 1–3. Consistent with the real-time PCR results, MBP expression normalized by β-actin was upregulated in DM leaf extract-treated OPC cultures compared with the control-treated OPC cultures (figure 2e,f; electronic supplementary material, figure S3). The extracellular signal-regulated kinase (ERK) signalling pathway plays a specific role in the timing of OL differentiation [33]. Therefore, we also checked the phosphorylation status of ERK1/2 to see whether the altered differentiation by DM leaf extract treatment affects ERK signalling. The results showed that the DM leaf extract treatment increased the phosphorylation of ERK1/2 compared with the control treatment (figure 2e,g), suggesting that the enhanced OL differentiation by DM leaf extract is mediated by ERK signalling to a certain extent.
3.5.Dendropanax morbiferus leaf extracts enhanced the oligodendrocyte differentiation in the myelinating cultures
Increases in OL membrane size (figure 1) and changes in OL gene expression (figure 2) in OPC cultures by DM leaf extracts suggest that DM leaf extracts may enhance OL differentiation in OPC cultures. In vivo, there are numerous neuronal signals affecting OL differentiation and myelin synthesis. Therefore, to know whether the DM leaf extracts affect OL differentiation even under the existence of neurons, we used in vitro myelinating cultures, in which pure OPCs are seeded on DRG neurons. To analyse the OL differentiation step, we used DIV 7 cocultures for immunostaining of antibodies against Olig2 (positive for all OL stages), O4 (positive from premature OL stage) and MBP (positive from mature OL stage) (figure 3a). At this time point (DIV 7), myelin is not formed; however, OL differentiation can be distinguished by the indicated markers of various OL developmental stages. For in vitro cocultures, DM leaf extracts of different age were used to check whether or not they show the same tendency in their effects on OL membrane development. The number of Olig2-positive cells per field (figure 3c) as well as O4-positive area per cell (figure 3d) remained unchanged. The MBP-positive area per cell significantly increased in cocultures incubated with 6- and 20-year-old DM leaf extracts (*p < 0.05, Student's t-test, n = 3 experiments, figure 3e) but not with 50-year-old DM leaf extract (figure 3e). These results suggest that extract from DM leaf enhances the OL differentiation not only in pure OPC cultures (figure 1f–o) but also in DRG/OPC cocultures (figure 3). Moreover, it indicates that DM leaf does not have a significant effect on OPC proliferation (figure 3c).
3.6.Dendropanax morbiferus leaf extract increased the axonal contacts of oligodendrocytes in the myelinating cultures
We found that DM leaf extract enhanced OL differentiation on DIV 7 in DRG/OPC cocultures (figure 3). Next, we asked whether the facilitated differentiation enhances axonal contacts of OLs to initiate myelination. To test this, we immunostained cocultures on DIV 12 with antibodies against Caspr, which clusters upon OL contact and ensheathment [34,35]. Caspr-positive area per cell was measured and compared between EtOH- (figure 4a) and DM leaf extract-treated cultures (figure 4b). The result showed that DM leaf extract significantly facilitated Caspr clustering in DRG/OPC coculture system on DIV 12 (*p < 0.05, Student's t-test, n = 3 experiments, figure 4d). This suggests that DM leaf extract is effective not only for OL differentiation but also in boosting axonal contacts.
To confirm the immunocytochemical analysis in the myelinating culture system, we performed quantitative real-time PCR on myelin genes by using the same culture system on DIV12. Myelin genes such as Olig1, Myrf, CNP, MBP and PLP were investigated. Myrf is a transcription factor activating the expression of myelin genes [36]. CNP is a non-compact myelin protein [37]; MBP and PLP are important structural components of compact myelin [38]. We found that all of the investigated myelin genes increased its expression by DM leaf treatment and significant increases were observed in Myrf, CNP and PLP (*p < 0.05, **p < 0.01, Student's t-test, n = 3 experiments, figure 4e). The increase in myelin gene expression is consistent with the immunocytochemical analysis (figure 4a–d), supporting the facilitating effects of DM leaf on myelination.
3.7.Chemical composition of Dendropanax morbiferus leaf extract by LC-MS/MS analysis
To know the chemical constituents of DM, we performed LC-MS/MS analysis by using DM leaf EtOH extracts. A total of 300 chemicals were assigned (data not shown) and their molecular weights were matched with databases. Among these, compounds which have been reported as their bioactivities are listed in table 1. The lists include quercetin [39–41], chlorogenic acid [42], rutin [39,40], carnosol [43], dextromethorphan [44], cannabidiol [45], bremazocine [46], doxapram [47], resolvin D2 [48], procyclidine [49–51], 2-arachidonoylglycerol [52–55] and eplerenone [56].
formula suggested compound suggested structure MS/MS (database search score) molecular weight retention time (min) peak area (arbitary unit) C15 H10 O7 quercetin 89.7 302.04141 2.353 90 013.43876 C16 H18 O9 chlorogenic acid 89.4 354.09412 2.043 411 599.9664 C27 H30 O16 rutin 87.7 610.15157 2.365 754 591.1196 C20H26O4 carnosol 75 330.18224 7.537 3 896 034.619 C18 H25 N O dextromethorphan 66.9 271.19308 9.725 310 359.8127 C21 H30 O2 cannabidiol — 314.22411 9.727 38 541.99824 C20 H29 N O2 (−)-bremazocine — 315.21991 8.211 3223.952411 C24 H30 N2 O2 doxapram — 378.2296 10.403 3724.664755 C22 H32 O5 resolvin D2 — 376.22452 9.894 2921.592155 C19 H29 N O procyclidine — 287.22368 1.595 696.0637427 C23 H38 O4 2-arachidonoylglycerol — 378.27529 15.155 5438.022477 C24 H30 O6 eplerenone — 414.20274 4.293 4399.070776
4.Discussion
In this paper, we report the function of DM on the development of OL-lineage cells: from OPC proliferation till myelination. OPCs proliferate to supply OLs producing enough myelin for the nervous system. By DM treatment, the number of OLs was not significantly changed (figure 3c), suggesting DM does not affect the proliferation of OPCs. In the OPC stage, they express differentiation inhibitory transcription factors such as ID2 [57]. DM treatment reduced ID2 expression (figure 2b), suggesting its facilitation of OL differentiation. Indeed, the expression of MYRF, a transcription factor of myelinating OL [57], was significantly increased by DM treatment in myelinating cultures on DIV12 (figure 4e), supporting this notion. Consistently, myelin genes such as CNP and PLP showed a significant increase in their expression in DM-treated myelinating cultures (figure 4e). MBP protein expression was also increased in all of the investigated culture systems by DM treatment (figures 1, 2e and 3). This suggests that DM facilitates the OL differentiation process from OPC to mature OLs forming myelin. The OPC differentiation is mediated by multiple combinatory mechanisms [58]. Among them, ERK signalling is one of the critical pathways in OL differentiation [33] as well as myelin growth [59]. Our results indicate that DM leaf extract enhances OL differentiation at least partially by activating ERK signalling pathway (figure 2e,g).
For myelination, the processes of OL should contact axons, and then they initiate ensheathment to form myelin by increasing their membrane size. To analyse the effects of DM on myelination steps, we checked the axonal contacts of OLs by using myelinating cultures with Caspr staining (figure 4), and investigated OL membrane synthesis by using glia mixed cultures, OPC cultures and myelinating cultures with MBP staining or expression analysis (figures 1RSOS190266F2RSOS190266F3–4). For immunocytochemical membrane synthesis analysis, we used mixed glial cultures and OPC cultures because they present membrane sheath in a flat round form without neurons, which makes analysis easier. DM treatment increased OL axonal contacts as well as OL membrane size compared with control treatment. This is consistent with the result of facilitated OL differentiation by DM.
Previous reports about DM are about antioxidant effects [2,3], cell-protective effects [4], selective cell death [5,6], anti-thrombotic [7] and anti-inflammatory effects [8,9]. Our observation of DM functions in enhancement in OL development is novel, raising possibilities of its potential use in multiple sclerosis treatment. Non-targeted metabolome analysis by LC-high-resolution MS assigned multiple compounds in DM ethanol extracts, showing DM is a complex of mixture of phytochemicals (table 1). They contain molecules having bioactivities, such as quercetin, chlorogenic acid, rutin, carnosol, dextromethorphan, cannabidiol, bremazocine, doxapram, resolvin D2, procyclidine, 2-arachidonoylglycerol and eplerenone. Interestingly, quercetin, dextromethorphan and cannabidiol protect OL-lineage cells from the stress environments [41,44,45], while quercetin also improves myelination in the context of perinatal cerebral hypoxia ischaemia-induced brain injury by promoting the proliferation of OPCs [41]. Other components have been reported for various functions. Quercetin, chlorogenic acid and rutin mediate the anti-oxidation process [39,42]. Carnosol and resolvin D2 are related to anti-inflammatory functions [43,48]. Bremazocine is a κ-opioid agonist [60] and Doxapram is a respiratory stimulant [61]. Procyclidine is a synthetic anticholinergic agent [49] and 2-Arachidonoylglycerol is an endocannabinoid that activates the cannabinoid receptors CB1 and CB2 [62–64]. Eplerenone has been reported to reduce both the risk of death and the risk of hospitalization among patients with systolic heart failure and mild symptoms [65]. As other components (except quercetin) have not been reported in relation with myelination, they warrant further studies to screen the effective components on myelination.
Accumulative findings suggest that treatment of progressive multiple sclerosis should be a combinatory strategy of anti-inflammation, neuroprotection and regeneration [66]. The reported functions of phytochemicals of DM leaf on inflammation and cell protection as well as our current finding of DM leaf function in myelination indicate that DM leaf extract can be considered as a candidate for relieving the symptoms of progressive multiple sclerosis, even as a complex. Medicinal plants used in multiple sclerosis care report their benefits in relieving spasticity, pain, tremor and depression [67] and enhancing fatty acid metabolism and lymphocyte function [68,69]. However, to our knowledge, no study has explored the function of medicinal plants on OL differentiation/myelination, which is a critical step for remyelination in multiple sclerosis, and our result that DM leaf extracts affect OL development is the first observation as far as we know.
In this research, we have shown that DM enhances endogenous OL differentiation, followed by membrane synthesis, using various types of primary cultures such as glial mixed culture, pure OPC culture and myelinating cultures. However, in vivo is a much more complicated environment than in vitro. Therefore, confirmation of the DM effects in in vivo demyelination models such as cuprizone assay, lysolecithin mode, or experimental allergic encephalomyelitis may be necessary in the future. In phytochemical analysis, we identified bioactive components whose functions in myelination have not been reported yet, warranting further studies on the isolation of active components for OL differentiation and myelination from the current isolated candidates.
5.Conclusion
DM leaf EtOH extract enhanced the differentiation of OL and membrane formation, at least partially, by ERK signalling pathway. Moreover, DM leaf extract increased the axonal contacts of mature OLs, which is an initial step for myelination, as well as myelin gene expression. It also contained multiple bioactive molecules, warranting further studies on searching for active components on myelination. Our findings suggest that DM leaf extract may contain a novel therapeutic target in the treatment of progressive multiple sclerosis.
Supplementary Material
Supplementary Material
Supplementary Material
Acknowledgements
We thank Dr Elior Peles for antibodies to O4 and Caspr.
Ethics
Permission to provide samples that were used in the study was granted to Mago-Yeongnong-Johap and Jirisan Cheongjung Yakcho by Gyungsangnamdo Sancheongguncheong (permit no. 2012-Gyungnamsancheong-00005). The study was reviewed and approved by the Institutional Animal Care and Use Committee (approval no. 2017-AE-01) of the University of Brain Education.
Data accessibility
All data have been submitted as figures in the main text or as electronic supplementary material.
Competing interests
The authors declare no competing interests.
Funding
This work was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (2017R1D1A3B03027875); University of Brain Education (2017-03) and a faculty research grant of Yonsei University College of Medicine for (6-2014-0045). The funder played no role in the design and conduct of the study; collection, management, analysis and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.