α-Mangostin Treats Early-Stage Adjuvant-Induced Arthritis of Rat by Regulating the CAP-SIRT1 Pathway in Macrophages

Drug Des Devel Ther. 2022 Feb 27:16:509-520. doi: 10.2147/DDDT.S348836. eCollection 2022.

Abstract

Background: Studies have found that α-mangostin (MG) can relieve experimental arthritis by activating cholinergic anti-inflammatory pathway (CAP). It affects the polarization of macrophages and the balance of related immune cell subpopulations, but the specific mechanism is still unclear. It has been found that silent information regulator 1 (SIRT1) is closely related to macrophage activity. The purpose of this study is to explore the mechanism of MG intervening in macrophage polarization during treatment of early adjuvant-induced (AIA) rats through the CAP-SIRT1 pathway.

Methods: We investigated the polarization of M1 macrophages and the differentiation of Th1 in AIA rats by flow cytometry. Activity of acetylcholinesterase (AChE) and the level of nicotinic adenine dinucleotide (NAD+) in serum were also detected, and immunohistochemical was used to detect the levels of α7 nicotinic cholinergic receptor (α7nAChR) and SIRT1. Then in macrophages, the molecular mechanism of MG regulating the abnormal activation of macrophages in rats with early AIA through the CAP-SIRT1 pathway was studied.

Results: MG can significantly inhibit the polarization of M1 macrophages and the differentiation of Th1 in AIA rats in the acute phase of inflammation. MG can significantly inhibit the activity of AChE and increase the level of NAD+, thereby further up-regulated the expression levels of α7nAChR and SIRT1. Meanwhile, MG inhibited nuclear factor-κB (NF-κB)-mediated inflammation by activating the CAP-SIRT1 pathway in macrophages.

Conclusion: In summary, the stimulation of MG induced CAP activation, which up-regulated SIRT1 signal, and thereby inhibited M1 polarization through the NF-κB pathway, and improved the pathological immune environment of early-stage AIA rats.

Keywords: choline anti-inflammatory pathway; macrophages; rheumatoid arthritis; silent information regulator 1; α-mangostin.

MeSH terms

  • Acetylcholinesterase / metabolism
  • Animals
  • Arthritis, Experimental* / chemically induced
  • Arthritis, Experimental* / drug therapy
  • Arthritis, Experimental* / metabolism
  • Macrophages / metabolism
  • NF-kappa B / metabolism
  • Rats
  • Sirtuin 1* / metabolism
  • Xanthones

Substances

  • NF-kappa B
  • Xanthones
  • Acetylcholinesterase
  • Sirt1 protein, rat
  • Sirtuin 1
  • mangostin

Grants and funding

This work was supported by the Scientific Research Fund for Key Projects of Wannan Medical College (grant numbers WK2020ZF21), Research project of traditional Chinese Medicine Inheritance and innovation of Anhui Province (grant numbers 2020zcyb02), Scientific Research Project of Anhui Provincial Health Commission (grant numbers AHWJ2021b038) and Anhui Provincial Natural Science Foundation (grant numbers 2108085QH386).