3.1. Effects of LPS,IFN-γ,IL-4 and icariin on macrophage viability
After the cells adhered to the wall,RAW 264.7 macrophages were divided into two main groups in 96-well plates.They were treated with LPS (100ng/ ml),IFN-γ (20ng/ml) or icariin (5-80μM) for 24 h;the other were treated with IL-4 (20ng/ml) or icariin (5-80μM) for 24 h.CCK-8 assay for assessing cell proliferation.With increasing icariin dosage,the cell proliferation rate declined significantly and rapidly,particularly at the concentrations of 40μM and 80μM(Fig. 1A,B).This illustrates that it can cause toxicity to RAW 264.7 macrophages(>20μM),with increasing icariin dosage.Meanwhile,to better exert the protective effect of icaritin,we choose 10μM as the optimal icariin concentration for this study.
3.2. Effects of icariin on the polarization of macrophages
3.2.1. Effects of icariin on the secretion of TNF-α by M1 macrophages and the secretion of IL-10 by M2 macrophages
Macrophages were treated with IFN-γ + LPS to induce polarization to M1,Macrophages were treated with IL-4 to induce polarization to M2.They were treated with LPS and IFN-γ,TNF-α levels increasing 100-fold in the cell supernatant when compared to cells in blank group (p<0.01),subsequently treated with icariin, the protein expression levels of TNF-α were significantly decreased in the cell supernatant when compared to cells in IFN-γ + LPS group (p<0.05) (Fig. 2A).In addition,another were treated with IL-4,IL-10 levels increasing 1.2-fold in the cell supernatant as compared to blank group (p<0.01),subsequently treated with icariin,the protein expression levels of IL-10 were further increased in the cell supernatant as compared to IL-4 group (p<0.05) (Fig. 2B).
3.2.2.Effects of icariin on the expression of TNF-α, iNOS and IL-6 mRNA in M1 macrophages
With LPS/IFN-γ stimulation,macrophages polarized to M1 macrophages and released large quantities of proinflammatory cytokines,including TNF-α,IL-6 and iNOS.Primary mouse peritoneal macrophages and RAW264.7 cells were treated with IFN-γ in combination with LPS for 24 h,The TNF-α,IL-6 and iNOS mRNA expression have significantly increased (p<0.01),subsequently treated with icariin,which have inhibited IFN-γ and LPS-induced inflammatory mediator (TNF-α,IL-6 and iNOS) mRNA expression (p<0.05 or p<0.01) (Fig. 3A,B,C,D,E,F).However,the IL-6 mRNA expression has significantly reduced,the difference between LPS+IFN-γ and LPS+IFN-γ+icariin groups were not statistically significant (p=0.6386) (Fig. 3C,F).
3.2.3.Effects of icariin on the expression of CD206 and Arg1 mRNA in M2 macrophages
Meanwhile,with IL-4 stimulation,macrophages polarized to M2 macrophages and induced the expressions of M2 macrophage markers (CD206 and Arg1)[3, 27, 28].Primary mouse peritoneal macrophages and RAW264.7 cells were treated with IFN-γ in combination with LPS for 24 h,They were treated with IL-4 for 24 h,the CD206 and Arg1 mRNA expression have significantly increased (p<0.01 or p<0.05),subsequently treated with icariin,which have further promoted the CD206 and Arg1 mRNA expression (p<0.01 or p<0.05) (Fig. 4A,B,C,D).However,the Arg1 mRNA expression has increased,the difference between IL-4 and IL-4+icariin groups were not statistically significant in RAW264.7 macrophages (p=0.1096) (Fig. 4D).
3.2.4. Effects of icariin on M1 and M2 macrophage subpopulations in mice
3.2.4.1. Icariin inhibits M1 macrophage activation
We further investigated the effect of icariin in macrophage polarization by flow cytometric analysis.This experiment examined distinctive proportional changes in each macrophage subpopulation.iNOS and CD86 are markers for M1.And RAW264.7 cells were treated with IFN-γ in combination with LPS for 24 h,the results were found that the macrophages (iNOS+CD86+) constituted (30±1.143)% in LPS+IFN-γ group.Compared with the blank control group,iNOS+CD86+macrophages were clearly increased (p<0.01).The macrophages (iNOS+CD86+) constituted (25.567±1.470)% in LPS+IFN-γ+icariin group.Compared with LPS+IFN-γ group,iNOS+CD86+macrophages were decreased (p<0.05) (Fig. 5B).Primary mouse peritoneal macrophages were treated with IFN-γ in combination with LPS for 24 h,the macrophages (iNOS+CD86+) constituted (42.933±4.714)% in LPS+IFN-γ group,compared with the blank control group,iNOS+CD86+macrophages were significantly increased (p<0.01).The macrophages (iNOS+CD86+) constituted (33.000±1.208)% in LPS+IFN-γ+icariin group.compared with LPS+IFN-γ group,iNOS+CD86+macrophages were decreased (p<0.05) (Fig. 5A).These results suggested that icariin inhibite the differentiation of primary mouse peritoneal macrophages and RAW264.7 cells into the M1 subtype.
3.2.4.2. Icariin induces M2 macrophage activation
On the other hand,CD206 and F4/80 are markers for M2.RAW264.7 cells were treated with IL-4 for 24 h.Percentage of M2 (CD206+F4/80+) macrophages were (8.344±1.617)% in IL-4 group.compared with the blank control group,CD206+F4/80+macrophages were increased (p<0.01).Percentage of CD206+F4/80+macrophages were (11.304±1.485)% in IL-4+icariin group.Compared with IL-4 group,CD206+F4/80+macrophages were further increased (p<0.05) (Fig. 6B).Primary mouse peritoneal macrophages were treated with IL-4 for 24 h,percentage of CD206+F4/80+macrophages were (20.833±0.910)% in IL-4 group.Compared with the blank control group,CD206+F4/80+macrophages were significantly increased (p<0.01).Percentage of CD206+F4/80+macrophages were (33.533±4.692)% in IL-4+icariin group.compared with IL-4 group,CD206+F4/80+macrophages were also further increased (p<0.05) (Fig. 6A).These results suggested that icariin induces the differentiation of RAW264.7 cells and primary mouse peritoneal macrophages into the M2 subtype.
3.3. Effects of icariin on mTOR/S6K1 signaling pathway of M1 macrophages
mTOR/S6K1 signaling pathway plays an important role in the polarization of M1 macrophages[29-31].We further investigated whether icariin could inhibit mTOR/S6K1 signaling pathway to the effect of M1 polarization,inhibiting the expression of inflammatory factors resulting in an anti-inflammatory effect.Macrophages were treated with IFN-γ + LPS to induce polarization to M1.Compared with the blank control group,the phosphorylation level of mTOR and S6K1 protein increased obviously (p<0.05 or p<0.01).Cells were treated with icariin for 24 h,this phosphorylation was inhibited (p<0.05) (Fig. 7A,B,C).
3.4. The effect of icariin on the NF-κB signaling pathway of M1 macrophages
We also explored the relationship between icariin,macrophage polarization and the NF-κB signaling pathway.NF-κB is a family of inducible transcription factors that regulate innate and adaptive immune functions,including NF-κB p65,IKKβ/α,IκBα,etc[11].Icariin can inhibit the secretion of TNF-α,IL-6 and iNOS to exert its anti-inflammatory effect[26].Western Blot results showed macrophages were treated with IFN-γ + LPS to induce polarization to M1,compared with the blank control group,the expression of phosphorylated-NF-κB p65,phosphorylated-IKKβ,phosphorylated-IκBα have significantly increased in IFN-γ + LPS groups (p<0.01 or P<0.05),subsequently treated with icariin,which have inhibited p-NF-κB p65,p-IKKβ and p-IκBα expression (p<0.05) (Fig. 8A,B,C,D).Meanwhile,the immunofluorescence staining also showed similar results.we found the translocation of phosphorylated-p65 from the cytoplasm to the nucleus was evident in IFN-γ + LPS group as compared to the blank control group.Macrophages were treated with icariin,the translocation consequently reduced,and were primarily in the cytosolic fraction(Fig. 8E).