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(Journal of Nutrition. 2001;131:1020S-1026S.)
© 2001 The American Society for Nutritional Sciences


Supplement: Recent Advances on the Nutritional Effects Associated with the Use of Garlic as a Supplement

Garlic Compounds Minimize Intracellular Oxidative Stress and Inhibit Nuclear Factor-{kappa}B Activation1 ,2

Nagatoshi Ide and Benjamin H. S. Lau3

Department of Microbiology and Molecular Genetics, School of Medicine, Loma Linda University, Loma Linda, CA 92350

3To whom correspondence should be addressed. E-mail: bLau{at}som.llu.edu.

ABSTRACT

Oxidative modification of LDL has been recognized as playing an important role in the initiation and progression of atherosclerosis. In this study, we determined the effects of aged garlic extract (AGE) and its major compound, S-allylcysteine (SAC), on oxidized LDL (Ox-LDL)–induced injury in endothelial cells (EC). Lactate dehydrogenase (LDH) release as an index of membrane damage, methylthiazol tetrazoium (MTT) assay for cell viability and thiobarbituric acid reactive substances (TBARS) indicating lipid peroxidation were measured. Ox-LDL caused an increase of LDH release, loss of cell viability and TBARS formation. Both AGE and SAC prevented all of these changes. To elucidate the mechanism, effects of AGE or SAC on intracellular glutathione (GSH) level in EC, and release of peroxide from EC and macrophages (M{Phi}) were determined. Ox-LDL depleted intracellular GSH and increased release of peroxides. Both AGE and SAC inhibited these changes. Effects of SAC on hydrogen peroxide (H2O2) or tumor necrosis factor (TNF)-{alpha}–induced nuclear factor (NF)-{kappa}B activation were determined. Pretreatment of EC with SAC inhibited NF-{kappa}B activation. We demonstrated that both AGE and SAC can protect EC from Ox-LDL–induced injury by preventing intracellular GSH depletion in EC and by minimizing release of peroxides from EC and M{Phi}. SAC also inhibited H2O2- or TNF-{alpha}–induced NF-{kappa}B activation. Our data suggest that AGE and its main compound, SAC, may be useful for prevention of atherosclerosis.


KEY WORDS: • aged garlic extract • S-allylcysteine • oxidized LDL • endothelial cells • cytotoxicity

Cardiovascular disease is one of the most serious diseases among people living a Western life style. Over the past two decades, a strong association between elevated plasma LDL and the development of atherosclerosis has been established (Kannel et al. 1971Citation ). More recently, oxidation of LDL has been shown to contribute to the initiation and progression of atherosclerosis (Cox and Cohen 1996Citation , Steinberg et al. 1989Citation ). LDL oxidation occurs when it is exposed to free radicals released by surrounding cells such as smooth muscle cells or monocytes/macrophages (MÖ)4 (Cathcart et al. 1985Citation , Darley-Usmar et al. 1992Citation , Henriksen et al. 1981 and 1983Citation Citation , Rosenfeld et al. 1990Citation ). Oxidized LDL (Ox-LDL) is taken up by MÖ, resulting in the formation of cholesterol-loaded foam cells and the fatty streak, a primary histologic feature of incipient atherosclerosis (Gerrity 1981Citation ). Ox-LDL promotes vascular dysfunction by exerting direct cytotoxicity toward endothelial cells (EC), by increasing monocyte chemotactic properties and by decreasing motility of tissue MÖ (Kuzuya et al. 1991aCitation , Quinn et al. 1987Citation ). Ox-LDL also enhances the production and release of inflammatory mediators such as reactive oxygen species, tumor necrosis factor (TNF)-{alpha}, interleukin (IL)-6, arachidonic acid metabolites and nitric oxide (NO) (Durum and Oppenheim 1989Citation , Fu et al. 1990Citation , Marletta et al. 1988Citation ). As second messengers, these mediators stimulate cells to activate transcription factors regulated by the intracellular redox state and promote the development of inflammation leading to injury of surrounding cells and tissues.

Nuclear factor (NF)-{kappa}B is a well-known transcription factor activated by oxidative stress. NF-{kappa}B is a heterodimeric transcription factor complex composed of two DNA-binding subunits, p50 and p65, and it is associated with the regulation of numerous genes encoding proteins in immune function, inflammation and cellular growth control (Grimm and Baeuerle 1993Citation ). Under stressed conditions in EC, activation of NF-{kappa}B leads to the expression of cell adhesion factors such as vascular cell adhesion molecule-1 (VCAM-1) and intercellular adhesion molecule-1 (ICAM-1) (Geng et al. 1997Citation , Sen and Packer 1996Citation ). These events further accelerate the formation of atherogenic lesions and cell death. However, recent studies have shown that antioxidants can inhibit oxidant-induced NF-{kappa}B activation (Meyer et al. 1992Citation , Sen et al. 1996Citation , Schreck et al. 1992Citation ), protect EC (Kuzuya et al. 1991bCitation , Schmitt et al. 1995Citation ) and normalize vascular functioning in hypercholesterolemia and atherosclerosis (Anderson et al. 1995Citation , Keaney et al. 1994Citation , Stewart-Lee et al. 1994Citation ).

Garlic (Allium sativum L.) is one of the oldest plants used as a medicine; it has been considered a valuable healing agent by many different cultures for thousands of years, particularly for treating heart disease (Koch and Lawson 1996Citation ). Aged garlic extract (AGE) is a garlic preparation produced by a unique aging process. Bioactivities of AGE and its major compound, S-allylcysteine (SAC), whose structure is shown in Figure 1Citation , include antioxidant (Imai et al. 1994Citation ), anticarcinogenic (Amagase and Milner 1993Citation , Hatono et al. 1996Citation ), antiatherogenic (Steiner and Lin 1998Citation , Efendy et al. 1997Citation ), immunostimulatory (Abdullah et al. 1989Citation , Lau et al. 1991Citation ), liver protective (Nakagawa et al. 1986Citation ) and antiaging effects (Moriguchi et al. 1996Citation ). Recent data from our laboratory have shown that AGE and SAC protect vascular EC from H2O2-induced injury (Yamasaki et al. 1994Citation ) and inhibit Cu2+-induced LDL oxidation (Ide et al. 1997Citation ). We have also demonstrated that AGE modulates the glutathione (GSH) redox cycle (Geng and Lau 1997Citation ), and SAC inhibits NF-{kappa}B activation in human T cells (Geng and Lau 1997Citation ).



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Figure 1. Structure of S-allylcysteine (SAC).

 
In this study, we utilized EC and MÖ to elucidate the effects of AGE and SAC on atherogenic models. We now report that both AGE and SAC can protect EC from Ox-LDL–induced injury by preventing depletion of intracellular GSH and by removing peroxides. SAC also inhibits NF-{kappa}B activation in EC.

MATERIALS AND METHODS

Chemicals.

AGE and SAC were provided by Wakunaga Pharmaceutical (Osaka, Japan). n-Butanol, pyridine and endothelial cell growth supplement (ECGS) were from Fisher Scientific (Fair Lawn, NJ). Horseradish peroxidase and 2,2'-azino-di-[3-ethylbenzthiazoline-6-sulfonic acid] (ABTS) were obtained from Boehringer Mannheim (Indianapolis, IN). Cupric sulfate (CuSO4 · 5H2O) was from J. T. Baker Chemical (Phillisburg, NJ). 2'7'-Dichlorofluorescin diacetate (DCFH-DA) was purchased from Molecular Probes (Eugene, OR). The CytoTox96 Nonradioactive Cytotoxicity Assay and Gel Shift Assay System kits were supplied by Promega (Madison, WI). Specific antibodies to NF-{kappa}B subunits p50 and p65 were purchased from Santa Cruz Biochemistry (Santa Cruz, CA). [{gamma}-32P]ATP was obtained from ICN Biochemicals (Irvine, CA). Dulbecco’s modification of Eagle’s medium (DMEM), Eagle’s minimum essential medium (EMEM), trypsin-EDTA solution and penicillin-streptomycin solution were from Mediatech (Washington DC). Bovine calf serum (BCS) and fetal bovine serum (FBS) were obtained from HyClone Laboratories (Logan, UT). All other chemicals were purchased from Sigma Chemical (St. Louis, MO).

Aged garlic extract (AGE).

AGE manufactured under a license issued by the Ministry of Health and Welfare of Japan was formulated using the following steps: sliced raw garlic (Allium sativum L.) was dipped into aqueous ethanol and extracted over 10 mo at room temperature. An analysis of AGE showed the following (calculated as dry weight): S-allylcysteine (1.6–2.4 mg/g), alliin (1.7 mg/g), allicin (<0.01 mg/g) and ajoene (<0.01 mg/g) (Imai et al. 1994Citation , Moriguchi et al. 1996Citation ).

Cell lines.

Bovine pulmonary artery EC (PAEC), human umbilical vein EC (HUVEC) and murine macrophage cell line (J774) were obtained from the American Type Culture Collection (Rockville, MD). PAEC, HUVEC and J774 were grown in EMEM with 20% BCS, in Ham’s F-12K with 0.1 g/L heparin, 0.04 g/L ECGS and 10% FBS, and in DMEM with 10% BCS, respectively. The media were supplemented with 200 U/mL penicillin, and 0.2 g/L streptomycin. Cells were incubated at 37°C in a humidified 5% CO2 atmosphere for 3–4 d before experimental use. Viability of cells used throughout the experiment was always >95% as determined by trypan blue exclusion.

Preparation of Ox-LDL.

LDL was dialyzed at 4°C for 48 h against 500 volumes of PBS to remove EDTA. For preparation of Ox-LDL, LDL (5 g/L) was incubated with 20 µmol/L CuSO4 at 37°C for 24 h and then dialyzed at 4°C for 48 h against 500 volumes of PBS to remove Cu2+ (Kuzuya et al. 1991aCitation ). Ox-LDL was confirmed using agarose gel electropholesis (Nobel 1968Citation ). Protein content of Ox-LDL was determined (Lowry et al. 1951Citation ).

Lactate dehydrogenase (LDH) release.

PAEC (8 x 104 cells/well) in 24-well plates were preincubated with different concentrations of AGE (1, 2.5 or 5 g/L) or SAC (20, 10, 1 or 0.1 mmol/L) for 24 h, washed with Hank’s balanced salt solution (HBSS), and then incubated with 0.1 g/L Ox-LDL in HBSS for 24 h. LDH activity was measured by using CytoTox96 Nonradioactive Cytotoxicity Assay kit, following the manufacturer’s instruction. The absorbance was determined at 492 nm in an ELISA reader (400 AT EIA, Whittaker Bioproducts, Walkersville, MD). The percentage of LDH released from the cells was determined using the formula: % release = LDH activity in supernatant/(LDH activity in supernatant + LDH activity in cell lysate).

MTT assay for cell viability.

PAEC (8 x 103 cells/well) in 96-well plates were preincubated with different concentrations of AGE or SAC for 24 h, washed with HBSS and then incubated with 0.1 g/L Ox-LDL in HBSS for 24 h. Cell viability was determined as previously described (Ide and Lau 1997Citation ). The absorbance was measured at 620 nm using the ELISA reader.

Lipid peroxidation in EC.

PAEC (8 x 104 cells/well) in 24-well plates were preincubated with different concentrations of AGE or SAC for 24 h, washed with HBSS and then incubated with 0.1 g/L Ox-LDL in HBSS for 24 h. The extent of lipid peroxidation was determined by measuring thiobarbituric acid reactive substances (TBARS) as previously described (Ide and Lau 1997Citation ). The fluorescence intensity was measured with excitation of 515 nm and emission of 553 nm, using LS-3 Fluorescence Spectrophotometer (Perkin-Elmer, Norwalk, CT). The value of fluorescence was calculated by comparing with standards prepared from tetraethoxypropane.

Intracellular GSH.

Intracellular GSH was determined according to the method of Sedlak and Lindsay (1968)Citation . PAEC (4 x 106 cells) in 25 cm2 flasks were preincubated with different concentrations of AGE or SAC for 24 h, washed with HBSS and then incubated with 0.1 g/L Ox-LDL in HBSS for 24 h. The absorbance was then measured at 412 nm using the Spectronic 2000 spectrophotometer (Bausch & Lomb, Rochester, NY). The GSH level was compared with that of EC without exposure to Ox-LDL and expressed as a percentage of the control.

Peroxides released from EC treated with Ox-LDL.

Peroxides were measured by a fluorometric assay using DCFH-DA as a probe (Wan et al. 1993Citation ). DCFH-DA, a nonfluorescent compound, is deacetylated by viable cells to highly fluorescent 2'7'-dichlorofluorescein (DCF) by hydrogen peroxide and lipid peroxides. Confluent PAEC (8 x 104 cells/well) in 24-well plates were incubated with 0.2 mL of different concentrations of AGE or SAC in HBSS, 0.1 g/L Ox-LDL and 10 µL of 0.5 mmol/L DCFH-DA. The fluorescence intensity (relative fluorescence unit) was measured at 485 nm excitation and 530 nm emission every 30 min for 3 h, using the 7620 Microplate Fluorometer (Cambridge Technology, Watertown, MA).

Peroxides released from MÖ treated with Ox-LDL.

The assay is essentially the same as described for EC. Harvested J774 cells (2 x 105 cells/well) were incubated for 2 h in 96-well plates. After incubation, the media were removed, and cells were washed and incubated with 0.2 mL of AGE (1, 2.5 or 5 g/L) or SAC (20, 10, 1 or 0.1 mmol/L) in HBSS, 0.1 g/L Ox-LDL, and 10 µL of 0.5 mmol/L DCFH-DA. The fluorescence intensity (relative fluorescence unit) was measured at 485 nm excitation and 530 nm emission every 30 min for 3 h, using the 7620 Microplate Fluorometer (Cambridge Technology).

H2O2 scavenging assay.

The scavenging effects of AGE and SAC on H2O2 were determined according to the method of Okamoto et al. (1992)Citation ; H2O2 (0.01 mL of 50 nmol/L), 0.1 mL of different concentrations of samples, 0.6 mL of 10 U/mL peroxidase, and 0.6 mL of 0.1% ABTS were added to 1.8 mL of 0.1 mol/L phosphate buffer (pH 6.0). The solution was then incubated at 37°C for 15 min. Absorbance at 414 nm was measured using the Spectronic 2000 spectrophotometer (Bausch & Lomb).

Preparation of nuclear protein extracts.

HUVEC (1 x 107 cells) in 75 cm2 flasks were preincubated with different concentrations of SAC for 24 h, washed with HBSS and then incubated with 10 ng/mL TNF-{alpha} or 50 µmol/L H2O2 for 2 h. Cells were washed with HBSS, and nuclear protein extracts were prepared as previously described (Geng et al. 1997Citation ). The nuclear protein extract was stored at -70°C until the experiments. Protein concentration was determined by using the Bio-Rad protein assay reagent.

Electrophoretic mobility shift assay (EMSA).

Labeling of NF-{kappa}B oligonucleotide and EMSA were performed according to the manufacturer’s instructions for the Gel Shift Assay System kit. The DNA-protein complex was analyzed using 6% polyacrylamide gel (16 x 18 cm) at room temperature in 0.5X TBE (pH 8.0) for 2–2.5 h at 150 V. Gels were vacuum dried and exposed to X-ray film overnight at -70°C. Films were scanned by Desk Scan II program (Hewlett-Packard, Boise, ID). Relative intensity of NF-{kappa}B bands was quantified by densitometry scanning of autoradiography using the Bio Image Whole Band Analyzer, version 3.0 (Millipore Corporation, Ann Arbor, MI).

Statistical analysis.

Data were analyzed using one-way ANOVA followed by Turkey’s multiple range test for significant difference; results were expressed as the mean ± SEM. A P-value of < 0.05 was considered significant. All statistical procedures were performed with Statgraphics software version 5.0 (STSC, Rockville, MD).

RESULTS

Effects of AGE and SAC on Ox-LDL–induced cell injury.

LDH is an intracellular enzyme that leaks into the culture medium when cell membranes are damaged. Figure 2Citation shows the respective effects of AGE or SAC on LDH release from PAEC. The exposure to Ox-LDL caused more than a fourfold increase in LDH release compared with unexposed cells, indicating that Ox-LDL induced cell damage. Pretreatment with AGE at 1, 2.5 and 5 g/L inhibited LDH release by 11.3, 35.1 and 50.5%, respectively. SAC exhibited a dose-dependent inhibition of LDH release ranging from 10.4 to 91.0%, and the inhibition observed at the higher dosages was significant.



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Figure 2. Effects of aged garlic extract (AGE) (A) or S-allylcysteine (SAC) (B) on oxidized LDL (Ox-LDL)–induced lactate dehydrogenase (LDH) release. Data represent means ± SEM of triplicate samples. *Significant difference (P < 0.05) compared with control exposed to Ox-LDL without AGE or SAC.

 
The MTT assay was used to measure cell viability. MTT is a pale yellow substrate that produces a dark blue formozan product when incubated with living cells. The MTT ring is cleaved by mitochondrial dehydrogenase, and this reaction occurs only in living cells (Mosmann 1983Citation ). When PAEC were treated with Ox-LDL for 24 h, there was a significant decrease in cell viability compared with untreated cells. Pretreatment with AGE or SAC resulted in a dose-dependent increase in cell viability in Ox-LDL–treated cells. The increase was significant with AGE at 2.5 and 5 g/L (Fig. 3ACitation ), and with SAC at all four concentrations (Fig. 3BCitation ).



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Figure 3. Effects of aged garlic extract (AGE) (A) or S-allylcysteine (SAC) (B) on oxidized LDL (Ox-LDL)–induced cell damage. Data represent means ± SEM of triplicate samples. *Significant difference (P < 0.05) compared with control exposed to Ox-LDL without AGE or SAC.

 
The effects of AGE and SAC on lipid peroxidation of PAEC were determined by measuring TBARS, products of lipid peroxidation. When PAEC were incubated with Ox-LDL for 24 h, there was a 14-fold increase in TBARS. Pretreatment of PAEC with AGE or SAC significantly inhibited lipid peroxidation in Ox-LDL–treated cells as evidenced by decreases in TBARS (Table 1Citation ).


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Table 1. Effects of aged garlic extract (AGE) and S-allylcysteine (SAC) on oxidized (Ox)-LDL–induced lipid peroxidation

 
Effects of AGE and SAC on Ox-LDL–induced intracellular GSH depletion.

GSH is the most abundant low-molecular-weight thiol compound in cells, and plays an important role in antioxidant defense and detoxification. Figure 4Citation shows the effects of AGE or SAC on GSH level when cells were exposed to 0.1 g/L Ox-LDL. Ox-LDL caused a decrease of 60% in intracellular GSH compared with cells not exposed to Ox-LDL. Pretreatment of EC with AGE or SAC resulted in a dose-dependent inhibition of intracellular GSH depletion.



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Figure 4. Effects of aged garlic extract (AGE) (A) or S-allylcysteine (SAC) (B) on intracellular glutathione (GSH). Data represent means ± SEM of triplicate samples. *Significant difference (P < 0.05) compared with control exposed to oxidized LDL (Ox-LDL) without AGE or SAC.

 
Effects of AGE and SAC on peroxides released from EC treated with Ox-LDL.

Excess peroxides such as hydrogen peroxide and lipid peroxide change cell function and interaction with surrounding cells, and lead to cell dysfunction and death. In this study, Ox-LDL–induced peroxides in PAEC were measured by a fluorometric method using DCFH-DA as a probe (Wan et al. 1993Citation ). DCFH-DA, a nonfluorescent compound, is deacetylated by viable cells to DCF by hydrogen peroxide and lipid peroxides. Figure 5Citation shows the effects of AGE or SAC on Ox-LDL–induced release of peroxides in EC. Exposure of PAEC to Ox-LDL resulted in a significant release of peroxides. Coincubation of PAEC with AGE and Ox-LDL exhibited a dose-dependent inhibition of peroxide release.



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Figure 5. Effects of aged garlic extract (AGE) (A) or S-allylcysteine (SAC) (B) on peroxides release in pulmonary artery endothelial cells (PAEC). Data represent means ± SEM of triplicate samples. *Significant difference (P < 0.05) compared with control exposed to oxidized LDL (Ox-LDL) without AGE or SAC.

 
Effects of AGE and SAC on peroxides released from MÖ treated with Ox-LDL.

Macrophages undergo an oxidative burst in response to phagocytic or membrane stimuli, with production and release of a variety of reactive oxygen metabolites such as superoxide anion, hydrogen peroxide, hydroxyl radical and NO, leading to cell dysfunction and death (Fantone and Ward 1982Citation ). In this study, effects of AGE and SAC on Ox-LDL–induced peroxides released from MÖ were determined. Exposure of Ox-LDL to J774 cells caused a significant release of peroxides. Coincubation of J774 cells with AGE or SAC and Ox-LDL inhibited the release of peroxides in a dose-dependent manner (Fig. 6Citation ).



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Figure 6. Effects of aged garlic extract (AGE) (A) or S-allylcysteine (SAC) (B) on peroxide release in macrophages. Data represent means ± SEM of triplicate samples. *Significant difference (P < 0.05) compared with control exposed to oxidized LDL (Ox-LDL) without AGE or SAC.

 
Direct scavenging effects on hydrogen peroxide.

Table 2Citation shows the direct scavenging effects of AGE or SAC on hydrogen peroxide. A decrease of hydrogen peroxide reflected scavenging by AGE or SAC with significant activity observed at all concentrations except for 0.1 mmol/L of SAC.


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Table 2. Scavenging effect of aged garlic extract (AGE) or S-allylcysteine (SAC) or hydrogen peroxide

 
Effects of SAC on H2O2- or TNF-{alpha}–induced NF-{kappa}B activation.

NF-{kappa}B is a heterodimeric transcription factor complex composed of two DNA-binding subunits, p50 and p65, and it is associated with the regulation of numerous genes encoding proteins in immune function, inflammation and cellular growth control (Grimm and Baeuerle 1993Citation ). Incubation of HUVEC with 10 ng/mL TNF-{alpha} activated NF-{kappa}B expression. Preincubation of HUVEC with SAC inhibited the activation (Fig. 7Citation ). Incubation of HUVEC with 50 µg/mL H2O2 also activated NF-{kappa}B expression. Preincubation of HUVEC with SAC showed a trend toward inhibited expression (data not shown).



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Figure 7. Effect of S-allylcysteine (SAC) on tumor necrosis factor (TNF)-{alpha}–induced nuclear factor (NF)-{kappa}B activation. Data represent means ± SEM of triplicate samples. *Significant difference (P < 0.05) compared with control exposed to 10 ng/mL TNF-{alpha} without SAC.

 

DISCUSSION

It has been known for more than two decades that an elevated plasma level of LDL is associated with the development of atherosclerosis (Kannel et al. 1971Citation ). More recently, LDL oxidation has been recognized as playing an important role in the initiation and progression of atherosclerosis (Berliner and Heinecke 1996Citation , Cox and Cohen 1996Citation , Steinberg et al. 1989Citation ). LDL has been shown to be oxidized by cultured cells such as MÖ, endothelial and smooth muscle cells with transition metals. Ox-LDL exerts several biological effects that may contribute to the initiation and progression of the atherosclerotic process, including such events as chemotaxis for monocytes, inhibition of macrophage motility, formation of foam cells, up-regulation of endothelial adhesion molecules, stimulation of growth factors and chemokines, and proliferation of smooth muscle cells (Holvoet and Collen 1995Citation ). Ox-LDL also appears to initiate vascular dysfunction by directly exerting cytotoxicity. It can alter the composition and permeability of the endothelial barrier (Guretzki et al. 1994Citation ) and is thus cytotoxic for EC (Kuzuya et al. 1989Citation , Schmitt et al. 1995Citation ).

In this study, the antioxidant effects of AGE and one of its major compounds, SAC, on pulmonary artery EC were studied using a model of oxidant injury induced by Ox-LDL. Ox-LDL caused significant cell damage, as evidenced by the increase in LDH release. LDH is an intracellular enzyme that leaks from cells when their membranes are damaged. Data indicated that preincubation of PAEC with AGE or SAC significantly inhibited the increase in LDH release induced by Ox-LDL, showing the protective effects of these compounds on cell membranes. The MTT assay was used to monitor cell viability. Because MTT is cleaved only in active mitochondria (Mosmann 1983Citation ), Ox-LDL–induced decrease of cell viability measured by the MTT assay indicates that Ox-LDL may have damaged the mitochondria of PAEC. Pretreatment of PAEC with AGE or SAC resulted in a concentration-dependent increase in cell viability, suggesting a protective effect on the mitochondria of EC. To elucidate the mechanism of cell injury, TBARS, products of lipid peroxidation, were measured in Ox-LDL–stressed PAEC. The exposure of PAEC to Ox-LDL resulted in a significant increase in TBARS. Pretreatment of PAEC with AGE or SAC inhibited TBARS formation, indicating protection against lipid peroxidation. These data suggest that AGE and SAC can protect EC from Ox-LDL–induced injury.

Ox-LDL has been shown to deplete intracellular GSH in cultured EC (Schmitt et al. 1995Citation ). Intracellular GSH depletion can lead to increased endothelial cell susceptibility to injury caused by Ox-LDL (Kuzuya et al. 1989Citation ). GSH is the most abundant low-molecular-weight thiol compound in cells, and plays an important role in antioxidant defense and detoxification. GSH depletion compromises cell defenses against oxidative damage and may lead to cell death (Reed and Farris 1984Citation ). Incubation of PAEC with Ox-LDL for 24 h caused a 60% decrease in intracellular GSH. Preincubation of PAEC with AGE or SAC prevented intracellular GSH depletion. These data suggest that one of the mechanisms by which AGE or SAC inhibits Ox-LDL–induced cell injury is by preventing intracellular GSH depletion. It has previously been reported that AGE can modulate the GSH redox cycle by maintaining intracellular GSH levels (Geng and Lau 1997Citation ), thus possibly protecting EC from cytotoxicity.

Under oxidant-stressed conditions, peroxides such as hydrogen peroxide and lipid peroxides change cell functions and their interaction with surrounding cells. This can lead to cell dysfunction and death. For instance, MÖ undergo an oxidative burst in response to phagocytic or membrane stimuli, with production and release of a variety of reactive oxygen metabolites (Fantone and Ward 1982Citation ). Lysophosphatidylcholine, which is a lipid peroxide–composed Ox-LDL, can also trigger inflammation and lead to the generation of inflammatory mediators such as reactive oxygen species, cytokines (e.g., TNF-{alpha} and IL-6), arachidonic acid metabolites and NO (Durum and Oppenheim 1989Citation , Fu et al. 1990Citation , Marletta et al. 1988Citation ). In this study, Ox-LDL–induced peroxides in MÖ were measured by a fluorometric method using DCFH-DA as a probe. Incubation of MÖ with Ox-LDL caused an increase of peroxides, and AGE or SAC inhibited it in a dose-dependent manner. These data suggest that AGE or SAC may have suppressed the release of peroxides and/or prevented their uptake by MÖ.

The effects of AGE and SAC on Ox-LDL–induced release of peroxides from PAEC were also determined. Incubation of PAEC with Ox-LDL caused an increase of peroxides, and AGE or SAC inhibited it in a dose-dependent manner. These data suggest that AGE or SAC either removed peroxide, such as hydrogen peroxide and lipid peroxides from the EC or inhibited their release. Thus, AGE and SAC can minimize intracellular oxidative stress not only by modulating intracellular GSH level in EC, but also by either removing peroxides or preventing their formation in EC and MÖ.

It has been reported previously that Ox-LDL and inflammatory mediators such as TNF-{alpha} and hydrogen peroxide serve as important second messengers in the activation of transcription factor NF-{kappa}B. NF-{kappa}B is associated with expression of cell adhesion factors, VCAM-1 and ICAM-1 (Geng et al. 1997Citation , Sen and Packer 1996Citation ). In this study, the effect of SAC on H2O2- or TNF-{alpha}–induced NF-{kappa}B activation was studied. Incubation of HUVEC with H2O2 or TNF-{alpha} for 2 h activated NF-{kappa}B. SAC inhibited this activation. These data suggest that SAC can minimize intracellular oxidative stress; furthermore, it can inhibit NF-{kappa}B activation by modulating intracellular signal transduction.

Garlic (Allium sativum L.) has long been considered a valuable healing agent by many different cultures. Even today it is commonly used by much of the world, especially eastern Europe and Asia, for its medical benefits. Aged garlic extract (AGE) is an original garlic preparation produced by a 10-mo aging process. Numerous bioactivities and efficacies have been reported since its inception in 1955 with >200 scientific publications. AGE has been shown to lower blood cholesterol and triglycerides in human subjects (Lau et al. 1987Citation ). More recently, it showed a trend toward reduced LDL oxidation susceptibility in an ex vivo study (Steiner and Lin 1998Citation ). Further, it reduces fatty streak development, vessel wall cholesterol accumulation and the development of fibro-fatty plaques in neointimas of cholesterol-fed rabbits (Efendy et al. 1997Citation ).

SAC is one of the major water-soluble compounds derived from AGE. Numerous biological activities have been reported for SAC (Amagase and Milner 1993Citation , Geng et al. 1997Citation , Hatono et al. 1996Citation , Sumiyoshi and Wargovich 1990Citation , Welch et al. 1992Citation ). Further, its bioavailability has been well established in animals. It has been shown to be evenly absorbed and distributed systemically (Nagae et al. 1994Citation ). These reports demonstrate that SAC is a useful compound with many biological activities and high bioavailability as well as an original marker compound in AGE.

In conclusion, we demonstrated that AGE and SAC can protect EC from Ox-LDL–induced injury by preventing the depletion of intracellular GSH and by removing peroxides. SAC also inhibited H2O2- or TNF-{alpha}–induced NF-{kappa}B activation. These data suggest that AGE and SAC can be protective agents against cytotoxicity associated with Ox-LDL, and may be useful for the prevention of atherosclerosis.

FOOTNOTES

1 Presented at the conference "Recent Advances on the Nutritional Benefits Accompanying the Use of Garlic as a Supplement" held November 15–17, 1998 in Newport Beach, CA. The conference was supported by educational grants from Pennsylvania State University, Wakunaga of America, Ltd. and the National Cancer Institute. The proceedings of this conference are published as a supplement to The Journal of Nutrition. Guest editors: John Milner, The Pennsylvania State University, University Park, PA and Richard Rivlin, Weill Medical College of Cornell University and Memorial Sloan-Kettering Cancer Center, New York, NY. Back

2 Supported by the Chan Shun International Foundation, San Francisco, CA and Wakunaga Pharmaceutical, Osaka, Japan. Back

4 Abbreviations used: ABTS, 2,2'-azino-di-[3-ethylbenzthiazoline-6-sulfonic acid]; AGE, aged garlic extract; BCS, bovine calf serum; DCF, 2'7'-dichlorofluorescein; DCFH-DA, 2'7'-dichlorofluorescin diacetate; DMEM, Dulbecco’s modification of Eagle’s medium; EC, endothelial cells; ECGS, endothelial cell growth supplement; EMEM, Eagle’s minimum essential medium; EMSA, electrophoretic mobility shift assay; FBS, fetal bovine serum; GSH, glutathione; HUVEC, human umbilical vein endothelial cells; ICAM-1, intercellular adhesion molecule-1; IL-6, interleukin 6; LDH, lactate dehydrogenase; MÖ, macrophages; MTT, methylthiazol tetrazoium; NF-{kappa}B, nuclear factor-{kappa}B; Ox-LDL, oxidized LDL; PAEC, pulmonary artery endothelial cells; SAC, S-allylcysteine; TBARS, thiobarbituric acid reactive substances; TNF-{alpha}, tumor necrosis factor-{alpha}; VCAM-1, vascular cell adhesion molecule-1. Back

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