The Extracts of Morinda officinalis and Its Hairy Roots Attenuate Dextran Sodium Sulfate-Induced Chronic Ulcerative Colitis in Mice by Regulating Inflammation and Lymphocyte Apoptosis

Morinda officinalis is beneficial for the treatment of inflammatory bowel disease (IBD). The hairy root with higher genetic and biochemical stability cultured from M. officinalis might have similar effects to treat IBD. In this study, the main chemical composition of the root extracts of M. officinalis (MORE) native plant and the hairy root extract of M. officinalis (MOHRE) was compared by quantitative HPLC. The difference of their therapeutic effects and potential mechanism was evaluated using 3% dextran sodium sulfate-induced chronic colitis in mice and T lymphocytes in vitro. The results found that MOHRE possesses many specific peaks unobserved in the chromatogram of native plant. The content of iridoids in the MORE (3.10%) and MOHRE (3.01%) is somewhat similar but quite different for their anthraquinones’s content (0.14 and 0.66%, respectively). Despite all this, treatment with both MORE and MOHRE significantly attenuated the symptoms of colitis, including diarrhea, body weight loss, colon shortening, histological damage, and decreased inflammatory cytokine levels. In addition, they dose-dependently increased the apoptosis of T lymphocyte in vivo and in vitro. And, the differences for treatment effects on ulcerative colitis (UC) between them both in this study were mostly insignificant. The results demonstrated that the effects of MORE and MOHRE for the treatment of UC are similar, although there are a few difference on their chemical composition, indicating the hairy root cultured from M. officinalis might be able to replace its native plant on treatment of UC. The successful derivation of a sustainable hairy root culture provides a model system to study the synthetic pathways for bioactive metabolites, which will make the use of bioreactors to largely produce traditional medicine become reality.

inTrODUcTiOn Ulcerative colitis (UC) is a type of inflammatory bowel disease (IBD), which is characterized by chronic and repeated episodes enteropatia (1). Clinically, patients with UC often have diarrhea, abdominal pain, bloody stools, and recurrent UC, which is prone to cause colon cancer (2). The incidence of UC has been increasing annually, especially in the developed countries.
Although the pathogenesis of UC is unclear, evidences have suggested that UC is closely associated with the imbalance of the immune response (3). The defect of T cell apoptosis may lead to an uncontrolled T cell activation and proliferation which is a key mechanism to cause an ultraimmune response and the inductions of proinflammatory cytokines (3). The aggressive behavior of the intestinal immune system can cause immune dysfunction, leading to the infiltration of inflammatory cells and production of a large number of proinflammatory cytokines (4), such as tumor necrosis factor α (TNF-α), interleukin-6 (IL-6), and interleukin-17 (IL-17). These proinflammatory cytokines can cause intestinal damage and further aggravate the condition of UC (5). Therefore, the medicines, which can inhibit T cells proliferation (such as steroids and calcineurin inhibitors) or induce T cells apoptosis (such as TNF-α monoclonal antibody), will exert remarkable therapeutic effects for IBD (6,7). However, long-term use of these drugs will cause some serious adverse reactions and further aggravate the condition (8). Therefore, it is necessary to search for more effective and safe drugs or therapy to treat UC. Complementary therapies seem to have many advantages, such as lower toxicity, more safety and effectiveness, which have absorbed an increasing number of patients who want to try and use this method to treat IBD (9). Chinese herbals, as a kind of complementary therapies, contain various active components in their extracts that could show therapeutic effects on multiple targets of the body (10). Morinda officinalis is a kind of traditional Chinese herbal medicine and natural nutritious food, as one of the four southern medicines of China. M. officinalis has been widely used to treat many diseases such as rheumatism, enuresis, and infertility for more than 2,000 years (11). Many studies have found that M. officinalis root mainly contains polysaccharides, anthraquinone, and iridoid (12). These components have extensive pharmacological activities, including anti-inflammation, antioxidant, immune-regulatory, and antitumor effect (13). Relative studies have shown that M. officinalis effectively reduced the levels of proinflammatory cytokines (14) (e.g., TNF-α, IL-17, IL-6, and IL-8). Accumulated evidence also suggested that M. officinalis could effectively treat colitis in mice induced by dextran sodium sulfate (DSS) (15). Therefore, M. officinalis may be working as a potential drug to treat UC. However, M. officinalis has a long period of cultivation, which is a time-consuming and seasonal planting, and the eradication of medicinal plants has a negative impact on the natural population of M. officinalis. The yield of M. officinalis is too low to satisfy commercial purposes. Thus, an alternative method of M. officinalis production is required to meet the growing demand of this medicine.
Nowadays, the role of plant tissue culture in the production of high-value secondary metabolites is on the rise. By comparing with different cultivation methods, using hairy root cultures have its benefits such as sustained growth cycle, rapid rate of growth, easy to cultivate in hormone-free medium, and obtain higher genetic and biochemical stability (16). Hairy root cultures become a useful method to produce active compound in limited and secure condition. Hairy roots can be achieved by infecting the wounded higher plants with Agrobacterium rhizogenes (17). A. rhizogenes contains Ri plasmid, which has two functional areas, namely VIR and T-DNA region. When plants were infected by A. rhizogenes, the T-DNA in the inhibited state was activated and integrated into the plant genome, which induced the plant cells to produce hairy roots (18).
In the present study, we used the hairy root cultures method to obtain the hairy roots of M. officinalis. We devoted to analyze the differences of the major chemical constituents between roots extract of M. officinalis (MORE) native plant and hairy roots extract of M. officinalis (MOHRE). Based on this, we further investigated the differences of therapeutic effect between MORE and MOHRE on DSS-induced chronic colitis. In addition, we provided a novel insight into the initial mechanism of MORE and MOHRE in chronic colitis protection.

induction of hairy roots of M. Officinalis
The stem of M. officinalis was used as explants for the induction of hairy roots. The excised root segments were preincubated on half-strength MS (MS/2) solid medium for 3 days before infection. A. rhizogenes strain MSU440 was cultivated overnight and collected the bacterial suspension of A. rhizogenes by centrifugated at 6,000 rpm for 5 min. The explants were soaked in the overnight grown bacterial suspension of A. rhizogenes strain MSU440 (OD600 = 0.6-0.8) for 15 min and dry blotted on sterile filter paper. The explants were cultured on 1/2 MS-based solid medium in the dark at 28 ± 1°C. After 3 days of cocultivation, FigUre 1 | The experimental design for 3% dextran sodium sulfate (DSS)-induced chronic ulcerative colitis (UC) in mice and administration time. Chronic colitis was induced by oral 3% DSS for three cycles. Each cycle was made up of 3% DSS for 7 days followed by 14 days of recovery with water. After the first cycle, modeled mice were randomly divided into eight groups (n = 12/group), administration of root extract of M. officinalis (MORE) and hairy root extract of M. officinalis (MOHRE) to chronic UC in mice for two cycles. the explants were transferred to 1/2 MS-based solid medium of hormone free which containing sodium cefotaxim (300 mg/L) to eliminate the residual bacteria and incubated in the dark at 25 ± 1°C. The healthy hairy roots were obtained and used after once subculture every 2 weeks in this study.

Preparation of the Plant extracts
The powder of root M. officinalis or hairy roots of M. officinalis was heated to reflux for 2 h with 8 times volume 85% alcohol. The extraction was repeated twice. The extracting solution was filtered to remove the residue. And then it was concentrated by rotary evaporator. The concentrate was freeze dried under vacuum. Dry MORE and MOHRE were used to treat mice with colitis.

hPlc analyses
The HPLC analyses of MORE and MOHRE were performed by an Agilent 1260 High Performance Liquid Chromatograph System.
The iridoids analysis was done by using a Phenomenex Luna C18 column (250.0 × 4.6 mm, 5.0 µm). The column temperature

experimental animals
Adult male and female Kunming (KM) mice (18-22 g) were pur chased from the Laboratory Animal Services Center, Guangzhou University of Chinese Medicine (Guangzhou, China). All animals were raised in accordance with the National Institutes of Health Guide for Laboratory animals' use. The study was approved by the Animal Ethics Committee of Guangzhou University of Chinese Medicine. Animals were housed under standard environment condition of temperature at 20-25°C under a 12 h dark/light cycle and allowed free access to sterilized water and standard food.

acute Toxicity Testing
Acute oral toxicity in mice was performed by using the limit dose test of up-and-down procedure according to OECD guideline (OECD 425) (19). Healthy KM mice were randomly assigned to three groups, each group with six mice (three males and three females). A single dose of 5,000 mg/kg of extracts (MORE or MOHRE) were administered orally to each group. Each mouse was continuously observed for 4 h after the treatment. The mice were further observed once daily for 14 days and the number of deaths, body weight and toxic parameters were recorded.

inducement of experimental colitis
A total of 108 male mice were included in this experiment. Chronic colitis was induced by oral administration of 3% DSS for three cycles (Figure 1), as described by Farkas et al. (20) and Okayasu et al. (21), with slight modification. Randomly selected 12 mice as the normal group, only received tap water every day. The others were induced by three cycles that a 7-day treatment with DSS dissolved in drinking water (3%, w/v) followed by 14 days of recovery with water. After the first cycle, according to their body weight, 96 modeled mice were randomly divided into eight groups (n = 12/group): DSS group, mesalazin (50 mg/kg/day) in positive control group, three groups received treatment with MORE (20, 40, and 80 mg/ kg/day), the other received treatment with MOHRE (20, 40, and 80 mg/kg/day). The dose selection of extracts was based on clinical practice (usually 6,000 mg/day, 70 kg body weight). Except for the control group, the others were still administered with 3% DSS as described previously, while all drug groups were given the corresponding does of drugs. The treatment lasted for two other cycles and body weight, behavior, stool consistency, fecal occult blood (both visible and occult bleeding), disease activity index (DAI), mortality, food, and water intake of all animals were monitored daily. At the end of the experiment, animals were fasted for 12 h and then anesthetized with pentobarbital sodium (70 mg/kg, i.p.). Blood samples were collected directly from the orbit, which were transferred to 2 mL EP tubes followed by centrifuged at 3,000 rpm for 10 min at 4°C and finally stored at −80°C for biochemical assays. The spleens were weighted and the colons were quickly removed and gently rinsed with sterile and cold saline solution, then moved to cold plate for measuring the length of the colon, colon macroscopic evaluation. Subsequently the colons were divided into two parts, one was fixed in 4% paraformaldehyde for histological examination and the other was stored at −80°C for biochemical assays. Spleen was also fixed in 4% paraformaldehyde for histological examination.

Disease Activity Index
Disease activity index is determined according to the loss of body weight feces status and macroscopically visible blood in feces, in accordance with the method described by Cooper et al. (22) and Xiao et al. (23).

General Morphology Score
Macroscopic damage score of the colon was recorded according to the standard method of Millar et al. (24).

histological examination
Segments of colon and spleen were immediately fixed in 4% paraformaldehyde for 24 h, then washed with water, dehydrated with alcohol, and finally embedded in paraffin. Tissues were cut into standard sections and stained with hematoxylin-eosin (H&E) for histological examination. Segments of colon were evaluated according to the method previously reported by Boirivant et al. (25) and described as follows: 0, normal and no inflammatory cell  infiltration; 1, slight inflammatory cell infiltration and no injure in submucosal tissues; 2, moderate inflammatory cell infiltration and submucosal tissues are destroyed (damage range between 10 and 25%); 3, obvious inflammatory cell infiltration, submucosal tissues are destroyed and colonic wall thickening (damage range between 25 and 50%); and 4, serious inflammatory cell infiltration,

Measurement of cytokines
The systemic levels of TNF-α, IL-6, and IL-17 in the serum were measured by using a commercially available ELISA according to the manufacturer's instructions.

apoptosis evaluation by annexin-V/Pi In Vivo
At the end of the experiment, the splenocytes and peripheral blood (PB) lymphocytes were isolated from colitis mice. The method was described previously by Su et al. (26). The cells (2 × 10 6 cells/mL) were stained for surface markers, antimouse CD3-APC, antimouse CD4-PE/Cy7, or antimouse CD8-APC in PBS for 20 min at RT in the dark. After washing, cells apoptosis were detected by the AnnexinV/PI detection kit, according to manufacturer's instruction, briefly, cells were washed twice with precold PBS, then suspended in binding buffer and stained with 5 µL annexin V-FITC and 10 µL PI for 15 min at 25°C in the dark. Annexin V + /PI − cells were considered early apoptotic cells. Annexin V + /PI + cells were considered late apoptotic cells. Apoptosis analysis was detected by FACS canto™ flow cytometer.

cell Preparation
Splenocytes were isolated as described previously by Su et al. (26), with slight modification. Mice were sacrificed and the spleens were aseptically separated, washed with precold PBS. The spleens were ground and through a 70 µm strainer. After centrifuge at 300 × g for 5 min at 4°C, ACK Lysis Buffer was used to remove erythrocytes. Cells were collected by centrifuged at 300 × g for 5 min at 4°C and washed twice with PBS. Splenocytes were resuspended and cultured in RPMI1640 medium supplemented with 10% (v/v) FBS, penicillin (100 U/mL), and streptomycin (100 µg/mL) under a humidified 5% (v/v) CO2 atmosphere at 37°C. Cells viability analysis was assessed by using trypan blue dye exclusion staining and all cases cell viability was higher than 95%.

cytotoxicity assay
Cytotoxicity assay was evaluated by MTT assay, 100 µL of splenocytes were seeded in 96-well plates at 3 × 10 6 cells/mL, treated with 100 µL MORE and MOHRE (50-400 µg/mL) for 24 h, respectively. After that, 20 µL of MTT (5 mg/mL) was added to each well and further incubated for 4 h at 37°C with 5% CO2. 150 µL of DMSO was added into 96-well plates, and finally the plates were read at 490 nm with Multiskan Go. Without cytotoxic and optimal doses of MORE and MOHRE were selected for further apoptosis assessments. The formula was applied to calculate the cell viability (%): where As, Ac, and Ab represent the absorbance of the different concentrations wells of drugs, control wells, and blank wells, respectively.

Measurement of cell Proliferation
Splenocytes were separated and cultured by the same methods in the section cell preparation. 100 µL of splenocytes were seeded in 96-well plates at 3 × 10 6 cells/mL. The cells were stimulated with 5 µg/mL of Concanavalin A (ConA) and treated with 100 µL MORE and MOHRE (50, 100, and 200 µg/mL) for 24 h, the range of concentrations was optimal values according to the cytotoxicity. The formula was applied to calculate the cell proliferation by the same methods in the section Cytotoxicity Assay.   (Figure 2), suggesting that there were more secondary metabolites in the MOHRE extracts, especially anthraquinones. The content of monotropein is 2.12 and 1.50% in MORE and MOHRE, respectively, while the content of Desacetyl asperulosidic acid is 0.98% in MORE and 1.51% in

The acute Toxicity study of MOre and MOhre
Roots extract of Morinda officinalis and MOHRE did not caused obvious toxic reactions and mortality with the dose of 5,000 mg/kg by oral administration. In addition, during the 14 days observation time, all animals looked bright and the body weight did not have significant change ( Table 1).

MOre and MOhre attenuated Dss-induced Murine experimental chronic colitis
In this study, the body weight of colitis mice induced by DSS decreased significantly from day 7, and the animal condition continued to deteriorate until the end of the experiment in DSS group. All drug-administration groups significantly restored body weight ( Figure 3A). The enteritis induced by DSS significantly increased the mortality of animals. Treatment with mesalazin as a positive drug, MORE, and MOHRE reduced the death of animals ( Figure 3B). In addition, food intake and water intake also were reduced in DSS group. Treatment with mesalazin, MORE, and MOHRE could improve food intake and water intake to a certain extent (Figures 3C,D). DAI is a most important indicator of the effect evaluation in IBD model. In this study, the DAI score increased significantly in DSS group, indicating a severe condition of colitis. By oral administration of mesalazin, MORE, and MOHRE, the DAI scores were decreased significantly ( Figure 3E). The roles of MORE and MOHRE revealed a dose-dependent manner. And there were not obvious differences on reversing these pathological symptoms of UC between MORE and MOHRE under the same concentration. These results showed that both MORE and MOHRE could attenuate DSS-induced experimental chronic UC with similar effect. The colon length is inversely associated with the severity of DSS-induced colitis. Our results showed that the colon from mice in mesalazin, MORE, and MOHRE groups is longer than in the DSS group (Figures 4A,B). Colon thickness and morphology score are also the important indicators to evaluate the therapeutic effect of drug. We found that mesalazin, MORE, and MOHRE reduced colon thickness and morphology score (Figures 4C-E). In addition, the H&E staining of colonic tissues revealed the anti-inflammatory effects of mesalazin, MORE, and MOHRE in colon. Compared with the normal structure of the colon, DSS group showed obvious inflammatory cell infiltration, absence of epithelial cells and goblet cells. However, significant reductions in the inflammatory cell infiltration and mucous membrane ulcer were observed after treatment with mesalazin, MORE, and MOHRE (Figures 4F,G). Furthermore, these positive effects of MORE and MOHRE displayed a dose-dependent manner. An insignificant difference between MORE and MOHRE was observed at the same concentration. These results indicated that both MORE and MOHRE could effectively protect DSS-induced colon injury in mice.

The effect of MOre and MOhre on the level of inflammatory cytokines in Dssinduced colitis
It is well known that inflammation plays an important role in the pathogenesis of UC. The abnormal activation of immune system can cause excessive secretions of proinflammatory cytokines.
To understand the anti-inflammatory effect of MORE and MOHRE in DSS-induced chronic UC in mice, we measured the serum levels of proinflammatory cytokines TNF-α, IL-6, and IL-17 were significantly increased in DSS group, which were all decreased significantly in mesalazin, MORE, and MOHRE groups ( Figure 5). There are still no significant differences between MORE and MOHRE.

The Protective effect of MOre and MOhre on spleen in Dss-induced chronic colitis
Chronic colitis often causes the disorder of immune function. In this study, we found that oral administration of DSS significantly increases spleen weight, and MORE and MOHRE sig nificantly inhibited spleen swelling (Figures 6A,B). In addition, we analyzed the degree of spleen damage by H&E staining. We also found that DSS led to the change of spleen structure, swelling, and the accumulation of inflammatory cells. However, MORE and MOHRE could significantly effec tively alleviate the injury of the spleen (Figure 6C). This protective effect between MORE and MOHRE was not significantly different.  MOre and MOhre induced the apoptosis of splenocytes, but not PB lymphocytes in colitis Mice The apoptosis of T cells has been confirmed to be critically involved in the pathogenesis of UC. In the present study, splenocytes and PB lymphocytes from chronic colitis mice were analyzed by flow cytometry after two cycle's treatment of MORE and MOHRE.
To analyze the subsets of splenic and PB T cells that suffer apoptosis following MORE and MOHRE treatment in chronic colitis mice, we applied annexin V + /PI + among total T cell (CD3 + ), helper T cells (CD3 + CD4 + ) and cytotoxic T cell (CD3 + CD8 + ) in spleen and PB. We found that the early and late apoptosis of splenic CD3 + T were significantly decreased in DSS treated mice when compared with the control group, and early apoptosis of splenic CD4 + and CD8 + T cells were also significantly decreased in DSS group. Meanwhile, except PB CD3 + T cells were significantly reduced in late apoptosis, the apoptosis of PB CD4 + and CD8 + T cells had no difference in DSS group when compared with the control group. Interestingly, MORE and MOHRE significantly induced the early and late apoptosis of splenic CD3 + T cells in a dose-dependent manner in vivo. In addition, the early apoptosis of splenic CD4 + and CD8 + T cells in colitis mice were also significantly increased. However, there is no significantly difference in the induction of PB T cells apoptosis after treatment with MORE and MOHRE (Figures 7 and 8). The data showed that MORE and MOHRE could obviously induce the apoptosis of splenocytes, but not PB lymphocytes in chronic colitis mice. Meanwhile, the apoptosis effect of MOHRE on splenocytes or PB lymphocytes in vivo is similar to MORE.

The cytotoxic and Proliferous effect of MOre and MOhre to splenic lymphocytes
According to the results from in vivo study, we found that splenic lymphocytes were much more sensitive to MORE-and MOHRE-induced apoptosis. Here, we further investigated the effect of MORE and MOHRE on splenic lymphocytes in vitro. The different concentrations of MORE and MOHRE were added into splenic lymphocytes in different 96-well plates for 24 h. The data showed that MORE and MOHRE had no toxicity to splenic lymphocytes ( Figure 9A). However, after ConA stimulation, MORE and MOHRE inhibited the proliferation of splenic lymphocytes in a dose-dependent manner (Figure 9B), possessing unsignificant difference between them at the same concentration. The results revealed that MORE and MOHRE exert immunoregulatory properties for the proliferation of ConA-activated T cells in vitro.

The apoptosis assay of MOre and MOhre on splenic T cells In Vitro
To explore the relationship between the inhibition of splenic T cells proliferation and apoptosis, we incubated splenic lymphocytes with MORE and MOHRE in the presence or absence M. officinalis Extracts Treated IBD Frontiers in Immunology | www.frontiersin.org August 2017 | Volume 8 | Article 905 of ConA. Without ConA stimulation, MORE and MOHRE were unable to significantly induce lymphocytes apoptosis (Figure 10). However, after stimulation with ConA for 24 h, both MORE and MOHRE can dose-dependently induce the apoptosis of ConA-activated T lymphocytes (Figure 11). Meanwhile, MORE and MOHRE also could induced the early apoptosis of activated T lymphocytes at 48 in the presence of ConA stimulation (Presentation S1 in Supplementary Material). In addition, we further to explore whether CD3 + , CD4 + , and CD8 + T cells population is susceptible to cause apoptosis by MORE and MOHRE in both unstimulated and Con A-stimulated lymphocyte. Our data indicated that the early and late apoptosis ratios of CD3 + , CD4 + , and CD8 + T cells were no statistically differences in the unstimulated lymphocyte (Figure 12). However, the lymphocyte activated with ConA and exposed to MORE and MOHRE could dose-dependently increased the early and late apoptosis ratios of CD3 + , CD4 + , and CD8 + T cells (Figure 13). The difference of these effects between MORE and MOHRE was not significant at the same concentration.

DiscUssiOn
In the present study, we investigated the differences of the major chemical constituents between MORE and MOHRE.
Based on this, we demonstrated the therapeutic effect of the hairy roots of M. officinalis on DSS-induced chronic UC in mice and investigated the apoptosis effect of M. officinalis and its hairy roots on T lymphocytes in vivo and in vitro for the first time. Our results showed that M. officinalis and its hairy roots could protect against DSS-induced chronic colitis and inhibit abnormal activation of T cells via inducing apoptosis in vivo and in vitro. Morinda officinalis native plant contains much more polysaccharides than M. officinalis hairy roots (data not shown). Thus we used 85% ethanol to generate extracts without polysaccharides, the present data showed that both MORE and MOHRE are effective in treating UC mice, indicating that polysaccharides in MORE may not be an essential component in the treatment of UC mice. The content of iridoids in MORE is similar to that in MOHRE, both contain up to 3%. While the content of anthraquinones in M. officinalis Extracts Treated IBD Frontiers in Immunology | www.frontiersin.org August 2017 | Volume 8 | Article 905 injury on 3% DSS-induced chronic UC in mice. In addition, DSS induced colonic mucosa injury, which led to colon edema and atrophy (30). Colonic shortening and DAI score are used as important indicators to evaluating colonic injury (31). In the present study, treatment with MORE and MOHRE significantly inhibited the colonic shortening and reduced DAI score in colitis mice. These data showed that MORE and MOHRE protected against DSS-induced chronic colitis in mice. The DSS-induced colitis model exerted colonic mucosa injury, inflammatory cell infiltration, goblet cell loss, and colonic wall thickness (32). Many studies have demonstrated that neutrophil infiltration in the colonic mucosa tissues is one of the most remarkable histological features observed in patients with UC (33,34). Diffuse neutrophil infiltration in the colonic mucosa tissues could aggravate inflammatory infiltration (35). Therefore, reducing the amount of neutrophil can effectively alleviate the colon injury. According to the histological analysis, oral administration of MORE and MOHRE could significantly alleviate colonic tissue damage, neutrophil infiltration, and MORE is obvious less than that in MOHRE, the ratio is 0.14 vs 0.66%. Meanwhile, we found that the MOHRE exert a similar therapeutic effect on DSS-induced chronic UC in mice. Several studies have shown that these iridoids in M. officinalis have anti-inflammatory and immunomodulatory properties (27,28). It also has been reported that monotropein, the main iridoid in M. officinalis, has therapeutic effect on DSS-induced acute colitis mice with a dose up to 200 mg/kg (15), which is much higher than the dose of MORE and MOHRE we used in our study. These data further indicated that besides monotropein, other iridoids and anthraquinone in M. officinalis could also exert an important role in the treatment of UC.
People with UC often have symptoms such as diarrhea, bloody stool, abdominal pain, body weight loss, and colonic shortening (29). These clinical parameters are essential to assess the severity of UC and evaluate the efficacy of the potential drugs. In this study, the results showed that oral administration of MORE and MOHRE could significantly improve body weight loss, food intake, fecal status, intestinal bleeding, and colonic tissue M. officinalis Extracts Treated IBD Frontiers in Immunology | www.frontiersin.org August 2017 | Volume 8 | Article 905 promotes the repair of colonic tissue on DSS-induced colitis. The pharmacological effects may be attributed to their extracts containing iridoids and anthraquinones. Related studies have shown that these chemical compositions can downregulate NF-κB signaling pathways, indicating that a significant antiinflammatory effect (36). The abnormal expression of proinflammatory cytokines not only occurs in IBD patients but also appears in DSS-induced colitis model. TNF-α is a major proinflammatory cytokines, its abnormal expression is closely related to the immune dysfunction (37,38). The aggressive release of TNF-α can activate the intestinal adaptive immune system, and recruit a large number of neutrophils and macrophages to infiltrate the colonic mucosa tissues, which in turn leads to colon injury (39). Therefore, many immunosuppressive agents have been developed to decrease the levels of TNF-α for the treatment of UC. In addition, IL-6 and IL-17 also participated in the inflammatory response of IBD and induced the production of many other proinflammatory cytokines. Overexpression of these cytokines plays an important role in the pathogenesis of IBD (40). In the present study, the levels of TNF-α, IL-6, and IL-17 were tested in colitis mice. The data show that oral administration of MORE and MOHRE can significantly decrease the serum levels of TNF-α, IL-6, and IL-17 in colitis mice, suggesting that MORE and MOHRE could suppress the production of proinflammatory cytokines and then relieve the inflammatory response.
T lymphocytes are important for immune system homeostasis and host defense, which can secrete proinflammatory and anti-inflammatory cytokines (41,42). When the body is injured, immune cells would produce relevant cytokines to maintain immune homeostasis. However, the over expansion of activated lymphocytes can lead to a series of autoimmune diseases (43), including rheumatoid arthritis, atopic illnesses, and IBD. Many studies have indicated that the excessive proliferation of lymphocytes is closely related to the pathogenesis of IBD (44). Inhibiting the proliferation of lymphocytes or inducing lymphocytes apoptosis may provide the basis for a potential therapeutic strategy in patients with UC (45,46). Accumulated evidences have showed that the induction of CD4 + and CD8 + T cells apoptosis is beneficial to treat colitis (44,47). The data in vivo study indicated that MORE and MOHRE could significantly inhibit splenomegaly, improve the damage of spleen, and decrease the production of inflammatory cytokines in DSS-induced chronic colitis mice. The effects may M. officinalis Extracts Treated IBD Frontiers in Immunology | www.frontiersin.org August 2017 | Volume 8 | Article 905 be related to its immunomodulatory effects. The proliferation of activated T cells and malformation in cell death regulation play an important role in the pathogenesis of IBD including UC and CD. Meanwhile, many immunosuppressive agents have been used to treat IBD due to the induction of T cell apoptosis (6,48). Based on this, we further investigated the apoptosis effects of MORE and MOHRE on splenic lymphocytes and PB lymphocytes in vivo. Interestingly, MORE and MOHRE significantly increased the early apoptosis of splenic CD3 + , CD4 + , and CD8 + T cells. The late apoptosis of splenic T cells only appeared in CD3 + T cells after treatment with MORE and MOHRE. However, the induction of T cells apoptosis in PB T cells was no significant differences. These results showed that MORE and MOHRE exert effects against activated T cells by the induction of apoptosis and the effects are more sensitive to splenic lymphocytes apoptosis.
To further confirm the apoptosis effects of MORE and MOHRE on T lymphocytes, we tested the apoptosis effects of MORE and MOHRE on T cells in the presence or absence of ConA stimulation. We found that MORE and MOHRE were non-toxic to T cells and did not induce the apoptosis of T cells in the absence of ConA stimulation. However, both MORE and MOHRE significantly inhibited the proliferation of ConA-activated T lymphocytes. Meanwhile, MORE and MOHRE dose-dependently induced activated T cells apoptosis in early and late stage. The early apoptosis of cells is a reversible course when the apoptotic stimulation is cleaned up (49). With the rise of early apoptosis, irreversible late apoptosis would gradually be accumulated. In this study, the results in vitro were consistent with in vivo. MORE and MOHRE were more sensitive to induce early apoptosis of CD3 + , CD4 + , and CD8 + T cell in the imbalance of immune status. These results from in vitro study further showed that MORE and MOHRE could exert the immunoregulatory effect by induction of T cells apoptosis only when the immune dysfunction. In this sense, it is possible that the therapeutic effects of MORE and MOHRE on DSS-induced chronic colitis may be achieved via inducing apoptosis of overactivated lymphocytes, leading to the decrease of the levels of inflammatory cytokines and the restoration of normal immune response. Based on this, it is also worth to further investigate the apoptosis effect of MORE and MOHRE on Treg or Teff cells in vivo and in vitro. To explore this, we should mark additional surface markers of Treg or Teff cells. Unfortunately, it was technically impossible that a 5-color flow cutometer was used in this study. However, further study along these lines should be continued.

cOnclUsiOn
Although the content of active chemical composition is not completely consistent, our study discovered that the hairy roots of M. officinalis are equally effective as the native plant in the treatment of UC in a DSS-induced chronic colitis model. Our research demonstrated three possible mechanisms of action for MORE and MOHRE, including the anti-inflammatory effect, the promotion of T lymphocyte apoptosis and the reduction of abnormal immune responses. In addition, the successful derivation of a sustainable hairy root culture provides a model platform to study the synthetic pathways for bioactive metabolites such as iridoids and anthraquinones and makes the use of bioreactors to largely produce traditional Chinese medicine a reality to treat IBD.

eThics sTaTeMenT
Adult male and female Kunming (KM) mice (18-22 g) were purchased from the Laboratory Animal Services Center, Guangzhou University of Chinese Medicine (Guangzhou, China). All animals are raised in accordance with the National Institutes of Health Guide for Laboratory animals' use. The study was approved by the Animal Ethics Committee of Guangzhou University of Chinese Medicine. Animals were housed under standard environment condition of temperature at 20-25°C under a 12 h dark/light cycle, and allowed free access to sterilized water and standard food. aUThOr cOnTriBUTiOns JL, PW, HL, and JL contributed to the animal experiments, cell experiments, and data analysis. HH, YW, CF, XJ, HL, and QX contributed to the study analysis and data analysis. XL and LZ contributed to the revision of the manuscript. SC and SH contributed to the conception and design of the study.