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<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Physiol.</journal-id>
<journal-title>Frontiers in Physiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Physiol.</abbrev-journal-title>
<issn pub-type="epub">1664-042X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">1138947</article-id>
<article-id pub-id-type="doi">10.3389/fphys.2023.1138947</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Physiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Simultaneous quantitative analysis and <italic>in vitro</italic> anti-arthritic effects of five polyphenols from <italic>Terminalia chebula</italic>
</article-title>
<alt-title alt-title-type="left-running-head">Liu et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fphys.2023.1138947">10.3389/fphys.2023.1138947</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Liu</surname>
<given-names>Fang</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/624838/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhan</surname>
<given-names>Shipeng</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1499243/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Pu</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jia</surname>
<given-names>Changsheng</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1736803/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhu</surname>
<given-names>Qingzong</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Dai</surname>
<given-names>Qing</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yu</surname>
<given-names>Mingjie</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cheng</surname>
<given-names>Lin</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1057787/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Xiong</surname>
<given-names>Lirong</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sun</surname>
<given-names>Fengjun</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/196975/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Xia</surname>
<given-names>Peiyuan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Zhang</surname>
<given-names>Xiao</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2122181/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Hu</surname>
<given-names>Jing</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1881492/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Pharmacy</institution>, <institution>Southwest Hospital</institution>, <institution>Third Military Medical University (Army Medical University)</institution>, <addr-line>Chongqing</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>NMPA Key Laboratory for Quality Monitoring of Narcotic Drugs and Psychotropic Substances</institution>, <institution>Chongqing Institute for Food and Drug Control</institution>, <addr-line>Chongqing</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Institute of Pathology and Southwest Cancer Center</institution>, <institution>Southwest Hospital</institution>, <institution>Third Military Medical University (Army Medical University)</institution>, <addr-line>Chongqing</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1993515/overview">Xun Li</ext-link>, University of Maryland, United States</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2110597/overview">Yuanyuan Ji</ext-link>, University of Maryland, United States</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2188475/overview">Guo-Qiang Zhang</ext-link>, Nankai University, China</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1554750/overview">Guo Ma</ext-link>, Fudan University, China</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Peiyuan Xia, <email>peiyuan_xia@163.com</email>; Xiao Zhang, <email>zhangxiao_swh@163.com</email>; Jing Hu, <email>18219797@qq.com</email>
</corresp>
<fn fn-type="equal" id="fn1">
<label>
<sup>&#x2020;</sup>
</label>
<p>These authors have contributed equally to this work and share first authorship</p>
</fn>
<fn fn-type="other">
<p>This article was submitted to SkeletalPhysiology, a section of the journal Frontiers in Physiology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>08</day>
<month>03</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>14</volume>
<elocation-id>1138947</elocation-id>
<history>
<date date-type="received">
<day>06</day>
<month>01</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>27</day>
<month>02</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2023 Liu, Zhan, Zhang, Jia, Zhu, Dai, Yu, Cheng, Xiong, Sun, Xia, Zhang and Hu.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Liu, Zhan, Zhang, Jia, Zhu, Dai, Yu, Cheng, Xiong, Sun, Xia, Zhang and Hu</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>
<bold>Background:</bold> The fruit of <italic>Terminalia chebula</italic> has been widely used for a thousand years for treating diarrhea, ulcers, and arthritic diseases in Asian countries. However, the active components of this Traditional Chinese medicine and their mechanisms remain unclear, necessitating further investigation.</p>
<p>
<bold>Objectives:</bold> To perform simultaneous quantitative analysis of five polyphenols in <italic>T. chebula</italic> and evaluate their anti-arthritic effects including antioxidant and anti-inflammatory activity <italic>in vitro</italic>.</p>
<p>
<bold>Materials and methods:</bold> Water, 50% water-ethanol, and pure ethanol were used as extract solvents. Quantitative analysis of gallic acid, corilagin, chebulanin, chebulagic acid, and ellagic acid in the three extracts was performed using high-performance liquid chromatography (HPLC). Antioxidant activity was assessed by the 2,2-diphenylpicrylhydrazyl (DPPH) radical-scavenging assay, and anti-inflammatory activity was evaluated by detecting interleukin (IL)-6 and IL-8 expression in IL-1&#x3b2;-stimulated MH7A cells.</p>
<p>
<bold>Results:</bold> The 50% water-ethanol solvent was the optimal solvent yielding the highest total polyphenol content, and the concentrations of chebulanin and chebulagic acid were much higher than those of gallic acid, corilagin, and ellagic acid in the extracts. The DPPH radical-scavenging assay showed that gallic acid and ellagic acid were the strongest antioxidative components, while the other three components showed comparable antioxidative activity. As for the anti-inflammatory effect, chebulanin and chebulagic acid significantly inhibited IL-6 and IL-8 expression at all three concentrations; corilagin and ellagic acid significantly inhibited IL-6 and IL-8 expression at high concentration; and gallic acid could not inhibit IL-8 expression and showed weak inhibition of IL-6 expression in IL-1&#x3b2;-stimulated MH7A cells. Principal component analysis indicated that chebulanin and chebulagic acid were the main components responsible for the anti-arthritic effects of <italic>T. chebula</italic>.</p>
<p>
<bold>Conclusion:</bold> Our findings highlight the potential anti-arthritic role of chebulanin and chebulagic acid from <italic>T. chebula</italic>.</p>
</abstract>
<kwd-group>
<kwd>
<italic>Terminalia chebula</italic>
</kwd>
<kwd>simultaneous quantitative analysis</kwd>
<kwd>DPPH assay</kwd>
<kwd>anti-arthritic effect</kwd>
<kwd>principal components analysis</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>Rheumatoid arthritis (RA) is a complex chronic and systematic autoimmune disease that is characterized by synovial cell hyperplasia, consecutive inflammation, and progressive joint destruction, eventually leading to considerable disability (<xref ref-type="bibr" rid="B42">Weyand and Goronzy, 2021</xref>). Synovial cells, T cells, and macrophages are the three main immune cell types in RA disease progression (<xref ref-type="bibr" rid="B15">Jang et al., 2022</xref>). Among them, activated synovial cells are mainly involved in the pathogenesis and progression of RA, and pro-inflammatory mediators such as tumor necrosis factor (TNF)-&#x3b1; and interleukin (IL)-1&#x3b2; are typical activators of synovial cells (<xref ref-type="bibr" rid="B33">Ridgley et al., 2018</xref>; <xref ref-type="bibr" rid="B3">Chen et al., 2019</xref>). In addition to stimulating their own production, these mediators also induce the production of other inflammatory cytokines and mediators, including IL-6 and IL-8, and increased levels of these inflammatory mediators induce persistent inflammation and cartilage degradation (<xref ref-type="bibr" rid="B25">McInnes et al., 2016</xref>). Therefore, inhibition of the production of inflammatory cytokines by activated synovial cells is considered a potential therapeutic target for arthritis treatment. Disease-modifying anti-rheumatic drugs (DMARDs) are mainly used in clinical practice and include conventionally synthesized DMARDs, biological DMARDs, and targeted synthetic DMARDs (<xref ref-type="bibr" rid="B35">Singh et al., 2016</xref>; <xref ref-type="bibr" rid="B37">Smolen et al., 2020</xref>). The guidelines recommend conventionally synthesized DMARDs, especially methotrexate, as the first choice for RA treatment, but long-term use of these drugs may cause adverse reactions such as gastrointestinal lesions, liver toxicity, and cardiovascular complications, leading to intolerance (<xref ref-type="bibr" rid="B35">Singh et al., 2016</xref>). Biological MDARDs and targeted synthetic DMARDs are newly developed drugs with promising results, but approximately 20% of the patients still do not show good responses to those drugs. Moreover, those drugs are expensive, and their long-term use may cause adverse reactions such as respiratory tract infection and blood system toxicity. Therefore, development of new drugs for the treatment of RA has remained a key objective.</p>
<p>The fruit of <italic>Terminalia chebula</italic> Retz has been widely used as a folk medicine in India, China, and other Asian countries (<xref ref-type="bibr" rid="B30">Nigam et al., 2020</xref>). In traditional Chinese medicine, especially in Tibetan and Mongolian medicine, <italic>T. chebula</italic> is known as the &#x201c;king of medicines&#x201d; because of its extraordinary range of anticancer, antioxidative, antidiabetic, anti-inflammatory, antimicrobial, and immunomodulatory activities (<xref ref-type="bibr" rid="B46">Zhou et al., 2017</xref>; <xref ref-type="bibr" rid="B13">He et al., 2021</xref>). The antiarthritic effects and ability to relieve joint discomfort of water and ethanol extracts of <italic>T. chebula</italic> have been examined in animal models and clinical studies (<xref ref-type="bibr" rid="B16">Kalaiselvan and Rasool, 2015</xref>; <xref ref-type="bibr" rid="B17">Karlapudi et al., 2018</xref>; <xref ref-type="bibr" rid="B7">Ekambaram et al., 2020</xref>). Previous phytochemical studies indicated that polyphenols, flavonoids and triterpenoids are the main effective components of these extracts (<xref ref-type="bibr" rid="B10">Gowda et al., 2012</xref>; <xref ref-type="bibr" rid="B14">Hedina et al., 2016</xref>). In our previous study, we conducted a network-based pharmacology analysis and screened out 10 potential active components (six polyphenols and four alkaloids) of <italic>T. chebula</italic> as the candidate active components for the treatment of RA (<xref ref-type="bibr" rid="B8">Fang et al., 2019</xref>). However, quantitative analysis of those polyphenols in <italic>T. chebula</italic> has not been performed and needs further investigation. Some studies evaluated the anti-inflammatory effect of chebulagic acid, one of polyphenols isolated from <italic>T. chebula</italic>, in LPS-stimulated RAW264.7 cell lines (<xref ref-type="bibr" rid="B23">Liu et al., 2015</xref>). However, the anti-inflammatory effects of polyphenols on inflammatory cytokine production by IL-1&#x3b2;-stimulated synovial cells have not been evaluated yet. MH7A is a novel immortalized rheumatoid fibroblast-like synoviocyte line that was established by stably transfecting FLS cells with the SV40 T antigen gene (<xref ref-type="bibr" rid="B27">Miyazawa et al., 1998</xref>). It is usually used for investigating the regulation of rheumatoid FLS to develop future RA therapy (<xref ref-type="bibr" rid="B45">Zhang et al., 2019</xref>; <xref ref-type="bibr" rid="B18">Kong et al., 2020</xref>). Studies on natural compounds&#x2019; anti-arthritic effects have mainly focused on their influence on antioxidant and anti-inflammatory effects (<xref ref-type="bibr" rid="B44">Yu et al., 2021</xref>). Therefore, in the present study, we quantitatively determined the polyphenols in different extracts and investigated the antioxidant effects of polyphenols by DPPH radical-scavenging assay, and further investigated the anti-inflammatory effect on the production of inflammatory cytokines such as IL-6 and IL-8 by IL-1&#x3b2;-stimulated synovial cells. The results from principal component analysis indicated that among those polyphenols, chebulanin and chebulagic acid are the main anti-arthritic components.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>2 Materials and methods</title>
<sec id="s2-1">
<title>2.1 Reagents</title>
<p>Chebulanin (cat. no. BCP28247, purity &#x2265; 95%) was purchased from Hanxiang Biotechnology Company (Shanghai, China); gallic acid (cat. no. BCP17127, purity &#x2265; 98%), corilagin (cat. no. F0304AS, purity &#x2265; 95%), chebulagic acid (cat. no. MB5881, purity &#x2265; 95%), and ellagic acid (cat. no. M0104AS, purity &#x2265; 98%) were purchased from Meilun biotechnology company (Dalian, China). Folin&#x2013;Ciocalteu reagent (cat. no. 101625012) and 2,2-diphenylpicrylhydrazyl (DPPH; cat. no. 101285784) were supplied by Sigma-Aldrich Co. (St Louis, MO, United States). HPLC-grade methanol and acetonitrile were obtained from Dikma Technologies (Shanghai, China); fetal bovine serum (FBS) and Dulbecco&#x2019;s modified Eagle&#x2019;s medium (DMEM) were purchased from Gibco (New York, United States). Cell counting kit-8 (CCK-8) (cat. no. BG0025) was obtained from Bioground Company (Chongqing, China). Human IL-6 (cat. no. EK0410) and IL-8 (cat. no. EK0413) enzyme-linked immunosorbent assay (ELISA) kits were purchased from Boster Biological Technology Co., Ltd., (Wuhan, China). Recombinant human IL-1&#x3b2; (cat. no. 201-LB-005/CF) was purchased from R&#x26;D Systems (St Paul, MN).</p>
</sec>
<sec id="s2-2">
<title>2.2 Plant materials</title>
<p>
<italic>T. chebula</italic> (simmer <italic>T. chebula</italic>, cat. no. 180605) originating from Guangxi Province was purchased from Chongqing Shangyao Huiyuan Pharmaceutical Co., (China) and authenticated by Prof. Fan Weiqiang, an expert in Tibetan medicine from Aba in Sichuan Institute for Food and Drug Control, People&#x2019;s Republic of China.</p>
</sec>
<sec id="s2-3">
<title>2.3 Preparation of extracts</title>
<p>
<italic>T. chebula</italic> was crushed into powder, and 50&#xa0;g of the powder was extracted three times with 300&#xa0;mL of water, 300&#xa0;mL of 50% water-ethanol, or 300&#xa0;mL of ethanol for 20&#xa0;min by ultrasonication. The extracts from the three rounds of extraction were combined and filtered through a filter paper. The water extracts were lyophilized to obtain <italic>chebula</italic> water extract (CWE); the 50% water-ethanol and ethanol extracts were evaporated under pressure and then lyophilized, yielding <italic>chebula</italic> water-ethanol extract (CWEE) and <italic>chebula</italic> ethanol extract (CEE), respectively.</p>
</sec>
<sec id="s2-4">
<title>2.4 Total phenolic content determination</title>
<p>The total phenolic content of the extracts was determined by the Folin&#x2013;Ciocalteu assay with some modification (<xref ref-type="bibr" rid="B1">Ainsworth and Gillespie, 2007</xref>). Briefly, 50&#xa0;&#x3bc;L of Folin&#x2013;Ciocalteu reagent (2N) was added to 100&#xa0;&#x3bc;L of the extract solution and vortexed for 30&#xa0;s, followed by the addition of 100&#xa0;&#x3bc;L of 10% (w/v) sodium carbonate and vortexing for 30&#xa0;s, incubation in the dark for 30&#xa0;min, and measurement of absorbance at 760&#xa0;nm. The total phenolic content was calculated from the calibration curve, and the results were expressed as mg of gallic acid equivalent per g of dry weight.</p>
</sec>
<sec id="s2-5">
<title>2.5 Simultaneous qualitative and quantitative analysis of polyphenols</title>
<p>We first used an AB SCIEX X500R Q-TOF high-resolution mass spectrometer to qualitatively analyze the components of the 50% water-ethanol extract. Next, Agilent ZORBAX Eclipse Plus C18 (2.1&#xa0;mm &#xd7; 50&#xa0;mm, 1.8&#xa0;&#x3bc;m) was used as the separation column; the mobile phase consisted of methanol (phase A) and 0.1% formic acid aqueous solution (phase B). The gradient elution was as follows: 0&#x2013;3&#xa0;min, 20%&#x2013;90% B; 3&#x2013;7&#xa0;min, 90% B; 7&#x2013;10&#xa0;min, 10% B; flow rate was 0.3&#xa0;mL/min, and the injection volume was 5&#xa0;&#x3bc;L. Mass spectrometry analyses were performed with an electrospray ion source in a negative ion mode and the following parameters: ion source gas pressure, 45&#xa0;psi; curtain gas pressure, 35&#xa0;psi; temperature, 400&#xb0;C; scan time, 10&#xa0;min; electrospray voltage, &#x2212;4500&#xa0;V; declustering potential (DP), &#x2212;80&#xa0;V; and collision energy (CE), &#x2212;10&#xa0;V.</p>
<p>Then, we established and validated a rapid and sensitive HPLC method for simultaneous quantitative analysis of the polyphenols in different extracts. An HPLC system including a Waters 2695 Alliance peristaltic pump and a Waters 996D UV detector was employed for simultaneous quantitative analysis in this study. The separation column was Ultimate LP C18 (250&#xa0;mm &#xd7; 4.6&#xa0;mm; particle size: 5&#xa0;&#x3bc;m; Welch, Shanghai, China). The mobile phase consisted of methanol (phase A) and water containing 0.6% phosphoric acid (phase B) with the following gradient system: 5% (A) in 0&#x2013;2&#xa0;min, 5%&#x2013;20% (A) in 2&#x2013;10&#xa0;min, 20%&#x2013;27% (A) in 10&#x2013;25&#xa0;min, 27%&#x2013;45% (A) in 25&#x2013;40&#xa0;min, 45%&#x2013;100% (A) in 40&#x2013;45&#xa0;min, and 100%&#x2013;5% (A) in 45&#x2013;50&#xa0;min. The flow rate was 1.2&#xa0;mL/min using detection wavelengths of 278&#xa0;nm and an injection volume of 10&#xa0;&#x3bc;L.</p>
</sec>
<sec id="s2-6">
<title>2.6 Validation of the quantitative analyzed method</title>
<p>The validation of the method for simultaneous quantitative analyze of gallic acid, corilagin, chebulanin, chebulagic acid, and ellagic acid was conducted according to the International Conference on Harmonization (ICH) guidelines, ICH Q2 (R1) (<xref ref-type="bibr" rid="B19">Kumar et al., 2020</xref>). Specificity, linearity, range, accuracy, precision and stability were selected as validated parameters. The method&#x2019;s specificity was determined by comparing the chromatograms obtained from the analysis of a blank, mixed standard solution, and sample solution. Linearity and range were performed by calibration curve of six concentrations of working standard solution. The <italic>r</italic>
<sup>2</sup> of all curves were calculated. Accuracy was performed by determining low, medium and high concentrations of standard solution. The accuracy was shown as % recovery. Precision was conducted by analysis of standard solution at low, medium and high concentration. Intra-precision was calculated from parallel measurement of five copies within 1&#xa0;day and inter-precision was calculated from parallel measurement of five copies over three consecutive days. The precision was shown as %RSD. Stability was conducted by analysis of test samples at 0 and 12&#xa0;h respectively and shown as ratio between 0 and 12&#xa0;h.</p>
</sec>
<sec id="s2-7">
<title>2.7 Antioxidant analysis</title>
<sec id="s2-7-1">
<title>2.7.1 DPPH radical-scavenging assay</title>
<p>Scavenging of DPPH free radicals is a common antioxidant assay. We assessed the DPPH free radical-scavenging activity of the extracts and individual components according to a published method with some modifications (<xref ref-type="bibr" rid="B11">Gulcin, 2020</xref>). Briefly, 100&#xa0;&#x3bc;L of DPPH solution (100&#xa0;&#x3bc;g/mL) was added to 100&#xa0;&#x3bc;L of each extract and individual components of different concentrations (2, 5, 10, 25, 50, 125, and 250&#xa0;&#x3bc;g/mL) and mixed gently for 30&#xa0;s. The mixture was then allowed to incubate at room temperature for 30&#xa0;min and the absorbance was determined at 518&#xa0;nm and noted as A<sub>i</sub>. Absorbance of DPPH was also determined and noted as A<sub>t</sub>. The scavenging effect was calculated using the following formula:<disp-formula id="equ1">
<mml:math id="m1">
<mml:mrow>
<mml:mi mathvariant="normal">D</mml:mi>
<mml:mi mathvariant="normal">P</mml:mi>
<mml:mi mathvariant="normal">P</mml:mi>
<mml:mi mathvariant="normal">H</mml:mi>
<mml:mo>&#x2212;</mml:mo>
<mml:mi mathvariant="normal">s</mml:mi>
<mml:mi mathvariant="normal">c</mml:mi>
<mml:mi mathvariant="normal">a</mml:mi>
<mml:mi mathvariant="normal">v</mml:mi>
<mml:mi mathvariant="normal">e</mml:mi>
<mml:mi mathvariant="normal">n</mml:mi>
<mml:mi mathvariant="normal">g</mml:mi>
<mml:mi mathvariant="normal">i</mml:mi>
<mml:mi mathvariant="normal">n</mml:mi>
<mml:mi mathvariant="normal">g</mml:mi>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mi mathvariant="normal">e</mml:mi>
<mml:mi mathvariant="normal">f</mml:mi>
<mml:mi mathvariant="normal">f</mml:mi>
<mml:mi mathvariant="normal">e</mml:mi>
<mml:mi mathvariant="normal">c</mml:mi>
<mml:mi mathvariant="normal">t</mml:mi>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="|">
<mml:mrow>
<mml:mo>%</mml:mo>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mi mathvariant="normal">A</mml:mi>
<mml:mi mathvariant="normal">t</mml:mi>
<mml:mo>&#x2212;</mml:mo>
<mml:mi mathvariant="normal">A</mml:mi>
<mml:mi mathvariant="normal">i</mml:mi>
</mml:mrow>
<mml:mrow>
<mml:mi mathvariant="normal">A</mml:mi>
<mml:mi mathvariant="normal">t</mml:mi>
</mml:mrow>
</mml:mfrac>
<mml:mo>&#xd7;</mml:mo>
<mml:mn>100</mml:mn>
<mml:mo>%</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
</p>
</sec>
</sec>
<sec id="s2-8">
<title>2.8 Anti-inflammatory analysis</title>
<sec id="s2-8-1">
<title>2.8.1 Cell culture</title>
<p>Human rheumatoid arthritis synovial MH7A cells were obtained from RIKEN BRC cell bank and cultured in DMEM medium supplemented with 10% FBS at 37&#xb0;C in 5% CO<sub>2</sub> incubator. The cells were sub-cultured when cell fusion was above 85%.</p>
</sec>
<sec id="s2-8-2">
<title>2.8.2 Assessment of cell viability by the CCK-8 assay</title>
<p>Cell viability was assessed by the CCK-8 assay. Briefly, MH7A cells were cultured in 96-well plates at 200&#xa0;&#x3bc;L per well and a density of 5 &#xd7; 10<sup>3</sup> cells/well, different concentrations of the five polyphenols were added, and the cells were incubated for 24&#xa0;h. Next, 20&#xa0;&#x3bc;L of CCK-8 was added to each well and incubated at 37&#xb0;C atmosphere for 1&#xa0;h. The absorbance was measured at 450&#xa0;nm.</p>
</sec>
<sec id="s2-8-3">
<title>2.8.3 Determination of IL-6 and IL-8 expression by ELISA kits</title>
<p>MH7A cells were cultured in 96-well plates at a density of 5 &#xd7; 10<sup>3</sup> cells/well and pretreated with various concentrations of 50% water-ethanol extracts and individual polyphenols for 2&#xa0;h. Then after, incubation with or without of IL-1&#x3b2; (5&#xa0;ng/mL) for 6&#xa0;h, the culture supernatants were collected and the concentrations of IL-6 and IL-8 were measured using ELISA kits according to the manufacturer&#x2019;s instructions. The absorbance was measured at 450&#xa0;nm and the concentration was calculated from a standard curve.</p>
</sec>
</sec>
<sec id="s2-9">
<title>2.9 Principal component analysis</title>
<p>We used principal component analysis to rank the polyphenols and thereby identify the main active components. The contents of each polyphenol in the extracts, the IC<sub>50</sub> values for DPPH-scavenging activity, and the IL-6 and IL-8 inhibition rates were selected as assessment indicators.</p>
</sec>
<sec id="s2-10">
<title>2.10 Statistical analysis</title>
<p>All statistical analysis were performed in IBM SPSS software version 25.0 (IBM Corp, Armonk, NY, United States). The IC<sub>50</sub> values for the DPPH-scavenging effect were calculated by GraphPad software. All experimental values were expressed as mean &#xb1; standard deviation. Significant differences among multiple groups were determined by one-way analysis of variance, and <italic>post-hoc</italic> tests were conducted by Dunnett&#x2019;s comparisons; <italic>p</italic>-values less than 0.05 were considered significant.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>3 Results</title>
<sec id="s3-1">
<title>3.1 Simultaneous qualitative and quantitative analysis of polyphenols in different extraction solvents</title>
<p>First, we utilized UPLC-Q-TOF technology for qualitative analysis of the components in 50% water-ethanol extract, and the results revealed six polyphenols (gallic acid, chebulic acid, corilagin, chebulanin, chebulagic acid, and ellagic acid) while four alkaloids were not identified, indicating that polyphenols may be the main components in this extract condition for RA treatment (<xref ref-type="sec" rid="s11">Supplementary Figure S1</xref>).</p>
<p>Next, we used the Folin&#x2013;Ciocalteu reagent to identify the total polyphenol content in the fruit of <italic>T. chebula</italic>. The total polyphenol content in CWEE was significantly higher than that in CWE and CEE (<xref ref-type="fig" rid="F1">Figure 1</xref>). Subsequently, we utilized HPLC-UV for quantitative analysis of individual polyphenols in different extracts. The representative chromatography was shown in <xref ref-type="fig" rid="F2">Figure 2</xref>, We noticed that the blank sample (<xref ref-type="fig" rid="F2">Figure 2A</xref>) did not interfere the determination of five polyphenols (<xref ref-type="fig" rid="F2">Figure 2B</xref>). The retention time of gallic acid, corilagin, chebulanin, chebulagic acid, and ellagic acid in standard solution were 7.383, 20.541, 21.782, 30.010, and 39.551&#xa0;min, respectively. The analyzed peaks in the chromatography of CWE (<xref ref-type="fig" rid="F2">Figure 2C</xref>), CWEE (<xref ref-type="fig" rid="F2">Figure 2D</xref>) and CEE (<xref ref-type="fig" rid="F2">Figure 2E</xref>) corresponded to the respective standards in the chromatography of the standard solution.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Total polyphenol content from different extracts (&#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01). CWE, water extract of <italic>Terminalia chebula</italic>; CWEE, 50% water-ethanol extract of <italic>T. chebula</italic>; CEE, ethanol extract of <italic>T. chebula</italic>.</p>
</caption>
<graphic xlink:href="fphys-14-1138947-g001.tif"/>
</fig>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>The representative chromatography of blank <bold>(A)</bold>, standard solution <bold>(B)</bold>, water extraction sample <bold>(C)</bold>, 50% water-ethanol extraction sample <bold>(D)</bold> and pure ethanol extraction sample <bold>(E)</bold> and quantitative analysis of the five polyphenols in different extracts <bold>(F)</bold>. &#x2a;<italic>p</italic> &#x3c; 0.05.</p>
</caption>
<graphic xlink:href="fphys-14-1138947-g002.tif"/>
</fig>
<p>The linearity was determined by <italic>r</italic>
<sup>2</sup> calculated from calibration curves. The linear regression equation, concentration range, and linearity coefficients of those five polyphenols were listed in <xref ref-type="table" rid="T1">Table 1</xref>. The <italic>r</italic>
<sup>2</sup> value of gallic acid, corilagin, chebulanin, chebulagic acid, and ellagic acid were 0.9997, 0.9996, 0.9991, 0.9991, and 0.9998, respectively. The range of gallic acid (2.23&#x2013;217.56&#xa0;&#x3bc;g/mL), corilagin (2.33&#x2013;228.00&#xa0;&#x3bc;g/mL), chebulanin (2.07&#x2013;202&#xa0;&#x3bc;g/mL), chebulagic acid (2.25&#x2013;220&#xa0;&#x3bc;g/mL), and ellagic acid (0.54&#x2013;52.43&#xa0;&#x3bc;g/mL) showed good linearity. The detailed results of accuracy, precision and stability were shown in (<xref ref-type="sec" rid="s11">Supplementary Tables S1&#x2013;S4</xref>). The % recovery of five polyphenols ranged from 95.2% to 103.36%, the RSD % of intra-precision ranged from 0.41% to 4.97% while the RSD % of inter-precision ranged from 1.40% to 6.16%. The stability, represented by the ratio of concentration at 12&#xa0;h to concentration at 0&#xa0;h of five polyphenols varied from 104.77% to 105.58%.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Linear regression equation, linear range, and correlation coefficient of each component.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="center">Component</th>
<th align="center">Regression equation</th>
<th align="center">Linear range (&#x3bc;g/mL)</th>
<th align="center">Correlation coefficient</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="center">Gallic acid</td>
<td align="center">Y &#x3d; 1.29 &#xd7; 10<sup>4</sup> X - 4.52 &#xd7; 10<sup>3</sup>
</td>
<td align="center">2.23&#x2013;217.56</td>
<td align="center">0.9997</td>
</tr>
<tr>
<td align="center">Corilagin</td>
<td align="center">Y &#x3d; 7.24 &#xd7; 10<sup>3</sup> X - 3.81 &#xd7; 10<sup>3</sup>
</td>
<td align="center">2.33&#x2013;228.00</td>
<td align="center">0.9996</td>
</tr>
<tr>
<td align="center">Chebulanin</td>
<td align="center">Y &#x3d; 7.43 &#xd7; 10<sup>3</sup> X - 3.75 &#xd7; 10<sup>3</sup>
</td>
<td align="center">2.07&#x2013;202.00</td>
<td align="center">0.9991</td>
</tr>
<tr>
<td align="center">Chebulagic acid</td>
<td align="center">Y &#x3d; 6.63 &#xd7; 10<sup>3</sup> X - 4.50 &#xd7; 10<sup>3</sup>
</td>
<td align="center">2.25&#x2013;220.00</td>
<td align="center">0.9991</td>
</tr>
<tr>
<td align="center">Ellagic acid</td>
<td align="center">Y &#x3d; 8.10 &#xd7; 10<sup>3</sup> X - 7.51 &#xd7; 10<sup>2</sup>
</td>
<td align="center">0.54&#x2013;52.43</td>
<td align="center">0.9998</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>The individual concentration of five polyphenols was exhibited in <xref ref-type="fig" rid="F2">Figure 2F</xref>, it is shown that gallic acid, corilagin, chebulanin, chebulagic acid, and ellagic acid were all extracted by the three different extract solvent with varied content. Among them, CWEE showed the highest content of five polyphenols than CWE and CEE. Chebulanin was the most abundant component with concentration at 46.20 &#xb1; 1.30&#xa0;&#x3bc;g/mL; chebulagic acid was slightly lower than chebulanin with concentration at 42.81 &#xb1; 0.56&#xa0;&#x3bc;g/mL; subsequently followed by gallic acid with concentration at 24.18 &#xb1; 2.92&#xa0;&#x3bc;g/mL and corilagin with concentration at 17.52 &#xb1; 1.37&#xa0;&#x3bc;g/mL. ellagic acid showed the lowest concentration at 10.75 &#xb1; 2.60&#xa0;&#x3bc;g/mL.</p>
</sec>
<sec id="s3-2">
<title>3.2 Antioxidant activity of different extracts and five polyphenols</title>
<p>CWEE showed the best DPPH-scavenging activity with an IC<sub>50</sub> value of 7.305&#xa0;&#x3bc;g/mL, followed by CWE with an IC<sub>50</sub> value of 12.78&#xa0;&#x3bc;g/mL and CEE with an IC<sub>50</sub> value of 13.12&#xa0;&#x3bc;g/mL (<xref ref-type="fig" rid="F3">Figure 3A</xref>). The solutions of all five polyphenols showed superior antioxidant activity than CWEE. Among them, gallic acid showed the best antioxidant activity, followed by ellagic acid, and the remaining three compounds had comparable antioxidant activity (<xref ref-type="fig" rid="F3">Figure 3B</xref>). All samples exhibited antioxidant activity in a concentration-dependent manner.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>The effects of different extracts of <italic>T. chebula</italic> and polyphenols on DPPH radical-scavenging activity. <bold>(A)</bold> different extracts; <bold>(B)</bold> CWEE and the five polyphenol solutions.</p>
</caption>
<graphic xlink:href="fphys-14-1138947-g003.tif"/>
</fig>
</sec>
<sec id="s3-3">
<title>3.3 Effects of the five polyphenols from <italic>T. chebula</italic> on cell viability</title>
<p>We first used the CCK-8 assay to evaluate the cytotoxicity of the five polyphenols at different concentrations (0, 1, 5, 10, 50, 100, 500&#xa0;&#x3bc;M) on MH7A cells. As shown in <xref ref-type="fig" rid="F4">Figure 4</xref>, significant cytotoxic effects were observed only at 500&#xa0;&#x3bc;M, and none of the components showed cytotoxic effects in MH7A&#xa0;cells at concentrations up to 100&#xa0;&#x3bc;M; therefore, all subsequent experiments with the components were conducted with concentrations &#x2264;100&#xa0;&#x3bc;M.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Effects of the five polyphenols on the proliferation of MH7A cells in the CCK-8 assay (<italic>n</italic> &#x3d; 5); ns, <italic>p</italic> &#x3e; 0.05; &#x2a;<italic>p</italic> &#x3c; 0.05, &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01.</p>
</caption>
<graphic xlink:href="fphys-14-1138947-g004.tif"/>
</fig>
</sec>
<sec id="s3-4">
<title>3.4 Effects of the five polyphenols on pro-inflammatory cytokines in IL-1&#x3b2;-stimulated MH7A cells</title>
<p>To clarify the antiarthritic activity of the five polyphenols, the levels of pro-inflammatory cytokines such as IL-6 and IL-8 in the IL-1&#x3b2;-stimulated MH7A cell culture supernatant were determined by ELISA. As illustrated in <xref ref-type="fig" rid="F5">Figure 5</xref>, the IL-6 level was significantly increased by IL-1&#x3b2; stimulation, which indicated successful establishment of the immunomodulatory cell model. As expected, all five polyphenols showed a decreasing trend of IL-6 production, of which chebulagic acid showed the strongest inhibitory effect with dose-dependent inhibition rates ranging from 55.6% to 65.2%; chebulanin also showed prominent decreasing trend from 45.6% to 62.4% in a dose-dependent manner; corilagin and ellagic acid showed moderate decreasing trends, but the trends were not dose-dependent, while gallic acid showed a wild decreasing trend. The analyses of IL-8 production showed similar results for all polyphenols except gallic acid, which showed a significant reduction in IL-8 production (<xref ref-type="fig" rid="F6">Figure 6</xref>), while chebulagic acid and chebulanin showed dose-dependent trends.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>The effects of the five polyphenols on the expression of the pro-inflammatory cytokine IL-6 in IL-1&#x3b2;-stimulated MH7A cells (<italic>n</italic> &#x3d; 5); ns, <italic>p</italic> &#x3e; 0.05; &#x2a;<italic>p</italic> &#x3c; 0.05; &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01.</p>
</caption>
<graphic xlink:href="fphys-14-1138947-g005.tif"/>
</fig>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>The effects of the five polyphenols on the expression of the pro-inflammatory cytokine IL-8 in IL-1&#x3b2;-stimulated MH7A cells (<italic>n</italic> &#x3d; 5); ns, <italic>p</italic> &#x3e; 0.05; &#x2a;<italic>p</italic> &#x3c; 0.05; &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01.</p>
</caption>
<graphic xlink:href="fphys-14-1138947-g006.tif"/>
</fig>
</sec>
<sec id="s3-5">
<title>3.5 Principal component analysis clarified that chebulagic acid and chebulanin were the main active components</title>
<p>We used principal component analysis to calculate the scores for each polyphenol and rank them to identify the main active components. We selected the concentration of each component in the 50% ethanol extract, the IC<sub>50</sub> value for DPPH-scavenging activity, and the IL-6 and IL-8 inhibitory rates as assessment indicators. After analysis, three principal components with eigenvalues greater than 1 and a cumulative variance contribution of 98.770% were extracted (<xref ref-type="table" rid="T2">Table 2</xref>).</p>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>Explanation of the total variance.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th rowspan="2" align="left">Components</th>
<th colspan="3" align="center">Initial eigenvalues</th>
<th colspan="3" align="center">Extraction sums of squared loading</th>
</tr>
<tr>
<th align="center">Total</th>
<th align="center">% Of variance</th>
<th align="center">Cumulative %</th>
<th align="center">Total</th>
<th align="center">% Of variance</th>
<th align="center">Cumulative %</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">1</td>
<td align="right">4.269</td>
<td align="right">53.363</td>
<td align="right">53.363</td>
<td align="right">4.269</td>
<td align="right">53.363</td>
<td align="right">53.363</td>
</tr>
<tr>
<td align="left">2</td>
<td align="right">2.284</td>
<td align="right">28.551</td>
<td align="right">81.915</td>
<td align="right">2.284</td>
<td align="right">28.551</td>
<td align="right">81.915</td>
</tr>
<tr>
<td align="left">3</td>
<td align="right">1.348</td>
<td align="right">16.855</td>
<td align="right">98.770</td>
<td align="right">1.348</td>
<td align="right">16.855</td>
<td align="right">98.770</td>
</tr>
<tr>
<td align="left">4</td>
<td align="right">0.098</td>
<td align="right">1.230</td>
<td align="right">100.000</td>
<td align="left"/>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left">5</td>
<td align="right">5.894E<sup>-16</sup>
</td>
<td align="right">7.368E<sup>-15</sup>
</td>
<td align="right">100.000</td>
<td align="left"/>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left">6</td>
<td align="right">2.302E<sup>-16</sup>
</td>
<td align="right">2.878E<sup>-15</sup>
</td>
<td align="right">100.000</td>
<td align="left"/>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left">7</td>
<td align="right">9.315E<sup>-16</sup>
</td>
<td align="right">1.164E<sup>-15</sup>
</td>
<td align="right">100.000</td>
<td align="left"/>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left">8</td>
<td align="right">&#x2212;4.578E<sup>-16</sup>
</td>
<td align="right">&#x2212;5.722E<sup>-15</sup>
</td>
<td align="right">100.000</td>
<td align="left"/>
<td align="left"/>
<td align="left"/>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Extraction method: Principal component analysis.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>On the basis of the eigenvalues, the equations for calculating each principal component score (Eq. <xref ref-type="disp-formula" rid="e1">1</xref>) and the composite score (Eq. <xref ref-type="disp-formula" rid="e2">2</xref>) are listed below:<disp-formula id="e1">
<mml:math id="m2">
<mml:mrow>
<mml:mi mathvariant="normal">Y</mml:mi>
<mml:mn>1</mml:mn>
<mml:mo>&#x3d;</mml:mo>
<mml:mn>0.184</mml:mn>
<mml:msub>
<mml:mi mathvariant="normal">X</mml:mi>
<mml:mn>1</mml:mn>
</mml:msub>
<mml:mo>&#x2b;</mml:mo>
<mml:mn>0.319</mml:mn>
<mml:msub>
<mml:mi mathvariant="normal">X</mml:mi>
<mml:mn>2</mml:mn>
</mml:msub>
<mml:mo>&#x2b;</mml:mo>
<mml:mn>0.386</mml:mn>
<mml:msub>
<mml:mi mathvariant="normal">X</mml:mi>
<mml:mn>3</mml:mn>
</mml:msub>
<mml:mo>&#x2b;</mml:mo>
<mml:mn>0.198</mml:mn>
<mml:msub>
<mml:mi mathvariant="normal">X</mml:mi>
<mml:mn>4</mml:mn>
</mml:msub>
<mml:mo>&#x2b;</mml:mo>
<mml:mn>0.397</mml:mn>
<mml:msub>
<mml:mi mathvariant="normal">X</mml:mi>
<mml:mn>5</mml:mn>
</mml:msub>
<mml:mo>&#x2b;</mml:mo>
<mml:mn>0.429</mml:mn>
<mml:msub>
<mml:mi mathvariant="normal">X</mml:mi>
<mml:mn>6</mml:mn>
</mml:msub>
<mml:mo>&#x2b;</mml:mo>
<mml:mn>0.428</mml:mn>
<mml:msub>
<mml:mi mathvariant="normal">X</mml:mi>
<mml:mn>7</mml:mn>
</mml:msub>
<mml:mo>&#x2b;</mml:mo>
<mml:mn>0.388</mml:mn>
<mml:msub>
<mml:mi mathvariant="normal">X</mml:mi>
<mml:mn>8</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
<label>(1)</label>
</disp-formula>
<disp-formula id="equ2">
<mml:math id="m3">
<mml:mrow>
<mml:mi mathvariant="normal">Y</mml:mi>
<mml:mn>2</mml:mn>
<mml:mo>&#x3d;</mml:mo>
<mml:mn>0.492</mml:mn>
<mml:msub>
<mml:mi mathvariant="normal">X</mml:mi>
<mml:mn>1</mml:mn>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:mn>0.382</mml:mn>
<mml:msub>
<mml:mi mathvariant="normal">X</mml:mi>
<mml:mn>2</mml:mn>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:mn>0.335</mml:mn>
<mml:msub>
<mml:mi mathvariant="normal">X</mml:mi>
<mml:mn>3</mml:mn>
</mml:msub>
<mml:mo>&#x2b;</mml:mo>
<mml:mn>0.494</mml:mn>
<mml:msub>
<mml:mi mathvariant="normal">X</mml:mi>
<mml:mn>4</mml:mn>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:mn>0.371</mml:mn>
<mml:msub>
<mml:mi mathvariant="normal">X</mml:mi>
<mml:mn>5</mml:mn>
</mml:msub>
<mml:mo>&#x2b;</mml:mo>
<mml:mn>0.180</mml:mn>
<mml:msub>
<mml:mi mathvariant="normal">X</mml:mi>
<mml:mn>6</mml:mn>
</mml:msub>
<mml:mo>&#x2b;</mml:mo>
<mml:mn>0.049</mml:mn>
<mml:msub>
<mml:mi mathvariant="normal">X</mml:mi>
<mml:mn>7</mml:mn>
</mml:msub>
<mml:mo>&#x2b;</mml:mo>
<mml:mn>0.289</mml:mn>
<mml:msub>
<mml:mi mathvariant="normal">X</mml:mi>
<mml:mn>8</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula id="equ3">
<mml:math id="m4">
<mml:mrow>
<mml:mi mathvariant="normal">Y</mml:mi>
<mml:mn>3</mml:mn>
<mml:mo>&#x3d;</mml:mo>
<mml:mn>0.464</mml:mn>
<mml:msub>
<mml:mi mathvariant="normal">X</mml:mi>
<mml:mn>1</mml:mn>
</mml:msub>
<mml:mo>&#x2b;</mml:mo>
<mml:mn>0.409</mml:mn>
<mml:msub>
<mml:mi mathvariant="normal">X</mml:mi>
<mml:mn>2</mml:mn>
</mml:msub>
<mml:mo>&#x2b;</mml:mo>
<mml:mn>0.245</mml:mn>
<mml:msub>
<mml:mi mathvariant="normal">X</mml:mi>
<mml:mn>3</mml:mn>
</mml:msub>
<mml:mo>&#x2b;</mml:mo>
<mml:mn>0.433</mml:mn>
<mml:msub>
<mml:mi mathvariant="normal">X</mml:mi>
<mml:mn>4</mml:mn>
</mml:msub>
<mml:mo>&#x2b;</mml:mo>
<mml:mn>0.086</mml:mn>
<mml:msub>
<mml:mi mathvariant="normal">X</mml:mi>
<mml:mn>5</mml:mn>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:mn>0.320</mml:mn>
<mml:msub>
<mml:mi mathvariant="normal">X</mml:mi>
<mml:mn>6</mml:mn>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:mn>0.387</mml:mn>
<mml:msub>
<mml:mi mathvariant="normal">X</mml:mi>
<mml:mn>7</mml:mn>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:mn>0.332</mml:mn>
<mml:msub>
<mml:mi mathvariant="normal">X</mml:mi>
<mml:mn>8</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula id="e2">
<mml:math id="m5">
<mml:mrow>
<mml:mi mathvariant="normal">Y</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:mn>0.53363</mml:mn>
<mml:mo>&#xd7;</mml:mo>
<mml:msub>
<mml:mi mathvariant="normal">Y</mml:mi>
<mml:mn>1</mml:mn>
</mml:msub>
<mml:mo>&#x2b;</mml:mo>
<mml:mn>0.28551</mml:mn>
<mml:mo>&#xd7;</mml:mo>
<mml:msub>
<mml:mi mathvariant="normal">Y</mml:mi>
<mml:mn>2</mml:mn>
</mml:msub>
<mml:mo>&#x2b;</mml:mo>
<mml:mn>0.16855</mml:mn>
<mml:mo>&#xd7;</mml:mo>
<mml:msub>
<mml:mi mathvariant="normal">Y</mml:mi>
<mml:mn>3</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
<label>(2)</label>
</disp-formula>
</p>
<p>On the basis of these equations, we calculated the scores for the five components. As shown in <xref ref-type="table" rid="T3">Table 3</xref>, chebulagic acid and chebulanin showed significantly higher scores than the other three components; therefore, chebulagic acid and chebulanin were considered to be the main antiarthritic active components.</p>
<table-wrap id="T3" position="float">
<label>TABLE 3</label>
<caption>
<p>Principal component values and comprehensive principal component values of five polyphenols.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="center">Components</th>
<th align="center">Y1</th>
<th align="center">Y2</th>
<th align="center">Y3</th>
<th align="center">Y</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="center">Gallic acid</td>
<td align="center">&#x2212;3.49</td>
<td align="center">0.18</td>
<td align="center">0.66</td>
<td align="center">&#x2212;1.70</td>
</tr>
<tr>
<td align="center">Corilagin</td>
<td align="center">&#x2212;0.16</td>
<td align="center">0.59</td>
<td align="center">&#x2212;2.02</td>
<td align="center">&#x2212;0.26</td>
</tr>
<tr>
<td align="center">Chebulanin</td>
<td align="center">1.19</td>
<td align="center">1.02</td>
<td align="center">0.58</td>
<td align="center">1.02</td>
</tr>
<tr>
<td align="center">Chebulagic acid</td>
<td align="center">1.71</td>
<td align="center">0.86</td>
<td align="center">0.73</td>
<td align="center">1.28</td>
</tr>
<tr>
<td align="center">Ellagic acid</td>
<td align="center">0.75</td>
<td align="center">&#x2212;2.64</td>
<td align="center">0.06</td>
<td align="center">&#x2212;0.35</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>4 Discussion</title>
<p>
<italic>T. chebula</italic> has a diverse chemical composition, mainly including tannins, polyphenols, triterpenoids, flavonoids, and other components (<xref ref-type="bibr" rid="B12">Hassan Bulbul et al., 2022</xref>). We had previously conducted a network-based pharmacology analysis and screened 10 potential active components against RA, which mainly included polyphenols and alkaloids (<xref ref-type="bibr" rid="B8">Fang et al., 2019</xref>). However, since traditional Chinese medicine always shows a dose-effect relationship (<xref ref-type="bibr" rid="B39">Tang et al., 2012</xref>), qualitative and quantitative analysis of the chemical components are essential before <italic>in vitro</italic> activity investigations. In this study, we first utilized UPLC-Q-TOF high-resolution mass spectrometry for qualitative analysis of the chemical components in the extracts of <italic>T. chebula</italic> and identified six polyphenols, whereas four alkaloids were not detected. Therefore, the current study focused on the polyphenols found in <italic>T. chebula</italic>.</p>
<p>Water is thought to be a good solvent because of its safety and strong polarity. However, the enzyme polyphenol oxidase contained in water extracts may degrade polyphenols and reduce the biological activity in water extracts (<xref ref-type="bibr" rid="B5">Eid et al., 2023</xref>). Ethanol, as an organic solvent, has the potential to break down the cell wall and release more polyphenols but is less polar as compared with water (<xref ref-type="bibr" rid="B4">Dai and Mumper, 2010</xref>). Water is typically added to pure ethanol to increase its polarity. The use of organic solvents in conjunction with water allows for the extraction of all compounds that are soluble in both solvents, and exhibit their high extraction power (<xref ref-type="bibr" rid="B29">Nair et al., 2010</xref>; <xref ref-type="bibr" rid="B2">Bag et al., 2013</xref>). Therefore, we extracted the active components of <italic>T. chebula</italic> by water solvent, 50% water-ethanol solvent and pure ethanol solvent, respectively. The total polyphenol concent determined by Folin&#x2013;Ciocalteu assays showed that the highest total polyphenol content was obtained with the 50% water-ethanol extracts (CWEE), followed by the water extracts (CWE), while the pure ethanol extracts (CEE) showed the lowest total polyphenol content. The results also further confirmed that the organic solvents in conjunction with water exhibit their high extraction power and is the optimal solvent for polyphenol extraction.</p>
<p>Subsequently, we selected HPLC to determine the levels of individual polyphenols in different extracts, and HPLC analyses again showed the highest total and individual polyphenol levels in the 50% water-ethanol extracts. Interestingly, the highest levels in our study were obtained for chebulanin, which is slightly different from the results of other studies where chebulagic acid was the predominant component (<xref ref-type="bibr" rid="B34">Seo et al., 2012</xref>; <xref ref-type="bibr" rid="B24">Manosroi et al., 2013</xref>). Previous study reported that the plant phenolic accumulation correlates with ecological growth conditions. Their portions are largely decided by abiotic conditions such as climate, meteorology (temperature, humidity), and soil composition, and also geographical factors (<xref ref-type="bibr" rid="B28">Mykhailenko et al., 2020</xref>). In our study, we used <italic>T. chebula</italic> from Guangxi Province while other studies mainly used <italic>T. chebula</italic> from India or Thaland. To further verify that differences in growth conditions may lead to differences in components, we purchased commercial <italic>T. chebula</italic> extract capsules (AyuFlex<sup>&#xae;</sup>; Natreon, United States) and determined the components of each polyphenol. To our surprise, gallic acid was the predominant component in this <italic>T. chebula</italic> extract, much higher than in the other components. We found although the active components in <italic>T. chebula</italic> may show significant differences in the proportions of active components but not much in terms of category when they collected from different growth condition. Based on previous reports and our current study, it is gratifying to find that extracts from <italic>T. chebula</italic> showed good antioxidant activity and anti-inflammatory activity with different dosage regardless of the growth condition (<xref ref-type="bibr" rid="B34">Seo et al., 2012</xref>; <xref ref-type="bibr" rid="B36">Sireeratawong et al., 2014</xref>; <xref ref-type="bibr" rid="B43">Yang et al., 2014</xref>; <xref ref-type="bibr" rid="B22">Liu et al., 2020</xref>).</p>
<p>Studies on polyphenols&#x2019; anti-arthritic effects have mainly focused on their influence on inflammation pathways. However, there are some studies that concentrate on the antioxidant effect (<xref ref-type="bibr" rid="B38">Sung et al., 2019</xref>). Furthermore, there is some evidence for a positive effect of antioxidants on clinical symptoms of RA (<xref ref-type="bibr" rid="B41">van Vugt et al., 2008</xref>). <italic>T. chebula</italic> contains large amounts of polyphenols, which show excellent antioxidant activity as reactive oxygen species (ROS) scavengers. Therefore, we first utilized the DPPH assay to evaluate the antioxidant activity of different extracts and individual polyphenols of <italic>T. chebula</italic>. The results showed that the water extracts, 50% water-ethanol extracts, and ethanol extracts of <italic>T. chebula</italic> had good antioxidant activity with IC<sub>50</sub> values ranging from 7.305 to 13.12&#xa0;&#x3bc;g/mL. The 50% water-ethanol extract showed the best scavenging activity against DPPH radicals, with an IC<sub>50</sub> value of 7.305&#xa0;&#x3bc;g/mL. The DPPH radical-scavenging activity in our study was superior to that of a previous study (<xref ref-type="bibr" rid="B2">Bag et al., 2013</xref>). The individual polyphenols showed better scavenging activity than the 50% water-ethanol extract. It seems likely that antioxidant activity evaluated by radical scavenging activity of polyphenols appears to depend on the number of hydroxyl groups per molecule, the degree of conjugation of galloyl units, and the number of freely rotating galloyl groups (<xref ref-type="bibr" rid="B31">Pfundstein et al., 2010</xref>). In this study, gallic acid and ellagic acid exhibit the highest activity on a molar basis, consistent with their high density of hydroxyls and high molecular mobility. The corilagin, chebulanin and chebulagic acid exhibit a little weak antioxidant activity may due to the less freely rotating groups. It has been reported PI3K/Akt pathway which produces heme oxygenase-1 through transcription of the Nrf2 gene is thought to be the key element in the oxidative pathway that attributed a role in the reduction of RA symptoms by polyphenols (<xref ref-type="bibr" rid="B38">Sung et al., 2019</xref>). Gallic acid (<xref ref-type="bibr" rid="B21">Lin et al., 2020</xref>) and ellagic acid (<xref ref-type="bibr" rid="B47">Zhu et al., 2022</xref>) may reduce oxidative stress by enhancing Nrf2 signaling pathway and alleviate arthritis.</p>
<p>RA is characterized by inflammation of the synovial membrane and proliferation of the synovial lining. Fibroblast-like synoviocytes and macrophage-like synoviocytes play critical roles in the destructive process of RA (<xref ref-type="bibr" rid="B40">Tu et al., 2018</xref>). In the early stage of RA development, activated macrophages secrete pro-inflammatory cytokines such as TNF-&#x3b1;, IL-1&#x3b2; and IL-6. Such pro-inflammatory cytokines subsequently activate fibroblast-like synoviocytes. Fibroblast-like synoviocytes synthesizes and secretes mediators of inflammation including IL-6 and IL-8 (<xref ref-type="bibr" rid="B9">Georganas et al., 2000</xref>). Furthermore, a large body of literature has proposed that IL-6 and IL-8, two pro-inflammatory factors were generally chosen as pro-inflammatory cytokines (<xref ref-type="bibr" rid="B20">Li et al., 2014</xref>; <xref ref-type="bibr" rid="B26">Mijiti et al., 2021</xref>). Therefore, in this study, IL-1&#x3b2;-induced MH7A cells were selected to construct an <italic>in vitro</italic> inflammation model to examine the effects of the polyphenols on the pro-inflammatory factors IL-6 and IL-8. The results showed some variability in the antioxidant results. Gallic acid had the strongest antioxidant activity but showed no significant inhibitory effect on IL-8 and a weak inhibitory effect on IL-6. The antioxidant activity is mainly related to the phenolic hydroxyl groups present in the compounds, with more phenolic hydroxyl groups corresponding to stronger antioxidant activity. The anti-inflammatory activity was not significantly correlated with the phenolic hydroxyl groups.</p>
<p>Polyphenols primarily regulate the inflammatory pathway <italic>via</italic> the MAPK and NF-&#x3ba;B signaling pathways (<xref ref-type="bibr" rid="B38">Sung et al., 2019</xref>). In RA synovial tissue, the transcription factor NF-&#x3ba;B is activated. Binding to this transcription factor&#x2019;s site has been identified in the promoter regions of the IL-6 and IL-8 genes, activating both pro-inflammatory genes (<xref ref-type="bibr" rid="B9">Georganas et al., 2000</xref>). Previous research found that chebulanin and chebulagic acid, which reduced IL-6 and IL-8 expression, also inhibited the NF-B signaling pathway and the MAPK signaling pathway (<xref ref-type="bibr" rid="B32">Reddy and Reddanna, 2009</xref>; <xref ref-type="bibr" rid="B22">Liu et al., 2020</xref>). Our previous network pharmacology analysis revealed that the NF-&#x3ba;B signaling pathway and MAPK signaling pathway play dominate role in the mechanism of <italic>T. chebula</italic> for RA treatment (<xref ref-type="bibr" rid="B8">Fang et al., 2019</xref>). Other studies are consistent with our findings (<xref ref-type="bibr" rid="B6">Ekambaram et al., 2022</xref>). The structural analysis revealed that both chebulanin and chebulagic acid contain 2,4-O-chebuloyl-&#x3b2;-d-glucose gallic acyl derivative structural domains, which are presumed to be key domains for anti-inflammatory activity. However, further studies are needed to validate the importance of this domain.</p>
<p>Our study, however, has some limitations. Six polyphenols were identified through network pharmacology analysis: gallic acid, chebulic acid, corilagin, chebulanin, chebulagic acid, and ellagic acid. We only quantified five polyphenols except for chebulic acid. It&#x2019;s because the standard chebulic acid product was not available on the market when we conducted this study. When the standard product became available, we purchased it and evaluated its anti-arthritic effect first. However, chebulic acid was found to have the least anti-arthritic activity of the six polyphenols studied. As a result, we did not include it in our study.</p>
</sec>
<sec sec-type="conclusion" id="s5">
<title>5 Conclusion</title>
<p>Taken together, we successfully established a rapid, accurate, and convenient HPLC method for the quantitative analysis of the polyphenols gallic acid, corilagin, chebulanin, chebulagic acid, and ellagic acid in <italic>T. chebula</italic>. Among these components, chebulanin and chebulagic acid were the most abundant. Furthermore, our findings revealed the potential role of chebulanin and chebulagic acid from <italic>T. chebula</italic> as anti-arthritic drugs.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="s6">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="sec" rid="s11">Supplementary Material</xref>, further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec id="s7">
<title>Author contributions</title>
<p>FL, SZ, JH, XZ, and PX designed the study, drafted and revised the manuscript; MY and CJ did the extraction work; PZ, QD, and LX did the determination work; QZ did the anti-inflammation work; LC and FS analyzed the data. All authors approved the final version of the manuscript.</p>
</sec>
<sec id="s8">
<title>Funding</title>
<p>This research was sponsored by Natural Science Foundation of Chongqing, China (CSTB2022NSCQ-MSX0202); the Traditional Chinese Medicine Project funded by Chongqing Science and Technology Commission Bureau and Chongqing Health Commission (2019ZY023488); and the Talent Program of the Army Medical University (XZ-2019-505-073).</p>
</sec>
<sec sec-type="COI-statement" id="s9">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s10">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s11">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fphys.2023.1138947/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fphys.2023.1138947/full&#x23;supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.pdf" id="SM1" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
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