Journal of Ethnopharmacology 137 (2011) 396– 402
Contents lists available at ScienceDirect
Journal of Ethnopharmacology
jo ur nal homep age : www.elsev ier .com/
Effects of Atractylodes macrocephala Koidzumi rhi
and an
Chang Ke -Mi
Gi Soon C ang
a Department o
b Department o
c Department o , Yong
d Acupuncture
e Division of Ho
f Department o ea
g Department of Physiology, College of Medicine, Kyung Hee University, Seoul, Republic of Korea
a r t i c l e i n f o
Article history:
Received 4 Ma
Received in re
Accepted 30 M
Available onlin
Keywords:
Atractylodes m
Obesity
3T3-L1 adipoc
Oil Red O stain
Phospho-Akt
Perilipin
a b s t r a c t
1. Introdu
Obesity
eases throu
as overweig
to adverse m
and cholest
unfavorable
bers and ad
∗ Correspon
Hee Universit
Korea. Tel.: +8
E-mail add
1 These auth
0378-8741/$ –
doi:10.1016/j.
rch 2011
vised form 6 May 2011
ay 2011
e 6 June 2011
acrocephala Koidzumi
yte
ing
Ethnopharmacological relevance: Atractylodes macrocephala Koidzumi (AMK) is an herbal medicine tradi-
tionally used for treatment of abdominal pain, gastrointestinal disease, obesity, and related complications.
Aim of the study: We investigated the effects and molecular mechanism of AMK rhizome water extract
on 3T3-L1 adipogenesis and an animal model of obesity.
Materials and methods: To study the effect of AMK on adipogenesis in vitro, differentiating 3T3-L1 cells
were treated every two days with AMK at various concentrations (1–25 �g/ml) for eight days. Oil Red O
staining was performed to determine the lipid accumulation in 3T3-L1 cells. To elucidate the inhibitory
mechanism of AMK on adipogenesis, phosphorylation levels of Akt and expression of perilipin, were
analyzed by Western blotting. AMK was administered orally to high fat diet (HFD)-induced obese rats to
confirm its effect in vivo.
Results: AMK inhibited 3T3-L1 adipocyte differentiation in a dose-dependent manner without cellular
toxicity. Phospho-Akt expression was highly decreased by AMK treatment, whereas there was no signifi-
cant change in perilipin expression. AMK administration significantly reduced the body weight of rats fed
a HFD. Plasma triglyceride levels were significantly lower in the AMK-treated HFD group than those in
the HFD control group or normal diet (ND) group, although serum total, HDL- and LDL-cholesterol levels
did not differ between the groups.
Conclusion: These results demonstrate an inhibitory effect of AMK on adipogenesis through reduction of an
adipogenic factor, phospho-Akt. AMK had a beneficial effect, reducing body weight gain in a HFD-induced
animal model of obesity.
© 2011 Elsevier Ireland Ltd. All rights reserved.
ction
has become one of the most common metabolic dis-
ghout the world. More than 1 billion adults are classified
ht. Obesity and being overweight are known to lead
etabolic effects on insulin resistance, blood pressure,
erol and triglyceride concentrations in plasma. These
consequences are caused by increased adipocyte num-
ipocyte mass, which results from a massive adipocyte
ding author at: Department of Physiology, College of Medicine, Kyung
y, #1 Hoegi-Dong, Dongdaemoon-Gu, Seoul 130-701, Republic of
2 2 961 0286; fax: +82 2 964 2195.
resses: mbi@khu.ac.kr, ewmed@hanmail.net (B.-I. Min).
ors contributed equally to this work.
differentiation process which generates mature adipocytes from
preadipocytes. Excess fat is accumulated in adipocytes as triglyc-
eride and massive amounts of lipids can be released from
adipocytes, resulting in elevated triglyceride content in plasma and
tissues including muscle and liver, which can lead to physiologic
dysfunction in tissues (Tang et al., 1999; Frühbeck et al., 2001).
Adipocyte differentiation is a complex process that involves
expression of several adipocyte-specific genes including peroxi-
some proliferator-activated receptor-gamma (PPAR�), sterol reg-
ulatory element binding protein-1c (SREBP-1c), CCAAT/enhancer
binding protein-alpha (C/EBP�) and fatty acid synthase (FAS),
which lead to morphological changes and lipid accumulation
within the cells (Christy et al., 1991; Chawla et al., 1994). It is
well established that activation of the serine/threonine kinase Akt
(PKB) (PI3K-Akt/PKB) pathway is the major signaling mechanism
in adipocyte differentiation by which insulin and certain growth
see front matter © 2011 Elsevier Ireland Ltd. All rights reserved.
jep.2011.05.036
animal model of obesity
un Kima,b,1, Mihyun Kimc,1, Sang Deog Oha, Sang
hoia, Sun-Kwang Kimd,e, Hyunsu Baef, Chulhun K
f East-West Medicine, Graduate School, Kyung Hee University, Seoul, Republic of Korea
f Alternative Medicine, Graduate School, CHA University, Seoul, Republic of Korea
f Medical Science, Graduate School of East-West Medical Science, Kyung Hee University
and Meridian Science Research Center, Kyung Hee University, Seoul, Republic of Korea
meostatic Development, National Institute for Physiological Sciences, Okazaki, Japan
f Physiology, College of Oriental Medicine, Kyung Hee University, Seoul, Republic of Kor
locate / je thpharm
zome on 3T3-L1 adipogenesis
n Leec, Boram Suna,
c, Byung-Il Mina,g,∗
in, Republic of Korea
Administrator
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A
C.K. Kim et al. / Journal of Ethnopharmacology 137 (2011) 396– 402 397
factors stimulate adipogenesis. Treatment with PI3K inhibitors has
been shown to completely block the differentiation process of 3T3-
L1 preadipocytes, indicating that PI3K is necessary for adipocyte
differentiation (Tomiyama et al., 1995; Magun et al., 1996;
Christoffers
downstream
L1 cells res
involvemen
(Kohn et a
dependent
degradation
terified fatt
lipases, lipi
perilipin (T
to hormone
sis via phos
Most work
perilipin A
ciation wit
increased d
(Souza et al
Despite
medication
effects from
when they
Recently, m
from plants
in the mana
mortality. F
to be one o
diabetic eff
signaling pa
over, severa
medicines s
(Momordica
2008), and g
to significa
diet (HFD)-
Atractylo
Compositae
Asia for trea
sity, and rel
2005). It ha
pharmacolo
1989; Tsun
(Kiso et al.,
Matsuda et
1979; Li et
these anti-o
In this s
AMK, 3T3-L
Lipid accum
ing. Among
suppressed
phosphoryl
administere
activities in
induced bo
blood.
2. Materia
2.1. Prepara
Ten herb
were purch
cal Center, Kyung Hee University (Seoul, Korea), and the voucher
specimen was deposited at the laboratory of Medical Science, Grad-
uate school of East-West Medical Science, Kyung Hee University.
The dried herbs were soaked in 10 volumes of cold distilled water
rnight and then were extracted after being boiled for 3 h
◦C. T
and c
nes
he ex
erim
3-L1
rine
ined
BRL,
I, D
ified
ate p
y of 2
hang
% [v
/BRL
nd 1
ocyt
] an
on d
type
two
agn
n Axi
eatm
b ext
thr
of h
ere
ion m
il Red
3T3
(PBS
. Aft
solu
ratur
and
ol. F
e-lin
ll via
l viab
,5-di
MO,
of M
s in a
the m
s we
, abs
, USA
re to
en et al., 1998; Xia and Serrero, 1999). Moreover, Akt is a
effector of the PI3K pathway and its activation in 3T3-
ults in differentiation into adipocytes, suggesting the
t of Akt-mediated signaling in adipocyte differentiation
l., 1996). On the other hand, activation of cAMP-
kinase (PKA) stimulates lipolysis which results from
of accumulated triglycerides into glycerol and nones-
y acids (NEAF) in adipocytes. Lipolysis involves several
d hydrolase, and lipid droplet-containing proteins like
ansey et al., 2001, 2004). Perilipin in particular binds
-sensitive lipase (HSL) and promotes adipocyte lipoly-
phorylation-dependent and independent mechanisms.
regarding lipolysis has showed that overexpression of
increases storage of triglycerides in fibroblasts in asso-
h a decrease in lipolysis, and its expression is highly
uring the differentiation of preadipocytes to adipocytes
., 1998, 2002).
short-term benefits of drug treatment for obesity,
-induced weight loss is often associated with side
these remedies as well as rebound weight gain
are discontinued (Abdollahi and Afshar-Imani, 2003).
any researchers have shown that natural compounds
like herbal medicines and their derivatives are effective
gement of obesity without significant adverse effects or
or example, Ginsenoside Rh2 was successfully shown
f the active components in Ginseng that exerts anti-
ects and prevents obesity in association with the AMPK
thway in 3T3-L1 adipocytes (Hwang et al., 2007). More-
l animal studies demonstrated that a variety of herbal
uch as Zingiber officinale (Han et al., 2005), bitter melon
charantia) (Huang et al., 2008), ephedra (Jeong et al.,
inseng (Kim et al., 2005) have beneficial effects leading
nt weight loss or inhibition of weight gain in high fat
induced obesity models.
des macrocephala Koidzumi (AMK) belonging to the
family, is an herbal medicine traditionally used in East
tment of abdominal pain, gastrointestinal disease, obe-
ated complications (China Pharmacopoeia Commission,
s been reported that extracts from AMK have various
gical activities associated with anti-tumor (Mori et al.,
eki et al., 2005; Kimura, 2006), anti-lipid-peroxidation
1985), antiulcer (Kubo et al., 1983; Nogami et al., 1986;
al., 1991) and anti-inflammation activities (Endo et al.,
al., 2007a,b). However, the mechanism responsible for
besity effects has not been discovered.
tudy, to evaluate the potential anti-obesity effects of
1 preadipocytes were differentiated by inducing agents.
ulation in the cells was measured by Oil-Red O stain-
10 herbal medicines, AMK water extract significantly
lipid accumulation with a concomitant decrease in AKT
ation. In addition to this in vitro study, AMK was orally
d to rats fed a HFD to demonstrate its anti-obesity
vivo. Our results showed that AMK can decrease HFD-
dy weight gain as well as triglyceride concentration in
ls and methods
tion of herbal extracts
s including Atractylodes macrocephala Koidzumi (AMK)
ased from the Oriental Medicine of Kyung Hee Medi-
for ove
at 100
gauze
medici
until t
the exp
2.2. 3T
Mu
mainta
Gibco/
BCS (JB
humid
ferenti
densit
was c
ing 10
[Gibco
sone, a
to adip
1% [v/v
Finally
pheno
every
200× m
with a
2.3. Tr
Her
filtered
effects
cells w
induct
days.
2.4. O
The
saline
for 1 h
Red O
tempe
times
propan
enzym
(n = 4).
2.5. Ce
Cel
2-yl)-2
Louis,
100 �l
L1 cell
37 ◦C,
crystal
Finally
(Emax
compa
he aqueous extracts were filtered through a distilled
oncentrated using an evaporator. The extracted herbal
were dried with a freeze dryer and stored at −20 ◦C
periment was performed. The concentration used in
ent was based on the dry weight of the extract.
cell culture and stimulation
3T3-L1 preadipocytes (ATCC, Manassas, VA, USA) were
in Dulbecco’s Modified Eagle’s Medium (DMEM;
Grand Island, NY, USA) supplemented with 10% (v/v)
aegu, Korea) and 1% (v/v) antibiotics (Gibco/BRL) in a
atmosphere of 95% air and 5% CO2 at 37 ◦C. To dif-
readipocytes into adipocytes, cells were seeded at a
.4 × 105 cells/cm2. After four days of growth the media
ed to adipocyte-induction media I (DMEM contain-
/v] fetal bovine serum [FBS; JBI], 1% [v/v] antibiotics
], 0.5 mM isobutylmethylxanthine, 1 �M dexametha-
0 �g/ml insulin). After three days, cells were changed
e-induction media II (DMEM containing 10% [v/v] FBS,
tibiotics and 10 �g/ml insulin) for five additional days.
ay eight, 3T3-L1 preadipocytes showed the adipocyte
with accumulation of lipid droplets. Media was changed
days. Appearance was recorded by microscopic using
ification with an Axiovert S 100 (Carl Zeiss) equipped
oCam.
ent of herb extracts on 3T3-L1 cells
racts were dissolved in adipocyte-induction media and
ough 0.2 �m-pore syringe filters. To investigate the
erb extracts on adipogenesis, differentiating 3T3-L1
treated every two days with an herb in adipocyte-
edia at various concentrations (1–25 �g/ml) for eight
O staining
-L1 adipocytes were washed with phosphate-buffered
, pH 7.4) and fixed with 4% paraformaldehyde (PFA)
er washing with PBS, the cells were stained with Oil
tion (0.2% [w/v] in isopropanol) for 1.5 h at room
e. The cells were washed in distilled water three
Oil Red O dye in lipid droplets was eluted into iso-
inally, absorbance was measured at 490 nm using an
ked immunosorbent assay (ELISA) reader (Emax, USA)
bility assay
ility was determined by MTT (3-(4,5-dimethylthiazol-
phenyltetrazolium bromide) assay (Sigma Aldrich, St.
USA). At the end of the experimental period (day 8),
TT solution (5 mg/ml) was added to differentiated 3T3-
24-well plate. After the well was incubated for 2 h at
edium was removed, and the synthesized formazan
re dissolved in dimethyl sulfoxide (DMSO) (Sigma).
orbance was measured at 570 nm using an ELISA reader
) (n = 4). Data was calculated as a percentage of MTT
control cells.
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398 C.K. Kim et al. / Journal of Ethnopharmacology 137 (2011) 396– 402
Table 1
Composition of experimental diets.
Ingredient (%) Normal diet (ND) High fat diet (HFD)
Casein, 80 Mesh 19.0 25.8
l-cystine
Corn starch
Maltodextrin
Sucrose
Cellulose, BW
Soybean oil
Lard
Mineral mix
Dicalcium ph
Calcium carb
Potassium ci
Vitamin mix
Choline bita
Percent ener
Protein
Carbohydr
Lipid
2.6. Wester
Cells we
buffer (20 m
Nonidet P-4
pyrophosph
deoxychola
dithiothreit
incubated o
20 min at 1
was measu
10, or 20 �g
0.2-�m po
Hercules, CA
SD; Bio-Rad
antibody di
actin [1:100
were probe
body (anti-g
The immun
using West
purchased f
2.7. Image
All imag
software, v
signal inten
subtraction
actin (for pe
2.8. In vivo
Six-wee
(Samtaco, S
flow room m
humidity of
ratory diet f
diet group (
fat diet + AM
compositio
once a day
istered 0.5 g
were allow
mental peri
internation
ffect o
ells w
8) in a
were
s calc
t the
K (Atr
ternat
TG (So
lygala
Rafin
foun
). Fo
. The
ken
is (AR
atisti
a are
wit
ing
cally
ults
ti-ad
ytes
valu
onflu
erbal medicine every two days while the preadipocytes dif-
ated into adipocytes. Morphological changes were observed
accumulation of lipids in the preadipocytes. Oil Red O stain-
ealed that the lipid accumulation in AMK-treated cells was
antly lower than the lipid accumulation in control cells and
0.3 0.4
29.9 0.0
10 3.3 16.2
33.2 8.9
200 4.7 6.5
2.4 3.2
1.9 31.7
S10026 0.9 1.3
osphate 1.2 1.7
onate 0.5 0.7
trate 1.6 2.1
V10001 0.9 1.3
rtrate 0.2 0.3
gy
20.0 20.0
ate 70.0 20.0
10.0 60.0
n blot analysis
re washed three times with cold PBS and scraped in lysis
M Tris–HCl [pH 7.4], 150 mM NaCl, 10% glycerol, 2%
0, 1 mM EDTA, 20 mM sodium fluoride, 30 mM sodium
ate, 0.2% sodium dodecyl sulfate (SDS), 0.5% sodium
te, 1 mM phenylmethylsulfonyl fluoride (PMSF), 1 mM
ol (DTT), 1 mM sodium vanadate). The cell lysate was
n ice while vortexing for 15 min and centrifuged for
2,000 × g. Protein quantification of each supernatant
red by Bradford assay (Ref). Each protein extract (5,
) was separated on 10% SDS-polyacrylamide gel onto
lyvinylidene difluoride (PVDF) membranes (Bio-Rad,
, USA) using a semi-dry transfer apparatus (Trans-Blot
). The membranes were then incubated with primary
luted (Akt-p [1:1000], Akt [1:2000], perilipin [1:2000]
0]) in blocking solution at 4 ◦C overnight. Membranes
d with horseradish peroxidase-labeled secondary anti-
oat IgG or anti-rabbit IgG) for 1 h at room temperature.
oreactive bands were detected by chemiluminescence
-oneTM (iNtRON Biotechnology). All antibodies were
rom Santa Cruz Biotechnology and Abcam.
analysis
e analysis was performed with ImageMaster 2DTM Elite
ersion 3.1 (Amersham Pharmacia Biotechnology). The
sity of each band was analyzed by lowest background
and normalized by band intensity of Akt (for Akt-p) and
rilipin).
Fig. 1. E
3T3-L1 c
0 to day
the cells
Data wa
represen
trol), AM
(Pinellia
Nakai), S
PTW (Po
trifoliata
care as
in 1985
weeks
was ta
analys
2.9. St
Dat
ANOVA
test, us
statisti
3. Res
3.1. An
adipoc
To e
post-c
of an h
ferenti
due to
ing rev
signific
anti-obesity activity
k-old male Sprague-Dawley rats weighing 170–190 g
eoul, Korea) were housed four per cage in a laminar air-
aintained at a temperature of 22 ± 1 ◦C and a relative
55 ± 1%. After the animals were given a standard labo-
or one week, they were randomly divided into a normal
ND) (n = 6), high-fat diet group (HFD) (n = 6), and high-
K group (HFD + AMK) (n = 6). Table 1 shows the HFD
n. Rats in the HFD group were orally administered saline
while rats in the HFD + AMK group were orally admin-
AMK/kg body weight in saline. All experimental rats
ed free access to the diet and water during the experi-
od. The research was conducted in accordance with the
ally accepted principles for laboratory animal use and
other herb-
cells showe
adipocytes
analysis to
adipocytes.
3.2. AMK in
To exam
adipocyte
were maint
ious doses
lipid drops
Fig. 2(B), A
dose-depen
intracellula
f various herbal medicines on cellular lipid droplets. Differentiating
ere treated every 2 days with 10 �g/ml of herbal medicines (from day
dipocyte-induction media. To determine lipid content accumulation,
stained with Oil Red O at day 8 and optical density detected at 490 nm.
ulated as a percentage of Oil Red O stained lipid in controls. Results
mean ± SEM of four independent experiments (*p < 0.001). CTL (con-
actylodes macrocephala Koidzumi), KSS (Kochia scoparia Schrader), PTB
a Breitenbach), ACT (Artemisia capillaris Thunberg), AGN (Angelica gigas
phora tonkinensis Gagnep), RGL (Rehmannia glutinosa Liboschitz var.),
tenuifolia Willdenow), PFV (Perilla frutescens var. acuta), PTR (Poncirus
esqul).
d in the US guidelines (NIH publication #85-23, revised
od intake and body weights were recorded daily for six
rats were euthanized by anesthetic overdose and blood
for triglyceride, total cholesterol, and HDL cholesterol
C Laboratory, South Korea).
cal analysis
presented as mean ± SEM. Analysis was performed by
h Bonferroni’s test for multiple comparisons, and by t-
SPSS 11.0 software. A p-value of <0.05 was considered
significant.
ipogenic effects of 10 herbal medicines on 3T3-L1
ate the anti-adipogenic effects of 10 herbal medicines,
ent 3T3-L1 preadipocytes were treated with 10 �g/ml
treated cells. Of the 10 herbal treatments, AMK-treated
d a 33% inhibitory effect on adipogenesis of 3T3-L1
(Fig. 1). Therefore, AMK was subjected to additional
better understand its anti-adipogenic effect on 3T3-L1
hibits 3T3-L1 adipocyte differentiation
ine the anti-adipogenic effect of AMK on 3T3-L1
differentiation, post-confluent 3T3-L1 preadipocytes
ained in adipocyte-induction media and exposed to var-
of AMK (1, 5, 10, 25 �g/ml). Subsequently, intracellular
were measured by Oil Red O staining. As shown in
MK effectively inhibited adipocyte differentiation in a
dent manner in 3T3-L1 adipocytes. We next examined
r toxicity by MTT assay. Fig. 2(C) shows that viability of
C.K. Kim et al. / Journal of Ethnopharmacology 137 (2011) 396– 402 399
Fig. 2. Effect o
(from 1 to 25 �
content, Oil Re
Results repres
adipocyte-ind
represent the
AMK-treate
up to 25 �g
of lipid acc
lar toxicity.
O staining
leading to a
3.3. Effects
adipocytes
Serine/th
vated by ins
3-kinase (P
To reveal th
anti-adipog
level of pho
3T3-L1 cell
5, 10, 25 �g
adipocytes.
level of pho
the inhibiti
can also be
of the lipid
2002), we n
AMK-induc
entiation. A
f AMK on cellular lipid droplets and cell viability of 3T3-L1 adipocytes. Differentiating 3T3-
g/ml) for 8 days in adipocyte-induction media. Intracellular lipids were stained with Oil
d O dye was dissolved in isopropanol and optical density detected at 490 nm (B). Data
ent the mean ± SEM of four independent experiments (*p < 0.01, **p < 0.001 and ***p < 0
uction media for 8 days and treated with AMK every 2 days (see Section
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