# Sesamin Enhances Nrf2-Mediated Protective Defense against Oxidative Stress and Inflammation in Colitis via AKT and ERK Activation

Authors: Xupeng Bai; Xiaoli Gou; Peiheng Cai; Chuncao Xu; Lin Cao; Zhongxiang Zhao; Min Huang; Jing Jin
Journal: Oxidative Medicine and Cellular Longevity
 (2019)

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## Abstract

Ulcerative colitis (UC) is a major form of inflammatory bowel disease (IBD) with high incidence and prevalence in many countries. Patients with UC usually suffer from a lifetime of debilitating physical symptoms. Therefore, developing effective therapeutic strategy that can manage this disease better and improve patients’ life quality is in urgent need. Sesamin (SSM) is a lignan derived from sesame seeds. In this study, the protective effect of SSM against UC and the underlying mechanism were investigatedin vitro and in vivo. Our data showed that SSM protected Caco-2 cells from H2O2-induced oxidative stress injury via GSH-mediated scavenging of reactive oxygen species (ROS). Dual luciferase reporter assay showed that the transcriptional activity of nuclear factor erythroid-related factor 2 (Nrf2) was significantly increased by SSM, and the ability of SSM to activate Nrf2-targeted genes was further confirmed in Caco-2 cells using western blot and quantitative real-time PCR (qRT-PCR). In contrast, Nrf2 knockdown abolished the protective effect of SSM. Additionally, we found that SSM also activated advanced protein kinase B (AKT) and extracellular signal-regulated kinase (ERK) in Caco-2 cells, while either AKT or ERK inhibition can prevent SSM-mediated nuclear translocation of Nrf2. Furthermore, SSM displayed a better protective effect against dextran sulfate sodium- (DSS-) induced UC compared with 5-aminosalicylic acid (5-ASA) in C57BL/6 mice. The enhanced Nrf2 signaling and activated AKT/ERK were also observed in the colon of mice after SSM administration. These results first demonstrate the protective effect of SSM against UC and indicate that the effect is associated with AKT/ERK activation and subsequent Nrf2 signaling enhancement. This study provides a new insight into the medicinal value of SSM and proposes it as a new natural nutrition for better managing the symptoms of UC.


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## Body

## 1. Introduction

Ulcerative colitis (UC) is a major form of inflammatory bowel disease (IBD). The disease is associated with a lifetime of debilitating physical symptoms, such as vomiting, anorexia, urgent diarrhea, and rectal bleeding, at an incidence of 1/200 people from developed countries [1]. Similar situations can be also found in many developing countries in which the incidence and prevalence of UC were on the rise for the past few years [2]. Therefore, finding effective therapeutic strategies that can manage this disease better and improve the quality of patients’ life is in urgent need.Although the mechanism underlying UC is not fully understood, increasing experimental and clinical evidence indicated that oxidative stress plays an important role in the development of colitis [3, 4]. Diffusive inflammatory cell infiltration and small intestinal mucosal crypt abscesses in colitis trigger the overproduction of reactive oxygen species (ROS), which causes oxidative stress damage to colon cells and epithelial barrier permeability, leading to pathogen invasion and exaggeration of inflammatory cell infiltration and inflammatory damage [5]. Therefore, antioxidant prevention and ROS-targeted treatment were proposed in many studies to alleviate colitis [3, 6].Nuclear factor erythroid-related factor 2 (Nrf2) is a redox-sensitive transcription factor which plays an essential role in protection against oxidative stress and electrophilic injury by regulating a battery of cytoprotective genes, such as NAD(P)H quinone dehydrogenase 1 (NQO1), heme oxygenase 1 (HO-1), and glutamate-cysteine ligase (GCL) [7]. Electrophilic and oxidative stressors, such as ROS, can activate Nrf2 through dissociating it from Kelch-like ECH-associated protein-1 (Keap1) or promoting its phosphorylation by several kinases, including advanced protein kinase B (AKT), extracellular signal-regulated kinase (ERK), p38 mitogen-activated protein kinase (P38), and protein kinase C (PKC) [8–11]. The activated Nrf2 is guided into the nucleus and then binds to the antioxidant responsive element (ARE) with small Maf protein (sMaf) to initiate the transcription of downstream cytoprotective genes to defend various oxidative and oncogenic stressors [12]. Recently, a role of Nrf2 in protection against colitis and inflammation-associated colon cancer was revealed. For instance, Nrf2-deficient mice were more susceptive to dextran sulfate sodium- (DSS-) induced colitis or colorectal cancer than wild-type mice [13, 14]. Activation of Nrf2-regulated genes effectively alleviated the inflammatory response in mouse colitis, while inhibition of these genes enhanced inflammatory response to oxidative stress [15, 16]. Additionally, several genetic mutations on Nrf2 were found to be associated with the susceptibility and progression of DSS-induced colitis in mice [17]. These findings make Nrf2 signaling pathway an attractive target to combat UC.Sesamin (SSM) is a lignan derived from sesame seeds (Figure1(a) shows the chemical structure of SSM) [18]. It is catered to be a nutritional supplement because of its antioxidative and anti-inflammatory effects. It was reported that SSM can inhibit lipopolysaccharide- (LPS-) induced inflammation and extracellular matrix catabolism in a rat intervertebral disc [19]. Similarly, SSM can attenuate LPS-induced acute oxidative stress injury in the lung or liver of mice by inhibiting the Toll-like receptor 4 signaling pathway [20, 21]. Furthermore, SSM was reported to protect against LPS or 1-methyl-4-phenyl-pyridine-induced nerve injuries by inhibiting the production of nitric oxide and cytokine [22, 23]. Through alleviating high mobility group box 1- (HMGB1-) dependent inflammatory response, SSM can protect human endothelial cells from HMGB1-induced vascular inflammatory diseases [24]. However, the protective effect of SSM on UC and the underlying mechanism have not been investigated yet.Figure 1
SSM protected Caco-2 cells from H2O2-induced cytotoxicity via GSH-mediated ROS scavenging. (a) Chemical structure of SSM. (b) Caco-2 cells were treated with 0 μM SSM (0.1% DMSO) and various concentrations of SSM (5, 10, 20, 40, 80, 160, and 320 μM) for 8, 16, and 24 h. Cell viability was measured by MTT assay. (c) Caco-2 cells were pretreated with 0 μM SSM (0.1% DMSO) or 40 μM SSM for 2, 4, and 8 h and then treated with various concentrations of H2O2 (0, 0.26, 0.6, 0.76, 1.0, 1.26, 1.6, 1.76, and 2.0 mM) for 24 h. Cell viability was measured by MTT assay. (d) Caco-2 cells were pretreated with 0 μM SSM (0.1% DMSO) and various concentrations of SSM (5, 10, 20, 40, and 80 μM) for 8 h and then treated with 1.6 mM H2O2 for 24 h. Intracellular ROS were detected using DCFH-DA fluorescence assay. Roseup was used as a positive control (+). Images are displayed at 200x magnification. The quantification of fluorescence was performed with a Flex Station 3 multifunctional microplate reader. Data were expressed as the mean±SD (n=5). ∗∗∗p<0.001 versus the control group. #p<0.05 and ###p<0.001 versus the H2O2 treatment group. (e, f) Caco-2 cells were treated with 0 μM SSM (0.1% DMSO) and various concentrations of SSM (10, 20, 40, and 80 μM) for 8 h. Reduced GSH (GSH) and oxidized GSH (GSSG) were detected using commercial kits. Data were expressed as the mean±SD (n=5). ∗p<0.05 versus the DMSO treatment group. (g) Caco-2 cells were pretreated with 0.1% DMSO (control) or 10 μM BSO and 0 μM SSM (0.1% DMSO) or various concentrations of SSM (5, 10, 20, 40, and 80 μM) for 2 and 8 h, respectively, and then treated with 1.6 mM H2O2 for 24 h. Cell viability was measured by MTT assay. Data were expressed as the mean±SD (n=5). ∗∗p<0.01 and ∗∗∗p<0.001 versus the H2O2 treatment group. ##p<0.01 and ###p<0.001 versus the control group.
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(g)In the present study, we evaluated the protective effect of SSM against UC and investigated the underlying mechanismin vivo and in vitro. Our results demonstrate for the first time that SSM can significantly enhance Nrf2-mediated protective defense against colitis in an AKT- or ERK-dependent manner. This study may provide a potential therapeutic strategy for IBD treatment and make SSM an attractive candidate to combat UC.


## 2. Material and Methods

### 2.1. Reagents and Chemicals

SSM (purity≥98%), DSS (MW ~40 kDa), L-buthionine-sulfoximine (BSO) (purity≥97%), PD98059 (purity≥98%), wortmannin (purity≥98%), L-sulforaphane (SFN) (purity≥95%), and 5-aminosalicylic acid (5-ASA) (purity≥99%) were obtained from Sigma-Aldrich (St. Louis, USA). 3-(4,5-Dimethyl-2-thiazolyl)-2,5-diphenyl-2-H-tetrazolium bromide (MTT) and dimethyl sulfoxide (DMSO) were from MP Biomedicals (CA, USA). Primary rabbit antibodies against Nrf2 (12721), Keap1 (8047), ERK1/2 (4695), p38 (8690), PKCα (59754), AKT (4685), p-p38 (Thr180/Tyr182) (4511), p-ERK1/2 (Thr202/Tyr204) (8544), p-AKT (Thr308) (13038), HO-1 (5853), lamin B (15068), and GAPDH (5174) were obtained from Cell Signaling Technology (MA, USA). Primary rabbit antibodies against NQO1 (GTX30626), GCLM (GTX53719), GCLC (GTX113197), and GR (GTX114199) were from GeneTex (Texas, USA). Primary rabbit antibody against p-PKCα (Thr638) (44-962G) was bought from Thermo Fisher Scientific (NH, USA). Goat anti-rabbit IgG antibody (D111018) was purchased from Sangon Biotech (Shanghai, China). Other chemicals were of analytical grade from commercial suppliers.


### 2.2. Cell Lines and Cell Culture

Human embryonic kidney HEK293T cells and colorectal adenocarcinoma Caco-2 cells were obtained from the Cell Bank of Shanghai Institute of Biochemistry and Cell Biology (Shanghai, China). HEK293T cells were cultured in Dulbecco’s modified Eagle medium (DMEM, HyClone, UT, USA), supplemented with 10% fetal bovine serum (FBS, Gibco, NY, USA) and 1% antibiotic-antimycotic solution (HyClone, UT, USA). Caco-2 cells were cultured in DMEM supplemented with 12% fetal bovine serum, 1% non-essential amino-acid, and 1% antibiotic-antimycotic solution. Cell lines were cultured in a humidified atmosphere with 5% CO2 at 37°C.


### 2.3. Cytotoxicity Assay

Caco-2 cells in a logarithmic phase were seeded in a 96-well plate at the density of1×104 per well. After incubation for 12 h, cells were treated with selected concentrations of H2O2 (prepared in autoclaved water), SSM (prepared in DMSO), BSO (prepared in autoclaved water), PD98059 (prepared in DMSO), wortmannin (prepared in DMSO), and SFN (prepared in DMSO) for the indicated time. Then, 20 μl of MTT solution (5 mg/ml, dissolved in PBS) was added to each well, and the cells were incubated for 4 h in a humidified atmosphere with 5% CO2 at 37°C. Finally, 150 μl DMSO was added to each well to dissolve formazan, and the plate was shaken at room temperature for 10 min. The absorbance of each well was detected using a Multiskan Spectrum Microplate Reader (Thermo Fisher Scientific, NH, USA; OD 570 nm). [SSM was initially prepared in DMSO to different concentrations (10, 20, 40, 80, 160, and 320 mM) and then mixed with culture medium at the dilution ratio of 1 : 1000 for cell treatment. Other DMSO-dissolved chemicals were prepared in the same way, and therefore, cells treated with culture medium with 0.1% DMSO should be used as the control for these experiments].


### 2.4. Dual Luciferase Reporter Assay

Cells were seeded in 96-well plates and incubated for 12 h. Plasmids (pEF-Nrf2, pGL3-ARE, and pRL-TK) were gifts from Dr. Zhiying Huang (School of Pharmaceutical Sciences, Sun Yat-sen University, China). The pEF-Nrf2 (Nrf2 expression plasmid) was constructed by cloning a 2.5 kb BamHI-NotI fragment containing human Nrf2 cDNA into a pEF1a-V5 vector (Invitrogen, NY, USA). The pGL3-ARE reporter was constructed by cloning a SacI-XhoI fragment containing a synthetic oligonucleotide (distal ARE of the human GCS heavy chain synthetase gene promoter) into the pGL3 promoter (Promega, WI, USA). The pRL-TK reporter was constructed by cloning a cDNA encodingRenilla luciferase into the pRL reporter vectors (Promega, WI, USA). pEF-Nrf2 and pGL3-ARE (transfection ratio is 1 : 2) were cotransfected with pRL-TK (internal control) into the cells using Lipofectamine® 2000 (Invitrogen, NY, USA) according to the manufacturer’s protocol. After transfection for 6 h, cells were treated with SSM for 8, 16, and 24 h and then lysed for the detection of luciferase activity using a Dual Luciferase Reporter Gene Assay Kit (Promega, WI, USA) and luminometer Lumat LB 9507 (Berthold Technologies, Bad Wildbad, Germany) according to the manufacturer’s instructions. Finally, the transcriptional activity of Nrf2 was calculated through dividing the Firefly luciferase activity by the Renilla luciferase activity.


### 2.5. RNA Isolation and Quantitative Real-Time PCR (qRT-PCR)

Caco-2 cells were seeded in 12-well plates for overnight incubation and then treated with different concentrations of SSM for 8, 16, and 24 h. After that, cells were washed with 1× PBS twice, and total cellular RNA was isolated by using a TRIzol® reagent (Takara, Tokyo, Japan). cDNA was prepared using a PrimeScript™ RT Reagent Kit (Takara, Tokyo, Japan). QRT-PCR was performed in a 7500 Real-Time PCR System (Applied Biosystems, CA, USA) using SYBR® Premix Ex Taq™ II (Tli RNaseH Plus) (Takara, Tokyo, Japan). The primers used in this study were synthetized by Invitrogen (Thermo Fisher Scientific, NH, USA) and are listed in Supplementary table1. GAPDH and β-actin were used as internal controls. Fold changes were calculated for each treatment group versus the control group using the Pfaffl method.


### 2.6. Western Blot

Caco-2 cells were seeded in 6-well plates for overnight incubation and then treated with various concentrations of SSM, PD98059, and wortmannin for indicated times. After that, cells were washed with 1× PBS twice, and total or nuclear protein was extracted using a Protein Extraction Kit (Beyotime, Shanghai, China) according to the product’s specification. Protein samples (30μg) were separated by 10% sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) and transferred to 0.45 μm PVDF membranes (Millipore, MA, USA). After blocking with 5% BSA for 1 h, the membranes were incubated with primary antibodies, including anti-Nrf2 (1 : 1000 dilution), anti-Keap1 (1 : 1000 dilution), anti-HO-1 (1 : 1000 dilution), anti-NQO1 (1 : 1000 dilution), anti-GCLM (1 : 1000 dilution), anti-GCLC (1 : 1000 dilution), anti-GR (1 : 1000 dilution), anti-p38 (1 : 1000 dilution), anti-p-p38 (1 : 1000 dilution), anti-PKCα (1 : 1000 dilution), anti-p-PKCα (1 : 1000 dilution), anti-ERK1/2 (1 : 1000 dilution), anti-p-ERK1/2 (1 : 1000 dilution), anti-AKT (1 : 1000 dilution), anti-p-AKT (1 : 1000 dilution), anti-GAPDH (1 : 1000 dilution), and anti-lamin B (1 : 1000 dilution), overnight at 4°C, and then incubated with secondary antibodies at room temperature for 1 h. An ECL kit (Engreen Biosystem, Beijing, China) was employed to detect chemiluminescence. The intensity of protein bands was analyzed by ImageJ (NIH Image, MD, USA). GAPDH and lamin B were used as loading controls for total fraction and nuclear fraction, respectively.


### 2.7. Detection of ROS

Intracellular ROS were detected using DCFH-DA fluorescence assay. Specifically, Caco-2 cells were seeded in a 96-well plate at a density of1×104 per well. Cells were treated with selected concentrations of H2O2, SSM, PD98059, and wortmannin for the indicated times. Then, 100 μl DCFH-DA solution (DCFH-DA:1× PBS, 1 : 1000) was added into each well. After incubation for 20 min, cells were washed with 1× PBS three times. Photos were taken using an Inverted Fluorescence Microscope (OLYMPUS IX73, Tokyo, Japan). At least 50 unique areas of view were taken and analyzed for each representative photo. Fluorescence intensity was analyzed using a Flex Station 3 Multifunctional Microplate Reader (Molecular Devices, CA, USA). The percentage of positive cells was calculated by Image-Pro® Plus 6.0 (Media Cybernetics, MD, USA) according to the following formula: percentagepositivecells=IODsumpositivecells/IODsumtotalcells×100%.


### 2.8. Detection of GSH and GSSG

Caco-2 cells were seeded in a 60 cm2 culture dish (Corning, NY, USA). After treatment with different concentrations of SSM, cells were harvested and washed with PBS once. Then, cells were centrifuged, and cell pellets were used for detecting the intracellular amount of GSH and GSSG through a GSH/GSSG Assay Kit (Beyotime, Shanghai, China) according to the manufacturer’s protocol. The ratio of GSH/GSSG was calculated.


### 2.9. Small Interference RNA (siRNA) Transfection

Nrf2-specific siRNA and si-control were synthetized by RiboBio (Guangzhou, China). The target sequence of Nrf2 for this siRNA is GAGAAAGAATTGCCTGTAA (siB11731135640). Transfection was performed using Lipofectamine® 2000 on the basis of the manufacturer’s protocol.


### 2.10. Animal Experiments

C57BL/6 mice (6–8 weeks old, 18–22 g) were obtained from the Experimental Animal Center of Guangzhou University of Chinese Medicine and kept under specific pathogen-free animal facility. Mice were allowed ad libitum access to food (normal feed) and water and fed under controlled conditions at the temperature (25±2°C), humidity (55±15%), and 12 h light-dark cycle. All animal experiments in this study were performed in strict accordance with the Guide for the Care and Use of Laboratory Animals of Sun Yat-sen University, in compliance with National Guidelines by the Animal Care and Use Committee. The protocol was approved by the Animal Ethical and Welfare Committee of Sun Yat-sen University (Approval No. IACUC-DD-15-1031).Figure2(a) describes the grouping design for animal experiments. After one-week adaption, mice were randomly divided into 5 groups (10 mice per group, 5 mice per cage), including (1) the control+physiological saline group, (2) 3% DSS+physiological saline group, (3) 3% DSS+50 mg/kg SSM group, (4) 3% DSS+100 mg/kg SSM group, and (5) 3% DSS+50 mg/kg 5-ASA group. Mice were given either normal drinking water (for the control model) or drinking water with 3% DSS (for the acute colitis model) from day 0 to day 6 and then received normal drinking water for another 3 days. Both SSM and 5-ASA were freshly prepared in physiological saline and then intragastrically administrated to the mice from day 0 to day 9. The daily intragastrical volume of drug solution for each mouse was adjusted for its daily body weight.Figure 2
SSM alleviated DSS-induced acute colitis in mice by reversing proinflammatory cytokine release and antioxidation inhibition. (a) The schematic of the experimental design used in the study. (b) Changes in dietary intake. (c) Changes in body weight. (d) Changes in disease activity index (DAI). (e) Colon length in different treatment groups. (f) The colons collected on day 10 were sectioned and then stained with hematoxylin and eosin (H&E). Arrows indicate the epithelial erosion and crypt distortion and abscess. Images are displayed at 40x magnification using a bright field microscope. (g) Changes in spleen weight. (h–j) The amount of IL-6, IL-1β, and TNF-α in colon tissues of mice was determined using commercial ELISA kits. (k–m) The activity of SOD and the amount of GSH and MDA were determined in colon tissues of mice using commercial ELISA kits. Data were expressed as the mean±SD (n=10). ∗p<0.05, ∗∗p<0.01, and ∗∗∗p<0.001 versus the control. #p<0.05, ##p<0.01, and ###p<0.001 versus the 3% DSS treatment group.
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### 2.11. Macroscopic Assessment and Histological Examination

Mice were examined for diarrhea and bloody stool every day. Daily body weight and food intake were recorded. Mice were sacrificed at 24 h after the last administration, and blood samples were collected. The spleens were collected and weighed immediately. The colons were collected, and the length of the colon was measured immediately. One portion of the colon was fixed in 10% neutral buffered formalin and stained with H&E for histological examination, while the other parts were stored for biochemical analysis and western blot analysis. The activity of SOD and the amount of GSH, MDA, IL-6, IL-1β, and TNF-α in the colon were determined using commercial kits (Jiancheng Bioengineering Institute, Nanjing, China) based on the product’s specification.


### 2.12. Evaluation of Disease Activity Index (DAI)

DAI calculation was based on the scores of body weight loss, stool consistency, and rectal bleeding [2]. The score of body weight loss was determined as follows: 0 = none, 1 = 1-5%, 2 = 5-10%, 3 = 10-20%, and 4 = >20%; the score of stool consistency was evaluated as follows: 0 = negative, 1 = +, 2 = ++, 3 = +++, and 4 = ++++; the score of rectal bleeding was determined as follows: 0 = normal, 1 = light loose stool, 2 = loose stool, 3 = light diarrhea, and 4 = diarrhea. The DAI was calculated through dividing the sum of these three scores by 3.


### 2.13. Statistical Analysis

SPSS 21 software (IBM, NY, USA) was used for the statistical analysis. The comparison between two groups was performed using Student’st-test, while comparisons among three or more groups were performed using one-way analysis of variance (ANOVA) with post hoc Tukey’s test to correct multiple comparisons. Figures were designed using Prism 8 (GraphPad, CA, USA). p<0.05 was statistically significant.


## 2.1. Reagents and Chemicals

SSM (purity≥98%), DSS (MW ~40 kDa), L-buthionine-sulfoximine (BSO) (purity≥97%), PD98059 (purity≥98%), wortmannin (purity≥98%), L-sulforaphane (SFN) (purity≥95%), and 5-aminosalicylic acid (5-ASA) (purity≥99%) were obtained from Sigma-Aldrich (St. Louis, USA). 3-(4,5-Dimethyl-2-thiazolyl)-2,5-diphenyl-2-H-tetrazolium bromide (MTT) and dimethyl sulfoxide (DMSO) were from MP Biomedicals (CA, USA). Primary rabbit antibodies against Nrf2 (12721), Keap1 (8047), ERK1/2 (4695), p38 (8690), PKCα (59754), AKT (4685), p-p38 (Thr180/Tyr182) (4511), p-ERK1/2 (Thr202/Tyr204) (8544), p-AKT (Thr308) (13038), HO-1 (5853), lamin B (15068), and GAPDH (5174) were obtained from Cell Signaling Technology (MA, USA). Primary rabbit antibodies against NQO1 (GTX30626), GCLM (GTX53719), GCLC (GTX113197), and GR (GTX114199) were from GeneTex (Texas, USA). Primary rabbit antibody against p-PKCα (Thr638) (44-962G) was bought from Thermo Fisher Scientific (NH, USA). Goat anti-rabbit IgG antibody (D111018) was purchased from Sangon Biotech (Shanghai, China). Other chemicals were of analytical grade from commercial suppliers.


## 2.2. Cell Lines and Cell Culture

Human embryonic kidney HEK293T cells and colorectal adenocarcinoma Caco-2 cells were obtained from the Cell Bank of Shanghai Institute of Biochemistry and Cell Biology (Shanghai, China). HEK293T cells were cultured in Dulbecco’s modified Eagle medium (DMEM, HyClone, UT, USA), supplemented with 10% fetal bovine serum (FBS, Gibco, NY, USA) and 1% antibiotic-antimycotic solution (HyClone, UT, USA). Caco-2 cells were cultured in DMEM supplemented with 12% fetal bovine serum, 1% non-essential amino-acid, and 1% antibiotic-antimycotic solution. Cell lines were cultured in a humidified atmosphere with 5% CO2 at 37°C.


## 2.3. Cytotoxicity Assay

Caco-2 cells in a logarithmic phase were seeded in a 96-well plate at the density of1×104 per well. After incubation for 12 h, cells were treated with selected concentrations of H2O2 (prepared in autoclaved water), SSM (prepared in DMSO), BSO (prepared in autoclaved water), PD98059 (prepared in DMSO), wortmannin (prepared in DMSO), and SFN (prepared in DMSO) for the indicated time. Then, 20 μl of MTT solution (5 mg/ml, dissolved in PBS) was added to each well, and the cells were incubated for 4 h in a humidified atmosphere with 5% CO2 at 37°C. Finally, 150 μl DMSO was added to each well to dissolve formazan, and the plate was shaken at room temperature for 10 min. The absorbance of each well was detected using a Multiskan Spectrum Microplate Reader (Thermo Fisher Scientific, NH, USA; OD 570 nm). [SSM was initially prepared in DMSO to different concentrations (10, 20, 40, 80, 160, and 320 mM) and then mixed with culture medium at the dilution ratio of 1 : 1000 for cell treatment. Other DMSO-dissolved chemicals were prepared in the same way, and therefore, cells treated with culture medium with 0.1% DMSO should be used as the control for these experiments].


## 2.4. Dual Luciferase Reporter Assay

Cells were seeded in 96-well plates and incubated for 12 h. Plasmids (pEF-Nrf2, pGL3-ARE, and pRL-TK) were gifts from Dr. Zhiying Huang (School of Pharmaceutical Sciences, Sun Yat-sen University, China). The pEF-Nrf2 (Nrf2 expression plasmid) was constructed by cloning a 2.5 kb BamHI-NotI fragment containing human Nrf2 cDNA into a pEF1a-V5 vector (Invitrogen, NY, USA). The pGL3-ARE reporter was constructed by cloning a SacI-XhoI fragment containing a synthetic oligonucleotide (distal ARE of the human GCS heavy chain synthetase gene promoter) into the pGL3 promoter (Promega, WI, USA). The pRL-TK reporter was constructed by cloning a cDNA encodingRenilla luciferase into the pRL reporter vectors (Promega, WI, USA). pEF-Nrf2 and pGL3-ARE (transfection ratio is 1 : 2) were cotransfected with pRL-TK (internal control) into the cells using Lipofectamine® 2000 (Invitrogen, NY, USA) according to the manufacturer’s protocol. After transfection for 6 h, cells were treated with SSM for 8, 16, and 24 h and then lysed for the detection of luciferase activity using a Dual Luciferase Reporter Gene Assay Kit (Promega, WI, USA) and luminometer Lumat LB 9507 (Berthold Technologies, Bad Wildbad, Germany) according to the manufacturer’s instructions. Finally, the transcriptional activity of Nrf2 was calculated through dividing the Firefly luciferase activity by the Renilla luciferase activity.


## 2.5. RNA Isolation and Quantitative Real-Time PCR (qRT-PCR)

Caco-2 cells were seeded in 12-well plates for overnight incubation and then treated with different concentrations of SSM for 8, 16, and 24 h. After that, cells were washed with 1× PBS twice, and total cellular RNA was isolated by using a TRIzol® reagent (Takara, Tokyo, Japan). cDNA was prepared using a PrimeScript™ RT Reagent Kit (Takara, Tokyo, Japan). QRT-PCR was performed in a 7500 Real-Time PCR System (Applied Biosystems, CA, USA) using SYBR® Premix Ex Taq™ II (Tli RNaseH Plus) (Takara, Tokyo, Japan). The primers used in this study were synthetized by Invitrogen (Thermo Fisher Scientific, NH, USA) and are listed in Supplementary table1. GAPDH and β-actin were used as internal controls. Fold changes were calculated for each treatment group versus the control group using the Pfaffl method.


## 2.6. Western Blot

Caco-2 cells were seeded in 6-well plates for overnight incubation and then treated with various concentrations of SSM, PD98059, and wortmannin for indicated times. After that, cells were washed with 1× PBS twice, and total or nuclear protein was extracted using a Protein Extraction Kit (Beyotime, Shanghai, China) according to the product’s specification. Protein samples (30μg) were separated by 10% sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) and transferred to 0.45 μm PVDF membranes (Millipore, MA, USA). After blocking with 5% BSA for 1 h, the membranes were incubated with primary antibodies, including anti-Nrf2 (1 : 1000 dilution), anti-Keap1 (1 : 1000 dilution), anti-HO-1 (1 : 1000 dilution), anti-NQO1 (1 : 1000 dilution), anti-GCLM (1 : 1000 dilution), anti-GCLC (1 : 1000 dilution), anti-GR (1 : 1000 dilution), anti-p38 (1 : 1000 dilution), anti-p-p38 (1 : 1000 dilution), anti-PKCα (1 : 1000 dilution), anti-p-PKCα (1 : 1000 dilution), anti-ERK1/2 (1 : 1000 dilution), anti-p-ERK1/2 (1 : 1000 dilution), anti-AKT (1 : 1000 dilution), anti-p-AKT (1 : 1000 dilution), anti-GAPDH (1 : 1000 dilution), and anti-lamin B (1 : 1000 dilution), overnight at 4°C, and then incubated with secondary antibodies at room temperature for 1 h. An ECL kit (Engreen Biosystem, Beijing, China) was employed to detect chemiluminescence. The intensity of protein bands was analyzed by ImageJ (NIH Image, MD, USA). GAPDH and lamin B were used as loading controls for total fraction and nuclear fraction, respectively.


## 2.7. Detection of ROS

Intracellular ROS were detected using DCFH-DA fluorescence assay. Specifically, Caco-2 cells were seeded in a 96-well plate at a density of1×104 per well. Cells were treated with selected concentrations of H2O2, SSM, PD98059, and wortmannin for the indicated times. Then, 100 μl DCFH-DA solution (DCFH-DA:1× PBS, 1 : 1000) was added into each well. After incubation for 20 min, cells were washed with 1× PBS three times. Photos were taken using an Inverted Fluorescence Microscope (OLYMPUS IX73, Tokyo, Japan). At least 50 unique areas of view were taken and analyzed for each representative photo. Fluorescence intensity was analyzed using a Flex Station 3 Multifunctional Microplate Reader (Molecular Devices, CA, USA). The percentage of positive cells was calculated by Image-Pro® Plus 6.0 (Media Cybernetics, MD, USA) according to the following formula: percentagepositivecells=IODsumpositivecells/IODsumtotalcells×100%.


## 2.8. Detection of GSH and GSSG

Caco-2 cells were seeded in a 60 cm2 culture dish (Corning, NY, USA). After treatment with different concentrations of SSM, cells were harvested and washed with PBS once. Then, cells were centrifuged, and cell pellets were used for detecting the intracellular amount of GSH and GSSG through a GSH/GSSG Assay Kit (Beyotime, Shanghai, China) according to the manufacturer’s protocol. The ratio of GSH/GSSG was calculated.


## 2.9. Small Interference RNA (siRNA) Transfection

Nrf2-specific siRNA and si-control were synthetized by RiboBio (Guangzhou, China). The target sequence of Nrf2 for this siRNA is GAGAAAGAATTGCCTGTAA (siB11731135640). Transfection was performed using Lipofectamine® 2000 on the basis of the manufacturer’s protocol.


## 2.10. Animal Experiments

C57BL/6 mice (6–8 weeks old, 18–22 g) were obtained from the Experimental Animal Center of Guangzhou University of Chinese Medicine and kept under specific pathogen-free animal facility. Mice were allowed ad libitum access to food (normal feed) and water and fed under controlled conditions at the temperature (25±2°C), humidity (55±15%), and 12 h light-dark cycle. All animal experiments in this study were performed in strict accordance with the Guide for the Care and Use of Laboratory Animals of Sun Yat-sen University, in compliance with National Guidelines by the Animal Care and Use Committee. The protocol was approved by the Animal Ethical and Welfare Committee of Sun Yat-sen University (Approval No. IACUC-DD-15-1031).Figure2(a) describes the grouping design for animal experiments. After one-week adaption, mice were randomly divided into 5 groups (10 mice per group, 5 mice per cage), including (1) the control+physiological saline group, (2) 3% DSS+physiological saline group, (3) 3% DSS+50 mg/kg SSM group, (4) 3% DSS+100 mg/kg SSM group, and (5) 3% DSS+50 mg/kg 5-ASA group. Mice were given either normal drinking water (for the control model) or drinking water with 3% DSS (for the acute colitis model) from day 0 to day 6 and then received normal drinking water for another 3 days. Both SSM and 5-ASA were freshly prepared in physiological saline and then intragastrically administrated to the mice from day 0 to day 9. The daily intragastrical volume of drug solution for each mouse was adjusted for its daily body weight.Figure 2
SSM alleviated DSS-induced acute colitis in mice by reversing proinflammatory cytokine release and antioxidation inhibition. (a) The schematic of the experimental design used in the study. (b) Changes in dietary intake. (c) Changes in body weight. (d) Changes in disease activity index (DAI). (e) Colon length in different treatment groups. (f) The colons collected on day 10 were sectioned and then stained with hematoxylin and eosin (H&E). Arrows indicate the epithelial erosion and crypt distortion and abscess. Images are displayed at 40x magnification using a bright field microscope. (g) Changes in spleen weight. (h–j) The amount of IL-6, IL-1β, and TNF-α in colon tissues of mice was determined using commercial ELISA kits. (k–m) The activity of SOD and the amount of GSH and MDA were determined in colon tissues of mice using commercial ELISA kits. Data were expressed as the mean±SD (n=10). ∗p<0.05, ∗∗p<0.01, and ∗∗∗p<0.001 versus the control. #p<0.05, ##p<0.01, and ###p<0.001 versus the 3% DSS treatment group.
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## 2.11. Macroscopic Assessment and Histological Examination

Mice were examined for diarrhea and bloody stool every day. Daily body weight and food intake were recorded. Mice were sacrificed at 24 h after the last administration, and blood samples were collected. The spleens were collected and weighed immediately. The colons were collected, and the length of the colon was measured immediately. One portion of the colon was fixed in 10% neutral buffered formalin and stained with H&E for histological examination, while the other parts were stored for biochemical analysis and western blot analysis. The activity of SOD and the amount of GSH, MDA, IL-6, IL-1β, and TNF-α in the colon were determined using commercial kits (Jiancheng Bioengineering Institute, Nanjing, China) based on the product’s specification.


## 2.12. Evaluation of Disease Activity Index (DAI)

DAI calculation was based on the scores of body weight loss, stool consistency, and rectal bleeding [2]. The score of body weight loss was determined as follows: 0 = none, 1 = 1-5%, 2 = 5-10%, 3 = 10-20%, and 4 = >20%; the score of stool consistency was evaluated as follows: 0 = negative, 1 = +, 2 = ++, 3 = +++, and 4 = ++++; the score of rectal bleeding was determined as follows: 0 = normal, 1 = light loose stool, 2 = loose stool, 3 = light diarrhea, and 4 = diarrhea. The DAI was calculated through dividing the sum of these three scores by 3.


## 2.13. Statistical Analysis

SPSS 21 software (IBM, NY, USA) was used for the statistical analysis. The comparison between two groups was performed using Student’st-test, while comparisons among three or more groups were performed using one-way analysis of variance (ANOVA) with post hoc Tukey’s test to correct multiple comparisons. Figures were designed using Prism 8 (GraphPad, CA, USA). p<0.05 was statistically significant.


## 3. Results

### 3.1. SSM Protected Caco-2 Cells from H2O2-Induced Cytotoxicity via GSH-Mediated ROS Scavenging

To confirm appropriate SSM concentrations used for this study, we first detected the cytotoxicity of SSM on Caco-2 cells. Figure1(b) shows that Caco-2 cells failed to display significant growth inhibition even if they were treated with a high concentration of SSM (320 mM) for 24 h. Based on the past literatures related to SSM, 5, 10, 20, 40, and 80 mM were selected for this study. It is generally accepted that H2O2 can induce cytotoxicity that is similar with the oxidative stress injury in colitis [25]. Therefore, H2O2 was employed in this part for evaluating the protective effect of SSM. As shown in Figure 1(c), exposure to single H2O2 for 24 h led to a concentration-dependent growth inhibition of Caco-2 cells. However, this cytotoxic effect was relieved by SSM (40 μM) pretreatment (4 or 8 h) (Figure 1(c)). Further results showed that monotreatment with H2O2 for 24 h led to a significant ROS increase in Caco-2 cells as evidenced by increased fluorescence intensity (green), while pretreatment with SSM (20, 40, and 80 μM) for 8 h significantly reduced intracellular ROS in a concentration-dependent manner (Figure 1(d)). Glutathione-S-transferase (GSH) is an essential antioxidant for scavenging ROS. Thus, we also tested the effect of SSM on GSH in Caco-2 cells. As shown in Figures 1(e) and 1(f), treatment with 40 and 80 μM SSM for 8 h significantly increased the intracellular amount of reduced GSH (GSH) to approximately 2.5- and 3-fold, respectively, whereas oxidized GSH (GSSG) was not influenced by SSM treatment. Moreover, pretreatment with BSO (a GSH synthesis inhibitor) markedly weakened the protective effect of SSM against H2O2-induced cell damage (Figure 1(g)). These results suggest that SSM may exert cytoprotective effect via GSH-mediated ROS scavenge.


### 3.2. SSM Promoted the Transcriptional Activation of Nrf2 in Caco-2 Cells

It is well known that GSH synthase is regulated by Nrf2/ARE signaling. To better clarify the mechanism underlying the protective effect of SSM, the transcriptional activity of Nrf2 under SSM treatment was detected by dual luciferase reporter assays. As shown in Figures3(a) and 3(b), incubation with various concentrations of SSM (20, 40, and 80 μM) for 8 h significantly increased the ARE-driven luciferase activity in both Caco-2 and HEK293T cells. However, this effect was weakened after 16 and 24 h (Figures 3(a) and 3(b)). Consistently, qRT-PCR analysis showed that, after exposure to SSM (40 μM) for 8 h, mRNA expressions of several representative Nrf2-regulated genes, including HO-1, NQO1, GCLC (glutamate-cysteine ligase catalytic subunit), GCLM (glutamate-cysteine ligase modifier subunit), and GR (glutathione reductase), were increased by approximately 2-, 1.5-, 1.7-, 1.4-, and 2.2-fold, respectively, in Caco-2 cells (Figures 3(c)–3(g)). These results indicate that SSM can increase the transcriptional activity of Nrf2 and activate Nrf2/ARE signaling.Figure 3
SSM promoted the transcriptional activation of Nrf2 in Caco-2 cells. (a, b) Caco-2 and HEK293T cells were transfected with plasmids, including pEF-Nrf2, pGL3-ARE, and pRL-TK, and then treated with 0μM SSM (0.1% DMSO), 5 μM sulforaphane (SFN) (positive control), and various concentrations of SSM (10, 20, 40, and 80 μM) for 8, 16, and 24 h. The luciferase activities in three cells were detected using a Dual Luciferase Reporter Gene Assay Kit. (c–g) Total RNA was extracted from Caco-2 cells treated with 0 μM SSM (0.1% DMSO) or 40 μM SSM for 8, 16, and 24 h. mRNA expressions of the indicated genes were detected using qPCR and were normalized to GAPDH and β-actin. Data were expressed as the mean±SD (n=5). ∗p<0.05, ∗∗p<0.01, and ∗∗∗p<0.001 versus the DMSO treatment group.
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### 3.3. SSM Increased the Nuclear Translocation of Nrf2 and Induced Expressions of Cytoprotective Genes in Caco-2 Cells

Next, protein expressions of Nrf2 and downstream cytoprotective genes were also detected in SSM-treated Caco-2 cells (Figure4(a)). Results showed that exposure to SSM (80 μM) for 8 h significantly upregulated the total protein expression of Nrf2 (Figure 4(b)). More importantly, treatment with 40 and 80 μM SSM for 2 h significantly increased the nuclear translocation of Nrf2 in Caco-2 cells, and this effect was further enhanced with the treating time extended to 8 h (Figure 4(c)). Consistently, protein expressions of NQO1, HO-1, GCLM, and GR were increased by 8 h SSM treatment (40 and 80 μM) (Figures 4(d)–4(g)). To investigate whether Nrf2 is essential for SSM-induced expressions of cytoprotective genes, si-control or Nrf2-specific siRNA was transfected into Caco-2 cells before treatment with SSM (40 μM). The result showed that Nrf2 knockdown significantly inhibited the inducible effect of SSM on NQO1, HO-1, GCLM, and GR (Figure 4(h)). Moreover, Nrf2 knockdown remarkably abolished the protective effect of SSM on H2O2-induced cytotoxicity (Figure 4(i)). These data indicate that Nrf2 activation is essential for the SSM-induced cytoprotective gene expression and cytoprotective effect.Figure 4
SSM increased the nuclear translocation of Nrf2 and induced the expressions of cytoprotective genes in Caco-2 cells. (a) The effect of SSM on the protein expressions of Nrf2 and its target genes was analyzed by western blot in Caco-2 cells treated with 0μM SSM (0.1% DMSO) and various concentrations of SSM (10, 20, 40, and 80 μM) for 2 and 8 h. (b–g) Quantitative data were obtained from the densitometric quantification of immunoblots using ImageJ software. Data were expressed as the mean±SD (n=5). ∗p<0.05, ∗∗p<0.01, and ∗∗∗p<0.001 versus the DMSO treatment group. (h) Caco-2 cells were transfected with si-control or si-Nrf2 for 48 h. Then, the protein expressions of Nrf2 and its target genes were analyzed by western blot in these cells treated with 0.1% DMSO (-) or 40 μM SSM (+) for 8 h. Quantitative data were obtained from the densitometric quantification of immunoblots using ImageJ software. Data were expressed as the mean±SD (n=5). ∗p<0.05, ∗∗p<0.01, and ∗∗∗p<0.001 versus the DMSO treatment group. #p<0.05 versus the SSM treatment group. (i) Caco-2 cells were transfected with si-control or si-Nrf2 for 48 h. Then, the cells were pretreated with 0 μM SSM (0.1% DMSO) or 40 μM SSM for 8 h and 1.6 mM H2O2 for another 24 hours. Cell viability was measured by MTT assay. Data were expressed as the mean±SD (n=5). ∗p<0.05, ∗∗p<0.01, and ∗∗∗p<0.001 versus the H2O2 treatment group. #p<0.05, ##p<0.01, and ###p<0.001 versus the si-control group.
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### 3.4. SSM Activated Nrf2 Signaling through Promoting ERK and AKT Activation in Caco-2 Cells

It was reported that the activity of Nrf2 was regulated by Keap1 and several kinases, including ERK, AKT, P38, and PKC [8–11]. To further investigate the mechanism underlying SSM-induced Nrf2/ARE activation, the status of Keap1, ERK, AKT, P38, and PKC were detected using western blot analysis (Figure 5(a)). As shown in Figure 5(b), treatment with SSM (20, 40, and 80 μM) for 8 h elevated the phosphorylation level of ERK in a concentration-dependent manner. Similarly, the ratio of p-AKT/AKT was also significantly increased in the presence of SSM (20, 40, and 80 μM) (Figure 5(b)). However, P38 and PKCα were not significantly affected by SSM treatment (Figures 5(a) and 5(b)). Furthermore, the protein expression of Keap1 was significantly decreased by SSM (80 μM) after 8 h treatment (Figure 5(b)).Figure 5
SSM activated Nrf2 signaling through promoting ERK and AKT activation in Caco-2 cells. (a) The effect of SSM on ERK, AKT, P38, PKC, and Keap1 was analyzed by western blot in Caco-2 cells treated with 0μM SSM (0.1% DMSO) and various concentrations of SSM (10, 20, 40, and 80 μM) for 2 and 8 h. (b) Quantitative data were obtained from the densitometric quantification of immunoblots by using ImageJ software. Data were expressed as the mean±SD (n=5). ∗p<0.05 and ∗∗p<0.01 versus the DMSO treatment group. (c) Caco-2 cells were treated with 0.1% DMSO (control), PD98059 (5 and 10 μM), or wortmannin (5 and 10 μM) for 2 h prior to SSM treatment (40 μM) for 8 h. The protein expressions of AKT and ERK were analyzed by western blot. Quantitative data were obtained from the densitometric quantification of immunoblots using ImageJ software. Data were expressed as the mean±SD (n=5). ∗p<0.05 versus the DMSO treatment group. #p<0.05 and ###p<0.001 versus the SSM treatment group. (d) Caco-2 cells were treated with 0.1% DMSO (control), PD98059 (5 and 10 μM), or wortmannin (5 and 10 μM) for 2 h prior to SSM treatment (40 μM) for 8 h. The protein expressions of Nrf2 and its target genes were analyzed by western blot. Quantitative data were obtained from the densitometric quantification of immunoblots using ImageJ software. Data were expressed as the mean±SD (n=5). ∗p<0.05 versus the DMSO treatment group. #p<0.05, ##p<0.01, and ###p<0.001 versus the SSM treatment group. (e) Caco-2 cells were treated with 0.1% DMSO (control), PD98059 (5 and 10 μM), or wortmannin (5 and 10 μM) for 2 h prior to SSM treatment (40 μM) for 8 h. The nuclear protein expression of Nrf2 was analyzed by western blot. Quantitative data were obtained from the densitometric quantification of immunoblots using ImageJ software. Data were expressed as the mean±SD (n=5). ∗∗∗p<0.001 versus the DMSO treatment group. ###p<0.001 versus the SSM treatment group. (f) Caco-2 cells were treated with 0.1% DMSO (control), PD98059 (10 μM), or wortmannin (10 μM) for 2 h prior to SSM treatment (40 μM) for 8 h and then treated with 1.6 mM H2O2 for another 24 h. Images are displayed at 200x magnification using an OLYMPUS IX73 inverted fluorescence phase-contrast microscope. The quantification of fluorescence was done with a Flex Station 3 multifunctional microplate reader. Data were expressed as the mean±SD (n=5). ∗p<0.05, ∗∗p<0.01, and ∗∗∗p<0.001 versus the control group. (g, h) Caco-2 cells were treated with 0.1% DMSO (control), PD98059 (10 μM), or wortmannin (10 μM) for 2 h prior to SSM treatment (40 μM) for 8 h and then treated with 1.6 mM H2O2 for another 24 h. Cell viability was measured by MTT assay. Data were expressed as the mean±SD (n=5). ∗p<0.05, ∗∗p<0.01, and ∗∗∗p<0.001 versus the control group.
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(h)To investigate whether ERK and AKT are essential for SSM-induced Nrf2/ARE signaling activation, PD98059 and wortmannin [inhibitors for mitogen-activated protein kinase (MAPK) and phosphoinositide 3-kinase pathway (PI3K), respectively] were used in this study. The inhibitory effects of these two inhibitors on ERK and AKT were confirmed using western blot analysis. Specifically, treatment with PD98059 (5 and 10μM) and wortmannin (5 and 10 μM) for 2 h prior to SSM treatment significantly abolished SSM-induced phosphorylation of ERK and AKT, respectively (Figure 5(c)). Next, the protein expressions of Nrf2 and its targeted genes were further detected after inhibitor pretreatment. As shown in Figure 5(d), 10 μM PD98059 significantly abolished the inducible effect of SSM on HO-1, NQO1, GCLM, and GR. Similarly, 10 μM wortmannin significantly disrupted the effect of SSM on HO-1, NQO1, GCLM, and GR. More importantly, although total protein expression of Nrf2 was not influenced by inhibitor treatment (Figure 5(d)), the nuclear translocation of Nrf2 induced by SSM was significantly inhibited by PD98059 and wortmannin treatment as evidenced by the decreased nuclear protein expression of Nrf2 compared with the single SSM treatment group (Figure 5(e)). Consistently, pretreatment with PD98059 and wortmannin obviously disrupted the inhibitory effect of SSM on H2O2-induced ROS production (Figure 5(f)). Also, the protective effect of SSM against H2O2-induced cytotoxicity was significantly weakened by PD98059 and wortmannin as evidenced by Figures 5(g) and 5(h). These data suggest that SSM-induced Nrf2/ARE signaling activation and cytoprotective effect are dependent on ERK and AKT activation.


### 3.5. SSM Alleviated DSS-Induced Acute Colitis in Mice

DSS can induce murine acute colitis with pathologic features similar to human ulcerative colitis, and thus, it was employed in this study to evaluate the effect of SSM on colon injury [26], while 5-ASA was used as a positive control. The experiment design for animal study is shown in Figure 2(a). To assess the effect of SSM on DSS-induced colitis, the changes in food intake, body weight, disease activity index (DAI), and colorectal histopathology of mice were detected. The data showed that SSM (50 and 100 mg/kg) significantly improved food intake during the experiment (Figure 2(b)). Furthermore, DSS-treated mice showed obvious loss of body weight from day 2, while this was significantly improved by SSM treatment (50 and 100 mg/kg) (Figure 2(c)). Additionally, DSS-treated mice exhibited obvious diarrhea and rectal bleeding from day 5 and their DAI was increased time-dependently, while this situation was improved by SSM (50 and 100 mg/kg) or 5-ASA (50 mg/kg) treatment (Figure 2(d)). Compared with 5-ASA (50 mg/kg), SSM (50 mg/kg) showed a better symptom-improving effect when the DSS was removed (Figure 2(d)). More importantly, SSM (50 and 100 mg/kg) significantly inhibited DSS-induced shortening of the colon (50 mg/kg) (Figure 2(e)). Histopathological analysis showed that the colon tissue from DSS-treated mice displayed severe epithelial erosion and crypt distortion and abscess; this pathology was significantly prevented by cotreatment with SSM (50 and 100 mg/kg) (Figure 2(f)). These results suggest that SSM can alleviate DSS-induced acute colitis in mice.


### 3.6. SSM Reversed DSS-Induced Proinflammatory Cytokine Release and Antioxidation Inhibition

To further investigate the improving effect of SSM on DSS-induced colitis, the changes of proinflammatory cytokines, including interleukin 6 (IL-6), interleukin 1β (IL-1β), and tumor necrosis factor-α (TNF-α), were also detected in these mice. It was reported that the spleen weight is associated with the inflammation extent in colitis. Thus, the spleen weight was first compared in this part. As shown in Figure 2(g), the spleen weight was significantly increased in mice treated with DSS, while this was significantly alleviated by SSM (50 and 100 mg/kg). Consistently, DSS significantly increased the amount of IL-6, IL-1β, and TNF-α in colon tissues, while this was remarkably improved by SSM treatment (50 and 100 mg/kg) (Figures 2(h)–2(j)). Of note, SSM (100 mg/kg) almost reduced the release of these three proinflammatory cytokines to the normal level (Figures 2(h)–2(j)). Furthermore, some representative antioxidant factors, such as GSH, SOD, and MDA, were also detected in this part. As displayed in Figure 2(k), GSH was significantly decreased in colon tissues from DSS-treated mice compared with the control model. However, this was significantly reversed by SSM treatment (50 and 100 mg/kg) (Figure 2(k)). Meanwhile, after coadministration with SSM (100 mg/kg), the amounts of SOD and MDA were also significantly induced to the normal level (Figures 2(l) and 2(m)). These data thus suggest that SSM can inhibit the secretion of proinflammatory cytokines and enhance the antioxidant defenses against colitis.


### 3.7. SSM Reactivated Nrf2 Signaling via Activating ERK and AKT against DSS-Induced Colitis

To investigate whether activated Nrf2 signaling is involved in the protective effect of SSMin vivo, the protein expressions of Nrf2 and its targeted genes in the colon tissues of mice were measured in this study. As shown in Figure 6(a), DSS significantly decreased protein expressions of Nrf2, GCLC, GCLM, and GR. However, this effect was significantly reversed by SSM (50 and 100 mg/kg) (Figure 6(a)). Furthermore, the status of ERK, AKT, P38, PKC, and Keap1 was also detected in the colon tissues using western blot analysis. The results showed that DSS significantly inhibited the phosphorylation of ERK, AKT, and P38 and increased the expression of Keap1, while this inhibitory effect was significantly reversed by SSM (50 and 100 mg/kg) (Figure 6(b)). These data suggest that SSM can reactivate Nrf2-mediated protective defense through inducing ERK and AKT activation against DSS-induced colitis in mice.Figure 6
SSM reactivated Nrf2 signaling via activating ERK and AKT against DSS-induced colitis. (a) The effect of SSM on the ERK, AKT, P38, PKC, and Keap1 in the colon of mice with colitis was detected using western blot. Quantitative data were obtained from the densitometric quantification of immunoblots using ImageJ software. (b) The protein expressions of Nrf2 and its target genes in the colon of mice with colitis were analyzed by western blot. Quantitative data were obtained from the densitometric quantification of immunoblots by using ImageJ software. Data were expressed as themean±SD (n=10). ∗p<0.05 and ∗∗p<0.01 versus the control. #p<0.05, ##p<0.01, and ###p<0.001 versus the 3% DSS treatment group.
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## 3.1. SSM Protected Caco-2 Cells from H2O2-Induced Cytotoxicity via GSH-Mediated ROS Scavenging

To confirm appropriate SSM concentrations used for this study, we first detected the cytotoxicity of SSM on Caco-2 cells. Figure1(b) shows that Caco-2 cells failed to display significant growth inhibition even if they were treated with a high concentration of SSM (320 mM) for 24 h. Based on the past literatures related to SSM, 5, 10, 20, 40, and 80 mM were selected for this study. It is generally accepted that H2O2 can induce cytotoxicity that is similar with the oxidative stress injury in colitis [25]. Therefore, H2O2 was employed in this part for evaluating the protective effect of SSM. As shown in Figure 1(c), exposure to single H2O2 for 24 h led to a concentration-dependent growth inhibition of Caco-2 cells. However, this cytotoxic effect was relieved by SSM (40 μM) pretreatment (4 or 8 h) (Figure 1(c)). Further results showed that monotreatment with H2O2 for 24 h led to a significant ROS increase in Caco-2 cells as evidenced by increased fluorescence intensity (green), while pretreatment with SSM (20, 40, and 80 μM) for 8 h significantly reduced intracellular ROS in a concentration-dependent manner (Figure 1(d)). Glutathione-S-transferase (GSH) is an essential antioxidant for scavenging ROS. Thus, we also tested the effect of SSM on GSH in Caco-2 cells. As shown in Figures 1(e) and 1(f), treatment with 40 and 80 μM SSM for 8 h significantly increased the intracellular amount of reduced GSH (GSH) to approximately 2.5- and 3-fold, respectively, whereas oxidized GSH (GSSG) was not influenced by SSM treatment. Moreover, pretreatment with BSO (a GSH synthesis inhibitor) markedly weakened the protective effect of SSM against H2O2-induced cell damage (Figure 1(g)). These results suggest that SSM may exert cytoprotective effect via GSH-mediated ROS scavenge.


## 3.2. SSM Promoted the Transcriptional Activation of Nrf2 in Caco-2 Cells

It is well known that GSH synthase is regulated by Nrf2/ARE signaling. To better clarify the mechanism underlying the protective effect of SSM, the transcriptional activity of Nrf2 under SSM treatment was detected by dual luciferase reporter assays. As shown in Figures3(a) and 3(b), incubation with various concentrations of SSM (20, 40, and 80 μM) for 8 h significantly increased the ARE-driven luciferase activity in both Caco-2 and HEK293T cells. However, this effect was weakened after 16 and 24 h (Figures 3(a) and 3(b)). Consistently, qRT-PCR analysis showed that, after exposure to SSM (40 μM) for 8 h, mRNA expressions of several representative Nrf2-regulated genes, including HO-1, NQO1, GCLC (glutamate-cysteine ligase catalytic subunit), GCLM (glutamate-cysteine ligase modifier subunit), and GR (glutathione reductase), were increased by approximately 2-, 1.5-, 1.7-, 1.4-, and 2.2-fold, respectively, in Caco-2 cells (Figures 3(c)–3(g)). These results indicate that SSM can increase the transcriptional activity of Nrf2 and activate Nrf2/ARE signaling.Figure 3
SSM promoted the transcriptional activation of Nrf2 in Caco-2 cells. (a, b) Caco-2 and HEK293T cells were transfected with plasmids, including pEF-Nrf2, pGL3-ARE, and pRL-TK, and then treated with 0μM SSM (0.1% DMSO), 5 μM sulforaphane (SFN) (positive control), and various concentrations of SSM (10, 20, 40, and 80 μM) for 8, 16, and 24 h. The luciferase activities in three cells were detected using a Dual Luciferase Reporter Gene Assay Kit. (c–g) Total RNA was extracted from Caco-2 cells treated with 0 μM SSM (0.1% DMSO) or 40 μM SSM for 8, 16, and 24 h. mRNA expressions of the indicated genes were detected using qPCR and were normalized to GAPDH and β-actin. Data were expressed as the mean±SD (n=5). ∗p<0.05, ∗∗p<0.01, and ∗∗∗p<0.001 versus the DMSO treatment group.
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## 3.3. SSM Increased the Nuclear Translocation of Nrf2 and Induced Expressions of Cytoprotective Genes in Caco-2 Cells

Next, protein expressions of Nrf2 and downstream cytoprotective genes were also detected in SSM-treated Caco-2 cells (Figure4(a)). Results showed that exposure to SSM (80 μM) for 8 h significantly upregulated the total protein expression of Nrf2 (Figure 4(b)). More importantly, treatment with 40 and 80 μM SSM for 2 h significantly increased the nuclear translocation of Nrf2 in Caco-2 cells, and this effect was further enhanced with the treating time extended to 8 h (Figure 4(c)). Consistently, protein expressions of NQO1, HO-1, GCLM, and GR were increased by 8 h SSM treatment (40 and 80 μM) (Figures 4(d)–4(g)). To investigate whether Nrf2 is essential for SSM-induced expressions of cytoprotective genes, si-control or Nrf2-specific siRNA was transfected into Caco-2 cells before treatment with SSM (40 μM). The result showed that Nrf2 knockdown significantly inhibited the inducible effect of SSM on NQO1, HO-1, GCLM, and GR (Figure 4(h)). Moreover, Nrf2 knockdown remarkably abolished the protective effect of SSM on H2O2-induced cytotoxicity (Figure 4(i)). These data indicate that Nrf2 activation is essential for the SSM-induced cytoprotective gene expression and cytoprotective effect.Figure 4
SSM increased the nuclear translocation of Nrf2 and induced the expressions of cytoprotective genes in Caco-2 cells. (a) The effect of SSM on the protein expressions of Nrf2 and its target genes was analyzed by western blot in Caco-2 cells treated with 0μM SSM (0.1% DMSO) and various concentrations of SSM (10, 20, 40, and 80 μM) for 2 and 8 h. (b–g) Quantitative data were obtained from the densitometric quantification of immunoblots using ImageJ software. Data were expressed as the mean±SD (n=5). ∗p<0.05, ∗∗p<0.01, and ∗∗∗p<0.001 versus the DMSO treatment group. (h) Caco-2 cells were transfected with si-control or si-Nrf2 for 48 h. Then, the protein expressions of Nrf2 and its target genes were analyzed by western blot in these cells treated with 0.1% DMSO (-) or 40 μM SSM (+) for 8 h. Quantitative data were obtained from the densitometric quantification of immunoblots using ImageJ software. Data were expressed as the mean±SD (n=5). ∗p<0.05, ∗∗p<0.01, and ∗∗∗p<0.001 versus the DMSO treatment group. #p<0.05 versus the SSM treatment group. (i) Caco-2 cells were transfected with si-control or si-Nrf2 for 48 h. Then, the cells were pretreated with 0 μM SSM (0.1% DMSO) or 40 μM SSM for 8 h and 1.6 mM H2O2 for another 24 hours. Cell viability was measured by MTT assay. Data were expressed as the mean±SD (n=5). ∗p<0.05, ∗∗p<0.01, and ∗∗∗p<0.001 versus the H2O2 treatment group. #p<0.05, ##p<0.01, and ###p<0.001 versus the si-control group.
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## 3.4. SSM Activated Nrf2 Signaling through Promoting ERK and AKT Activation in Caco-2 Cells

It was reported that the activity of Nrf2 was regulated by Keap1 and several kinases, including ERK, AKT, P38, and PKC [8–11]. To further investigate the mechanism underlying SSM-induced Nrf2/ARE activation, the status of Keap1, ERK, AKT, P38, and PKC were detected using western blot analysis (Figure 5(a)). As shown in Figure 5(b), treatment with SSM (20, 40, and 80 μM) for 8 h elevated the phosphorylation level of ERK in a concentration-dependent manner. Similarly, the ratio of p-AKT/AKT was also significantly increased in the presence of SSM (20, 40, and 80 μM) (Figure 5(b)). However, P38 and PKCα were not significantly affected by SSM treatment (Figures 5(a) and 5(b)). Furthermore, the protein expression of Keap1 was significantly decreased by SSM (80 μM) after 8 h treatment (Figure 5(b)).Figure 5
SSM activated Nrf2 signaling through promoting ERK and AKT activation in Caco-2 cells. (a) The effect of SSM on ERK, AKT, P38, PKC, and Keap1 was analyzed by western blot in Caco-2 cells treated with 0μM SSM (0.1% DMSO) and various concentrations of SSM (10, 20, 40, and 80 μM) for 2 and 8 h. (b) Quantitative data were obtained from the densitometric quantification of immunoblots by using ImageJ software. Data were expressed as the mean±SD (n=5). ∗p<0.05 and ∗∗p<0.01 versus the DMSO treatment group. (c) Caco-2 cells were treated with 0.1% DMSO (control), PD98059 (5 and 10 μM), or wortmannin (5 and 10 μM) for 2 h prior to SSM treatment (40 μM) for 8 h. The protein expressions of AKT and ERK were analyzed by western blot. Quantitative data were obtained from the densitometric quantification of immunoblots using ImageJ software. Data were expressed as the mean±SD (n=5). ∗p<0.05 versus the DMSO treatment group. #p<0.05 and ###p<0.001 versus the SSM treatment group. (d) Caco-2 cells were treated with 0.1% DMSO (control), PD98059 (5 and 10 μM), or wortmannin (5 and 10 μM) for 2 h prior to SSM treatment (40 μM) for 8 h. The protein expressions of Nrf2 and its target genes were analyzed by western blot. Quantitative data were obtained from the densitometric quantification of immunoblots using ImageJ software. Data were expressed as the mean±SD (n=5). ∗p<0.05 versus the DMSO treatment group. #p<0.05, ##p<0.01, and ###p<0.001 versus the SSM treatment group. (e) Caco-2 cells were treated with 0.1% DMSO (control), PD98059 (5 and 10 μM), or wortmannin (5 and 10 μM) for 2 h prior to SSM treatment (40 μM) for 8 h. The nuclear protein expression of Nrf2 was analyzed by western blot. Quantitative data were obtained from the densitometric quantification of immunoblots using ImageJ software. Data were expressed as the mean±SD (n=5). ∗∗∗p<0.001 versus the DMSO treatment group. ###p<0.001 versus the SSM treatment group. (f) Caco-2 cells were treated with 0.1% DMSO (control), PD98059 (10 μM), or wortmannin (10 μM) for 2 h prior to SSM treatment (40 μM) for 8 h and then treated with 1.6 mM H2O2 for another 24 h. Images are displayed at 200x magnification using an OLYMPUS IX73 inverted fluorescence phase-contrast microscope. The quantification of fluorescence was done with a Flex Station 3 multifunctional microplate reader. Data were expressed as the mean±SD (n=5). ∗p<0.05, ∗∗p<0.01, and ∗∗∗p<0.001 versus the control group. (g, h) Caco-2 cells were treated with 0.1% DMSO (control), PD98059 (10 μM), or wortmannin (10 μM) for 2 h prior to SSM treatment (40 μM) for 8 h and then treated with 1.6 mM H2O2 for another 24 h. Cell viability was measured by MTT assay. Data were expressed as the mean±SD (n=5). ∗p<0.05, ∗∗p<0.01, and ∗∗∗p<0.001 versus the control group.
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(h)To investigate whether ERK and AKT are essential for SSM-induced Nrf2/ARE signaling activation, PD98059 and wortmannin [inhibitors for mitogen-activated protein kinase (MAPK) and phosphoinositide 3-kinase pathway (PI3K), respectively] were used in this study. The inhibitory effects of these two inhibitors on ERK and AKT were confirmed using western blot analysis. Specifically, treatment with PD98059 (5 and 10μM) and wortmannin (5 and 10 μM) for 2 h prior to SSM treatment significantly abolished SSM-induced phosphorylation of ERK and AKT, respectively (Figure 5(c)). Next, the protein expressions of Nrf2 and its targeted genes were further detected after inhibitor pretreatment. As shown in Figure 5(d), 10 μM PD98059 significantly abolished the inducible effect of SSM on HO-1, NQO1, GCLM, and GR. Similarly, 10 μM wortmannin significantly disrupted the effect of SSM on HO-1, NQO1, GCLM, and GR. More importantly, although total protein expression of Nrf2 was not influenced by inhibitor treatment (Figure 5(d)), the nuclear translocation of Nrf2 induced by SSM was significantly inhibited by PD98059 and wortmannin treatment as evidenced by the decreased nuclear protein expression of Nrf2 compared with the single SSM treatment group (Figure 5(e)). Consistently, pretreatment with PD98059 and wortmannin obviously disrupted the inhibitory effect of SSM on H2O2-induced ROS production (Figure 5(f)). Also, the protective effect of SSM against H2O2-induced cytotoxicity was significantly weakened by PD98059 and wortmannin as evidenced by Figures 5(g) and 5(h). These data suggest that SSM-induced Nrf2/ARE signaling activation and cytoprotective effect are dependent on ERK and AKT activation.


## 3.5. SSM Alleviated DSS-Induced Acute Colitis in Mice

DSS can induce murine acute colitis with pathologic features similar to human ulcerative colitis, and thus, it was employed in this study to evaluate the effect of SSM on colon injury [26], while 5-ASA was used as a positive control. The experiment design for animal study is shown in Figure 2(a). To assess the effect of SSM on DSS-induced colitis, the changes in food intake, body weight, disease activity index (DAI), and colorectal histopathology of mice were detected. The data showed that SSM (50 and 100 mg/kg) significantly improved food intake during the experiment (Figure 2(b)). Furthermore, DSS-treated mice showed obvious loss of body weight from day 2, while this was significantly improved by SSM treatment (50 and 100 mg/kg) (Figure 2(c)). Additionally, DSS-treated mice exhibited obvious diarrhea and rectal bleeding from day 5 and their DAI was increased time-dependently, while this situation was improved by SSM (50 and 100 mg/kg) or 5-ASA (50 mg/kg) treatment (Figure 2(d)). Compared with 5-ASA (50 mg/kg), SSM (50 mg/kg) showed a better symptom-improving effect when the DSS was removed (Figure 2(d)). More importantly, SSM (50 and 100 mg/kg) significantly inhibited DSS-induced shortening of the colon (50 mg/kg) (Figure 2(e)). Histopathological analysis showed that the colon tissue from DSS-treated mice displayed severe epithelial erosion and crypt distortion and abscess; this pathology was significantly prevented by cotreatment with SSM (50 and 100 mg/kg) (Figure 2(f)). These results suggest that SSM can alleviate DSS-induced acute colitis in mice.


## 3.6. SSM Reversed DSS-Induced Proinflammatory Cytokine Release and Antioxidation Inhibition

To further investigate the improving effect of SSM on DSS-induced colitis, the changes of proinflammatory cytokines, including interleukin 6 (IL-6), interleukin 1β (IL-1β), and tumor necrosis factor-α (TNF-α), were also detected in these mice. It was reported that the spleen weight is associated with the inflammation extent in colitis. Thus, the spleen weight was first compared in this part. As shown in Figure 2(g), the spleen weight was significantly increased in mice treated with DSS, while this was significantly alleviated by SSM (50 and 100 mg/kg). Consistently, DSS significantly increased the amount of IL-6, IL-1β, and TNF-α in colon tissues, while this was remarkably improved by SSM treatment (50 and 100 mg/kg) (Figures 2(h)–2(j)). Of note, SSM (100 mg/kg) almost reduced the release of these three proinflammatory cytokines to the normal level (Figures 2(h)–2(j)). Furthermore, some representative antioxidant factors, such as GSH, SOD, and MDA, were also detected in this part. As displayed in Figure 2(k), GSH was significantly decreased in colon tissues from DSS-treated mice compared with the control model. However, this was significantly reversed by SSM treatment (50 and 100 mg/kg) (Figure 2(k)). Meanwhile, after coadministration with SSM (100 mg/kg), the amounts of SOD and MDA were also significantly induced to the normal level (Figures 2(l) and 2(m)). These data thus suggest that SSM can inhibit the secretion of proinflammatory cytokines and enhance the antioxidant defenses against colitis.


## 3.7. SSM Reactivated Nrf2 Signaling via Activating ERK and AKT against DSS-Induced Colitis

To investigate whether activated Nrf2 signaling is involved in the protective effect of SSMin vivo, the protein expressions of Nrf2 and its targeted genes in the colon tissues of mice were measured in this study. As shown in Figure 6(a), DSS significantly decreased protein expressions of Nrf2, GCLC, GCLM, and GR. However, this effect was significantly reversed by SSM (50 and 100 mg/kg) (Figure 6(a)). Furthermore, the status of ERK, AKT, P38, PKC, and Keap1 was also detected in the colon tissues using western blot analysis. The results showed that DSS significantly inhibited the phosphorylation of ERK, AKT, and P38 and increased the expression of Keap1, while this inhibitory effect was significantly reversed by SSM (50 and 100 mg/kg) (Figure 6(b)). These data suggest that SSM can reactivate Nrf2-mediated protective defense through inducing ERK and AKT activation against DSS-induced colitis in mice.Figure 6
SSM reactivated Nrf2 signaling via activating ERK and AKT against DSS-induced colitis. (a) The effect of SSM on the ERK, AKT, P38, PKC, and Keap1 in the colon of mice with colitis was detected using western blot. Quantitative data were obtained from the densitometric quantification of immunoblots using ImageJ software. (b) The protein expressions of Nrf2 and its target genes in the colon of mice with colitis were analyzed by western blot. Quantitative data were obtained from the densitometric quantification of immunoblots by using ImageJ software. Data were expressed as themean±SD (n=10). ∗p<0.05 and ∗∗p<0.01 versus the control. #p<0.05, ##p<0.01, and ###p<0.001 versus the 3% DSS treatment group.
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## 4. Discussion

UC is a chronic intestinal disorder localized in the mucosa and submucosa of the colon and has high incidence worldwide. Patients with UC have high risk of developing colitis-associated colon cancer [27]. However, the mechanisms underlying the initiation or development of UC are still not fully understood, and many researchers struggled to find effective strategies for controlling symptoms better. In this study, we found SSM can enhance Nrf2-mediated protective defense against H2O2-induced oxidative stress in vitro and alleviate DSS-induced colitis in vivo. Our results demonstrate for the first time that SSM can activate Nrf2-mediated protective signaling against oxidative stress in colitis via inducing AKT and ERK activation. These data may provide a new insight into the antioxidative effect of SSM and propose it as a potential nutrition supplement for better managing symptoms of UC.SSM is a major lignan of sesame seeds and reported to have anti-inflammatory and antioxidative activity [28]. However, the mechanism underlying the protective effect of SSM is not fully understood. Considering the vital role of oxidative stress in colitis progress, we first tested the effect of SSM against H2O2-induced injury in Caco-2 cells and found that cotreatment with SSM significantly increased the viability of Caco-2 cells as compared to monotreatment with H2O2. Moreover, the intracellular overaccumulation of ROS induced by H2O2 was obviously relieved by SSM in a dose-dependent manner, which presents evidence for the antioxidative effect of SSM. Consistent with the increased scavenging of ROS, we found the GSH/GSSG ratio was elevated after SSM treatment. Thus, these data suggest that SSM can protect Caco-2 cells from H2O2-induced oxidative stress injury through GSH-mediated ROS scavenging.Recent studies indicated that Nrf2 is a central transcriptional factor in a cellular antioxidative system. It makes us more interested in the role of Nrf2 in the SSM-induced antioxidative effect in this study. The results from ARE-luciferase reporter assay suggest that SSM can promote Nrf2 transactivation especially in the first 8 h, and this was further validated by immunoblotting experiments that showed the increased nuclear protein level of Nrf2 as well as the increased protein expression of several Nrf2-targeted cytoprotective genes. In contrast, Nrf2 knockdown significantly decreased their expressions induced by SSM, suggesting that the inducible effect of SSM on cellular antioxidative ability is dependent on Nrf2 activation.DSS was proved to induce the disruption of epithelial barrier and colonic inflammation in the colon of mouse, which is pathologically similar with human UC [29]. From in vivo study, we found that the amounts of IL-6, IL-1β, and TNF-α were significantly increased after single DSS administration, which is consistent with the change of spleen weight. These cytokines are released quickly at the inflammatory site and contribute to the acute inflammatory response [30]. Thus, their occurrence in the colon manifested that the mouse model of UC was successfully established. Compared with the DSS monotreatment group, loss in body weight and reduction in food intake in the SSM cotreated groups were much lower during the recovery period (post DSS treatment), suggesting SSM significantly reversed DSS-induced inappetence. Moreover, mice treated with SSM also showed a much lower disease activity index (DAI) and significantly improved colon length compared with the DSS monotreatment group. These data along with histopathological evidence provide visible evidences for the improving effect of SSM on colitis and suggest that SSM-treated mice have better prognosis. Furthermore, the dysregulation of several oxidative stress indicators in the DSS monotreatment group suggests colon cells suffered from intense ROS attack during inflammatory reactions. This highlights the correlations between oxidative stress and inflammatory response in colitis. In contrast, cotreatment with SSM can effectively restore the expressions of GSH and SOD and reduce the secretion of IL-6, IL-1β, and TNF-α to the almost normal level of the murine colon. Interestingly, SSM showed a better protective effect as compared to 5-ASA in vivo. These evidences thus establish the potential role of SSM against DSS-induced UC.On the other hand, we observed that DSS can decrease the protein expressions of Nrf2 and its targeted genes, while this situation can be reversed by the cotreatment with SSM. In fact, the reinduction of the Nrf2/ARE pathway by endogenous chemicals has been confirmed in many tissue cells to combat damaging inflammation through rectifying redox homeostasis. Also, chemicals with the ability of activating Nrf2 signaling usually display anti-inflammatory properties [31–35]. Therefore, the protective effect of SSM against murine colitis may be ascribed, at least partly, to its contributions to the reestablishment of the Nrf2-mediated cellular antioxidative system, suggesting the feasibility of treating UC via targeting excessive oxidative stress. Nonetheless, the involvement of the anti-inflammatory effect of SSM should not be neglected. The effect of SSM on inflammatory-associated signaling, such as the Toll-like receptor 4 signaling pathway, in colon cells needs further investigation [36].Nrf2 is mainly regulated by Keap1 in the cytoplasm for polyubiquitination and subsequent degradation under basal homeostatic conditions. Mitogen-activated protein kinase cascade (MAPK), phosphoinositide 3-kinase pathway (PI3K), or PKC can regulate the translocation of Nrf2 to the nucleus via phosphorylation and promotes its nuclear accumulation [8–11]. In our study, we observed that the nuclear translocation of Nrf2 was promoted by SSM treatment. This led us to investigate whether the activation of ERK, AKT, p38, or PKC was involved in the process. Both in vitro and in vivo results showed that SSM can activate ERK and AKT, which is consistent with a study highlighting the angiogenesis-promoting effect of SSM [37]. More importantly, the effect of SSM against H2O2-induced injury was abolished in vitro after AKT or ERK inhibition, suggesting the AKT or ERK activation is essential for SSM-induced protective effect. Further results showed that the inhibition of AKT or ERK weakened the promotive effect of SSM on Nrf2 nuclear accumulation and, as a result, Nrf2-regulated gene expressions. Research from other groups indicated that ERK or AKT activation is critical for Nrf2 nuclear accumulation and transcriptional response, and it was shown that Nrf2 can be phosphorylated at multiple sites by MAPKs (S215, S408, and S577) and glycogen synthase kinase 3β (GSK 3β, downstream protein kinase of AKT) (S342 and S347) [38–40]. ERK or AKT inhibition decreased the protein stability of Nrf2, promoted its degradation, and reduced its nuclear accumulation [39]. These findings are consistent with our data showing that ERK and AKT activations are critical for SSM-induced Nrf2 transactivation. To our best knowledge, AKT and ERK are considered as integration points for multiple biochemical signals that play crucial roles in cell proliferation and differentiation [41]. Thus, SSM-induced activation of AKT and ERK is in accord with the ability of SSM to promote cell proliferation, migration, and tube formation. However, the mechanism by which SSM activated ERK or AKT needs a further study [42].


## 5. Conclusion

Our study demonstrates that SSM can stimulate Nrf2-mediated protective defense against oxidative stress and inflammation in colitis via AKT and ERK activation. These data may provide a new insight into the medicinal value of SSM for UC treatment and propose it as a new candidate in order to gain more positive outcomes during IBD therapy.



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