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<article article-type="research-article" dtd-version="2.3" xml:lang="EN" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Pharmacol.</journal-id>
<journal-title>Frontiers in Pharmacology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Pharmacol.</abbrev-journal-title>
<issn pub-type="epub">1663-9812</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">734394</article-id>
<article-id pub-id-type="doi">10.3389/fphar.2021.734394</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Pharmacology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Polysaccharides Extracted From <italic>Panax</italic> Ginseng C.A. Mey Enhance Complement Component 4 Biosynthesis in Human Hepatocytes</article-title>
<alt-title alt-title-type="left-running-head">Liu et&#x20;al.</alt-title>
<alt-title alt-title-type="right-running-head">WGP Enhances C4 Biosynthesis</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Liu</surname>
<given-names>Shuang</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liu</surname>
<given-names>Fangbing</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Tingting</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liu</surname>
<given-names>Jianzeng</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hu</surname>
<given-names>Cheng</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Sun</surname>
<given-names>Liwei</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/254180/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Wang</surname>
<given-names>Guan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1392054/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<label>
<sup>1</sup>
</label>National Engineering Laboratory for AIDS Vaccine, Key Laboratory for Molecular Enzymology and Engineering, School of Life Sciences, Jilin University, <addr-line>Changchun</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<label>
<sup>2</sup>
</label>Jilin Ginseng Academy, Changchun University of Chinese Medicine, <addr-line>Changchun</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<label>
<sup>3</sup>
</label>Research Center of Traditional Chinese Medicine, The Affiliated Hospital of Changchun University of Chinese Medicine, Key Laboratory of Active Substances and Biological Mechanisms of Ginseng Efficacy, Changchun University of Chinese Medicine, <addr-line>Changchun</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1232906/overview">Jing Zhao</ext-link>, University of Macau, China</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/655204/overview">Wang Lingchong</ext-link>, Nanjing University of Chinese Medicine, China</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1411597/overview">Lin Sun</ext-link>, Northeast Normal University, China</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Liwei Sun, <email>sunnylilwei@163.com</email>; Guan Wang, <email>wg10@jlu.edu.cn</email>
</corresp>
<fn fn-type="equal" id="fn1">
<label>
<sup>&#x2020;</sup>
</label>
<p>These authors have contributed equally to this&#x20;work</p>
</fn>
<fn fn-type="other">
<p>This article was submitted to Ethnopharmacology, a section of the journal Frontiers in Pharmacology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>10</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>12</volume>
<elocation-id>734394</elocation-id>
<history>
<date date-type="received">
<day>01</day>
<month>07</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>30</day>
<month>08</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2021 Liu, Liu, Wang, Liu, Hu, Sun and Wang.</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Liu, Liu, Wang, Liu, Hu, Sun and Wang</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these&#x20;terms.</p>
</license>
</permissions>
<abstract>
<p>
<italic>Panax</italic> ginseng C.A. Mey (ginseng) is a classic medicinal plant which is well known for enhancing immune capacity. Polysaccharides are one of the main active components of ginseng. We isolated water-soluble ginseng polysaccharides (WGP) and analyzed the physicochemical properties of WGP including molecular weight, monosaccharide composition, and structural characteristics. WGP had minimal effect on the growth of hepatocytes. Interestingly, WGP significantly increased the mRNA and protein levels of complement component 4 (C4), one of the core components of the complement system. Promoter reporter gene assays revealed that WGP significantly enhanced activity of the <italic>C4</italic> gene promoter. Deletion analyses determined that the E-box1 and Sp1 regions play key roles in WGP-induced <italic>C4</italic> transcription. Taken together, our results suggest that WGP promotes C4 biosynthesis through upregulation of transcription. These results provide new explanation for the intrinsic mechanism by which ginseng boosts human immune capacity.</p>
</abstract>
<kwd-group>
<kwd>ginseng</kwd>
<kwd>water-soluble ginseng polysaccharides</kwd>
<kwd>complement component 4</kwd>
<kwd>C4 transcription</kwd>
<kwd>C4 promoter</kwd>
</kwd-group>
<contract-sponsor id="cn001">National Key Research and Development Program of China<named-content content-type="fundref-id">10.13039/501100012166</named-content>
</contract-sponsor>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>For <italic>Pana</italic>x ginseng C.A. Mey (ginseng), a perennial plant belonging to genus Panax, is one of the most appreciated medicinal plants (<xref ref-type="bibr" rid="B41">Yun, 2001</xref>). Regulation of the immune response is one of the main biological activities of ginseng extracts (<xref ref-type="bibr" rid="B38">Wang et&#x20;al., 2001</xref>; <xref ref-type="bibr" rid="B30">Senchina et&#x20;al., 2009</xref>; <xref ref-type="bibr" rid="B17">Kang and Min, 2012</xref>; <xref ref-type="bibr" rid="B16">Kachur and Suntres, 2016</xref>; <xref ref-type="bibr" rid="B40">Yun and Yi, 2020</xref>). The reason for long-lasting usage of ginseng is that it contains numerous natural regulatory compounds, such as polysaccharides, ginsenoside, phytosterols, and peptides (<xref ref-type="bibr" rid="B9">Dai et&#x20;al., 2017</xref>).</p>
<p>As an important active component of ginseng, water-soluble ginseng polysaccharides (WGP) have been proved playing an important role in the modulation of immunity (<xref ref-type="bibr" rid="B22">Lim et&#x20;al., 2004</xref>; <xref ref-type="bibr" rid="B18">Kim et&#x20;al., 2007</xref>; <xref ref-type="bibr" rid="B34">Sun, 2011</xref>; <xref ref-type="bibr" rid="B39">Yu et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B21">Li et&#x20;al., 2019</xref>). Human immune system is an elaborate and layered defense system against infections through gradual increase of specificity to invading organisms (<xref ref-type="bibr" rid="B25">Medzhitov, 2007</xref>). Among the components of immune response, the complement system plays an important role in organismal defense. Complements can lower the B-cell activating threshold and promote antigen retention on the surface of dendritic cells (<xref ref-type="bibr" rid="B15">Janssen et&#x20;al., 2006</xref>; <xref ref-type="bibr" rid="B13">Gros et&#x20;al., 2008</xref>; <xref ref-type="bibr" rid="B6">Carter and Fearon, 2010</xref>; <xref ref-type="bibr" rid="B5">Carroll and Isenman, 2012</xref>). Interaction between the effector components and the complement receptors can alter the secretion of cytokines and regulate the direction of T&#x20;cell differentiation by influencing the microenvironment, thereby affecting the outcome of inflammation (<xref ref-type="bibr" rid="B20">Lalli et&#x20;al., 2008</xref>; <xref ref-type="bibr" rid="B1">Amsen et&#x20;al., 2009</xref>; <xref ref-type="bibr" rid="B19">Kolev et&#x20;al., 2013</xref>).</p>
<p>The <italic>C4</italic> gene product, fourth component of human complement (C4), is an important component of the complement system (<xref ref-type="bibr" rid="B12">Galibert et&#x20;al., 1997</xref>). C4 together with C2 forms the classical complement which activates C3 convertase (<xref ref-type="bibr" rid="B10">Dodds and Law, 1990</xref>). C4 is an important effector for both innate and adaptive immune systems among vertebrate animals. C4 is mainly expressed in the liver and induced during acute inflammation or tissue injury (<xref ref-type="bibr" rid="B42">Zhang et&#x20;al., 2009</xref>).</p>
<p>Until now, little is known about the effects of ginseng on the production of complement components. In this study, we investigated the effect of WGP on C4 biosynthesis and explored the underlying molecular mechanism. We demonstrate that WGP enhances C4 production by promoting <italic>C4</italic> gene transcription via the E-box1 and Sp1 regions in the promoter. Our results provide more clues to fully understand the mechanism by which ginseng enhances human immunity.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>Materials and Methods</title>
<sec id="s2-1">
<title>Preparation of Water-Soluble Ginseng Polysaccharides</title>
<p>Ginseng powder (400&#xa0;g) was boiled in deionized water (4&#xa0;L) for 3&#xa0;h. After filtration, the solid phase was boiled in deionized water at the same ratio (g/ml) two more times. The filtrate was combined, centrifuged, and concentrated. The concentrated solution was mixed with anhydrous ethanol at a volume ratio of 1:3 and left overnight at 4&#xb0;C. Discard the supernatant by centrifugation and the precipitate was successively washed with 75% ethanol, 95% ethanol, anhydrous ethanol, and ether. The crude ginseng polysaccharides were obtained after drying and subsequently redissolved in deionized water. After removal of proteins using a Sevage reagent, a 3&#xa0;KD molecular sieve was used to remove small molecules to obtain WGP. The content of sugar was tracked and monitored by the phenol sulfuric acid method (<xref ref-type="bibr" rid="B37">Wang et&#x20;al., 2020</xref>).</p>
</sec>
<sec id="s2-2">
<title>Molecular Weight Analysis of Water-Soluble Ginseng Polysaccharides</title>
<p>WGP (5&#xa0;mg/ml) was filtered <italic>via</italic> 0.45&#xa0;&#x3bc;m microfiltration membrane. The filtered sample (20&#xa0;&#x3bc;L) was loaded into a TSK-Gel G4000PWXL column (Tosoh, Shanghai branch, China) controlled by LC-10Avp system (Shimadzu, Shanghai branch, China). High performance gel permeation chromatography (HPGPC) was performed using 0.2&#xa0;M NaCl as mobile phase at flow rate of 0.5&#xa0;ml/min. T-series Dextran standards were used for reference standards.</p>
</sec>
<sec id="s2-3">
<title>Monosaccharide Composition Analysis of Water-Soluble Ginseng Polysaccharides</title>
<p>Monosaccharide composition analysis was performed as previously described (<xref ref-type="bibr" rid="B37">Wang et&#x20;al., 2020</xref>). Briefly, WGP (200&#xa0;g) was hydrolysed in anhydrous methanol solution (1&#xa0;ml) containing hydrochloric acid in nitrogen. Then, the sample was dried and hydrolysed in 2&#xa0;M trifluoroacetate acid. After dried, the sample was dissolved using 0.3&#xa0;M sodium hydroxide and added an equal volume of 0.5&#xa0;M PMP (1-phenyl-3-methyl-5-pyrazolone) with thoroughly blending using pipettor. Placed the mixture (0.2&#xa0;ml) for 30&#xa0;min at 70&#xb0;C, added 0.1&#xa0;ml hydrochloric acid and 0.7&#xa0;ml dichloromethane for extraction. The aqueous phase was filtered <italic>via</italic> 0.22&#xa0;&#x3bc;m organic membrane. Conversion of monosaccharides with PMP were detected <italic>via</italic> high-performance liquid chromatography (HPLC). The sample (10&#xa0;&#x3bc;L) was injected into a 4.6&#xa0;mm &#xd7; 250&#xa0;mm COSMOSIL 5C18-PAQ column (Nacalai Tesque, Shanghai branch, China) controlled by an LC-20AT system (Shimadzu, Shanghai branch, China). HPLC was performed using a mobile phase composed of 19.5% Acetonitrile and 80.5% 0.1&#xa0;M PBS (pH 7.0) at flow rate of 1&#xa0;ml/min. The absorbance values at wavelength 245&#xa0;nm were compared with those of monosaccharide standards including arabinose, fucose, galactose, galacturonic acid, glucose, glucuronic acid, mannose, rhamnose, and xylose to determine the monosaccharide composition of&#x20;WGP.</p>
</sec>
<sec id="s2-4">
<title>Fourier Transform-Infrared Spectroscopy Analysis</title>
<p>Fourier transform-infrared spectroscopy (FT-IR) spectra of WGP was acquired <italic>via</italic> Tenor 27 spectrophotometer (Shimadzu, Shanghai branch, China). WGP was ground with KBr powder at a mass ratio of 3:1 and compressed into a pellet. The FT-IR spectra were recorded in range of 400&#x2013;4,000&#xa0;cm<sup>&#x2212;1</sup>.</p>
</sec>
<sec id="s2-5">
<title>Nuclear Magnetic Resonance Analysis</title>
<p>The lyophilized WGP was dissolved in D<sub>2</sub>O. The <sup>1</sup>H and <sup>13</sup>C nuclear magnetic resonance (NMR) spectrum were performed on AV-500, 600, and 800 instruments (Bruker, Germany) using tetramethylsilane as the internal standard.</p>
</sec>
<sec id="s2-6">
<title>Cell Culture</title>
<p>Human hepatic cell line L-O2 was purchased from the American Type Culture Collection (Manassas, VA, United&#x20;States). Cells were cultured using DMEM media containing 100&#xa0;U/ml penicillin, 100&#xa0;&#x3bc;g/ml streptomycin, 2&#xa0;mM L-glutamine (Thermo Fisher Scientific, Shanghai branch, China) and 10% (V/V) fetal bovine serum (Abwbio, Guangzhou, China) and incubated in HERAcell150i incubator (Thermo Fisher Scientific) set to 5%CO2/95% air and 37&#xb0;C. Cells were tested for <italic>mycoplasma</italic> monthly by the PCR method described by Uphoff and Drexler (<xref ref-type="bibr" rid="B35">Uphoff and Drexler, 2005</xref>).</p>
</sec>
<sec id="s2-7">
<title>
<italic>In Vitro</italic> Cytotoxicity Assays</title>
<p>The L-O2 cells were treated with a series of equal ratio gradient concentrations of WGP for 72&#xa0;h in a 96-well plate. MTT [3-(4, 5-dimethyl-thiazol-2yl)-2, 5-diphenyl tetrazolium bromide] (Sigma-Aldrich, Shanghai branch, China) was added at the final concentration of 0.5&#xa0;mg/ml and incubated for 4&#xa0;h in incubator. Then, the cells were lysed in 10% SDS containing 10&#xa0;mM HCl overnight. The absorbance values at wavelength 590&#xa0;nm were measured <italic>via</italic> a microplate reader.</p>
</sec>
<sec id="s2-8">
<title>Western Blotting</title>
<p>Whole cell lysates were obtained <italic>via</italic> ultrasonic cell disruption and subjected to SDS-polyacrylamide gel electrophoresis. Proteins were electrophoretically transferred onto PVDF (polyvinylidene difluoride) membrane (Thermo Fisher Scientific), and subsequently immunoblotted utilizing anti-&#x3b2;-actin (Proteintech, Rosemont, IL, United&#x20;States) and -C4 (Abcam, Cambridge, MA, United&#x20;States) antibodies. Visualization of immunoreactive proteins was conducted using the Odyssey Infrared Imaging System (LiCor, Lincoln, NE, United&#x20;States). Densitometry measurements were performed using Odyssey V3.0 software (LiCor).</p>
</sec>
<sec id="s2-9">
<title>Real-Time PCR</title>
<p>Total RNA was extracted by TRIZOL method and used to make cDNAs <italic>via</italic> reverse transcription PCR Kit (Thermo Fisher Scientific), as described previously (<xref ref-type="bibr" rid="B11">Edwards et&#x20;al., 2009</xref>). The LightCycler 480&#x20;real-time PCR meter (Roche, Indianapolis, IN, United&#x20;States) and TaqMan probe Hs00246758_m1 (Thermo Fisher Scientific) were used to quantify <italic>C4</italic> transcripts. Comparative Ct method was used to calculate the fold changes (<xref ref-type="bibr" rid="B24">Livak and Schmittgen, 2001</xref>). <italic>C4</italic> transcripts were normalized to GAPDH transcripts measured by TaqMan probe (Hs02786624_g1).</p>
</sec>
<sec id="s2-10">
<title>Construction of C4&#x20;Promoter-Luciferase Reporter Plasmids</title>
<p>The C4 promoter region was PCR amplified from human genomic DNA <italic>via</italic> full length-forward and reverse primers (<xref ref-type="table" rid="T1">Table&#x20;1</xref>). Then, the PCR product was cloned into pGEM-T-Easy vector (Promega, Madison, WI, United&#x20;States). A single clone of <italic>C4</italic> promoter was identified and digested by XhoI and HindIII (Promega). The <italic>C4</italic> promoter was then subcloned into reporter gene vector pGL4.19 basic (Promega) at the XhoI and HindIII restriction sites to generate pC4-1,007/&#x2b;44. To generate the 5&#x2019;-deletion constructs, pC4-119/&#x2b;44, pC4-102/&#x2b;44, pC4-92/&#x2b;44, pC4-72/&#x2b;44, and pC4-48/&#x2b;44, genomic DNA fragments were PCR amplified from the pGL4.19 plasmid using forward (segment 1 to segment 5) and reverse primers (<xref ref-type="table" rid="T1">Table&#x20;1</xref>). Then, the PCR product was digested by HindIII and XhoI, and subcloned into pGL4.19&#x20;basic.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Primers used in <italic>C4</italic> promoter luciferase assay (5&#x2019;&#x2014;3&#x2019;).</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Full length-forward</th>
<th align="center">CCC&#x200b;TCG&#x200b;AGA&#x200b;GAT&#x200b;TCT&#x200b;GCT&#x200b;CAT&#x200b;CAT&#x200b;TGC&#x200b;TCA&#x200b;GC</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">Segment 1- forward</td>
<td align="left">CCC&#x200b;TCG&#x200b;AGC&#x200b;CAC&#x200b;AAC&#x200b;TCT&#x200b;GGG&#x200b;CCT&#x200b;GA</td>
</tr>
<tr>
<td align="left">Segment 2- forward</td>
<td align="left">CCC&#x200b;TCG&#x200b;AGA&#x200b;GGC&#x200b;CAG&#x200b;TTG&#x200b;CAC&#x200b;TTC&#x200b;TTG&#x200b;G</td>
</tr>
<tr>
<td align="left">Segment 3- forward</td>
<td align="left">CCC&#x200b;TCG&#x200b;AGC&#x200b;ACT&#x200b;TCT&#x200b;TGG&#x200b;CTG&#x200b;TCA&#x200b;CGT&#x200b;G</td>
</tr>
<tr>
<td align="left">Segment 4- forward</td>
<td align="left">CCC&#x200b;TCG&#x200b;AGG&#x200b;TTT&#x200b;CCC&#x200b;AGC&#x200b;TTA&#x200b;GCT&#x200b;GG</td>
</tr>
<tr>
<td align="left">Segment 5- forward</td>
<td align="left">CCC&#x200b;TCG&#x200b;AGG&#x200b;GAG&#x200b;GAG&#x200b;CAA&#x200b;GGT&#x200b;CCA&#x200b;GAG&#x200b;T</td>
</tr>
<tr>
<td align="left">Reverse</td>
<td align="left">GGA&#x200b;AGC&#x200b;TTG&#x200b;GAT&#x200b;CCA&#x200b;AGA&#x200b;GAG&#x200b;GTT&#x200b;AGA&#x200b;TCC</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s2-11">
<title>Statistical Analysis</title>
<p>Statistical analyses were performed using GraphPad Prism (GraphPad Software, San Diego, CA, United&#x20;States). Differences were compared <italic>via</italic> the non-pair-wised two-sample <italic>t</italic>-test.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<sec id="s3-1">
<title>Isolation and Physicochemical Characterization of Water-Soluble Ginseng Polysaccharides</title>
<p>WGP were obtained <italic>via</italic> hot-water extraction and alcohol precipitation from ginseng powder. The yield of WGP was 0.85%. Carbohydrate content of WGP was over 98% and protein impurity was less than 0.1%. HPGPC was used for molecular weight analysis of WGP. We obtained two overlapping peaks and a single symmetric peak indicating that the molecular weight range of the WGP was from 1&#xa0;kD to 79.4&#xa0;kD (<xref ref-type="fig" rid="F1">Figure&#x20;1A</xref>). The peak at 1&#xa0;kD is due to incomplete interception of molecular sieve. Then, monosaccharide compositions analysis of WGP hydrolysate was performed using HPLC and nine monosaccharide reference standards. Monosaccharide profile was obtained by comparing retention times of nine standards under the same analytical conditions (<xref ref-type="fig" rid="F1">Figures 1B,C</xref>). Chromatographic results demonstrated that WGP was composed of galacturonic acid, galactose, glucose, arabinose, rhamnose, glucuronic acid, and mannose in molar proportions of 28.9: 24.4: 23.0: 13.9: 6.7: 2.6: 0.6, respectively. Xylose and fucose were not detected. Consistent with published studies, glucose, galacturonic acid, and galactose are the most common monosaccharide compositions of WGP (<xref ref-type="bibr" rid="B31">Shi et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B32">Shin et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B7">Chen et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B33">Song et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B43">Zhao et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B26">Park et&#x20;al., 2020</xref>). However, the specific proportion of these monosaccharides has varied widely across these studies, which may be due to the different origins of ginseng.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Chromatographic analysis of WGP. HPGPC was used to determine WGP molecular weight distribution <bold>(A)</bold>. HPLC was used to separate monosaccharide standards <bold>(B)</bold> and analysis the monosaccharides composition in WGP <bold>(C)</bold>. Man, GlcA, Rha, GalA, Glc, Gal, Xyl, Ara, and Fuc represent mannose, glucuronic acid, rhamnose, galacturonic acid, glucose, galactose, xylose, arabinose, and fucose, respectively.</p>
</caption>
<graphic xlink:href="fphar-12-734394-g001.tif"/>
</fig>
<p>The FT-IR spectrum of WGP showed characteristic hydroxyl and C-H stretching vibration peak at 3,416.51 and 2,929.93&#xa0;cm<sup>&#x2212;1</sup>, respectively. The absorption peaks at 1,625.99 and 1735.68&#xa0;cm<sup>&#x2212;1</sup> were caused by bound water and C&#x3d;O stretching vibration of uronic acid, respectively. The absorption peaks at 1,414.96 and 1,241.87&#xa0;cm<sup>&#x2212;1</sup> represented C-H angular vibrations of carbohydrate. In addition, 1,153.18, 1,080.52, and 1,023.91&#xa0;cm<sup>&#x2212;1</sup> were assigned to C-O-H and C-O-C stretching vibration peaks of pyran, indicated that WGP was connected by &#x3b1;-pyranoside bond. The absorption peaks at 936.61 and 851.02&#xa0;cm<sup>&#x2212;1</sup> were the characteristic absorption peaks of &#x3b1;-Glc<italic>p</italic> (<xref ref-type="fig" rid="F2">Figure&#x20;2A</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Structural characterization of WGP. FT-IR spectrum with the range of 4,000&#x2013;400&#xa0;cm<sup>&#x2212;1</sup> <bold>(A)</bold> and <sup>1</sup>H NMR <bold>(B)</bold>, <sup>13</sup>C NMR <bold>(C)</bold> spectra were used to characterize WGP structure.</p>
</caption>
<graphic xlink:href="fphar-12-734394-g005.tif"/>
</fig>
<p>WGP <sup>1</sup>H NMR spectrum exhibited seven anomeric proton signals at &#x3b4;5.32, 5.31, 5.14, 5.13, 5.06, 5.02, and 5.00&#xa0;ppm, suggesting that the analyte was made up of seven monosaccharides. Intense signals within &#x3b4;3.10&#x2013;4.20&#xa0;ppm represented CH-O and CH<sub>2</sub>-O groups of carbohydrate. The chemical shift from &#x3b4;3.15&#x2013;4.13&#xa0;ppm was contributed by H-2 to H-6 protons. Meanwhile, no signal was observed at &#x3b4;5.50&#xa0;ppm indicating that WGP contained glucopyranose, consistent with the FT-IR result (<xref ref-type="fig" rid="F2">Figure&#x20;2B</xref>). The structure of WGP was further analyzed by <sup>13</sup>C NMR spectroscopy. <italic>&#x3b2;</italic>-1,4-Linked Gal residues exhibited six signals at &#x3b4;105.15, 70.70, 73.05, 75.44, 74.05, and 61.58&#xa0;ppm, corresponding to their C-1 to C-6. Signals at &#x3b4;105.13 and 82.84&#xa0;ppm were attributed to C-1 and C-3 of <italic>&#x3b2;</italic>-1,3-Gal, respectively. Furthermore, &#x3b4;101.42&#xa0;ppm was the heterocephalic carbon position of <italic>&#x3b1;</italic>-Glc<italic>p</italic>. Peak at &#x3b4;78.04&#xa0;ppm indicated that C-4 of <italic>&#x3b1;</italic>-Glc<italic>p</italic> had been replaced. &#x3b4;73.07, 74.81, 72.54, and 62.83&#xa0;ppm were the positions of C-2, C-3, C-5, and C-6 of <italic>&#x3b1;</italic>-1,4-Glc<italic>p</italic>, respectively<italic>.</italic> The anomeric signals at &#x3b4;108.58 and 83.72&#xa0;ppm were due to C-1 and C-3 carbons of <italic>&#x3b1;</italic>-1,3,5-Ara (<xref ref-type="fig" rid="F2">Figure&#x20;2C</xref>). These results were consistent with the monosaccharide composition analysis and FT-IR spectrum of&#x20;WGP.</p>
</sec>
<sec id="s3-2">
<title>Water-Soluble Ginseng Polysaccharides Induce C4 Expression in Hepatocytes</title>
<p>C4 is mostly synthesized in the liver (<xref ref-type="bibr" rid="B12">Galibert et&#x20;al., 1997</xref>). Therefore, we chose human normal hepatocyte L-O2 cells as model. First, we investigated the cytotoxic effect of WGP on L-O2 cells by treating the L-O2 cells with WGP for 72&#xa0;h. The results obtained from MTT assays showed that WGP treatment had minimal effect on viable cells, with the inhibition rate of viable cells less than 14% (<xref ref-type="fig" rid="F3">Figure&#x20;3</xref>). Then, we determined the effect of WGP on the protein levels of C4 by western blotting. As shown in <xref ref-type="fig" rid="F4">Figure&#x20;4</xref>, WGP increased C4 protein levels as early as 24&#xa0;h and lasted for 72&#xa0;h in a dose dependent way. These results show that WGP increase C4 production in hepatocytes.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>WGP have minimal effect on the growth of hepatocytes. L-O2 cells were treated with WGP at a series of equal ratio gradient concentrations for 72&#xa0;h and then subjected to MTT assay. Data are presented as mean&#x20;&#xb1; standard errors of the mean (SEM) from 3 independent experiments.</p>
</caption>
<graphic xlink:href="fphar-12-734394-g006.tif"/>
</fig>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>WGP increase C4 production in hepatocytes. L-O2 cells were treated with WGP at a series of equal ratio gradient concentrations for 24, 48 or 72&#xa0;h. Protein levels of C4 were determined using western blotting. The fold changes of C4 densitometry measurements were compared to &#x3b2;-actin and then normalized to the vehicle control.</p>
</caption>
<graphic xlink:href="fphar-12-734394-g002.tif"/>
</fig>
</sec>
<sec id="s3-3">
<title>Effect of Water-Soluble Ginseng Polysaccharides on C4 Gene Transcription</title>
<p>To determine if WGP enhance C4 production through transcriptional mechanisms, we treated L-O2 cells with WGP for 24, 48, and 72&#xa0;h, and then measured <italic>C4</italic> mRNA levels by real-time PCR. Treatment of L-O2 cells with WGP for 48 and 72&#xa0;h significantly increased levels of <italic>C4</italic> mRNA, indicating WGP enhances <italic>C4</italic> gene transcription (<xref ref-type="fig" rid="F5">Figure&#x20;5A</xref>). To determine if WGP truly enhances <italic>C4</italic> gene transcription, pGL4.19 reporter plasmid consisting of &#x2212;1,007 to &#x2b;44 region of the C4 promoter (designated FL) was used to confirm the effect of WGP on <italic>C4</italic> transcription. Transient transfection of pC4-1,007/&#x2b;44 into L-O2 cells was performed first, then the cells were treated with WGP for 72&#xa0;h. The p-C4-1,007/&#x2b;44 construct showed significant reporter activity compared to pGL4.19 basic in the absence or presence of WGP. Interestingly, treatment of the cells with WGP for 72&#xa0;h significantly enhanced the C4 promoter reporter gene activity (<xref ref-type="fig" rid="F5">Figure&#x20;5B</xref>). Taken together, these results demonstrate that WGP increase the production of C4 by promoting <italic>C4</italic> gene transcription.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>WGP promote C4 gene transcription. L-O2 cells were treated with WGP at a series of equal ratio gradient concentrations for up to 72&#xa0;h. Real-time PCR method was used to detect the levels of C4 transcripts <bold>(A)</bold>. L-O2 cells was transiently transfected with the full-length pC4 -1,007/&#x2b;75 (p-C4) plasmid and then treated with WGP or vehicle control for 72&#xa0;h. Luciferase assays were performed to determine the C4 promoter activity <bold>(B)</bold>. Data are presented as mean of triplicates &#xb1;SEM from one representative experiment. &#x2a; indicates <italic>p</italic>&#x20;&#x3c; 0.05, &#x2a;&#x2a; indicates <italic>p</italic>&#x20;&#x3c; 0.005, and &#x2a;&#x2a;&#x2a; indicates <italic>p</italic>&#x20;&#x3c; 0.001 compared to vehicle control. &#x23;&#x23;&#x23; indicates <italic>p</italic>&#x20;&#x3c; 0.001 compared to the basic vector control.</p>
</caption>
<graphic xlink:href="fphar-12-734394-g003.tif"/>
</fig>
</sec>
<sec id="s3-4">
<title>Water-Soluble Ginseng Polysaccharides Enhance C4 Transcription Potentially <italic>via</italic> the E-box1 and Sp1 Elements</title>
<p>
<italic>C4</italic> promoter contains three E-boxes (positions &#x2212;137 to &#x2212;132, &#x2212;98 to &#x2212;93, and &#x2212;78 to &#x2212;73; designated E-box1, E-box2, and E-box3), one NF1 binding site (positions &#x2212;110 to &#x2212;97), and one Sp1 (positions &#x2212;57 to &#x2212;49) binding element (<xref ref-type="fig" rid="F6">Figure&#x20;6A</xref>). To determine which Cis-acting element(s) is (are) vital to the enhancing effect of WGP, a series of 5&#x2019; deletion constructs (designated S1-S5; <xref ref-type="fig" rid="F6">Figure&#x20;6A</xref>) were generated by using the &#x2212;1,007 to &#x2b;144 region of the <italic>C4</italic> promoter as the template. As shown in <xref ref-type="fig" rid="F6">Figures 6B,C</xref>, deletion from &#x2212;1,007 to &#x2212;119 significantly decreased <italic>C4</italic> promoter activity and significantly decreased the enhancing effect of WGP on <italic>C4</italic> promoter activity compared to the FL construct, indicating the E-box1 element in this region plays an important role in mediating the enhancing effect of WGP on <italic>C4</italic> promoter. In contrast, further deletions from &#x2212;119 to &#x2212;102, &#x2212;102 to &#x2212;92, and &#x2212;92 to &#x2212;72 did not significantly affect the enhancing effect of WGP on <italic>C4</italic> promoter. Interestingly, deletion from &#x2212;72 to &#x2212;48 completely abolished the enhancing effect of WGP, indicating the Sp1 element in this region also plays an important role in mediating the WGP effect on C4 promoter. Taken together, results from our deletion analyses suggest that the E-box1 and Sp1&#x20;cis-elements play vital roles in mediating the enhancing effect of WGP on <italic>C4</italic> gene transcription.</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>WGP enhance C4 transcription via the E-box1 and Sp1 elements. <bold>(A)</bold> The critical cis-regulatory elements (NF-1, E-box1&#x223c;3, Sp1) on the plus (&#x2b;) and minus (-) DNA strand are shown. Numbering is relative to the C4 translation start site. A series of 5&#x2019;-deletion constructs were generated by PCR amplification and subcloning into the pGL4.19 basic vector. <bold>(B)</bold> The C4 promoter constructs were transiently transfected into L-O2 cells. Luciferase assay was used to measure the activity of C4 promoter. &#x2a; indicates <italic>p</italic>&#x20;&#x3c; 0.05, &#x2a;&#x2a; indicates <italic>p</italic>&#x20;&#x3c; 0.005, and &#x2a;&#x2a;&#x2a; indicates <italic>p</italic>&#x20;&#x3c; 0.001 compared to no drug treatment control. &#x23;&#x23;&#x23; indicates <italic>p</italic>&#x20;&#x3c; 0.001 compared to basic vector control. <bold>(C)</bold> Fold changes of WGP treatment compared to vehicle control are graphed. &#x2a; indicates <italic>p</italic>&#x20;&#x3c; 0.05 and &#x2a;&#x2a; indicates <italic>p</italic>&#x20;&#x3c; 0.005. Data are presented as mean of triplicates &#xb1;SEM from one representative experiment.</p>
</caption>
<graphic xlink:href="fphar-12-734394-g004.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<p>Immunomodulatory activity is one of the main functions of ginseng polysaccharides (<xref ref-type="bibr" rid="B14">Guo et&#x20;al., 2021</xref>). The immune system orchestrated by immune organs, immune cells, and immunoreactive substances has the functions of surveillance, defense, and regulation. In the modern world, increasing stress has shifted humans&#x2019; lifestyle leading to various health issues, such as cardiovascular disorders, hypertension, diabetes, and hypoimmunity (<xref ref-type="bibr" rid="B27">Parkin and Cohen, 2001</xref>). Hypoimmunity predisposes people to infection and cancer. In this study, we explored the immunomodulatory effect of ginseng polysaccharides from the perspective of C4, an important component of the complement system. Here, we demonstrate that WGP possess a strong and significant inductive effect on both protein and mRNA levels of C4 in hepatocyte. Complement deficiency including C4 has been associated with susceptibility to infection. C4 has been shown to inhibit adenoviral infections by inactivating viral capsids (<xref ref-type="bibr" rid="B29">Schr&#xf6;der-Braunstein and Kirschfink, 2019</xref>). Reduced levels of complement system components can cause autoimmune diseases due to the lacking of clearance of immunocomplexes (<xref ref-type="bibr" rid="B8">Conigliaro et&#x20;al., 2019</xref>). In these scenarios, taking ginseng polysaccharide or ginseng extract is a potential adjuvant therapy.</p>
<p>C4 is composed of two isotypes, C4A and C4B. Both of them are encoded 10&#xa0;kb apart in the major histocompatibility complex (MHC) class III area on the sixth human chromosome. <italic>C4A</italic> and <italic>C4B</italic> genes have similarly sequences located separately and closely (<xref ref-type="bibr" rid="B3">Carroll et&#x20;al., 1984a</xref>; <xref ref-type="bibr" rid="B4">Carroll et&#x20;al., 1984b</xref>). <italic>C4</italic> promoter lacks a canonical TATA-box which is commonly found at promoters of genes transcribed by RNA polymerase II (<xref ref-type="bibr" rid="B28">Roeder, 1991</xref>). <italic>C4</italic> promoter contains a nuclear factor 1 (NF-1) site at &#x2212;110 to &#x2212;97, an Sp1 site at &#x2212;57 to &#x2212;49, and three basic helix-loop-helix -like transcription factor sites at &#x2212;137 to &#x2212;132, &#x2212;98 to &#x2212;93, and &#x2212;78 to &#x2212;73, respectively referred to as E-box1, E-box2, and E-box3. These regions appear to be critical for the transcript activity of <italic>C4</italic> gene (<xref ref-type="bibr" rid="B36">Vaishnaw et&#x20;al., 1998</xref>). Thus, we performed deletion analyses within the <italic>C4</italic> gene promoter. We found that E-box1 and Sp1 elements play key roles in WGP-regulated <italic>C4</italic> transcription. A previous study has shown that the E-box motif of <italic>C4</italic> promoter can be recognized by one of the many basic helix-loop-helix (bHLH) or basic helix-loop-helix-leucine zipper (bHLH-LZ) transcription factor family members (<xref ref-type="bibr" rid="B23">Littlewood and Evan, 1995</xref>). Moreover, IFN-&#x3b3; could increase transcription of <italic>C4 via</italic> the E-box sequence at &#x2212;78 to &#x2212;73 (<xref ref-type="bibr" rid="B2">Banerjee et&#x20;al., 2011</xref>). Thus, additional studies are warranted to determine the factors modulated by WGP in hepatocytes. However, these studies are not in the scope of this&#x20;paper.</p>
<p>In conclusion, our results demonstrate that polysaccharides derived from ginseng can significantly increase production of C4 through transcriptional mechanisms. These results provide a molecular explanation for the immunity enhancing function of ginseng extracts.</p>
</sec>
</body>
<back>
<sec id="s5">
<title>Data Availability Statement</title>
<p>The original contributions presented in the study are included in the article/Supplementary Material, further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec id="s6">
<title>Author Contributions</title>
<p>GW: conceptualization, project administration, investigation, funding acquisition, and writing the original draft; LS: conceptualization, project administration, and supervision; SL, FL, JL, TW, and CH: investigation and data curation.</p>
</sec>
<sec id="s7">
<title>Funding</title>
<p>This work was supported by a grant from National Key Research and Development Program of China (2017YFC1702103). This study was supported by the Key Laboratory for Molecular Enzymology and Engineering, the Ministry of Education, National Engineering Laboratory for AIDS Vaccine, School of Life Sciences, Jilin University, and Jilin Ginseng Academy, Research Center of Traditional Chinese Medicine, the Affiliated Hospital of Changchun University of Chinese Medicine, Key Laboratory of Active Substances and Biological Mechanisms of Ginseng Efficacy, the Ministry of Education, Changchun University of Chinese Medicine.</p>
</sec>
<sec sec-type="COI-statement" id="s8">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s9" sec-type="disclaimer">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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