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<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">844767</article-id>
<article-id pub-id-type="doi">10.3389/fphar.2022.844767</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>Ginger Constituent 6-Shogaol Inhibits Inflammation- and Angiogenesis-Related Cell Functions in Primary Human Endothelial Cells</article-title>
<alt-title alt-title-type="left-running-head">Bischoff-Kont et&#x20;al.</alt-title>
<alt-title alt-title-type="right-running-head">6-Shogaol Inhibits Endothelial Cell Activation</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Bischoff-Kont</surname>
<given-names>Iris</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Primke</surname>
<given-names>Tobias</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Niebergall</surname>
<given-names>Lea S.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zech</surname>
<given-names>Thomas</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>F&#xfc;rst</surname>
<given-names>Robert</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/568524/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<label>
<sup>1</sup>
</label>
<institution>Institute of Pharmaceutical Biology</institution>, <institution>Goethe University Frankfurt</institution>, <addr-line>Frankfurt</addr-line>, <country>Germany</country>
</aff>
<aff id="aff2">
<label>
<sup>2</sup>
</label>
<institution>LOEWE Center for Translational Biodiversity Genomics (LOEWE-TBG)</institution>, <addr-line>Frankfurt</addr-line>, <country>Germany</country>
</aff>
<author-notes>
<corresp id="c001">&#x2a;Correspondence: Robert F&#xfc;rst, <email>fuerst@em.uni-frankfurt.de</email>
</corresp>
<fn fn-type="other">
<p>This article was submitted to Ethnopharmacology, a section of the journal Frontiers in Pharmacology</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1028636/overview">Yusof Kamisah</ext-link>, Universiti Kebangaan Malaysia, Malaysia</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/1619733/overview">Iryna Kravchenko</ext-link>, Odessa National Polytechnic University, Ukraine</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/410167/overview">Elke Heiss</ext-link>, University of Vienna, Austria</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>25</day>
<month>02</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>13</volume>
<elocation-id>844767</elocation-id>
<history>
<date date-type="received">
<day>28</day>
<month>12</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>31</day>
<month>01</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Bischoff-Kont, Primke, Niebergall, Zech and F&#xfc;rst.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Bischoff-Kont, Primke, Niebergall, Zech and F&#xfc;rst</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>Rhizomes from <italic>Zingiber officinale</italic> Roscoe are traditionally used for the treatment of a plethora of pathophysiological conditions such as diarrhea, nausea, or rheumatoid arthritis. While 6-gingerol is the pungent principle in fresh ginger, in dried rhizomes, 6-gingerol is dehydrated to 6-shogaol. 6-Shogaol has been demonstrated to exhibit anticancer, antioxidative, and anti-inflammatory actions more effectively than 6-gingerol due to the presence of an electrophilic Michael acceptor moiety. <italic>In vitro</italic>, 6-shogaol exhibits anti-inflammatory actions in a variety of cell types, including leukocytes. Our study focused on the effects of 6-shogaol on activated endothelial cells. We found that 6-shogaol significantly reduced the adhesion of leukocytes onto lipopolysaccharide (LPS)-activated human umbilical vein endothelial cells (HUVECs), resulting in a significantly reduced transmigration of THP-1 cells through an endothelial cell monolayer. Analyzing the mediators of endothelial cell&#x2013;leukocyte interactions, we found that 30&#xa0;&#xb5;M of 6-shogaol blocked the LPS-triggered mRNA and protein expression of cell adhesion molecules. In concert with this, our study demonstrates that the LPS-induced nuclear factor &#x3ba;B (NF&#x3ba;B) promoter activity was significantly reduced upon treatment with 6-shogaol. Interestingly, the nuclear translocation of p65 was slightly decreased, and protein levels of the LPS receptor Toll-like receptor 4 remained unimpaired. Analyzing the impact of 6-shogaol on angiogenesis-related cell functions <italic>in&#x20;vitro</italic>, we found that 6-shogaol attenuated the proliferation as well as the directed and undirected migration of HUVECs. Of note, 6-shogaol also strongly reduced the chemotactic migration of endothelial cells in the direction of a serum gradient. Moreover, 30&#xa0;&#xb5;M of 6-shogaol blocked the formation of vascular endothelial growth factor (VEGF)-induced endothelial sprouts from HUVEC spheroids and from murine aortic rings. Importantly, this study shows for the first time that 6-shogaol exhibits a vascular-disruptive impact on angiogenic sprouts from murine aortae. Our study demonstrates that the main bioactive ingredient in dried ginger, 6-shogaol, exhibits beneficial characteristics as an inhibitor of inflammation- and angiogenesis-related processes in vascular endothelial&#x20;cells.</p>
</abstract>
<kwd-group>
<kwd>
<italic>Zingiber officinale</italic> Roscoe</kwd>
<kwd>6-shogaol</kwd>
<kwd>endothelial cells</kwd>
<kwd>inflammation</kwd>
<kwd>angiogenesis-related cell functions</kwd>
</kwd-group>
<contract-num rid="cn001">LOEWE TBG</contract-num>
<contract-num rid="cn002">GRK 2336</contract-num>
<contract-sponsor id="cn001">Hessisches Ministerium f&#xfc;r Wissenschaft und Kunst<named-content content-type="fundref-id">10.13039/501100003495</named-content>
</contract-sponsor>
<contract-sponsor id="cn002">Deutsche Forschungsgemeinschaft<named-content content-type="fundref-id">10.13039/501100001659</named-content>
</contract-sponsor>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>The use of ginger (<italic>Zingiber officinale</italic> Roscoe, Zingiberaceae) for medical purposes in India and China goes back to ancient times (<xref ref-type="bibr" rid="B34">Prasad and Tyagi, 2015</xref>). Ginger has been widely used for the treatment of pain, nausea, vomiting (<xref ref-type="bibr" rid="B32">Palatty et&#x20;al., 2013</xref>), rheumatoid arthritis (<xref ref-type="bibr" rid="B4">Al-Nahain et&#x20;al., 2014</xref>), hypertension, kinesalgia, fever, or infectious diseases (<xref ref-type="bibr" rid="B5">Ali et&#x20;al., 2008</xref>) in traditional medicine. According to the Committee on Herbal Medicinal Products (HMPC) of the European Medicines Agency (EMA), powdered ginger rhizomes have the status of &#x201c;well-established use&#x201d; for the prevention of nausea and vomiting in motion sickness (<xref ref-type="bibr" rid="B13">European Medicines Agency, 2013</xref>). More than 400 ingredients of ginger have been described; among them, the major pungent constituent in fresh ginger is 6-gingerol. During storage, 6-gingerol (<xref ref-type="sec" rid="s11">Supplementary Figure S1A</xref>) is degraded in dried ginger, while the quantity of 6-shogaol (<xref ref-type="sec" rid="s11">Supplementary Figure S1B</xref>) increases due to dehydration processes (<xref ref-type="bibr" rid="B20">Jolad et&#x20;al., 2005</xref>). 6-Shogaol was first identified by <xref ref-type="bibr" rid="B30">Nomura (1918)</xref>, and since then, numerous preclinical studies have investigated the characteristics and potential effects of 6-shogaol. <italic>In vitro</italic> and <italic>in vivo</italic>, 6-shogaol has been shown to exhibit anticancer, anti-inflammatory, antioxidant, and neuroprotective actions (<xref ref-type="bibr" rid="B39">Suekawa et&#x20;al., 1984</xref>; <xref ref-type="bibr" rid="B34">Prasad and Tyagi, 2015</xref>; <xref ref-type="bibr" rid="B31">Nonaka et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B28">Ma et&#x20;al., 2021</xref>). Comparative studies demonstrate beneficial effects of 6-shogaol over 6-gingerol with regard to anticancer, antioxidative, and anti-inflammatory effects that might be attributed to the chemical structure of 6-shogaol, containing an &#x3b1;,&#x3b2;-unsaturated carbonyl moiety (Michael acceptor) (<xref ref-type="bibr" rid="B35">Sang et&#x20;al., 2009</xref>; <xref ref-type="bibr" rid="B12">Dugasani et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B22">Kou et&#x20;al., 2018</xref>). Anti-inflammatory actions of 6-shogaol have been studied in a variety of preclinical studies. <italic>In vivo</italic>, 6-shogaol successfully reduced the formation of paw edema, leukocyte infiltration into the tissue, or symptoms of arthritis (<xref ref-type="bibr" rid="B24">Levy et&#x20;al., 2006</xref>). By studying the effects on underlying mechanisms, it was demonstrated that 6-shogaol impairs the nuclear factor &#x3ba;B (NF&#x3ba;B) pathway and nuclear factor erythroid 2-related factor 2 (Nrf2)/heme oxygenase 1 (HO-1)-signaling cascade (<xref ref-type="bibr" rid="B17">Han et&#x20;al., 2019</xref>). We recently summarized in a review article the benefits of ginger and, in particular, of its constituent 6-shogaol for the inhibition of inflammation-related processes (<xref ref-type="bibr" rid="B10">Bischoff-Kont and F&#xfc;rst, 2021</xref>).</p>
<p>The vascular endothelium plays a pivotal role in the process of inflammation as it represents a barrier for solutes and immune cells and is crucially involved in the process of angiogenesis. In chronic inflammatory diseases, such as rheumatoid arthritis or psoriasis, leukocytes are constantly infiltrating the underlying tissue through the vascular endothelial barrier resulting in severe damage. Concurrently, vascular endothelial cells, which form the inner lining of blood vessels, are perpetually activated and, moreover, continuously perform angiogenic sprouting, accelerating the leukocyte infiltration (<xref ref-type="bibr" rid="B1">Aguilar-Cazares et&#x20;al., 2019</xref>). Therefore, a strategy addressing both characteristics of endothelial cell activation is desirable: stabilization of the endothelial cell barrier for leukocyte diapedesis and downregulation of angiogenic cell functions. Interestingly, only few studies addressed the potential anti-inflammatory and antiangiogenic effects of 6-shogaol in the vascular endothelium or vascular endothelial cells (<xref ref-type="bibr" rid="B42">Weng et&#x20;al., 2012</xref>). The aim of this study was to demonstrate the effects of 6-shogaol on endothelial cells that have been activated. For inflammatory activation in endothelial cells, we show the effects of 6-shogaol after cytokine- and lipopolysaccharide (LPS)-induced activation and the consequential effects on leukocyte&#x2013;endothelial cell interactions. Moreover, we demonstrate 6-shogaol-derived effects on key steps of angiogenesis-related cell functions: 1) endothelial cell proliferation, 2) directed migration, and 3) endothelial cell sprouting <italic>in&#x20;vitro</italic> and <italic>ex&#x20;vivo.</italic>
</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>Materials and Methods</title>
<sec id="s2-1">
<title>Compounds</title>
<p>6-Shogaol was purchased from PhytoLab GmbH &#x26; Co. KG (Vestenbergsgreuth, Germany) and 6-gingerol from MedChemExpress (Monmouth Junction, NJ, United&#x20;States) and was used in the experiments in different concentrations in a range between 1 and 100&#xa0;&#xb5;M. The concentration used in each experiment is stated in the respective figure. Human recombinant interleukin 1&#x3b2; (IL-1&#x3b2;), tumor necrosis factor (TNF), stromal cell-derived factor 1 (SDF-1), vascular endothelial growth factor (VEGF<sub>165</sub>), and murine recombinant VEGF<sub>165</sub> were obtained from PeproTech (Rocky Hill, NJ, United&#x20;States). Lipopolysaccharide (LPS) from <italic>Escherichia coli</italic> O127:B8 was from Sigma-Aldrich (St. Louis, MO, United&#x20;States). The concentrations of 6-shogaol for the treatment of endothelial cells were chosen up to the maximum concentration without inducing cytotoxicity. The concentration of 0.1 up to 150&#xa0;&#xb5;M was previously used for other cell types (<xref ref-type="bibr" rid="B10">Bischoff-Kont and F&#xfc;rst, 2021</xref>). For 6-gingerol, the same concentration range was used. Moreover, a study employing HUVECs for the analysis of effects of 6-gingerol on microvessel-like structure formation used concentrations of up to 30&#xa0;&#xb5;M (<xref ref-type="bibr" rid="B45">Zhog et&#x20;al., 2019</xref>). The concentration of 10&#xa0;ng/ml of TNF is an established hyperphysiological concentration that is frequently used in order to obtain a strong inflammatory induction in HUVECs (<xref ref-type="bibr" rid="B38">Stark et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B23">Krishnatas et&#x20;al., 2021</xref>). For IL-1&#x3b2;, 5&#xa0;ng/ml was found to be a reasonable concentration to induce the inflammatory response in endothelial cells and is within the commonly applied concentration range (<xref ref-type="bibr" rid="B21">Kihara et&#x20;al., 2021</xref>). The applied concentration of human VEGF<sub>165</sub> for the <italic>in&#x20;vitro</italic> assays resulted in appropriate angiogenic induction and is commonly used for angiogenesis-related experiments in endothelial cells (<xref ref-type="bibr" rid="B26">Liu et&#x20;al., 2009</xref>; <xref ref-type="bibr" rid="B11">Br&#xe4;utigam et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B9">Bischoff-Kont et&#x20;al., 2021</xref>). Murine VEGF<sub>165</sub> was applied according to the publication of <xref ref-type="bibr" rid="B8">Baker et&#x20;al. (2011)</xref>. LPS was applied in order to induce an appropriate inflammatory response in HUVECs according to the concentrations recommended in the literature (<xref ref-type="bibr" rid="B43">Zeuke et&#x20;al., 2002</xref>). The applied concentration of SDF-1 was used to induce the migration of THP-1 cells, and the concentration of 500&#xa0;ng/ml corresponds to data from the literature (<xref ref-type="bibr" rid="B3">Aiuti et&#x20;al., 1997</xref>).</p>
<p>In this study, established pharmacological positive controls have not been included, since key experiments and the respective actions of active pharmacological compounds that substitute for a positive control have already been published by our group (<xref ref-type="bibr" rid="B11">Br&#xe4;utigam et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B38">Stark et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B9">Bischoff-Kont et&#x20;al., 2021</xref>; <xref ref-type="bibr" rid="B23">Krishnatas et&#x20;al., 2021</xref>).</p>
</sec>
<sec id="s2-2">
<title>Cell Culture</title>
<p>HUVECs were isolated according to <xref ref-type="bibr" rid="B19">Jaffe et&#x20;al. (1973)</xref> or obtained from PELOBiotech (Planegg/Martinsried, Germany). For isolation of HUVECs, veins of human umbilical cords were exempted from residual blood clots with sterile phosphate-buffered saline (PBS) before a collagenase A (F. Hoffmann-La Roche, Basel, Switzerland) solution was filled into the vein and incubated for 45&#xa0;min at 37&#xb0;C to detach HUVECs. Subsequently, the umbilical vein was washed with medium 199 (PAN-Biotech, Aidenbach, Germany) containing 100&#xa0;U/ml penicillin, 100&#xa0;&#x3bc;g/ml streptomycin (PAN-Biotech, Aidenbach, Germany), and 10% fetal calf serum (FCS; Biochrom, Berlin, Germany), and the detached cells were centrifuged for 5&#xa0;min at 300&#xa0;g. The pellet was resuspended in an endothelial cell growth medium (ECGM) (EASY ECGM; PELOBiotech, Planegg/Martinsried, Germany) supplemented with 100&#xa0;U/ml penicillin, 100&#xa0;&#x3bc;g/ml streptomycin (PAN-Biotech, Aidenbach, Germany), 2.5&#xa0;&#x3bc;g/ml amphotericin B (PAN-Biotech, Aidenbach, Germany), and 10% FCS (Biochrom, Berlin, Germany), and seeded onto a collagen G (Biochrom, Berlin, Germany)-coated cell culture flask and cultivated at 37&#xb0;C in an atmosphere of 5% CO<sub>2</sub> and 95% air under constant humidity. HUVECs were split at a ratio of 1:3 and were used for experimental purposes exclusively as stated in passage&#x20;3.</p>
<p>The human monocytic cell line THP-1 and the human T&#x20;cell line Jurkat were purchased from the German Collection of Microorganisms and Cell Cultures (DSMZ, Braunschweig, Germany). The cells were cultivated at 37&#xb0;C in an atmosphere of 5% CO<sub>2</sub> and 95% air under constant humidity in the RPMI 1640 medium (PAN-Biotech) supplemented with 10% FCS (Biochrom, Berlin, Germany), and 100&#xa0;U/ml penicillin, 100&#xa0;&#x3bc;g/ml streptomycin (PAN-Biotech, Aidenbach, Germany), and 10% FCS (Biochrom, Berlin, Germany) were used in experiments up to passage&#x20;30.</p>
</sec>
<sec id="s2-3">
<title>Cell Adhesion Assay Under Static Conditions</title>
<p>HUVECs at 100% confluency were treated with the indicated concentrations of 6-shogaol or 6-gingerol for 30&#xa0;min before the cells were activated with LPS (1&#xa0;&#x3bc;g/ml), IL-1&#x3b2; (5&#xa0;ng/ml), or TNF (10&#xa0;ng/ml). After 24&#xa0;h, THP-1 cells were fluorescence-labeled with CellTracker Green (Thermo Fisher Scientific, Schwerte, Germany), and 100,000 cells per well were allowed to adhere onto an endothelial cell monolayer. The amount of adherent THP-1 or Jurkat cells was measured at 485&#xa0;nm (ex) and 535&#xa0;nm (em) using a plate reader (SPECTRAFluor Plus, Tecan, M&#xe4;nnedorf, Switzerland).</p>
</sec>
<sec id="s2-4">
<title>Cell Adhesion Assay Under Flow Conditions</title>
<p>HUVECs were seeded into channel slides (&#xb5;-Slides I Luer, 0.8&#xa0;mm; ibidi GmbH, Martinsried, Germany). Subsequently, the HUVECs in channel slides were connected to a pump system (ibidi GmbH, Martinsried, Germany), generating a one-directional flow (5&#xa0;dyn/cm<sup>2</sup>) on the cells. After 24&#xa0;h, when the cells had reached 100% confluency, HUVECs were treated with the indicated concentrations of 6-shogaol for 30&#xa0;min before they were activated by LPS (24&#xa0;h, 1&#xa0;&#x3bc;g/ml). Fluorescence-labeled (CellTracker Green) THP-1 cells (8 &#xd7; 10<sup>5</sup>&#xa0;cells/ml) were allowed to adhere onto the 6-shogaol-treated and LPS-induced HUVEC monolayer in a one-directional flow of 0.5&#xa0;dyn/cm<sup>2</sup>. Adherent THP-1 cells on HUVECs were lysed using radioimmunoprecipitation assay (RIPA) buffer, and fluorescence was measured at 485&#xa0;nm (ex) and 535&#xa0;nm (em) using a plate reader (SPECTRAFluor Plus, Tecan, M&#xe4;nnedorf, Switzerland).</p>
</sec>
<sec id="s2-5">
<title>Transmigration Assay</title>
<p>Potential 6-shogaol-derived effects on leukocyte diapedesis through vascular endothelial cells were determined by performing a transmigration assay. For this, 100,000 HUVECs per well were seeded on collagen-coated Transwell membranes (Corning GmbH HQ, Glendale, AZ, United&#x20;States, growth area 0.33&#xa0;cm<sup>2</sup>, 8&#xa0;&#xb5;m pore size, polycarbonate) in ECGM. After 24&#xa0;h, when the cells reached a confluency of 100%, they were treated with the indicated concentrations of 6-shogaol for 30&#xa0;min before they were activated with LPS (100&#xa0;ng/ml). After 24&#xa0;h, 2&#x20;&#xd7; 10<sup>5</sup> CellTracker Green-labeled THP-1 cells were allowed to transmigrate through the HUVEC monolayer in the direction of an SDF-1 gradient (500&#xa0;ng/ml; Peprotech, Rocky Hill, NJ, United&#x20;States) for 2&#xa0;h. The upper side of the Transwell was exempted from non-transmigrated THP-1 cells using a cotton swab. Transmigrated THP-1 cells on the lower side of the Transwell were lysed in RIPA buffer and quantified by fluorescence measurement at 485&#xa0;nm (ex) and 535&#xa0;nm (em) using a plate reader (SPECTRAFluor Plus, Tecan, M&#xe4;nnedorf, Switzerland).</p>
</sec>
<sec id="s2-6">
<title>Proliferation Assay</title>
<p>For this assay, 1,500 HUVECs were seeded on collagen-G-coated 96-well plates in ECGM and cultivated for 24&#xa0;h until they reached a confluency of 30%. Subsequently, the cells were treated with the indicated concentration of 6-shogaol for 72&#xa0;h. Control cells were fixed using a methanol&#x2013;ethanol (2:1) solution. After the end of the incubation period, the cells were fixed with methanol&#x2013;ethanol and stained together with control cells using crystal violet (gentian violet; Sigma-Aldrich, St. Louis, MO, United&#x20;States). After drying overnight, DNA-bound crystal violet was leached using 20% acetic acid. Absorbance was measured at 590&#xa0;nm using a plate reader (SPECTRAFluor Plus, Tecan, M&#xe4;nnedorf, Switzerland). Obtained data of control cells were subtracted from experimental values before they were further analyzed.</p>
</sec>
<sec id="s2-7">
<title>Directed Migration (Boyden Chamber) Assay</title>
<p>For the analysis of the impact of 6-shogaol on migration in the direction of a serum gradient, a Boyden chamber assay was performed. For this, 100,000 HUVECs were seeded on a collagen-coated Transwell membrane (Corning GmbH HQ, Glendale, AZ, United&#x20;States; growth area 0.33&#xa0;cm<sup>2</sup>, 8&#xa0;&#xb5;m pore size, polycarbonate) in supplemented ECGM. The cells were allowed to adhere for 4&#xa0;h to form a confluent layer (100%) before a serum gradient in medium 199 (0%&#x2013;20%; PAN-Biotech, Aidenbach, Germany) was applied. At the same time, the cells were treated with indicated concentrations of 6-shogaol. HUVECs were allowed to migrate toward the serum gradient for 16&#xa0;h before they were fixed (methanol:ethanol; 2:1) and stained using a crystal violet (Sigma-Aldrich, St. Louis, MO, United&#x20;States) solution containing 20% methanol. Non-migrating cells on the upper side of the Transwell insert were thoroughly removed using a cotton swab. After drying overnight, cell-bound crystal violet was leached using 20% acetic acid and quantified by absorption measurement (590&#xa0;nm) using a plate reader (SPECTRAFluor Plus, Tecan, M&#xe4;nnedorf, Switzerland).</p>
</sec>
<sec id="s2-8">
<title>2D Chemotactic Migration Assay</title>
<p>Further insights into the migratory behavior of cells can be provided by the performance of a 2D chemotactic migration assay. Therefore, 18,000 HUVECs were seeded on chemotaxis slides (ibidi GmbH, Martinsried, Germany) in ECGM and were allowed to adhere for 4&#xa0;h in order to obtain confluency of about 10% before they were treated with indicated concentrations of 6-shogaol. The cells were allowed to migrate toward a serum gradient (FCS, 20% in medium 199) for 20&#xa0;h. Live cell imaging in an atmosphere of 5% CO<sub>2</sub> and 95% air at 37&#xb0;C, capturing an image every 10&#xa0;min using a microscope (DM IL LED, Leica Microsystems, Wetzlar, Germany) allowed single-cell tracking. Image quantification of 30 cells per donor and condition using a manual-tracking tool (ImageJ) indicated a detailed 6-shogaol-derived impact on the migration parameters accumulated distance, Euclidean distance, velocity, forward migration index Y (Y:FMI), and directness.</p>
</sec>
<sec id="s2-9">
<title>Spheroid Assay</title>
<p>Endothelial cell spheroids from HUVECs were generated in a supplemented ECGM medium containing 0.24% methylcellulose by using the hanging drop method. Subsequently, the spheroids were embedded into a rat tail collagen I gel. HUVEC sprouting was induced by treating with vascular endothelial growth factor (VEGF; PeproTech, Rocky Hill, NJ, United&#x20;States) for 20&#xa0;h in an endothelial cell basal medium (ECBM; PELOBiotech, Planegg/Martinsried, Germany). For the determination of 6-shogaol-derived effects on endothelial cell sprouting, HUVEC spheroids were treated with the indicated concentrations of the compound 30&#xa0;min prior to VEGF induction. After the incubation period, the spheroids were fixed with 4% Roti Histofix (Carl Roth, Karlsruhe, Germany) before microscopic images were taken (DM IL LED, Leica Microsystems, Wetzlar, Germany). Image analysis using ImageJ (software version 1.49k) allowed the quantification of endothelial cell sprouts.</p>
</sec>
<sec id="s2-10">
<title>Mouse Aortic Ring Assay</title>
<p>Organ (mouse aortae) removal was performed according to the German Animal Welfare Act (&#xa7; 4 Tierschutzgesetz) and approval number V54-19c20/21I-FR/Biologicum, Tierhaus Campus Riedberg (Regierungspr&#xe4;sidium Darmstadt, Germany). Animals (C57BL/6&#x20;N mice) were housed under a 12&#xa0;h light/dark cycle with access to food and water <italic>ad libitum</italic>.</p>
<p>To analyze the effect of 6-shogaol on angiogenic processes an <italic>ex vivo</italic> aortic ring assay was performed (<xref ref-type="bibr" rid="B8">Baker et&#x20;al., 2011</xref>). For this, 3&#x2013;5&#xa0;week old C57BL/6 mice (male/female) were sacrificed by carbon dioxide (CO<sub>2</sub>) exposure. Subsequently, aortae were dissected, and the adjacent soft tissue was removed before the blood vessels were cut into rings with an average size of 0.5&#x2013;1&#xa0;mm. Aortic rings were serum-starved overnight in OPTI-MEM I (Thermo Fisher Scientific, Schwerte, Germany) containing 100&#xa0;U/ml penicillin and 100&#xa0;&#x3bc;g/ml streptomycin (PAN-Biotech). The next day aortic rings were embedded into 50&#xa0;&#xb5;l rat tail collagen I gel (Corning GmbH HQ; 1.5&#xa0;mg/ml). After gel solidification, aortic rings were treated with 30&#xa0;ng/ml murine VEGF (Peprotech, Rocky Hill, NJ, United&#x20;States) in OPTI-MEM (Thermo Fisher Scientific, Schwerte, Germany), supplemented with 2.5% FCS (Biochrom, Berlin, Germany), 100&#xa0;U/ml penicillin, and 100&#xa0;&#x3bc;g/ml streptomycin (PAN-Biotech, Aidenbach, Germany) to induce endothelial sprouting. When initial sprouts were visible, aortic rings were treated with 6-shogaol (30&#xa0;&#xb5;M) or vehicle, i.e.,&#x20;0.03% dimethyl sulfoxide (DMSO), and 30&#xa0;ng/ml VEGF for additional 3&#xa0;days. For the analysis of potential 6-shogaol-derived vascular-disruptive effects, endothelial sprouts were allowed to form for 6&#x2013;9&#xa0;days, before the aortic rings were treated with 6-shogaol (30&#xa0;&#xb5;M) or vehicle (0.03% DMSO) and 30&#xa0;ng/ml VEGF for 24 or 48&#xa0;h.</p>
<p>After the respective incubation periods, aortic rings and sprouts were fixed using 4% Roti Histofix (Carl Roth, Karlsruhe, Germany) and permeabilized using Triton-X100 (Carl Roth, Karlsruhe, Germany) two times for 15&#xa0;min at room temperature. The sprouts were stained using BS-I lectin (FITC, 0.1&#xa0;mg/ml; lectin from <italic>Bandeiraea simplicifolia</italic> (<italic>Griffonia simplicifolia</italic>); &#x23;2895; Sigma-Aldrich; St. Louis, MO, United&#x20;States) and actin &#x3b1;-smooth muscle (CY3; mouse, anti-mouse, 1:1,000; &#x23;C6198; Sigma-Aldrich; St. Louis, MO, United&#x20;States) at 4&#xb0;C overnight. Sprouts from murine aortic rings were analyzed using laser confocal scanning microscopy (Zeiss LSM 780; Carl Zeiss, Oberkochen, Germany) and quantified by ImageJ (software version 1.49k; US National Institutes of Health, Bethesda, MD, United&#x20;States).</p>
</sec>
<sec id="s2-11">
<title>Flow Cytometry</title>
<p>Confluent HUVECs (100% confluency) were treated with indicated concentrations of 6-shogaol. 30&#xa0;min later, the cells were activated with LPS (1&#xa0;&#x3bc;g/ml) for 4&#xa0;h (E-selectin) or 24&#xa0;h (intercellular adhesion molecule, ICAM-1; vascular cell adhesion molecule, VCAM-1), before they were stained for ICAM-1 (fluorescein isothiocyanate, FITC; mouse, anti-human CD54, 1:33, MCA1615F; Bio-Rad, Hercules, CA, United&#x20;States), VCAM-1 (phycoerythrin, PE; mouse, anti-human CD106, 1:20, 555647; BD Biosciences, San Jose, CA, United&#x20;States), or E-selectin (PE, mouse, anti-human CD62E, 1:10, 551145; BD Biosciences, San Jose, CA, United&#x20;States). Levels of the respective surface protein were determined using flow cytometry (FACSVerse; BD Biosciences, San Jose, CA, United&#x20;States).</p>
</sec>
<sec id="s2-12">
<title>Western Blot Analysis</title>
<p>Confluent HUVECs (100% confluency) were treated with the indicated concentrations of 6-shogaol for 30&#xa0;min before they were activated with LPS (1&#xa0;&#x3bc;g/ml) for 4 (E-selectin) or 24&#xa0;h (ICAM-1, VCAM-1). Subsequently, the cells were lysed using RIPA buffer containing protease and phosphatase inhibitors. The total protein in each sample was determined using a Pierce BCA Protein Assay Kit (Thermo Fisher Scientific, Schwerte, Germany), and a pyronin-based sample buffer containing sodium dodecyl sulfate (SDS) was added before they were incubated at 95&#xb0;C for 5&#xa0;min for denaturation. Twenty-five&#xa0;&#xb5;g of each sample was subjected to discontinuous SDS-polyacrylamide gel electrophoresis (PAGE) for protein separation, before they were transferred onto a polyvinylidene fluoride (PVDF; Bio-Rad Laboratories, Munich, Germany) membrane by blotting for 1&#xa0;h at 100&#xa0;V or 16&#xa0;h at 30&#xa0;V (VEGFR2). For blocking of unspecific binding sites, the membranes were incubated for 2&#xa0;h in 5% Blotto (Carl Roth, Karlsruhe, Germany) or 5% bovine serum albumin (BSA; MilliporeSigma, Burlington, MA, United&#x20;States) containing 0.1% Tween-20 (Sigma-Aldrich; St. Louis, MO, United&#x20;States). Subsequently, the membranes were incubated with respective antibodies for detection of the protein of interest: anti-ICAM-1 (rabbit, anti-human, 1:1,000 in 5% Blotto &#x2b; Tween-20, 4&#xb0;C overnight, &#x23;4915; Cell Signaling/New England Biolabs, Frankfurt am Main, Germany), anti-VCAM-1 (mouse, anti-human, 1:1,000 in 5% Blotto &#x2b; Tween-20, 4&#xb0;C overnight, sc-13160; Santa Cruz Biotechnology, Dallas, TX, United&#x20;States), anti-E-selectin (mouse, anti-human, 1:2,000 in 5% Blotto &#x2b; Tween-20, 4&#xb0;C overnight, sc-137054; Santa Cruz Biotechnology), anti-toll-like receptor (TLR) 4 (mouse, anti-human, 1:400 in 5% Blotto &#x2b; Tween-20, 4&#xb0;C overnight, sc-293072 Santa Cruz Biotechnology, Dallas, TX, United&#x20;States), anti-VEGFR2 (rabbit, anti-human, 1:2,000 in 5% BSA &#x2b; Tween-20, 4&#xb0;C overnight, &#x23;9698; Cell Signaling/New England Biolabs, Frankfurt am Main, Germany), and anti-HO-1 (P249) (rabbit, anti-human, 1:1,000 in 5% BSA &#x2b; Tween-20, 4&#xb0;C overnight, &#x23;5061; Cell Signaling/New England Biolabs, Frankfurt am Main, Germany). Anti-&#x3b2;-actin-peroxidase (mouse, anti-human, 1:50,000 in 1% BSA &#x2b; Tween-20, 1&#xa0;h room temperature, A3854; Sigma-Aldrich, St. Louis, MO, United&#x20;States) was used to detect &#x3b2;-actin as the loading control. Secondary antibodies were applied to membranes being incubated with non-conjugated primary antibodies: anti-rabbit (goat, 1:2,000 in 5% Blotto &#x2b; Tween-20, 2&#xa0;h room temperature, &#x23;7074; Cell Signaling/New England Biolabs, Frankfurt am Main, Germany) and anti-mouse, HRP-linked antibody (horse, 1:2,000 in 5% Blotto &#x2b; Tween-20, 2&#xa0;h room temperature, &#x23;7076; Cell Signaling/New England Biolabs, Frankfurt am Main, Germany). Protein detection was achieved by chemiluminescence measurement, and quantification of specific protein levels in each sample was performed by densitometric analysis using ImageJ (software version 1.49k).</p>
</sec>
<sec id="s2-13">
<title>Immunofluorescence Staining and Microscopy</title>
<p>Confluent HUVECs (100% confluency) on 8-well &#xb5;-slides (ibidi GmbH, Martinsried, Germany) were treated with indicated concentrations of 6-shogaol for 24&#xa0;h before they were activated with LPS (1&#xa0;&#x3bc;g/ml) for indicated time points. Subsequently, the cells were fixed with 4% Roti Histofix (Carl Roth, Karlsruhe, Germany) before they were permeabilized using 0.2% Triton-X100 (Carl Roth). After blocking unspecific binding sites using 0.2% BSA (MilliporeSigma, Burlington, MA, United&#x20;States), the cells were incubated in a 0.2% BSA solution containing the primary antibody anti-NF&#x3ba;B-p65 (rabbit, anti-human, 1:400, sc-372; Santa Cruz Biotechnology, Dallas, TX, United&#x20;States). After 1&#xa0;h the primary antibody was removed, and the secondary antibody (goat, anti-rabbit, Alexa Fluor 488-conjugated, 1:400, A11008; Thermo Fisher Scientific, Schwerte, Germany) was incubated for 45&#xa0;min protected from light. Immunofluorescence staining of NF&#x3ba;B-p65 was determined using a Leica DMI6000B fluorescence microscope (Leica Microsystems, Wetzlar, Germany). The use of ImageJ (software version 1.49k; US National Institutes of Health, Bethesda, MD, United&#x20;States) allowed the quantification of NF&#x3ba;B-p65 translocation.</p>
</sec>
<sec id="s2-14">
<title>Quantitative Polymerase Chain Reaction</title>
<p>Confluent HUVECs (100% confluency) were treated with indicated concentrations of 6-shogaol for 30&#xa0;min, before they were activated with LPS (1&#xa0;&#x3bc;g/ml) for 2&#xa0;h (E-selectin) or 10&#xa0;h (ICAM-1, VCAM-1). RNA was isolated using the RNeasy mini kit (Qiagen, Hilden, Germany) according to the manufacturer&#x2019;s instructions, and 1&#xa0;&#xb5;g was transcribed into cDNA using the SuperScript reverse transcriptase (Life Technologies, Darmstadt, Germany). The 2<sup>&#x2212;&#x394;&#x394;CT</sup> method was used for quantitative real-time PCR data analysis. GAPDH served as the housekeeping gene, and the following primers were used: E-selectin (forward: 5&#x2032;-AGA-TGA-GGA-CTG-CGT-GGA-GA-3&#x2032;; reverse: 5&#x2032;-GTG-GCC-ACT-GCA-GGA-TGT-AT-3&#x2032;), VCAM-1 (forward: 5&#x2032;-CCA-CAG-TAA-GGC-AGG-CTG-TAA-3&#x2032;; reverse: 5&#x2032;-GCT-GGA-ACA-GGT-CAT-GGT-CA-3&#x2032;), ICAM-1 (forward: 5&#x2032;-CTG-CTC-GGG-GCT-CTG-TTC-3&#x2032;; reverse: 5&#x2032;-AAC-AAC-TTG-GGC-TGG-TCA-CA-3&#x2032;), VEGFR2 (forward: 5&#x2032;-GTG-ACC-AAC-ATG-GAG-TCG-TGT-3&#x2032;; reverse: 5&#x2032;-AGC-TGA-TCA-TGT-AGC-TGG-GAA-3&#x2032;), and GAPDH (forward: 5&#x2032;-CCA-CAT-CGC-TCA-GAC-ACC-AT-3&#x2032;; reverse: 5&#x2032;-TGA-AGG-GGT-CAT-TGA-TGG-CAA-3&#x2032;).</p>
</sec>
<sec id="s2-15">
<title>NF&#x3ba;B Promotor Activity Assay</title>
<p>For this assay, 1&#x20;&#xd7; 10<sup>6</sup> HUVECs (PeloBiotech, Planegg/Martinsried, Germany) per aluminum cuvette were transiently transfected with a <italic>Renilla</italic> luciferase control plasmid pGL4.74[hRluc/TK] and a firefly luciferase reporter plasmid pGL4.32[luc2P/NF&#x3ba;B-RE/Hygro] (Promega, Heidelberg, Germany) at a ratio of 5:10 by electroporation (Amaxa nucleofector 2b device; Lonza, Basel, Switzerland). Twenty-four&#xa0;h after transfection, when HUVECs reached a density of 100% (confluency), the cells were treated with the indicated concentrations of 6-shogaol or 6-gingerol for 6&#xa0;h before they were activated by LPS for 4&#xa0;h (NF&#x3ba;B). Afterward, HUVECs were exposed to passive lysis according to the manufacturer&#x2019;s instructions, and NF&#x3ba;B promotor activity was determined using the Dual-Luciferase Reporter Assay System (Promega, Heidelberg, Germany) using a luminometer (SPECTRAFluor Plus, Tecan, M&#xe4;nnedorf, Switzerland).</p>
</sec>
<sec id="s2-16">
<title>Statistical Analysis</title>
<p>All experiments were performed with at least three different HUVEC or aortae donors (n). The actual number of n is stated in the respective figure legend. Statistical analyses were performed using GraphPad Prism version 5.0 (San Diego, CA, United&#x20;States) by applying one-way ANOVA and Tukey&#x2019;s <italic>post hoc</italic> test. For the <italic>ex vivo</italic> assay, an unpaired Student&#x2019;s t-test followed by Welch&#x2019;s correction was used. Data are expressed as mean&#x20;&#xb1; standard deviation (SD) and considered as statistically significant when <italic>p</italic>&#x20;&#x2264;&#x20;0.05.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<sec id="s3-1">
<title>6-Shogaol Strongly and Significantly Reduces Leukocyte&#x2013;Endothelial Cell Interactions Upon Lipopolysaccharide-Induced Endothelial Cell Activation</title>
<p>Studying the potential of 6-shogaol to interfere with this process in endothelial cells (ECs), we compared the impact of the compound on the adhesion of the monocytic THP-1 cell line onto compound-treated and TNF-, IL-1&#x3b2;-, or LPS-activated HUVECs under static conditions.</p>
<p>In our study, only HUVECs were treated with 6-shogaol or 6-gingerol (<xref ref-type="sec" rid="s11">Supplementary Figure S1</xref>). Analyzing potential cytotoxic effects, we found that up to 30&#xa0;&#xb5;M of 6-shogaol incubated over a period of 24, 48, and 72&#xa0;h did not impair endothelial cell viability nor membrane integrity (<xref ref-type="sec" rid="s11">Supplementary Figures S2A,B</xref>). Therefore, for experimental purposes, concentrations of no more than 30&#xa0;&#xb5;M were used. For the exclusion of potential cytotoxic effects of 6-gingerol, HUVECs were treated with increasing concentrations for 24 and 48&#xa0;h. Up to 100&#xa0;&#xb5;M did not impair the cell viability (<xref ref-type="sec" rid="s11">Supplementary Figure&#x20;S2C</xref>).</p>
<p>6-Shogaol at a concentration of 30&#xa0;&#xb5;M significantly reduced the adhesion of THP-1 cells onto a TNF-, IL-1&#x3b2;-, or LPS-triggered HUVEC monolayer under static conditions (<xref ref-type="fig" rid="F1">Figure&#x20;1A</xref>). When TNF was used as a pro-inflammatory stimulus, a concentration of 30&#xa0;&#xb5;M of 6-shogaol was able to almost fully block the adhesion. In HUVECs that were treated by IL-1&#x3b2; or LPS, 6-shogaol was already active at a concentration of 10&#xa0;&#xb5;M. To determine if 6-shogaol was able to reduce the adhesion of leukocytes onto an LPS-induced HUVEC monolayer under the flow conditions, a pump system was used to mimic the blood flow. 6-shogaol was able to reduce the adhesion of THP-1 cells onto LPS-activated HUVECs significantly at 10 and 30&#xa0;&#xb5;M. Of note, treatment of HUVECs with 30&#xa0;&#xb5;M 6-shogaol completely blocked the adhesion of THP-1 cells under flow conditions (<xref ref-type="fig" rid="F1">Figure&#x20;1B</xref>). In addition to 6-shogaol, 6-gingerol has been described as one of the main bioactive ingredients of ginger rhizomes and represents the hydrated precursor of 6-shogaol missing the Michael acceptor moiety. Interestingly, the application of up to 100&#xa0;&#xb5;M of 6-gingerol did not reduce THP-1 adhesion onto LPS-induced HUVECs (<xref ref-type="fig" rid="F1">Figure&#x20;1A</xref>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>6-Shogaol significantly attenuates leukocyte adhesion and transmigration onto/through an LPS-induced HUVEC monolayer, while 6-gingerol does not impair leukocyte&#x2013;endothelial cell interactions. Confluent HUVECs were treated with indicated concentrations of <bold>(A&#x2013;C)</bold> 6-shogaol or <bold>(A)</bold> 6-gingerol for 30&#xa0;min before they were activated for 24&#xa0;h by <bold>(A)</bold> TNF (10&#xa0;ng/ml), <bold>(A)</bold> IL-1&#x3b2; (5&#xa0;ng/ml), or <bold>(A&#x2013;C)</bold> LPS (1&#xa0;&#x3bc;g/ml). Subsequently, fluorescence-labeled THP-1 cells were allowed to adhere under <bold>(A)</bold> static or <bold>(B)</bold> flow conditions. Adhesion of THP-1 cells was measured using a plate reader. <bold>(C)</bold> To determine 6-shogaol-derived effects on transmigration of THP-1 cells through an endothelial cell monolayer, confluent HUVECs on Transwell inserts were treated with the indicated concentrations of 6-shogaol for 30&#xa0;min before they were activated with LPS (1&#xa0;&#x3bc;g/ml) for 24&#xa0;h. CellTracker Green-labeled THP-1 cells were allowed to transmigrate through a HUVEC monolayer toward an SDF-1 gradient. Transmigrated THP-1 cells were quantified by fluorescence measurement using a plate reader. Data are expressed as mean&#x20;&#xb1; SD; <bold>(A)</bold> <italic>n</italic>&#x20;&#x3d; 4/4/4/5; &#x2a;<italic>p</italic>&#x20;&#x2264; 0.05 vs. TNF/IL-1&#x3b2;/LPS; <bold>(B)</bold> <italic>n</italic>&#x20;&#x3d; 3; &#x2a;<italic>p</italic>&#x20;&#x2264; 0.05 vs LPS; <bold>(C)</bold> <italic>n</italic>&#x20;&#x3d; 3; &#x2a;<italic>p</italic>&#x20;&#x2264; 0.05 vs. LPS/SDF-1.</p>
</caption>
<graphic xlink:href="fphar-13-844767-g001.tif"/>
</fig>
<p>Furthermore, the adhesion of the leukemia cell line Jurkat with T-lymphoblast-like phenotype was significantly reduced in LPS-activated HUVECs when treated with 30&#xa0;&#xb5;M 6-shogaol (<xref ref-type="sec" rid="s11">Supplementary Figure S3</xref>). Moreover, and of high importance, 6-shogaol reduced the transmigration of THP-1 cells through LPS-triggered HUVECs in the direction of an SDF-1-gradient. This effect was already significant at 10&#xa0;&#xb5;M and completely blocked by 30&#xa0;&#xb5;M 6-shogaol (<xref ref-type="fig" rid="F1">Figure&#x20;1C</xref>).</p>
</sec>
<sec id="s3-2">
<title>6-Shogaol Attenuates the Levels of Cell Adhesion Molecules, and the Effect Is Most Prominent for Lipopolysaccharide-Activated Endothelial Cells</title>
<p>As 6-shogaol reduced the interaction of THP-1 and Jurkat cells and activated HUVECs, the levels of endothelial cell adhesion molecules (CAMs) on the endothelial surface, their total amount, and mRNA expression were determined. 6-Shogaol significantly reduced TNF-induced ICAM-1, VCAM-1, and E-selectin levels on the endothelial cell surface (<xref ref-type="sec" rid="s11">Supplementary Figure S4A</xref>). The determination of 6-shogaol-derived effects revealed that also the total protein levels of CAMs were reduced, and the most prominent effect was observed at 30&#xa0;&#xb5;M (<xref ref-type="sec" rid="s11">Supplementary Figure S4B</xref>). The analysis of mRNA levels revealed that increasing concentrations of 6-shogaol reduced the gene expression of ICAM-1, VCAM-1, and E-selectin in a concentration-dependent manner (<xref ref-type="sec" rid="s11">Supplementary Figure S4C</xref>). Similar effects were observed after 6-shogaol treatment, when HUVECs were activated with the inflammatory cytokine IL-1&#x3b2;. Here, the most prominent inhibitory effects were also detectable at 30&#xa0;&#xb5;M (<xref ref-type="sec" rid="s11">Supplementary Figures S5A&#x2013;C</xref>). Interestingly, when LPS was used for the inflammatory activation of HUVECs, 6-shogaol significantly reduced surface levels of ICAM-1, VCAM-1, and E-selectin already at 10&#xa0;&#xb5;M. Of note, the application of 30&#xa0;&#xb5;M was able to completely block the surface levels of CAMs (<xref ref-type="fig" rid="F2">Figure&#x20;2A</xref>). In addition, the effects on total protein and mRNA levels were much stronger for the activation with LPS compared to the application of the cytokines TNF or IL-1&#x3b2;. Here, 6-shogaol significantly reduced CAM levels at 10&#xa0;&#xb5;M and blocked their expression at 30&#xa0;&#xb5;M (<xref ref-type="fig" rid="F2">Figures&#x20;2B,C</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>LPS-induced CAM levels in HUVECs are downregulated by 6-shogaol in a concentration-dependent manner. Confluent HUVECs were treated with indicated concentrations of 6-shogaol. After 30&#xa0;min, the cells were activated by LPS (1&#xa0;&#x3bc;g/ml) for <bold>(A,B)</bold> 4&#xa0;h (E-selectin) or 24&#xa0;h (ICAM-1 and VCAM-1) to determine protein levels and for <bold>(C)</bold> 2&#xa0;h (E-selectin) or 12&#xa0;h (ICAM-1 and VCAM-1) for mRNA expression. <bold>(A)</bold> Surface protein levels of ICAM-1, VCAM-1, and E-selectin were determined by flow cytometry, and <bold>(B)</bold> total protein levels of CAMs were analyzed by Western blot analysis. Actin served as the loading control. One representative blot is shown. <bold>(C)</bold> mRNA data were obtained by qPCR. GAPDH served as the housekeeping gene. 6-SG: 6-shogaol. Data are expressed as mean&#x20;&#xb1; SD; <bold>(A,C)</bold> <italic>n</italic>&#x20;&#x3d; 3; <bold>(B)</bold> <italic>n</italic>&#x20;&#x3d; 4/4/3; &#x2a;<italic>p</italic>&#x20;&#x2264; 0.05 vs. LPS.</p>
</caption>
<graphic xlink:href="fphar-13-844767-g002.tif"/>
</fig>
</sec>
<sec id="s3-3">
<title>6-Shogaol Blocks the NF&#x3ba;B Promotor Activity, While 6-Gingerol Does Not Affect the Transcription Factor</title>
<p>The effect of 6-shogaol on the activity of NF&#x3ba;B was analyzed in LPS-induced HUVECs. Moreover, to compare the effect of 6-gingerol on the NF&#x3ba;B-signaling cascade, HUVECs were treated with the indicated concentrations of 6-gingerol before they were analyzed for the LPS-induced promotor activity of the transcription factor. Interestingly, the promotor activity of NF&#x3ba;B was strongly downregulated by 6-shogaol in a concentration-dependent manner and completely blocked by a compound concentration of 30&#xa0;&#x3bc;M, while 6-gingerol did not impair the promotor activity of the transcription factor (<xref ref-type="fig" rid="F3">Figures 3A,B</xref>). Moreover, LPS-induced inflammatory target genes of NF&#x3ba;B were downregulated by 6-shogaol. The mRNA levels of the pro-inflammatory cytokines IL-6 and IL-8 were significantly reduced in a concentration-dependent manner (<xref ref-type="sec" rid="s11">Supplementary Figure S6A</xref>). The mRNA expression of the LPS-triggered chemokine C-X-C motif chemokine ligand 12 (CXCL12) was significantly reduced at 30&#xa0;&#xb5;M 6-shogaol (<xref ref-type="sec" rid="s11">Supplementary Figure S6B</xref>). Interestingly, mRNA levels of the anti-inflammatory cytokine IL-10 remained unimpaired (<xref ref-type="sec" rid="s11">Supplementary Figure&#x20;S6C</xref>).</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>LPS-induced NF&#x3ba;B promotor activity is blocked by 6-shogaol but remains unimpaired by 6-gingerol. <bold>(A,B)</bold> 1 &#xd7; 10<sup>6</sup> HUVECs per aluminum cuvette were transiently transfected with a <italic>Renilla</italic> luciferase control plasmid pGL4.74[hRluc/TK] and firefly luciferase reporter plasmid pGL4.32[luc2P/NF-&#x3ba;B-RE/Hygro] using a Nucleofector 2b device. 24&#xa0;h after transfection, the cells were treated with indicated concentrations of <bold>(A)</bold> 6-shogaol or <bold>(B)</bold> 6-gingerol for 6&#xa0;h before NF&#x3ba;B promotor activity was induced by LPS (1&#xa0;&#x3bc;g/ml) for an additional 4&#xa0;h. NF&#x3ba;B promotor activity was measured using a luminometer. <bold>(C)</bold> Confluent HUVECs were treated with 30&#xa0;&#xb5;M of 6-shogaol before the cells were activated with LPS (1&#xa0;&#x3bc;g/ml) for the indicated time points. Subsequently, the cells were stained for p65, and fluorescence microscopy images were analyzed using ImageJ software. For each condition, one representative image out of four independently performed experiments is shown. Scale bar represents 50&#xa0;&#xb5;m. <bold>(D)</bold> Confluent HUVECs were treated with 30&#xa0;&#xb5;M of 6-shogaol for indicated time points. Protein levels of TLR4 were determined by Western blot analysis. Actin served as the loading control. One representative blot of four independently performed experiments is shown. <bold>(E)</bold> Confluent HUVECs were treated with indicated increasing concentrations of 6-shogaol and were induced with LPS (1&#xa0;&#x3bc;g/ml) for 24&#xa0;h before the samples were subjected to Western blot analysis for HO-1 total protein. Actin served as the loading control. One representative Western blot is shown. 6-SG: 6-shogaol. Data are expressed as mean&#x20;&#xb1; SD; <bold>(A,B)</bold> <italic>n</italic>&#x20;&#x3d; 3; &#x2a;<italic>p</italic>&#x20;&#x2264; 0.05 vs. LPS; <bold>(C,D)</bold> <italic>n</italic>&#x20;&#x3d; 4; <bold>(E)</bold> <italic>n</italic>&#x20;&#x3d; 5; &#x2a;<italic>p</italic>&#x20;&#x2264; 0.05 vs. LPS.</p>
</caption>
<graphic xlink:href="fphar-13-844767-g003.tif"/>
</fig>
<p>Mitogen-activated protein kinases (MAPKs) were implicated in the NF&#x3ba;B-signaling cascade, and Western blot analysis revealed that the LPS-induced c-Jun N-terminal kinase (JNK) phosphorylation was markedly reduced upon 6-shogaol (30&#xa0;&#xb5;M) treatment, while the LPS-triggered p38 activation was not impaired (<xref ref-type="sec" rid="s11">Supplementary Figure&#x20;S6D</xref>).</p>
</sec>
<sec id="s3-4">
<title>HO-1 Protein Levels are Increased Upon 6-Shogaol Treatment, While Nuclear Translocation of the NF&#x3ba;B Subunit p65 is Only Marginally Reduced</title>
<p>As the 6-shogaol-derived inhibition of LPS-induced NF&#x3ba;B promotor activity might be attributed to an impairment of nuclear translocation, the amount of the NF&#x3ba;B subunit p65 was analyzed in HUVEC nuclei after the treatment with 6-shogaol (30&#xa0;&#xb5;M) by immunofluorescence staining (<xref ref-type="fig" rid="F3">Figure&#x20;3C</xref>). Interestingly, only after 1&#xa0;h of LPS induction, 6-shogaol reduced the nuclear translocation of p65 by 35%. Analyzing the effect of 6-shogaol (30&#xa0;&#xb5;M) on the toll-like receptor 4 upstream the LPS-activated NF&#x3ba;B-signaling cascade, we found that the protein levels remained unimpaired (<xref ref-type="fig" rid="F3">Figure&#x20;3D</xref>).</p>
<p>HO-1 protein levels were markedly increased in LPS-stimulated HUVECs upon 6-shogaol (30&#xa0;&#xb5;M) treatment (<xref ref-type="fig" rid="F3">Figure&#x20;3E</xref>).</p>
</sec>
<sec id="s3-5">
<title>6-Shogaol Attenuates Angiogenesis-Related Endothelial Cell Functions <italic>In Vitro</italic>
</title>
<p>The application of 6-shogaol resulted in a concentration-dependent reduction of HUVEC proliferation with an IC<sub>50</sub> of 8&#xa0;&#xb5;M (<xref ref-type="fig" rid="F4">Figure&#x20;4A</xref>). Moreover, the directed HUVEC migration toward a serum gradient was significantly reduced upon 6-shogaol treatment at 10 and 30&#xa0;&#xb5;M (<xref ref-type="fig" rid="F4">Figure&#x20;4B</xref>). Next, we aimed at gaining detailed information about the impact of the ginger constituent on endothelial cell migration in a 2D chemotaxis assay <italic>via</italic> live-cell imaging. Here, HUVECs were allowed to migrate in the direction of a serum gradient over a period of 20&#xa0;h. By single-cell tracking, detailed data were obtained about the cell motility upon 6-shogaol (30&#xa0;&#xb5;M) treatment. Indeed, the main characteristics of endothelial cell migration were impaired as indicated by significantly reduced directness and velocity. Moreover, 6-shogaol attenuated Euclidean and accumulated distances. The most prominent effect was exposed on the forward migration index (FMI:Y) (<xref ref-type="fig" rid="F4">Figure&#x20;4C</xref>).</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>6-Shogaol reduces endothelial cell proliferation and migration. <bold>(A)</bold> 1,500 HUVECs per well were seeded on collagen-G-coated 96-well plates. 24&#xa0;h later, the cells were treated with 6-shogaol at the indicated concentrations for 72&#xa0;h. Subsequently, the cells were stained using crystal violet. DNA-bound crystal violet was leached using acetic acid (20%), and absorbance of the dye was measured in a plate reader at 590&#xa0;nm. <bold>(B)</bold> 100,000 HUVECs were seeded onto Transwell inserts. Subsequently, the cells were treated with indicated concentrations of 6-shogaol, and a serum gradient was generated by the addition of 20% FCS to the lower chamber. The cells were allowed to migrate toward the FCS gradient for 16&#xa0;h. <bold>(C)</bold> 18,000 HUVECs were seeded on chemotaxis slides, treated with 6-shogaol (30&#xa0;&#xb5;M), and allowed to migrate in the direction of a serum (20%) gradient for 20&#xa0;h. Using phase-contrast microscopy, images were taken every 10&#xa0;min, and 30 cells per condition were analyzed using ImageJ.&#x20;Data are expressed as mean&#x20;&#xb1; SD; <bold>(A&#x2013;C)</bold> <italic>n</italic>&#x20;&#x3d; 3; <bold>(A)</bold> &#x2a;<italic>p</italic>&#x20;&#x2264; 0.05 vs. ctrl; <bold>(B,C)</bold> &#x2a;<italic>p</italic>&#x20;&#x2264; 0.05 vs. FCS&#x20;ctrl.</p>
</caption>
<graphic xlink:href="fphar-13-844767-g004.tif"/>
</fig>
<p>To determine the effect of 6-shogaol on endothelial cell sprouting, spheroids were formed from HUVECs, and the cells were allowed to sprout in a 3D rat tail collagen I gel after VEGF induction. Cells in spheroids were treated with the indicated concentrations of 6-shogaol for 30&#xa0;min, before VEGF was applied to trigger sprout formation. As depicted in <xref ref-type="fig" rid="F5">Figure&#x20;5A</xref>, VEGF successfully induced sprout formation as demonstrated by a strong increase in sprout number and sprout length. The administration of 3 and 10&#xa0;&#xb5;M 6-shogaol only slightly reduced the formation of new sprouts. However, 30&#xa0;&#xb5;M of 6-shogaol completely blocked endothelial cell sprouting as indicated by a strongly inhibited number of sprouts and reduced sprout length. Of note, the number and length of VEGF-activated sprouts were much lower in 6-shogaol (30&#xa0;&#xb5;M)-treated HUVEC spheroids than in the untreated control implicating a compound-induced loss of endothelial cell functions necessary for sprouting processes.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Formation of endothelial sprouts from HUVEC spheroids or mouse aortic rings is significantly attenuated by 6-shogaol. <bold>(A)</bold> HUVEC spheroids comprised 400 cells that were embedded into a rat tail collagen I gel. The spheroids were treated with indicated concentrations of 6-shogaol for 30&#xa0;min before endothelial sprouting was induced by VEGF (10&#xa0;ng/ml). 20&#xa0;h later, the spheroids were fixed with 4% formaldehyde, and microscopic images were taken. Image quantification was performed using ImageJ.&#x20;Scale bar represents 100&#xa0;&#xb5;m. One representative image for each condition is shown. <bold>(B,C)</bold> Confluent HUVECs were treated with 6-shogaol (30&#xa0;&#xb5;M) for indicated time points. <bold>(B)</bold> Total protein levels of VEGFR2 were determined by Western blot analysis. Actin served as the loading control. One representative blot is shown. <bold>(C)</bold> VEGFR2 mRNA data were obtained by qPCR. GAPDH served as the housekeeping gene. <bold>(D)</bold> Mouse aortic rings were embedded into a rat tail collagen I gel and stimulated with VEGF (30&#xa0;ng/ml). After the formation of initial sprouts, the aortic rings were treated with 6-shogaol (30&#xa0;&#xb5;M) or vehicle (0.03% DMSO) for 3&#xa0;days. Aortic rings were fixed and stained with BS-I lectin (green) and for &#x3b1;-smooth muscle actin (red). Laser confocal scanning microscopy and ImageJ allowed the quantification of sprout number and length. Scale bar represents 100&#xa0;&#xb5;m, and one representative image is shown. 6-SG: 6-shogaol. Data are expressed as mean&#x20;&#xb1; SD; <bold>(A)</bold> <italic>n</italic>&#x20;&#x3d; 3; &#x2a;<italic>p</italic>&#x20;&#x2264; 0.05 vs. VEGF; <bold>(B)</bold> <italic>n</italic>&#x20;&#x3d; 3; <bold>(C)</bold> <italic>n</italic>&#x20;&#x3d; 3; &#x2a;<italic>p</italic>&#x20;&#x2264; 0.05 vs. ctrl; <bold>(D)</bold> <italic>n</italic>&#x20;&#x3d; 3; <italic>p</italic>&#x20;&#x2264; 0.05 vs. VEGF.</p>
</caption>
<graphic xlink:href="fphar-13-844767-g005.tif"/>
</fig>
<p>As the VEGF-induced endothelial cell sprouting from HUVEC spheroids was completely blocked by 6-shogaol (30&#xa0;&#xb5;M), the effect of the ginger constituent on the total VEGFR2 protein was analyzed. 6-Shogaol (30&#xa0;&#xb5;M) markedly reduced the levels of the receptor after 6 and 10&#xa0;h of treatment, and this impact ceased after 16&#xa0;h of incubation (<xref ref-type="fig" rid="F5">Figure&#x20;5B</xref>). qPCR analysis revealed that the mRNA expression of VEGFR2 was significantly reduced after 3 and 6&#xa0;h. This indicates that the 6-shogaol-derived downregulation of VEGFR2 might, at least in part, be ascribed to attenuated mRNA levels (<xref ref-type="fig" rid="F5">Figure&#x20;5C</xref>).</p>
</sec>
<sec id="s3-6">
<title>6-Shogaol Exerts Antiangiogenic Properties and Disrupts Pre-Existing Vessels <italic>Ex Vivo</italic>
</title>
<p>To obtain detailed information about the 6-shogaol-derived antiangiogenic potential in a physiologically more relevant model, a mouse aortic ring assay was performed. As depicted in <xref ref-type="fig" rid="F5">Figure&#x20;5D</xref>, angiogenic sprouts were clearly formed in the vehicle-treated group. FITC-BS-I lectin (green) staining visualizes endothelial sprouting and CY3 (red) indicates actin &#x3b1;-smooth muscle-positive cells. The administration of 6-shogaol resulted in a strong and significant inhibition of VEGF-induced angiogenic sprout formation as indicated by a significantly attenuated number of sprouts and total sprout length per aortic&#x20;ring.</p>
<p>Interestingly, 6-shogaol was also able to interfere with already existing neo-vessels formed from VEGF-induced&#x20;murine aortic rings (<xref ref-type="fig" rid="F6">Figure&#x20;6</xref>). The sprout formation in the VEGF control was significantly increasing after 48&#xa0;h compared to 0&#xa0;h (<xref ref-type="fig" rid="F6">Figures 6A,B</xref>). Already after 24&#xa0;h of 6-shogaol treatment (30&#xa0;&#xb5;M), the compound disrupted existing sprouts, and this effect was significant compared&#x20;to the control group treated with VEGF alone and, moreover, to the starting point of administration (0&#xa0;h) as indicated by the reduction of single sprout length (<xref ref-type="fig" rid="F6">Figure&#x20;6A</xref>). Of note, after 48&#xa0;h angiogenic sprouts were restituted (<xref ref-type="fig" rid="F6">Figures&#x20;6A,C</xref>).</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>6-Shogaol exhibits a vascular-disruptive impact on angiogenic sprouts from murine aortae. Murine aortic rings were embedded into a rat tail collagen I gel. The rings were allowed to form VEGF-induced (30&#xa0;ng/ml) angiogenic sprouts for 6&#x2013;9&#xa0;days before they were treated with 6-shogaol for 24 and 48&#xa0;h. Aortic rings were fixed and stained for BS-I lectin (green) and &#x3b1;-smooth muscle actin (red). <bold>(B,C)</bold> Laser confocal scanning microscopy, phase contrast microscopy, and ImageJ allowed <bold>(A)</bold> the quantification of sprout length. Higher magnification shows the effect of <bold>(C)</bold> 6-shogaol or <bold>(B)</bold> vehicle (0.03% DMSO) on already existing vessels. Scale bar represents 100&#xa0;&#x3bc;m, one representative image is shown, and red arrows highlight the compound-derived impact on preexisting vessels. ns, not significant. Data are expressed as mean&#x20;&#xb1; SD; <bold>(A)</bold> <italic>n</italic>&#x20;&#x3d; 3; &#x2a;<italic>p</italic>&#x20;&#x2264; 0.05 vs. VEGF; <sup>&#x23;</sup>
<italic>p</italic>&#x20;&#x2264; 0.05 vs. VEGF 0&#xa0;h.</p>
</caption>
<graphic xlink:href="fphar-13-844767-g006.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<p>In traditional medicine, the use of ginger rhizomes to treat diseases is versatile, and numerous preclinical studies identified ginger to exhibit anticancer, antioxidative, antinausea, anti-inflammatory, and cardioprotective actions (<xref ref-type="bibr" rid="B5">Ali et&#x20;al., 2008</xref>; <xref ref-type="bibr" rid="B29">Nicoll and Henein, 2009</xref>; <xref ref-type="bibr" rid="B32">Palatty et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B4">Al-Nahain et&#x20;al., 2014</xref>; <xref ref-type="bibr" rid="B34">Prasad and Tyagi, 2015</xref>). In the last century, the main pungent principles 6-gingerol and its dehydrated form 6-shogaol&#x2014;the latter one containing a Michael acceptor moiety&#x2014;were identified as bioactive and were extensively investigated. In respect of anti-inflammatory actions, several approaches were conducted to compare the effects of both compounds, asserting a greater impact of 6-shogaol over 6-gingerol within this context (<xref ref-type="bibr" rid="B10">Bischoff-Kont and F&#xfc;rst, 2021</xref>).</p>
<p>The vascular endothelium plays a crucial role in the process of acute and chronic inflammation as it represents a barrier for immune cells. Moreover, in the course of inflammation, angiogenic processes are promoted to form new vessels leading to the acceleration and extension of the inflammatory response. Although the effect of 6-shogaol as anti-inflammatory substance has been identified in <italic>in vivo</italic> models and <italic>in&#x20;vitro</italic> in leukocytes and other cell types, studies on the vascular endothelium are scarce. Therefore, we aimed to analyze the effects of 6-shogaol on crucial steps of inflammation- and angiogenesis-related endothelial cell functions. 6-Shogaol strongly and significantly reduced the adhesion of leukocytes onto LPS- or cytokine-induced HUVECs by the downregulation of endothelial CAMs <italic>in&#x20;vitro</italic>. Interestingly, 6-shogaol exhibited the most prominent impact on LPS-activated HUVECs by completely blocking THP-1 cell adhesion to control levels in a static system and under flow conditions. A study by <xref ref-type="bibr" rid="B41">Wang et&#x20;al. (2013)</xref> demonstrated strong inhibitory effects of 6-shogaol in oxidized LDL-induced HUVECs. Due to the strong impact on LPS-evoked leukocyte adhesion, we focused on further investigations on the actions of 6-shogaol on LPS-activated ECs. 6-Shogaol strongly and significantly attenuated the transmigration of THP-1 cells through an LPS-activated HUVEC monolayer. In a study by <xref ref-type="bibr" rid="B24">Levy et&#x20;al. (2006)</xref>, the administration of 6-shogaol significantly reduced the migration of leukocytes into the joints of rats in a complete Freund&#x2019;s adjuvant-induced arthritis model. An <italic>in vivo</italic> study employing a murine acute kidney injury model observed a significant reduction of kidney injury and neutrophil infiltration into the kidneys after the administration of 6-shogaol and increased mRNA and protein levels of HO-1 (<xref ref-type="bibr" rid="B17">Han et&#x20;al., 2019</xref>). Interestingly, the application of an HO-1 inhibitor completely reversed this effect, indicating the involvement of this enzyme in the anti-inflammatory actions of 6-shogaol. Additionally, the same group demonstrated an increase of this protein in the human kidney cell line HK2 as well as in mouse kidney tissue samples (<xref ref-type="bibr" rid="B17">Han et&#x20;al., 2019</xref>). Similar to these findings, in our study, the protein levels of HO-1 were significantly increased by 30&#xa0;&#xb5;M 6-shogaol and LPS in HUVECs. Moreover, a study by <xref ref-type="bibr" rid="B36">Seldon et&#x20;al. (2007)</xref> examined the regulation of cell adhesion molecule levels in endothelial cells isolated from <italic>HMOX</italic>
<sup>&#x2212;/&#x2212;</sup> mice vs. <italic>HMOX</italic>
<sup>&#x2b;/&#x2b;</sup> mice. Basal and TNF-induced expression of VCAM-1, ICAM-1, and E-selectin were increased in <italic>HMOX</italic>
<sup>&#x2212;/&#x2212;</sup> mice vs. <italic>HMOX</italic>
<sup>&#x2b;/&#x2b;</sup> mice, which indicates that the blocking of HO-1 might result in increased levels of CAMs. This effect might, at least in part, counteract the inhibiting effect of 6-shogaol. A study by <xref ref-type="bibr" rid="B25">Liu et&#x20;al. (2015)</xref> shows that 6-shogaol effectively inhibited the proliferation of rat aortic vascular smooth muscle cells with an IC<sub>50</sub> of 2.7&#xa0;&#xb5;M without inducing cytotoxicity. Interestingly, 6-shogaol lost its antiproliferative feature when an HO-1 inhibitor was applied. These data give hints that the inhibition of HO-1 might reverse the effects of 6-shogaol on inflammation- and angiogenesis-related processes.</p>
<p>Concomitant to the upregulation of cytoprotective enzyme HO-1, the LPS-induced promotor activity of NF&#x3ba;B was completely blocked in HUVECs after the treatment with 6-shogaol. This exuberant effect resulted in the downregulation of endothelial CAM mRNA expression and the subsequent attenuation of total and surface protein levels of ICAM-1, VCAM-1, and E-selectin, which constitute prominent mediators of leukocyte&#x2013;EC interactions and, therefore, might be, at least in part, responsible for the reduced leukocyte adhesion onto and transmigration through vascular endothelial cells. Several <italic>in vivo</italic> and <italic>in&#x20;vitro</italic> studies reported a 6-shogaol-derived inhibitory impact on the NF&#x3ba;B-signaling cascade, including the reduction of nuclear translocation of p50 and p65 subunits (<xref ref-type="bibr" rid="B33">Pan et&#x20;al., 2008</xref>; <xref ref-type="bibr" rid="B16">Han et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B6">Annamalai and Suresh, 2018</xref>; <xref ref-type="bibr" rid="B17">Han et&#x20;al., 2019</xref>). Interestingly, the nuclear translocation of the NF&#x3ba;B subunit p65 was only reduced by 35% after 6-shogaol treatment and 1&#xa0;h of LPS activation, indicating a different mechanism of 6-shogaol for this distinct impact on the NF&#x3ba;B promotor activity. Nevertheless, our findings suggest that the downregulation of the promotor activity of the transcription factor might be, at least in part, responsible for the reduction of endothelial CAM and IL-6 and IL-8 expressions. Similar data were obtained in animal and <italic>in&#x20;vitro</italic> studies demonstrating the reduction of soluble VCAM-1 protein as well as the attenuation of further NF&#x3ba;B target genes, including ICAM-1 in proximal tubule cells and proinflammatory cytokines in HaCaT or human mast cells (<xref ref-type="bibr" rid="B24">Levy et&#x20;al., 2006</xref>; <xref ref-type="bibr" rid="B15">Guahk et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B37">Sohn et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B17">Han et&#x20;al., 2019</xref>). Based on the Michael system of 6-shogaol, a potential impact on the p65 subunit of NF&#x3ba;B by targeting cysteine residues, for example, by alkylation, can be suggested. This might be followed by the inhibition of the binding of p65 to regulatory regions of the DNA. A study by <xref ref-type="bibr" rid="B14">Garcia-Pineres et&#x20;al. (2001)</xref> employed a mutant lacking different cysteines in p65. The application of the anti-inflammatory p65-alkylating sesquiterpene lactone parthenolide (NF&#x3ba;B inhibitor containing a Michael acceptor) had no effect on the DNA-binding capacity of the p65 subunit in p65 mutants that lack a certain cysteine residue. Therefore, it could indeed be hypothesized that 6-shogaol might suppress the DNA-binding capacity of p65, and this, at least in part, might be responsible for the downregulation of CAM gene expression. Further experiments are necessary to test this hypothesis. Helenalin, a sesquiterpene lactone found in <italic>Arnica montana</italic> L., exhibits anti-inflammatory properties through the inhibition of the NF&#x3ba;B-signaling cascade by directly targeting p65 (<xref ref-type="bibr" rid="B27">Lyss et&#x20;al., 1997</xref>). Based on the Michael system of this compound, studies have been conducted demonstrating that helenalin alkylates p65, which in turn leads to the inhibition of NF&#x3ba;B-p65 signaling. The translocation of p65 was not significantly impaired by helenalin. Likewise, in our study, only a slight impact of p65 nuclear translocation was detected after 6-shogaol treatment and 1&#xa0;h of LPS activation. Since 6-shogaol has been shown to alkylate cysteine residues of Kelch-like ECH-associated protein 1 (Keap1) and since the NF&#x3ba;B p50 and p65 subunits contain cysteine residues in their DNA binding domains, we suggest that 6-shogaol might inhibit the NF&#x3ba;B-signaling cascade in the nucleus of endothelial cells by Michael acceptor-mediated alkylation.</p>
<p>While the literature reports contradictory results for the impact of 6-shogaol on MAPK activation, we found that, similar to the findings of <xref ref-type="bibr" rid="B37">Sohn et&#x20;al. (2013)</xref>, the ginger constituent reduced the LPS-triggered phosphorylation of JNK in endothelial cells, while the activation of p38 remained unimpaired. Interestingly, upstream of the NF&#x3ba;B-signaling cascade, the total protein levels of the LPS receptor TLR4 were not affected by 6-shogaol. Nevertheless, there is evidence that 6-shogaol might interfere with the dimerization process of TLR4 and, therefore, impair the down-stream signaling after LPS treatment (<xref ref-type="bibr" rid="B2">Ahn et&#x20;al., 2009</xref>). Of note, 6-gingerol, lacking the Michael acceptor moiety, did neither impair the LPS-induced promotor activity of NF&#x3ba;B nor interfere with THP-1 cell adhesion onto LPS-induced and compound-treated ECs. In accordance with our findings, studies comparing the impact of both bioactive ginger constituents, 6-shogaol and 6-gingerol, within the scope of inflammation-related cell functions in other cell types found that 6-shogaol exhibited a much stronger anti-inflammatory activity than 6-gingerol (<xref ref-type="bibr" rid="B12">Dugasani et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B15">Guahk et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B18">Ho and Chang, 2018</xref>).</p>
<p>Moreover, our study demonstrates the successful 6-shogaol-induced impairment of angiogenesis-related cell functions as indicated by the reduction of endothelial cell proliferation, chemotactic migration, and <italic>in&#x20;vitro</italic> and <italic>ex vivo</italic> sprouting. <xref ref-type="bibr" rid="B25">Liu et&#x20;al. (2015)</xref> reported the inhibition of vascular smooth muscle cell proliferation with an IC<sub>50</sub> of 1&#xa0;&#xb5;M. In accordance with this, 6-shogaol was able to reduce the proliferation of HUVECs with an IC<sub>50</sub> of 8&#xa0;&#xb5;M without exerting cytotoxic effects up to 30&#xa0;&#xb5;M over an incubation period of 72&#xa0;h. In our study, we present the impact of 6-shogaol on chemotactic migration, which represents one of the key features of angiogenesis. Here, 6-shogaol significantly downregulated the migration of ECs in a Boyden chamber toward a serum gradient. Moreover, we tried to gain deeper insights into the anti-migratory impact of 6-shogaol by the performance of a chemotaxis assay. 6-shogaol significantly reduced chemotactic parameters, such as forward migration, Euclidean and accumulated distance as well as velocity. To the best of our knowledge, this is the first report describing this impact of 6-shogaol on this crucial feature of angiogenesis. A study by <xref ref-type="bibr" rid="B42">Weng et&#x20;al. (2012)</xref> employed a tube formation assay using Matrigel and demonstrated that 6-shogaol reduced the formation of tube-like structures. In concert with this, 30&#xa0;&#xb5;M of 6-shogaol completely blocked the formation of VEGF-induced capillary-like sprouts from HUVEC spheroids embedded into a 3D collagen gel. Interestingly, analyzing the impact of 6-shogaol on VEGFR2, the main mediator that controls angiogenic processes in ECs, we found that the protein levels and mRNA expression were significantly downregulated. This effect might be specific as the protein levels of TLR4 remained unimpaired by 6-shogaol. To mimic the multi-cellular <italic>in vivo</italic> situation, a mouse aortic ring assay was performed. BS-I lectin staining indicated the existence of ECs and their angiogenic differentiation. The additional staining of smooth-muscle actin-positive cells demonstrates the successful intercellular interaction of cell types being necessary for the development of maturated angiogenic structures. In concert with the findings of the HUVEC sprouting assay and in accordance with the findings of <xref ref-type="bibr" rid="B42">Weng et&#x20;al. (2012)</xref>, the treatment of murine aortic rings with 6-shogaol strongly and significantly reduced the VEGF-triggered number of sprouts as well as the total sprout length per aortic ring. Moreover and of strong importance, 6-shogaol was able to interfere with already existing angiogenic sprouts, and this effect was recovered after further cultivation of the aortic rings without additional treatment with 6-shogaol. To the best of our knowledge, this is the first report demonstrating the beneficial effect of 6-shogaol for controlled vascular disruption. We suggest that the inhibitory effects of 6-shogaol on VEGF-induced angiogenic sprouting might be, at least in part, attributed to the significant reduction in the VEGFR2&#x20;level.</p>
<p>Although the <italic>in vivo</italic> oral application of 6-shogaol is known to result in low plasma levels of the ginger constituent, several approaches are under investigation to improve the bioavailability of 6-shogaol (<xref ref-type="bibr" rid="B7">Asami et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B40">Wang et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B44">Zhang et&#x20;al., 2019</xref>). Therefore, and due to our findings, 6-shogaol can be suggested as a beneficial substance for a pharmacotherapeutical approach to treat inflammation-related diseases. Since our study was conducted only in <italic>in&#x20;vitro</italic> and <italic>ex vivo</italic> models, further studies are needed to confirm our results in more physiologically relevant systems. However, we have tried to simulate physiologically relevant situations, for example, by performing a flow-based cell adhesion assay mimicking the physiological blood flow. Although <italic>in&#x20;vitro</italic> assays lack the involvement of several cell types, we made an attempt to analyze the effects of 6-shogaol exclusively on endothelial cells. Future studies should be performed in advanced models combining different cell types being relevant for angiogenesis- and inflammation-related processes. Nevertheless, by the performance of an <italic>ex vivo</italic> aortic ring assay, we made an attempt to mimic the physiological situation with several cell types that represent a more complex but well-balanced regulation of angiogenic sprouting.</p>
<p>Taken together, the data from our study characterize the main bioactive ingredient in dried ginger, 6-shogaol, as an inhibitor of inflammation- and angiogenesis-related processes in vascular endothelial cells. These findings warrant further exploitation of this ginger compound preclinically.</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/<xref ref-type="sec" rid="s11">Supplementary Material</xref>; further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="s6">
<title>Ethics Statement</title>
<p>Ethical review and approval was not required for the animal study in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec id="s7">
<title>Author Contributions</title>
<p>IB-K, TP, TZ, and LN carried out the experiments. IB-K wrote the manuscript. RF and IB-K designed research. IB-K, RF, TP, and TZ contributed to the analysis of&#x20;data.</p>
</sec>
<sec id="s8">
<title>Funding</title>
<p>The work was supported by the Deutsche Forschungsgemeinschaft (DFG) Graduiertenkolleg (GRK) 2336 and the Hessisches Ministerium f&#xfc;r Wissenschaft und Kunst (HMWK) LOEWE Center Translational Biodiversity Genomics (TBG).</p>
</sec>
<sec sec-type="COI-statement" id="s9">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s10">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors, and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ack>
<p>We thank Isabell Franz for the support in performing Western blot experiments. We thank Prof. Dr. Dr. Achim Schmidtko (Institute of Pharmacology and Clinical Pharmacy, Faculty of Biochemistry, Chemistry and Pharmacy, Goethe University Frankfurt, Germany) for providing mouse aortae.</p>
</ack>
<sec id="s11">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fphar.2022.844767/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fphar.2022.844767/full&#x23;supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="Presentation1.pdf" id="SM1" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
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