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Gynura bicolor  (Roxb. and Willd.) DC ( G. bicolor ) is generally used as a dietary vegetable and traditional herb in Taiwan and the Far East.  G. bicolor  exerts antioxidant and anti-inflammatory effects and regulates blood lipids and cholesterol. However, the effects of  G. bicolor  on endothelial transmigration and atherosclerosis are not clear. The present study investigated the effects of  G. bicolor  on endothelial permeability and transmigration in human endothelial cells. We prepared  G. bicolor  ether extract (GBEE) for use as the experimental material. Under TNF- α  stimulation, HL-60 cell adherence to EA.hy926 cells, the shape of EA.hy926 cells, and the expression of adhesion molecules and transmigration-related regulatory molecules were analysed after pretreatment with GBEE for 24 h. GBEE inhibited leukocyte adhesion to endothelial cells, reduced intercellular adhesion molecule-1 (ICAM-1) and platelet endothelial cell adhesion molecule-1 (PECAM-1) expressions, and decreased endothelial monolayer permeability. GBEE also reduced paracellular transmigration by reducing the levels of reactive oxygen species (ROS), Src phosphorylation, and vascular endothelial-cadherin (VE-cadherin) phosphorylation. GBEE reduced transcellular migration via inhibition of Ras homolog family member A (RhoA) and Rho-associated protein kinase (ROCK) expression and phosphorylation of the ezrin-radixin-moesin (ERM) protein. Incubation of EA.hy926 cells with GBEE for 8 h and stimulation with TNF- α  for 3 h reduced the phosphorylation of the inhibitor of kappa B (I ĸ B) and DNA-binding activity of nuclear factor- ĸ B (NF- ĸ B). These results suggest that GBEE has a protective effect against endothelial dysfunction via suppression of leukocyte-endothelium adhesion and transmigration.

evidence-based complementary and alternative medicine

Suppressive Effects of the Gynura bicolor Ether Extract on Endothelial Permeability and Leukocyte Transmigration in Human Endothelial Cells Induced by TNF-α