1. INTRODUCTION
Intestinal inflammatory diseases are a serious
problem in human as well as veterinary medicine. The etiology of these diseases
is often multifactorial and the underlying molecular mechanisms are poorly
understood [1]. The current medicinal therapies for
inflammatory gut diseases
involve treatment with nonsteroidal anti-inflammatory drugs, antibiotics,
corticosteroids, and immunosuppressant, but the application of these drugs is
limited due to their toxicity and side effects [2].
Therefore, there is an increased
interest in finding an alternative treatment with fewer side effects.
There is evidence supporting the therapeutic
usefulness of oral administration of various plant extracts in inflammatory
diseases of the gut. Experimental data obtained in mouse and rat models of
colitis suggest that the beneficial effects of the plant extracts could be
mediated by their effects on mucosal cytokines production or/and action
[3–9].
Increased levels of proinflammatory cytokines [IL-1, IL-6, IL-8, TNFα, IL-12,
and IFNγ] were found in inflamed intestinal mucosa in various animal
models and humans [10–13], as well as in farm animals
[14, 15].
Thyme (Thymus vulgaris L.) and oregano (Origanum
vulgare L.) are aromatic plants of the Mediterranean flora commonly used as
spices and for medicinal purposes. Like other various
Thymus species,
thyme is traditionally used for its antiseptic, antispasmodic, and antitussive
effects. Furthermore, thyme possesses antimicrobial, antifungal, antioxidative,
and antiviral properties [16–19]. The essential oil derived from thyme
(T. vulgaris L.) is a mixture of
monoterpenes and one of the main compounds of this oil is a natural terpenoid
thymol [20]. Thymol exhibits multiple
biological activities including
anti-inflammatory [21], immunomodulating
[22], antioxidant
[23], antibacterial
[24, 25],
antifungal [26], and free radical
scavenging properties [27]. Oregano
is recognized for its potential therapeutic role because of its diaphoretic,
carminative, antispasmodic, antiseptic, and tonic properties.
Oregano, (Origanum syriacum L.) similar to thyme,
evinces antioxidant and antimicrobial
activities [28] and some reports deal
with its antimutagenic and anticarcinogenic
effects [29]. Origanum essential oil
is obtained by steam distillation of O. vulgare
and its major compounds
are carvacrol and thymol [30].
Origanum essential oil is known to possess
antimicrobial, antifungal, and antioxidant activities
[31, 32].
The aim of our study was to examine possible
beneficial effects of thyme and oregano essential oils on intestinal
inflammation. The results of our preliminary experiment suggested that the
administration
of thyme oil in combination with oregano oil could be more effective in
improvement of trinitrobenzene sulphonic acid (TNBS)-induced colitis
than the separate
administration of these essential oils. In the present study, we evaluated
further the effect of administration of three different doses of thyme and
oregano oil combination on TNBS-induced colitis in mice.
2. MATERIALS AND METHODS
2.1. Animals and treatment
Male 7-week-old Balb/c mice
weighing 18–25 g were purchased from Velaz (Prague, Czech
Republic). The animals were maintained under
standard conditions of temperature (21±1°C), relative humidity (55±10%), and 12 hours/12 hours light/dark cycle. All mice were housed in specific
pathogen-free conditions. All animal experimentations were reviewed
and approved by the
Ethical Committee of the Institute of Animal Physiology.
After a period of adaptation, weight-matched
animals were randomized into five groups: group A
(20.2±0.971 g), group B
(20.6±0.75 g), and group C
(20.71±0.844 g), mice with TNBS-induced colitis
treated with three different doses (see
Table 1) of thyme and oregano oil
combination; group D (21.03±1.025 g), mice with TNBS-induced colitis; group E
(18.74±1.189 g), sham-treated mice.
Thyme aromatic oil (Thymi aetheroleum-Ph.Eur. 4)
and oregano aromatic oil (Origani aetheroleum) were purchased
from Calendula, (Nová L'ubovňa, Slovakia; thyme
aromatic oil: lot 5-015-003-10-04; oregano aromatic oil: lot 5-027-007-10-04).
The thyme aromatic oil contained about 48% of. p-cymene and 24% of thymol, and the oregano aromatic oil contained
about 55% of carvacrol. 2,4,6-trinitrobenzene sulphonic acid (TNBS) was
purchased from Fluka Chemie (Buchs, Switzerland).
The thyme oil and oregano oil were mixed with the diet at concentrations as shown
in Table 1. Both aromatic oils were suspended in edible soya oil (Brölio, Hamm, Germany)
and added to powdery commercial rodent diet (diet for laboratory mice and rats
SPF, M1; Frantisek Machal, Ricmanice, Czech Republic). In
the TNBS and sham groups, edible soya oil was mixed with the powdery rodent
diet at a concentration of 1% (wt/wt). Diets were fed ad libitum throughout the experiment, starting 6 days before
administration of TNBS.
2.2. Induction of colitis, sample preparation, macroscopical and histological assessment
The mice were anesthetized with ketamine and
xylazine, and colitis was induced by intrarectal administration of 120 mg/kg of
the hapten reagent TNBS (Fluka Chemie) in 50% ethanol, and they were then kept
in a vertical position for 30 seconds. The sham group received 50% ethanol
alone using the same technique. The total injection volume was 30 μL.
Development of colitis was assessed daily by measurement of body weight. The
mortality rate was observed during this study. The mice were killed by cervical
dislocation 7 days after TNBS administration. The colons were removed, cut longitudinally, and cleared of fecal
material with gentle spray of 0.9% saline solution. The extent of mucosal
damage was assessed using the colon macroscopic scoring system adapted from
Wallace et al. [33]. Ulceration : (1) focal hyperemia, no
ulcer; (2) ulceration, no hyperemia/bowel wall thickening; (3) ulceration,
inflammation at one site; (4) ulceration, inflammation at 2 or more sites; (5) major injury > 1 cm; 6–10 major damage > 2 cm. Adhesion: (1) minor (colon
easily separated from other tissue); (2) major. Diarrhea:
(1); Bowel wall thickening: (1). Representative samples from each
experimental group were histologically evaluated. Colon
tissues were fixed in 4% formalin in
0.1 M phosphate buffer, dehydrated with increasing concentrations of ethanol,
embedded in paraffin, and sectioned. Sections (4–6 μm thick) were mounted on
slides, cleared, hydrated, and stained with hematoxylin and eosin. The slides
were examined and photographed with an Olympus BX51 microscope (Olympus, Japan).
Strips of colonic tissue (15–30 mg from segments most intensively affected by
the inflammation) were cut out, immersed in liquid nitrogen, and kept at −70°C until the cytokine measurement.
2.3. Real-time RT-PCR quantification of cytokine mRNA expression
Total RNA was isolated from the mouse colon (about 15 mg of tissue for each sample) with TRIzol reagent (Invitrogen Life
Technologies, Karlsruhe, Germany) according to the
manufacturer's instructions. Total RNA preparations were then cleaned and DNase
I was treated with RNeasy Micro Kit (Qiagen, Hilden, Germany)
according to the manufacturer's protocol. In order to quantify total RNA
extracted from each sample, optical density at 260 nm was measured. The
integrity of the RNA was assessed by denaturing agarose gel electrophoresis.
The RNA (0.75 μg from each sample) was reverse transcribed at 42°C for 1 hour in 30 μL containing 300
units of Superscript II Rnase H-reverse transcriptase (Invitrogen
Life Technologies), 7 μM anchored oligo
dT13VN, 50 mM Tris-HCl pH 8.3, 3 mM MgCl2, 75 mM KCl, 10 mM DTT,
500 μM dNTPs (dATP, dTTP, dCTP, dGTP), 60 units
RNase OUT (recombinant ribonuclease inhibitor, Invitrogen Life Technologies),
and 0.75 μg acetylated BSA. The reaction was terminated
by heating at 95°C for 5 minutes. To check for the presence
of genomic DNA contamination in the RNA preparations, reverse transcriptase
negative control (no reverse transcriptase in the reaction) was carried out in
parallel, using RNA pool prepared from aliquots of all RNA samples. The pool of
colon RNA obtained from aliquots of all samples served as standard RNA. The
relative standard curve was generated using Mx 3000P 2.0 software (Stratagene, La Jolla, Calif).
PCR reactions were carried out in a 20 μL
final volume in duplicates using SYBRGreen I as a fluorescent detection dye.
The reactions contained 0.8 μL of cDNA
(corresponding to 20 ng of sample total
RNA), one unit of platinum
Taq DNA polymerase (Invitrogen Life Technologies), SYBRGreen I in final
dilution of 1 : 25000
(Sigma-Aldrich, Munich, Germany), 30 nM ROX (passive reference dye for
correction of non-PCR-related fluctuations in fluorescence signal,
Stratagene), 0.2 mM dNTPs (dATP, dTTP, dCTP, dGTP), 50 mM KCl,
10 mM Tris-HCl pH 8.3, 2.5 mM MgCl2(except for the β-actin reaction, where 1.5 mM MgCl2 was
used), forward and reverse primers in final concentration of 0.25 μM (for IL-1β, IL-12b, TNFα, IFN-γ, HPRT, and SDHA), or 0.5 μM (for IL-6, IL-10, GM-CSF, and β-actin;
see Table 2 for full gene names). Oligonucleotide primers used in the
experiment were designed in our previous work [34], and their sequences are
shown in Table 2. PCR amplification was performed in the real-time PCR system
Mx 3000P (Stratagene). After an initial step at 95°C for 2 minutes (DNA denaturation and hot-start DNA polymerase
activation), 40 cycles with the following thermocycling conditions were carried
out: 94°C for 30 seconds, specific annealing
temperature for 30 seconds, 72°C for 30 seconds, and specific temperature
at which the fluorescence was acquired (“acquiring temperature”) for 30 seconds.
Measurement of fluorescence at an elevated temperature (“acquiring
temperature,” a few degrees of Celsius below the melting temperature of the
specific PCR product) enables elimination of the fluorescence signal produced
by incidental short nonspecific PCR products. Amplification specificity was
then checked by generation of a melting curve using 41 cycles with temperature
increments of 1°C (starting with 55°C) and a fluorescence measurement in each cycle. Specific annealing and
acquiring temperatures are shown in Table 2.
To ensure the correctness of the quantification, we normalized cytokine
expression to the expression of three housekeeping genes. Firstly, expression
stability of several housekeeping genes was tested using geNorm software [35].
Subsequently, the normalization factor for each sample was calculated (by
geNorm software) as the geometric means of the relative amounts of the three
most stable housekeeping genes—HPRT, SDHA, and β-actin
(see Table 2 for full gene names). Finally, the relative amount of cytokine
mRNA in each sample was divided by the normalization factor of the sample.
2.4. Quantification of cytokine protein by ELISA
Colon tissue samples were homogenized in
ice-cold PBS containing protease inhibitor cocktail for use with mammalian cell
and tissue extracts (P8340, Sigma-Aldrich), and the homogenates were then centrifuged at 12000 xg
at 4°C for 15 minutes. Total protein amounts in the tissue supernatants were
determined using Bradford protein assay [36] with BSA employed as the standard.
IL-1β and IL-6 amounts were determined using an ELISA kit, according to the
manufacturer's recommendation (Pierce-Endogen, Rockford,
Ill, USA).
2.5. Statistical analysis
The Kruskal-Wallis test and the Mann-Whitney U
test were used for the estimation of macroscopic damage scores. The chi-square
test was used to assess differences in mortality rate. The Student t test
was used for the comparison of differences in body weight. The Kruskal-Wallis
test was used for the comparison of differences in cytokine expression between
groups and the Mann-Whitney U test was used to compare differences between the
group of untreated colitic animals and other groups of animals. Values of p<.05
were considered as significant.
3. RESULTS
3.1. Body weight changes, mortality, and
macroscopic damage scores
As shown in Figure 1, administration of TNBS caused a dramatic decrease
in body weight (almost 20% after 3 days); body weight was recovered gradually
from day 4 but not fully to the initial weight in day 7. Mice receiving 50%
ethanol without TNBS (control sham group) showed only slight and transient loss
of body weight. In mice of group B
(colitic animals treated with 0.2% thyme and 0.1%
oregano oils), body weight was recovered gradually from day 3 when it became
higher than the body weight of untreated colitic animals (group D); on day 7,
the body weight of animals in group B reached a level near to that of the
control mice (sham group). The body weight of mice in group A (colitic animals
treated with 0.4% thyme and 0.2% oregano oils) and group C
(colitic animals treated with 0.1% thyme
and 0.05%
oregano oils) did not differ significantly from that of untreated colitic
animals (group D).
The mortality rate of mice with TNBS-induced colitis
(group D) was 53.3%, while that of the control sham group was 0% (see Figure 2). The mortality rate in group A (colitic animals
treated with 0.4% thyme and 0.2% oregano oils) was 50% and in group C (colitic
animals treated with 0.1% thyme and 0.05% oregano oils) was 62.5%, which are comparable to that found in group D. Treatment with
the combination of 0.2% thyme and 0.1% oregano oils (group B) decreased the mortality rate to 33.3% (which was still not
significantly different from that of mice with TNBS-induced colitis).
Macroscopic damage scores of mice in group D were significantly higher
than those of mice in the control sham group. Treatment with the combination of
0.2% thyme and 0.1% oregano oils (group B) significantly lowered the
macroscopic damage scores in comparison to untreated colitic animals (group D).
Animals in groups A and C showed no significant changes in macroscopic damage
scores compared with mice in group D (see Figure 3).
Representative samples of
colon after hematoxylin and eosin stainings are shown in Figure 4. There is no
evident histological modification in sham mice (E). In mice with TNBS-induced
colitis (D), there is a wide range of histopathological changes including
necrosis of epithelium, destruction of glands, and infiltration of inflammatory
cells in the mucosa and submucosa (up to 50% of colon section). The samples
from mice treated with 0.2% thyme and 0.1% oregano oils (B) show intermediary
histopathological changes (up to 30% of colon section).
3.2. Expression of cytokine mRNA
Relative amounts of
IL-1β, IL-6, GM-CSF, and TNFα mRNAs (for full gene names, see Table 2) were
significantly higher in animals with TNBS-induced colitis (group D) than in the
control sham-treated animals (see Figure 5). Treatment of the colitic animals
with the combination of thyme and oregano oils significantly lowered the amount
of IL-1β mRNA, using all three tested doses of the aromatic oils (see Figure 5). The amount of IL-6 mRNA in group B (colitic animals treated with 0.2% thyme and 0.1% oregano oils) was significantly lower than that in the group
D, whereas the decrease of IL-6 mRNA level in groups A and C (colitic animals
treated with 0.4% thyme and 0.2% oregano oils or with 0.1%
thyme and 0.05% oregano oils) was not
statistically significant (see Figure 5). A similar effect was found for GM-CSF
and TNFα but the difference between group B and group D did not reach
statistical significance (p=.064 and p=.053, resp.; see Figure 5). We found no significant changes
in mRNA levels of two other cytokines (IL-10 and IFNγ, data were not shown).
3.3. Expression of IL-1β and IL-6 proteins
As shown in Figure 6, the amounts of IL-1β and
IL-6 proteins were significantly higher in the animals with TNBS-induced
colitis (group D) than in the control sham group. The concentrations of these
proteins were significantly reduced in group B (colitic animals treated with
0.2% thyme and 0.1% oregano oils) compared to group D. The levels of IL-1β and
IL-6 proteins in groups A and C (colitic animals treated with 0.4% thyme and
0.2% oregano oils or with 0.1% thyme and 0.05% oregano oils) did not differ
significantly from those found in group D (see Figure 6).
4. DISCUSSION
Various aromatic plants and their products have been reported to have
health benefit properties. In this study, we examined whether dietary
supplementation with a combination of thyme essential oil and oregano essential
oil could have a protective effect in intestinal inflammation. We applied three
doses of thyme and oregano essential oil combination (0.4% thyme and 0.2%
oregano oils, 0.2% thyme and 0.1% oregano oils, 0.1% thyme and 0.05% oregano
oils) to mice with TNBS-induced colitis, and found that administration of the
medium dose decreased the mortality rate
from 53% to 33%, significantly accelerated the body weight gain recovery, and
significantly reduced the macroscopic damage of the colonic tissue. In animals
fed with the two other doses of the essential oils, we did not find a
significant improvement in the mortality rate, body weight gain recovery, or
colonic tissue damage.
Examining the expression of cytokines, we found significantly elevated
mRNA levels of proinflammatory cytokines IL-1β, IL-6, GM-CSF, and TNFα in mice
with TNBS-induced colitis. This finding is in agreement with other studies
showing increased expression of proinflammatory cytokines in mouse experimental models
of colitis [4–7]. Treatment of the colitic animals with the medium dose of aromatic oils (0.2% thyme and 0.1% oregano oils)
decreased the mRNA amounts of IL-1β, IL-6, GM-CSF, and TNFα (in GM-CSF and
TNFα, the difference did not reach statistical significance). Other two doses (0.4% thyme and 0.2% oregano oils;
0.1% thyme and 0.05% oregano oils) were less effective and the difference in
cytokine mRNA level between animals treated with these doses of the aromatic
oils and untreated colitic animals was significant only in the case of IL-1β.
The most sensitive indicators of the effectiveness of the thyme and oregano
oil treatment were mRNA levels of proinflammatory cytokines IL-1β and IL-6 in
our experiment. Similarly, Kwon et al. [7] demonstrated that plant flavonoid
rutin administered in diet to mice with dextran sulfate sodium (DSS)-induced
colitis significantly suppressed mRNA levels of IL-1β and IL-6, whereas the
effect on mRNA level of GM-CSF was less marked. Increase of IL-1β and IL-6 mRNA
levels in inflamed intestinal tissue has been well documented [12–14], and
there are data indicating that IL-1β can stimulate production of IL-6 in
intestinal epithelial cells [37, 38]. Reported data about the expression of
TNFα are somewhat contradictory, showing either no change or an increase of
TNFα levels in intestinal inflammation [10]. Sugimoto et al. [4] showed that
elevated levels of TNFα mRNA in mice with TNBS-induced colitis can be
suppressed by curcumin treatment, but Kwon et al. [7] found no significant
changes in TNFα mRNA levels in mice with DSS-induced colitis (treated or
untreated with plant flavonoid rutin).
Examination of IL-1β and IL-6 protein expression in our experiment
confirmed the best efficacy of the medium dose of thyme and oregano oil
combination in the suppression of colitis. The cytokine protein level in
animals treated with the medium dose, but not in animals treated with the other
two doses, was significantly lower than in the untreated colitic animals. The
low effectiveness in attenuating the colitis found after administration of the
highest dose of thyme and oregano oil combination could be connected with
possible cytotoxic effects of higher concentrations of these oils. In our preliminary
experiments with intact mice, we found negative effects of higher
concentrations of thyme essential oil (1%) and oregano essential oil (0.5%) on
body weight and food intake. Moreover, the cytotoxic effect of higher
concentrations of these oils has been demonstrated in intestinal cells and
lymphocytes [39, 40]. Thus, the lack of the dose dependency found in this study
could be due to a combination of positive and negative effects of the highest
concentration of thyme and oregano essential oil combination. On the other
hand, too low doses of essential oils can be insufficient to reduce the
intensity of inflammation. A similar phenomenon was found in the study
examining the protective effects of curcumin on TNBS-induced colitis in mice,
where the medium tested dose was more effective at improving body weight gain
than the lower or higher doses of curcumin. To explain the lack of the dose dependency,
authors speculated about curcumin toxicity or about the influence on the food
intake [4]. Thus, the use of optimal doses is essential for good efficacy of
essential oils (or their components) in attenuating inflammation. Further
experiments are needed to establish the most efficient concentration of thyme
and oregano essential oil combination.
In our preliminary
experiments (using similar experimental conditions as in the present study), we
administered thyme (0.5%, 0.25%, 0.12%) or oregano (0.4, 0.2%, 0.1%) essential oil alone in diet to mice
with TNBS-induced colitis and we found no significant positive effect.
Furthermore, we observed negative effects on body weight and food intake with
oregano at 0.4% concentration. However, we observed a better recovery of body
weight after treatment with a combination of these essential oils in
preliminary tests. The results of the present study confirm the positive
effects of the combined administration of appropriate concentrations of thyme
and oregano oils on TNBS-induced colitis. It is known that oregano essential
oil possesses strong antimicrobial activity, which is ascribed to carvacrol,
the main component of this oil [41]. Thymol, one of the major compounds of
thyme essential oil, has anti-inflammatory activity [21]. Thus, it seems that
major components of these oils can complement one another, having synergic
effects on inflammation so that their combination could exhibit positive
preventive or therapeutic effects. A similar phenomenon was found in another
study where the effect of peppermint oil and caraway oil on postinflammatory
visceral hyperalgesia was examined (using a rat model of TNBS-induced colitis).
Neither peppermint nor caraway oil administered individually had a significant
effect on postinflammatory visceral hyperalgesia, but combined treatment with
these essential oils significantly reduced the visceromotor response [42].
Mechanisms mediating the suppressive effects of
thyme and oregano oils on colitis are unclear, and we can only speculate that
there are several potential manners of action. One possibility could be the
influence of the essential oils on nuclear factor κB (NF-κB), a pleiotropic
transcription factor which can activate expression of genes involved in immune
and inflammation responses such as proinflammatory cytokines [43]. Several
studies have demonstrated an inhibitory effect of various plant extracts or
their components on NF-κB activation. Suppression of the NF-κB inhibitory
protein (IκB) degradation in colonic epithelial cells and macrophages was
demonstrated after the administration of curcumin and zerumbone [4, 44, 45].
Reduced activation of NF-κB was also shown after treatment with black tea
polyphenol theaflavin in RAW 264.7 cells [46]. On the other hand, IL-1β (such as other
proinflammatory cytokines) is a potent inducer of NF-κB [43] and it has been
shown that extract of Thymus pulegioides can inhibit activation of NF-κB
by IL-1β in human hepatoma cells [47].
In
conclusion, the present data indicate that dietary administration of a
combination of thyme and oregano essential oils in appropriate concentrations
can reduce the production of proinflammatory
cytokines and attenuate the degree of colonic tissue injury, and thereby
ameliorate TNBS-induced colitis in mice. We suggest that the combination of thyme and
oregano essential oils has potential value as an additional or supporting
treatment in gastrointestinal inflammations. Our results indicate that some
essential oils could have positive effects on TNBS-induced colitis but seemingly
in rather narrow range of concentrations, thus limiting their
therapeutic/preventive potential.