<?xml version='1.0'?>
<!DOCTYPE art SYSTEM 'http://www.biomedcentral.com/xml/article.dtd'>
<art>
   <ui>1465-9921-6-66</ui>
   <ji>RRJ</ji>
   <fm>
      <dochead>Research</dochead>
      <bibl>
         <title>
            <p>Green tea polyphenol extract attenuates lung injury in experimental model of carrageenan-induced pleurisy in mice</p>
         </title>
         <aug>
            <au id="A1">
               <snm>Di Paola</snm>
               <fnm>Rosanna</fnm>
               <insr iid="I1"/>
               <email>salvator@unime.it</email>
            </au>
            <au id="A2">
               <snm>Mazzon</snm>
               <fnm>Emanuela</fnm>
               <insr iid="I1"/>
               <email>salvator@unime.it</email>
            </au>
            <au id="A3">
               <snm>Mui&#224;</snm>
               <fnm>Carmelo</fnm>
               <insr iid="I1"/>
               <email>salvator@unime.it</email>
            </au>
            <au id="A4">
               <snm>Genovese</snm>
               <fnm>Tiziana</fnm>
               <insr iid="I1"/>
               <email>salvator@unime.it</email>
            </au>
            <au id="A5">
               <snm>Menegazzi</snm>
               <fnm>Marta</fnm>
               <insr iid="I2"/>
               <email>salvator@unime.it</email>
            </au>
            <au id="A6">
               <snm>Zaffini</snm>
               <fnm>Raffaela</fnm>
               <insr iid="I2"/>
               <email>salvator@unime.it</email>
            </au>
            <au id="A7">
               <snm>Suzuki</snm>
               <fnm>Hisanory</fnm>
               <insr iid="I2"/>
               <email>salvator@unime.it</email>
            </au>
            <au id="A8" ca="yes">
               <snm>Cuzzocrea</snm>
               <fnm>Salvatore</fnm>
               <insr iid="I1"/>
               <email>salvator@unime.it</email>
            </au>
         </aug>
         <insg>
            <ins id="I1">
               <p>Department of Clinical and Experimental Medicine and Pharmacology, Torre Biologica, Policlinico Universitario, Messina, Italy</p>
            </ins>
            <ins id="I2">
               <p>Biochemistry Division, Department of Neuroscience and Vision, University of Verona, Verona, Italy</p>
            </ins>
         </insg>
         <source>Respiratory Research</source>
         <issn>1465-9921</issn>
         <pubdate>2005</pubdate>
         <volume>6</volume>
         <issue>1</issue>
         <fpage>66</fpage>
         <url>http://respiratory-research.com/content/6/1/66</url>
         <xrefbib>
            <pubidlist>
               <pubid idtype="pmpid">15987519</pubid>
               <pubid idtype="doi">10.1186/1465-9921-6-66</pubid>
            </pubidlist>
         </xrefbib>
      </bibl>
      <history>
         <rec>
            <date>
               <day>21</day>
               <month>4</month>
               <year>2005</year>
            </date>
         </rec>
         <acc>
            <date>
               <day>29</day>
               <month>6</month>
               <year>2005</year>
            </date>
         </acc>
         <pub>
            <date>
               <day>29</day>
               <month>6</month>
               <year>2005</year>
            </date>
         </pub>
      </history>
      <cpyrt>
         <year>2005</year>
         <collab>Di Paola et al; licensee BioMed Central Ltd.</collab>
         <note>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<url>http://creativecommons.org/licenses/by/2.0</url>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</note>
      </cpyrt>
      <kwdg>
         <kwd>green tea extract</kwd>
         <kwd>carrageenan-induced pleurisy</kwd>
         <kwd>neutrophils infiltration</kwd>
         <kwd>lung injury</kwd>
      </kwdg>
      <abs>
         <sec>
            <st>
               <p>Abstract</p>
            </st>
            <p>Here we investigate the effects of the green tea extract in an animal model of acute inflammation, carrageenan-induced pleurisy. We report here that green tea extract (given at 25 mg/kg i.p. bolus 1 h prior to carrageenan), exerts potent anti-inflammatory effects in an animal model of acute inflammation in vivo.</p>
            <p>Injection of carrageenan (2%) into the pleural cavity of mice elicited an acute inflammatory response characterized by fluid accumulation in the pleural cavity that contained many neutrophils (PMNs), an infiltration of PMNs in lung tissues and increased production of nitrite/nitrate, tumour necrosis factor alpha. All parameters of inflammation were attenuated by green tea extract treatment. Furthermore, carrageenan induced an up-regulation of the adhesion molecule ICAM-1, as well as nitrotyrosine and poly (ADP-ribose) synthetase (PARS) formation, as determined by immunohistochemical analysis of lung tissues. Staining for the ICAM-1, nitrotyrosine, and PARS was reduced by green tea extract.</p>
            <p>Our results clearly demonstrate that treatment with green tea extract exerts a protective effect and offers a novel therapeutic approach for the management of lung injury.</p>
         </sec>
      </abs>
   </fm>
   <bdy>
      <sec>
         <st>
            <p>Introduction</p>
         </st>
         <p>The role of oxyradical formation in various forms of inflammation is well established <abbrgrp><abbr bid="B1">1</abbr></abbrgrp> Reactive oxygen species (ROS) are associated with the inflammatory response and frequently they contribute to the tissue damaging effects of inflammatory reactions <abbrgrp><abbr bid="B2">2</abbr><abbr bid="B3">3</abbr><abbr bid="B4">4</abbr></abbrgrp>. ROS formation and degradation are key components of the metabolism of aerobic organisms. Certain levels of ROS are required for normal cell functions, but if in surplus, they will cause oxidative stress <abbrgrp><abbr bid="B5">5</abbr><abbr bid="B6">6</abbr><abbr bid="B7">7</abbr></abbrgrp>. ROS like superoxide, hydrogen peroxide and lipid hydroperoxides can regulate the activities of several kinases, transcription factors, cell death machinery and proteins such as COX-2 and iNOS <abbrgrp><abbr bid="B8">8</abbr><abbr bid="B9">9</abbr></abbrgrp>.</p>
         <p>Recent data demonstrate that the expression of the inducible isoform of nitric oxide (NO) synthase also plays important pathogenetic roles in various models of inflammation <abbrgrp><abbr bid="B10">10</abbr><abbr bid="B11">11</abbr><abbr bid="B12">12</abbr></abbrgrp>. Peroxynitrite, a cytotoxic oxidant species formed from the reaction of NO and superoxide <abbrgrp><abbr bid="B13">13</abbr></abbrgrp>, may mediate part of the oxidative injury associated with simultaneous production of NO and oxyradicals. Peroxynitrite formation has been demonstrated in various inflammatory disorders <abbrgrp><abbr bid="B14">14</abbr><abbr bid="B15">15</abbr></abbrgrp> and in circulatory shock <abbrgrp><abbr bid="B16">16</abbr></abbrgrp>. Peroxynitrite is a potent oxidant, and therefore it is conceivable that endogenous antioxidant mechanisms counteract its toxicity. In <it>in vitro </it>studies, it has been established that antioxidants such as glutathione, ascorbic acid, and alpha-tocopherol are scavengers of peroxynitrite and inhibitors of its oxidant capacity <abbrgrp><abbr bid="B17">17</abbr><abbr bid="B18">18</abbr></abbrgrp>.</p>
         <p>Green tea &#8211; a minimally processed product of the same plant that gives us black and oolong teas &#8211; is rich in powerful antioxidant compounds called polyphenols. The polyphenols found in tea are more commonly known as flavanols or catechins and comprise 30&#8211;40 percent of the extractable solids of dried green tea leaves. The main catechins in green tea are epicatechin, epicatechin-3-gallate, epigallocatechin, and epigallocatechin-3- gallate (EGCG), with the latter being the highest in concentration. Green tea polyphenols have demonstrated significant antioxidant, anticarcinogenic, anti-inflammatory, thermogenic, probiotic, and antimicrobial properties in numerous human, animal, and <it>in vitro </it>studies <abbrgrp><abbr bid="B19">19</abbr><abbr bid="B20">20</abbr></abbrgrp>. Recently it has been showed that green tea polyphenols inhibited tumour necrosis factor-alpha induction in macrophages by attenuating nuclear factor-k&#946; NF-K&#946;) activation <abbrgrp><abbr bid="B21">21</abbr></abbrgrp>. Similarly <abbrgrp><abbr bid="B22">22</abbr></abbrgrp> showed that EGCG inhibits lipopolysaccaride (LPS) &#8211; stimulated nitric oxide production and inducibile nitric oxide synthase gene expression in peritoneal macrophages by decreasing NF-&#954;&#946; activation. These studies provide significant evidence that green tea polyphenols have anti-inflammatory effects. Lung inflammation is characterised by T-cell rich infiltrates and enhanced expression of pro-inflammatory cytokines. The signalling pathway of IFN-&#947;, secreted by type-1 helper lymphocyte (Th-1), lead to the activation of signal transducer and activator of transcription-1 (STAT-1) <abbrgrp><abbr bid="B23">23</abbr></abbrgrp>. Moreover, IFN-&#947; is involved in the induction of iNOS and ICAM-1 gene expression by the activation of STAT-1 transcription factor <abbrgrp><abbr bid="B24">24</abbr><abbr bid="B25">25</abbr></abbrgrp>. Thus, upregulation of STAT-1 activity could play a key role in the pathogenesis of carrageenan-induced pleurisy. STAT-1 are activated by phosphorylation on conserved tyrosine and serine residues by the Janus kinases (JAKs) and MAP kinase families respectively, which allow the STAT-1 to dimerise and translocate to the nucleus and there by regulate gene expression <abbrgrp><abbr bid="B23">23</abbr></abbrgrp>. Previously, we demonstrated, in some epithelial cell cultures, the inhibitory effect of EGCG on iNOS induction by preventing STAT-1 phosphorylation and activation <abbrgrp><abbr bid="B26">26</abbr></abbrgrp>.</p>
         <p>In this study we investigated the role of Green tea extract in rodent model carrageenan-induced pleurisy.</p>
         <p>This experimental model has been widely used to investigate the pathophysiology of acute inflammation and also to evaluate the efficacy of drugs in inflammation. Injection of carrageenan into the pleural space leads to pleurisy, infiltration by polymorphonuclear leukocytes (PMN), and lung injury. In this study, we have investigated the effect of the green tea on: PMN infiltration [myeloperoxidase (MPO) activity]; STAT-1 activity (by EMSA), up-regulation of ICAM-1 (by immunohistochemistry); the nitration of tyrosine residues (an indicator of the formation of peroxynitrite) (by immunohistochemistry) and lung damage (histology).</p>
      </sec>
      <sec>
         <st>
            <p>Materials and methods</p>
         </st>
         <sec>
            <st>
               <p>Animals</p>
            </st>
            <p>Mice (4&#8211;5 weeks old, 20&#8211;22 g) were purchased from Jackson Laboratories (Harlan Nossan, Italy). The animals were housed in a controlled environment and provided with standard rodent chow and water. Animal care was in compliance with Italian regulations on protection of animals used for experimental and other scientific purposes (D.M. 116192) as well as with the EEC regulations (O.J. of E.C. L 358/1 12/18/1986).</p>
         </sec>
         <sec>
            <st>
               <p>Green tea extract</p>
            </st>
            <p>Green tea extract (GTE) was a kind gift of Indena (Milano, Italy), and it was defined by the producer as having a polyphenolic content of 75 &#177; 5% with the major constituent being epigallocatechin-3-gallate at 62% and the minor ones being epicatechin-3-gallate, epigallocatechin and epicathechin.</p>
         </sec>
         <sec>
            <st>
               <p>Carrageenan-induced pleurisy</p>
            </st>
            <p>Mice were anaesthetised with isoflurane and submitted to a skin incision at the level of the left sixth intercostals space. The underlying muscle was dissected and saline (0.1 ml) or saline containing 2%&#955;-carrageenan (0.1 ml) was injected into the pleural cavity. The skin incision was closed with a suture and the animals were allowed to recover. At 4 h after the injection of carrageenan, the animals were killed by inhalation of CO<sub>2</sub>. The chest was carefully opened and the pleural cavity rinsed with 1 ml of saline solution containing heparin (5 U/ml) and indomethacin (10 &#956;g/ml). The exudate and washing solution were removed by aspiration and the total volume measured. Any exudate, which was contaminated with blood, was discarded. The amount of exudate was calculated by subtracting the volume injected (1 ml) from the total volume recovered. The leukocytes in the exudate were suspended in phosphate-buffer saline (PBS) and counted with an optical microscope in a Burker's chamber after Blue Toluidine staining.</p>
         </sec>
         <sec>
            <st>
               <p>Experimental groups</p>
            </st>
            <p>Mice were randomly allocated into the following groups: (i) <it>CAR + saline group</it>. Mice were subjected to carrageenan-induced pleurisy (<it>N </it>= 10), (ii) <it>Green Tea group </it>Same as the <it>CAR + saline group </it>but Green Tea (25 mg/kg i.p) were administered 1 h prior to carrageenan (<it>N </it>= 10), (iii) <it>Sham+saline group</it>. Sham-operated group in which identical surgical procedures to the CAR group was performed, except that the saline was administered instead of carrageenan (<it>N </it>= 10), (iv) <it>Sham + Green Tea group</it>. Same as the Sham+saline group but Green Tea (25 mg/kg i.p) were administered 1 h prior to carrageenan (N = 10). The doses of Green Tea used here to reduce acute lung injury have been reported by us to reduce the tissue injury caused by ischemia-reperfusion in the gut (dose-response curve study) (Mui&#224; <it>et al </it>submitted 2005).</p>
         </sec>
         <sec>
            <st>
               <p>Determination of myeloperoxidase activity</p>
            </st>
            <p>Myeloperoxidase (MPO) activity, an indicator of polymorphonuclear leukocyte (PMN) accumulation, was determined as previously described <abbrgrp><abbr bid="B27">27</abbr></abbrgrp>. At 4 h after intrapleural injection of carrageenan lung tissues, were obtained and weighed. Each piece of tissue was homogenised in a solution containing 0.5% hexa-decyl-trimethyl-ammonium bromide dissolved in 10 mM potassium phosphate buffer (pH 7) and centrifuged for 30 min at 20,000 &#215; g at 4&#176;C. An aliquot of the supernatant was then allowed to react with a solution of tetra-methyl-benzidine (1.6 mM) and 0.1 mM H<sub>2</sub>O<sub>2</sub>. The rate of change in absorbance was measured spectrophotometrically at 650 nm. MPO activity was defined as the quantity of enzyme degrading 1 &#956;mol of peroxide min at 37&#176;C and was expressed in mill units per gram weight of wet tissue.</p>
         </sec>
         <sec>
            <st>
               <p>Measurement of TNF-&#945; levels</p>
            </st>
            <p>TNF-&#945; levels were evaluated in the exudates at 4 h after the induction of pleurisy by carrageenan injection. The assay was carried out by using a colorimetric, commercial ELISA kit (Calbiochem-Novabiochem Corporation, USA).</p>
         </sec>
         <sec>
            <st>
               <p>Measurement of nitrite/nitrate</p>
            </st>
            <p>Nitrite/nitrate (NOx) production, an indicator of NO synthesis, was measured in pleural exudate. At the first nitrate in the supernatant was incubated with nitrate reductase (0.1 U/ml) and NADPH (1 mM) and FAD (50 &#956;M) at 37&#176;C for 15 min. Then followed another incubation with LDH (100 U/ml) and sodium pyruvate (10 mM) for 5 min. The nitrite concentration in the samples was measured by the Griess reaction, by adding 100 &#956;l of Griess reagent (0.1% naphthylethylenediamide dihydrochloride in H<sub>2</sub>O and 1% sulphanilamide in 5% concentrated H<sub>2</sub>PO<sub>4</sub>; vol. 1: 1) to 100 &#956;l samples. The optical density at 550 nm (OD<sub>550</sub>) was measured using ELISA microplate reader (SLT- Lab instruments Salzburg, Austria). Nitrate concentrations were calculated by comparison with OD<sub>550 </sub>of standard solutions of sodium nitrate prepared in saline solution.</p>
         </sec>
         <sec>
            <st>
               <p>Immunohistochemical localisation of ICAM-1, PAR and Nitrotyrosine</p>
            </st>
            <p>At 4 h after carrageenan administration, the lungs were fixed in 10% buffered formaldehyde and 8 &#956;m sections were prepared from paraffin embedded tissues. After deparaffinization, endogenous peroxidase was quenched with 0.3% H<sub>2</sub>O<sub>2 </sub>in 60% methanol for 30 min. The sections were permeabilized with 0.1% Triton X-100 in PBS for 20 min. Non-specific adsorption was minimised by incubating the section in 2% normal goat serum in phosphate buffered saline for 20 min. Endogenous biotin or avidin binding sites were blocked by sequential incubation for 15 min with avidin and biotin. The sections were then incubated overnight with primary anti-ICAM-1 antibody (1:500), with 1:1000 dilution of primary antinitrotyrosine antibody (DBA), and anti-PAR antibody (1:500) or with control solutions. Controls included buffer alone or non-specific purified rabbit IgG.</p>
            <p>To confirm that the immunoreaction for the nitrotyrosine was specific, some sections were also incubated with the primary antibody (anti-nitrotyrosine) in the presence of excess nitrotyrosine (10 mM) to verify the binding specificity. To verify the binding specificity for PARS, sections were also incubated with only the primary antibody (no secondary) or with only the secondary antibody (no primary). In these situations, no positive staining was found in the sections, indicating that the immunoreaction was positive in all the experiments carried out.</p>
            <p>Immunocytochemistry photographs (n = 5) were assessed by densitometry. The assay was carried out by using Optilab Graftek software on a Macintosh personal computer (CPU G3-266).</p>
         </sec>
         <sec>
            <st>
               <p>Histological examination</p>
            </st>
            <p>Lung biopsies were taken at 4 h after injection of carrageenan. The biopsies were fixed for 1 wk in buffered formaldehyde solution (10% in PBS) at room temperature, dehydrated by graded ethanol and embedded in Paraplast (Sherwood Medical, Mahwah, N.J.). Tissue sections (thickness 7 &#956;m) were deparaffinized with xylene, stained with trichromic Van Gieson, and studied using light microscopy (Dialux 22 Leitz). Blood was passed on the slide, fixed at 37&#176;C, stained with May Grunward-Giensa, and studied using light microscopy.</p>
         </sec>
         <sec>
            <st>
               <p>Electrophoretic mobility shift assay</p>
            </st>
            <p>The lung samples have been collected in liquid nitrogen and stored at -80&#176;C until use. Nuclear extracts have been prepared according to <abbrgrp><abbr bid="B28">28</abbr></abbrgrp> in the presence of 10 &#956;g/ml leupeptin, 5 &#956;g/ml antipain and pepstain, and 1 mM PMSF (Sigma-Aldrich Company, Milan, Italy). Protein concentration in the nuclear extracts was determined using the method of <abbrgrp><abbr bid="B29">29</abbr></abbrgrp>. Ten &#956;g of nuclear extract have been incubated at room temperature for 20 min with (2&#8211;5 &#215; 10<sup>4</sup>cpm) of <sup>32</sup>P-labeled double stranded oligonucleotide, containing the STAT-1 binding site (sis-inducible factor-binding recognition element, SIE/M67) from the c-Fos promoter (5'-GTCGACATTTCCCGTAAATCG-3'), the PARP-1 binding site (5'-TTCCTTGCCCCTCCCATTTTTC-3') from the Reg promoter <abbrgrp><abbr bid="B30">30</abbr></abbrgrp> or the SP-1 consensus sequence (5'GGGGCGGGGC-3', Santa Cruz Biotechnology, CA) in a 15 &#956;l of binding reaction buffer (20 mM HEPES, pH 7.9, 50 mM KCl, 10% glycerol, 0.5 mM DTT, 0.1 mM EDTA, 2 &#956;g poly(dI-dC), 1 &#956;g salmon sperm DNA). Products have been fractioned on a non denaturing 5% polyacrilamide gel in TBE (Tris-Borate-EDTA buffer, 0.5X). The intensity of the retarded bands has been measured with a Phosphorimager (Molecular Dynamic, Milan, Italy).</p>
         </sec>
         <sec>
            <st>
               <p>Materials</p>
            </st>
            <p>Unless otherwise stated, all compounds were obtained from Sigma-Aldrich Company (Milan, Italy). Primary monoclonal ICAM-1 (CD54) for immunoistochemistry was purchases by Pharmingen. Reagents and secondary and nonspecific IgG antibody for immunohistochemical analysis were from Vector Laboratories InC. Primary monoclonal anti-poly (ADP-ribose) antibody was purchased by Alexis. All other chemicals were of the highest commercial grade available. All stock solutions were prepared in non pyrogenic saline (0.9% NaCl; Baxter Healthcare Ltd., Thetford, Norfolk, U.K.).</p>
         </sec>
         <sec>
            <st>
               <p>Data analysis</p>
            </st>
            <p>All values in the figures and text are expressed as mean &#177; standard error (s.e.m.) of the mean of <it>n </it>observations. For the <it>in vivo </it>studies <it>n </it>represents the number of animals studied. In the experiments involving histology or immunohistochemistry, the figures shown are representative of at least three experiments performed on different experimental days. The results were analysed by one-way ANOVA followed by a Bonferroni <it>post-hoc </it>test for multiple comparisons. A <it>p</it>-value less than 0.05 was considered significant.</p>
         </sec>
      </sec>
      <sec>
         <st>
            <p>Results</p>
         </st>
         <sec>
            <st>
               <p>Effects of green tea extract in carrageenan-induced pleurisy</p>
            </st>
            <p>Histological examination of lung sections revealed significant tissue damage (Fig. <figr fid="F1">1B</figr>). Thus, when compared with lung sections taken from saline-treated animals (Fig. <figr fid="F1">1A</figr>), histological examination of lung sections of mice treated with carrageenan showed oedema, tissue injury (Fig <figr fid="F1">1B</figr>), and infiltration of the tissue with neutrophils (PMNs) (Fig. <figr fid="F1">1B1</figr>). GTE significantly reduced the degree of injury as well as the infiltration of PMNs (Fig. <figr fid="F1">1C</figr>). Furthermore, injection of carrageenan into the pleural cavity of mice elicited an acute inflammatory response characterized by the accumulation of fluid (oedema) that contained large amounts of PMNs (Fig. <figr fid="F2">2A,B</figr>). Oedema and PMNs infiltration in pleural cavity were attenuated by the i.p. injection of GTE (Figs. <figr fid="F2">2A,B</figr>).</p>
            <fig id="F1">
               <title>
                  <p>Figure 1</p>
               </title>
               <caption>
                  <p>Effect of GTE on lung injury</p>
               </caption>
               <text>
                  <p><b>Effect of GTE on lung injury</b>. When compared with lung sections taken from control animals (A), lung sections from carrageenan-treated mice (B) demonstrate interstitial haemorrhage and polymorphonuclear leukocyte accumulation (B1). Lung sections from a carrageenan-treated mice that received GTE (C) exhibit reduced interstitial haemorrhage and a lesser cellular infiltration. Figure is representative of all the animals in each group.</p>
               </text>
               <graphic file="1465-9921-6-66-1"/>
            </fig>
            <fig id="F2">
               <title>
                  <p>Figure 2</p>
               </title>
               <caption>
                  <p>Effect of GTE on carrageenan-induced inflammation</p>
               </caption>
               <text>
                  <p><b>Effect of GTE on carrageenan-induced inflammation</b>. The increase in volume exudate (A) and accumulation of polymorphonuclear cells (PMNs, B) in pleural cavity 4 h after carrageenan injection was inhibited by GTE. Data are means &#177; SEM of 10 mice for each group. *<it>P </it>&lt; 0.01 vs. sham. &#176;<it>P </it>&lt; 0.01 vs. carrageenan.</p>
               </text>
               <graphic file="1465-9921-6-66-2"/>
            </fig>
         </sec>
         <sec>
            <st>
               <p>Effect of green tea extract on TNF-&#945; levels</p>
            </st>
            <p>The levels of TNF-&#945; were significantly elevated in the exudates from vehicle-treated mice at 4 h after carrageenan administration (Fig. <figr fid="F3">3</figr>). In contrast, the levels of this pro-inflammatory cytokine was significantly lower in carrageenan-treated mice treated with GTE (Fig. <figr fid="F3">3</figr>). No significant increased of TNF-&#945; levels was observed in the exudates of sham-operated mice.</p>
            <fig id="F3">
               <title>
                  <p>Figure 3</p>
               </title>
               <caption>
                  <p>Effect of GTE on TNF-&#945;, level</p>
               </caption>
               <text>
                  <p><b>Effect of GTE on TNF-&#945;, level</b>. Pleural injection of carrageenan caused by 4 h an increase in the release of the pro-inflammatory cytokines, tumour necrosis factor alpha (TNF-&#945;). GTE significantly inhibited TNF-&#945;. Data are means &#177; SEM of 10 mice for each group. *<it>P </it>&lt; 0.01 vs. sham. &#176;<it>P </it>&lt; 0.01 vs. carrageenan.</p>
               </text>
               <graphic file="1465-9921-6-66-3"/>
            </fig>
         </sec>
         <sec>
            <st>
               <p>Effects of green tea extract on MPO activity</p>
            </st>
            <p>The above histological pattern of lung injury appeared to be correlated with the influx of leukocytes into the lung tissue. Therefore, we investigate the role of GTE on the neutrophils infiltration by measurement of the activity of myeloperoxidase. Myeloperoxidase activity was significantly elevated (p &lt; 0.001) at 4 h after carrageenan administration in vehicle-treated mice (Fig. <figr fid="F4">4</figr>). In Mice treated with green tea extract lung myeloperoxidase activity was significantly reduced (p &lt; 0.01) in comparison to those of vehicle-treated mice (Fig. <figr fid="F4">4</figr>).</p>
            <fig id="F4">
               <title>
                  <p>Figure 4</p>
               </title>
               <caption>
                  <p>Effect of GTE on myeloperoxidase (MPO) activity in the lung</p>
               </caption>
               <text>
                  <p><b>Effect of GTE on myeloperoxidase (MPO) activity in the lung</b>. Within 4 h, pleural injection of carrageenan led to an increase in neutrophil accumulation in the lung (as measured by MPO activity) GTE treatment significantly inhibited neutrophil infiltration. Data are means &#177; SEM of 10 mice for each group. *<it>P </it>&lt; 0.01 vs. sham. &#176;<it>P </it>&lt; 0.01 vs. carrageenan.</p>
               </text>
               <graphic file="1465-9921-6-66-4"/>
            </fig>
         </sec>
         <sec>
            <st>
               <p>Effects of green tea extract on the expression of adhesion molecule (ICAM-1)</p>
            </st>
            <p>Staining of lung tissue sections obtained from saline-treated mice with anti-ICAM-1 antibody showed specific staining along bronchial epithelium, demonstrating that ICAM-1 is constitutively expressed (data not shown). At 4 h after carrageenan injection, the staining intensity substantially increased along the bronchial epithelium (see arrows, Fig. <figr fid="F5">5A</figr>, <figr fid="F6">6</figr>). Sections from GTE-treated mice did not reveal any up-regulation of constitutively expressed ICAM-1, which was normally expressed in the epithelium (see arrows, Fig. <figr fid="F5">5B</figr>, <figr fid="F6">6</figr>). To verify the binding specificity for ICAM-1, some sections were also incubated with only the primary antibody (no secondary). In these situations, no positive staining was found in the sections, indicating that the immunoreaction was positive in all the experiments carried out.</p>
            <fig id="F5">
               <title>
                  <p>Figure 5</p>
               </title>
               <caption>
                  <p>Immunohistochemical localization of ICAM-1 in the lung</p>
               </caption>
               <text>
                  <p><b>Immunohistochemical localization of ICAM-1 in the lung</b>. Section obtained from carrageenan-treated mice showed intense positive staining for ICAM-1 (A, see arrows). The degree of bronchial epithelium (see arrows) staining for ICAM-1 (B) was markedly reduced in tissue section obtained from GTE-treated mice. Figure is representative of all the animals in each group.</p>
               </text>
               <graphic file="1465-9921-6-66-5"/>
            </fig>
            <fig id="F6">
               <title>
                  <p>Figure 6</p>
               </title>
               <caption>
                  <p>Typical Densitometry evaluation</p>
               </caption>
               <text>
                  <p><b>Typical Densitometry evaluation</b>. Densitometry analysis of immunocytochemistry photographs (n = 5) for ICAM-1, Nitrotyrosine and PAR from lung was assessed. The assay was carried out by using Optilab Graftek software on a Macintosh personal computer (CPU G3-266). Data are expressed as % of total tissue area. ND: not detectable. *<it>P </it>&lt; 0.01 vs. sham. &#176;<it>P </it>&lt; 0.01 vs. carrageenan.</p>
               </text>
               <graphic file="1465-9921-6-66-6"/>
            </fig>
         </sec>
         <sec>
            <st>
               <p>Effects of green tea extract on nitric oxide production</p>
            </st>
            <p>The levels of NO<sub>x </sub>were significantly (<it>P </it>&lt; 0.01) increased in the exudate from carrageenan-treated mice (Fig. <figr fid="F7">7</figr>). In contrast, levels of NO<sub>x </sub>were significantly lower in the exudate of mice treated with GTE (Fig. <figr fid="F7">7</figr>).</p>
            <fig id="F7">
               <title>
                  <p>Figure 7</p>
               </title>
               <caption>
                  <p>Effect of GTE on NO production</p>
               </caption>
               <text>
                  <p><b>Effect of GTE on NO production</b>. Nitrite and nitrate concentrations in pleural exudate at 4 h after carrageenan administration. Nitrite and nitrate levels in carrageenan-treated mice was significantly increased <it>vs</it>. sham group. GTE treatment significantly reduced the carrageenan-induced elevation of nitrite and nitrate levels. Data are means &#177; SEM of 10 mice for each group. *<it>P </it>&lt; 0.01 vs. sham. &#176;<it>P </it>&lt; 0.01 vs. carrageenan.</p>
               </text>
               <graphic file="1465-9921-6-66-7"/>
            </fig>
         </sec>
         <sec>
            <st>
               <p>Effects of green tea extract on nitrotyrosine and PARS</p>
            </st>
            <p>At 4 h after carrageenan injection, lung sections were taken in order to determine the immunohistological staining for nitrotyrosine or PARS. Sections of lung from saline-treated mice did not reveal any immunoreactivity for nitrotyrosine or PARS within the normal architecture (data not shown). A positive staining for nitrotyrosine (Fig. <figr fid="F6">6</figr>, <figr fid="F8">8A</figr>) and PARS (Fig. <figr fid="F6">6</figr>, <figr fid="F8">8C</figr>) was localized primarily in the vessels and in the bronchial epithelium. GTE reduced the staining for both nitrotyrosine (Fig. <figr fid="F6">6</figr>, <figr fid="F8">8B</figr>) and PARS (Fig. <figr fid="F6">6</figr>, <figr fid="F8">8D</figr>). Therefore, no differences between groups were shown for SP-1 DNA binding activity (data not shown). It was also shown the DNA binding capacity of PARP-1 to the promoter sequence of the Reg gene <abbrgrp><abbr bid="B30">30</abbr></abbrgrp>. The retarded bands of the carraggeenan-treated mice were reduced in comparison to those of vehicle-treated or GTE pre-treated mice (Fig. <figr fid="F9">9A, B</figr>)</p>
            <fig id="F8">
               <title>
                  <p>Figure 8</p>
               </title>
               <caption>
                  <p>Immunohistochemical localization for nitrotyrosine and PARS in the lung</p>
               </caption>
               <text>
                  <p><b>Immunohistochemical localization for nitrotyrosine and PARS in the lung</b>. Immunohistochemistry for nitrotyrosine (A) and PARS (C) show positive staining along the vessels and in the bronchial epithelium from a carrageenan-treated mice. The intensity of the positive staining for nitrotyrosine (B) and PARS (C) was significantly reduced in the lung from GTE-treated mice. Figure is representative of all the animals in each group.</p>
               </text>
               <graphic file="1465-9921-6-66-8"/>
            </fig>
            <fig id="F9">
               <title>
                  <p>Figure 9</p>
               </title>
               <caption>
                  <p>Effect of GTE on PARP-1 activation</p>
               </caption>
               <text>
                  <p><b>Effect of GTE on PARP-1 activation</b>. (A) DNA binding activity of PARP-1 in sham operated, carrageenan-treated (CAR) and GTE pre-treated mice (CAR + GTE). Nuclear extracts (10 &#956;g) from lung sample were incubated with a <sup>32</sup>P-labeled double-stranded oligonucleotide containing binding sequence for PARP-1 and separated by nondenaturing PAGE. The specificity of the retarded bands was demonstrated by competition with 100-fold excess of specific unlabeled oligonucleotide (not shown). (B) The intensity of retarded bands (measured by phosphoimager) in carrageenan-treated mice was significantly increased <it>vs</it>. sham group. GTE treatment significantly reduced the carrageenan-induced elevation of PARP-1 activity. Data are means &#177; SEM of 5 mice for each group. *<it>P </it>&lt; 0.01 vs. sham. &#176;<it>P </it>&lt; 0.001 vs. carrageenan.</p>
               </text>
               <graphic file="1465-9921-6-66-9"/>
            </fig>
         </sec>
         <sec>
            <st>
               <p>Effects of green tea extract on the STAT-1 activation</p>
            </st>
            <p>To examine the molecular mechanisms responsible for mediating the anti-inflammatory effects of GTE we measured, by EMSA, the changes in activation of the transcription factors STAT-1 and SP-1. DNA-binding activity of STAT-1 was significantly elevated at 4 h after carrageenan administration in vehicle-treated mice (Fig. <figr fid="F10">10A, B</figr>). In Mice treated with green tea extract lung STAT-1 activity was similar to those of sham-operated group and significantly reduced in comparison to those of vehicle-treated mice (Fig. <figr fid="F10">10A, B</figr>).</p>
            <fig id="F10">
               <title>
                  <p>Figure 10</p>
               </title>
               <caption>
                  <p>Effect of GTE on STAT-1 activation</p>
               </caption>
               <text>
                  <p><b>Effect of GTE on STAT-1 activation</b>. (A) DNA binding activity of STAT-1 in sham operated, carrageenan-treated (CAR) and GTE pre-treated mice (CAR + GTE). Nuclear extracts (10 &#956;g) from lung sample were incubated with a <sup>32</sup>P-labeled double-stranded oligonucleotide containing binding sequence for STAT-1 and separated by nondenaturing PAGE. The specificity of the retarded bands was demonstrated by competition with 100-fold excess of specific unlabeled oligonucleotide (not shown). (B) The intensity of retarded bands (measured by phosphoimager) in carrageenan-treated mice was significantly increased <it>vs</it>. sham group. GTE treatment significantly reduced the carrageenan-induced elevation of STAT-1 activity. *<it>P </it>&lt; 0.01 vs. sham. &#176;<it>P </it>&lt; 0.001 vs. carrageenan.</p>
               </text>
               <graphic file="1465-9921-6-66-10"/>
            </fig>
         </sec>
      </sec>
      <sec>
         <st>
            <p>Discussion</p>
         </st>
         <p>Polyphenols are the most significant group of tea components, especially the catechin group of the flavonols. The major tea catechins are EGCG, EGC, ECG, EC, (+)-gallocatechin, and (+)-catechin.</p>
         <p>Many biological functions of tea polyphenols have been studied <abbrgrp><abbr bid="B31">31</abbr></abbrgrp>, including anti-inflammatory, antioxidative <abbrgrp><abbr bid="B32">32</abbr><abbr bid="B33">33</abbr><abbr bid="B34">34</abbr></abbrgrp>, antimutagenic <abbrgrp><abbr bid="B35">35</abbr></abbrgrp>, and anticarcinogenic <abbrgrp><abbr bid="B36">36</abbr></abbrgrp> effects.</p>
         <p>This study provides the evidence that pretreatment of mice with green tea extract attenuates 1) the development of carrageenan-induced pleurisy, 2) the infiltration of the lung with PMNs (histology and MPO activity), 3) the degree of lung injury (histology) caused by injection of carrageenan. All of these findings support the view that green tea extract attenuates the degree of acute inflammation in mice. What, then, is the mechanism by which green tea extract reduces acute inflammation?</p>
         <p>The generation of oxidative and nitrosative species, which exert their effects both directly and indirectly, is a important contributor to inflammatory injury. The terms <it>oxidative </it>and <it>nitrosative </it>refer to the formation of reactive oxygen species (ROS), such as superoxide (O<sub>2</sub><sup>.-</sup>), hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>), and hydroxyl radicals, and reactive nitrogen species (RNS), such as nitric oxide (NO), peroxynitrite (ONOO<sup>-</sup>), and nitrogen dioxide.</p>
         <p>Oxidants are generated as a result of the inflammatory response by phagocytic cells, such as mononuclear cells. Oxidants that are generated in excess of antioxidant defences or that are lacking in antioxidant defences can result in severe pulmonary inflammation leading to acute lung injury Additionally, NO plays a multifaceted role in mediating inflammatory processes <abbrgrp><abbr bid="B37">37</abbr></abbrgrp>. Potential sources of NO in the lungs include expression of iNOS, activated neutrophils, <abbrgrp><abbr bid="B38">38</abbr></abbrgrp> alveolar type-IIcells <abbrgrp><abbr bid="B39">39</abbr></abbrgrp> endothelial cells <abbrgrp><abbr bid="B40">40</abbr></abbrgrp> and airway cells <abbrgrp><abbr bid="B41">41</abbr></abbrgrp>. It has been demonstrated that levels of NO<sub>2</sub><sup>-</sup>, increase markedly during acute and chronic inflammation <abbrgrp><abbr bid="B42">42</abbr></abbrgrp>. Recent study had demonstrated that green tea polyphenols inhibit NO production in peritoneal exudate (macrophage) cells <abbrgrp><abbr bid="B43">43</abbr></abbrgrp> and EGCG inhibits lipopolysaccharide (LPS)-induced NO production and iNOS gene expression in isolated peritoneal macrophages by decreasing NF-KB activation <abbrgrp><abbr bid="B22">22</abbr></abbrgrp>. In agreement with these observations in this study we shown that the treatment with green tea extract in vivo reduce NO formation.</p>
         <p>Simultaneous generation of NO<sup>. </sup>and O<sub>2</sub><sup>.- </sup>favours the production of a toxic reaction product, peroxynitrite anion (ONOO<sup>-</sup>)<abbrgrp><abbr bid="B13">13</abbr></abbrgrp> and this product may account for some of the deleterious effects associated with NO<sup>. </sup>production.</p>
         <p>The pro-inflammatory and cytotoxic effects of ONOO- are numerous <abbrgrp><abbr bid="B44">44</abbr></abbrgrp>. Peroxynitrite nitrosates tyrosine residues in proteins and nitrotyrosine formation has been used as a marker for the detection of the endogenous formation of peroxynitrite <abbrgrp><abbr bid="B45">45</abbr></abbrgrp>. Using nitrotyrosine as a marker for the presence of ONOO- has been challenged by the demonstration that other reactions can also induce tyrosine nitration; e.g., the reaction of nitrite with hypochlorous acid and the reaction of myeloperoxidase with hydrogen peroxide can lead to the formation of nitrotyrosine <abbrgrp><abbr bid="B46">46</abbr></abbrgrp>. Thus, increased nitrotyrosine staining is considered, as an indicator of "increased nitrosative stress" rather than a specific marker of the generation of peroxynitrite <abbrgrp><abbr bid="B47">47</abbr></abbrgrp>. We have found that nitrotyrosine is indeed present in lung sections taken after carrageenan injection and that green tea extract reduced the staining in these tissues.</p>
         <p>ROS and peroxynitrite produce cellular injury and necrosis via several mechanisms including protein denaturation, and DNA damage ROS produce strand breaks in DNA that trigger energy-consuming DNA repair mechanisms and activate the nuclear enzyme PARS, resulting in the depletion of its substrate NAD in vitro and a reduction in the rate of glycolysis. As NAD functions as a cofactor in glycolysis and the tricarboxylic acid cycle, NAD depletion leads to a rapid fall in intracellular ATP. This process has been termed the 'PARS suicide hypothesis'. There is recent evidence that the activation of PARS may also play an important role in inflammation <abbrgrp><abbr bid="B48">48</abbr><abbr bid="B49">49</abbr></abbrgrp>.</p>
         <p>We demonstrate here that green tea extract treatment reduced the activation of PARS during carrageenan-induced pleurisy in the lung. In light of the role of PARS in inflammation, it is possible that PARS inhibition by green tea extract accounts for the anti-inflammatory response.</p>
         <p>Besides attenuating ONOO- production and PARS activation, green tea extract also reduced the development of oedema, neutrophil accumulation and had an overall protective effect on the degree of lung injury as assessed by histological examination.</p>
         <p>A possible mechanism by which green tea extract attenuates PMNs infiltration is by down-regulating adhesion molecules ICAM-1</p>
         <p>The activation and expression of adhesion molecules allows for the adhesion, conformational change, and extravasation (emigration) of the neutrophil that may induce local injury and participate in the orchestration of systemic inflammation and all of its consequences. ICAM-1 in particular plays a role in inflammatory processes and in the T cell-mediated host defense system. Within the endothelium, ICAM-1 has an important role in migration of leukocytes to sites of inflammation, enabling the firm adhesion and diapedesis of leukocytes. In accordance with these findings, we observed that green tea extract reduce the upregulation the surface expression of ICAM-1 on endothelial cells and prevents the infiltration of neutrophils at inflamed sites.</p>
         <p>Lung inflammation is associated with enhanced expression of proinflammatory cytokines which serve as intercellular signals that recruit cells and modulate cell function. Cytokines produced predominantly by activated macrophages and lymphocytes mediate many inflammatory processes <abbrgrp><abbr bid="B49">49</abbr></abbrgrp>. These proinflammatory cytokines include interferon-&#947; (IFN-&#947;), interleukin-1 (IL-1), tumour necrosis factor-&#945; (TNF&#945;) and chemokines (e.g. interleukin-8 [IL-8], macrophage chemotactic and activating factor [MCAF]). Though all of these cytokines play important roles in the evolving inflammatory response, TNF&#945; appears to be a critical mediator of the inflammatory cascade. Numerous studies show that TNF&#945; rises rapidly following acute trauma/inflammation/infection and that blocking TNF&#945; activity reduces injury <abbrgrp><abbr bid="B50">50</abbr><abbr bid="B51">51</abbr><abbr bid="B52">52</abbr></abbrgrp>. Recently it has been shown that, EGCG inhibits okadaic acid-induced TNF&#945; production and gene expression in BALB/3T3 cells <abbrgrp><abbr bid="B53">53</abbr></abbrgrp>. In agreement with these observations we have found in this study that green tea pre-treatment reduce exudates level of TNF-alpha. Moreover cytokines activate, several signaling pathways, leading to the downstream activation of NF-&#954;B transcription factors. In this study we have placed our attention on STAT-1. Signal transducers and activators of transcription (STAT) factors are a family of cytoplasmic transcription factors that mediate intracellular signaling initiated at cytokine cell surface receptors and transmitted to the nucleus. Recently, it has been reported that the polyphenolic agent epigallocatechin-3-gallate (EGCG), a major constituent of green tea, is a potent inhibitor of STAT-1 phosphorylation and activation <abbrgrp><abbr bid="B26">26</abbr></abbrgrp>. The JAK/STAT pathway has been shown to be essential for human and murine iNOS expression <abbrgrp><abbr bid="B24">24</abbr></abbrgrp> and in ICAM-1 induction <abbrgrp><abbr bid="B25">25</abbr></abbrgrp>. We demonstrate here that green tea extract pretreatment reduced STAT-1 activation in carrageenan-treated mice. The fall in STAT-1 activity may further account for the repression of ICAM-1 and iNOS lung expression with decrease in nitrite/nitrate concentration in the pleural exudate. Thus, the down-regulation of STAT-1 action provides a molecular basis for the anti-inflammatory effect of GTE.</p>
         <p>Data generated from the present study indicate that green tea extract cause a substantial reduction of carraggenan induced-pleurisy in the mice suggesting toxicity from oxygen metabolites, released by stimulated neutrophils, macrophages, and other cells, as one of the significant mechanisms of lung injury. These findings support the potential use of green tea extract as therapeutic agents in the therapy of conditions associated with acute inflammation.</p>
      </sec>
   </bdy>
   <bm>
      <ack>
         <sec>
            <st>
               <p>Acknowledgements</p>
            </st>
            <p>This study was supported by grant from PRIN 2003. The authors would like to thank Giovanni Pergolizzi and Carmelo La Spada for their excellent technical assistance during this study, Mrs Caterina Cutrona and Deborah A. Schaller for secretarial assistance and Miss Valentina Malvagni for editorial assistance with the manuscript.</p>
         </sec>
      </ack>
      <refgrp>
         <bibl id="B1">
            <title>
               <p>Protective effect of melatonin in carrageenan-induced models of local inflammation: relationship to its inhibitory effect on nitric oxide production and its peroxynitrite scavenging activity</p>
            </title>
            <aug>
               <au>
                  <snm>Cuzzocrea</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Zingarelli</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Gilad</snm>
                  <fnm>E</fnm>
               </au>
               <au>
                  <snm>Hake</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Salzman</snm>
                  <fnm>AL</fnm>
               </au>
               <au>
                  <snm>Szabo</snm>
                  <fnm>C</fnm>
               </au>
            </aug>
            <source>J Pineal Res</source>
            <pubdate>1997</pubdate>
            <volume>23</volume>
            <issue>2</issue>
            <fpage>106</fpage>
            <lpage>16</lpage>
            <xrefbib>
               <pubid idtype="pmpid">9392449</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B2">
            <title>
               <p>The role of radical oxygen species in airway inflammation</p>
            </title>
            <aug>
               <au>
                  <snm>Pawliczak</snm>
                  <fnm>R</fnm>
               </au>
            </aug>
            <source>Pol Merkuriusz Lek</source>
            <pubdate>2003</pubdate>
            <volume>14</volume>
            <fpage>493</fpage>
            <lpage>6</lpage>
            <xrefbib>
               <pubid idtype="pmpid">14524253</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B3">
            <title>
               <p>Effects of tempol, a membrane-permeable radical scavenger, in a rodent model of carrageenan-induced pleurisy</p>
            </title>
            <aug>
               <au>
                  <snm>Cuzzocrea</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>McDonald</snm>
                  <fnm>MC</fnm>
               </au>
               <au>
                  <snm>Filipe</snm>
                  <fnm>HM</fnm>
               </au>
               <au>
                  <snm>Costantino</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Mazzon</snm>
                  <fnm>E</fnm>
               </au>
               <au>
                  <snm>Santagati</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Caputi</snm>
                  <fnm>AP</fnm>
               </au>
               <au>
                  <snm>Thiemermann</snm>
                  <fnm>C</fnm>
               </au>
            </aug>
            <source>Eur J Pharmacol</source>
            <pubdate>2000</pubdate>
            <volume>390</volume>
            <fpage>209</fpage>
            <lpage>22</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0014-2999(99)00910-3</pubid>
                  <pubid idtype="pmpid" link="fulltext">10708726</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B4">
            <title>
               <p>Effects of cis resveratrol on inflammatory murine macrophages: antioxidant activity and down-regulation of inflammatory genes</p>
            </title>
            <aug>
               <au>
                  <snm>Leiro</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Alvarez</snm>
                  <fnm>E</fnm>
               </au>
               <au>
                  <snm>Arranz</snm>
                  <fnm>JA</fnm>
               </au>
               <au>
                  <snm>Laguna</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>Uriarte</snm>
                  <fnm>E</fnm>
               </au>
               <au>
                  <snm>Orallo</snm>
                  <fnm>F</fnm>
               </au>
            </aug>
            <source>J Leukoc Biol</source>
            <pubdate>2004</pubdate>
            <volume>75</volume>
         </bibl>
         <bibl id="B5">
            <title>
               <p>IL-2 gene expression and NF-kappa B activation through CD28 requires reactive oxygen production by 5-lipoxygenase</p>
            </title>
            <aug>
               <au>
                  <snm>Los</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Schenk</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Hexel</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Baeuerle</snm>
                  <fnm>PA</fnm>
               </au>
               <au>
                  <snm>Droge</snm>
                  <fnm>W</fnm>
               </au>
               <au>
                  <snm>Schulze-Osthoff</snm>
                  <fnm>K</fnm>
               </au>
            </aug>
            <source>EMBO J</source>
            <pubdate>1995</pubdate>
            <volume>14</volume>
            <fpage>3731</fpage>
            <lpage>40</lpage>
            <xrefbib>
               <pubid idtype="pmpid">7641692</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B6">
            <title>
               <p>Reactive oxygen species and regulation of gene expression</p>
            </title>
            <aug>
               <au>
                  <snm>Turpaev</snm>
                  <fnm>KT</fnm>
               </au>
            </aug>
            <source>Biochemistry (Mosc)</source>
            <pubdate>2002</pubdate>
            <volume>67</volume>
            <fpage>281</fpage>
            <lpage>92</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1023/A:1014819832003</pubid>
                  <pubid idtype="pmpid" link="fulltext">11970728</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B7">
            <title>
               <p>Oxidative stress induces NF kappa B DNA binding and inducible NOS mRNA in human epithelial cells</p>
            </title>
            <aug>
               <au>
                  <snm>Adcock</snm>
                  <fnm>IM</fnm>
               </au>
               <au>
                  <snm>Brown</snm>
                  <fnm>CR</fnm>
               </au>
               <au>
                  <snm>Kwon</snm>
                  <fnm>O</fnm>
               </au>
               <au>
                  <snm>Barnes</snm>
                  <fnm>PJ</fnm>
               </au>
            </aug>
            <source>Biochem Biophys Res Commun</source>
            <pubdate>1994</pubdate>
            <volume>199</volume>
            <fpage>1518</fpage>
            <lpage>24</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1006/bbrc.1994.1403</pubid>
                  <pubid idtype="pmpid" link="fulltext">7511898</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B8">
            <title>
               <p>Distinct effects of thioredoxin and antioxidants on the activation of transcription factors NF-kappa B and AP-1</p>
            </title>
            <aug>
               <au>
                  <snm>Schenk</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Klein</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Erdbrugger</snm>
                  <fnm>W</fnm>
               </au>
               <au>
                  <snm>Droge</snm>
                  <fnm>W</fnm>
               </au>
               <au>
                  <snm>Schulze-Osthoff</snm>
                  <fnm>K</fnm>
               </au>
            </aug>
            <source>Proc Natl Acad Sci USA</source>
            <pubdate>1994</pubdate>
            <volume>91</volume>
            <fpage>1672</fpage>
            <lpage>6</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="pmcid">43225</pubid>
                  <pubid idtype="pmpid" link="fulltext">8127864</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B9">
            <title>
               <p>Regulation by reactive oxygen species of interleukin-1beta, nitric oxide and prostaglandin E(2) production by human chondrocytes</p>
            </title>
            <aug>
               <au>
                  <snm>Mathy-Hartert</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Deby-Dupont</snm>
                  <fnm>GP</fnm>
               </au>
               <au>
                  <snm>Reginster</snm>
                  <fnm>JY</fnm>
               </au>
               <au>
                  <snm>Ayache</snm>
                  <fnm>N</fnm>
               </au>
               <au>
                  <snm>Pujol</snm>
                  <fnm>JP</fnm>
               </au>
               <au>
                  <snm>Henrotin</snm>
                  <fnm>YE</fnm>
               </au>
            </aug>
            <source>Osteoarthritis Cartilage</source>
            <pubdate>2002</pubdate>
            <volume>10</volume>
            <fpage>547</fpage>
            <lpage>55</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1053/joca.2002.0789</pubid>
                  <pubid idtype="pmpid" link="fulltext">12127835</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B10">
            <title>
               <p>Nitric oxide: physiology, pathophysiology and pharmacology</p>
            </title>
            <aug>
               <au>
                  <snm>Moncada</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Palmer</snm>
                  <fnm>RMG</fnm>
               </au>
               <au>
                  <snm>Higgs</snm>
                  <fnm>EA</fnm>
               </au>
            </aug>
            <source>Pharmacol Rev</source>
            <pubdate>1991</pubdate>
            <volume>43</volume>
            <fpage>109</fpage>
            <lpage>142</lpage>
            <xrefbib>
               <pubid idtype="pmpid">1852778</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B11">
            <title>
               <p>Nitric oxide as a secretory product of mammalian cells</p>
            </title>
            <aug>
               <au>
                  <snm>Nathan</snm>
                  <fnm>C</fnm>
               </au>
            </aug>
            <source>FASEB J</source>
            <pubdate>1996</pubdate>
            <volume>6</volume>
            <fpage>3051</fpage>
            <lpage>3064</lpage>
         </bibl>
         <bibl id="B12">
            <title>
               <p>Anti-inflammatory effects of mercaptoethylguanidine, a combined inhibitor of nitric oxide synthase and peroxynitrite scavenger, in carrageenan-induced models of inflammation</p>
            </title>
            <aug>
               <au>
                  <snm>Cuzzocrea</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Zingarelli</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Gilard</snm>
                  <fnm>E</fnm>
               </au>
               <au>
                  <snm>Hake</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Salzman</snm>
                  <fnm>AL</fnm>
               </au>
               <au>
                  <snm>Szab&#243;</snm>
                  <fnm>C</fnm>
               </au>
            </aug>
            <source>Free Rad Biol Med</source>
            <pubdate>1998</pubdate>
            <volume>24</volume>
            <fpage>450</fpage>
            <lpage>459</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0891-5849(97)00280-3</pubid>
                  <pubid idtype="pmpid" link="fulltext">9438558</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B13">
            <title>
               <p>Apparent hydroxyl radical production by peroxynitrite: implications for endothelial injury from nitric oxide and superoxide</p>
            </title>
            <aug>
               <au>
                  <snm>Beckman</snm>
                  <fnm>JS</fnm>
               </au>
               <au>
                  <snm>Beckman</snm>
                  <fnm>TW</fnm>
               </au>
               <au>
                  <snm>Chen</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Marshall</snm>
                  <fnm>PA</fnm>
               </au>
               <au>
                  <snm>Freeman</snm>
                  <fnm>BA</fnm>
               </au>
            </aug>
            <source>Proc Natl Acad Sci U S A</source>
            <pubdate>1990</pubdate>
            <volume>87</volume>
            <issue>4</issue>
            <fpage>1620</fpage>
            <lpage>4</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="pmcid">53527</pubid>
                  <pubid idtype="pmpid" link="fulltext">2154753</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B14">
            <title>
               <p>Oxygen radicals, nitrite oxide and human inflammatory joint disease</p>
            </title>
            <aug>
               <au>
                  <snm>Halliwell</snm>
                  <fnm>B</fnm>
               </au>
            </aug>
            <source>Ann Rheum Dis</source>
            <pubdate>1995</pubdate>
            <volume>54</volume>
            <fpage>505</fpage>
            <lpage>510</lpage>
            <xrefbib>
               <pubid idtype="pmpid">7632097</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B15">
            <title>
               <p>Nitric oxide: a key mediator in the early and late phase of carrageenan-induced rat paw inflammation</p>
            </title>
            <aug>
               <au>
                  <snm>Salvemini</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>Wang</snm>
                  <fnm>ZQ</fnm>
               </au>
               <au>
                  <snm>Wyatt</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Bourdon</snm>
                  <fnm>DW</fnm>
               </au>
               <au>
                  <snm>Marino</snm>
                  <fnm>MH</fnm>
               </au>
               <au>
                  <snm>Manning</snm>
                  <fnm>PT</fnm>
               </au>
               <au>
                  <snm>Currie</snm>
                  <fnm>MG</fnm>
               </au>
            </aug>
            <source>Br J Pharmacol</source>
            <pubdate>1996</pubdate>
            <volume>118</volume>
            <fpage>829</fpage>
            <lpage>838</lpage>
            <xrefbib>
               <pubid idtype="pmpid">8799551</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B16">
            <title>
               <p>Beneficial effects of 3-aminobenzamide, an inhibitor of poly (ADP-ribose) synthetase in a rat model of splanchnic artery occlusion and reperfusion</p>
            </title>
            <aug>
               <au>
                  <snm>Cuzzocrea</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Zingarelli</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Costantino</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Szab&#243;</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Salzman</snm>
                  <fnm>AL</fnm>
               </au>
               <au>
                  <snm>Caputi</snm>
                  <fnm>AP</fnm>
               </au>
               <au>
                  <snm>Szab&#243;</snm>
                  <fnm>C</fnm>
               </au>
            </aug>
            <source>Br J Pharmacol</source>
            <pubdate>1997</pubdate>
            <volume>121</volume>
            <fpage>1065</fpage>
            <lpage>1074</lpage>
            <xrefbib>
               <pubid idtype="pmpid">9249240</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B17">
            <title>
               <p>Peroxynitrite oxidation of sulfhydryls. The cytotoxic potential of superoxide and nitric oxide</p>
            </title>
            <aug>
               <au>
                  <snm>Radi</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>Beckman</snm>
                  <fnm>JS</fnm>
               </au>
               <au>
                  <snm>Bush</snm>
                  <fnm>KM</fnm>
               </au>
               <au>
                  <snm>Freeman</snm>
                  <fnm>BA</fnm>
               </au>
            </aug>
            <source>J Biol Chem</source>
            <pubdate>1991</pubdate>
            <volume>266</volume>
            <fpage>4244</fpage>
            <lpage>4250</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">1847917</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B18">
            <title>
               <p>Characterization of sulfur-centered radical intermediates formed during the oxidation of thiols and sulfite by peroxynitrite. ESR-spin trapping and oxygen uptake studies</p>
            </title>
            <aug>
               <au>
                  <snm>Karoui</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Hogg</snm>
                  <fnm>N</fnm>
               </au>
               <au>
                  <snm>Frejaville</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Tordo</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Kalyanaraman</snm>
                  <fnm>B</fnm>
               </au>
            </aug>
            <source>J Biol Chem</source>
            <pubdate>1996</pubdate>
            <volume>271</volume>
            <fpage>6000</fpage>
            <lpage>6009</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1074/jbc.271.11.6000</pubid>
                  <pubid idtype="pmpid" link="fulltext">8626383</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B19">
            <title>
               <p>Grean Tea: Healing tonic</p>
            </title>
            <aug>
               <au>
                  <snm>Alschuler</snm>
                  <fnm>L</fnm>
               </au>
            </aug>
            <source>Am J Natur Med</source>
            <pubdate>1998</pubdate>
            <volume>5</volume>
            <fpage>28</fpage>
            <lpage>31</lpage>
         </bibl>
         <bibl id="B20">
            <title>
               <p>Green tea composition, consumption, and polyphenol chemistry</p>
            </title>
            <aug>
               <au>
                  <snm>Graham</snm>
                  <fnm>HN</fnm>
               </au>
            </aug>
            <source>Prev Med</source>
            <pubdate>1992</pubdate>
            <volume>21</volume>
            <fpage>334</fpage>
            <lpage>350</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/0091-7435(92)90041-F</pubid>
                  <pubid idtype="pmpid">1614995</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B21">
            <title>
               <p>Green tea polyphenols block endotoxin-induced tumor necrosis factor-production and lethality in a murine model</p>
            </title>
            <aug>
               <au>
                  <snm>Yang</snm>
                  <fnm>F</fnm>
               </au>
               <au>
                  <snm>de Villiers</snm>
                  <fnm>WJ</fnm>
               </au>
               <au>
                  <snm>McClain</snm>
                  <fnm>CJ</fnm>
               </au>
               <au>
                  <snm>Varilek</snm>
                  <fnm>GW</fnm>
               </au>
            </aug>
            <source>J Nutr Dec</source>
            <pubdate>1998</pubdate>
            <volume>128</volume>
            <issue>12</issue>
            <fpage>2334</fpage>
            <lpage>40</lpage>
         </bibl>
         <bibl id="B22">
            <title>
               <p>(-)-Epigallocatechin-3-gallate blocks the induction of nitric oxide synthase by down-regulating lipopolysaccharide-induced activity of transcription factor nuclear factor-KB</p>
            </title>
            <aug>
               <au>
                  <snm>Lin</snm>
                  <fnm>YL</fnm>
               </au>
               <au>
                  <snm>Lin</snm>
                  <fnm>JK</fnm>
               </au>
            </aug>
            <source>Mol Pharm</source>
            <pubdate>1997</pubdate>
            <volume>52</volume>
            <fpage>465</fpage>
            <lpage>472</lpage>
         </bibl>
         <bibl id="B23">
            <title>
               <p>Activation of transcription by IFN-&#947;: tyrosine phosphorylation of a 91-kD DNA binding protein</p>
            </title>
            <aug>
               <au>
                  <snm>Shuai</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Schindler</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Prezioso</snm>
                  <fnm>RV</fnm>
               </au>
               <au>
                  <snm>Darnell</snm>
                  <fnm>JE</fnm>
                  <suf>Jr</suf>
               </au>
            </aug>
            <source>Science</source>
            <pubdate>1992</pubdate>
            <volume>258</volume>
            <fpage>1808</fpage>
            <lpage>1812</lpage>
            <xrefbib>
               <pubid idtype="pmpid">1281555</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B24">
            <title>
               <p>An interferon-&#947; activated site (GAS) is necessary for the full expression of the mouse iNOS gene in response to interferon-&#947; and lipopolysaccharide</p>
            </title>
            <aug>
               <au>
                  <snm>Gao</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Morrison</snm>
                  <fnm>DC</fnm>
               </au>
               <au>
                  <snm>Parmely</snm>
                  <fnm>TJ</fnm>
               </au>
               <au>
                  <snm>Russel</snm>
                  <fnm>SW</fnm>
               </au>
               <au>
                  <snm>Murphy</snm>
                  <fnm>WJ</fnm>
               </au>
            </aug>
            <source>J Biol Chem</source>
            <pubdate>1997</pubdate>
            <volume>272</volume>
            <fpage>1226</fpage>
            <lpage>1230</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1074/jbc.272.2.1226</pubid>
                  <pubid idtype="pmpid" link="fulltext">8995425</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B25">
            <title>
               <p>Intercellular adhesion molecule-1(ICAM-1) gene expression in human T cells is regulated by phosphotyrosyl phosphatase activity. Involvement of NF-kB, Ets, and palindromic interferon-gamma-responsive element-binding site</p>
            </title>
            <aug>
               <au>
                  <snm>Roy</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Audette</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Tremblay</snm>
                  <fnm>MJ</fnm>
               </au>
            </aug>
            <source>J Biol Chem</source>
            <pubdate>2001</pubdate>
            <volume>276</volume>
            <fpage>14553</fpage>
            <lpage>61</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1074/jbc.M005067200</pubid>
                  <pubid idtype="pmpid" link="fulltext">11278281</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B26">
            <title>
               <p>Anti-interferon gamma action of epigallocatechin-3-gallate mediated by specific inhibition of STAT1 activation</p>
            </title>
            <aug>
               <au>
                  <snm>Menegazzi</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Tedeschi</snm>
                  <fnm>E</fnm>
               </au>
               <au>
                  <snm>Dussin</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>De Prati</snm>
                  <fnm>AC</fnm>
               </au>
               <au>
                  <snm>Cavalieri</snm>
                  <fnm>E</fnm>
               </au>
               <au>
                  <snm>Mariotto</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Suzuki</snm>
                  <fnm>H</fnm>
               </au>
            </aug>
            <source>FASEB J</source>
            <pubdate>2001</pubdate>
            <volume>15</volume>
            <fpage>1309</fpage>
            <lpage>1311</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">11344123</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B27">
            <title>
               <p>Myeloperoxidase activity as a quantitative assessment of neutrophil infiltration into ischemic myocardium</p>
            </title>
            <aug>
               <au>
                  <snm>Mullane</snm>
                  <fnm>KM</fnm>
               </au>
               <au>
                  <snm>Kraemer</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>Smith</snm>
                  <fnm>B</fnm>
               </au>
            </aug>
            <source>J Pharmacol Meth</source>
            <pubdate>1985</pubdate>
            <volume>14</volume>
            <fpage>157</fpage>
            <lpage>167</lpage>
            <xrefbib>
               <pubid idtype="doi">10.1016/0160-5402(85)90029-4</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B28">
            <title>
               <p>Rapid detection of octamer binding proteins with miniextracts prepared from a small number of cell</p>
            </title>
            <aug>
               <au>
                  <snm>Schreiber</snm>
                  <fnm>E</fnm>
               </au>
               <au>
                  <snm>Matthias</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Muller</snm>
                  <fnm>MM</fnm>
               </au>
               <au>
                  <snm>Schaffner</snm>
                  <fnm>W</fnm>
               </au>
            </aug>
            <source>Nucleic Acid Res</source>
            <pubdate>1989</pubdate>
            <volume>17</volume>
            <fpage>6419A</fpage>
         </bibl>
         <bibl id="B29">
            <title>
               <p>A rapid and sensitive method for the quantitation of microgram quantities of protein using the principle of protein-dye binding</p>
            </title>
            <aug>
               <au>
                  <snm>Bradford</snm>
                  <fnm>M</fnm>
               </au>
            </aug>
            <source>Anal Biochem</source>
            <pubdate>1976</pubdate>
            <volume>72</volume>
            <fpage>248</fpage>
            <lpage>254</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">942051</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B30">
            <title>
               <p>Activation of Reg gene for insulin-producing &#946;-cel regeneration: poly(ADP-ribose) polymerase binds Reg promoter and regulates the transcription by autopoly(ADP-ribosyl)ation</p>
            </title>
            <aug>
               <au>
                  <snm>Akiyama</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Takasawa</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Nata</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Kobayashi</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Abe</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Shervani</snm>
                  <fnm>NJ</fnm>
               </au>
               <au>
                  <snm>Ikeda</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Nakagawa</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Unno</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Matsuno</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Okamoto</snm>
                  <fnm>H</fnm>
               </au>
            </aug>
            <source>PNAS</source>
            <pubdate>2001</pubdate>
            <volume>98</volume>
            <fpage>48</fpage>
            <lpage>53</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="pmcid">14542</pubid>
                  <pubid idtype="pmpid" link="fulltext">11134536</pubid>
                  <pubid idtype="doi">10.1073/pnas.240458597</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B31">
            <title>
               <p>Tea and cancer</p>
            </title>
            <aug>
               <au>
                  <snm>Yang</snm>
                  <fnm>CS</fnm>
               </au>
               <au>
                  <snm>Wang</snm>
                  <fnm>ZY</fnm>
               </au>
            </aug>
            <source>J Natl Cancer Inst</source>
            <pubdate>1993</pubdate>
            <volume>85</volume>
            <fpage>1038</fpage>
            <lpage>1049</lpage>
            <xrefbib>
               <pubid idtype="pmpid">8515490</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B32">
            <title>
               <p>Composition of polyphenols in fresh tea leaves and associations of their oxygen-radical-absorbing capacity with antiproliferative actions in fibroblast cells</p>
            </title>
            <aug>
               <au>
                  <snm>Lin</snm>
                  <fnm>YL</fnm>
               </au>
               <au>
                  <snm>Juan</snm>
                  <fnm>IM</fnm>
               </au>
               <au>
                  <snm>Chen</snm>
                  <fnm>YL</fnm>
               </au>
               <au>
                  <snm>Liang</snm>
                  <fnm>YC</fnm>
               </au>
               <au>
                  <snm>Lin</snm>
                  <fnm>JK</fnm>
               </au>
            </aug>
            <source>J Agric Food Chem</source>
            <pubdate>1996</pubdate>
            <volume>44</volume>
            <fpage>1387</fpage>
            <lpage>1394</lpage>
            <xrefbib>
               <pubid idtype="doi">10.1021/jf950652k</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B33">
            <title>
               <p>Antioxidative effect of polyphenol extract prepared from various Chinese teas</p>
            </title>
            <aug>
               <au>
                  <snm>Ho</snm>
                  <fnm>CT</fnm>
               </au>
               <au>
                  <snm>Chen</snm>
                  <fnm>Q</fnm>
               </au>
               <au>
                  <snm>Shi</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Zhang</snm>
                  <fnm>KQ</fnm>
               </au>
               <au>
                  <snm>Rosen</snm>
                  <fnm>RT</fnm>
               </au>
            </aug>
            <source>Prev Med</source>
            <pubdate>1992</pubdate>
            <volume>21</volume>
            <fpage>520</fpage>
            <lpage>525</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/0091-7435(92)90059-Q</pubid>
                  <pubid idtype="pmpid">1409493</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B34">
            <title>
               <p>Protection against <it>N</it>-nitrosodiethylamine and benzo(a)pyrene-induced forestomach and lung tumorigenesis in A/J mice by green tea</p>
            </title>
            <aug>
               <au>
                  <snm>Katiyar</snm>
                  <fnm>SK</fnm>
               </au>
               <au>
                  <snm>Agarwal</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>Zaim</snm>
                  <fnm>MT</fnm>
               </au>
               <au>
                  <snm>Mukhtar</snm>
                  <fnm>H</fnm>
               </au>
            </aug>
            <source>Carcinogenesis</source>
            <pubdate>1993</pubdate>
            <volume>14</volume>
            <fpage>849</fpage>
            <lpage>855</lpage>
            <xrefbib>
               <pubid idtype="pmpid">8504476</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B35">
            <title>
               <p>Antioxidative and antimutagenic effects of theaflavins from black tea</p>
            </title>
            <aug>
               <au>
                  <snm>Shiraki</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Hara</snm>
                  <fnm>Y</fnm>
               </au>
               <au>
                  <snm>Osawa</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Kumon</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Nakauama</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Kawakishi</snm>
                  <fnm>S</fnm>
               </au>
            </aug>
            <source>Mutat Res</source>
            <pubdate>1994</pubdate>
            <volume>323</volume>
            <fpage>29</fpage>
            <lpage>34</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/0165-7992(94)90041-8</pubid>
                  <pubid idtype="pmpid">7508563</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B36">
            <title>
               <p>Inhibitory effect of topical application of a green tea polyphenol fraction on tumor initiation and promotion in mouse skin</p>
            </title>
            <aug>
               <au>
                  <snm>Huang</snm>
                  <fnm>MT</fnm>
               </au>
               <au>
                  <snm>Ho</snm>
                  <fnm>CT</fnm>
               </au>
               <au>
                  <snm>Wang</snm>
                  <fnm>ZY</fnm>
               </au>
               <au>
                  <snm>Ferraro</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Finnegan-Olive</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Lou</snm>
                  <fnm>YR</fnm>
               </au>
               <au>
                  <snm>Mitchell</snm>
                  <fnm>JM</fnm>
               </au>
               <au>
                  <snm>Laskin</snm>
                  <fnm>JD</fnm>
               </au>
               <au>
                  <snm>Newmark</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Yang</snm>
                  <fnm>CS</fnm>
               </au>
               <au>
                  <snm>Conney</snm>
                  <fnm>AH</fnm>
               </au>
            </aug>
            <source>Carcinogenesis</source>
            <pubdate>1992</pubdate>
            <volume>13</volume>
            <fpage>947</fpage>
            <lpage>954</lpage>
            <xrefbib>
               <pubid idtype="pmpid">1600615</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B37">
            <title>
               <p>Nitric oxide and lung injury</p>
            </title>
            <aug>
               <au>
                  <snm>Haddad</snm>
                  <fnm>IY</fnm>
               </au>
               <au>
                  <snm>Pitt</snm>
                  <fnm>BR</fnm>
               </au>
               <au>
                  <snm>Matalon</snm>
                  <fnm>S</fnm>
               </au>
            </aug>
            <source>Pulmonary diseases and disorders</source>
            <publisher>McGraw-Hill New York, NY</publisher>
            <editor>Fishman AP</editor>
            <pubdate>1996</pubdate>
            <fpage>337</fpage>
            <lpage>346</lpage>
         </bibl>
         <bibl id="B38">
            <title>
               <p>Induction of NOS in rat blood PMN <it>in vivo </it>and <it>in vitro</it>: modulation by tyrosine kinase and involvement in bactericidal activity</p>
            </title>
            <aug>
               <au>
                  <snm>Fierro</snm>
                  <fnm>IM</fnm>
               </au>
               <au>
                  <snm>Nascimento-DaSilva</snm>
                  <fnm>V</fnm>
               </au>
               <au>
                  <snm>Arruda</snm>
                  <fnm>MA</fnm>
               </au>
            </aug>
            <source>J Leukoc Biol</source>
            <pubdate>1999</pubdate>
            <volume>65</volume>
            <fpage>508</fpage>
            <lpage>514</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">10204580</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B39">
            <title>
               <p>Agonist-induced peroxynitrite production from endothelial cells</p>
            </title>
            <aug>
               <au>
                  <snm>Kooy</snm>
                  <fnm>NW</fnm>
               </au>
               <au>
                  <snm>Royall</snm>
                  <fnm>JA</fnm>
               </au>
            </aug>
            <source>Arch Biochem Biophys</source>
            <pubdate>1994</pubdate>
            <volume>310</volume>
            <fpage>352</fpage>
            <lpage>359</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1006/abbi.1994.1178</pubid>
                  <pubid idtype="pmpid" link="fulltext">8179319</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B40">
            <title>
               <p>Nitric oxide synthase in human and rat lung: immunocytochemical and histochemical localization</p>
            </title>
            <aug>
               <au>
                  <snm>Kobzik</snm>
                  <fnm>L</fnm>
               </au>
               <au>
                  <snm>Bredt</snm>
                  <fnm>DS</fnm>
               </au>
               <au>
                  <snm>Lowenstein</snm>
                  <fnm>CJ</fnm>
               </au>
            </aug>
            <source>Am J Respir Cell Mol Biol</source>
            <pubdate>1993</pubdate>
            <volume>9</volume>
            <fpage>371</fpage>
            <lpage>377</lpage>
            <xrefbib>
               <pubid idtype="pmpid">7691109</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B41">
            <title>
               <p>Surfactant protein A mediates mycoplasmacidal activity of alveolar macrophages</p>
            </title>
            <aug>
               <au>
                  <snm>Hickman-Davis</snm>
                  <fnm>JM</fnm>
               </au>
               <au>
                  <snm>Lindsey</snm>
                  <fnm>JR</fnm>
               </au>
               <au>
                  <snm>Zhu</snm>
                  <fnm/>
               </au>
            </aug>
            <source>Am J Physiol</source>
            <pubdate>1998</pubdate>
            <volume>274</volume>
            <fpage>L270</fpage>
            <lpage>L277</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">9486213</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B42">
            <title>
               <p>Increased concentrations of nitrite in synovial fluid and serum samples suggest increased nitric oxide synthesis in rheumatic diseases</p>
            </title>
            <aug>
               <au>
                  <snm>Farrell</snm>
                  <fnm>AJ</fnm>
               </au>
               <au>
                  <snm>Blake</snm>
                  <fnm>DR</fnm>
               </au>
               <au>
                  <snm>Palmer</snm>
                  <fnm>RMJ</fnm>
               </au>
               <au>
                  <snm>Moncada</snm>
                  <fnm>S</fnm>
               </au>
            </aug>
            <source>Ann Rheum Dis</source>
            <pubdate>1992</pubdate>
            <volume>51</volume>
            <fpage>1219</fpage>
            <lpage>1222</lpage>
            <xrefbib>
               <pubid idtype="pmpid">1466599</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B43">
            <title>
               <p>Effects of three dietary phytochemicals from tea, rosemary and turmeric on inflammation-induced nitrite production</p>
            </title>
            <aug>
               <au>
                  <snm>Chan</snm>
                  <fnm>MMY</fnm>
               </au>
               <au>
                  <snm>Ho</snm>
                  <fnm>CT</fnm>
               </au>
               <au>
                  <snm>Huang</snm>
                  <fnm>HI</fnm>
               </au>
            </aug>
            <source>Cancer Lett</source>
            <pubdate>1995</pubdate>
            <volume>96</volume>
            <fpage>23</fpage>
            <lpage>29</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/0304-3835(95)03913-H</pubid>
                  <pubid idtype="pmpid" link="fulltext">7553604</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B44">
            <title>
               <p>The formation of peroxynitrite in vivo from nitric oxide and superoxide</p>
            </title>
            <aug>
               <au>
                  <snm>Squadrito</snm>
                  <fnm>GL</fnm>
               </au>
               <au>
                  <snm>Pryor</snm>
                  <fnm>WA</fnm>
               </au>
            </aug>
            <source>Chem Biol Interact</source>
            <pubdate>1995</pubdate>
            <volume>96</volume>
            <issue>2</issue>
            <fpage>203</fpage>
            <lpage>6</lpage>
            <note>Review</note>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/0009-2797(94)03591-U</pubid>
                  <pubid idtype="pmpid" link="fulltext">7728908</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B45">
            <title>
               <p>Oxidative damage and tyrosine nitration from peroxynitrite</p>
            </title>
            <aug>
               <au>
                  <snm>Beckman</snm>
                  <fnm>JS</fnm>
               </au>
            </aug>
            <source>Chem Res Toxicol</source>
            <pubdate>1996</pubdate>
            <volume>9</volume>
            <issue>5</issue>
            <fpage>836</fpage>
            <lpage>44</lpage>
            <note>Review</note>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1021/tx9501445</pubid>
                  <pubid idtype="pmpid" link="fulltext">8828918</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B46">
            <title>
               <p>Formation of nitric oxide-derived inflammatory oxidants by myeloperoxidase in neutrophils</p>
            </title>
            <aug>
               <au>
                  <snm>Eiserich</snm>
                  <fnm>JP</fnm>
               </au>
               <au>
                  <snm>Hristova</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Cross</snm>
                  <fnm>CE</fnm>
               </au>
               <au>
                  <snm>Jones</snm>
                  <fnm>AD</fnm>
               </au>
               <au>
                  <snm>Freeman</snm>
                  <fnm>BA</fnm>
               </au>
               <au>
                  <snm>Halliwell</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>van der Vliet</snm>
                  <fnm>A</fnm>
               </au>
            </aug>
            <source>Nature</source>
            <pubdate>1998</pubdate>
            <volume>391</volume>
            <fpage>393</fpage>
            <lpage>7</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1038/34923</pubid>
                  <pubid idtype="pmpid" link="fulltext">9450756</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B47">
            <title>
               <p>Peroxynitrite-mediated DNA strand breakage activates poly (ADP-ribose) synthetase and causes cellular energy depletion in carrageenan-induced pleurisy</p>
            </title>
            <aug>
               <au>
                  <snm>Cuzzocrea</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Caputi</snm>
                  <fnm>AP</fnm>
               </au>
               <au>
                  <snm>Zingarelli</snm>
                  <fnm>B</fnm>
               </au>
            </aug>
            <source>Immunology</source>
            <pubdate>1998</pubdate>
            <volume>93</volume>
            <fpage>96</fpage>
            <lpage>101</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1046/j.1365-2567.1998.00409.x</pubid>
                  <pubid idtype="pmpid" link="fulltext">9536124</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B48">
            <title>
               <p>Protective effects of 3-aminobenzamide, an inhibitor of poly (ADP-ribose) synthase in carrageenan-induced models of local inflammation</p>
            </title>
            <aug>
               <au>
                  <snm>Cuzzocrea</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Zingarelli</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Gilard</snm>
                  <fnm>E</fnm>
               </au>
               <au>
                  <snm>Hake</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Salzman</snm>
                  <fnm>AL</fnm>
               </au>
               <au>
                  <snm>Szab&#243;</snm>
                  <fnm>C</fnm>
               </au>
            </aug>
            <source>Eur J Pharmacol</source>
            <pubdate>1998</pubdate>
            <volume>342</volume>
            <fpage>67</fpage>
            <lpage>76</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0014-2999(97)01417-9</pubid>
                  <pubid idtype="pmpid" link="fulltext">9544794</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B49">
            <title>
               <p>Cytokines in autoimmunity</p>
            </title>
            <aug>
               <au>
                  <snm>Brennan</snm>
                  <fnm>FM</fnm>
               </au>
               <au>
                  <snm>Feldmann</snm>
                  <fnm>M</fnm>
               </au>
            </aug>
            <source>Curr Opin Immunol</source>
            <pubdate>1996</pubdate>
            <volume>8</volume>
            <fpage>872</fpage>
            <lpage>877</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0952-7915(96)80018-5</pubid>
                  <pubid idtype="pmpid">8994869</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B50">
            <title>
               <p>Cachectin and tumour necrosis factor as two sides of the same biological coin</p>
            </title>
            <aug>
               <au>
                  <snm>Beutler</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Cerami</snm>
                  <fnm>A</fnm>
               </au>
            </aug>
            <source>Nature</source>
            <pubdate>1986</pubdate>
            <volume>320</volume>
            <fpage>584</fpage>
            <lpage>588</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1038/320584a0</pubid>
                  <pubid idtype="pmpid">3010124</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B51">
            <title>
               <p>Function of the p55 tumor necrosis factor receptor "death domain" mediated by phophatidylcholine-specific phospholipase</p>
            </title>
            <aug>
               <au>
                  <snm>Machleidt</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Kramer</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Adam</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>Neumann</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Schutze</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Wiegmann</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Kronke</snm>
                  <fnm>M</fnm>
               </au>
            </aug>
            <source>C J Exp Med</source>
            <pubdate>1996</pubdate>
            <volume>184</volume>
            <fpage>725</fpage>
            <lpage>733</lpage>
            <xrefbib>
               <pubid idtype="doi">10.1084/jem.184.2.725</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B52">
            <title>
               <p>Mice deficient for the 55 kd tumor necrosis factor receptor are resistant to endotoxin shock, yet succumb to L. monocytogenes infection</p>
            </title>
            <aug>
               <au>
                  <snm>Pfeffer</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Matsuyama</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Kundig</snm>
                  <fnm>TM</fnm>
               </au>
               <au>
                  <snm>Wakeham</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Kishihara</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Shahinian</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Wiegmann</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Ohashi</snm>
                  <fnm>PS</fnm>
               </au>
               <au>
                  <snm>Kronke</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Mak</snm>
                  <fnm>TW</fnm>
               </au>
            </aug>
            <source>Cell</source>
            <pubdate>1993</pubdate>
            <volume>73</volume>
            <fpage>457</fpage>
            <lpage>467</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/0092-8674(93)90134-C</pubid>
                  <pubid idtype="pmpid">8387893</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B53">
            <title>
               <p>A new process of cancer prevention mediated through inhbition of tumor necrosis factor &#945;expression</p>
            </title>
            <aug>
               <au>
                  <snm>Suganuma</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Okabe</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Sueoka</snm>
                  <fnm>E</fnm>
               </au>
               <au>
                  <snm>Iida</snm>
                  <fnm>N</fnm>
               </au>
               <au>
                  <snm>Komori</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Kim</snm>
                  <fnm>SJ</fnm>
               </au>
               <au>
                  <snm>Fujiki</snm>
                  <fnm>H</fnm>
               </au>
            </aug>
            <source>Cancer Res</source>
            <pubdate>1996</pubdate>
            <volume>56</volume>
            <fpage>3711</fpage>
            <lpage>3715</lpage>
            <xrefbib>
               <pubid idtype="pmpid">8706012</pubid>
            </xrefbib>
         </bibl>
      </refgrp>
   </bm>
</art>
