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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article">
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Explor Immunol</journal-id>
<journal-id journal-id-type="publisher-id">EI</journal-id>
<journal-title-group>
<journal-title>Exploration of Immunology</journal-title>
</journal-title-group>
<issn pub-type="epub">2768-6655</issn>
<publisher>
<publisher-name>Open Exploration Publishing</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.37349/ei.2024.00144</article-id>
<article-id pub-id-type="manuscript">1003144</article-id>
<article-categories>
<subj-group>
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Flavonoids, nobiletin, heptamethoxyflavone, and genistein enhance antigen-presenting cell function in vitro</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Tanaka</surname>
<given-names>Yuko</given-names>
</name>
<role content-type="https://credit.niso.org/contributor-roles/investigation/">Investigation</role>
<role content-type="https://credit.niso.org/contributor-roles/visualization/">Visualization</role>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing—original draft</role>
<xref ref-type="aff" rid="I1" />
</contrib>
<contrib contrib-type="author">
<name>
<surname>Nakamoto</surname>
<given-names>Akiko</given-names>
</name>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing—original draft</role>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing—review &amp; editing</role>
<xref ref-type="aff" rid="I1" />
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ohashi</surname>
<given-names>Haruka</given-names>
</name>
<role content-type="https://credit.niso.org/contributor-roles/investigation/">Investigation</role>
<role content-type="https://credit.niso.org/contributor-roles/methodology/">Methodology</role>
<xref ref-type="aff" rid="I1" />
</contrib>
<contrib contrib-type="author">
<name>
<surname>Nakamoto</surname>
<given-names>Mariko</given-names>
</name>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/">Formal analysis</role>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing—original draft</role>
<xref ref-type="aff" rid="I1" />
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sakai</surname>
<given-names>Tohru</given-names>
</name>
<role content-type="https://credit.niso.org/contributor-roles/funding-acquisition/">Funding acquisition</role>
<role content-type="https://credit.niso.org/contributor-roles/investigation/">Investigation</role>
<role content-type="https://credit.niso.org/contributor-roles/supervision/">Supervision</role>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing—original draft</role>
<xref ref-type="aff" rid="I1" />
<xref ref-type="corresp" rid="cor1">
<sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="editor">
<name>
<surname>Malaguarnera</surname>
<given-names>Lucia</given-names>
</name>
<role>Academic Editor</role>
<aff>Università degli Studi di Catania, Italy</aff>
</contrib>
</contrib-group>
<aff id="I1">Department of Public Health and Applied Nutrition, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima 770-8503, Japan</aff>
<author-notes>
<corresp id="cor1">
<bold>
<sup>*</sup>Correspondence:</bold> Tohru Sakai, Department of Public Health and Applied Nutrition, Institute of Biomedical Sciences, Tokushima University Graduate School, Kuramoto-cho 3-18-15, Tokushima 770-8503, Japan. <email>sakai@tokushima-u.ac.jp</email></corresp>
</author-notes>
<pub-date pub-type="ppub">
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>29</day>
<month>05</month>
<year>2024</year>
</pub-date>
<volume>4</volume>
<issue>3</issue>
<fpage>333</fpage>
<lpage>340</lpage>
<history>
<date date-type="received">
<day>15</day>
<month>12</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>29</day>
<month>03</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>© The Author(s) 2024.</copyright-statement>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<license-p>This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">https://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>Aim:</title>
<p id="absp-1">Antigen (Ag) presentation by Ag-presenting cells (APCs) is the first step in the generation of adaptive humoral and cellular immune responses. However, there have been few studies on the effects of flavonoids on APC function. In this study, we examined the effects of five polymethoxyflavones, two isoflavones, and one flavanol on CD11c<sup>+</sup> dendritic cell function.</p>
</sec>
<sec>
<title>Methods:</title>
<p id="absp-2">CD11c<sup>+ </sup>dendritic cells were differentiated from bone marrow cells by culturing with granulocyte macrophage-colony stimulating factor. Cell viability was assessed by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay. The Ag-presenting ability was determined by a mixed lymphocyte reaction assay. Expressions of MHC class II, CD40, CD80, and CD86 molecules on CD11c<sup>+</sup> cells were determined by flow cytometric analysis. Lipopolysaccharide-induced inflammatory cytokines productions were determined by enzyme-linked immunosorbent assay.</p>
</sec>
<sec>
<title>Results:</title>
<p id="absp-3">The flavonoids used in the study did not show strong toxicity to CD11c<sup>+</sup> cells. Nobiletin, heptamethoxyflavone, and genistein enhance Ag-presenting function. Nobiletin and heptamethoxyflavone increased the expression of MHC class II and CD80 molecules. A direct correlation between APC function and lipopolysaccharide-induced cytokine production was not found.</p>
</sec>
<sec>
<title>Conclusions:</title>
<p id="absp-4">The results of the in vitro study indicate that flavonoids, nobiletin, heptamethoxyflavone, and genistein regulate innate dendritic cell function.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Antigen-presenting cells</kwd>
<kwd>citrus flavonoids</kwd>
<kwd>nobiletin</kwd>
<kwd>heptamethoxyflavone</kwd>
<kwd>genistein</kwd>
</kwd-group>
<funding-group>
<award-group id="award001">
<funding-source>
<institution-wrap>
<institution>Kieikai Research Foundation</institution>
<institution-id>10.13039/501100012014</institution-id>
</institution-wrap>
</funding-source>
</award-group>
<award-group id="award002">
<funding-source>
<institution-wrap>
<institution>Fuji Foundation for Protein Research</institution>
<institution-id>10.13039/100009475</institution-id>
</institution-wrap>
</funding-source>
</award-group>
<award-group id="award003">
<funding-source>
<institution-wrap>
<institution>Tojuro Iijima Foundation for Food Science and Technology</institution>
<institution-id>10.13039/501100006089</institution-id>
</institution-wrap>
</funding-source>
</award-group>
</funding-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p id="p-1">Vaccination is a useful strategy for preventing infectious diseases. When individuals are immunized with an exogenous antigen (Ag), the administered Ag is taken up by Ag-presenting cells (APCs) such as dendritic cells and the Ag is presented to helper T cells via MHC class II molecules, resulting in the generation of Ag-specific humoral and cellular immune responses [<xref ref-type="bibr" rid="B1">1</xref>].</p>
<p id="p-2">Polymethoxyflavones (PMFs) are flavonoid compounds that contain more than two methoxyl groups and are almost extensively found in citrus peel [<xref ref-type="bibr" rid="B2">2</xref>]. PMFs have been shown to possess several biological properties including anti-inflammation [<xref ref-type="bibr" rid="B3">3</xref>–<xref ref-type="bibr" rid="B5">5</xref>], anti-obesity [<xref ref-type="bibr" rid="B6">6</xref>], and anti-cancer effect [<xref ref-type="bibr" rid="B7">7</xref>]. We have been examining the effects of PMFs on immune functions. Sudachitin (SUD) is a PMF found in <italic>Citrus sudachi</italic>. Treatment of ovalbumin (OVA)-immunized mice with SUD enhanced OVA-specific interleukin-4 (IL-4) and IL-10 production, resulting in enhancement of humoral immunity. These responses have been shown to contribute to the enhancement of APC function [<xref ref-type="bibr" rid="B8">8</xref>]. We have also examined the effect of PMF nobiletin (NOB) in OVA-immunized mice. NOB enhanced OVA-specific T cell and B cell responses, and the enhancement of their responses might be reflected by the function of APCs [<xref ref-type="bibr" rid="B9">9</xref>].</p>
<p id="p-3">The effects of flavonoids on Ag-presenting function have not been fully studied. In this study, we examined the effect of five PMFs, two isoflavones, and one flavanone on the function of Ag presentation and expression of surface molecules in CD11c<sup>+</sup> dendritic cells.</p>
</sec>
<sec id="s2">
<title>Materials and methods</title>
<sec id="t2-1">
<title>Reagents</title>
<p id="p-4">NOB, natsudaidain (NAT), and heptamethoxyflavone (HMF) were provided by Ushio-Chemix Co. (Shizuoka, Japan). SUD was provided by Ikeda-Yakusou Co. (Tokushima, Japan). Quercetin (QER), hesperidin (HES), genistein (GEN), and daidzein (DAI) were purchased from Funakoshi Co. (Tokyo, Japan). The chemical structures of each flavonoid are shown in <xref ref-type="fig" rid="fig1">Figure 1</xref>.</p>
<fig id="fig1" position="float">
<label>Figure 1</label>
<caption>
<p id="fig1-p-1">Chemical structures of flavonoids used in this study</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="ei-04-1003144-g001.tif" />
</fig>
<p id="p-5">3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) was obtained from Tokyo Chemical Ind. Co., Ltd. (Tokyo, Japan). Lipopolysaccharide (LPS) and granulocyte macrophage-colony stimulating factor (GM-CSF) were obtained from Sigma Co. (MA, USA).</p>
</sec>
<sec id="t2-2">
<title>Mice</title>
<p id="p-6">Eight-week-old female C57BL/6 and BALB/c mice (Japan SLC, Shizuoka, Japan) were maintained under specific pathogen-free conditions with a 12-h light:dark cycle at (25 ± 2)°C and (55 ± 10)% relative humidity. Weight of mice was 20 g to 23 g. All studies were performed in accordance with the ethical guidelines for animal experimentation by the Institute of Biomedical Sciences, Tokushima University, Japan and were approved by the institution review board of the animal ethics committee (T2020-107). Mice were treated with CO<sub>2</sub> for euthanasia.</p>
</sec>
<sec id="t2-3">
<title>Differentiation of CD11<sup>+</sup> dendritic cells and 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay</title>
<p id="p-7">Bone marrow (BM) cells were collected from the femurs of BALB/c mice. BM cells (1 × 10<sup>6</sup> cells/mL) were cultured in the medium supplemented with 10% fetal bovine serum, 50 mmol/L 2-mercaptoethanol, 100 µg/mL streptomycin, 100 U/mL penicillin, and 10 ng/mL GM-CSF for 7 days at 37°C under 5% CO<sub>2</sub>. We confirm that differentiated cells were CD11c<sup>+</sup> cells over 97%. We have evaluated the optimal cell number for MTT assay. The cells (1 × 10<sup>5</sup> cells) were cultured in a 96-well plate with LPS (100 ng/mL) and flavonoids (0, 5, or 10 µmol/L) in a total volume of 100 µL for 24 h. For the last 4 h, 10 µL of MTT solution (5 mg/mL) was added to the wells. After the culture, 100 mL of 10% SDS solution was added and then incubated overnight. The OD value at 550–630 nm was determined by Multiskan GO (Thermo Fisher, MA, USA).</p>
</sec>
<sec id="t2-4">
<title>Flow cytometric analysis</title>
<p id="p-8">For analysis of the expression of co-stimulatory molecules, cells were cultured with LPS and/or 5 µmol/L flavonoids in a 48-well plate for 24 h at 37°C under 5% CO<sub>2</sub>. The cells were stained with phycoerythrin (PE)/Cy5-conjugated anti-mouse CD40 monoclonal antibody (mAb), PE-conjugated anti-mouse I-A/I-E mAb, APC-conjugated anti-mouse CD86 mAb, and FITC-conjugated anti-mouse CD80 mAb for 30 min on ice in the dark. All of the Abs were purchased from eBioscience (CA, USA). Flow cytometric analysis was performed on Guava easyCyte using Guava Incyte software ver 2.7 (Merck Millipore, Darmstadt, Germany). The fluorescence intensity of each molecule was analyzed by gating live cells according to FSC and SSC parameters.</p>
</sec>
<sec id="t2-5">
<title>Mix lymphocyte reaction assay</title>
<p id="p-9">CD4<sup>+</sup> cells were purified from C57BL/6 mouse spleen by CD4<sup>+</sup> T Cell Isolation Kit according to the manufacturer’s instructions (Miltenyi Biotec Inc., Auburn, CA, USA). For determination of the Ag presentation ability, CD11c<sup>+</sup> cells derived from BALB/c mice (2 × 10<sup>4</sup> cells) were cultured with CD4<sup>+</sup> T cells derived from C57BL/6 mice (2 × 10<sup>5</sup> cells) in a 96-well round-bottom plate for 72 h at 37°C under 5% CO<sub>2</sub>. For the last 8 h of culture, 7.2 kBq of [<sup>3</sup>H]TdR was added to the wells, and the amount of [<sup>3</sup>H]TdR incorporated was measured by a scintillation counter (Aloka, Tokyo, Japan).</p>
</sec>
<sec id="t2-6">
<title>Cytokine production</title>
<p id="p-10">CD11c<sup>+</sup> cells were cultured with LPS and/or flavonoids (5 µmol/L) in a 48-well plate for 24 h at 37°C under 5% CO<sub>2</sub>. Tumor necrosis factor-α (TNF-α) and IL-6 in the supernatants were quantified using a mouse TNF-α (eBioscience) and IL-6 (eBioscience) enzyme-linked immunosorbent assay kit according to the manufacturer’s instructions.</p>
</sec>
<sec id="t2-7">
<title>Statistical analysis</title>
<p id="p-11">Data were normal distribution and homogeneity of variance. Data were analyzed using Student’s <italic>t</italic>-test for comparison to the control group. Data are expressed as means ± SD. Differences were considered significant at <italic>P</italic> &lt; 0.05.</p>
</sec>
</sec>
<sec id="s3">
<title>Results</title>
<sec id="t3-1">
<title>Effects of flavonoids on viability of CD11<sup>+</sup> cells</title>
<p id="p-12">First, we determined the viability of CD11<sup>+</sup> cells cultured with each type of flavonoid using the MTT assay. As shown in <xref ref-type="fig" rid="fig2">Figure 2</xref>, some flavonoids significantly decreased the OD value but did not show strong toxicity when cells were cultured with flavonoids at the concentration of 5 µmol/L or 10 µmol/L.</p>
<fig id="fig2" position="float">
<label>Figure 2</label>
<caption>
<p id="fig2-p-1">Viability of dendritic cells treated with flavonoids. Dendritic cells were treated with LPS with or without a flavonoid for 24 h. Cell viability was evaluated by an MTT assay. The values of OD at 550–630 nm are shown. Data are shown as means ± SD. We did same experiment at least three times and representative result is shown in Figure. <sup>*</sup> <italic>P</italic> &lt; 0.05; <sup>**</sup> <italic>P</italic> &lt; 0.01. NOB: nobiletin; SUD: sudachitin; HES: hesperidin; HMF: heptamethoxyflavone; NAT: natsudaidain; QER: quercetin; GEN: genistein; DAI: daidzein; MTT: 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide; LPS: lipopolysaccharide</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="ei-04-1003144-g002.tif" />
</fig>
</sec>
<sec id="t3-2">
<title>Effects of flavonoids on Ag-presenting function</title>
<p id="p-13">We evaluated the Ag-presenting ability of CD11c<sup>+</sup> cells by a mix lymphocyte reaction (MLR) assay. CD4<sup>+</sup> cells derived from C57BL/6 mice recognize allo-Ag on BALB/c mouse CD11c<sup>+</sup> cells and then induce proliferation. As shown in <xref ref-type="fig" rid="fig3">Figure 3A</xref>, NOB, HMF, and GEN enhanced the Ag-presenting ability on CD11<sup>+</sup> dendritic cells. An APC presents Ag to CD4<sup>+</sup> cells via MHC class II molecules, and co-stimulatory molecules, CD40, CD80, and CD86, on APCs enhance these signals. A significant increase in the expression of MHC class II molecule was observed when the cells were cultured with NOB or HMF, while a significant reduction in expression was observed when the cells were cultured with GEN. NOB and HMF also enhanced the expression of CD80. Treatment with a flavonoid tended to decrease expression of CD80 and CD86. Significant decreases in the expression of CD80 and the expression of CD86 were observed when CD11c<sup>+</sup> cells were cultured with HES, NAT, QER, or GEN and with NOB, HMF, NAT, or GEN, respectively (<xref ref-type="fig" rid="fig3">Figure 3B</xref>).</p>
<fig id="fig3" position="float">
<label>Figure 3</label>
<caption>
<p id="fig3-p-1">Effects of flavonoids on APC function. Dendritic cells were treated with LPS with or without a flavonoid for 24 h. The Ag-presenting ability was determined by a mix lymphocyte reaction (MLR) assay as described in the <xref ref-type="sec" rid="s2">Materials and methods</xref> section. (A) CD4 and DC in Figure 3A show response of cells cultured only in each cell population. Expression of MHC class II and co-stimulatory molecules (CD40, CD80, CD86) were determined by flow cytometric analysis; (B) data are shown as means ± SD. We did the same experiment at least three times and the representative result is shown in Figure. <sup>*</sup> significantly increased compared to control (<italic>P</italic> &lt; 0.05); <sup>**</sup> significantly increased compared to control (<italic>P</italic> &lt; 0.01); <sup>#</sup> significantly decreased compared to control (<italic>P</italic> &lt; 0.05); <sup>##</sup> significantly decreased compared to control (<italic>P</italic> &lt; 0.01). MFI: mean fluorescence intensity; APC: antigen-presenting cell; LPS: lipopolysaccharide; MHC: major histocompatibility complex ; NOB: nobiletin; SUD: sudachitin; HES: hesperidin; HMF: heptamethoxyflavone; NAT: natsudaidain; QER: quercetin; GEN: genistein; DAI: daidzein</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="ei-04-1003144-g003.tif" />
</fig>
</sec>
<sec id="t3-3">
<title>Effects of flavonoids on LPS-induced cytokine production</title>
<p id="p-14">Finally, we evaluated LPS-induced signal transduction when cells were treated with NOB, HMF, and GEN by determining the production of inflammatory cytokines. GEN enhanced TNF-α production and NOB decreased IL-6 production in CD11c<sup>+</sup> cells after LPS stimulation (<xref ref-type="table" rid="t1">Table 1</xref>).</p>
<table-wrap id="t1">
<label>Table 1</label>
<caption>
<p id="t1-p-1">TNF-α and IL-6 secretion in LPS-stimulated CD11c<sup>+</sup> cells treated with NOB, HMF, or GEN</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th>
<bold>Group</bold>
</th>
<th>
<bold>TNF-α (ng/mL)</bold>
</th>
<th>
<bold>IL-6 (pg/mL)</bold>
</th>
</tr>
</thead>
<tbody>
<tr>
<td>Control</td>
<td>234 ± 4<sup>*</sup></td>
<td>471 ± 5</td>
</tr>
<tr>
<td>NOB</td>
<td>250 ± 20</td>
<td>390 ± 28<sup>#</sup></td>
</tr>
<tr>
<td>HMF</td>
<td>198 ± 13</td>
<td>431 ± 40</td>
</tr>
<tr>
<td>GEN</td>
<td>327 ± 18<sup>**</sup></td>
<td>432 ± 39</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p id="t1-fn-1">
<sup>*</sup> Mean ± SD; <sup>**</sup> significantly increased compared to control (<italic>P</italic> &lt; 0.01); <sup>#</sup> significantly decreased compared to control (<italic>P</italic> &lt; 0.05). IL-6: interleukin-6; TNF-α: tumor necrosis factor-α; NOB: nobiletin; HMF: heptamethoxyflavone; GEN: genistein; LPS: lipopolysaccharide</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
</sec>
<sec id="s4">
<title>Discussion</title>
<p id="p-15">Flavonoids in plants possess a broad spectrum of biological activities including antioxidant and anti-inflammatory actions [<xref ref-type="bibr" rid="B2">2</xref>]. The anti-inflammatory effects of flavonoids have been extensively studied [<xref ref-type="bibr" rid="B3">3</xref>–<xref ref-type="bibr" rid="B5">5</xref>]. Full protective immunity against a pathogen should be induced by adoptive immunity followed by innate immunity. Presentation of an Ag by dendritic cells to T cells is the first and crucial step for the induction of adaptive immunity [<xref ref-type="bibr" rid="B1">1</xref>]. However, there have been few studies on the effects of flavonoids on APC function. Although we previously examined the effect of PMF SUD and NOB on APC function [<xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B9">9</xref>], we did not comparison of their action to other PMF. To our knowledge, this study is the first study in which the effects of many types of flavonoids on APC function in vitro were examined.</p>
<p id="p-16">We found that NOB, HMF, and GEN enhance the APC function of CD11c<sup>+</sup> dendritic cells (<xref ref-type="fig" rid="fig3">Figure 3A</xref>). We previously found in an in vivo study that mice that had been treated with NOB had higher levels of Ag-specific Th2 type cytokines and Ag-specific Abs than those in control mice [<xref ref-type="bibr" rid="B9">9</xref>]. This study raises the possibility that the enhanced Ag-specific immunity in vivo is correlated the regulation of the Ag-presenting function by NOB. The enhancement of Ag-presenting function by GEN is unexpected because Ag-immunized mice that were administered GEN showed a weak Ag-specific immune response [<xref ref-type="bibr" rid="B10">10</xref>]. It has been shown that GEN tends to inhibit or suppress immune responses. GEN completely inhibits LPS-induced TNF-α production from macrophages in vitro [<xref ref-type="bibr" rid="B11">11</xref>]. In another study, ex vivo TNF-α production from alveolar macrophage was lower in GEN-treated mice than in control mice [<xref ref-type="bibr" rid="B12">12</xref>]. In a dextran sodium sulfate-induced in vivo colitis mouse model, administration of GEN inhibited polarization into inflammatory M1 macrophages and attenuated colitis [<xref ref-type="bibr" rid="B13">13</xref>]. We found that HMF enhances the Ag-presenting ability of CD11c<sup>+</sup> cells (<xref ref-type="fig" rid="fig3">Figure 3A</xref>). NOB, SUD, DSU, NAT, and HMF are classified in PMFs and have many methoxy groups binding flavonoid structures. A number of methoxy groups might contribute to the biological function of PMFs. The numbers of methoxy groups in SUD, NOB, NAT, and HMF are three, six, six, and seven, respectively. The number of methoxy groups is not directly correlated with the function of Ag presentation.</p>
<p id="p-17">Expression of MHC class II and CD80 molecules has been shown to be crucial for Ag presentation [<xref ref-type="bibr" rid="B1">1</xref>]. Flow cytometric analysis showed that the expression of MHC class II and CD80 molecules is increased by both NOB and HMF but not by GEN (<xref ref-type="fig" rid="fig3">Figure 3B</xref>). We cannot explain the dissociation between the Ag-presenting ability and the Ag-presenting-related molecule observed in GEN. Examination of cytokine production showed that GEN enhances TNF-α production in CD11c<sup>+</sup> cells (<xref ref-type="table" rid="t1">Table 1</xref>). Therefore, it is possible that GEN positively regulates DC function. Augmentation of immune cell response by GEN has been reported. Administration of GEN in DO11.10 mice that carried an OVA-specific T cell receptor gene has been shown to enhance OVA-specific IFN-γ and IL-4 production ex vivo [<xref ref-type="bibr" rid="B14">14</xref>]. Although it was shown in that study that DO11.10 mouse splenocytes were stimulated by OVA<sub>323–339</sub> peptide on MHC class II molecules on APCs, it was not examined whether the expression of MHC class II and co-stimulatory molecules changed.</p>
<p id="p-18">A relationship between Ag-presenting ability and MHC class II/CD80 molecule have been shown in both HMF and NOB but not in GEN (<xref ref-type="fig" rid="fig3">Figure 3B</xref>). In co-stimulatory molecules CD40 and CD86, flavonoids tested in this study tended to decrease their expressions (<xref ref-type="fig" rid="fig3">Figure 3B</xref>). We cannot explain why effects of flavonoids on co-stimulatory molecule expressions is different between MHC class II/CD80 and CD40/CD86 (R1, 3).</p>
<p id="p-19">Suppressive effects of flavonoids on APC function have been shown in some studies [<xref ref-type="bibr" rid="B15">15</xref>–<xref ref-type="bibr" rid="B17">17</xref>]. In this study, we used each of the flavonoids at a dose of 5 µmol/L. That dose is less than the doses used in other studies that show suppressive effects of flavonoids on APC function.</p>
<p id="p-20">In this study, we found that some flavonoids can up-regulate APC function in vitro.</p>
</sec>
</body>
<back>
<glossary>
<title>Abbreviations</title>
<def-list>
<def-item>
<term>Ag</term>
<def>
<p>antigen</p>
</def>
</def-item>
<def-item>
<term>APCs</term>
<def>
<p>antigen-presenting cells</p>
</def>
</def-item>
<def-item>
<term>GEN</term>
<def>
<p>genistein</p>
</def>
</def-item>
<def-item>
<term>HMF</term>
<def>
<p>heptamethoxyflavone</p>
</def>
</def-item>
<def-item>
<term>IL-4</term>
<def>
<p>interleukin-4</p>
</def>
</def-item>
<def-item>
<term>LPS</term>
<def>
<p>lipopolysaccharide</p>
</def>
</def-item>
<def-item>
<term>mAb</term>
<def>
<p>monoclonal antibody</p>
</def>
</def-item>
<def-item>
<term>MTT</term>
<def>
<p>3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide</p>
</def>
</def-item>
<def-item>
<term>NAT</term>
<def>
<p>natsudaidain</p>
</def>
</def-item>
<def-item>
<term>NOB</term>
<def>
<p>nobiletin</p>
</def>
</def-item>
<def-item>
<term>OVA</term>
<def>
<p>ovalbumin</p>
</def>
</def-item>
<def-item>
<term>PMFs</term>
<def>
<p>polymethoxyflavones</p>
</def>
</def-item>
<def-item>
<term>SUD</term>
<def>
<p>sudachitin</p>
</def>
</def-item>
<def-item>
<term>TNF-α</term>
<def>
<p>tumor necrosis factor-α</p>
</def>
</def-item>
</def-list>
</glossary>
<sec id="s-suppl" sec-type="supplementary-material">
<title>Supplementary materials</title>
<p>The supplementary material for this article is available at: <uri xlink:href="https://www.explorationpub.com/uploads/Article/file/1003144_sup_1.fcs">https://www.explorationpub.com/uploads/Article/file/1003144_sup_1.fcs</uri>.</p>
<supplementary-material id="SD1" content-type="local-data">
<media xlink:href="1003144_sup_1.fcs" mimetype="application" mime-subtype="fcs"></media>
</supplementary-material>
</sec>
<sec id="s6">
<title>Declarations</title>
<sec>
<title>Acknowledgments</title>
<p>We thank Ushio-Chemix Co. providing nobiletin, heptamethoxyflavone, and natsudaidain and Ikeda-Yakusou Co. for providing sudachitin.</p>
</sec>
<sec>
<title>Author contributions</title>
<p>YT: Investigation, Visualization, Writing—original draft. HO: Investigation, Methodology. AN: Writing—original draft, Writing—review &amp; editing. MN: Formal analysis, Writing—original draft. TS: Funding acquisition, Investigation, Supervision, Writing—original draft. All authors read and approved the submitted version.</p>
</sec>
<sec sec-type="COI-statement">
<title>Conflicts of interest</title>
<p>The authors declare that they have no conflicts of interest.</p>
</sec>
<sec>
<title>Ethical approval</title>
<p>All studies were performed in accordance with the ethical guidelines for animal experimentation by the Institute of Biomedical Sciences, Tokushima University, Japan, and were approved by the institution review board of the animal ethics committee (T2020-107). All studies were also performed in accordance with the Declaration of Helsinki.</p>
</sec>
<sec>
<title>Consent to participate</title>
<p>Not applicable.</p>
</sec>
<sec>
<title>Consent to publication</title>
<p>Not applicable.</p>
</sec>
<sec sec-type="data-availability">
<title>Availability of data and materials</title>
<p>The raw data supporting the conclusions of this manuscript will be made available by the authors, without undue reservation, to any qualified researcher.</p>
</sec>
<sec>
<title>Funding</title>
<p>This study was supported, in part, by JPSS KAKENHI [JP19K1176800, JP22K11701]; by Kieikai Research Foundation; by Fuji Foundation for Protein Research; and by Tojuro Iijima Foundation for Food Science and Technology. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</p>
</sec>
<sec>
<title>Copyright</title>
<p>© The Author(s) 2024.</p>
</sec>
</sec>
<ref-list>
<ref id="B1">
<label>1</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hilligan</surname>
<given-names>KL</given-names>
</name>
<name>
<surname>Ronchese</surname>
<given-names>F</given-names>
</name>
</person-group>
<article-title>Antigen presentation by dendritic cells and their instruction of CD4+ T helper cell responses</article-title>
<source>Cell Mol Immunol</source>
<year iso-8601-date="2020">2020</year>
<volume>17</volume>
<fpage>587</fpage>
<lpage>99</lpage>
<pub-id pub-id-type="doi">10.1038/s41423-020-0465-0</pub-id><pub-id pub-id-type="pmid">32433540</pub-id><pub-id pub-id-type="pmcid">PMC7264306</pub-id></element-citation>
</ref>
<ref id="B2">
<label>2</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Shen</surname>
<given-names>N</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>T</given-names>
</name>
<name>
<surname>Gan</surname>
<given-names>Q</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>L</given-names>
</name>
<name>
<surname>Jin</surname>
<given-names>B</given-names>
</name>
</person-group>
<article-title>Plant flavonoids: classification, distribution, biosynthesis, and antioxidant activity</article-title>
<source>Food Chem</source>
<year iso-8601-date="2022">2022</year>
<volume>383</volume>
<elocation-id>132531</elocation-id>
<pub-id pub-id-type="doi">10.1016/j.foodchem.2022.132531</pub-id><pub-id pub-id-type="pmid">35413752</pub-id></element-citation>
</ref>
<ref id="B3">
<label>3</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Maleki</surname>
<given-names>SJ</given-names>
</name>
<name>
<surname>Grespo</surname>
<given-names>JF</given-names>
</name>
<name>
<surname>Cabanillas</surname>
<given-names>B</given-names>
</name>
</person-group>
<article-title>Anti-inflammatory effect of flavonoids</article-title>
<source>Food Chem</source>
<year iso-8601-date="2019">2019</year>
<volume>299</volume>
<elocation-id>125124</elocation-id>
<pub-id pub-id-type="doi">10.1016/j.foodchem.2019.125124</pub-id><pub-id pub-id-type="pmid">31288163</pub-id></element-citation>
</ref>
<ref id="B4">
<label>4</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>González</surname>
<given-names>R</given-names>
</name>
<name>
<surname>Ballester</surname>
<given-names>I</given-names>
</name>
<name>
<surname>López-Posadas</surname>
<given-names>R</given-names>
</name>
<name>
<surname>Suárez</surname>
<given-names>MD</given-names>
</name>
<name>
<surname>Zarzuelo</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Martínez-Augustin</surname>
<given-names>O</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Effects of flavonoids and other polyphenols on inflammation</article-title>
<source>Crit Rev Food Sci Nutr</source>
<year iso-8601-date="2011">2011</year>
<volume>51</volume>
<fpage>331</fpage>
<lpage>62</lpage>
<pub-id pub-id-type="doi">10.1080/10408390903584094</pub-id><pub-id pub-id-type="pmid">21432698</pub-id></element-citation>
</ref>
<ref id="B5">
<label>5</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wen</surname>
<given-names>K</given-names>
</name>
<name>
<surname>Fang</surname>
<given-names>X</given-names>
</name>
<name>
<surname>Yang</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Yao</surname>
<given-names>Y</given-names>
</name>
<name>
<surname>Nandakumar</surname>
<given-names>KS</given-names>
</name>
<name>
<surname>Salem</surname>
<given-names>ML</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Recent research on flavonoids and their biomedical applications</article-title>
<source>Curr Med Chem</source>
<year iso-8601-date="2021">2021</year>
<volume>28</volume>
<fpage>1042</fpage>
<lpage>66</lpage>
<pub-id pub-id-type="doi">10.2174/0929867327666200713184138</pub-id><pub-id pub-id-type="pmid">32660393</pub-id></element-citation>
</ref>
<ref id="B6">
<label>6</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lee</surname>
<given-names>YS</given-names>
</name>
<name>
<surname>Cha</surname>
<given-names>BY</given-names>
</name>
<name>
<surname>Choi</surname>
<given-names>SS</given-names>
</name>
<name>
<surname>Choi</surname>
<given-names>BK</given-names>
</name>
<name>
<surname>Yonezawa</surname>
<given-names>T</given-names>
</name>
<name>
<surname>Teruya</surname>
<given-names>T</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Nobiletin improves obesity and insulin resistance in high-fat diet-induced obese mice</article-title>
<source>J Nutr Biochem</source>
<year iso-8601-date="2013">2013</year>
<volume>24</volume>
<fpage>156</fpage>
<lpage>62</lpage>
<pub-id pub-id-type="doi">10.1016/j.jnutbio.2012.03.014</pub-id><pub-id pub-id-type="pmid">22898571</pub-id></element-citation>
</ref>
<ref id="B7">
<label>7</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chen</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Nishi</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Morine</surname>
<given-names>Y</given-names>
</name>
<name>
<surname>Yoshikawa</surname>
<given-names>K</given-names>
</name>
<name>
<surname>Tokunaga</surname>
<given-names>T</given-names>
</name>
<name>
<surname>Kashihara</surname>
<given-names>H</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Polymethoxylated flavone sudachitin is a safe anticancer adjuvant that targets glycolysis in cancer-associated fibroblasts</article-title>
<source>Oncol Lett</source>
<year iso-8601-date="2022">2022</year>
<volume>24</volume>
<elocation-id>236</elocation-id>
<pub-id pub-id-type="doi">10.3892/ol.2022.13356</pub-id><pub-id pub-id-type="pmid">35720469</pub-id><pub-id pub-id-type="pmcid">PMC9185147</pub-id></element-citation>
</ref>
<ref id="B8">
<label>8</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mitani</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Minatogawa</surname>
<given-names>Y</given-names>
</name>
<name>
<surname>Nakamoto</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Nakamoto</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Shuto</surname>
<given-names>E</given-names>
</name>
<name>
<surname>Nii</surname>
<given-names>Y</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Sudachitin, polymethoxyflavone from <italic>Citrus sudachi</italic>, enhances antigen-specific cellular and humoral immune responses in BALB/c mice</article-title>
<source>J Clin Biochem Nutr</source>
<year iso-8601-date="2019">2019</year>
<volume>64</volume>
<fpage>158</fpage>
<lpage>63</lpage>
<pub-id pub-id-type="doi">10.3164/jcbn.18-70</pub-id><pub-id pub-id-type="pmid">30936628</pub-id><pub-id pub-id-type="pmcid">PMC6436041</pub-id></element-citation>
</ref>
<ref id="B9">
<label>9</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Nakamoto</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Mitani</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Urayama</surname>
<given-names>K</given-names>
</name>
<name>
<surname>Maki</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Nakamoto</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Shuto</surname>
<given-names>E</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Nobiletin enhances induction of antigen-specific immune responses in BALB/c mice immunized with ovalbumin</article-title>
<source>J Nut Sci Vitaminol</source>
<year iso-8601-date="2020">2020</year>
<volume>65</volume>
<fpage>278</fpage>
<lpage>82</lpage>
<pub-id pub-id-type="doi">10.3177/jnsv.65.278</pub-id><pub-id pub-id-type="pmid">31257269</pub-id></element-citation>
</ref>
<ref id="B10">
<label>10</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kogiso</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Sakai</surname>
<given-names>T</given-names>
</name>
<name>
<surname>Mitsuya</surname>
<given-names>K</given-names>
</name>
<name>
<surname>Komatu</surname>
<given-names>T</given-names>
</name>
<name>
<surname>Yamamoto</surname>
<given-names>S</given-names>
</name>
</person-group>
<article-title>Genistein suppresses antigen-specific immune responses through competition with 17β-estradiol for estrogen receptors in ovalbumin-immunized BALB/c mice</article-title>
<source>Nutrition</source>
<year iso-8601-date="2006">2006</year>
<volume>22</volume>
<fpage>802</fpage>
<lpage>9</lpage>
<pub-id pub-id-type="doi">10.1016/j.nut.2006.04.003</pub-id><pub-id pub-id-type="pmid">16815494</pub-id></element-citation>
</ref>
<ref id="B11">
<label>11</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ji</surname>
<given-names>G</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>Y</given-names>
</name>
<name>
<surname>Yang</surname>
<given-names>Q</given-names>
</name>
<name>
<surname>Cheng</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Hao</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Zhao</surname>
<given-names>X</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Genistein suppresses LPS-induced inflammatory response through inhibiting NF-kB following AMP kinase activation in RAW 264.7 macrophages</article-title>
<source>PLoS One</source>
<year iso-8601-date="2012">2012</year>
<volume>7</volume>
<elocation-id>e53101</elocation-id>
<pub-id pub-id-type="doi">10.1371/journal.pone.0053101</pub-id><pub-id pub-id-type="pmid">23300870</pub-id><pub-id pub-id-type="pmcid">PMC3534028</pub-id></element-citation>
</ref>
<ref id="B12">
<label>12</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Morris</surname>
<given-names>PE</given-names>
</name>
<name>
<surname>Olmstead</surname>
<given-names>LE</given-names>
</name>
<name>
<surname>Howard-Carroll</surname>
<given-names>AE</given-names>
</name>
<name>
<surname>Dickens</surname>
<given-names>GR</given-names>
</name>
<name>
<surname>Goltz</surname>
<given-names>ML</given-names>
</name>
<name>
<surname>Courtney-Shapiro</surname>
<given-names>C</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>
<italic>In vitro</italic> and <italic>in vivo</italic> effects of genistein on murine alveolar macrophage TNFα production</article-title>
<source>Inflammation</source>
<year iso-8601-date="1999">1999</year>
<volume>23</volume>
<fpage>231</fpage>
<lpage>9</lpage>
<pub-id pub-id-type="doi">10.1023/a:1020221919154</pub-id><pub-id pub-id-type="pmid">10392757</pub-id></element-citation>
</ref>
<ref id="B13">
<label>13</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Abron</surname>
<given-names>JD</given-names>
</name>
<name>
<surname>Singh</surname>
<given-names>NP</given-names>
</name>
<name>
<surname>Price</surname>
<given-names>RL</given-names>
</name>
<name>
<surname>Nagarkatti</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Nagarkatti</surname>
<given-names>PS</given-names>
</name>
<name>
<surname>Singh</surname>
<given-names>UP</given-names>
</name>
</person-group>
<article-title>Genistein induces macrophage polarization and systemic cytokine to ameliorate experimental colitis</article-title>
<source>PLoS One</source>
<year iso-8601-date="2018">2018</year>
<volume>13</volume>
<elocation-id>e0199631</elocation-id>
<pub-id pub-id-type="doi">10.1371/journal.pone.0199631</pub-id><pub-id pub-id-type="pmid">30024891</pub-id><pub-id pub-id-type="pmcid">PMC6053137</pub-id></element-citation>
</ref>
<ref id="B14">
<label>14</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sakai</surname>
<given-names>T</given-names>
</name>
<name>
<surname>Kogiso</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Mitsuya</surname>
<given-names>K</given-names>
</name>
<name>
<surname>Komatsu</surname>
<given-names>T</given-names>
</name>
<name>
<surname>Yamamoto</surname>
<given-names>S</given-names>
</name>
</person-group>
<article-title>Genistein enhances antigen-specific cytokine production in female DO11.10 transgenic mice</article-title>
<source>J Nut Sci Vitaminol</source>
<year iso-8601-date="2006">2006</year>
<volume>52</volume>
<fpage>327</fpage>
<lpage>32</lpage>
<pub-id pub-id-type="doi">10.3177/jnsv.52.327</pub-id><pub-id pub-id-type="pmid">17190102</pub-id></element-citation>
</ref>
<ref id="B15">
<label>15</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yum</surname>
<given-names>MK</given-names>
</name>
<name>
<surname>Jun</surname>
<given-names>MY</given-names>
</name>
<name>
<surname>Cho</surname>
<given-names>D</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>TS</given-names>
</name>
</person-group>
<article-title>Suppression of dendritic cells’ maturation and function by daidzein, a phytoestrogen</article-title>
<source>Toxicol Appl Phrmacol</source>
<year iso-8601-date="2011">2011</year>
<volume>257</volume>
<fpage>174</fpage>
<lpage>81</lpage>
<pub-id pub-id-type="doi">10.1016/j.taap.2011.09.002</pub-id><pub-id pub-id-type="pmid">21945492</pub-id></element-citation>
</ref>
<ref id="B16">
<label>16</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Masilamani</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Wei</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Bhatt</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Paul</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Yakir</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Sampson</surname>
<given-names>HA</given-names>
</name>
</person-group>
<article-title>Soybean isoflavones regulate dendritic cell function and suppress allergic sensitization to peanut</article-title>
<source>J Allery Clin Immunol</source>
<year iso-8601-date="2011">2011</year>
<volume>128</volume>
<fpage>1242</fpage>
<lpage>50.E1</lpage>
<pub-id pub-id-type="doi">10.1016/j.jaci.2011.05.009</pub-id><pub-id pub-id-type="pmid">21696815</pub-id></element-citation>
</ref>
<ref id="B17">
<label>17</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lin</surname>
<given-names>W</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>W</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>D</given-names>
</name>
<name>
<surname>Ling</surname>
<given-names>W</given-names>
</name>
</person-group>
<article-title>Quercetin protects against atherosclerosis by inhibiting dendritic cell activation</article-title>
<source>Mol Nutr Food Res</source>
<year iso-8601-date="2017">2017</year>
<volume>61</volume>
<elocation-id>1700031</elocation-id>
<pub-id pub-id-type="doi">10.1002/mnfr.201700031</pub-id><pub-id pub-id-type="pmid">28457022</pub-id></element-citation>
</ref>
</ref-list>
</back>
</article>