in silico interaction of rutin with some immunomodulatory...
TRANSCRIPT
Indian Journal of Biochemistry & Biophysics
Vol. 55, April 2018, pp. 88-94
In silico interaction of rutin with some immunomodulatory targets:
a docking analysis
Aditya Ganeshpurkar1,2,3
& Ajay Saluja1,3
*
1Faculty of Pharmacy, Gujarat Technological University, Chandkheda, Ahmedabad-382 424, Gujarat, India 2Shri Ram Institute of Technology – Pharmacy (SRITP), Madhotal, Jabalpur-482 002, Madhya Pradesh, India
3AR College of Pharmacy, Vallabh Vidyanagar, Gujarat, India
Received 24 September 2017; revised 26 March 2018
The use of plant products as immunomodulator has a long history. Forms eternal era, plant, mineral and animal products
are used as drugs for the treatment of various diseases. The present-day synthetic compounds find their leads in natural
products. The process of immunomodulation retunes the immune system of an individual by restoring routine functions.
Research on immunomodulators from natural sources has been extensively studied for modulation of immune system along
with protection and prevention of diseases. Rutin, a flavonoid has been investigated for its potential immunomodulatory effects.
Increased particle clearance, decreased inflammation, increased leucocyte and antibody production was observed with
administration of rutin in rats. The present study is focused on exploring in silico interaction of rutin with some chemokines and
inflammatory targets. In this study, rutin was docked with TNF-α, IL-1β, IL-6, and NOs. Docking studies revealed the excellent
interaction of rutin with these targets. The result of present study provides insight for the discovery of novel molecules for
immunomodulation and treatment of inflammatory disorders. Findings from the present study show that rutin may interact with
several chemokines and inflammatory mediators. Further studies on rutin and associated flavonoids are necessary to develop
and establish QSAR and QSPR studies which may serve a stepping stone for the development of novel and safe
immunomodulator. Rutin therefore, can be considered for development of an immunomodulatory agent.
Keywords: Docking, Immunomodulatory, Inflammation, Interleukin, Nitric oxide, Prostaglandin
Immune system comprises some immune cells that
include lymphocytes, killer cells, macrophages and
neutrophils that can prevent body against invading
infections. In such event, various interconnected
biomolecular pathways lead to inflammation,
destruction of microbes and promotion of wound
healing process. Innate immunity can be regarded as
the first line of defense that comprises of various
physical, biochemical and cellular components.
Adaptive immunity comprises production of antibodies
that protect the body against pathogen invasion (e.g.,
opsonisation)1. During inflammation, acute phase aids
to fight against the early phase of infection. Chronic
inflammation sometimes may lead to progression of
autoimmune diseases. In chronic inflammation, over
expression of inflammatory cytokines (associated with
abnormal gene expression) is observed. Thus,
inhibition of these over expressed pro-inflammatory
cytokines seems to be beneficial in autoimmune
diseases (viz. rheumatoid arthritis)2. Immuno-active
chemicals produced from macrophages play a vital role
in inflammation. Macrophages when coming in contact
with bacterial endotoxin lipopolysaccharide produce an
array of proinflammatory cytokines which chiefly
include interleukins (IL-1β, and IL-6), tumor necrosis
factor (TNF-α) and other inflammatory mediator viz.
prostaglandin E2 (PG-E2) and nitric oxide (NO)3. In the
case of overactive secretion of these mediators,
sometimes, cardiovascular diseases, autoimmune
diseases, and cancer progression may be observed4.
Nitric oxide (NO) is a pro-inflammatory mediator that
leads to the prognosis of inflammation. Its
overproduction is observed in macrophage (stimulated
due to lipopolysaccharides) and its metabolites are
harmful to cellular integrity5.
Pharmaceuticals from natural source have been used
by humanity since eternal era to treat various diseases.
Chemotherapeutic agents used today have
immunosuppressive and cytotoxic effects that prove
detrimental to the health of individuals. Thus, it seems
to be imperative to search for immunomodulatory
agents from natural origin. In addition to
immunomodulation, these compounds have antiradical
—————
*Correspondence:
Phone: 91-2692-230788
E-mail: [email protected]; [email protected]
GANESHPURKAR & SALUJA: IN SILICO INTERACTION OF RUTIN WITH IMMUNOMODULATORY TARGETS
89
and antioxidant properties6. Flavonoids are
polyphenolic compounds found abundantly in plants.
They are known to exert analgesic, antidiabetic,
antimicrobial and cytotoxic effects7. Rutin is
ubiquitous flavonoid in plants. The term rutin comes
from the plant Ruta graveolens L., which is one of the
most abundant sources of rutin. Buckwheat, raspberry,
blackberry, tomato, fenugreek, tea, and grapes are rich
sources of rutin. Rutin is an antioxidant8,9
and
demonstrated various pharmacological effects on living
systems10
. There are various reports about analgesic
and anti-inflammatory effects11,12
. Recently, rutin was
evaluated for its possible immunomodulatory effects13
whereby protective effects of rutin on cellular, and
humoral effects were seen. Rutin proved itself to be a
novel immunomodulator as the treatment with rutin
caused a significant increase in humoral antibody titer,
increased carbon clearance, and increased leukocyte
count. The present study aims to explore underlying
mechanism of immunomodulation. In this study,
in silico interaction of rutin with various
immunomodulatory cytokines was analysed. Along
with this, the molecular basis of interaction of rutin
NOs was determined.
Materials and Methods
Software
Python 2.7-language was downloaded from
www.python.com, Molecular graphics laboratory
(MGL) tools and AutoDock4.2 was downloaded from
www.scripps.edu, Discovery Studio visualizer 4.1
was downloaded from www.accelerys.com.
Docking
The three-dimensional crystalline structures of
4 proteins were obtained from Protein Data Bank
(http://www.rcsb.org/). These protein were TNF-α
(PDB ID: 2AZ5), IL-1β (PDB ID: 2NVH), IL-6 (PDB
ID: 1P9M) and NOs (PDB ID: 5UO1). The structurally
refined protein .pdb files were converted to .pdbqt files
using grid module of autodock tools 1.5.6. Charges
were assigned to the ions to the proteins manually
wherever necessary. The 2D and 3D chemical
structures of rutin was retrieved (http://pubchem.ncbi.
nlm.nih.gov/). These .sdf and .mol files obtained from
PubChem were converted into .pdb files using Marwin
Sketch (http://www.chemaxon.com/marvin/ sketch/
index.jsp). These .pdb files were converted to .pdbqt
using ligand preparation module of autodock tools
1.5.6. The docking analysis of rutin was carried out
using the Autodock tools (ADT) v1.5.4 and autodock
v4.2 programs. Rutin was docked to all the target
protein complexes with the molecule considered as a
rigid body. The search was carried out with the
Lamarckian Genetic Algorithm; populations of 100
individuals with a mutation rate of 0.02 have been
evolved for ten generations. The remaining parameters
were set as default. The docked structure was then
visualised using Discovery Studio 2016 for obtaining
the binding interactions
Results The four crystal structures of proteins were retrieved
from protein databank. A docking program was
performed to simulate the binding mode to identify the
precise binding sites on various immunomodulatory
targets. Docking studies were carried out on active sites
of five target proteins 2AZ5, 1ITB, 1P9M and 5UO1
with rutin. Figure 1-4 indicates the interaction of rutin
with the active pocket of immunomodulatory targets
which demonstrated minimum binding energy with
targets via non-covalent interaction. The docking of
rutin with TNF-α showed that it showed hydrogen
bonding with the backbone at chain A: Gly-121 while
the sugar moiety also showed hydrogen bonding with
Chain B: Gly121 and Tyr-121. Beside these major
interactions, Flavanol moiety also showed π-amide
interaction with Chain B: Gly-121, Gly-122, and π-π
interaction with Chain A: Tyr-59. The other minor
alkyl and π-alkyl interactions were observed with
ChainB: Leu-57, Leu-94, and Phe-124 respectively
(Fig. 1). Its binding affinity was −5.13 Kcal/mole.
Rutin also showed interaction with IL-1β. Its
polyphenolic flavanol nucleus, as well as sugar units,
showed hydrogen bond interaction with Arg-4, Phe-46,
Gln-48and Lys-103. The sugar provides quite strong
interaction with Arg-4 with three hydrogen bonds. The
Glu-42 also demonstrated π-anion interaction flavanol
nucleus (Fig. 2). The presence of such high number of
hydrogen bonds makes it potential inhibitors of IL-1β.
Further, the docking of rutin with IL-6 showed various
H-bond interactions with helix A and D. These helices
interact with IL-1α receptors. The Asp-34, Ser-37, Lys-
171 and Gln-175 residues have demonstrated multiple
H-bond interactions. Apart from these interactions,
Leu-33, Arg-30 showed π-σ interactions. Asp-30
showed π-cation and Leu-178 demonstrated π-alkyl
interaction (Fig. 3).
Rutin shows various interactions with NOs which
include H-bond interaction with Ser-339, Trp-683,
Val-685, Asp-601 and Hem-801, π-π stacking with
Trp-683, π-σ interaction with Met-341 and π-alkyl
interaction with Met-341 (Fig. 4).
INDIAN J. BIOCHEM. BIOPHYS., VOL. 55, APRIL 2018
90
Discussion Molecular docking is a valid practice which aids to
envisage the principal binding modes of the ligand with
the protein having known three-dimensional structure.
The study focused on binding modes which were
necessary for major structural interaction, and provide
useful information for designing the inhibitors.
Molecular docking is one of the widely explored
techniques which is used to discover potential ligands
for known targets. These compounds can be screened
based on the estimation of free energy binding. The
value of free energy binding signifies the affinity of
drug towards the target. Similarly, lowest inhibition
constant represents the potential compound14
.
Fig. 1 — Molecular docking studies of rutin against TNF-α [(A) 2D-interactions; & (B) 3D-interactions]
Fig. 2 — Molecular docking studies of rutin against IL-1β[(A) 2D-interactions; &(B) 3D-interactions]
GANESHPURKAR & SALUJA: IN SILICO INTERACTION OF RUTIN WITH IMMUNOMODULATORY TARGETS
91
In the present study, TNF-α (PDB ID: 2AZ5), IL-1β
(PDB ID: 1ITB), IL-6 (PDB ID: 1P9M), and NOs
(PDB ID: 1NSI) were analysed for possible interaction
with a flavonoid rutin. Cytokines demonstrate a key
role in the development of inflammation and tissue
destruction leading to progression of inflammatory
diseases. Necrosis factors and interleukins are two
major classes of cytokines involved in the progression
of hyperalgesia. In the present study, TNF-α, IL-1β,
and IL-6 were selected for docking analysis15
. With
Rutin, inhibitory constant for TNF-α was 25.62 µM,
61.42 µM with IL-1β and IL-6 12.35 µM. TNF-α is a
Fig. 3 — Molecular docking studies of rutin against IL-6[(A) 2D-interactions; & (B) 3D-interactions]
Fig. 4 — Molecular docking studies of rutin against NOs [(A) 2D-interactions; & (B) 3D-interactions]
INDIAN J. BIOCHEM. BIOPHYS., VOL. 55, APRIL 2018
92
key regulator of inflammation. Overactivity of this
chemokine is responsible for various inflammatory
diseases like rheumatoid arthritis, ankylosing
spondylitis, inflammatory bowel disease16
. TNFR1
contains a death domain (DD) motif lying towards its
C-terminal involved in death signalling while in case of
TNFR2 no such death motif is present and works
through apoptotic mechanism17
. TNFR2 have a greater
affinity for TNF ligand is colocalised with TNFR1. It
slowly passes ligand to TNFR1 and gets shredded off
the membrane while TNFR1 get internalised showing
its further action. So, the binding of TNF ligand with
TNFR is the critical step. Cunningham et al. showed
the complex between the small molecule TNF inhibitor
and the intact TNF-α trimer results in a 600-fold
accelerated trimer dissociation. The XRD study
showed small molecule inhibitor displaces a subunit of
the trimer to form an inhibitor bound TNF- α dimer
complex. We also docked the rutin on the similar site.
The docking study revealed that rutin mimic similar
interaction to that of 6,7-dimethyl-3-[(methyl
{2-[methyl({1-[3-(trifluoromethyl)phenyl]-1h-indol-3-
yl}methyl)amino]ethyl}amino)methyl]-4h-chromen-4-
one present in actual pdb18
. The study showed that the
rutin at the molecular level might inhibit the trimer
assembly of TNF-α which may be its molecular
mechanism to prevent inflammation. In a study, rutin
pretreatment significantly reduced levels of TNF-α in
LPS stimulated animals19
. Similar protective effects of
rutin on glial cells were observed due to rutin
pretreatment20
. Polygala paniculata L. extract (rich in
rutin) demonstrated IL-1β inhibition21
. Similar
inhibitory effects were seen in present docking studies.
IL-1β along with IL-6 and TNF-α produces
hyperalgesia 22
. During injury, IL-1β promotes
expression of Interleukin-623
.Drugs against TNF-α and
proinflammatory interleukins (IL-1β and Interleukin-6)
seems to be useful against psoriasis, Crohn s disease,
rheumatoid arthritis. In a study, rutin demonstrated
hepatoprotective effects primarily due to suppression of
IL-6 in rat hepatocytes in CCl4 intoxicated animals 24
andhigh-cholesterol-diet-fed rats25
. In the present
study, docking results revealed affinity of rutin towards
IL-6 for the inhibition of later.
Interleukin-1 is a proinflammatory cytokine that
induces acute as well as chronic inflammation through
expression of the various gene. Interleukin-1 has two
isoforms, i.e. IL-1α and IL-1β. It is observed that IL-1β
gene spontaneously expressed. So, inhibiting expressed
IL-1β may manifest to prevent and cure many
inflammatory conditions. IL-1β shows its action by
binding through the Interleukin-1 receptor. The Arg-11
and Gln-15 forms contact with domain two while
His-30 and Gln-32 form contact with domain
1-2 junction of Interleukin-1 receptor26
. The seven
discontinuous residues, i.e. Arg-4, Leu-6, Phe-46, Ile-
56, Lys-93, Lys-103, and Glu-105 together constitute a
binding site in IL-1β which bind to Interleukin-1
receptor27
. Thus, binding of Rutin with some of the
crucial residues of this site may describe one of its
anti-inflammatory mechanism of action.
IL-6 (IL-6), comprises of four-helix bundle linked
by loops with a mini-helix28
. IL-6 is a secreted from
T cells and macrophages which bind to two cell surface
receptors, IL-6Rα and gp130. It is involved in several
chronic inflammatory diseases. The IL-6 forms
association with IL-6α-gp130 leading to the ternary
complex which activates the JAK family (tyrosine
kinases) and the downstream STAT3 transcription
factor29
. The helices A and D, forms N-terminus to
C-terminus, interact with domain-2 and 3 of the
IL-6Rα. The interaction of rutin with domain A and D
leads to a possible inhibitory effect on its action
mediated through, IL-6Rα receptor. Such inhibition
over IL-6 is c by previous study 24
Nitric oxide synthase is an essential class of enzyme
that synthesizes nitric oxide from l-arginine30
. The
Nitric oxide synthase is responsible for NO production
from Arginine. Its activity is controlled by Ca2+
concentration through Ca2+-calmodulin complex. The
expression of TNF-α, IL-1 follows NOs creation. This
enzyme is abundantly found in macrophages and
monocytes at the site of infection or inflammatory
disease 31
. Thus, due to the biosynthesis of nitric oxide,
bacterial growth is prevented, and inflammation is
retarded due to suppression of proliferation of T cells32
.
However excessive production of nitric oxide and
generation of reactive nitrogen intermediates´ is
involved in the progression of many inflammatory
diseases33
. Thus, inhibition of this enzyme may serve a
vital role in the prevention of inflammation. Several
natural products have been studied for inhibition of
inducible nitric oxide synthase; for instance flavonoids
from Tanacetum microphyllum DC, especially Ermanin
and 5,3 -dihydroxy-4 -methoxy-7-methoxycarbonyl
flavonol were most potent inhibitors of this enzyme34
.
In NOs, the arginine urea group forms a bi-dentate
interaction with Glu-377 adjacent to the active site. It is
a site of larger competitive inhibitors that may inhibit
i-NOs35
. Rutin retained all the primary interaction as
GANESHPURKAR & SALUJA: IN SILICO INTERACTION OF RUTIN WITH IMMUNOMODULATORY TARGETS
93
shown by the co-crystallized NOs inhibitor. This
porphyrin ring plays an important role in catalytic
enzyme mechanism. In the present study, in silico
docking studies revealed inhibition of NOs. Thus the
docking interaction of NOs with rutin confirms the
previous results whereby rutin exerted protective
effects, probably by inhibiting NOs in ischemic
reperfusion injury.
Conclusion In the present study, we carried out docking studies
on rutin to various inflammatory and immuno-
modulatory targets, with the purpose to study and
analyze in a silico interaction of former on later. The
results obtained from docking and study of the
interactions of the rutin suggests the ability of rutin to
bind to multiple targets involved in inflammation and
immunomodulation. Rutin interacted with various
chemokines and inflammatory mediators viz. TNF-α,
IL-1β, IL-6, and NOs. With each target, rutin
demonstrated a noteworthy affinity for binding.
Findings from the present study show that rutin may
interact with several chemokines and inflammatory
mediators. Further studies on rutin and associated
flavonoids are necessary to develop and establish
QSAR and QSPR studies which may serve a stepping
stone for the development of novel and safe
immunomodulator.
References 1 Rang HP, Ritter JM, Flower RJ, Henderson G. Rang &
Dale’s Pharmacology, Pharmacology. 8 (2015) 776.
2 Yan ZQ & Hansson GK, Innate immunity, macrophage
activation, and atherosclerosis. Immunol Rev, 219 (2007) 187.
3 Yun KJ, Koh DJ, Kim SH, Park SJ, Ryu JH, Kim DG, Lee JY
& Lee KT, Anti-inflammatory effects of sinapic acid through
the suppression of inducible nitric oxide synthase,
cyclooxygase-2, and proinflammatory cytokines expressions
via nuclear factor-κB inactivation. J Agric Food Chem, 56
(2008) 10265.
4 Franceschi C & Campisi J, Chronic inflammation
(Inflammaging) and its potential contribution to age-
associated diseases. J Gerontol A, 69 (2014) S4.
5 Sharma JN & Al-Omran A, Parvathy SS. Role of nitric oxide
in inflammatory diseases. Inflammopharmacology, 15
(2007) 252.
6 Shaikh S, Ghaisas M, Deshpande A, Karpe S & Manikrao A,
Immunomodulatory activity of ethanolic extract of stem bark
of Bauhinia variegata Linn. Pharmacologyonline, 2
(2011) 164.
7 Rathee P, Chaudhary H, Rathee S, Rathee D, Kumar V & Kohli K,
Mechanism of action of flavonoids as anti-inflammatory agents:
a review. Inflamm Allergy Drug Targets, 8 (2009) 229.
8 Iacopini P, Baldi M, Storchi P & Sebastiani L, Catechin,
epicatechin, quercetin, rutin and resveratrol in red grape:
Content, in vitro antioxidant activity and interactions. J Food
Compos Anal, 21 (2008) 589.
9 Medvidovic-Kosanovic M, Seruga M, Jakobek L & Novak I,
Electrochemical and antioxidant properties of rutin. Collect
Czech Chem Commun, 75 (2010) 547.
10 Ganeshpurkar A & Saluja A, The Pharmacological Potential of
Rutin. Saudi Pharm J, 25 (2017) 149 .
11 Jan S & Khan MR, Antipyretic, analgesic and anti-inflammatory
effects of Kickxia ramosissima. J Ethnopharmacol, 182 (2016) 90.
12 Liao CR, Kao CP, Peng WH, Chang YS, Lai SC & Ho YL,
Analgesic and anti-inflammatory activities of methanol
extract of Ficus pumila L. in mice. Evid Based Complement
Alternat Med, (2012).
13 Ganeshpurkar A & Saluja AK, Protective effect of rutin on
humoral and cell mediated immunity in rat model.
Chem Biol Interact, 273 (2017) 154.
14 Utomo DH, Widodo N & Rifa’i M, Identifications small
molecules inhibitor of p53-mortalin complex for cancer drug
using virtual screening. Bioinformation, 8 (2012) 426.
15 Mateen S, Zafar A, Moin S, Khan AQ & Zubair S,
Understanding the role of cytokines in the pathogenesis of
rheumatoid arthritis. Clin Chim Acta, 455 (2016) 161.
16 Tartaglia LA, Pennica D & Goeddel DV, Ligand passing:
The 75-kDa tumor necrosis factor (TNF) receptor recruits
TNF for signaling by the 55-kDa TNF receptor.
J Biol Chem, 268 (1993) 18542.
17 Declercq W, Vandenabeele P & Fiers W, Dimerization of
chimeric erythropoietin/75 kDa tumour necrosis factor (TNF)
receptors transduces TNF signals: necessity for the 75 kDa-
TNF receptor transmembrane domain. Cytokine, 7
(1995) 701.
18 Cambridge Center C, Small-Molecule Inhibition of TNF-alpha.
Science, 310 (2005) 1022.
19 Malek TR, Castro I. Interleukin-2 receptor signaling: at the
interface between tolerance and immunity. Immunity, 33
(2010) 153.
20 Silva AR, Pinheiro AM, Souza C dos S, Freitas SR-B,
Vasconcellos V, Freire SM,. Velozo ES, Tardy M,. El-Bachá
RS, Costa MFD & Costa SL, The flavonoid rutin induces
astrocyte and microglia activation and regulates TNF-alpha
and NO release in primary glial cell cultures. Cell Biol
Toxicol, 24 (2008) 75.
21 Lapa F da R, Gadotti VM, Missau FC, Pizzolatti MG,
Marques MCA, Dafré AL, Farina M, Rodrigues ALS &
Santos ARS, Antinociceptive properties of the
hydroalcoholic extract and the flavonoid rutin obtained from
Polygala paniculata L. in mice. Basic Clin Pharmacol
Toxicol,104 (2009) 306.
22 Nielsen AN, Mathiesen C & Blackburn-Munro G,
Pharmacological characterisation of acid-induced muscle
allodynia in rats. Eur J Pharmacol, 487 (2004) 93.
23 Kassuya CAL, Silvestre AA, Rehder VLG & Calixto JB,
Anti-allodynic and anti-oedematogenic properties of the
extract and lignans from Phyllanthus amarus in models of
persistent inflammatory and neuropathic pain. Eur J
Pharmacol, 478 (2003)145.
24 Hafez MM, Al-Harbi NO, Al-Hoshani AR, Al-Hosaini KA,
Al Shrari SD, Al Rejaie SS, Ahmed MMS & Al-Shabanah
OA, Hepato-protective effect of rutin via
IL-6/STAT3 pathway in CCl 4-induced hepatotoxicity in
rats. Biol Res, 48 (2015) 30.
INDIAN J. BIOCHEM. BIOPHYS., VOL. 55, APRIL 2018
94
25 AlSharari SD, Al-Rejaie SS, Abuohashish HM, Ahmed MM
& Hafez MM, Rutin attenuates Hepatotoxicity in high-
cholesterol-diet-fed rats. Oxid Med Cell Longev, (2016)
26 Vigers GP, Anderson LJ, Caffes P & Brandhuber BJ, Crystal
structure of the type-I interleukin-1 receptor complexed with
interleukin-1beta. Nature, 386 (1997) 190.
27 Labriola-Tompkins E, Chandran C, Kaffka KL, Biondi D,
Graves BJ, Hatada M, Madison VS, Karas J, Kilian PL & Ju
G, Identification of the discontinuous binding site in human
interleukin 1 beta for the type I interleukin 1 receptor. Proc
Natl Acad Sci U S A, 88 (1991) 11182.
28 Somers W, Stahl M & Seehra JS, 1.9A crystal structure of
interleukin 6: Implications for a novel mode of receptor
dimerization and signaling. EMBO J, 16 (1997) 989.
29 Gelinas AD, Davies DR, Edwards TE, Rohloff JC, Carter JD,
Zhang C, Gupta S, Ishikawa Y, Hirota M, Nakaishi Y, Jarvis
TC & Janjic N, Crystal structure of interleukin-6 in complex
with a modified nucleic acid ligand. J Biol Chem, 289
(2014) 8720.
30 Palmer RMJ, Ashton DS & Moncada S, Vascular endothelial cells
synthesize nitric oxide from L-arginine. Nature, 333 (1988) 664.
31 Kroncke KD, Fehsel K & Kolb-Bachofen V, Inducible nitric
oxide synthase in human diseases. Clin Exp Immunol, 113
(1998) 147.
32 Guo FH, De Raeve HR, Rice TW, Stuehr DJ, Thunnissen FB
& Erzurum SC, Continuous nitric oxide synthesis by
inducible nitric oxide synthase in normal human airway
epithelium in vivo. Proc Natl Acad Sci U S A, 92
(1995) 7809.
33 Quiney C, Dauzonne D, Kern C, Fourneron JD, Izard JC,
Mohammad RM, Kolb JP & Billard, Flavones and
polyphenols inhibit the NO pathway during apoptosis of
leukemia B-cells. Leuk Res, 28 (2004) 851.
34 Gonzalez R, Ballester I, López-Posadas R, Suárez MD,
Zarzuelo A, Martinez-Augustin O & Medina FSD, Effects of
flavonoids and other polyphenols on inflammation. Crit Rev
Food Sci Nutr, 51 (2011) 331.
35 Fischmann TO, Hruza a, Niu XD, Fossetta JD, Lunn CA,
Dolphin E, Prongay AJ, Reichert P, Lundell DJ, Narula SK
& Patricia C, Weber. Structural characterization of nitric
oxide synthase isoforms reveals striking active-site
conservation. Nat Struct Biol, 6 (1999) 233.