Inhibition of Proinflammatory Enzymes and Attenuation of IL-6 in LPS-Challenged RAW 264.7 Macrophages Substantiates the Ethnomedicinal Use of the Herbal Drug Homalium bhamoense Cubitt & W.W.Sm

Commonly used to treat skin injuries in Asia, several Homalium spp. have been found to promote skin regeneration and wound healing. While ethnobotanical surveys report the use of H. bhamoense trunk bark as a wound salve, there are no studies covering bioactive properties. As impaired cutaneous healing is characterized by excessive inflammation, a series of inflammatory mediators involved in wound healing were targeted with a methanol extract obtained from H. bhamoense trunk bark. Results showed concentration-dependent inhibition of hyaluronidase and 5-lipoxygenase upon exposure to the extract, with IC50 values of 396.9 ± 25.7 and 29.0 ± 2.3 µg mL−1, respectively. H. bhamoense trunk bark extract also exerted anti-inflammatory activity by significantly suppressing the overproduction of interleukin 6 (IL-6) in lipopolysaccharide (LPS)-stimulated RAW 264.7 macrophages at concentrations ranging from 125 to 1000 µg mL−1, while leading to a biphasic effect on nitric oxide (NO) and tumor necrosis factor alpha (TNF-α) levels. The phenolic profile was elucidated by HPLC-DAD, being characterized by the occurrence of ellagic acid as the main constituent, in addition to a series of methylated derivatives, which might underlie the observed anti-inflammatory effects. Our findings provide in vitro data on anti-inflammatory ability of H. bhamoense trunk bark, disclosing also potential cutaneous toxicity as assessed in HaCaT keratinocytes.


Introduction
Currently comprising over 70 accepted species listed on The Plant List database (version 1.1 2020; http://www.theplantlist.org), Homalium is a genus of deciduous medium-sized trees with a predominant distribution in temperate and subtropical regions [1]. Several members of the genus have been reported due to their use in folk medicine, but data on the pharmacological properties are generally scant. So far, available studies on Homalium spp. have demonstrated relevant biological activities frequently related to their ethnomedicinal uses, such as antibacterial [2], antidiabetic [3], antinociceptive [4] and anti-inflammatory [3,4].  Table 1.

H. bhamoense Trunk Bark Extract Significantly Inhibits Hyaluronidase and 5-Lipoxygenase
Hyaluronan is a straight-chain glycosaminoglycan carbohydrate polymer detected in all vertebrate tissues, its bulk being produced and deposited in the skin [23]. Its degradation is initiated by hyaluronidases, which leads to the formation of midsized and small fragments having several functional implications, namely acting as distress signals with postulated functions in wound scar formation and accompanying inflammatory responses [12].
In most of the mainstay in vitro assays, hyaluronidase obtained from bovine testes is commonly used, since it is commercially available in a reasonably pure form. In contrast with bacterial hyaluronidases, mostly leading to the production of unsaturated disaccharides with limited biological functions, the oligomers resulting from the enzymatic activity of the vertebrates' homologous display a wide range of size-specific effects [24]. In fact, fold-recognition studies indicate that the catalytic clefts and the active sites are highly conserved between human and bovine hyaluronidases, the latter being structurally representative of all vertebrate hyaluronidases [24].
Our results demonstrate that the methanol extract obtained from H. bhamoense trunk bark significantly interferes with the activity of hyaluronidase from bovine testes, at concentrations ranging from 125 to 1000 µg mL −1 , with an IC50 value of 396.9 ± 25.7 µg mL −1 being recorded. ( Figure  2A). Relevantly, recorded inhibitory effects were stronger than those observed with the well-known  Table 1.

H. bhamoense Trunk Bark Extract Significantly Inhibits Hyaluronidase and 5-Lipoxygenase
Hyaluronan is a straight-chain glycosaminoglycan carbohydrate polymer detected in all vertebrate tissues, its bulk being produced and deposited in the skin [23]. Its degradation is initiated by hyaluronidases, which leads to the formation of midsized and small fragments having several functional implications, namely acting as distress signals with postulated functions in wound scar formation and accompanying inflammatory responses [12].
In most of the mainstay in vitro assays, hyaluronidase obtained from bovine testes is commonly used, since it is commercially available in a reasonably pure form. In contrast with bacterial hyaluronidases, mostly leading to the production of unsaturated disaccharides with limited biological functions, the oligomers resulting from the enzymatic activity of the vertebrates' homologous display a wide range of size-specific effects [24]. In fact, fold-recognition studies indicate that the catalytic clefts and the active sites are highly conserved between human and bovine hyaluronidases, the latter being structurally representative of all vertebrate hyaluronidases [24].
Our results demonstrate that the methanol extract obtained from H. bhamoense trunk bark significantly interferes with the activity of hyaluronidase from bovine testes, at concentrations ranging from 125 to 1000 µg mL −1 , with an IC 50 value of 396.9 ± 25.7 µg mL −1 being recorded. (Figure 2A). Relevantly, recorded inhibitory effects were stronger than those observed with the well-known inhibitor disodium cromoglycate. As some classes of polyphenols have been described as inhibitors of hyaluronidase, the observed effects might be related to the content in ellagic acid derivatives [25]. In a previous study, Kuppusami and Das [25] noted that non-glycosylated derivatives of ellagic acid were able to cause more than 90% of inhibition. Due to the high content of ellagic acid (1) in the methanol extract obtained from H. bhamoense trunk bark (Table 1), it seems plausible to consider that the effects may at least partially derive from the inhibitory capacity of this compound. At active concentrations (750-1000 µg mL −1 ) (Figure 2A), the trunk bark extract was found to exhibit a high content in 1, above the IC 50 value of 1.5 ± 0.1 µg mL −1 recorded by Sgariglia et al. [26]. Partial contribution of 4 cannot be excluded as the methylated derivative is also reported to act as an efficient hyaluronidase inhibitor (IC 50 = 2.3 ± 0.1 µg mL −1 ) [26]. inhibitor disodium cromoglycate. As some classes of polyphenols have been described as inhibitors of hyaluronidase, the observed effects might be related to the content in ellagic acid derivatives [25]. In a previous study, Kuppusami and Das [25] noted that non-glycosylated derivatives of ellagic acid were able to cause more than 90% of inhibition. Due to the high content of ellagic acid (1) in the methanol extract obtained from H. bhamoense trunk bark (Table 1), it seems plausible to consider that the effects may at least partially derive from the inhibitory capacity of this compound. At active concentrations (750-1000 µg mL −1 ) (Figure 2A), the trunk bark extract was found to exhibit a high content in 1, above the IC50 value of 1.5 ± 0.1 µg mL −1 recorded by Sgariglia et al. [26]. Partial contribution of 4 cannot be excluded as the methylated derivative is also reported to act as an efficient hyaluronidase inhibitor (IC50 = 2.3 ± 0.1 µg mL −1 ) [26]. While hyaluronidases are particularly relevant as enzymatic targets on cutaneous repair, 5-LOX has been increasingly found to play also a critical role. The enzyme catalyzes the initial steps in the conversion of arachidonic acid to leukotrienes [27]. The biosynthesis of lipidic mediators is also related to an increased production of ROS [27] and underlies the inflammatory response in wound healing, with the disruption of 5-LOX being found to improve cutaneous healing [10,28]. Furthermore, classical symptoms of inflammation such as pain, reddening and edema of the surrounding tissue during cutaneous wound healing are caused by the release of eicosanoids [29].
While proving to be less effective than the reference inhibitor quercetin (IC50 = 8.3 µg mL −1 ), the trunk bark extract led to a significant decrease in 5-LOX activity with concentration dependence ( Figure 2B). As seen on Figure 2B, the trunk bark extract proved to be active at concentrations as low as 10 µg mL −1 , displaying an IC50 value of 29.0 ± 2.3 µg mL −1 . Ellagic acid derivatives, particularly ellagic acid (1), have been ascribed as anti-inflammatory agents interfering with several inflammatory mediators [30], and while there are no reports on the specific inhibitory effects towards 5-LOX, Kawakami et al. [31] recorded a concentration-dependent inhibition against the 12-lipoxygenase isoform.

Effects on NO Levels and Inflammatory Cytokines in LPS-Stimulated RAW 264.7 Macrophages
In addition to their phagocytic activity, macrophages play a pivotal role in wound healing, namely in the production and release of mediators involved in the transition from the exudative to the proliferative phase, being the most abundant hematopoietic population in intact skin [13]. NO While hyaluronidases are particularly relevant as enzymatic targets on cutaneous repair, 5-LOX has been increasingly found to play also a critical role. The enzyme catalyzes the initial steps in the conversion of arachidonic acid to leukotrienes [27]. The biosynthesis of lipidic mediators is also related to an increased production of ROS [27] and underlies the inflammatory response in wound healing, with the disruption of 5-LOX being found to improve cutaneous healing [10,28]. Furthermore, classical symptoms of inflammation such as pain, reddening and edema of the surrounding tissue during cutaneous wound healing are caused by the release of eicosanoids [29].
While proving to be less effective than the reference inhibitor quercetin (IC 50 = 8.3 µg mL −1 ), the trunk bark extract led to a significant decrease in 5-LOX activity with concentration dependence ( Figure 2B). As seen on Figure 2B, the trunk bark extract proved to be active at concentrations as low as 10 µg mL −1 , displaying an IC 50 value of 29.0 ± 2.3 µg mL −1 . Ellagic acid derivatives, particularly ellagic acid (1), have been ascribed as anti-inflammatory agents interfering with several inflammatory mediators [30], and while there are no reports on the specific inhibitory effects towards 5-LOX, Kawakami et al. [31] recorded a concentration-dependent inhibition against the 12-lipoxygenase isoform.

Effects on NO Levels and Inflammatory Cytokines in LPS-Stimulated RAW 264.7 Macrophages
In addition to their phagocytic activity, macrophages play a pivotal role in wound healing, namely in the production and release of mediators involved in the transition from the exudative to the proliferative phase, being the most abundant hematopoietic population in intact skin [13]. NO generally acts as mediator of skin homeostasis and wound repair, influencing collagen deposition and the strength of incisional wounds. However, increased levels lead to an inflammatory response, subsequently activating the synthesis of additional proinflammatory mediators and the proteolytic degradation of extracellular matrix components that dictate the outcome of tissue repair [12,32]. NO release in immune cells, such as macrophages, is activated either through internal stimuli or environmental stressors [33]. For example, NO synthesis is markedly influenced by hyaluronan, its polydisperse fragments mediating inflammatory cell recruitment and promoting the activation of macrophages, namely inducing the expression of inducible nitric oxide synthase (iNOS) and the subsequent production of NO in the early phase of wound healing [32].
The nitrite (NO 2 − ) accumulated in the culture medium of LPS-challenged RAW 264.7 macrophages was used as an index for NO synthesis. Impact on cellular viability was first assessed, results showing no noticeable cytotoxicity after 24 h treatment at concentrations up to 1000 µg mL −1 ( Figure 3A). Pretreatment with the methanol extract obtained from H. bhamoense trunk bark significantly decreased NO levels induced by LPS down to approximately 79% at the highest concentration tested (p < 0.01) ( Figure 3B). A biphasic effect was observed, as the extract led to a significant increase in NO levels at 250 (p < 0.05) and 500 µg mL −1 (p < 0.01) ( Figure 3B). subsequently activating the synthesis of additional proinflammatory mediators and the proteolytic degradation of extracellular matrix components that dictate the outcome of tissue repair [12,32]. NO release in immune cells, such as macrophages, is activated either through internal stimuli or environmental stressors [33]. For example, NO synthesis is markedly influenced by hyaluronan, its polydisperse fragments mediating inflammatory cell recruitment and promoting the activation of macrophages, namely inducing the expression of inducible nitric oxide synthase (iNOS) and the subsequent production of NO in the early phase of wound healing [32].
The nitrite (NO2 -) accumulated in the culture medium of LPS-challenged RAW 264.7 macrophages was used as an index for NO synthesis. Impact on cellular viability was first assessed, results showing no noticeable cytotoxicity after 24 h treatment at concentrations up to 1000 µg mL −1 ( Figure 3A). Pretreatment with the methanol extract obtained from H. bhamoense trunk bark significantly decreased NO levels induced by LPS down to approximately 79% at the highest concentration tested (p < 0.01) ( Figure 3B). A biphasic effect was observed, as the extract led to a significant increase in NO levels at 250 (p < 0.05) and 500 µg mL −1 (p < 0.01) ( Figure 3B). Results correspond to the mean ± SEM of three independent experiments performed in triplicate (statistical significance: * p < 0.05, ** p < 0.01 and **** p < 0.0001).
The evaluation of antiradical activity in a chemical system showed evidence that the reduction of NO levels might be associated with a pronounced scavenging capacity, as significant effects were observed at concentrations as low as 12.5 µg mL −1 (p < 0.0001) ( Figure 3C). On the basis of the low IC50 value of 51.2 ± 10.9 µg mL −1 (Figure 3C), the strong scavenging capacity upon • NO might contribute to the observed reduction in NO2 − levels recorded in the cell-based assay upon exposure to the extract at the highest concentration tested ( Figure 3B).
Activated macrophages also secrete excessive amounts of inflammatory cytokines, such as TNFα and interleukins, which propagate local inflammation [13]. As such, in addition to NO, production of TNF-α and IL-6 is also frequently employed as criteria to evaluate anti-inflammatory properties, their secretion in the culture of LPS-induced RAW 264.7 macrophages being measured by ELISA assays. The inhibitory effects of H. bhamoense trunk bark extract on the proinflammatory cytokines TNF-α and IL-6 are expressed as relative values (measured as pg cytokine/µg of total protein) and are shown in Figure 4.
A biphasic effect on TNF-α was recorded, characterized by a significant decrease of cytokine levels upon exposure to the extract at 125 µg mL −1 (p < 0.05) in contrast with a significant increase (p < 0.01) at the highest concentration tested ( Figure 4A). In alignment with our results (Figure 4A), ellagic acid (1) may exert a biphasic effect upon TNF-α in RAW 264.7 cells, as Du et al. [34] reported that it is able to attenuate the cytokine protein levels at concentrations ranging from 1 to 50 µM, but did not prove to impact TNF-α production at concentrations higher than 63 µM [35,36]. According to The evaluation of antiradical activity in a chemical system showed evidence that the reduction of NO levels might be associated with a pronounced scavenging capacity, as significant effects were observed at concentrations as low as 12.5 µg mL −1 (p < 0.0001) ( Figure 3C). On the basis of the low IC 50 value of 51.2 ± 10.9 µg mL −1 (Figure 3C), the strong scavenging capacity upon • NO might contribute to the observed reduction in NO 2 − levels recorded in the cell-based assay upon exposure to the extract at the highest concentration tested ( Figure 3B). Activated macrophages also secrete excessive amounts of inflammatory cytokines, such as TNF-α and interleukins, which propagate local inflammation [13]. As such, in addition to NO, production of TNF-α and IL-6 is also frequently employed as criteria to evaluate anti-inflammatory properties, their secretion in the culture of LPS-induced RAW 264.7 macrophages being measured by ELISA assays. The inhibitory effects of H. bhamoense trunk bark extract on the proinflammatory cytokines TNF-α and IL-6 are expressed as relative values (measured as pg cytokine/µg of total protein) and are shown in Figure 4. mediating the stimulation of IL-6 production and other cytokines [13,39]. Cutaneous healing is highly regulated by gradients of different cytokines and inflammatory mediators through an intricate and complex network [39]. For example, iNOS is known to be induced by TNF-α, but generated NO may, in turn, modulate TNF-α release. Previous studies demonstrate that NO interferes with cytokine cascades, namely by inducing TNF-α mRNA in RAW 264.7 macrophages [40], neutralization of radical species being also associated with the reduction of TNF-α levels [38]. Compared with the exposure to LPS, the extract obtained from H. bhamoense trunk bark proved to significantly reduce IL-6 down to levels ranging from 53.7% to 62.1% at the whole range of concentrations (125-1000 µg mL −1 ) ( Figure 4B). While TNF-α induces inflammatory effects by acting directly on multiple target tissues and by inducing other cytokines, such as IL-6 [13], IL-6 also appears to modulate its production. In agreement with our results ( Figure 3B and Figure 4), Marcinkiewicz et al. [41] demonstrated that inhibition of IL-6 leads to an enhancement of NO and TNF-α in mouse macrophages. Furthermore, Deakin et al. [42] reported that IL-6 production was attenuated in NOstimulated mouse macrophages, further suggesting that inhibition of IL-6 by NO may potentiate TNF-α release. The extract obtained from the trunk bark of H. bhamoense exerts significant inhibition upon IL-6 levels in LPS-challenged RAW 264.7 macrophages ( Figure 4B), suggesting that it may impact the initiation of the cutaneous healing response, as the expression of the effector mediator IL-6 is known to be increased after wounding and persists in older wounds [43]. Ellagic acid derivatives might account to the observed effects, as ellagic acid (1) has been reported to significantly decrease IL-6 at the mRNA and protein levels in RAW 264.7 cells stimulated with LPS, at concentrations as low as those found in H. bhamoense trunk bark extract at active concentrations (500 and 1000 µg mL −1 ) ( Table 1 and Figure 4B) [34,44].

Effects in the Viability of Human Keratinocyte HaCaT Cells
Keratinocytes act as the first barrier of protection against external aggressors, being the most common cell type of the human epidermis [45,46]. Besides acting as building blocks of the skin, keratinocytes also play an active role in inflammatory processes, their cellular integrity being A biphasic effect on TNF-α was recorded, characterized by a significant decrease of cytokine levels upon exposure to the extract at 125 µg mL −1 (p < 0.05) in contrast with a significant increase (p < 0.01) at the highest concentration tested ( Figure 4A). In alignment with our results (Figure 4A), ellagic acid (1) may exert a biphasic effect upon TNF-α in RAW 264.7 cells, as Du et al. [34] reported that it is able to attenuate the cytokine protein levels at concentrations ranging from 1 to 50 µM, but did not prove to impact TNF-α production at concentrations higher than 63 µM [35,36]. According to our results, the significant increase on TNF-α levels at 1000 µg mL −1 (p < 0.01) might contribute to the wound healing properties of H. bhamoense trunk bark, as the cytokine plays a pivotal role in the early phase of wound repair. Increased levels of TNF-α empower the activation of macrophages and acquisition of a proinflammatory M1 phenotype, that enables phagocytosis of microbes and scavenging of dead cells and debris, required for proper cutaneous healing [37]. The effects upon TNF-α synergise the recorded impact of H. bhamoense trunk bark towards NO, which has cytostatic, chemotactic and cytotoxic activity against various microorganisms involved in cutaneous infections [38]. TNF-α signalling transiently activates canonical nuclear factor kappa B (NF-κB) target genes, mediating the stimulation of IL-6 production and other cytokines [13,39]. Cutaneous healing is highly regulated by gradients of different cytokines and inflammatory mediators through an intricate and complex network [39]. For example, iNOS is known to be induced by TNF-α, but generated NO may, in turn, modulate TNF-α release. Previous studies demonstrate that NO interferes with cytokine cascades, namely by inducing TNF-α mRNA in RAW 264.7 macrophages [40], neutralization of radical species being also associated with the reduction of TNF-α levels [38].
Compared with the exposure to LPS, the extract obtained from H. bhamoense trunk bark proved to significantly reduce IL-6 down to levels ranging from 53.7% to 62.1% at the whole range of concentrations (125-1000 µg mL −1 ) ( Figure 4B). While TNF-α induces inflammatory effects by acting directly on multiple target tissues and by inducing other cytokines, such as IL-6 [13], IL-6 also appears to modulate its production. In agreement with our results (Figures 3B and 4), Marcinkiewicz et al. [41] demonstrated that inhibition of IL-6 leads to an enhancement of NO and TNF-α in mouse macrophages. Furthermore, Deakin et al. [42] reported that IL-6 production was attenuated in NO-stimulated mouse macrophages, further suggesting that inhibition of IL-6 by NO may potentiate TNF-α release. The extract obtained from the trunk bark of H. bhamoense exerts significant inhibition upon IL-6 levels in LPS-challenged RAW 264.7 macrophages (Figure 4B), suggesting that it may impact the initiation of the cutaneous healing response, as the expression of the effector mediator IL-6 is known to be increased after wounding and persists in older wounds [43]. Ellagic acid derivatives might account to the observed effects, as ellagic acid (1) has been reported to significantly decrease IL-6 at the 7 of 13 mRNA and protein levels in RAW 264.7 cells stimulated with LPS, at concentrations as low as those found in H. bhamoense trunk bark extract at active concentrations (500 and 1000 µg mL −1 ) (Table 1 and Figure 4B) [34,44].

Effects in the Viability of Human Keratinocyte HaCaT Cells
Keratinocytes act as the first barrier of protection against external aggressors, being the most common cell type of the human epidermis [45,46]. Besides acting as building blocks of the skin, keratinocytes also play an active role in inflammatory processes, their cellular integrity being essential to attain a proper cutaneous healing [45]. As such, human epidermal keratinocytes are one of the most appropriate cell lines to evaluate skin biocompatibility and cytotoxicity, monolayer cultures of HaCaT cells being one of the most conventional in vitro models to address topical safety [46].
To determine whether H. bhamoense trunk bark extract might exhibit cutaneous toxicity, spontaneously immortalized human keratinocyte HaCaT cells were used as a model. Viability assay testing was attained at concentrations that scored positively in the enzymatic ( Figure 2) and cell-based assays (Figures 3 and 4), Figure 5 depicting the extract's significant cytotoxicity upon 24 h of exposure solely at 1000 µg mL −1 (p < 0.0001).
Int. J. Mol. Sci. 2020, 21, 2421 7 of 13 essential to attain a proper cutaneous healing [45]. As such, human epidermal keratinocytes are one of the most appropriate cell lines to evaluate skin biocompatibility and cytotoxicity, monolayer cultures of HaCaT cells being one of the most conventional in vitro models to address topical safety [46].
To determine whether H. bhamoense trunk bark extract might exhibit cutaneous toxicity, spontaneously immortalized human keratinocyte HaCaT cells were used as a model. Viability assay testing was attained at concentrations that scored positively in the enzymatic ( Figure 2) and cellbased assays (Figures 3 and 4), Figure 5 depicting the extract's significant cytotoxicity upon 24 h of exposure solely at 1000 µg mL −1 (p < 0.0001). **** Figure 5. Effects of H. bhamoense trunk bark extract on HaCaT cell viability. Results correspond to the mean ± SEM of three independent experiments performed in triplicate (statistical significance: **** p < 0.0001).
Purified water was treated in a Milli-Q water purification system (Millipore, Bedford, MA, USA). Spectrophotometric determinations were performed in a Multiskan™ GO microplate spectrophotometer (Thermo Fisher Scientific Oy, Vantaa, Finland).

Collection of Plant Material and Preparation of Crude Extract
Plant material of H. bhamoense was collected from Wang Man Sub-district, Wat Sing district, Chainat province, Thailand, in March 2015. The plant was identified and authenticated by Dr. Srunya Vajrodaya, Professor of Botany, Faculty of Science, Kasetsart University, Thailand. A voucher specimen of the plant (PCERU_HB1) was deposited at the Phyto-Chemodiversity and Ecology Research Unit, Faculty of Science, Kasetsart University. Samples were air-dried and ground to a fine powder (mean particle size ≤ 910 µm), 2.45 kg (bark) of powdered material being macerated in 5 L of methanol for seven days, at 28 °C. Resulting extract was filtered through Whatman ® grade 1 filtration paper (Sigma Aldrich, St. Louis, MO, USA), concentrated to dryness under reduced pressure in a Büchi Rotavapor ® R-210 (Mumbai, India), and stored at −20 ⁰C protected from light, until analysis.
Purified water was treated in a Milli-Q water purification system (Millipore, Bedford, MA, USA). Spectrophotometric determinations were performed in a Multiskan™ GO microplate spectrophotometer (Thermo Fisher Scientific Oy, Vantaa, Finland).

Collection of Plant Material and Preparation of Crude Extract
Plant material of H. bhamoense was collected from Wang Man Sub-district, Wat Sing district, Chainat province, Thailand, in March 2015. The plant was identified and authenticated by Dr. Srunya Vajrodaya, Professor of Botany, Faculty of Science, Kasetsart University, Thailand. A voucher specimen of the plant (PCERU_HB1) was deposited at the Phyto-Chemodiversity and Ecology Research Unit, Faculty of Science, Kasetsart University. Samples were air-dried and ground to a fine powder (mean particle size ≤ 910 µm), 2.45 kg (bark) of powdered material being macerated in 5 L of methanol for seven days, at 28 • C. Resulting extract was filtered through Whatman ® grade 1 filtration paper (Sigma Aldrich, St. Louis, MO, USA), concentrated to dryness under reduced pressure in a Büchi Rotavapor ® R-210 (Mumbai, India), and stored at −20 • C protected from light, until analysis.

HPLC-DAD Qualitative and Quantitative Analysis
Qualitative and quantitative chromatographic analyses were performed on an analytical HPLC unit (Gilson Medical Electronics, Villiers le Bel, France) coupled with an Agilent 1100 series diode array detector (Agilent Technologies, Waldbronn, Germany). Separation was carried out using a 250 × 4.6 mm, 5 µm, Luna ® 100Å C18 column (Phenomenex, Torrance, CA, USA), chromatographic conditions as those described in Ferreres et al. [22]. Briefly, a mobile phase consisting of 1% formic acid in water (A) and methanol (B) was delivered at a flow rate of 0.8 mL min −1 , starting with 25% B and using a gradient to obtain 35% B at 25 min, 40% B at 40 min, 80% B at 50 min and 80% B at 55 min. The injection volume was 20 µL and the elution was performed at 25 • C. Data processing was performed on Clarity software system 5.04.158 (DataApex Ltd., Prague, Czech Republic). Spectral data were accumulated in the range of 200-700 nm, chromatograms being recorded at 252 nm. Quantitation of the identified compounds was determined from the peak area, using the equation of linear regression obtained from the calibration curve (concentration vs. optical absorbance at 252 nm) ( Table 2) built with five concentrations (in triplicate) of ellagic acid (Extrasynthèse S.A., Genay, France).

Inhibition of Hyaluronidase Activity
Hyaluronidase activity evaluation was carried out spectrophotometrically based on the Morgan-Elson reaction with some modifications [47]. Briefly, 50 µL of plant extract, 50 µL of a stock solution of hyaluronan (HA; 5 mg mL −1 ) and 100 µL of buffer (0.2 M HCOONa, 0.1 M NaCl and 0.2 mg mL −1 bovine serum albumin, pH = 3.68) were added to 200 µL of water, reaction being started with the addition of 50 µL of hyaluronidase from bovine testes (600 U mL −1 ) (Type I-S; EC 3.2.1.35; Sigma-Aldrich, St. Louis, MO, USA) prepared in NaCl 0.9%. The reaction was terminated by adding 25 µL of Borax (0.8 M), and subsequent heating for 3 min at 95 • C. The test tubes were cooled and 750 µL of low acidic solution of p-dimethylaminobenzaldehyde (DMAB) was added. The tubes were incubated at 37 • C for 20 min and the absorbance was measured at 560 nm. Three independent assays were performed in triplicate, results being compared to the reference hyaluronidase inhibitor sodium cromoglycate.

Inhibition of 5-Lipoxygenase Activity
The potential interference with the enzymatic activity of 5-LOX was determined by the linoleic acid oxidation, according to a previously described procedure [48]. Inhibitory reactions were performed at a final volume of 240 µL, containing 200 µL of phosphate buffer (pH = 9), 20 µL of soybean 5-LOX (EC 1.13.11.12; Sigma-Aldrich, St. Louis, MO, USA) and 20 µL of extract. Preincubation at 25 • C was followed by the addition of linoleic acid (20 µL, 4.18 mM), formation of its oxidation product being followed for 3 min. The absorbance was measured spectrophotometrically at 234 nm, and IC 50 values were determined against the known 5-LOX inhibitor quercetin. Each measurement was repeated three times, in triplicate.

Nitric Oxide Radical Scavening Activity
Nitric oxide radical scavenging activity was based on the Griess reaction as in Ferreres et al. [49]. A total of 100 µL sodium nitroprusside (10 mmol L −1 ) in phosphate buffer saline (PBS) was mixed with 100 µL of extract, the mixture being further incubated at 25 • C for 60 min under light. After incubation, 100 µL of Griess reagent (1% sulfanilamide, 2% H 3 PO 4 and 0.1% naphthylethylene diamine hydrochloride) were added, absorbance being measured at 546 nm. Three experiments were performed in triplicate.
3.6. Interference with LPS-Induced NO Production by RAW 264.7 Cells

Cell Viability
The effects on cell viability were assessed through the MTT reduction assay [49]. Briefly, RAW 264.7 murine macrophages (ATTC, LGC Standards S.L.U., Barcelona, Spain) were plated in 96-well culture plates at a density of 2.5 × 10 4 cells well −1 and incubated for 24 h in a water-jacket CO 2 incubator (5% CO 2 , 37 • C; Toreuse model 2428; St. Louis, MO, USA) to reach ca. 80% confluency. The medium was then replaced with 100 µL of plant extract in DMEM and cultured for 24 h. Mitochondrial performance was evaluated through the addition of MTT solution (0.5 mg mL −1 ), the plate being incubated for 90 min at 37 • C. Resulting formazan crystals were dissolved in a mixture of DMSO:isopropanol and absorbance was measured at 560 nm.

Nitrite Assay
Nitrite levels were used as an indicator of the amount of NO, being determined by Griess reagent (1% sulphanilamide and 0.1% N-(naphth-1-yl)ethylenediamine dihydrochloride in 2% H 3 PO 4 ), as described in Ferreres et al. [49]. Briefly, RAW 264.7 murine macrophages were plated into 96-well plates at a density of 3.5 × 10 5 cells mL −1 and incubated until confluent. Cells were then pretreated with different concentrations of the plant extracts for 2 h and stimulated with LPS (1 µg mL −1 ). Plates were further incubated for 22 h at 37 • C, in a humidified atmosphere of 5% CO 2 , absorbance being read at 540 nm. The amount of TNF-α and IL-6 released by the LPS-challenged RAW 264.7 murine macrophages was measured by using mouse IL-6 ELISA MAX™ Deluxe and mouse TNF-α ELISA MAX™ Deluxe kits (BioLegend Inc., San Diego, CA, USA) [48]. RAW 264.7 cells were cultured at a concentration of 3.5 × 10 5 cells mL −1 and incubated for 24 h (37 • C, 5% CO 2 ). After discarding the medium, H. bhamoense trunk bark extract was added to each well at concentrations ranging from 125 to 1000 µg mL −1 and incubated for 24 h. Following post-incubation, the cells were treated with LPS (1 µg mL −1 ) for 24 h, culture supernatant being collected and stored at −80 • C until analyzed.

Total Protein Quantification
Protein concentration was calculated by regression analysis using a standard curve obtained with a solution of bovine serum albumin (BSA), as in Macedo et al. [48]. Colorimetric measurements were attained at 595 nm.

Interference with HaCaT Cells' Viability
The effects on the mitochondrial viability of HaCaT cells were assessed through the MTT reduction assay [50]. Briefly, after treatment with 0.25% trypsin solution (GIBCO, Invitrogen, Grand Island, NY, US), human epidermal HaCaT keratinocytes (ATCC ® ) were seeded into 96-well plates at a density of 1.5 × 10 4 cells well −1 in a water-jacket CO 2 incubator (5% CO 2 , 37 • C; Toreuse model 2428; St. Louis, MO, USA) and grown until reaching ca. 80% confluency after 24h. Then, cells were incubated with 100 µL of plant extract in DMEM GlutaMAX™ and cultured for 24 h. MTT solution (0.5 mg mL −1 ) was added into each well and incubated for 90 min at 37 • C. Subsequently, the MTT solution in each well was removed, with DMSO:isopropanol (3:1) being added. The absorbance was measured at 560 nm. Results correspond to the mean ± SEM of three independent experiments performed in triplicate.

Statistical Analysis
Statistical analysis was performed by using GraphPad Prism 6.01 software (San Diego, CA, USA). The results of the cell-free experiments were expressed as average IC 50 values. The results of the experiments were expressed as mean ± SEM, significance between different groups being determined by one-way analysis of variance (ANOVA), followed by Dunnett's multiple comparison test. p values below 0.05 were considered statistically significant.

Conclusions
In light of the aforementioned information, H. bhamoense trunk bark exhibits significant inhibitory properties upon a series of inflammatory mediators involved in wound healing, calling for additional in vitro assays covering cutaneous regeneration as well as the translation to in vivo models of disease. The extract was able to regulate the inhibitory effects of hyaluronidase and 5-LOX in a concentration-dependent manner and may represent one of the cutaneous wound healing mechanisms of H. bhamoense. Data from cell-based assays revealed that the methanol extract obtained from the trunk bark of the plant has a biphasic impact on the production of NO and TNF-α in RAW 264.7 macrophages, which seems to be related with its use in folk medicine, namely on the elimination of wound debris and on the inhibition of microorganisms underlying cutaneous infections. However, it is worth emphasizing the effects on the release of the proinflammatory cytokine IL-6, potentially hampering inflammatory processes that delay or impair a normal wound healing.
While additional active components remain to be identified, experimental data suggests that ellagic acid and derivatives might contribute to the recorded anti-inflammatory effects.
Results of this study also have provided scientific basis for the traditional use of H. bhamoense, as the trunk bark is expected to accelerate the skin wound healing, as suggested by the enhanced resolution of inflammation in experimental models.