Jasminum Sambac - Zahara. M
Jasminum Sambac - Zahara. M
Jasminum Sambac - Zahara. M
DOI: 10.1002/tox.23065
RESEARCH ARTICLE
1
Department of Biological Science and
Technology, College of Biopharmaceutical and Abstract
Food Sciences, China Medical University, Ultraviolet (UV) irradiation is a crucial factor that leads to skin photoaging and results
Taichung, Taiwan
2 in increased DNA damage, oxidative stress, and collagen degradation. Jasmine
Department of Dermatology, Taipei City
Hospital, Renai Branch, Taipei, Taiwan flowers have been utilized as a traditional medicine in Asia to treat various diseases,
3
Department of Cosmetic Applications and including dermatitis, diarrhea, and fever. Furthermore, the fermented broth of Lacto-
Management, Mackay Junior College of
Medicine, Nursing, and Management, Taipei, bacillus rhamnosus has been reported to exert protective effects on the skin. In the
Taiwan present study, jasmine flower extract was fermented with L. rhamnosus. We investi-
4
Department of Health Care Management,
gated the antioxidant and collagen-promoting effects on UVB/H2O2-induced HS68
National Taipei University of Nursing and
Health Sciences, Taipei City, Taiwan dermal fibroblast cell damage. The results indicated that treatment with the fer-
5
Department of Sports Sciences, University of mented flower extracts of Jasminum sambac (F-FEJS) could enhance the viability of
Taipei, Taipei, Taiwan
6
HS68 cells. Furthermore, the UVB/H2O2-induced excessive production of reactive
Institute of Research and Development, Duy
Tan University, Da Nang, Vietnam oxygen species, degradation of collagen, activation of MAPKs, including P38, ERK,
7
Graduate Institute of Biomedical Sciences, and JNK, and premature senescence were remarkably attenuated by F-FEJS in der-
China Medical University, Taichung, Taiwan
mal fibroblast cells. The nuclear accumulation of p-c-jun, which is downstream of
8
Cardiovascular and Mitochondrial Related
Disease Research Center, Hualien Tzu Chi MAPK, and the inactivation of p-smad2/3, which is one of the crucial transcription
Hospital, Buddhist Tzu Chi Medical factors that enhance collagen synthesis, were reversed in response to F-FEJS treat-
Foundation, Hualien, Taiwan
9
ment in UVB/H2O2-exposed cells. Notably, the expression of antioxidant genes, such
Center of General Education, Buddhist Tzu
Chi Medical Foundation, Tzu Chi University of as HO-1, and the nuclear translocation of Nrf2 were further enhanced by F-FEJS in
Science and Technology, Hualien, Taiwan
UVB/H2O2-treated cells. Interestingly, the F-FEJS-induced increase in ARE luciferase
10
Department of Medical Research, China
Medical University Hospital, China Medical
activity indicated the activation of Nrf2/ARE signaling. In conclusion, our findings
University, Taichung, Taiwan demonstrated that F-FEJS can effectively ameliorate UVB/H2O2-induced dermal cell
11
Department of Biotechnology, Asia aging and may be considered a promising ingredient in skin aging therapy.
University, Taichung, Taiwan
Correspondence KEYWORDS
Wei-Wen Kuo, Department of Biological fermented flower extract of Jasminum sambac, H2O2, human skin fibroblast HS68 cells,
Science and Technology, College of
reactive oxygen species, ultraviolet B
Biopharmaceutical and Food Sciences, China
Medical University, No. 91, Hsueh-Shih Road,
Taichung 40402, Taiwan.
Email: [email protected]
Funding information
Academia-Industry Cooperation, Grant/Award
Number: 10742644; China Medical University,
Grant/Award Number: DMR-108-139
Following the primary antibody incubation, the membranes were incu- results were quantified using ImageJ software and were processed using
bated with horseradish peroxidase-conjugated secondary antibodies the Adobe Photoshop.
(anti-rabbit, anti-mouse, or anti-goat IgG) diluted 80 000-fold in the
solution described above for 1 hour. The blots were imaged using an
ImageQuant LAS4000 mini (GE Healthcare Life Sciences, Little 3 | RE SU LT S
Chalfont, UK) with a chemiluminescence substrate.
3.1 | F-FEJS inhibits UVB/H2O2-induced
cytotoxicity in HS68 human dermal fibroblast cells
2.8 | Isolation of nuclear and cytoplasmic extracts
To ensure the safety of the drugs, human dermal fibroblast (HS68)
Nuclear extracts were used to analyze p-Smad2/3, p-c-jun and p-Nrf2 cells were treated with different percentages of F-FEJS, and an MTT
expression. A nuclear/cytosol fractionation kit (Catalog #K266-25, assay was used to assess cell viability. Treatment with different con-
BioVision) was used to separate the nuclear and cytosolic proteins centrations (0%-2.5%, 24 hours) of F-FEJS led to no cytotoxicity in
according to the manufacturer's instructions. After carefully aspirating the HS68 cells (Figure 1A). After exposure to H2O2 (200 μM) or UVB
the supernatant, the cells were resuspended in 200 μL of ice-cold (40 mJ/cm2), cell viability was remarkably decreased to approximately
CEB-A mix (proteinase inhibitor cocktail, DTT), vigorously vortexed at 60%. At 0% to 0.25%, F-FEJS increased cell viability in a dose-
the highest speed for 14 seconds, and incubated on ice for 10 minutes. dependent manner, but decreased cell viability at 5%, in UVB/H2O2-
Eleven microliters of ice-cold CEB-B was added to the tube. After vig- treated HS68 cells (Figure 1B,C). Therefore, 2.5% F-FEJS was reg-
orously vortexing for 5 seconds, the samples were incubated on ice arded as the safe dose in this study.
for 1 minute and then centrifuged at 16 000 g for 5 minutes at 4 C.
Then, the supernatant (cytoplasmic fraction) was carefully aspirated,
and the pellet was resuspended in 100 μL of ice-cold NEB mix (pro- 3.2 | F-FEJS attenuates UVB/H2O2-induced
teinase inhibitor cocktail, DTT) and vigorously vortexed for intracellular ROS production in HS68 cells
15 seconds every 10 minutes for a total of 40 minutes. After
vortexing, the suspension was centrifuged at 16000 g for 10 minutes The increased cell cytotoxicity in response to UVB/H2O2 exposure
at 4 C. The supernatants (nuclear extracts) were stored at −80 C for has been reported to be associated with ROS formation in human skin
further use. dermal fibroblast cells.29 Therefore, we examined the ROS-scavenging
abilities of F-FEJS in HS68 cells. The fibroblast cells were exposed to
H2O2 (200 μM) or UVB (40 mJ/cm2) and treated with 2.5% F-FEJS for
2.9 | Senescence-associated β-galactosidase (SA- 24 hours. DCF-DA staining was used to measure intracellular ROS
β-gal) staining generation and analyzed by fluorescence microscopy or flow cyto-
metry. The fluorescence staining and flow cytometry results indicated
The SA-β-gal staining kit was used to detect senescent HS68 cells that treatment with 2.5% F-FEJS protected HS68 cells from H2O2- or
(#9860, Cell Signaling, Danvers, Massachusetts). HS68 fibroblast cells UVB-induced ROS generation (Figure 2A-C).
were seeded in 4-well slides followed by UVB/H2O2 exposure and F-
FEJS treatment. The culture medium was removed, and the cells were
washed twice with ice-cold PBS. Fixation solution was added and 3.3 | Antiaging effects of F-FEJS on UVB/H2O2-
incubated at RT for 10 minutes. The cells were then washed three induced senescence of HS68 cells
times with ice-cold PBS and incubated with staining solution over-
night. After washing, the cells were photographed under a light micro- Based on the results of ROS inhibition by F-FEJS, we next tested
scope (Olympus DP73, Tokyo, Japan). whether F-FEJS would protect fibroblast cells from UVB- or H2O2-
induced aging. HS68 fibroblast cells were incubated with H2O2 (200 μM)
or UVB (40 mJ/cm2) for 24 hours to induce premature senes-
2.10 | Statistical analysis cence.26,27,30 The levels of aging markers, such as p16, p21, and p53,
were significantly upregulated in the H2O2− or UVB-exposed cells. How-
The statistical analyses were performed using the GraphPad Prism 5 sta- ever, treatment with F-FEJS (0.1%, 0.5%, and 2.5%) led to a dose-
tistical software. Overall significant differences between the means of dependent reduction in these aging-related markers (Figure 3A). In addi-
multiple groups are assessed by analysis of variance. The data were ana- tion, the number of SA-β-Gal-positive cells was higher in the cells treated
lyzed by separate one-way ANOVA. Significant differences between the with UVB or H2O2, while F-FEJS (0.1% and 2.5%) treatment reduced the
individual means were determined by Tukey's tests. The quantitative number of SA-β-Gal-positive cells (Figure 3B). Taken together, the sup-
data are shown as the mean ± SE corresponding to three or more repli- pression of senescence by F-FEJS suggested that it may exert dermo-
cates. A P-value of <.05 was considered statistically significant. All the protective effects against UVB- or H2O2-induced damage.
HO ET AL. 5 of 13
F I G U R E 1 Fermented flower extract of Jasminum sambac (F-FEJS) inhibits UVB/H2O2-induced cytotoxicity in HS68 human dermal fibroblast
cells. (A) HS68 cells were treated with different concentrations of F-FEJS (0, 0.05, 0.10, 0.25, 0.50, 1.0, 2.5, and 5.0%) for 24 hours. (B) HS68 cells
were exposed to H2O2 (200 μM) for 1 hour and then cotreated with different percentages of F-FEJS as indicated for 23 hours. (C) Before UVB
(40 mJ/cm2) exposure, the cells were washed with PBS and placed in 1 mL fresh PBS. The cells were then incubated with F-FEJS at the indicated
concentrations for 24 hours. The cytoprotective effects of F-FEJS were determined by the MTT assay. The control cells were set to 100%
viability. The values shown are the means ± SE. Quantification of the results is shown (n = 3) **P < .01, ***P < .001 vs untreated control cells;
#
P < .05, ##P < .01, ###P < .001 vs H2O2/UVB-treated cells
F I G U R E 2 Fermented flower extract of Jasminum sambac (F-FEJS) attenuates UVB/H2O2-induced intracellular reactive oxygen species (ROS)
production in HS68 cells. HS68 cells were exposed to H2O2 (200 μM) for 1 hour and then cotreated with 2.5% F-FEJS for 23 hours. Before UVB
(40 mJ/cm2) exposure, the cells were washed with PBS, and 1 mL fresh PBS was added. The cells were then incubated with F-FEJS at the
indicated concentrations for 24 hours. (A, B) The intracellular ROS levels were determined with 2',7'–dichlorofluorescin diacetate (DCF-DA)
(5 μM) by using fluorescence microscopy and flow cytometry. (C) Quantification results of % of DCF fluorescence from Figure 2B. The values
shown are the means ± SE. Quantification of the results is shown (n = 3) ***P < .001 vs untreated control cells; ###P < .001 vs H2O2/UVB-treated
cells [Color figure can be viewed at wileyonlinelibrary.com]
6 of 13 HO ET AL.
F I G U R E 4 Inhibitory effects of fermented flower extract of Jasminum sambac (F-FEJS) on UVB/H2O2-induced collagen degradation in HS68
cells. HS68 cells were exposed to H2O2 (200 μM) for 1 hour and then cotreated with (0.1, 0.5, and 2.5%) F-FEJS for 23 hours. Before UVB
(40 mJ/cm2) exposure, the cells were washed with PBS and placed in 1 mL fresh PBS. The cells were then incubated with F-FEJS at the indicated
concentrations for 24 hours. (A, B) Collagen synthesis-related pathway components, such as TGF-β, p-smad2/3, smad2, smad3, COL1A1,
COL3A1, and collagen degradation-related protein MMP-1, were detected by western blot. GAPDH was used as the loading control. The values
shown are the means ± SE. Quantification of the results is shown (n = 3) *P < .05, **P < .01, ***P < .001 vs untreated control cells; #P < .05,
##
P < .01, ###P < .001 vs H2O2/UVB-treated cells
F I G U R E 3 Antiaging effects of Fermented flower extract of Jasminum sambac (F-FEJS) on UVB/H2O2-induced senescence in HS68 cells.
HS68 cells were exposed to H2O2 (200 μM) for 1 hour and then cotreated with (0.1, 0.5, and 2.5%) F-FEJS for 23 hours. Before UVB (40 mJ/cm2)
exposure, the cells were washed with PBS and placed in 1 mL fresh PBS. The cells were then incubated with F-FEJS at the indicated
concentrations for 24 hours. (A, B) The protein levels of p53, p21, and p16 were detected by western blot. GAPDH was used as the loading
control. The values shown are the means ± SE. Quantification of the results is shown (n = 3) *P < .05, **P < .01, ***P < .001 vs untreated control
cells; #P < .05, ##P < .01, ###P < .001 vs H2O2/UVB-treated cells. (C, D) After treatment, the cells were stained with an SA-β-Gal Staining Kit (Cell
Signaling, #9860) to detect the senescence-associated β-gal activity. The positive cells were stained green, indicating senescent cells [Color figure
can be viewed at wileyonlinelibrary.com]
8 of 13 HO ET AL.
To elucidate the effects of F-FEJS on UVB/H2O2-induced collagen In a previous study, MAPK/c-jun activation promoted collagen break-
degradation, we assessed TGFβ/SMAD (collagen synthesis pathways) down by increasing MMP expression in dermal fibroblasts.11 To deter-
and MMP-1 (collagenase) expression in UVB- or H2O2-exposed cells. mine whether F-FEJS could inhibit MMP-1 expression by blocking
Treatment with F-FEJS (0.1%, 0.5%, and 2.5%) led to the inhibition of MAPK and c-jun activation, we examined the levels of phosphorylated
MMP-1 and enhancement of the TGFβ, p-smad2/3, COL1A1, and ERK, JNK, P38 and c-jun. Treatment with F-FEJS (0.1%, 0.5%, and
COL3A1 protein levels in UVB- or H2O2-exposed cells in a dose- 2.5%) led to decreases in the p-ERK, p-JNK, p-P38, and p-c-jun pro-
dependent manner (Figure 4A,B). Our results provide evidence that F- tein levels in UVB- or H2O2-exposed cells in a dose-dependent man-
FEJS can protect UVB- or H2O2-exposed dermal fibroblasts from col- ner (Figure 5A,B). These findings indicate that the upregulation of
lagen degradation by upregulating the components of the TGFβ/ collagen synthesis by F-FEJS was accompanied by the inhibition of
SMAD collagen synthesis pathways. MAPK and c-jun activation.
F I G U R E 5 Effects of fermented flower extract of Jasminum sambac (F-FEJS) on UVB/H2O2-induced MAPK and c-jun activation in HS68 cells.
HS68 cells were exposed to H2O2 (200 μM) for 1 hour and then cotreated with (0.1, 0.5, and 2.5%) F-FEJS for 23 hours. Before UVB (40 mJ/cm2)
exposure, the cells were washed with PBS and placed in 1 mL fresh PBS. The cells were then incubated with F-FEJS at the indicated
concentrations for 24 hours. (A, B) The protein levels of ERK, p-ERK, p38, p-p38, JNK, p-JNK, c-jun, and p-c-jun were detected by western blot.
GAPDH was used as the loading control. The values shown are the means ± SE. Quantification of the results is shown (n = 3) *P < .05, **P < .01,
***
P < .001 vs untreated control cells; #P < .05, ##P < .01, ###P < .001 vs H2O2/UVB-treated cells
HO ET AL. 9 of 13
3.6 | F-FEJS enhances Nrf2/ARE activation and shown in Figure 6A,B, treatment with F-FEJS (0.1%, 0.5%, and 2.5%)
upregulates antioxidant gene expression (HO-1) in enhanced the p-Nrf2 and HO-1 levels in UVB- or H2O2-exposed
HS68 cells cells (Figure 6A,B). It has been reported that after nuclear transloca-
tion, Nrf2 binds to AREs in the promoter regions of several antioxi-
Nrf2 is a well-known transcriptional regulator that modulates antiox- dant genes.32 Next, we transfected a luciferase vector carrying ARE
idant genes, such as HO-1, and plays a critical role in the cyto- sequences. The data showed that F-FEJS (0.1%, 0.25%, 0.5%, 1.0%,
31,32
protective effects against ROS. Therefore, we assume that the and 2.5%) treatment increased the ARE luciferase activities in a
cytoprotective effects of F-FEJS against UVB or H2O2 exposure- dose-dependent manner (Figure 6C). These findings demonstrate
mediated damage may be due to Nrf2/ARE signaling activation. As that the induction of HO-1 occurs through Nrf2/ARE signaling.
F I G U R E 6 Fermented flower extract of Jasminum sambac (F-FEJS) enhances Nrf2/ARE activation and upregulates antioxidant gene
expression (HO-1) in HS68 cells. HS68 cells were exposed to H2O2 (200 μM) for 1 hour and then cotreated with (0.1, 0.5, and 2.5%) F-FEJS for
23 hours. Before UVB (40 mJ/cm2) exposure, the cells were washed with PBS and placed in 1 mL fresh PBS. The cells were then incubated with
F-FEJS at the indicated concentrations for 24 hours. (A, B) The protein levels of Nrf2, p-Nrf2, and HO-1 were detected by western blot. GAPDH
was used as the loading control. (C) HS68 cells were transfected with ARE-luciferase or PGL3 promoter plasmid (PGL) for 1 hour. The cells were
then treated with different percentages of F-FEJS (0, 0.10, 0.25, 0.50, 1.0, and 2.5%) for 23 hours, and the luciferase activity was analyzed. The
values shown are the means ± SE. Quantification of the results is shown (n = 3) *P < .05, ***P < .001 vs only ARE plasmid-treated cells
10 of 13 HO ET AL.
F I G U R E 7 Effects of fermented flower extract of Jasminum sambac (F-FEJS) on the nuclear translocation of p-c-jun, p-smad2/3, and p-Nrf2
in HS68 cells exposed to H2O2/UVB. (A, B) HS68 cells were exposed to H2O2 (200 μM) for 1 hour and then cotreated with (0.1, 0.5, and 2.5%) F-
FEJS for 23 hours. Before UVB (40 mJ/cm2) exposure, the cells were washed with PBS and placed in 1 mL fresh PBS. The cells were then
incubated with F-FEJS at the indicated concentrations for 24 hours. The protein levels of p-c-jun, p-smad2/3, and p-Nrf2 in the cytosolic and
nuclear fractions were estimated by western blot. GAPDH and HDAC1 acted as the internal controls for the cytosolic and nuclear fractions,
respectively [Color figure can be viewed at wileyonlinelibrary.com]
F I G U R E 8 Schematic summarizing the inhibition of UVB/H2O2-induced skin aging by fermented flower extract of Jasminum sambac (F-FEJS)
marked with red arrows in HS68 human dermal fibroblast cells [Color figure can be viewed at wileyonlinelibrary.com]
HO ET AL. 11 of 13
3.7 | Effects of F-FEJS on the nuclear translocation but this increase was reversed following 2.5% F-FEJS treatment,
of p-c-jun, p-smad2/3, and p-Nrf2 in HS68 cells suggesting that F-FEJS may possess ROS scavenging abilities
exposed to UVB or H2O2 (Figure 2).
In response to UVB or H2O2, which are cytotoxic to dermal fibro-
To demonstrate the activation of transcription factors by F-FEJS dur- blasts, cells can exert certain self-defense actions. Nrf2 plays an
ing UVB or H2O2 exposure, we performed nuclear and cytosolic sepa- important role in maintaining cellular redox balance, particularly in
ration to examine the activation of c-jun, smad2/3 and Nrf2. The response to oxidative stress, by activating a variety of defensive pro-
translocation of p-Nrf2 was slightly higher in UVB- or H2O2-exposed teins.40 Accumulating evidence suggests that Nrf2 signaling pathways
cells, while treatment with different doses of F-FEJS (0.1%, 0.5%, and provide cellular protection against UV- or H2O2-induced oxidative
2.5%) further enhanced p-Nrf2 nuclear translocation. Furthermore, damage in skin keratinocytes and fibroblasts.32,41,42 Our results dem-
treatment with F-FEJS resulted in the downregulation of p-c-jun and onstrated that Nrf2 accumulates in the nucleus and that downstream
the upregulation of p-smad2/3 in the nuclear fractions of UVB- or antioxidant genes are slightly increased in HS68 cells exposed to
H2O2-exposed dermal fibroblast cells (Figure 7A,B). Taken together, UVB/H2O2. This finding is similar to our previous study. In either high
our results confirmed that the Nrf2, smad2/3 and c-jun pathways glucose-induced cardiac cell death or H2O2-induced dermal fibroblast
were the three major pathways involved in the attenuation of UVB- cell damage models, this stress eventually leads to ROS formation and
or H2O2-induced senescence, ROS production and collagen degrada- Nrf2 activation.26,43,44 Interestingly, treatment with F-FEJS further
tion in F-FEJS-treated HS68 human dermal fibroblast cells (Figure 8). enhanced antioxidant responses to protect dermal cells from UVB- or
H2O2-induced damage (Figure 6).
Collagen degradation can weaken the stability of the ECM,
4 | DISCUSSION resulting in skin aging.45 MMP-1, which acts as collagenase, is
secreted in response to stimulation by ROS, UV radiation or cyto-
We utilized UVB irradiation and H2O2 treatment to induce ROS gen- kines.46 The promoter regions of MMPs contain AP-1-binding sites,
eration in dermal fibroblast cells. When our skin is exposed to air in and AP-1 is directly downstream of MAPKs, indicating that MAPKs
the environment, it is irradiated by UV light, which consists of approx- could regulate collagen degradation. Furthermore, COL1A1 and
imately 95% UVA (315-400 nm) and only approximately 5% UVB COL2A1 were downregulated by enhancing AP-1 expression.6 Several
(280-315 nm).33 UV irradiation causes the formation of ROS, includ- reports demonstrate that AP-1 can downregulate procollagen genes
• −
ing superoxide ( O2 ), hydrogen peroxide (H2O2) and hydroxyl radical by suppressing TGF-β/SMAD signaling pathways.47 Therefore,
• 34
( OH). Oxidative stress, in turn, can induce DNA damage, resulting inhibiting MAPK/AP-1/MMP activation or promoting collagen synthe-
in skin senescence and inflammation and accelerating malignant tumor sis may be potential mechanisms to prevent skin aging. In the current
formation.35,36 Although UVA is the most abundant in sunlight, UVB study, our findings demonstrated that F-FEJS inhibited UVB/H2O2-
is the main factor that leads to UV-induced skin photodamage due to induced MAPK/AP-1/MMP activation and restored collagen expres-
its high energy. Previous studies reported that UVA irradiation can sion by activating the TGF-β/SMAD pathways (Figures 4, 5, 7).
induce minimal damage to the skin epidermis, and it also takes longer In this study, our results showed that F-FEJS was able to amelio-
to induce severe damage, while UVB irradiation can result in epider- rate UVB- or H2O2-induced dermal fibroblast cell aging by promoting
mal and dermal changes, such as hyperpigmentation, hyperplasia and cell survival, TGF-β/SMAD collagen synthesis pathways, and Nrf2/
psoriasis.37,38 ARE antioxidant signaling pathways and by suppressing MAPK/AP-1/
Various studies have indicated that low doses of UVB or H2O2 MMP activation (Figure 8). Our results indicated that the broth of the
result in dermal fibroblast cell aging rather than apoptosis.39 In this flower extract of J. sambac fermented with L. rhamnosus may be a
study, doses of H2O2 (200 μM) and UVB (40 mJ/cm ) that induce cell
2
potential therapeutic candidate for use in cosmetic agents to protect
aging were chosen. First, we found that F-FEJS treatment did not against UV-induced skin photoaging. Further study will investigate
cause any cytotoxicity (0%-2.5%) but rather substantially increased the protective effects of F-FEJS against UVB irradiation-induced dam-
cell viability in UVB- and H2O2-treated dermal fibroblast cells age in animal models.
(Figure 1). Notably, aging marker expression and SA-β-gal activity
were suppressed by F-FEJS treatment in a dose-dependent manner ACKNOWLEDG MENTS
(Figure 3), indicating that F-FEJS could play a protective role as an This work was supported by China Medical University (DMR-
antiaging agent in human dermal fibroblasts exposed to UVB 108-139) and Academia-Industry Cooperation (10742644). We thank
and H2O2. Dr Being-Sun Wung (Department of Microbiology, Immunology and
The molecular mechanism of skin senescence is very complex. Biopharmaceuticals, National Chiayi University, Chiayi, Taiwan) pro-
Several studies indicate that UV-induced ROS formation may regulate vided the pGL3-ARE plasmid in this study.
various important signaling pathways, which subsequently lead to the
activation and nuclear translocation of transcription factors, including OR CID
AP-1, NF-ĸB, and Nrf2.7 Our results showed that UVB and H2O2 Chih-Yang Huang https://orcid.org/0000-0003-2347-0411
increased the production of intracellular ROS in dermal fibroblast cells, Wei-Wen Kuo https://orcid.org/0000-0002-2097-2240
12 of 13 HO ET AL.
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