Recently, Banhabackchulchunmatang (HMC05) has been implicated as a preventive and/or therapeutic candidate for cardiovascular diseases due to its inhibition of atherosclerosis lesions and its reduction of neointima formation. Knowledge of the mechanism of HMC05 in smooth muscle cells (SMC) is limited. However, SMC may be a potential target for HMC05 therapy because they are supported by the HMC05-mediated preservation of medial smooth muscle cell layers in pathogenic progression. Therefore, in the present study, we hypothesized that the effect of HMC05 is associated with reduced nicotinamide adenine dinucleotide phosphate (NAD(P)H):quinone oxidoreductase-1 (NQO-1) gene regulation, which precipitates an antioxidant effect in SMC. HMC05 significantly increased NQO-1 gene expression in a dose-and time-dependent manner. The reactive oxygen species-mediated toxicity that was generated by xanthine/xanthine oxidase was suppressed by HMC05. The knockdown of the NQO-1 gene abrogated the HMC05-mediated cytoprotection. Key words HMC05; isoprenylation; smooth muscle cell; reduced nicotinamide adenine dinucleotide phosphate (NAD(P)H):quinone oxidoreductase-1 (NQO-1) HMC05 is a water extract of Banhabackchulchunmatang that has been used for headaches and hypertension in traditional herbal medicines.1) A pilot study on the reduction of blood pressure by HMC05 was performed in a randomized, single-blind cross over trial.2) Recently, HMC05 was demonstrated to lead to potent inhibition of atherosclerosis lesions in high-fat and high-cholesterol-fed apoE-knockout mice, which was partially attributed to anti-inflammatory effects.3) Neointimal formation was also reduced by HMC05 via the inhibition of PDGF-mediated cellular signaling in balloon-injured carotid arteries.1) Therefore, HMC05 is a candidate for anti-atherosclerosis agent that has also been used as an herbal medicine. HMC05 shows no toxicity in humans and is standardized based on berberine and hesperidin. Interestingly, the medial smooth muscle cell layer was preserved via the administration of HMC05 at both balloon injury sites and atherosclerotic lesions; this indicates that smooth muscle cells (SMC) may be a promising target of HMC05 for the prevention of cardiovascular diseases.Reactive oxygen species (ROS) play a critical role in pathophysiology of vascular disease.4) ROS production in atherosclerotic lesions accelerates the migration of SMC from the media to the intima, which leads to the development of a fibrous thickened layer. SMC are therefore promising in targeting vascular redox signaling to prevent ROS. Reduced nicotinamide adenine dinucleotide phosphate (NAD(P) H): quinone oxidoreductase-1 (NQO-1) (EC 1.6.99.2) is a homodimeric flavoprotein that catalyzes a two-electron reduction of electrophilic quinone substrates.5) Inducible NQO-1 expression plays a major role as a potential O 2 â · scavenger in SMC.
6)Several phytochemicals inhibiting oxidative stress have a beneficial effect in atherosclerosis and restenosis via their direct antioxidant actions. 7-9) Th...