Anti-obesity effect of fermented lemon peel on high-fat diet-induced obese mice by modulating the inflammatory response
Yanni Pan
Department of Food Science and Biotechnology, Cha University, Seongnam, South Korea
Chongqing Collaborative Innovation Center for Functional Food, Chongqing Engineering Research Center of Functional Food, Chongqing Engineering Laboratory for Research and Development of Functional Food, Chongqing University of Education, Chongqing, China
Contribution: Writing - original draft
Search for more papers by this authorJingyu Tan
Chongqing Key Laboratory of Translational Research for Cancer Metastasis and Individualized Treatment, Chongqing University Cancer Hospital & Chongqing Cancer Institute & Chongqing Cancer Hospital, Chongqing, China
Contribution: Writing - original draft
Search for more papers by this authorXingyao Long
Department of Food Science and Biotechnology, Cha University, Seongnam, South Korea
Chongqing Collaborative Innovation Center for Functional Food, Chongqing Engineering Research Center of Functional Food, Chongqing Engineering Laboratory for Research and Development of Functional Food, Chongqing University of Education, Chongqing, China
Contribution: Data curation
Search for more papers by this authorRuokun Yi
Chongqing Collaborative Innovation Center for Functional Food, Chongqing Engineering Research Center of Functional Food, Chongqing Engineering Laboratory for Research and Development of Functional Food, Chongqing University of Education, Chongqing, China
Contribution: Methodology
Search for more papers by this authorCorresponding Author
Xin Zhao
Chongqing Collaborative Innovation Center for Functional Food, Chongqing Engineering Research Center of Functional Food, Chongqing Engineering Laboratory for Research and Development of Functional Food, Chongqing University of Education, Chongqing, China
Correspondence
Kun-Young Park, Department of Food Science and Biotechnology, Cha University, Seongnam, Gyeonggi-do, 13488, South Korea.
Email: [email protected]
Xin Zhao, Chongqing Collaborative Innovation Center for Functional Food, Chongqing University of Education, Chongqing, 400067, China.
Email: [email protected]
Contribution: Writing - review & editing
Search for more papers by this authorCorresponding Author
Kun-Young Park
Department of Food Science and Biotechnology, Cha University, Seongnam, South Korea
Chongqing Collaborative Innovation Center for Functional Food, Chongqing Engineering Research Center of Functional Food, Chongqing Engineering Laboratory for Research and Development of Functional Food, Chongqing University of Education, Chongqing, China
Correspondence
Kun-Young Park, Department of Food Science and Biotechnology, Cha University, Seongnam, Gyeonggi-do, 13488, South Korea.
Email: [email protected]
Xin Zhao, Chongqing Collaborative Innovation Center for Functional Food, Chongqing University of Education, Chongqing, 400067, China.
Email: [email protected]
Contribution: Writing - review & editing
Search for more papers by this authorYanni Pan
Department of Food Science and Biotechnology, Cha University, Seongnam, South Korea
Chongqing Collaborative Innovation Center for Functional Food, Chongqing Engineering Research Center of Functional Food, Chongqing Engineering Laboratory for Research and Development of Functional Food, Chongqing University of Education, Chongqing, China
Contribution: Writing - original draft
Search for more papers by this authorJingyu Tan
Chongqing Key Laboratory of Translational Research for Cancer Metastasis and Individualized Treatment, Chongqing University Cancer Hospital & Chongqing Cancer Institute & Chongqing Cancer Hospital, Chongqing, China
Contribution: Writing - original draft
Search for more papers by this authorXingyao Long
Department of Food Science and Biotechnology, Cha University, Seongnam, South Korea
Chongqing Collaborative Innovation Center for Functional Food, Chongqing Engineering Research Center of Functional Food, Chongqing Engineering Laboratory for Research and Development of Functional Food, Chongqing University of Education, Chongqing, China
Contribution: Data curation
Search for more papers by this authorRuokun Yi
Chongqing Collaborative Innovation Center for Functional Food, Chongqing Engineering Research Center of Functional Food, Chongqing Engineering Laboratory for Research and Development of Functional Food, Chongqing University of Education, Chongqing, China
Contribution: Methodology
Search for more papers by this authorCorresponding Author
Xin Zhao
Chongqing Collaborative Innovation Center for Functional Food, Chongqing Engineering Research Center of Functional Food, Chongqing Engineering Laboratory for Research and Development of Functional Food, Chongqing University of Education, Chongqing, China
Correspondence
Kun-Young Park, Department of Food Science and Biotechnology, Cha University, Seongnam, Gyeonggi-do, 13488, South Korea.
Email: [email protected]
Xin Zhao, Chongqing Collaborative Innovation Center for Functional Food, Chongqing University of Education, Chongqing, 400067, China.
Email: [email protected]
Contribution: Writing - review & editing
Search for more papers by this authorCorresponding Author
Kun-Young Park
Department of Food Science and Biotechnology, Cha University, Seongnam, South Korea
Chongqing Collaborative Innovation Center for Functional Food, Chongqing Engineering Research Center of Functional Food, Chongqing Engineering Laboratory for Research and Development of Functional Food, Chongqing University of Education, Chongqing, China
Correspondence
Kun-Young Park, Department of Food Science and Biotechnology, Cha University, Seongnam, Gyeonggi-do, 13488, South Korea.
Email: [email protected]
Xin Zhao, Chongqing Collaborative Innovation Center for Functional Food, Chongqing University of Education, Chongqing, 400067, China.
Email: [email protected]
Contribution: Writing - review & editing
Search for more papers by this authorYanni Pan and Jingyu Tan contributed equally to this work.
Abstract
Inflammation is a characteristic of obesity. The rich compounds in lemon peel have anti-inflammatory effects. This study examined whether fermented lemon peel can have an anti-obesity effect on obese mice induced by a high-fat diet (HFD) by regulating inflammation. The lemon peel fermentation supernatant (LPFS) could inhibit the weight gain of mice and improve the lesions of the liver and epididymal adipose tissue. In addition, LPFS regulates blood lipids, liver function, and inflammation-related indicators in the serum of obese mice. LPFS plays a positive role in regulating the inflammation and obesity-related genes in liver tissue and adipose tissue of obese mice. High-performance liquid chromatography showed an increase in the contents of compounds with antioxidant or/and anti-inflammatory effects and compounds with anti-obesity effects. These results suggest that the LPFS could help reduce obesity in obese mice induced by an HFD by adjusting the balance of the inflammatory response.
Practical applications
Obesity often increases the risk of chronic diseases, and mild inflammation is a feature of obesity. Therefore, timely suppression of inflammation in the body can help control the occurrence of obesity. This study clarified the anti-obesity effect of fermented lemon peel on a high-fat diet (HFD)-induced obese mice by regulating the body's inflammatory response and confirmed that fermentation improves the anti-inflammatory activity of lemon peel. This study provides important references for future investigation, prophylaxis, and treatment of inflammation and obesity-related diseases, as well as the advances in functional foods and fermented foods with anti-inflammatory and anti-obesity activities.
CONFLICT OF INTEREST
The authors declared that they have no conflict of interest.
Open Research
DATA AVAILABILITY STATEMENT
The data that support the findings of this study are available on request from the corresponding author.
REFERENCES
- Aggarwal, V., Tuli, H. S., Thakral, F., Singhal, P., Aggarwal, D., Srivastava, S., Pandey, A., Sak, K., Varol, M., Khan, M. A., & Sethi, G. (2020). Molecular mechanisms of action of hesperidin in cancer: Recent trends and advancements. Experimental Biology and Medicine (Maywood, N.J.), 245(5), 486–497. https://doi.org/10.1177/1535370220903671
- Akdis, C. A., & Blaser, K. (2001). Mechanisms of interleukin-10-mediated immune suppression. Immunology, 103(2), 131–136. https://doi.org/10.1046/j.1365-2567.2001.01235.x
- Askarpour, M., Hadi, A., Miraghajani, M., Symonds, M. E., Sheikhi, A., & Ghaedi, E. (2020). Beneficial effects of L-carnitine supplementation for weight management in overweight and obese adults: An updated systematic review and dose-response meta-analysis of randomized controlled trials. Pharmacological Research, 151, 104554. https://doi.org/10.1016/j.phrs.2019.104554
- Bing, C. (2015). Is interleukin-1beta a culprit in macrophage-adipocyte crosstalk in obesity? Adipocytes, 4(2), 149–152. https://doi.org/10.4161/21623945.2014.979661
- Borghi, S. M., Carvalho, T. T., Staurengo-Ferrari, L., Hohmann, M. S., Pinge-Filho, P., Casagrande, R., & Verri, W. A., Jr. (2013). Vitexin inhibits inflammatory pain in mice by targeting TRPV1, oxidative stress, and cytokines. Journal of Natural Products, 76(6), 1141–1149. https://doi.org/10.1021/np400222v
- Calder, P. C., Ahluwalia, N., Brouns, F., Buetler, T., Clement, K., Cunningham, K., Esposito, K., Jönsson, L. S., Kolb, H., Lansink, M., Marcos, A., Margioris, A., Matusheski, N., Nordmann, H., O'Brien, J., Pugliese, G., Rizkalla, S., Schalkwijk, C., Tuomilehto, J., … Winklhofer-Roob, B. M. (2011). Dietary factors and low-grade inflammation in relation to overweight and obesity. British Journal of Nutrition, 106(S3), S1–S78. https://doi.org/10.1017/S0007114511005460
- Carlsen, H., Haugen, F., Zadelaar, S., Kleemann, R., Kooistra, T., Drevon, C. A., & Blomhoff, R. (2009). Diet-induced obesity increases NF-kappaB signaling in reporter mice. Genes & Nutrition, 4(3), 215–222. https://doi.org/10.1007/s12263-009-0133-6
- Choi, E. W., Lee, M., Song, J. W., Kim, K., Lee, J., Yang, J., Lee, S. H., Kim, I. Y., Choi, J. H., & Seong, J. K. (2020). Fas mutation reduces obesity by increasing IL-4 and IL-10 expression and promoting white adipose tissue browning. Scientific Reports, 10(1), 12001. https://doi.org/10.1038/s41598-020-68971-7
- Choi, J. S., Kim, J. H., Ali, M. Y., Min, B. S., Kim, G. D., & Jung, H. A. (2014). Coptis chinensis alkaloids exert anti-adipogenic activity on 3T3-L1 adipocytes by downregulating C/EBP-alpha and PPAR-gamma. Fitoterapia, 98, 199–208. https://doi.org/10.1016/j.fitote.2014.08.006
- Chu, H., & Kim, J. (2018). Anti-obesity effect of Fructus Pyri Pyrifoliae extract fermented by lactic-acid bacteria on rats. Applied Microscopy, 48(3), 62–72. https://doi.org/10.9729/am.2018.48.3.62
10.9729/am.2018.48.3.62 Google Scholar
- Cinti, S., Mitchell, G., Barbatelli, G., Murano, I., Ceresi, E., Faloia, E., .Wang, S., Fortier, M., Greenberg, A.S., & Obin, M. S. (2005). Adipocyte death defines macrophage localization and function in adipose tissue of obese mice and humans. Journal of Lipid Research, 46(11), 2347–2355. https://doi.org/10.1194/jlr.M500294-JLR200
- Deenonpoe, R., Prayong, P., Thippamom, N., Meephansan, J., & Na-Bangchang, K. (2019). Anti-inflammatory effect of naringin and sericin combination on human peripheral blood mononuclear cells (hPBMCs) from patient with psoriasis. BMC Complementary and Alternative Medicine, 19(1), 168. https://doi.org/10.1186/s12906-019-2535-3
- Dhanavade, M. J., Jalkute, C. B., Ghosh, J. S., & Sonawane, K. D. (2011). Study antimicrobial activity of lemon (Citrus lemon L.) peel extract. British Journal of Pharmacology and Toxicology, 2(3), 119–122.
- Duval, C., Teixeira-Clerc, F., Leblanc, A. F., Touch, S., Emond, C., Guerre-Millo, M., Lotersztajn, S., Barouki, R., Aggerbeck, M., & Coumoul, X. (2017). Chronic exposure to low doses of dioxin promotes liver fibrosis development in the C57BL/6J diet-induced obesity mouse model. Environmental Health Perspectives, 125(3), 428–436. https://doi.org/10.1289/EHP316
- Enogieru, A. B., Haylett, W., Hiss, D. C., Bardien, S., & Ekpo, O. E. (2018). Rutin as a potent antioxidant: Implications for neurodegenerative disorders. Oxidative Medicine and Cellular Longevity, 2018, 6241017. https://doi.org/10.1155/2018/6241017
- Farooqi, I. S., Matarese, G., Lord, G. M., Keogh, J. M., Lawrence, E., Agwu, C., Sanna, V., Jebb, S. A., Perna, F., Fontana, S., Lechler, R. I., DePaoli, A. M., & O'Rahilly, S. (2002). Beneficial effects of leptin on obesity, T cell hyporesponsiveness, and neuroendocrine/metabolic dysfunction of human congenital leptin deficiency. Journal of Clinical Investigation, 110(8), 1093–1103. https://doi.org/10.1172/JCI15693
- Ferreira, P. S., Manthey, J. A., Nery, M. S., Spolidorio, L. C., & Cesar, T. B. (2020). Low doses of eriocitrin attenuate metabolic impairment of glucose and lipids in ongoing obesogenic diet in mice. Journal Nutritional Science, 9, e59. https://doi.org/10.1017/jns.2020.52
- Flier, J. S. (1995). The adipocyte: Storage depot or node on the energy information superhighway? Cell, 80(1), 15–18. https://doi.org/10.1016/0092-8674(95)90445-x
- Gregor, M. F., & Hotamisligil, G. S. (2011). Inflammatory mechanisms in obesity. Annual Review of Immunology, 29, 415–445. https://doi.org/10.1146/annurev-immunol-031210-101322
- Kim, H. J., You, M. K., Lee, Y. H., Kim, H. J., Adhikari, D., & Kim, H. A. (2018). Red pepper seed water extract inhibits preadipocyte differentiation and induces mature adipocyte apoptosis in 3T3-L1 cells. Nutrition Research and Practice, 12(6), 494–502. https://doi.org/10.4162/nrp.2018.12.6.494
- Kim, N.-Y., Thomas, S. S., Hwang, D.-I., Lee, J.-H., Kim, K.-A., & Cha, Y.-S. (2021). Anti-obesity effects of Morus alba L. and Aronia melanocarpa in a high-fat diet-induced obese C57BL/6J mouse model. Food, 10(8), 1914. https://doi.org/10.3390/foods10081914
- Kobayasi, R., Akamine, E. H., Davel, A. P., Rodrigues, M. A., Carvalho, C. R., & Rossoni, L. V. (2010). Oxidative stress and inflammatory mediators contribute to endothelial dysfunction in high-fat diet-induced obesity in mice. Journal of Hypertension, 28(10), 2111–2119. https://doi.org/10.1097/HJH.0b013e32833ca68c
- Lee, J. S., Chang, P. Y., Zhang, Y., Kizer, J. R., Best, L. G., & Howard, B. V. (2017). Triglyceride and HDL-C dyslipidemia and risks of coronary heart disease and ischemic stroke by glycemic dysregulation status: The strong heart study. Diabetes Care, 40(4), 529–537. https://doi.org/10.2337/dc16-1958
- Lee, Y. S., Li, P., Huh, J. Y., Hwang, I. J., Lu, M., Kim, J. I., Ham, M., Talukdar, S., Chen, A., Lu, W. J., Bandyopadhyay, G. K., Schwendener, R., Olefsky, J., & Kim, J. B. (2011). Inflammation is necessary for long-term but not short-term high-fat diet-induced insulin resistance. Diabetes, 60(10), 2474–2483. https://doi.org/10.2337/db11-0194
- Li, G., Rouseff, R., Cheng, Y., Zhou, Q., & Wu, H. (2021). Comprehensive identification and distribution pattern of 37 oxygenated heterocyclic compounds in commercially important citrus juices. LWT, 152, 112351. https://doi.org/10.1016/j.lwt.2021.112351
- Li, Y., Goto, T., Yamakuni, K., Takahashi, H., Takahashi, N., Jheng, H. F., Nomura, W., Taniguchi, M., Baba, K., Murakami, S., & Kawada, T. (2016). 4-Hydroxyderricin, as a PPAR gamma agonist, promotes adipogenesis, adiponectin secretion, and glucose uptake in 3T3-L1 cells. Lipids, 51(7), 787–795. https://doi.org/10.1007/s11745-016-4154-9
- Liang, W. H., Chang, T. W., & Charng, Y. C. (2018). Effects of drying methods on contents of bioactive compounds and antioxidant activities of Angelica dahurica. Food Science and Biotechnology, 27(4), 1085–1092. https://doi.org/10.1007/s10068-018-0359-4
- Liu, X., Tu, Y., Wang, Y., Zhou, D., Chong, Y., Shi, L., Liu, G., Zhang, X., Wu, S., Li, H., Gao, S., Niu, M., & Yu, R. (2020). Reversible inhibitor of CRM1 sensitizes glioblastoma cells to radiation by blocking the NF-κB signaling pathway. Cancer Cell International, 20(1), 1–12. https://doi.org/10.1186/s12935-020-01186-y
- Liu, X. N. (2020). Comparison of four blocking methods for eliminating autofluorescence of mouse liver frozen sections. Academic Journal of Second Military Medical University, 12, 871–875.
- Mu, J., Zhang, J., Zhou, X., Zalan, Z., Hegyi, F., Takács, K., Ibrahim, A., Awad, S., Wu, Y., Zhao, X., & Du, M. (2020). Effect of Lactobacillus plantarum KFY02 isolated from naturally fermented yogurt on the weight loss in mice with high-fat diet-induced obesity via PPAR-α/γ signaling pathway. Journal of Functional Foods, 75, 104264. https://doi.org/10.1016/j.jff.2020.104264
- Olefsky, J. M., & Glass, C. K. (2010). Macrophages, inflammation, and insulin resistance. Annual Review of Physiology, 72, 219–246. https://doi.org/10.1146/annurev-physiol-021909-135846
- Ormazabal, V., Nair, S., Elfeky, O., Aguayo, C., Salomon, C., & Zuniga, F. A. (2018). Association between insulin resistance and the development of cardiovascular disease. Cardiovascular Diabetology, 17(1), 122. https://doi.org/10.1186/s12933-018-0762-4
- Ouchfoun, M., Eid, H. M., Musallam, L., Brault, A., Li, S., Vallerand, D., Arnason, J. T., & Haddad, P. S. (2016). Labrador tea (Rhododendron groenlandicum) attenuates insulin resistance in a diet-induced obesity mouse model. European Journal of Nutrition, 55(3), 941–954. https://doi.org/10.1007/s00394-015-0908-z
- Ouchi, N., Parker, J. L., Lugus, J. J., & Walsh, K. (2011). Adipokines in inflammation and metabolic disease. Nature Reviews Immunology, 11(2), 85–97. https://doi.org/10.1038/nri2921
- Pan, Y., Long, X., Yi, R., & Zhao, X. (2018). Polyphenols in Liubao tea can prevent CCl(4)-induced hepatic damage in mice through its antioxidant capacities. Nutrients, 10(9), 1280. https://doi.org/10.3390/nu10091280
- Pan, Y., Wang, H., Tan, F., Yi, R., Li, W., Long, X., Mu, J., & Zhao, X. (2020). Lactobacillus plantarum KFY02 enhances the prevention of CCl4-induced liver injury by transforming geniposide into genipin to increase the antioxidant capacity of mice. Journal of Functional Foods, 73, 104128. https://doi.org/10.1016/j.jff.2020.104128
- Papanicolaou, D. A., Wilder, R. L., Manolagas, S. C., & Chrousos, G. P. (1998). The pathophysiologic roles of interleukin-6 in human disease. Annals of Internal Medicine, 128(2), 127–137. https://doi.org/10.7326/0003-4819-128-2-199801150-00009
- Pestka, S., Krause, C. D., Sarkar, D., Walter, M. R., Shi, Y., & Fisher, P. B. (2004). Interleukin-10 and related cytokines and receptors. Annual Review of Immunology, 22, 929–979. https://doi.org/10.1146/annurev.immunol.22.012703.104622
- Pi-Sunyer, F. X. (1991). Health implications of obesity. American Journal Clinical Nutrition, 53, 1595S–1603S.
- Raza, H., John, A., & Howarth, F. C. (2012). Alterations in glutathione redox metabolism, oxidative stress, and mitochondrial function in the left ventricle of elderly Zucker diabetic fatty rat heart. International Journal of Molecular Sciences, 13(12), 16241–16254. https://doi.org/10.3390/ijms131216241
- Rocha, V. Z., & Folco, E. J. (2011). Inflammatory concepts of obesity. International Journal of Inflammation, 2011, 529061. https://doi.org/10.4061/2011/529061
- Rocha, V. Z., Folco, E. J., Sukhova, G., Shimizu, K., Gotsman, I., Vernon, A. H., & Libby, P. (2008). Interferon-gamma, a Th1 cytokine, regulates fat inflammation: A role for adaptive immunity in obesity. Circulation Research, 103(5), 467–476. https://doi.org/10.1161/CIRCRESAHA.108.177105
- Shimizu, C., Wakita, Y., Inoue, T., Hiramitsu, M., Okada, M., Mitani, Y., Segawa, S., Tsuchiya, Y., & Nabeshima, T. (2019). Effects of lifelong intake of lemon polyphenols on aging and intestinal microbiome in the senescence-accelerated mouse prone 1 (SAMP1). Science Reports, 9(1), 3671. https://doi.org/10.1038/s41598-019-40253-x
- Speakman, J. R. (2019). Use of high-fat diets to study rodent obesity as a model of human obesity. International Journal of Obesity, 43(8), 1491–1492. https://doi.org/10.1038/s41366-019-0363-7
- Tack, C. J., Stienstra, R., Joosten, L. A., & Netea, M. G. (2012). Inflammation links excess fat to insulin resistance: The role of the interleukin-1 family. Immunological Reviews, 249(1), 239–252. https://doi.org/10.1111/j.1600-065X.2012.01145.x
- Tinh, N. T. T., Sitolo, G. C., Yamamoto, Y., & Suzuki, T. (2021). Citrus Limon peel powder reduces intestinal barrier defects and inflammation in a colitic murine experimental model. Food, 10(2), 240. https://doi.org/10.3390/foods10020240
- Tsao, C. H., Shiau, M. Y., Chuang, P. H., Chang, Y. H., & Hwang, J. (2014). Interleukin-4 regulates lipid metabolism by inhibiting adipogenesis and promoting lipolysis. Journal of Lipid Research, 55(3), 385–397. https://doi.org/10.1194/jlr.M041392
- Wu, Y., Sun, H., Yi, R., Tan, F., & Zhao, X. (2021). Anti-obesity effect of Liupao tea extract by modulating lipid metabolism and oxidative stress in high-fat-diet-induced obese mice. Journal of Food Science, 86(1), 215–227. https://doi.org/10.1111/1750-3841.15551
- Xiao, S., Liu, W., Bi, J., Liu, S., Zhao, H., Gong, N., Xing, D., Gao, H., & Gong, M. (2018). Anti-inflammatory effect of hesperidin enhances chondrogenesis of human mesenchymal stem cells for cartilage tissue repair. Journal of Inflammation-London, 15, 14. https://doi.org/10.1186/s12950-018-0190-y
- Xie, Y., Li, J., Kang, R., & Tang, D. (2020). Interplay between lipid metabolism and autophagy. Frontiers in Cell and Developmental Biology, 8, 431. https://doi.org/10.3389/fcell.2020.00431
- Xu, J. G., Hu, Q. P., & Liu, Y. (2012). Antioxidant and DNA-protective activities of chlorogenic acid isomers. Journal of Agricultural and Food Chemistry, 60(46), 11625–11630. https://doi.org/10.1021/jf303771s
- Yudkin, J. S., Stehouwer, C. D., Emeis, J. J., & Coppack, S. W. (1999). C-reactive protein in healthy subjects: Associations with obesity, insulin resistance, and endothelial dysfunction: A potential role for cytokines originating from adipose tissue? Arteriosclerosis, Thrombosis, and Vascular Biology, 19(4), 972–978. https://doi.org/10.1161/01.atv.19.4.972
- Zatterale, F., Longo, M., Naderi, J., Raciti, G. A., Desiderio, A., Miele, C., & Beguinot, F. (2020). Chronic adipose tissue inflammation linking obesity to insulin resistance and type 2 diabetes. Frontiers in Physiology, 10, 1607. https://doi.org/10.3389/fphys.2019.01607
- Zhang, N., Huan, Y., Huang, H., Song, G. M., Sun, S. J., & Shen, Z. F. (2010). Atorvastatin improves insulin sensitivity in mice with obesity induced by monosodium glutamate. Acta Pharmacologica Sinica, 31(1), 35–42. https://doi.org/10.1038/aps.2009.176
- Zhang, T., He, L., Yang, W., Wang, Y., Peng, J., Sun, P., Yang, Q., Jia, Y., Zhao, K., & Qian, Y. (2020). Byakangelicin inhibits IL-1beta-induced mouse chondrocyte inflammation in vitro and ameliorates murine osteoarthritis in vivo. International Immunopharmacology, 85, 106605. https://doi.org/10.1016/j.intimp.2020.106605
- Zhu, K., Tan, F., Mu, J., Yi, R., Zhou, X., & Zhao, X. (2019). Anti-obesity effects of Lactobacillus fermentum CQPC05 isolated from Sichuan pickle in high-fat diet-induced obese mice through PPAR-alpha signaling pathway. Microorganisms, 7(7), 194. https://doi.org/10.3390/microorganisms7070194
- Ziccardi, P., Nappo, F., Giugliano, G., Esposito, K., Marfella, R., Cioffi, M., D'Andrea, F., Molinari, A. M., & Giugliano, D. (2002). Reduction of inflammatory cytokine concentrations and improvement of endothelial functions in obese women after weight loss over one year. Circulation, 105(7), 804–809. https://doi.org/10.1161/hc0702.104279