Ocimum sanctum Linn. stimulate the expression of choline acetyltransferase on the human cerebral microvascular endothelial cells

Aim: This research was conducted to identify the expression of choline acetyltransferase (ChAT) in human cerebral microvascular endothelial cells (HCMECs) and to clarify the capability of Ocimum sanctum Linn. ethanolic extract to stimulate the presence of ChAT in the aging HCMECs. Materials and Methods: In this study, we perform an in vitro analysis some in the presence of an ethanolic extract of O. sanctum Linn. as a stimulator for the ChAT expression. HCMECs are divided become two groups, the first is in low passage cells as a model of young aged and the second is in a high passage as a model of aging. Furthermore to analysis the expression of ChAT without and with extract treatments, immunocytochemistry and flow cytometry analysis were performed. In addition, ChAT sandwich enzyme-linked immunosorbent assay is developed to detect the increasing activity of the ChAT under normal, and aging HCMECs on the condition treated and untreated cells. Results: In our in vitro models using HCMECs, we found that ChAT is expressed throughout intracytoplasmic areas. On the status of aging, the ethanolic extract from O. sanctum Linn. is capable to stimulate and restore the expression of ChAT. The increasing of ChAT expression is in line with the increasing activity of this enzyme on the aging treated HCMECs. Conclusions: Our observation indicates that HCMECs is one of the noncholinergic cells which is produced ChAT. The administrated of O. sanctum Linn. ethanolic extract may stimulate and restore the expression of ChAT on the deteriorating cells of HCMECs, thus its may give nerve protection and help the production of acetylcholine.


Introduction
The memory could be defined as an individual capability to record, retain, recall information and to use them in response to the environment [1]. During several years, there is a lot of problems were occur concerning memory impairment especially on the condition of aging known as dementia. Data from World Alzheimer Report proposed that in develop and developing countries increasing the number of life also give additional problems, tremendously increasing person suffering from neurodegenerative disease, e.g., Alzheimer disease and Parkinson are occurring and its already predicted in the year of 2040 will be reach become 135.5 million people [2]. Neurodegenerative diseases are specifically characterized by the presence of nonreversible disturbance mainly concerning on memory and cognitive impairment in relations to dementia. Dementia may give bad impact not only on the daily activities but also remarkable as a severe neurodegenerative clinical sign. Mainly developing of memory are based on neuronal plasticity or interaction between two or more neuron also known as long-term potentiation [3,4], which may release neurotransmitter. Acetylcholine (Ach) is ones of neurotransmitter which overstated play a pivotal role during learning and memory processes [5,6]. Choline acetyltransferase (ChAT) is an enzyme responsible for the Ach biosynthesis in the cytoplasm, thus the inhibition of ChAT production because of aging or pathological causes may impair the production of Ach and interferes memory as well as cognitive capability [7][8][9][10].
Until today treatment and prevention regarding dementia such as piracetam and anticholinesterases still have been yet giving satisfied results [11]. Therefore, there is needed to find a new solution on the medication, primarily to prevent dementia. This drug should be easy to find, not expensive and decrease or avoid the side effect of the chemical-based medicine.
Ocimum sanctum Linn. also known in Indonesia as kemangi is one of the potential herbs used as a medication. This herb belongs to the family Lamiaceae and easily found and grows throughout Indonesia. Have been reported, various parts from O. sanctum Linn. provide several advantages as an anti-inflammatory [12], antiallergic [13], antioxidant [14,15], Available at www.veterinaryworld.org/Vol.9/December-2016/3.pdf radioprotective [16], and anticarcinogenic [17]; however until today, there is only restricted research explore how is the mechanism of O. sanctum Linn. act as neuroprotective [11,18]. In addition, recently have not been yet established, actually, how is the mechanism involving ChAT in noncholinergic neuronal nerve on the learning and memory in cellular level. Thus, this research is necessary to give new perspective in the importance of dementia medication.
This study was designed to analysis the ability of an ethanolic extract derived from the leaf of O. sanctum Linn. to stimulate the expression of enzyme ChAT on the human cerebral microvascular aging cells. In here, we postulated that increasing the expression of ChAT in noncholinergic cells also may involve to enhance and to restore memory and cognitive ability in aging individual.

Ethical approval
The use of all preclinical research material was approved by the Ethics Committee of Universitas Gadjah Mada, Yogyakarta, Indonesia.

Crude extract of O. sanctum
The leafs of O. sanctum Linn. were purchased from CV. Merapi Herbal Farma, Yogyakarta, Indonesia. The analysis of the plant identities was done in Faculty of Biology, Universitas Gadjah Mada, Indonesia. The plants material was dried at the sunshine temperature (35-38°C) in outdoor conditions and powdered using commercial electric blender.

Ethanolic extract of O. sanctum
The powdered material of O. sanctum Linn. leafs (approximately about 100 g) exhaustively extracted with 90% ethanol in a Soxhlet's apparatus until the solvent became apparent. The extract was concentrated and dried at 60-70°C. The extract percentage as the semi-solid extract was weight, place in tubes and store at 4°C until used.

ChAT enzyme-linked immunosorbent assay (ELISA)
In house sandwich, ELISA was developed to detect the activity of ChAT in the HCMECs. Subsequently 100 µl goat antihuman (5 mg) were coated overnight at 4°C. After being washed 3 times with PBS containing 0.2% (BSA; washing buffer), the wells were blocked with 100 µL of PBS supplemented with 2% BSA for 30 minutes at 4°C. Aliquots of 100 µL of cell lysates were added to the plate and incubated for 1 h at room temperature. Wells were washed 3 times and 100 µL of goat anti human ChAT was added for 60 min at 4°C. After washing 3 times, 100 µL of horseradish peroxidase-labeled donkey antigoat IgG (dilution 1:40,000; Sigma) was added for 1 h at 37°C. After washings, 100 µL of 3,3′,5,5′-tetramethyl benzidine substrate solution (Sigma) was added. The reaction was stopped after 20 min of incubation at room temperature with Available at www.veterinaryworld.org/Vol.9/December-2016/3.pdf 50 µL of 1.0 mol/L HCl and was read at 450 nm on an ELISA reader. To correct for nonspecific binding, backgrounds (negative control) were run for cell lysate sample in parallel without antigen under identical conditions. Specific antibody binding was calculated as reaction rate by subtracting the individual background signal from the total binding. Cutoff values were determined as the mean signal of negative control (n=10) plus three standard deviations.

Statistical analysis
Statistical comparisons were made using an unpaired, two-tailed Student's t-test as appropriate. A p<0.05 was assumed to represent statistical significance. Statistic was performed using Graph Pad Prism 6 (La Jolla, CA, USA).

ChAT was expressed intracytoplasmic on the HCMECs
The analysis by immunofluorescence on the HCMECs in the presence of PECAM-1 in the surrounding of cells membrane and or placed on the cells membrane junction [19,20] describe that ChAT was hampered on the intracytoplasmic area of the cells (Figure-1). These results indicating that ChAT was expressed on the HCMECs.  (Figure-3a).

Ethanolic extract O. sanctum Linn. increases the activity of ChAT on the aging endothelial cells
To analysis the activity of ChAT on the aging brain cells after treatment, sandwich ELISA was performed, and from the ELISA absorbance results could be described that the ChAT activity on the aging cells after treatment in significantly increased (OD; 0.682) as same as young age model cells (OD; 0.866). In the other hand, nontreated aging cells showed very low ChAT activity (0.368) (Figure-4).

Discussion
Memory, cognitive and/or learning ability is the most important part of human being sustainability. Recently, memory and cognitive loose know as   dementia not only occur during aging but also frequently become serious clinical sign from ischemic brain damage, head injuries and also for neurodegenerative disease, e.g., Alzheimer disease, Parkinson disease [11]. Nowadays, medication and prevention for dementia are still far from satisfactory. Thus, it is needed to explore and investigate a new agent as a drug candidate for memory impairment. O. sanctum Linn. is potential herbs which are easily found and grow all around the world not only in Indonesia but also in tropic and subtropic country. O. sanctum Linn. containing several active substances including rosmarinic acid, ursolic acid, flavonoids and tannins, eugenol, luteolin, apigenin, b-caryophyllene, methyl eugenol, and b-pinene [13,[22][23][24]. That's why almost of the part of O. sanctum Linn. gives a lot of advantages as a medication [12,13,22,25,26]. However, currently only limited data already known regarding the curing effect of O. sanctum Linn. in neurodegenerative diseases [11,18]. In addition restricted finding describe the involvement of noncholinergic cells on the mechanism of learning and memory.
In this presents, the study in our in vitro model using HCMECs described that ChAT expressed on the intracytoplasmic area from the human cerebral endothelial cells (Figure-1). HCMECs is a cell line which is derived from human temporal lobe microvessels isolated from tissue excised during surgery [27][28][29], and the HCMECs are used widely as an in vitro model for blood-brain barrier [27]. Blood-brain barrier on the human being are tightly regulated interface with central nervous system especially with astrocytes and pericytes and form the neurovascular unit [30]. In addition, other researches already describe that enzyme ChAT is expressed not only on the neuronal cells but also non neuronal cells with barrier and immune functions [31,32]. Since ChAT enzyme is precusor of Ach, thus the expression of ChAT is in line with the expression of Ach. Meanwhile, the expression of Ach may help to maintain and to optimize cell function, such as proliferation, differentiation, formation of a physical barrier, migration, and ion and water movements. Blockade of n-and muscarinic acetylcholine receptors on noninnervated cells causes cellular dysfunction and/or cell death (apoptosis). Thus, cholinergic signaling in nonneuronal cells is comparable to cholinergic neurotransmission. Dysfunction of the nonneuronal cholinergic system may involve in the pathogenesis of diseases. Based on that evidence, we strongly believed in our experimental design on our models, ChAT which produced by endothelial cells (HCMECs) have a directly effect on the nervous system in here is on the brain tissue. Several numbers of research already described also that ChAT is localized in the rat cerebral microvascular endothelial cells and microglia [27][28][29]33,34]. Based on these finding, we can postulate that cerebral endothelial cell which is mimics of blood brain barrier may be is one of ChAT source in the brain derived   Available at www.veterinaryworld.org/Vol.9/December-2016/3.pdf from non-cholinergic cells. Our postulate is in line with several research which describes that there is a possibility of ChAT was produced from noncholinergic systems such as skin, colon, blood vessel (arteries), and human placenta [31,[35][36][37]. Furthermore, the intriguing question, actually how is the role of ChAT which expressed on cerebral microvascular endothelial cells on the learning and memory mechanism? ChAT is transferase enzyme which is responsible for the synthesis of Ach. Ach is a neurotransmitter, which plays a significant role in memory and cognitive process. Mainly, ChAT is synthesized on the perikaryon of all cholinergic cells in the brain, and then transported by slow axoplasmic transport to the axon terminal, and available for the synthesis of Ach [8]. During Ach synthesis and release, both on the neuronal and endothelial sites are associated with microvessels in the cerebral cortex. Analog with the mechanism, in cerebral microvascular endothelial cells, choline were taken up by endothelial cells and converted to the presence of ChAT, and stores as Ach. In microvascular endothelial cells, Ach will be released gradually in the presence of nerve degeneration or damage, e.g., stress oxidative, hypoxia, stroke, intracerebral hemorrhage and destruction of the cholinergic neuron by amyloid β peptide [7]. The expression of Ach will give protection to the brain, nerve cells, and vessel wall. Thus, this neuroprotective function may help the stability live of the cells, avoid neurodegeneration and may enhance memory as well as cognitive ability [30][31][32]38]. Moreover, cerebral microvascular endothelial cells release substances which can promote neurogenesis in collaborated with astrocytes. This mechanism are pivotal to develop a niche which is needed to improve memory and cognitive ability on the neurodegenerative diseases [39,40].
In addition, in the treatment of ethanolic extract derived from the leaves of O. sanctum Linn. on the high passage HCMECs which is mimics aging conditions, we found that these extract capable stimulate and restore the expression of ChAT ( Figures-2 and 3). However, the treatment of O. sanctum extract on the young ages cells may not give significantly increasing expressing of ChAT (Supplemental Figure-1 and Table-1), this evidence could give an explained that on the young ages the extract of O. sanctum only act to maintenance the stability of ChAT expression. Beside have functioned as the precursor of Ach, ChAT also presently as a specific marker for functional activity of cholinergic neurons both in central and peripheral nervous systems [9,41,42]. Some reports indicated cholinergic neuron are involved in neurophysics function such learning, memory, sleep, arousal, and movement. Meanwhile if there is occurs inhibition of the ChAT production and push down ChAT activity whether because of aging [35,36] or pathological condition such as oxidative stress, brain injury, stroke, degeneration cholinergic neuron by amyloid β peptide [7], its will directly disturb secretion of Ach and also induce decreasing amount of cholinergic neuron thus may impair memory, spatial learning and cognitive ability [37,43]. Moreover in our ELISA analysis ( Figure-4) showed after administrated with O. sanctum ethanolic extract, the expression of ChAT on the aging cells is increasing, or maybe in here we can say the ethanolic extract induce restoring ChAT activity in the aging cells. Already known during aging ChAT activity will be decreased both on noncholinergic or cholinergic cells, but reducing the activity is not in line with cell degeneration. Usually, cells degeneration occurs because of pathological reasons such as Alzheimer, stroke, or hypoxia. Based on our finding, we can hypothetically mention that increasing the expression of ChAT is in line with the activity of this enzyme. Thus, we can propose in the proper condition of ChAT, and this enzyme may promote the production of Ach thus its may enhance and or restore memory and cognitive ability in aging individual.
Based on these results, it is crucial to keep the stability ChAT expression not only in cholinergic cells but also on the noncholinergic cell primarily cerebral Supplemental Table- microvascular endothelial cells. It will be interesting to explore more deeply the ChAT mechanism in cellular level especially on the noncholinergic cells and may give a new perspective of dementia therapeutic target. O. sanctum Linn. is potentially drug candidate for dementia, however, and need to be consideration our research is based on in vitro model. The determination of the appropriate dosage from this herb to be applied on the in vivo model thus can mimics more closely to the environment of the human body is a need to be done.

Conclusion
Taking together ChAT is expressed on the HCMECs. An ethanolic extract derived from leaves of O. sanctum Linn. may stimulate and restore the expression of ChAT on the aging cells. O. sanctum Linn. could give nerve protection and revealed production of Ach thus may enhance the memory and cognitive ability.

Authors' Contributions
DLK and HW designed the experiments and study; DLK, HW, and AH performed the experiments; DLK and HW interpreted the data and wrote the manuscript. All authors read and approved the final manuscript.