Anti-Oxidative and Anti-Inflammatory Activities of Astragalus membranaceus Fermented by Lactiplantibacillus plantarum on LPS-Induced RAW 264.7 Cells

Abstract

Astragalus membranaceus (AM) has been used for anti-oxidative, anti-inflammatory, anti-cancer, and immunomodulatory activities. In this study, we confirmed that the anti-oxidative and anti-inflammatory effects of AM were enhanced after it was fermented by Lactiplantibacillus plantarum. The anti-oxidative effect was measured by 2,2-Diphenyl-1-picrylhydrazyl (DPPH) radical levels, total phenolic contents (TPC), reducing power, and H₂O₂ levels. AM-LP MG5145 and MG5276 showed higher free radical scavenging activity than AM-NF (51.22%). In addition, AM-LP MG5145 and MG5276 showed higher TPC (49.11 mg GAE/mL), reducing power (OD₇₀₀ = 0.37), and H₂O₂ (1.71 µM) than AM-NF. The calycosin contents determined to AM-NF (17.24 ng/mL), AM-LP MG5145 (139.94 ng/mL), and MG5276 (351.01 ng/mL) using UPLC-ESI-MS/MS. Anti-inflammatory effects were analyzed by investigating the inhibitory effects of fermented AM on cytotoxicity, NO production, and mRNA expression of COX-2, iNOS, NF-κB, and TNF-α in LPS-induced RAW 264.7 cells. AM-LP MG5145 and MG5276 showed no cytotoxicity. AM-LP MG5145 (50.86%) and MG5276 (51.66%) inhibited NO production in LPS-induced RAW 264.7 cells. Moreover, AM-LP MG5145 and MG5276 downregulated macrophage iNOS, COX2, TNF-α, and NF-κB expression. In conclusion, A. membranaceus fermented by L. plantarum MG5145 and MG5276 can be used in cosmetics and health foods as natural antioxidant compounds.

1. Introduction

Oxidative stress is the most common cause of aging and age-related chronic disease. Radical oxygen species (ROS) including hydrogen peroxide (H₂O₂) and hydroxyl radicals (OH-) are important factors in oxidative stress due to their unstable structures and are known to cause cell membrane degradation, lipid oxidation, protein denaturation, and DNA damage [1]. During hyperinflammation, ROS activate c-Jun N-terminal kinases (JNK) and IκB kinase (IKK) to express the nuclear factor κ-light-chain-enhancer of activated B cells (NF-κB), nitric oxide synthase (iNOS), and prostaglandin-endoperoxide synthase-2 (COX-2) [2]. Inflammation is a non-specific defense mechanism that protects the body from physical and chemical trauma or pathogen attacks. A damaged tissue activates various factors of the immune system to release inflammatory mediators, including cytokines like COX-2, iNOS, and NF-κB, leading to a local inflammatory response [3]. Tumor necrosis factor-α (TNF-α) is mainly expressed in activated macrophages and is upregulated when stimulated by immunogenic molecules like lipopolysaccharides (LPS). NF-κB activates major factors of oxidation and inflammation, such as pro-inflammatory cytokines, COX-2, iNOS, and nitric oxide (NO) [4]. Prolonged inflammation by these factors can damage normal tissues and develop into chronic inflammation, leading to organ dysfunction syndrome [5,6].

Astragalus membranaceus (AM) is a perennial herb of the Fabaceae/Leguminosae family whose roots have medicinal properties [7]. It is widely distributed in Asian countries, including China, Japan, Russia, and Korea [8]. AM is rich in polysaccharides, saponins, and isoflavonoids, such as formononetin, calycosin, isomucronulatol 7-O-glucoside, daidzein, and daidzin components [9,10]. Isoflavonoids have anti-aging effects―they are antioxidants and skin whiteners and enhance skin elasticity [9,10]. With the growth in the health and beauty industries, research on the effectiveness of natural products or herbal medicines has also increased. Although the sprouts of AM are known to have anti-inflammatory, anti-wrinkle and anti-allergic properties, further studies using AM radix for use in health and beauty products is needed [11].

Along with the research on properties of natural products, technology is being used to increase bioconversion efficiency through fermentation using probiotics that can grow on various substrates [12]. Lactobacillus and Bifidobacterium species are generally used as probiotics [13]. Previous studies have reported the anti-oxidative and anti-inflammatory activity of ginseng and ginseng fruit extracts fermented by Lactobacillus sp. [14,15]. Thus, plant fermentation by probiotic strains to enhance the nutritional value of food and improve its taste and aroma is gaining traction in the food and pharmaceutical industries [16,17].

In this study, after fermenting AM using Lactiplantibacillus plantarum (formerly Lactobacillus plantarum) strains isolated from various fermented foods, anti-oxidative and LPS-induced RAW 264.7 cells were used to determine the anti-inflammatory activity of L. plantarum fermented AM extract. In addition, the possibility of its use as a functional food was examined by analyzing the calycosin content using UPLC-ESI-MS/MS.

2. Materials and Methods

2.1. Preparation of Fermentation Sample

Thirty-seven strains of L. plantarum used in this study were isolated from various fermented foods [18]. The strains were pre-cultured in Man-Rogosa-Sharpe (MRS; Difco, Sparks, MD, USA) broth at 37 °C for 24 h. AM grown in Jecheon for one year was purchased from the Chungbuk Herb Farming Association (Jecheon-si, Korea) and was used to prepare an aqueous extract. Dried AM (100 g) was extracted in 2 L of water at 60 °C for 15 h. The AM extract was filtered using Whatman No. 2 filter paper (GE Healthcare BioScience, Pittsburgh, PA, USA) and stored at 4 °C. 1% (v/v) aqueous filtrates of AM were added to the growth medium containing 2.5% glucose, 0.5% peptone, and 1.65% yeast extract. After autoclaving at 121 °C for 15 min, Each 2% (v/v) of L. plantarum (OD₆₀₀ = 1.0, 10⁸–10⁹ CFU/mL) strains were inoculated into the medium and fermented for 15 h at 37 °C (Figure 1). The supernatant was filtered and diluted for use in subsequent experiments.

2.2. Anti-Oxidative Activity of A. membranaceus Extract Fermented by L. plantarum (AM-LP)

2.2.1. DPPH Radical Scavenging Assay

The 2,2-diphenyl-1-picrylhydrazyl (DPPH) radical scavenging assay was performed using the modified Blois method [19]. AM-LP samples (0.2 mL) were mixed with 0.2 mM DPPH (Alfa-Aesar, Karlsruhe, Germany) and 99.5% methanol (0.3 mL). The mixtures were then left to react in the dark for 10 min. DPPH radical scavenging was measured at 517 nm using a spectrophotometer (Genesys™ 10S UV Vis, Thermo Scientific, Waltham, MA, USA). L-ascorbic acid (TCI, Tokyo, Japan) was used as a positive control. The DPPH radical scavenging effect was calculated using the following equation [20]:

DPPH scavenging effect (%) = [1 − (OD₅₁₇ sample/OD₅₁₇ control)] × 100

(1)

2.2.2. Total Phenolic Content (TPC) Assay

The TPC was analyzed using Folin-Ciocalteu’s reagent using the modified Cheung method [21]. The AM-LP samples were diluted in a 1:10 ratio with distilled water, and 0.1 mL of the diluted samples were mixed with 0.05 mL of 1 N Folin–Ciocalteu reagent (Sigma Aldrich, St. Louis, MO, USA) and 0.4 mL of distilled water. After 3 min, 0.1 mL of 20% sodium carbonate anhydrous solution and 0.35 mL distilled water were added, and the mixtures were incubated for 1 h at room temperature. The reaction solutions were centrifuged at 15,000 rpm for 10 min, and the absorbance was measured at 725 nm using a multi-plate reader (EPOCH2, Biotek, Winooski, VT, USA). TPC was expressed as mg/mL gallic acid equivalent (GAE) units based on a standard curve (Y = 0.0058X + 0.0165).

2.2.3. Reducing Power Assay

Reducing power is a method for evaluating anti-oxidative potential using absorbance value. When an antioxidant is present in the sample, the ferric-ferricyanide (Fe³⁺) mixture stabilizes the free radicals by donating hydrogen, and the reducing power converting Fe³⁺ to Fe²⁺ is expressed as absorbance [22]. The reducing power was determined using the modified Oyaizu method [23]. The AM-LP samples were diluted (1:10) with distilled water. 250 μL of the diluted samples mixed with 250 μL of 0.2 M phosphate buffer and 250 μL of 1% potassium ferricyanide (Daejung, Gyeonggi-do, Korea). The mixtures were incubated at 50 °C for 20 min. Next, 250 µL of 10% trichloroacetic acid (Sigma Aldrich) was added, and the mixtures were centrifuged at 3000 rpm for 10 min. Then, 500 µL of each supernatant was mixed with 500 µL of distilled water and 100 µL of 0.1% iron (III) chloride hexahydrate (Daejung) solution. The absorbance was measured at 700 nm using a microplate reader (Biotek). L-ascorbic acid was used as a positive control.

2.2.4. Hydrogen Peroxide (H₂O₂) Content Assay

AM-LP samples were diluted (1:10) with a 1X reaction buffer and analyzed using the EZ-hydrogen peroxide/peroxidase assay kit (DoGen Bio, Seoul, Korea). Diluted samples (50 µL) were mixed with 50 µL Oxi-Probe/HRP Working Solution in a 96-well plate and then incubated in the dark for 30 min. The absorbance was measured at 560 nm using a microplate reader (Biotek). H₂O₂ solution (10 μM) used a positive control and 1X reaction buffer used a negative control.

2.3. UPLC-ESI-MS/MS Analysis

2.3.1. Preparation of Sample and Standard Solution

Calycosin was purchased from Sigma-Aldrich. The compounds were dissolved in 100% ethanol (HPLC grade) to prepare 100 ppm stock solutions. All prepared stock solutions were filtered through a PTFE 0.45 μm syringe filter (ADVANTEC, Tokyo, Japan), stored at 4 °C, and diluted before analysis.

2.3.2. Conditions of Analysis

The compound was analyzed by ultra-performance liquid chromatography (UPLC; NEXERA G2, Shimadzu, Kyoto, Japan). A. membranaceus extract not fermented by L. plantarum (AM-NF) and AM-LP samples were filtered through a 0.22 μm membrane filter (ADVANTEC, Tokyo, Japan) and analyzed (

Table 1. The ultra-performance liquid chromatography with electrospray ionization mass spectrometer (UPLC-ESI-MS/MS) conditions for calycosin analysis.

Instruments	NEXERA G2 (Shimadzu, Kyoto, Japan)
Column	Zorbax Eclipse Plus C18 column (100 mm × 4.6 mm, 3.5 µm)
Column temperature	25 °C
Flow rate	0.7 mL/min
Injection volume	5.0 μL
Mobil phase	A: 0.1% formic acid in water B: 0.1% formic acid in acetonitrile
Gradient Conditions	Time (min)	Solvent A (%)	Solvent B (%)
	0	80	20
	2	80	20
	12	5	95
	14	5	95
	18	80	20
	20	80	20
Mass spectrometer equipped	API3200QTRAP (Applied Biosystem, CA, USA)
Ion sprey voltage (ISV): 5200 V	GS1: 40 psi
Curtain gas: 10 psi	GS2: 40 psi
CAD gas: medium	Capillary temperature: 500 °C

). For analysis, Zorbax Eclipse Plus C18 column (100 mm × 4.6 mm, 3.5 µm; Agilent Technologies, Santa Clara, CA, USA) and 0.1% formic acid in water (A) and 0.1% formic acid in acetonitrile (B) as mobile phases using a linear gradient were used. The column temperature was maintained at 25 °C. The flow rate was 0.7 mL/min, and the injection volume was 5 μL. All mobile phases used in the analysis were HPLC grade and were purchased from Duksan (Gyeonggi-do, Korea). For mass analysis, an API 3200 QTRAP mass spectrometer (Applied Biosystem, Waltham, CA, USA) with an electrospray ionization (ESI) source operated in the positive ion mode with selected ion monitoring (SIM) (Table S1).

2.4. Cell Culture

RAW 264.7 cells were obtained from the Korea Cell Line Bank (Seoul, South Korea) and grown in Dulbecco’s modified Eagle’s medium (DMEM; Welgene, Gyeongsangbuk-do, Korea) supplemented with 10% fetal bovine serum (FBS; Welgene), 100 unit/mL penicillin, and 100 μg/mL streptomycin (Gibco, Grand Island, NY, USA) at 37 °C in 5% CO₂ in fully humidified air. The cells were sub-cultured every 2–3 days at a confluence of 80–95%.

2.5. Cell Viability

Cell Counting kit-8 (CCK-8; DoGen Bio) was used to determine cytotoxicity. Cells were seeded into 24-well plates at a density of 2.0 × 10⁵ cells/well and stabilized for 24 h. AM (500 μL) fermented by L. plantarum MG5145 (AM-LP MG5145) and L. plantarum MG5276 (AM-LP MG5276) with or without LPS (0.5 μg/mL) in phenol red-free DMEM medium was added to each well for 24 h. The phenol red-free DMEM and CCK-8 solutions were mixed at a ratio of 10:1. Then, 100 μL was dispensed into each well and incubated at 37 °C for 30 min. The absorbance was measured at 450 nm using a microplate reader (Biotek).

2.6. Anti-Inflammatory Activity of AM-LP

2.6.1. Determination of NO Production

NO production was measured using the Griess assay [24]. RAW 264.7 cells were cultured on 24-well plates at a density of 2.0 × 10⁵ cells/well and stabilized for 24 h. AM (500 μL) fermented by L. plantarum MG5145 (AM-LP MG5145) and L. plantarum MG5276 (AM-LP MG5276) with or without LPS (0.5 μg/mL) in phenol red-free DMEM was added to each well for 24 h. Then, 40 mg/mL of Griess (G4410, Sigma Aldrich, St. Louis, MO, USA) solution was added to each well and mixed at a ratio of 1: 1 at room temperature for 30 min. The absorbance was measured at 540 nm using a microplate reader (Biotek). NO production was calculated using a standard curve (Y = 0.0058 X + 0.0165) prepared using sodium nitrate (range; 0–100 μM).

2.6.2. mRNA Extraction and Quantitative Real Time-PCR

Cells were seeded in 6-well plates at a density of 5.0 × 10⁵ cells/well and cultured at 37 °C for 24 h. To confirm the expression-related inflammation, total RNA was extracted with TRIzol reagent (Ambion, Foster City, CA, USA) after treatment with LPS (0.5 μg/mL) for 6 h from each AM-LP treated group. Total RNA (1.5 μg) was used to synthesize cDNA by reverse transcription with Revertra Ace Kit. cDNA (5 µL) was mixed with 4 µL of DEPC-water (Sigma Aldrich), 10 µL of Master MIX (Applied Biosystems, Waltham, CA, USA), and 1 µL of TaqMan probe (Thermo Scientific). mRNA levels were analyzed by gene amplification using qPCR (Applied Biosystems). The TaqMan probes used are shown in

Table 2. Gene name and assay ID number in qPCR analysis.

Symbol	Gene Name	Assay ID
GAPDH	Glyceraldehyde-3-phosphate dehydrogenase	Mm99999915_g1
TNF-α	Tumor necrosis factor alpha	Mm00443258_m1
iNOS	Inducible nitic oxide synthase	Mm00440502_m1
COX-2	Cyclooxygenase-2	Mm00478374_m1
NF-κB	Nuclear factor kappa-light-chain-enhancer of activated B cells	Mm00476361_m1

.

2.7. Statistical Analysis

The data was analyzed using Student’s t-test and one-way analysis of variance (ANOVA) using Tukey’s multiple comparison test (GraphPad Prism version 5.02). The results of this study are presented as mean ± standard deviation (SD).

3. Results & Discussion

3.1. Anti-Oxidative Activity of AM-NF and AM-LP

The DPPH assay is a widely used, relatively quick method for evaluating free radical scavenging activity [25]. Thus, the anti-oxidative activity of the 37 strains (Table S2) determined using DPPH assay. AM-NF had a radical scavenging ability of 51.22 ± 1.49% in its undiluted form with L-ascorbic acid as a positive control. It showed a high radical scavenging ability of 85.67 ± 1.15% at a concentration of 100 μg/mL. The radical scavenging ability of AM-LP fermented by various L. plantarum strains was measured in the range of 48.66 ± 0.74 to 72.05 ± 0.60% in its undiluted form. The radical scavenging ability of AM extracts fermented using L. plantarum MG5145 and L. plantarum MG5276 strains were significantly higher (72.05 ± 0.60 and 70.38 ± 1.12%, respectively).

These results are similar to that of the previous study on the anti-oxidative activity of Houttuynia cordata Thunb. fermented by lactic acid bacteria [26]. Our subsequent experiments measured the anti-oxidative and anti-inflammatory effects of AM-LP MG5145 and MG5276 that had high anti-oxidative activities.

TPC of AM-NF was 49.11 ± 0.87 mg GAE/mL; however, it increased significantly after L. plantarum fermentation. TPC of AM-LP MG5145 was the highest at 53.30 ± 0.72 mg GAE/mL, followed by AM-LP MG5276 at 49.17 ± 1.27 mg GAE/mL(Figure 2a). The reducing power was assayed with ascorbic acid (20 μg/mL) as a positive control (absorbance; 0.44 ± 0.00) and found the absorbance of AM-NF to be 0.37 ± 0.00, while those of AM-LP MG5145 and AM-LP MG5276 were 0.39 ± 0.00 and 0.41 ± 0.00, respectively (Figure 2b). H₂O₂ is a ROS that produces lipid peroxide and causes cell damage [1]. Therefore, to confirm ROS scavenging by AM-LP, the H₂O₂ content in the medium was measured (Figure 2c). AM-LP MG5145 H₂O₂ content was 1.98 ± 0.08 μM, similar to AM-NF (1.71 ± 0.11 μM), but AM-LP MG5276 had significantly decreased H₂O₂ content at 0.58 ± 0.17 μM after fermentation.

Fermentation using probiotics increases anti-oxidative activity by increasing the phenolic compounds in Houttuynia cordata and Panax ginseng [14,26]. In addition, AM leaf extracts fermented with probiotics have increased anti-oxidative activity [27], proving that fermentation by probiotic microbes, especially L. plantarum, increases the anti-oxidative activity of AM.

3.2. Method Validation of Calycosin for AM-NF and AM-LP Analysis by UPLC

The calycosin analysis was validated for AM-NF and AM-LP using UPLC by measuring the linearity with at least five concentrations and ensuring that the coefficient of determination was 0.99 or higher after creating a calibration curve with the area of the analyzed active ingredient [28]. Furthermore, it should be confirmed this through the Y-intercept and the slope of the regression line [28] (

Table 3. Calibration curves for determining the LOD and LOQ values of standards (n = 3).

Standards	Calibration Curve (1)	R (2)	LOD (3) (ng/mL)	LOQ (4) (ng/mL)
Calycosin	Y = 606.15X + 50564	1.00	169.97	1.94

⁽¹⁾ Where the Y and X are the peak area and concentration of the analyte (ng/mL), respectively. ⁽²⁾ R² correlations for six data points in the calibration curve. ⁽³⁾ Limit of detection. ⁽⁴⁾ Limit of quantitation.

).

A calibration curve was created from the peak areas analyzed using UPLC-ESI-MS/MS for calycosin. The coefficient of determination was 0.995, indicating good linearity (Y = 606.15X + 50564) for quantitative analysis. In addition, the LOD and LOQ were 169.97 ng/mL and 1.94 ng/mL.

3.3. Analysis of Calycosin in AM-NF and AM-LP Using UPLC-ESI-MS/MS

Calycosin is a flavonoid with strong anti-oxidative properties that helps eliminate oxidative stress caused by free radicals and ROS [29]. Therefore, calycosin from AM extracts was analyzed before and after fermentation using UPLC-ESI-MS/MS. Mass spectrometry of the calycosin ion peaks [M + H + Na]⁺ was confirmed at m/z 307.1, and retention time was observed as 6.6 min (Figure 3 and Figure S1). Quantitative analysis of calycosin was performed using a standard curve (Table 3). The calycosin content of AM-NF was 17.24 ± 0.11 ng/mL. After fermentation by L. plantarum MG5145 and MG5276, the calycosin content increased to 139.94 ± 0.23 and 351.01 ± 0.29 ng/mL, respectively (Figure 3 and

Table 4. The ultra-performance liquid chromatography ionization-mass spectrometry of calycosin (UPLC-ESI-MS/MS).

Standard	Calculated Concentration (ng/mL)
	AM-NF	AM-LP MG5145	AM-LP MG5276
Calycosin	17.24 ± 0.11	139.94 ± 0.23	351.01 ± 0.29

Values are expressed as mean ± SD.

).

Previous studies have reported that AM inhibits free radicals, reduces lipid peroxidation, and increases anti-oxidative enzymes [30]. Among the compounds present in AM, calycosin is known to have anti-oxidative and anti-inflammatory effects [31]. Sugar is decomposed during the fermentation of natural products, and the decomposition product is more bioactive [27]. In this study, L. plantarum MG5145 and MG5276 enhanced the calycosin content through fermentation. Therefore, the beneficial activity of AM-LP MG5145 and MG5276 appears to be due to an increase in calycosin content.

3.4. Viability of AM‒LP in LPS-Induced RAW 264.7 Cells

The CCK-8 cytotoxicity test was performed on the 20% (v/v) AM extracts before and after L. plantarum fermentation in RAW 264.7 cells. Fermented extracts AM-LP MG5145 (101.57 ± 0.63%) and MG5276 (101.26 ± 3.20%) were not cytotoxic (Figure 4a).

NO is important in inflammatory responses [32]. NO production was confirmed using LPS-induced RAW 264.7 cells (Figure 4b). The NO production in RAW 264.7 cells treated with LPS was markedly increased to 47.48 ± 0.39 µM. The AM-LP MG5145 and MG5276 inhibited NO production, decreasing its concentration to 23.33 ± 0.44 μM and 22.96 ± 0.29 μM, respectively. It was confirmed that the inhibitory effect of AM-LP MG5145 and MG5276 on NO production was not due to their cytotoxicity.

NO, a free radical produced by cNOS and iNOS, induces oxidative injury in several biological systems [33,34]. Both AM-LP MG5145 and MG5276 reduced NO production in LPS-induced RAW 264.7 cells. In addition, calycosin inhibits MAPK phosphorylation, NF-κB activation, and NO production [35,36]. Therefore, it was confirmed that calycosin-rich AM-LP MG5145 and MG5276 significantly reduced NO production.

3.5. AM‒LP Inhibits TNF-α, iNOS, COX-2, NF- κB Levels in LPS-Induced RAW 264.7 Cells

Since AM-LP MG5145 and MG5276 had a strong inhibitory effect on NO production, The expression of TNF-α, iNOS, COX-2, and NF-κB in RAW 264.7 cells stimulated with LPS was examined.

TNF-α, an inflammatory cytokine, is produced in large quantities in activated macrophages. LPS increases its production, promoting an inflammatory response [37]. In this study, LPS-treated RAW 264.7 cells showed upregulated TNF-α levels (Figure 5a). Treatment with AM-LP MG5145 and MG5276 significantly decreased the mRNA levels of TNF-α by 47.29 ± 1.06% and 46.85 ± 8.95%, respectively, compared with that in the LPS-treated group. In addition, LPS-treated RAW 264.7 cells had increased expression levels of iNOS and COX-2 (Figure 5b,c). However, iNOS expression was reduced by 99.84 ± 0.06 and 99.16 ± 0.01% and COX-2 by 55.70 ± 5.46 and 44.29 ± 9.91% in AM-LP MG5145- and MG5276-treated cells, respectively, compared with that in the LPS-treated group. NF-κB, a transcription factor, upregulates pro-inflammatory cytokines [4]. The effect of AM-NF, AM-LP MG5145, and AM-LP MG5276 on NF-κB expression was also analyzed (Figure 5d). When LPS-induced RAW 264.7 cells were treated with AM-LP MG5145 and MG5276, the mRNA expression levels of NF-κB were significantly reduced by 67.85 ± 0.80 and 56.84 ± 5.27%, respectively, compared with that in the LPS treatment group.

In conclusion, AM-LP MG5145 and AM-LP MG5276 significantly reduced the expression levels of TNF-α, iNOS, COX-2, and NF-κB in LPS-induced RAW 264.7 cells.

The results of this study suggest that AM-LP MG5145 and AM-LP MG5276 hydrolyze the sugar of isoflavonoid glycoside through bioconversion to increase calycosin content, thereby exhibiting anti-inflammatory activity and anti-oxidative activity.

4. Conclusions

In this study, the anti-oxidative and anti-inflammatory effects of AM extracts fermented using L. plantarum strain were investigated. AM-LP MG5145 and MG5276 reduced DPPH radical and H₂O₂ content and increased TPC and reducing power compared to AM-NF. Additionally, increased calycosin content in AM-LP MG5145 and MG5276 were observed. The anti-inflammatory effects of AM-LP MG5145 and MG5276 significantly inhibited NO production and suppressed the expression of TNF-α, iNOS, COX-2, and NF-κB. Consequently, fermentation-enhanced AM extracts can be used as novel and effective natural products to enhance the anti-oxidative effect and suppress inflammatory reactions.