Antioxidant Activity of an Aqueous Leaf Extract from Uncaria tomentosa and Its Major Alkaloids Mitraphylline and Isomitraphylline in Caenorhabditis elegans

Uncaria tomentosa (Rubiaceae) has a recognized therapeutic potential against various diseases associated with oxidative stress. The aim of this research was to evaluate the antioxidant potential of an aqueous leaf extract (ALE) from U. tomentosa, and its major alkaloids mitraphylline and isomitraphylline. The antioxidant activity of ALE was investigated in vitro using standard assays (DPPH, ABTS and  FRAP), while the in vivo activity and mode of action were studied using Caenorhabditis elegans as a model organism. The purified alkaloids did not exhibit antioxidant effects in vivo. ALE reduced the accumulation of reactive oxygen species (ROS) in wild-type worms, and was able to rescue the worms from a lethal dose of the pro-oxidant juglone. The ALE treatment led to a decreased expression of the oxidative stress response related genes sod-3, gst-4, and hsp-16.2. The treatment of mutant worms lacking the DAF-16 transcription factor with ALE resulted in a significant reduction of ROS levels. Contrarily, the extract had a pro-oxidant effect in the worms lacking the SKN-1 transcription factor. Our results suggest that the antioxidant activity of ALE in C. elegans is independent of its alkaloid content, and that SKN-1 is required for ALE-mediated stress resistance.


Introduction
Uncaria tomentosa (Willd.) DC. (Rubiaceae), commonly known as cat´s claw, is widely distributed in Latin America, especially in the Brazilian Amazon [1]. The species is mainly rich in indole and oxindole alkaloids, but also contains triterpenoids derived from quinovic acid and polyphenols, particularly tannins [2][3][4][5]. Ethnopharmacological surveys have shown that indigenous populations of Amazonia use U. tomentosa to treat asthma, arthritis, dermatitis, inflammation of the urinary tract, and benign and malignant tumors [6]. In addition, pharmacological studies on different U. tomentosa extracts have confirmed their anti-asthmatic, anti-diabetic, anti-microbial, anti-inflammatory, anti-cancer, antioxidant,
2.3. In Vivo Antioxidant Activity of ALE, Mitraphylline, and Isomitraphylline in C. elegans

Intracellular Accumulation of ROS in Wild-Type Worms
The ROS levels of the N2 worms that were pre-treated with ALE, and the alkaloids were measured under physiological conditions using the cell-permeable reagent 2 ,7 -dichlorofluorescein diacetate (H2DCF-DA). After entering the cell, H2DCF-DA was converted by cellular esterase to an intermediate non-fluorescent form that was later oxidized by ROS to a fluorescent compound, DCF. The fluorescent intensity of this oxidative derivative is correlated with the intracellular amount of ROS of a living organism. Treatment with 40 µg/mL of ALE significantly reduced the intracellular accumulation of ROS by 25.58% ± 2.16, respectively, in comparison with the untreated control (p < 0.0001; Figure 2A). In contrast, its major alkaloids, mitraphylline and isomitraphylline, failed to reduce the ROS levels ( Figure 2B). Rather, the treatment with 10 µg/mL isomitraphylline displayed a pro-oxidant effect, increasing the ROS levels by 22.6% ± 4.13, in comparison with the DMSO control (p < 0.0001). Epigallocatechin gallate (EGCG), a polyphenol extracted from green tea, purchased from Sigma-Aldrich (St. Louis, MO, USA; CAS number 989-51-5; 95.0%purity), was used as a positive control. Compared with the untreated control, the EGCG treatment at 50 µg/mL reduced the ROS levels by 43.36% ± 2.16.
The fluorescent intensity of this oxidative derivative is correlated with the intracellular amount of ROS of a living organism. Treatment with 40 µg/mL of ALE significantly reduced the intracellular accumulation of ROS by 25.58% ± 2.16, respectively, in comparison with the untreated control (p < 0.0001; Figure 2A). In contrast, its major alkaloids, mitraphylline and isomitraphylline, failed to reduce the ROS levels ( Figure 2B). Rather, the treatment with 10 µg/mL isomitraphylline displayed a pro-oxidant effect, increasing the ROS levels by 22.6% ± 4.13, in comparison with the DMSO control (p < 0.0001). Epigallocatechin gallate (EGCG), a polyphenol extracted from green tea, purchased from Sigma-Aldrich (St. Louis, MO, USA; CAS number 989-51-5; 95.0%purity), was used as a positive control. Compared with the untreated control, the EGCG treatment at 50 µg/mL reduced the ROS levels by 43.36% ± 2.16. Figure 2. Intracellular reactive oxygen species (ROS) accumulation in wild-type N2 worms treated with Uncaria tomentosa leaf extract and its major compounds, isomitraphylline and mitraphylline, under physiological conditions, showing the following: (A) worms treated with ALE at 10-100 µg/mL; (B) worms treated with mitraphylline (MIT) and isomitraphylline (ISOMIT) at 1, 2, and 10 µg/mL. The control groups were untreated worms, pre-treated with dimethyl sulfoxide (DMSO), and pre-treated with epigallocatechin gallate (EGCG) at 50 µg/mL. Each bar represents the mean value ± standard error of the mean (SEM) from three independent assays. The asterisks indicate the statistical differences in relation to the untreated worms according to one-way analysis of variance (ANOVA), followed by a post-hoc Tukey's test. *p < 0.05; **p < 0.01, ***p < 0.001, and ****p < 0.0001.

Survival Rate of Wild-Type Worms Exposed to a Lethal Dose of Juglone
In order to evaluate the potential of ALE and the alkaloids to rescue the N2 worms from a lethal dose of juglone (80 µmol), the survival rate of the worms pre-treated with the extracts was evaluated after 24 h of juglone-induced oxidative stress. The survival rate of the juglone-stressed worms that were pre-treated with 80 µg/mL ALE was 53.91% ± 5.63. This value was comparable with the survival rates of the worms pre-treated with 50 µg/mL EGCG (58.84% ± 6.34), and was significantly higher (p < 0.0001) than those of the juglone-treated worms (30.59% ± 1.75; Figure 3A). Mitraphylline and isomitraphylline at 1 and 2 µg/mL were unable to rescue the worms ( Figure 3B).

Figure 2.
Intracellular reactive oxygen species (ROS) accumulation in wild-type N2 worms treated with Uncaria tomentosa leaf extract and its major compounds, isomitraphylline and mitraphylline, under physiological conditions, showing the following: (A) worms treated with ALE at 10-100 µg/mL; (B) worms treated with mitraphylline (MIT) and isomitraphylline (ISOMIT) at 1, 2, and 10 µg/mL. The control groups were untreated worms, pre-treated with dimethyl sulfoxide (DMSO), and pre-treated with epigallocatechin gallate (EGCG) at 50 µg/mL. Each bar represents the mean value ± standard error of the mean (SEM) from three independent assays. The asterisks indicate the statistical differences in relation to the untreated worms according to one-way analysis of variance (ANOVA), followed by a post-hoc Tukey's test. * p < 0.05; ** p < 0.01, *** p < 0.001, and **** p < 0.0001.

Survival Rate of Wild-Type Worms Exposed to a Lethal Dose of Juglone
In order to evaluate the potential of ALE and the alkaloids to rescue the N2 worms from a lethal dose of juglone (80 µmol), the survival rate of the worms pre-treated with the extracts was evaluated after 24 h of juglone-induced oxidative stress. The survival rate of the juglone-stressed worms that were pre-treated with 80 µg/mL ALE was 53.91% ± 5.63. This value was comparable with the survival rates of the worms pre-treated with 50 µg/mL EGCG (58.84% ± 6.34), and was significantly higher (p < 0.0001) than those of the juglone-treated worms (30.59% ± 1.75; Figure 3A). Mitraphylline and isomitraphylline at 1 and 2 µg/mL were unable to rescue the worms ( Figure 3B).  . Survival rate of juglone-stressed (80 µM) wild-type N2 worms pre-treated with Uncaria tomentosa leaf extract and its major compounds isomitraphylline and mitraphylline, showing the following: (A) worms pre-treated with ALE at 10-100 µg/mL; (B) worms pre-treated with MIT and ISOMIT at 1 and 2 µg/mL. The control groups were the juglone-treated worms, pre-treated with DMSO, or juglone-stressed worms pre-treated with EGCG at 50 µg/mL. Each bar represents the mean value ± SEM from three independent assays. The asterisks indicate statistical differences in relation to the juglone-treated worms according to one-way ANOVA followed by a post-hoc Tukey's test: *p < 0.05 and **p < 0.01. The ability of ALE to modulate the expression of oxidative stress resistance related genes was investigated using the transgenic strains CF1553, CL2166, and TJ375 carrying a GFP reporter fused . Survival rate of juglone-stressed (80 µM) wild-type N2 worms pre-treated with Uncaria tomentosa leaf extract and its major compounds isomitraphylline and mitraphylline, showing the following: (A) worms pre-treated with ALE at 10-100 µg/mL; (B) worms pre-treated with MIT and ISOMIT at 1 and 2 µg/mL. The control groups were the juglone-treated worms, pre-treated with DMSO, or juglone-stressed worms pre-treated with EGCG at 50 µg/mL. Each bar represents the mean value ± SEM from three independent assays. The asterisks indicate statistical differences in relation to the juglone-treated worms according to one-way ANOVA followed by a post-hoc Tukey's test: * p < 0.05 and ** p < 0.01. The ability of ALE to modulate the expression of oxidative stress resistance related genes was investigated using the transgenic strains CF1553, CL2166, and TJ375 carrying a GFP reporter fused with the promoter regions of sod-3, gst-4, and hsp-16.2, respectively.

Mechanism of the Antioxidant
Under basal stress conditions, the CF1553 (sod-3p::GFP) worms pre-treated with 40 and 80 µg/mL of ALE showed a minor but significant reduction of GFP intensity, when compared with the untreated control ( Figure 4A). At 80 µg/mL of ALE, the expression of sod-3 (p < 0.001) was reduced by 12.08% ± 2.20. In comparison with the untreated control, EGCG at 50 µg/mL reduced the fluorescence intensity by 23.82% ± 2.56 (p < 0.0001). Exposure to a mild dose of juglone (20 µM) increased the sod-3 expression levels by 45.82% ± 1.58, in comparison with the untreated control (p < 0.0001; Figure 4B). Under juglone-induced oxidative stress, treatment with 80 µg/mL of ALE showed no effect on the expression of sod-3.  :GFP expression in juglone-stressed TJ375 mutant worms treated with the ALE extract at 40-100 µg/mL. . The control groups were the untreated worms, worms pre-treated with EGCG at 50 µg/mL, juglone-treated worms, and juglone-stressed worms pre-treated with EGCG at 50 µg/mL. Each bar represents the relative mean (n = 30) fluorescence intensity ± SEM from three independent assays. The asterisks indicate statistical differences (untreated worms vs juglone-treated worms) according to one-way ANOVA followed by a post-hoc Tukey's test: **p < 0.01 and ****p < 0.0001.

Involvement of DAF-16 and SKN-1 in the Antioxidant Activity of ALE
DAF-16/FOXO and SKN-1/Nrf2 are key transcription factors in the modulation of oxidative stress resistance and longevity in C. elegans. To investigate whether stress resistance mediated by ALE depends on DAF-16 and/or SKN-1, mutant strains lacking daf-16 (CF1038) and skn-1 (EU1) genes were used to quantify the intracellular ROS levels and the survival rate of juglone-stressed worms.
In CF1038 worms, the ROS levels were significantly lower for all of the ALE concentrations :GFP expression in juglone-stressed TJ375 mutant worms treated with the ALE extract at 40-100 µg/mL. . The control groups were the untreated worms, worms pre-treated with EGCG at 50 µg/mL, juglone-treated worms, and juglone-stressed worms pre-treated with EGCG at 50 µg/mL. Each bar represents the relative mean (n = 30) fluorescence intensity ± SEM from three independent assays. The asterisks indicate statistical differences (untreated worms vs juglone-treated worms) according to one-way ANOVA followed by a post-hoc Tukey's test: ** p < 0.01 and **** p < 0.0001.
In C. elegans, hsp-16.2 and gst-4 are expressed in response to several types of environmental stress, including oxidative stress. Therefore, a mild dose of the pro-oxidant juglone was used to trigger the expression of these genes. The pre-treatment of juglone-stressed CL2166 worms (gst-4p::GFP) with ALE in the concentration range of 40 to 100 µg/mL induced significant reductions (p < 0.0001) of 32.57% to 63.31% in the intensity of the GFP fluorescence in comparison with the juglone-treated worms ( Figure 4C). The EGCG treatment at 50 µg/mL also reduced the GFP fluorescence by 81.01% in comparison with the juglone-treated worms. In the juglone-stressed TJ375 worms (hsp-16.2p::GFP) pre-treated with 40 and 80 µg/mL of ALE, the intensity of the GFP fluorescence showed significant (p < 0.0001) reductions of 41.77% ± 3.02 and 41.35% ± 2.72, respectively, in comparison with the juglone-treated worms ( Figure 4D). At the highest concentration tested, ALE revealed no effect on the hsp-16.2 expression levels. Pre-treatment with 50 µg/mL EGCG reduced the GFP fluorescence by 35.02% ± 3.75. To investigate whether stress resistance mediated by ALE depends on DAF-16 and/or SKN-1, mutant strains lacking daf-16 (CF1038) and skn-1 (EU1) genes were used to quantify the intracellular ROS levels and the survival rate of juglone-stressed worms.
In CF1038 worms, the ROS levels were significantly lower for all of the ALE concentrations tested, in comparison with the untreated control ( Figure 5A). At 100 µg/mL, the highest reduction in fluorescence intensity was observed (27.06% ± 2.21, p < 0.0001). On the other hand, in the EU1 worms, the ALE at 40 µg/mL showed a pro-oxidant activity, with the ROS accumulation increasing by 15.2% ± 4.03 in comparison with the untreated control (p < 0.01; Figure 5B). . The control groups were the untreated worms and those pre-treated with EGCG at 50 µg/mL. Each bar represents the mean value ± SEM from three independent assays. The asterisks indicate the statistical differences in relation to the untreated worms according to one-way ANOVA followed by a post-hoc Tukey's test: *p < 0.05, **p < 0.01, and ****p < 0.0001.
The survival rates of the CF1038 worms, pre-treated with ALE, were slightly higher than those of the untreated worms, however not in a significant way ( Figure 6A). In turn, the EU1 worms treated with 100 µg/mL of ALE showed significantly higher survival rates in comparison with the juglone-treated worms (p < 0.05), but were substantially lower than those achieved by EGCG pretreatment (80.98% ± 3.84; Figure 6B). . The control groups were the untreated worms and those pre-treated with EGCG at 50 µg/mL. Each bar represents the mean value ± SEM from three independent assays. The asterisks indicate the statistical differences in relation to the untreated worms according to one-way ANOVA followed by a post-hoc Tukey's test: * p < 0.05, ** p < 0.01, and **** p < 0.0001.
The survival rates of the CF1038 worms, pre-treated with ALE, were slightly higher than those of the untreated worms, however not in a significant way ( Figure 6A). In turn, the EU1 worms treated with 100 µg/mL of ALE showed significantly higher survival rates in comparison with the juglone-treated worms (p < 0.05), but were substantially lower than those achieved by EGCG pre-treatment (80.98% ± 3.84; Figure 6B).
The survival rates of the CF1038 worms, pre-treated with ALE, were slightly higher than those of the untreated worms, however not in a significant way ( Figure 6A). In turn, the EU1 worms treated with 100 µg/mL of ALE showed significantly higher survival rates in comparison with the juglone-treated worms (p < 0.05), but were substantially lower than those achieved by EGCG pretreatment (80.98% ± 3.84; Figure 6B). . The control groups were the juglonetreated worms or juglone-stressed worms pre-treated with EGCG at 50 µg/mL. Each bar represents the mean value ± SEM from three independent assays. The asterisks indicate the statistical differences in relation to the juglone-treated worms according to one-way ANOVA followed by a post-hoc Tukey's test: *p < 0.05, **p < 0.01, and ****p < 0.0001. . The control groups were the juglone-treated worms or juglone-stressed worms pre-treated with EGCG at 50 µg/mL. Each bar represents the mean value ± SEM from three independent assays. The asterisks indicate the statistical differences in relation to the juglone-treated worms according to one-way ANOVA followed by a post-hoc Tukey's test: * p < 0.05, ** p < 0.01, and **** p < 0.0001.

Effect of ALE on C. elegans Body Size and Escherichia coli OP50 Growth
The ALE treatment did not reduce the body size of the N2 worms pre-treated with ALE. In fact, at 40 µg/mL of ALE, the size of the worms significantly increased in comparison with the untreated worms (p < 0.0001; Figure 7). ALE did not exhibit an antibacterial activity against Escherichia coli OP50.

Effect of ALE on C. elegans Body Size and Escherichia coli OP50 Growth
The ALE treatment did not reduce the body size of the N2 worms pre-treated with ALE. In fact, at 40 µg/mL of ALE, the size of the worms significantly increased in comparison with the untreated worms (p < 0.0001; Figure 7). ALE did not exhibit an antibacterial activity against Escherichia coli OP50. Figure 7. Effect of Uncaria tomentosa leaf extract on the body size of the N2 worms. The control groups were the untreated worms and the worms pre-treated with commercial green tea EGCG at 50 µg/mL. Each bar represents the relative mean (n = 30) area ± SEM from three independent assays. The asterisks indicate the statistical differences (vs untreated worms) according to one-way ANOVA followed by a post-hoc Tukey's test: ****p < 0.0001.

Discussion
Most studies on the U. tomentosa extracts and purified components have shown a correlation between the anti-inflammatory activity and pentacyclic oxindole alkaloid content, particularly mitraphylline [23,24]. We have recently demonstrated that mitraphylline inhibits the nuclear factor (NF)-κB transcription factor and reduces the production of inflammatory cytokines tumor necrosis factor-alpha (TNF-α) and interleukin-6 (IL-6) in a model of LPS-stimulated mouse macrophages (RAW 264.7) [7].
Despite the clear relationship between the anti-inflammatory and antioxidant activities demonstrated in previous studies [25][26][27], the results presented here show that mitraphylline and isomitraphylline, when evaluated separately, did not reduce the accumulation of ROS in wild-type worms, and did not increase the survival rate of C. elegans exposed to a lethal dose of juglone ( Figures 2B and 3B). In contrast, ALE exhibited significant antioxidant activities in vivo, indicating Figure 7. Effect of Uncaria tomentosa leaf extract on the body size of the N2 worms. The control groups were the untreated worms and the worms pre-treated with commercial green tea EGCG at 50 µg/mL. Each bar represents the relative mean (n = 30) area ± SEM from three independent assays. The asterisks indicate the statistical differences (vs untreated worms) according to one-way ANOVA followed by a post-hoc Tukey's test: **** p < 0.0001.

Discussion
Most studies on the U. tomentosa extracts and purified components have shown a correlation between the anti-inflammatory activity and pentacyclic oxindole alkaloid content, particularly mitraphylline [23,24]. We have recently demonstrated that mitraphylline inhibits the nuclear factor (NF)-κB transcription factor and reduces the production of inflammatory cytokines tumor necrosis factor-alpha (TNF-α) and interleukin-6 (IL-6) in a model of LPS-stimulated mouse macrophages (RAW 264.7) [7]. [25][26][27], the results presented here show that mitraphylline and isomitraphylline, when evaluated separately, did not reduce the accumulation of ROS in wild-type worms, and did not increase the survival rate of C. elegans exposed to a lethal dose of juglone ( Figures 2B and 3B). In contrast, ALE exhibited significant antioxidant activities in vivo, indicating that such effects may have resulted from a synergism between the secondary metabolites in the complex extract [28,29]. Indeed, a previous study demonstrated that the oxindole or pentacyclic alkaloid content were not responsible for the antioxidant activity of the U. tomentosa and U. guianensis extracts [30].

Despite the clear relationship between the anti-inflammatory and antioxidant activities demonstrated in previous studies
ALE enhanced resistance to oxidative stress in wild type worms, as shown by the reduced intracellular accumulations of ROS and the increased survival rates after a lethal dose of juglone. At 40 µg/mL, ALE switches from an antioxidant to a pro-oxidant behavior, increasing the ROS levels in a dose-dependent manner (Figure 2A). However, as the extract can only rescue the worms from a lethal dose of juglone at 80 µg/mL, we suggest that the slightly higher levels of ROS at this concentration induce the activation of the antioxidant defense system, effectively protecting the worms from acute oxidative stress ( Figure 3A). Because of this interesting activity, we decided to further investigate the mechanism of action of ALE in the range of 40 to 100 µg/mL.
Pre-treatments with ALE led to the downregulation of genes associated with oxidative stress resistance, namely sod-3, gst-4, and hsp-16.2 ( Figure 4). These results indicate that ALE exhibits its antioxidant activity not only through the direct scavenging of ROS, but it also acts on the routes of oxidative stress detoxification, as SOD and GST act as antioxidant enzymes by converting ROS into less toxic compounds. SOD contributes to the first phase of detoxification, while GST acts in the second phase [31,32]. In addition to the catalytic activities of the sod-3 and gst-4 products, these genes also have a regulatory function activated by DAF-16 and SKN-1 transcription factors, respectively [33][34][35]. The small heat shock protein (HSP) 16.2 acts as a molecular chaperone, assuring protein stability in stress conditions. In our study, pre-treatment with 80 µg/mL of ALE led to a decreased expression of sod-3 in non-stressed worms, and had no effect in the worms subjected to juglone-induced oxidative stress ( Figure 4A,B). Many studies on the antioxidant activity of plant extracts in C. elegans report an up-regulation of sod-3 under basal stress conditions as proof of enhanced stress resistance and DAF-16 activation. At the same time, oxidative stress induced by environmental conditions, or artificially triggered by paraquat or juglone, has been shown by several groups to activate DAF-16 nuclear localization, and consequently induce the up-regulation of sod-3; however, the functional significance of this up-regulation is still not clear [36]. In a recent investigation using long-lived mitochondrial mutants, the authors show a clear association between the reduction of ROS levels mediated by antioxidants (e.g., ascorbic acid) and the down-regulation of the sod-3 expression, leaving an open question for the possible roles of other transcription factors, such as SKN-1, in the regulation of sod-3 expression [37]. With respect to these discordant and inconclusive interpretations, more studies are needed in order to fully understand the regulation of the sod-3 expression by antioxidants in C. elegans.
As the expression of the gst-4 and hsp-16.2 in C. elegans is stress-inducible, both genes are often considered as markers for oxidative stress, and thus the ability of the antioxidant compounds to suppress their expression was reported in previous works as a sign of lower levels of oxidative stress. For example, Shi et al. [34] demonstrated that an ethanol extract of red mold rice enhanced resistance to oxidative stress in paraquat-stressed C. elegans worms, leading to a reduction of sod-3 and hsp-16.2 expression via the regulation of the DAF-16/FOXO pathway. Moreover, Kampkötter et al. [38] considered the reduction of the gst-4 expression in worms under physiological conditions and under juglone-induced stress as a marker for the attenuation of oxidative stress conferred by a standardized extract from Ginkgo biloba leaves (EGb761). Taking these studies into account, the down-regulation of the stress-inducible genes sod-3, gst-4, and hsp-16.2 exerted by ALE can be interpreted as a marker of reduced oxidative stress.
In order to investigate the involvement of DAF-16 and SKN-1 in the observed antioxidant effects, the mutants for the genes encoding these transcription factors were employed. ALE pre-treatment significantly reduced the ROS levels in the mutant worms lacking daf-16 (CF1038), and also induced a slight, but not significant, increase in the survival rate of the same worms ( Figures 5A and 6A). In contrast, in the worms lacking skn-1 (EU1), the ALE treatment had a minor, but significant, effect on the survival rate, and significantly increased the ROS accumulation ( Figures 5B and 6B). Taken together, these results indicate that SKN-1 is required for ALE-mediated stress resistance. In a previous study [39], an alkaloid-rich extract from roasted guarana seeds (Paullinia cupana var. sorbilis; Sapindaceae) with purine alkaloids was shown to enhance resistance against oxidative stress in C. elegans, and such an effect was attributed to the DAF-16 activation. These contradictory results suggest that the responses of C. elegans to extracts containing alkaloids are probably mediated by different stress signaling pathways. However, purine alkaloids and mitraphylline belong to different classes of alkaloids with different pharmacological properties.
To exclude caloric restriction as the promoter of the stress resistance induced by ALE, we studied its effect on C. elegans body size and on the growth of the bacteria used as a food source, E. coli OP50. In our study, the ALE treatment did not negatively interfere with both parameters, thus excluding this hypothesis.

Materials and Methods
The study was authorized by the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), on behalf of the Conselho de Gestão do Patrimônio Genético/Ministério do Meio Ambiente (protocol no. 010102/2015-9).

Plant Material and Extracts
The leaves from U. tomentosa were collected at the Fazenda São João, located in Bannach, PA, Brazil (07 • 34 26 S; 50 • 34 51 W; altitude 415 m). The plant material was identified by Dr. Pietro Giuseppe Delprete (Herbier de Guyane, Institut de Recherche pour le Développement, Cayenne, French Guiana), and a voucher specimen was deposited into the Herbarium of Medicinal Plants at the Universidade de Ribeirão Preto (# HPMU-3133). The leaves were dried for 72 h at 45 • C in a circulating-air oven, reduced to powder, and passed through a 40-mesh sieve. A portion (20 g) of the powdered leaves was decocted with 1 L of distilled water for 30 min, filtered through filter paper, and subsequently freeze-dried to yield 3.2 g of crude ALE.

Analysis of Oxindole Alkaloids in the Leaf Extract
The oxindole alkaloids present in ALE were identified by UPLC-MS using a Waters (Milford, MA, USA) Acquity UPLC H-Class system equipped with a photodiode array detector and a Waters Xevo TQ-S tandem quadrupole mass spectrophotometer, with the electrospray source operated in the positive ion mode. Samples containing 1 mg/mL of ALE in methanol were passed through 0.45 µm pore size syringe filters, and aliquots (5 µL) were injected onto a Zorbax Eclipse (Agilent, Santa Clara, CA, USA) XDB-C18 column (150 × 4.6 mm i.d.; 3.5 µm particle size).
The mobile phase comprised ammonium acetate (0.2%) in water (solvent A) and acetonitrile (solvent B), supplied at a flow rate of 0.6 mL/min, with isocratic elution at 35% B between 0 and 18 min, linear gradient from 35% to 50% B between 18 and 32 min, isocratic at 50% B between 32 and 35 min, and a linear gradient from 50% to 35% B between 35 and 40 min. The source was maintained at 150 • C, the capillary voltage was 3.2 kV, the desolvation temperature was 350 • C, the flow rate of desolvation gas (N 2 ) was 600 L/h, and the mass scan range was 100-600 m/z in the full-scan mode. The reference compounds, mitraphylline (CAS number 509-80-8; ≥95.0% purity) and isomitraphylline (CAS number 4963-01; ≥90.0% purity), were purchased from Sigma-Aldrich (St. Louis, MO, USA) and were used as standards.

Isolation of Isorhynchophylline from Crude Extracts
A crude extract prepared from the aerial parts of U. tomentosa (0.8 g) was solubilized in an ethanol-water solution (4:6), mixed with 500 mg of strong anionic resin (Dowex ® Marathon A, Sigma-Aldrich), and submitted to magnetic stirring for 30 min. An oxindole alkaloid-enriched fraction was obtained by washing the Dowex resin with ethanol-ammonium hydroxide (99.9:0.1) under magnetic stirring for 30 min, followed by rotary evaporation at 37 • C. A sample (10 mg) of the enriched fraction was submitted to semi-preparative high performance liquid chromatography (HPLC), using an Agilent Zorbax Eclipse XDB-C18 column (5 µ, 250 × 9.4 mm i.d.; 5 µ) with diode array detection (DAD) at 245 nm. The mobile phase comprised a 10 mM ammonium acetate buffer of pH 7.0 (solvent A) and acetonitrile (solvent B), supplied at a flow rate of 3 mL/min, with an isocratic elution at 35% B between 0 and 18 min, at 50% B between 18 and 32 min, and at 100% B between 32 and 40 min. The sample (3.0 mg) of pure isorhynchophylline as-obtained was dissolved in DMSO-d 6 and submitted to 1D-nuclear magnetic resonance (NMR) spectroscopy ( Supplementary Information; Figures S1-S4 and Table S1) using a Bruker (Billerica, MA, USA) 600 MHz Avance III HD instrument coupled with a cryogenically cooled 5-mm dual probe optimized for 13 C and 1 H.

In Vitro Antioxidant Activity and Total Phenolic Content of U. tomentosa Leaf Extract
The DPPH assay was performed according to the method described by Blois [40], adapted for 96-well plates. Briefly, aliquots (100 µL) of ALE and 200 µM of DPPH (Sigma-Aldrich) were transferred to each well, and the microplate was maintained at room temperature (25 • C) in the dark for 30 min, following which the absorbance was measured at 517 nm. The scavenging activity was calculated according to Equation (1), as follows: where A0 is the absorbance of the reaction products in the presence of distilled water (control), and A1 is the absorbance of the reaction products in the presence of ALE. All of the assays were performed in triplicate, and the EC 50 values were estimated by sigmoid non-linear regression and expressed as µg/mL. The ABTS assay was performed according to the method described by Re et al. [41]. ABTS radical monocation was generated prior to use by mixing 7 mM of ABTS and 2.45 mM of potassium persulfate solutions, and leaving to rest at room temperature (25 • C) in the dark for 12 to 16 h. An ABTS radical cation working solution was obtained by diluting the reaction mixture with distilled water until the absorbance at 734 nm attained 0.70 ± 0.02. Aliquots of the ALE (100 µL) and ABTS working solution (250 µL) were transferred to each well and the microplate was maintained at room temperature (25 • C) in the dark for 7 min, following which absorbance was measured at 734 nm. A calibration curve was constructed using the water-soluble vitamin E analog Trolox (Sigma-Aldrich), with the concentration range of 0 to 0.040 mM as standard. All of the assays were performed in triplicate and repeated three times, and the results were expressed as µg of Trolox equivalents per mg of extract.
The FRAP assay, which is based on the ability to reduce the ferric tripyridyltriazine (TPTZ) complex to its ferrous form at a low pH, was performed according to the method of Benzie and Strain [42]. A FRAP working solution was prepared by mixing 300 mM of acetate buffer (pH 3.6), 10 mM TPTZ in 40 mM HCl, and 20 mM FeCl 3 .6H 2 O in proportions of 10:1:1 (by volume), and warming to 37 • C for 30 min immediately prior to use. Aliquots of the ALE (25 µL) and FRAP working solutions (175 µL) were transferred to each well, and the microplate was maintained at 37 • C in the dark for 7 min, following which the absorbance was measured at 595 nm. The spectrophotometric assay was calibrated using FeSO 4 .7H 2 O as the standard, and the FRAP values were expressed as µg of FeSO 4 per mg of extract. All of the assays were performed in triplicate and repeated three times.
The Folin-Ciocalteu method was adapted to a 96-well microplate format. Briefly, 100 µL of the Folin-Ciocalteu reagent (Merck, Darmstadt, Germany) was added to 20 µL of sample; 5 min later, 80 µL of sodium carbonate (7.5% solution) was added. The reaction ran in the dark at room temperature for 2 h. The absorbance was measured at 750 nm using a microplate reader (Tecan Group Ltd., Männedorf, Switzerland). All of the measurements were carried out in triplicate and at least three times. The total phenol content was expressed as gallic acid equivalents (µg of GAE/mg of sample).

Maintenance of C. elegans Strains
The strains of Caenorhabditis elegans employed in the experiments were as follows: N2, wild type; The worms were cultivated on nematode growth media (NGM) plates that had been seeded with E. coli OP50 and incubated at 20 • C. In order to obtain age synchronized worms, gravid females were recovered from the plates and treated with a lysis solution (5 M NaOH, 5% NaOCl) for 5 min, so as to destroy the adult tissue while preserving the eggs. The lysate was pelleted by centrifugation (1 min, 1200 rpm) and the eggs were separated from the debris by density gradient centrifugation (4 min, 1200 rpm) with 5 mL of a 60% sucrose solution and 5 mL of sterile water. In order to remove the excess sucrose, the upper layer containing the eggs was transferred to a fresh tube, together with 5 mL of sterile water, and was centrifuged (1 min, 1200 rpm). The supernatant was discarded and the pelleted eggs were resuspended in a M9 buffer and allowed to hatch [43]. The age synchronized N2 worms at L1 stage cultured in S-media inoculated with E. coli OP50 (OD = 1.0) were separated into groups and submitted to treatment with ALE at 10, 20, 40, 80, and 100 µg/mL; MIT at 1 and 2 µg/mL; and ISOMIT at 1 and 2 µg/mL. After 48 h at 20 • C, the worms were incubated at 20 • C for 1 h with 20 µM H2DCF-DA (FlukaChemie, Buchs, Switzerland), and were subsequently transferred to glass slides, paralyzed with a drop of 10 mM sodium azide, and observed under a Keyence (Neu-Isenburg, Germany) model BZ-9000 fluorescence microscope with λ ex 488 nm and λ em 540 nm. Live images were captured of at least 30 worms per treatment group, and the whole-body relative fluorescence was determined densitometrically using Image J software version 1.48 (National Institute of Health, Bethesda, MD, USA). The results were presented as mean fluorescence intensity ± standard error of the mean (SEM). The positive control comprised worms treated with 50 µg/mL of EGCG, while the untreated worms were employed as the negative control.

Survival Rate of Wild-Type Worms Exposed to a Lethal Dose of Juglone
The age synchronized N2 worms at the L1 stage were separated into groups of 80 worms and were treated with ALE or oxindole alkaloids, as described in Section 4.6.1, for 48 h at 20 • C. Subsequently, all of the groups were exposed for 24 h to 80 µM of pro-oxidant juglone (5-hydroxy-1,4-naphthoquinone; Sigma-Aldrich), diluted in EtOH, and the number of dead worms were counted thereafter. The worms were considered dead when they did not respond to gentle touch with a platinum wire. The results were presented in terms of mean survival rate (%). The positive control comprised juglone-stressed worms were treated with 50 µg/mL of EGCG, while the juglone-treated worms were employed as the negative control. The age synchronized worms at the L1 stage of the strains CF1553, CL2166, and TJ375 carrying a green fluorescent protein (GFP) gene were fused with sod-3, gst-4, and hsp-16.2 promoter regions, respectively, and were employed to quantify the expression of the oxidative stress inducible genes in response to ALE.
The worms of each strain were grown in an S-medium; separated into groups; and submitted to treatment for 72 h with ALE at 40, 80, and 100 µg/mL. To induce oxidative stress, a mild dose of 20 µM of juglone (prepared in EtOH) was added to the medium, and 24 h later, the worms were examined under a fluorescent microscope. The relative fluorescence of the posterior intestine (CF1553), whole body (CL2166), and head (TJ375) of the worms was determined densitometrically using Image J software. The results were presented as the mean relative fluorescence intensity ± SEM (vs. untreated worms or juglone-treated worms, as appropriate). The positive control comprised worms were treated with 50 µg/mL of EGCG, while the juglone-treated worms or untreated worms were employed as the negative controls, where appropriate. The age synchronized CF1038 and EU1 worms at the L1 stage were treated with ALE at 40, 80, and 100 µg/mL. The intracelullar levels of ROS and the survival rate after a lethal dose of juglone were evaluated as described above (Section 4.6).

Anti-Microbial Activity of ALE against E. coli OP50
The susceptibility of E. coli OP50 to ALE was performed using the well diffusion test recommended by the Clinical and Laboratory Standards Institute, employing a slightly modified version of the method described by Ashour et al. [44]. Briefly, bacteria from a single colony were grown on LB media at 37 • C for 24 h. Then, a cell suspension was prepared in a saline solution and adjusted to the 0.5 McFarland standard. The inoculum was spread evenly onto LB agar plates, and wells of 6 mm in diameter were punched out and loaded with 60 µL of ALE extract diluted in 100 µg/mL of sterile water.

Effect of ALE on C. elegans Body Size
The age synchronized N2 worms at the L1 stage cultured in S-media inoculated with E. coli OP50 (OD = 1.0) were separated into groups and submitted to treatment with ALE at 40, 80, and 100 µg/mL. After 48 h at 20 • C, the worms were transferred to glass slides, paralyzed with a drop of 10 mM sodium azide, and observed under a fluorescence microscope. Live images were captured of at least 30 worms per treatment group, and the body size was determined densitometrically using Image J software. The results were presented as mean area ± standard error of the mean (SEM).

Statistical Analyses
All of the analyses were performed using a GraphPad Prism for Windows software version 6.0 (GraphPad Software, La Jolla, CA, USA). The results were compared using one-way analysis of variance (ANOVA) followed by a Tukey's post-hoc test.

Conclusions
In conclusion, we have demonstrated, for the first time, the ability of aqueous extracts, from U. tomentosa, to increase oxidative stress resistance in C. elegans. Our findings suggest that the antioxidant effects of the U. tomentosa leaf extract are independent of its alkaloid content, and that the mediated oxidative stress resistance requires SKN-1. This study sheds light on the potential therapeutic applications of U. tomentosa extracts in the prevention/treatment of diseases associated with oxidative stress, such as diabetes and other age-related diseases. Additionally, it proves that C. elegans is an appropriate model organism for investigating the modes of action of U. tomentosa extracts, as it provided new insights into the underlying mechanisms of action.