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Acta Cirurgica Brasileira

Print version ISSN 0102-8650On-line version ISSN 1678-2674

Acta Cir. Bras. vol.33 no.5 São Paulo May 2018

http://dx.doi.org/10.1590/s0102-865020180050000006 

ORIGINAL ARTICLES

6-Experimental Surgery

Capsiate treatment in liver surgeries may compromise its recovery1

Pedro Paulo BarrosI 

Gisele Mara Silva GonçalvesI 

Gustavo Henrique da SilvaI 

Maria Clara Villaça Dias BastosII 

Loren Nogaroto RamosII 

Marilia Marinello FernandesII 

IPhD, Full Professor, Researcher, Faculty of Pharmaceutical Sciences, Pontifícia Universidade Católica de Campinas (PUC-Campinas), Brazil. Conception of the study, interpretation of data, manuscript writing, critical revision.

IIPharmacist, Faculty of Pharmaceutical Sciences, FAPIC (Fundo de Apoio à Iniciação Científica), PUC-Campinas, Brazil. Design of the study.


Abstract

Purpose:

To investigate the effects of capsiate treatment on hepatic hyperplasia in partially hepatectomized rats.

Methods:

The animals were divided into a Capsiate group (CPH), a Capsiate Post-Partial Hepatectomy group (CPPH) and a Partial Hepatectomy Control group (PH). CPH and CPPH animals received 60 mg/kg/day Capsiate for 30 days. Next, the rats underwent partial hepatectomy. CPPH animals continued to receive treatment for 48 h after partial hepatectomy. Liver tissue and intracardiac blood samples were obtained 24 or 48 h after PH.

Results:

Capsiate treatment interfered with hepatic parameters, reducing the number of mitoses and apoptosis and increasing blood ALT and alkaline phosphatase concentrations.

Conclusion:

Capsiate treatment preceding hepatic surgery may compromise the initial period of postoperative recovery.

Key words: Alanine Transaminase; Aspartate Aminotransferases; Apoptosis; Mitotic Index; Rats.

Introduction

Peppers are universally known for their pungency which is due to the presence of substances such as capsaicin, a capsaisinoid. There is a less spicy red pepper variety, CH-19 (Capsicum annuum L.), a sweet pepper that contains capsinoids instead of capsacinoids. Capsinoids are analogous to capsaicin but are not spicy and contain three major compounds: capsiate (4-hydroxy-3-methoxybenzyl (E)-8-methyl-6-nonenoate), dihydrocapsiate (4-hydroxy-3-methoxybenzyl 8-methylnonanoate), and nordihydrocapsiate (4-hydroxy-3-methoxybenzyl 7-methyloctanoate), respectively1-4.

Capsinoids were first studied at the end of the 1990’s in Japan3,5 and specific studies of capsiate were later conducted in 2001 by Ohnuki et al.6.

Like capsacinoids, capsinoids and capsiate in particular have various therapeutic activities. Several studies have investigated the anticancer action of capsinoids and capsiate and dihydrocapsiate have been found to be able to prevent tumorigenesis in athymic mice, indicating the action of capsinoids on cancer prevention7.

Lee et al.8 demonstrated that capsiate has highly protective effects against the inflammatory response and angiogenesis produced in the skin by ultraviolet B radiation by inhibiting the production of reactive oxygen species and the activity of c-Src kinase. In addition to inhibiting pathological angiogenesis, capsiate can reduce the vascular ´permeability caused by vascular endothelial growth factor9.

Haramizu et al.10 reported that capsiate administered to rats in parallel to the execution of exercise reduced weight gain, being useful for the maintenance of an ideal weight. Kwon et al.11 observed that capsiate improves glucose metabolism in a more efficient manner than capsaicin in rats. Using an experimental rat model, Li et al.12 observed that capsiate can produce beneficial effects on ethanol-induced gastric mucosa injury.

In Brazil, capsiate has been extensively used for weight loss since it is expected to act on the acceleration of metabolism and on the reduction of body fat13.

In view of the antioxidant and anti-inflammatory properties attributed to capsiate, we hypothesize that this substance may have a hepatoprotective action like other substances with the same properties such as quercetin14.

Thus, the aim of the present study was to investigate the effects of capsiate pretreatment on liver hyperplasia in partially hepatectomized rats.

Methods

The experimental protocols for this study were approved by the Animal Research Ethics Committee - Pontifícia Universidade Católica de Campinas (Protocol number: 018/2015), according to the Guide for the Care and Use of Laboratory Animals.

Forty-day-old male Wistar rats with a body weight of 250-260g were obtained from the Animal Facility of the Life Sciences Center (PUC-Campinas, Brazil). Throughout the experiments, the animals were maintained in rooms with controlled temperature (23±1°C) under a 12-hour light/dark cycle. The animals were provided with pellet chow and water ad libitum.

Reagents were acquired from the following sources: capsiate (PharmanostraTM), vincristine sulfate (Libbs FarmaceuticaTM), and enzyme assay kit (LaborLabTM). All other reagents were analytical grade.

Partial hepatectomy

Animals were divided into the following groups: Capsiate group (CPH), a Capsiate Post-Partial Hepatectomy group (CPPH) and a Partial Hepatectomy Control group (PH), (Figure 1). CPH and PH animals were further divided into two subgroups each (CPH24, CPH48, PH24 and PH48; n=5 in each subgroup). CPH and CPPH animals received 60 mg/kg/day capsiate dissolved in water for a volume of 1 mL and administered via a gastric tube for 30 days. The PH control group received 1 mL saline solution administered via a gastric tube for 30 days.

Figure 1 Experimental design. 

Surgical procedure

All surgical procedures were performed under anesthesia with 10 mg/lg xylazine and 70 mg/kg ketamine, injected intraperitoneal. The rats underwent partial hepatectomy (about 70% removal of hepatic tissue) according to the method of Higgins and Anderson15. CPPH animals continued to receive treatment for 48 h after PH. After 24 or 48 h, according to the group to which they belonged, animals received an intraperitoneal injection of vincristine sulfate (1 mg/kg) in order to block the cell cycle of all hepatocytes at the M phase. After 2 h, the animals were anesthetized for removal of liver tissue. Three ml intracardiac blood samples were drawn for biochemical analysis, followed by euthanasia with ketamine and xylazine.

Histological processing

Liver tissue fragments were cut into 7 μm-thick slices and stained with hematoxylin-eosin (HE) and by the Feulgen method (FM). The FM allows to clearly visualize the hepatocyte nucleus and to identify the mitosis. Images were captured digitally using a photomicroscope (Nikon Eclipse E200TM) coupled to a camera (Nikon Colpix 4500TM). Mitosis and apoptosis were quantified by microscopic analysis.

Determination of enzyme activity

The enzymatic activity of ALT, AST and alkaline phosphatase was determined in blood serum using commercial kit for Human samples (LaborLabTM) and a UV-Vis VarianTM spectrophotometer.

Data analysis

Data are reported as number of findings in the microscopic analysis. Mitotic and apoptotic figures were counted in 20 fields per liver tissue section stained with HE and FM. Morphometry, AST, ALT and alkaline phosphatase data were analyzed statistically using Graph Pad PRISM software. The Mann-Whitney test (p <0.05) was used for group comparisons.

Results

The analysis of mitosis and number of apoptosis events showed a statistically significant reduction of the number of mitoses in the CPH24 group compared to the remaining groups and a significant reduction of the number of apoptosis in the CPH48 and CPPH48 groups (Figures 2 and 4). No significant variations were detected in the remaining groups. Enzyme activity differed significantly among group, as shown in Figure 3.

Figure 2 Mitosis and apoptosis. PH24, PH48: Groups examined 24 and 48h after partial hepatectomy, respectively; CPH24, CPH48: Capsiate-treated groups examined 24 and 48h after partial hepatectomy, respectively. CPPH48: Group treated with capsiate before and after partial hepatectomy and examined 48h after partial hepatectomy. The Mann-Whitney test showed a significant difference (values followed by different letters) when this group was compared to its respective control. 

Figure 3 Clinical parameters of rats submitted to Partial Hepatectomy, and Capsiate + Partial Hepatectomy. AST=Aspartate aminotransferase; ALT=Alanine aminotransferase. PH24, PH48: Groups examined 24 and 48h after partial hepatectomy, respectively; CPH24, CPH48: Capsiate-treated groups examined 24 and 48h after partial hepatectomy, respectively. CPPH48: Group treated with capsiate before and after partial hepatectomy and examined 48h after partial hepatectomy. The Mann-Whitney test showed a significant difference (values followed by different letters) when this group was compared to its respective control 

Figure 4 Liver, Hepatocyte - Mitosis (asterisks) and apoptosis (arrows) in Wistar rats. Control groups examined 24 and 48h after partial hepatectomy (PH24 and PH 48, respectively). CPH24, CPH48: Capsiate-treated groups examined 24 and 48h after partial hepatectomy, respectively. CPPH48: Group treated with capsiate before and after partial hepatectomy and examined 48h after partial hepatectomy. (Feulgen stain, x400). 

Discussion

Histological analysis from HE staining showed that no histological changes were detected in the liver of the studied groups, indicating absence of hepatic lesion due to the treatments / procedures performed.

The reduction in the number of mitoses observed in the group examined 24 and 48 h after treatment (Figures 2 and 4) suggests that there was a deceleration of the mitotic process and that this change occurred at a different intensity when capsiate continued to be administered after PH. According to Fiszer-Szafarz and Nadal16, we may consider that the mitotic process was in the G1 phase as a function of the time elapsed since PH (24h groups) and also of the action of vincristine, which inhibits the formation of the mitotic spindle and interrupts mitosis at metaphase (all groups). Capsaicin inhibited mitosis as well as the expression of MMP-2, MMP-9 and TIMP-1 in rat hepatic stellate cell cultures and reduced collagen deposition17. Thus, capsiate treatment reduced the activity of the lysosome system and the number of mitoses.

The reduction in the number of apoptosis observed after 48 h in both groups treated with capsiate does not agree with the study by Macho et al.18, who showed that capsiate induces apoptosis in tumor cell lines due to an increased production of reactive oxygen species and to the subsequent loss of mitochondrial transmembrane potential. On the other hand, the same review paper previously cited reported that capsaicin can inhibit the autophagic process during the activation of stellate cells17. These data suggest that capsiate and capsaicin can act in a similar manner on the process of hepatic hyperplasia.

In the present study, the enzymatic activity of AST was not statistically significant compared to the respective controls. On the other hand, there was a statistically significant increase in ALT and alkaline phosphatase activity for the CPH 24 group, whereas there was no difference in the values obtained after 48 h. Increased ALT activity has been correlated with injury to the hepatocytes19.

This increase in alkaline phosphatase in the CPH group compared to the PH control (Figure 3) was expected in view of the reduction in the number of mitoses observed after 24 h. This enzyme acts by removing phosphate groups from molecules such as nucleotides and proteins. However, this analysis does not apply to the time of 48 h. The present results lead us to conclude that alkaline phosphatase interfered with the number of mitoses only after the period of 24 h.

Studies involving the administration of capsiate used different doses of this substance and the dose used in the present study was based on what was detected in the pharmaceutical market. Bernard et al.20 studied the toxicity of capsiate in rats and concluded that the toxic potential of this substance is considered to be very low. Kodama et al.21 observed an increase in AST and ALT after administering capsiate to rats for a period of 26 weeks and suggested that this increase occurred due to the fact that the metabolic capacity of the liver was exceeded or hepatocellular damage occurred.

It is known that approximately 14 days after PH the volume of the remnant liver lobes will be close to the original one, i.e., the volume present before the procedure, with growth ceasing thereafter. Previous capsiate treatment of rats at the dose of 60 mg/kg/day reduced the number of mitoses 24 h after PH and the number of apoptosis 48 h after PH, and also increased ALT and alkaline phosphatase concentrations at 24 and 24-48 h, respectively. Under the present experimental conditions, capsiate did not show the expected hepatoprotective effect and its administration before surgical hepatic procedures may interfere with the early period of recovery. On this basis, its use is not recommended in such procedures.

Conclusion

Capsiate treatment preceding hepatic surgery may compromise the initial period of postoperative recovery.

References

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Financial source: none

1Research performed at Laboratory of Biological Tests, Faculty of Nutrition, Pontifícia Universidade Católica de Campinas (PUC-Campinas), Brazil.

Received: January 10, 2018; Revised: March 12, 2018; Accepted: April 11, 2018

Correspondence: Gisele Mara Silva Gonçalves Faculdade de Ciências Farmacêuticas Avenida John Boyd Dunlop, s/n 13060-904 Campinas - SP Brasil Tel.: (55 19)3343-6865 gmsg@puc-campinas.edu.br

Conflict of interest:

none

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