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Cardanol: toxicogenetic assessment and its effects when combined with cyclophosphamide

Abstract

Cardanol is an effective antioxidant and is a compound with antimutagenic and antitumoral activity. Here, we evaluated the genotoxic and mutagenic potential of saturated side chain cardanol and its effects in combination with cyclophosphamide in preventing DNA damage, apoptosis, and immunomodulation. Swiss mice were treated with cardanol (2.5, 5 and 10 mg/kg) alone or in combination with cyclophosphamide (100 mg/kg). The results showed that cardanol is an effective chemopreventive compound, with damage reduction percentages that ranged from 18.9 to 31.76% in the comet assay and from 45 to 97% in the micronucleus assay. Moreover, cardanol has the ability to reduce the frequency of apoptosis induced by cyclophosphamide. The compound did not show immunomodulatory activity. A final interpretation of the data showed that, despite its chemoprotective capacity, cardanol has a tendency to induce DNA damage. Hence, caution is needed if this compound is used as a chemopreventive agent. Also, this compound is likely not suitable as an adjuvant in chemotherapy treatments that use cyclophosphamide.

Keywords
phenolic lipid; antimutagenesis; micronucleus; comet assay; apoptosis

Introduction

Cancer is a chronic degenerative disease of high global prevalence. It is recognized as a key public health issue (Instituto Nacional do Câncer - INCA, 2014INCA - Instituto Nacional de Câncer (2014) Câncer no Brasil: Incidência de câncer no Brasil (estimativa 2014), http://www.inca.gov.br/estimativa/2014/index.asp?id = 1. (accessed on March 24, 2014).
http://www.inca.gov.br/estimativa/2014/i...
) and accounted for the death of 8.2 million people in 2012 according to the World Health Organization (WHO). These same institutions estimate that approximately 75 million people will have cancer in 2030, and 17 million deaths are likely to occur because of that disease worldwide (WHO, 2014WHO - World Health Organization (2014) Cancer - Publications, http://www.who.int/cancer/en/ (accessed August 30, 2014).
http://www.who.int/cancer/en/...
).

Given this scenario, studies searching for natural compounds with the ability to protect DNA and aiming to clarify possible chemopreventive mechanisms are increasingly needed. Chemoprevention is defined as the systemic use of natural or synthetic chemical agents to reverse or suppress the transformation of premalignant lesions into malignant ones (Sporn, 1976Sporn MB (1976) Approaches to prevention of the epithelial cancer during the pre-neoplastic period. Cancer Res 36:2699-2702.). Such agents include substances with antioxidant (Miguel et al., 2010Miguel MB, Nunes S, Dandlen A, Cavaco AM and Antunes MD (2010) Phenols and antioxidant activity of hydro-alcoholic extracts of propolis from algarve, South of Portugal. Food Chem Toxicol 48:439-445.), antigenotoxic (Skandrani et al., 2010Skandrani I, Boubaker J, Bouhlel I, Limem I, Ghedira K and Chekirghedira K (2010) Leaf and root extracts of Moricandia arvensis protect against DNA damage in human lymphoblast cell k562 and enhance antioxidant activity. Environ Toxicol Pharmacol 30:61-67.) and antimutagenic (Malini et al., 2010Malini M, Marin-Morales MA, Mantovani MS, Jamal CM, Nati N, Passos TD and Matsumoto ST (2010) Determination of the antimutagenicity of an aqueous extract of Rhizophora mangle l. (Rhizophoraceae), using in vivo and in vitro test systems. Genet Mol Biol 33:176-181.) activity, and those able to activate DNA repair pathways (Duarte et al., 2009Duarte TI, Cooke MS and Jones GDD (2009) Gene expression profiling reveals new protective role of vitamin C in human skin cells. Free Radic Biol Med 46:78-87.). Also, there is an important need to find compounds without toxicity but with the ability to potentiate the antitumor effects of commercial chemotherapy and/or increase their selectivity (Navarro et al., 2014Navarro SD, Beatriz A, Meza A, Pesarini JR, Gomes RDS, Karaziack CB, Cunha-laura AL, Monreal ACD, Romão W, Lacerda Júnior V, et al. (2014) New synthetic resorcinolic lipid 3-heptyl-3,4,6-trimethoxy-3hisobenzofuran-1-one: Evaluation of toxicology and ability topotentiate the mutagenic and apoptotic effects of cyclophosphamide. Eur J Med Chem 75:132-142.; Carvalho et al., 2015Carvalho PC, Santos EA, Schneider BUC, Matuo R, Pesarini JR, Cunha-Laura AL, Monreal ACD, Lima DP, Brochado-Antoniolli ACM and Oliveira RJ (2015) Diaryl sulfide analogs of combretastatin A-4: Toxicogenetic, immunomodulatory and apoptotic evaluations and prospects for use as a new chemotherapeutic drug. Environ Toxicol Pharmacol 40:715-721.; Oliveira et al., 2015Oliveira RJ, Navarro SD, Lima DP, Meza A, Pesarini JR, Gomes RS, Karaziack CB, Mauro MO, Cunha-Laura AL, Monreal ACD, et al. (2015) A novel cytosporone 3-heptyl-4,6-dihydroxy-3H-isobenzofuran-1-one: Synthesis; toxicological, apoptotic and immunomodulatory properties; and potentiation of mutagenic damage. BMC Cancer 15:e561.). Thus, not only the chemoprotective properties are important to novel compounds but also the capability of these as adjuvants to chemotherapy.

In view of this, a strong candidate with protective and/or chemotherapeutic adjuvant potential is cashew nut shell liquid. Studies have shown that phenolic lipids derived from cashew nut shell liquid, such as anacardic acid, cardanol, cardol and 2-methylcardol (Figure 1) have antibacterial (Bouttier et al., 2002Bouttier S, Fourniat J, Garofalo C, Gleye C, Laurens A and Hocquemiller R (2002) B-lactamase inhibitors from Anacardium occidentale. Pharm Biol 40:231-234.; Kubo et al., 2003Kubo I, Nihei K and Tsujimoto K (2003) Antibacterial action of anacardic acids against methicillin resistant Staphylococcus aureus (mrsa). J Agric Food Chem 51:7624-7628., 2006Kubo I, Masuoka N, Ha TJ and Tsujimoto K (2006) Antioxidant activity of anacardic acids. Food Chem 99:555-562.), antioxidant and antimutagenic activities (Melo Cavalcante et al., 2003Melo Cavalcante AA, Rubensam G, Picada JN, Gomes da Silva E, Fonseca Moreira JC and Henriques JA (2003) Mutagenicity, antioxidant potential, and antimutagenic activity against hydrogen peroxide of cashew (Anacardium occidentale) apple juice and cajuina. Environ Mol Mutagen 41:360-369.; Rodrigues et al., 2006Rodrigues FHA, Feitosa JPA, Ricardo NMPS, De Franca FCF and Carioca JOB (2006) Antioxidant activity of cashew nut shell liquid (cnsl) derivatives on the thermal oxidation of synthetic cis-1,4-polyisoprene. J Braz Chem Soc 17:265-271.; Trevisan et al., 2006Trevisan MTS, Pfundstein B, Haubner R, Wurtele G, Spiegelhalder B, Bartsch H and Owen RW (2006) Characterization of alkyl phenols in cashew (Anacardium occidentale) products and assay of their antioxidant capacity. Food Chem Toxicol 44:188-197.; De Lima et al., 2008De Lima SG, Feitosa CM, Cito A, Moita Neto JM, Lopes JAD, Leite AS, Brito MC, Dantas SMM and Cavalcante A (2008) Effects of immature cashew nut-shell liquid (Anacardium occidentale) against oxidative damage in Sacharomyces cerevisae and inhibition of acetylcholinesterase activity. Genet Mol Res 7:806-818.), and antitumor activities (Teerasripreecha et al., 2012Teerasripreecha D, Phuwapraisirisan P, Puthong S, Kimura S, Okuyama M, Mori H, Kimura A and Chanchao C (2012) In vitro antiproliferative/cytotoxic activity on cancer cell lines of a cardanol and a cardol enriched from Thai Apis mellifera propolis. BMC Complement Altern Med, 12:e27.; Patel, 2016Patel S (2016) Emerging adjuvant therapy for cancer: Propolis and its constituents. J Diet Suppl 13:245-268.). Cardanol is a phenolic lipid with a long aliphatic chain joined to a phenolic ring (Figure 2) (Brady et al., 2000Brady SF, Wagenaar MM, Singh MP, Janso JE and Clardy J (2000) The cytosporones, new octaketide antibiotics isolated from an endophytic fungus. Org Lett 2:4043-4046.; Baerson et al., 2010Baerson SR, Schröder J, Cook D, Rimando AM, Pan Z, Dayan FE, Noonan BP and Duke SO (2010) Alkylresorcinol biosynthesis in plants: New insights from an ancient enzyme family? Plant Signal Behav 5:1286-1289.; Stasiuk and Kozubek, 2010Stasiuk M and Kozubek A (2010) Biological activity of phenolic lipids. Cell Mol Life Sci 67:841-860.), which presents antibacterial (Begum et al., 2002Begum P, Hashimoto Y, Islam MT, Ogawa Y and Tahara S (2002) Zoosporicidal activities of anacardic acids against Aphanomyces cochlioides. Z Naturforsch C 57:874-882.), larvicidal (Lomonaco et al., 2009Lomonaco D, Santiago GMP, Ferreira YS, Arriaga AMC, Mazzetto SE, Mele G and Vasapollo G (2009) Study of technical CNSL and its main components as new green larvicides. Green Chem 11:31-33.) and antitumor activities (Teerasripreecha et al., 2012Teerasripreecha D, Phuwapraisirisan P, Puthong S, Kimura S, Okuyama M, Mori H, Kimura A and Chanchao C (2012) In vitro antiproliferative/cytotoxic activity on cancer cell lines of a cardanol and a cardol enriched from Thai Apis mellifera propolis. BMC Complement Altern Med, 12:e27.; Patel, 2016Patel S (2016) Emerging adjuvant therapy for cancer: Propolis and its constituents. J Diet Suppl 13:245-268.), and antioxidant properties (Trevisan et al., 2006Trevisan MTS, Pfundstein B, Haubner R, Wurtele G, Spiegelhalder B, Bartsch H and Owen RW (2006) Characterization of alkyl phenols in cashew (Anacardium occidentale) products and assay of their antioxidant capacity. Food Chem Toxicol 44:188-197.). This study aimed to evaluate, in a preclinical model, the genotoxic and mutagenic action of saturated side chain cardanol and its effects in combination with cyclophosphamide in preventing DNA damage, apoptosis and immunomodulation.

Figure 1
Structure of main components of Cashew nut shell liquid.
Figure 2
Catalytic hydrogenation of the cardanol mixture. (A) Saturated chain cardanol. (B-D) Unsaturated chain compounds.

Material and Methods

Isolation of cardanol

Cardanol was obtained according to Srinivasa et al. (2002)Srinivasa Rao A, Phani Kumar P, Paramashivappa R, Vithayathil JP and Subba Rao PV (2002) Process for isolation of cardanol from technical cashew (Anacardium occidentale l.) nut shell liquid. J Agric Food Chem 50:4705-4708. with modifications. Five grams of technical cashew nut shell liquid (Cascaju Agroindustrial S/A; Lot 2001) was solubilized in 30 mL methanol and 20 mL ammonium hydroxide. The solution was mixed on a magnetic stirrer for 10 min. Cardanol was extracted with hexane (3 x 20 mL), and hexane phases were pooled and neutralized with 0.1 M HCl (2 x 20 mL), followed by evaporation of the solvent. Thin-layer chromatography was performed and the ultraviolet-scanned glass plates showed the presence of cardanols and other phenolic lipids. Liquid column chromatography on flash silica gel with the eluent consisting of 10:1 hexane:ethyl acetate (v/v) was performed to separate such compounds. Approximately 2.75 g (55% yields) unsaturated chain cardanols resulted from this process. The mixture of unsaturated chain cardanols was subjected to catalytic hydrogenation in a Parr 3911EG® hydrogenator (Parr Instruments, Moline IL, USA) to convert the unsaturated chain compounds (Figure 2B-D) into saturated chain cardanol (Figure 2A). A sample of 1.27 g cardanol was solubilized in 50 mL ethanol, together with 0.1 g palladium on activated carbon (Pd-C; 10%). The solution was hydrogenated under stirring for 7 h at 50 psi pressure and was subsequently filtered with celite. The product was prepurified by liquid column chromatography, with the same eluent previously used, and the product, 3-pentadecylphenol, was recrystallized in 90% ethanol. The white crystalline solid (MP: 51-52 °C, 1.08 g, 85% yields) was further analyzed by nuclear magnetic resonance (NMR) spectra (recorded in CDCl3 solution on a Bruker DPX300 spectrometer operating at 300 MHz for 1H). NMR spectra of 1H (see Supplementary Material Figure S1) and melting point were used as criteria of purity of the saturated cardanol.

Experimental design

Forty sexually mature male Swiss mice (Mus musculus), 8-10 weeks old, derived from the Central Animal Facility of the Center for Biological Sciences and Health, Federal University of Mato Grosso do Sul (Centro de Ciências Biológicas e Saúde da Universidade Federal de Mato Grosso do Sul, CCBS/UFMS) were used. The animals were split into eight experimental groups (n = 5). The mice were maintained in polypropylene boxes with wood shaving bedding and provided with commercial feed (Nutival®) and filtered water ad libitum throughout the experiment. Light and temperature were controlled using a 12 h photoperiod (12:12 h DL) with a temperature of 22 ± 2 °C and humidity of 55 ± 10% on a ventilated shelf (ALESCO®, Monte Mor, Brazil). The experiment was conducted according to the guidelines of the Universal Declaration of Animal Rights and with the approval of the Ethics Committee on Animal Use of UFMS (Protocol Number 399/2011).

Cardanol was diluted in 4% Tween 80 and subsequently in ethanol (1%). The compound was administered intraperitoneally (i.p.) at 2.5, 5.0 and 10.0 mg/kg body weight (b.w.),. The dose of 2.5 mg/kg was defined based on an experiment conducted by Wu et al. (2011)Wu Y, He L, Zhang L, Chen J, Yi Z, Zhang J, Liu M and Pang X (2011) Anacardic acid (6-Pentadecylsalicilic Acid) inhibits tumor angiogenesis by targeting Src/FAK/GTPases signaling Pathway. J Pharmacol Exp Ther 339:403-441. and subsequent higher doses were proposed by our research group. Cyclophosphamide (Fosfazeron®, Ítaca laboratory, REG. M.S. Number 1.26030056002-1; Batch 063020, Brazil) at a dose of 100 mg/kg b.w., administered i.p. in a single injection was used as a positive control (Navarro et al., 2014Navarro SD, Beatriz A, Meza A, Pesarini JR, Gomes RDS, Karaziack CB, Cunha-laura AL, Monreal ACD, Romão W, Lacerda Júnior V, et al. (2014) New synthetic resorcinolic lipid 3-heptyl-3,4,6-trimethoxy-3hisobenzofuran-1-one: Evaluation of toxicology and ability topotentiate the mutagenic and apoptotic effects of cyclophosphamide. Eur J Med Chem 75:132-142.).

For comparative purposes, all treatments including cardanol were performed using 4% Tween and 1% ethanol as vehicle. Conversely, those including cyclophosphamide used 0.9% saline as vehicle. The experimental groups and doses of the compounds are shown in Table 1. The treatment applications occurred simultaneously.

Table 1
Experimental groups and doses.

Evaluation of biometric parameters

Animals were weighted before and 72 h after treatments. Weight gain was calculated by the difference between animal weight after and before treatments. Following 72 h of treatment, the animals were euthanized, and organs (kidneys, heart, liver, lungs and spleen) were collected and weighed. Relative organ weight was calculated as the ratio of each organ absolute weight to the animal's final weight.

Comet assay

The alkaline comet assay was employed for genotoxicity evaluation. Twenty four hours after treatment, 20 μL of peripheral blood was collected for this assay. The analyzed cells were mainly leukocytes, and procedures of the comet assay were based on Singh et al. (1988)Singh NP, Maccoy MT, Tice RR and Schneider EL (1988) A simple technique for quantities of low levels of DNA damage in individual cells. Exp Cell Res 175:184-191.. Analyses were performed by epifluorescence microscopy (Bioval®, Model L 2000A, São Paulo, Brazil) at 400x magnification with a 420-490 nm excitation and a 520 nm barrier filter. A total of 100 cells per animal were examined by visual analysis, and DNA fragment migration was determined according to comet class, as described by Kobayashi et al. (1995)Kobayashi H, Sugiyama C, Morikawa Y, Hayashi M and Sofuni T (1995) A comparison between manual microscopic analysis and computerized image analysis in the single cell gel electrophoresis assay. MMS Commun 2:103-115. with modifications (Oliveira et al., 2015Oliveira RJ, Navarro SD, Lima DP, Meza A, Pesarini JR, Gomes RS, Karaziack CB, Mauro MO, Cunha-Laura AL, Monreal ACD, et al. (2015) A novel cytosporone 3-heptyl-4,6-dihydroxy-3H-isobenzofuran-1-one: Synthesis; toxicological, apoptotic and immunomodulatory properties; and potentiation of mutagenic damage. BMC Cancer 15:e561.): class 0, intact nucleoid without tail; class 1, cell with tail less than the diameter of the nucleoid; class 2, tail size varying between one and two times the diameter of the nucleoid; class 3, tail size more than two times the diameter of the nucleoid. Apoptotic cells that showed a totally fragmented nucleus were not scored. The total score was calculated as the sum of the number of cells scored for each class times that class value.

Micronucleus test in peripheral blood

The micronucleus assay in peripheral blood was performed according to Hayashi et al. (1990)Hayashi M, Morita T, Kodama Y, Sofuni T and Ishidate JRM (1990) The micronucleus assay with mouse peripheral blood reticulocytes using acridine orange-coated slides. Mutat Res 245:245-255. with modifications by Oliveira et al. (2009a)Oliveira RJ, Salles MJ, Da Silva AF, Kanno TYN, Lourenço ACS, Freiria GA, Matiazi HJ, Ribeiro LR and Mantovani MS (2009a) Effects of the polysaccharide β-glucan on clastogenicity and teratogenicity caused by acute exposure to cyclophosphamide in mice. Regul Toxicol Pharmacol 53:164-173.. A 20 μL aliquot of peripheral blood was collected at 24, 48 and 72 h after treatments. Blood samples were placed on a slide previously covered with 20 μL of acridine orange (1.0 mg/mL). Then, a coverslip was placed over the biological material and the slide was stored in a freezer (-20 °C) for a minimum period of seven days. A total of 2,000 reticulocytes were examined per animal by epifluorescence microscopy (Bioval®, Model L 2000A) at 400x magnification and filter settings as described above.

Splenic phagocytosis assay

A spleen fragment (approximately 1/3 of the organ size) was macerated in physiological saline (0.9% NaCl), and 100 μL of a cell suspension was placed on a slide previously treated with 20 μL of acridine orange (1.0 mg/mL) and covered with a coverslip. Slides were stored in freezer until analysis. Epifluorescence microscopy analyses of a total of 200 cells per animal were conducted as described above. The presence or absence of phagocytosis was determined based on the reports by Hayashi et al. (1990)Hayashi M, Morita T, Kodama Y, Sofuni T and Ishidate JRM (1990) The micronucleus assay with mouse peripheral blood reticulocytes using acridine orange-coated slides. Mutat Res 245:245-255., with modifications (Ishii et al., 2011Ishii PL, Prado CK, Mauro MO, Carreira CM, Mantovani MS, Ribeiro LR, Dichi JB and Oliveira RJ (2011) Evaluation of Agaricus blazei in vivo for antigenotoxic, anticarcinogenic, phagocytic and immunomodulatory activities. Regul Toxicol Pharmacol 59:412-422.).

Apoptosis assay

The morphological analysis of apoptosis was performed using 100 μL of a solution of homogenized spleen, liver, or kidney preparation. The slides were fixed in Carnoy solution for 5 min and then subjected to successively decreasing concentrations of ethanol (95%, 75%, 55% and 25%). Finally, they were rinsed with McIlvaine buffer for 5 min, stained with acridine orange (0.01%) for 5 min and rinsed again with buffer. Apoptotic cells (among a total of 100 cells/animal) were identified through analysis of DNA fragmentation patterns according to Mauro et al. (2011)Mauro MO, Sartori D, Oliveira RJ, Ishii PL, Mantovani MS and Ribeiro LR (2011) Activity of selenium on cell proliferation, cytotoxicity, and apoptosis and on the expression of CASP9, BCL-XL and APC in intestinal adenocarcinoma cells. Mutat Res 715:7-12. with modifications (Navarro et al., 2014Navarro SD, Beatriz A, Meza A, Pesarini JR, Gomes RDS, Karaziack CB, Cunha-laura AL, Monreal ACD, Romão W, Lacerda Júnior V, et al. (2014) New synthetic resorcinolic lipid 3-heptyl-3,4,6-trimethoxy-3hisobenzofuran-1-one: Evaluation of toxicology and ability topotentiate the mutagenic and apoptotic effects of cyclophosphamide. Eur J Med Chem 75:132-142.). Epifluorescence microscopy analyses were conducted as described above.

Percent damage reduction (%DR) and statistical analysis

Percent damage reduction was calculated according to Manoharan and Baneriee (1985)Manoharan K and Banerjee MR (1985) Beta-carotene reduces sister chromatid exchanges induced by chemical carcinogens in mouse mammary cells in organ culture. Cell Biol Int Rep 9:783-789. and Waters et al. (1990)Waters MD, Brady AL, Stack HF and Brockman HE (1990) Antimutagenicity profiles for some model compounds. Mutat Res 238:57-85. as:

% DR = M pc M cg M pc = M nc × 100

where Mpc = Mean of positive control, Mcg = Mean of combination group and Mnc = Mean of negative control.

This parameter enables to infer the chemopreventive capacity of a substance when in combination with a known mutagenic substance. Values were expressed as the mean ± standard error of the mean (SEM), and the data were analyzed by analysis of variance (ANOVA) followed by a Tukey's post-hoc test using GraphPad Prism software (version 3.02; Graph-Pad Software Inc., San Diego, CA, USA). The significance level was set at p < 0.05.

Results

Isolation of cardanol

Extraction of saturated chain cardanol from cashew nut shell liquid was based on Srinivasa et al. (2002)Srinivasa Rao A, Phani Kumar P, Paramashivappa R, Vithayathil JP and Subba Rao PV (2002) Process for isolation of cardanol from technical cashew (Anacardium occidentale l.) nut shell liquid. J Agric Food Chem 50:4705-4708., however the required degree of purity was not reached. For this reason, liquid column chromatography was performed to assess the purity of the cardanol mixture, which resulted in a yield of 26% on a weight basis. Finally, a yield of 61% on a weight basis was reached by catalytic hydrogenation of cardanols. Cardanol, 3-pentadecylphenol was then purified by liquid column chromatography, and the purity of the compound for biological activity assays was reinforced by an additional recrystallization process in 90% ethanol, yielding a pure white solid (melting point 51-52 °C). Purity was confirmed by 1H-NMR spectroscopy at 300-MHz frequency in deuterated chloroform (CDCl3) (Supplementary Material 1). The spectroscopic data were compared to data already reported in the literature, confirming the purity of the product.

Biometric parameters of animals exposed to cardanol

No significant differences were observed in the weight gain of the animals (Figure 3A), absolute and relative weight of the kidneys, heart and spleen, when compared with the control groups (Figure 3B,C,F). However, the group that was treated with cyclophosphamide combined with cardanol at the dose of 2.5 mg/kg showed a decrease in the relative weight of the liver (Figure 3D), when compared to the control, cyclophosphamide and cardanol 2.5 / 5 mg/kg groups, and in the relative weight of the lungs (Figure 3E) when compared to all groups.

Figure 3
Weight gain and relative weights of organs from animals treated with cardanol alone or in combination with cyclophosphamide. (A) Weight gain of animals exposed to cardanol; weight gain was calculated by the difference between animal weigh after treatments and before treatments. Relative weights of kidneys (B), heart (C), liver (D), lungs (E) and spleen (F); relative weight was calculated as the ratio of each organ's absolute weight to the animal's weight. Bars represent the mean ± SEM. Different letters represent statistically significant differences (ANOVA followed by Tukey's post-hoc tests; p ≤ 0.05).

Comet and micronucleus assays

Data obtained from the comet assay showed that cardanol increased the frequency of damaged cells 2.02, 1.74 and 1.63 times, respectively, for the doses of 2.5, 5 and 10 mg/kg. Thus, we observed an inversed dose-response curve, and only the lowest dose was statistically significant. However, when observing the score of comet classes (Table 2), cardanol showed absence of genotoxicity. All cardanol doses where combined with cyclophosphamide, because there was absence of genotoxicity. Thus, in the combination groups, antigenotoxic activity was observed with percentages of damage reduction of 31.76, 18.90 and 18.90 for the doses of 2.5, 5 and 10 mg/kg, respectively (Table 2).

Table 2
Means ± SEM of damaged cells, distribution between damage classes, and scores related to antigenotoxicity tests of cardanol by means of the comet assay. Different letters indicate statistically significant differences (p ≤ 0.05; ANOVA and Tukey's post-hoc test).

In turn, the micronucleus assay showed that only the 10 mg/kg cardanol dose increased micronuclei frequency after 24 h of treatment compared to the respective control, but not at 48 h and 72 h (Figure 4A). The results showed cardanol presented protective activity: it decreased micronucleus frequency, and damage reduction was greater at cardanol 2.5 mg/kg at all time points examined (Figure 4A). DNA damage reduction was significant at all doses tested and at all time points, and %DR values were 65, 57 and 45% after 24 h; 88, 86 and 63% after 48 h; and 97, 92 and 77% after 72 h of treatment for doses of 2.5, 5 and 10 mg/kg, respectively (Figure 4B).

Figure 4
Evaluation of the mutagenic and antimutagenic potential of cardanol. (A) Means ± SEM of micronuclei frequency. (B) Percentage reduction of mutagenic damage. Bars represent different time points of analysis: Black bars 24 h, gray bars 48 h and white bars 72 h after the treatment. Different letters represent statistically significant differences (ANOVA followed by Tukey's post-hoc tests; p ≤ 0.05).

Splenic phagocytosis and apoptosis assay

Cardanol induced no change in phagocytosis rates when assessing splenic phagocytosis in animals treated with cardanol. In turn, treatments with cyclophosphamide isolated or in combination with cardanol, showed increased phagocytosis (Figure 5A).

Figure 5
Phagocytic and apoptotic cells. Number of phagocytic cells (A). Number of apoptotic cells in the liver (B), kidneys (C), and spleen (D). Bars represent the mean ± SEM. Different letters represent statistically significant differences (ANOVA followed by Tukey's post-hoc tests; p ≤ 0.05).

When assessing whether cardanol induced apoptotic cell death, the results showed that cardanol alone did not increase apoptosis in liver, kidneys or spleen. However, a reduction in the number of apoptotic cells was observed in all organs studied in the treatments combined with cyclophosphamide (Figures 5B-D).

Discussion

Cardanol has been previously described as an important antioxidant and antimutagenic compound (Melo Cavalcante et al., 2003Melo Cavalcante AA, Rubensam G, Picada JN, Gomes da Silva E, Fonseca Moreira JC and Henriques JA (2003) Mutagenicity, antioxidant potential, and antimutagenic activity against hydrogen peroxide of cashew (Anacardium occidentale) apple juice and cajuina. Environ Mol Mutagen 41:360-369.; Rodrigues et al., 2006Rodrigues FHA, Feitosa JPA, Ricardo NMPS, De Franca FCF and Carioca JOB (2006) Antioxidant activity of cashew nut shell liquid (cnsl) derivatives on the thermal oxidation of synthetic cis-1,4-polyisoprene. J Braz Chem Soc 17:265-271.; Trevisan et al., 2006Trevisan MTS, Pfundstein B, Haubner R, Wurtele G, Spiegelhalder B, Bartsch H and Owen RW (2006) Characterization of alkyl phenols in cashew (Anacardium occidentale) products and assay of their antioxidant capacity. Food Chem Toxicol 44:188-197.; De Lima et al., 2008De Lima SG, Feitosa CM, Cito A, Moita Neto JM, Lopes JAD, Leite AS, Brito MC, Dantas SMM and Cavalcante A (2008) Effects of immature cashew nut-shell liquid (Anacardium occidentale) against oxidative damage in Sacharomyces cerevisae and inhibition of acetylcholinesterase activity. Genet Mol Res 7:806-818.). Cardanol and cardol also induced cytotoxicity and cell death without DNA fragmentation in cancer cells, which suggests that these compounds could be alternative antiproliferative agents (Teerasripreecha et al., 2012Teerasripreecha D, Phuwapraisirisan P, Puthong S, Kimura S, Okuyama M, Mori H, Kimura A and Chanchao C (2012) In vitro antiproliferative/cytotoxic activity on cancer cell lines of a cardanol and a cardol enriched from Thai Apis mellifera propolis. BMC Complement Altern Med, 12:e27.).

The score of the comet assay showed that cardanol is not genotoxic. However, this compound can increase the frequency of cells with DNA damage in an inverse dose-response curve. In other words, the lower the dose, the greater the occurrence of genotoxic damage. When analyzing the micronucleus assay data at 24h, there was a directly proportional relation between the increase in the dose and mutagenicity. Thus, in this case, there was a dose-response correlation, and only the higher dose demonstrated toxicity. At 48 and 72h, the same pattern of dose-response was observed, but all doses showed absence of mutagenicity. Considering these results, it is inferred that cardanol, according to our experimental design, has low capacity to induce DNA damage, and this fact stimulated the continuation of the study. Cardanol is known to have antioxidant and antimutagenic proprierties (Melo Cavalcante et al., 2003Melo Cavalcante AA, Rubensam G, Picada JN, Gomes da Silva E, Fonseca Moreira JC and Henriques JA (2003) Mutagenicity, antioxidant potential, and antimutagenic activity against hydrogen peroxide of cashew (Anacardium occidentale) apple juice and cajuina. Environ Mol Mutagen 41:360-369.; Rodrigues et al., 2006Rodrigues FHA, Feitosa JPA, Ricardo NMPS, De Franca FCF and Carioca JOB (2006) Antioxidant activity of cashew nut shell liquid (cnsl) derivatives on the thermal oxidation of synthetic cis-1,4-polyisoprene. J Braz Chem Soc 17:265-271.; Trevisan et al., 2006Trevisan MTS, Pfundstein B, Haubner R, Wurtele G, Spiegelhalder B, Bartsch H and Owen RW (2006) Characterization of alkyl phenols in cashew (Anacardium occidentale) products and assay of their antioxidant capacity. Food Chem Toxicol 44:188-197.; De Lima et al., 2008De Lima SG, Feitosa CM, Cito A, Moita Neto JM, Lopes JAD, Leite AS, Brito MC, Dantas SMM and Cavalcante A (2008) Effects of immature cashew nut-shell liquid (Anacardium occidentale) against oxidative damage in Sacharomyces cerevisae and inhibition of acetylcholinesterase activity. Genet Mol Res 7:806-818.) and it is cytotoxic for tumor cells (Teerasripreecha et al., 2012Teerasripreecha D, Phuwapraisirisan P, Puthong S, Kimura S, Okuyama M, Mori H, Kimura A and Chanchao C (2012) In vitro antiproliferative/cytotoxic activity on cancer cell lines of a cardanol and a cardol enriched from Thai Apis mellifera propolis. BMC Complement Altern Med, 12:e27.; Patel, 2016Patel S (2016) Emerging adjuvant therapy for cancer: Propolis and its constituents. J Diet Suppl 13:245-268.). Thus we also evaluated its chemopreventive and/or its ability to potentiate damage caused by chemotherapy. All doses showed to have antigenotoxic and antimutagenic potential, and an inverse correlation dose-response was observed. This data showed the chemopreventive capacity of cardanol. An interesting fact is that when a dose is at the limit of genotoxicity, chemopreventive activity is also observed. This was not expected, however, it is common to find similar results, as reported by Oliveira et al. (2013)Oliveira RJ, Salles MJS, Da Silva AF, Kanno TYN, Lourenço ACDS, Leite VDS, Matiazi HJ, Pesarini JR, Ribeiro LR and Mantovani MS (2013) In vitro evaluation of the antimutagenic and antigenotoxic effects of β-glucan extracted from Saccharomyces cerevisae in acute treatment with multiple doses. Genet Mol Biol 36:413-424., who examined β-glucan activity, noting that this agent may be both genotoxic and antigenotoxic. In addition, similar data were reported for shiitake (Lentinula edodes (Berkeley) Pegler; Miyaji et al., 2004Miyaji CK, Jordão BQ, Ribeiro LR, Eira AF and Cólus IMS (2004) Genotoxicity and anti- genotoxicity assessment of shiitake (Lentinula edodes (Berkeley) Pegler) using the comet assay. Genet Mol Biol 27:108-114.) and Caesaria sylvestris extracts (Oliveira et al., 2009bOliveira AM, Santos AG, Santos RA, Santos AG, Csipak AR, Olivato C, Freitas MB, Bassi CL, Cavalheiro AJ, Bolzani VS, et al. (2009b) Ethanolic extract of Casearia sylvestris and its clerodane diterpen (caseargrewiin f) protect against DNA damage at low concentrations and cause DNA damage at high concentrations in mice's blood cells. Mutagenesis 24:501-506.).

The micronucleus assay showed that cardanol at 2.5 mg/kg did not increase the number of cells with DNA damage at the time points studied, and it provided the best protection against DNA damage, as observed by %DR. This result indicated that genotoxic lesions observed in the comet assay were not fixed in the DNA as a permanent DNA damage. Rather, lesions detected by this comet assay, including single- and double-strand breaks, alkaline-labile sites, crosslinks, excision repair sites, methylation damage and adducts (Singh, 2000Singh NP (2000) Microgels for estimation of DNA strand breaks, DNA protein crosslinks and apoptosis. Mutat Res 455:111-127.; Tice et al., 2000Tice RR, Agurell E, Anderson D, Burlinson B, Hartmann A, Kobayashi H, Miyamae Y, Rojas E, Ryu JC and Sasaki YF (2000) Single cell gel/comet assay: Guidelines for in vitro and in vivo genetic toxicology testing. Environ Mol Mutagen 35:206-221.; Hermeto et al., 2014Hermeto LC, Oliveira RJ, Matuo R, Jardim PHF, Rafael de Rossi R, Silva ACMBA, Deffune E, Evaristo TC and Santana AR (2014) Evaluation of pH effects on genomic integrity in adipose-derived mesenchymal stem cells using the comet assay. Genet Mol Res 14:339-348.), may be repaired without becoming mutations (Oliveira et al., 2007Oliveira RJ, Matuo R, Da Silva F, Matiazi HJ, Mantovani MS and Ribeiro LR (2007) Protective effect of β-glucan extracted from Saccharomyces cerevisae, against DNA damage and cytotoxicity in wild-type (k1) and repair-deficient (xrs5) CHO cells. Toxicol in vitro 21:41-52.). In contrast, the micronucleus assay evaluates aneugenic and clastogenic activities that are not prone to repair. Micronuclei originate from acentric chromosome fragments, acentric chromatid fragments, or whole chromosomes that fail to be included in the daughter nuclei at the completion of telophase during mitosis. These chromosomes or fragments are enclosed by a nuclear membrane and present a morphology similar to nuclei, except for their smaller size (Fenech et al., 2011Fenech M, Kirsch-Volders M, Natarajan AT, Surralles J, Crott JW, Parry J, Norppa H, Eastmond DA, Tucker JD and Thomas P (2011) Molecular mechanisms of micronucleus, nucleoplasmic bridge and nuclear bud formation in mammalian and human cells. Mutagenesis 26:125-132.).

Studies have reported that there are two mechanisms that may explain antimutagenesis: bioantimutagenesis and desmutagenesis. In bioantimutagenesis, an antioxidant is able to modulate DNA repair and replication through enzymes. In turn, in desmutagenesis, a compound adsorbs another, thus preventing its action (Kada et al., 1982Kada T, Inoue T and Namiki N (1982) Environmental desmutagens and antimutagens. In: Klekowski EJ (ed) Environmental Mutagenesis and Plant Biology. Praeger, New York, pp 137-151.; Kada and Shimoi, 1987Kada T and Shimoi K (1987) Desmutgens and bio-antimutagens: Their modes of action. BioEssays 7:113-115.; De Flora, 1998De Flora S (1998) Mechanisms of inhibitors of mutagenesis and carcinogenesis. Mutat Res 402:151-158.; Duarte et al., 2009Duarte TI, Cooke MS and Jones GDD (2009) Gene expression profiling reveals new protective role of vitamin C in human skin cells. Free Radic Biol Med 46:78-87.; Oliveira et al., 2006Oliveira RJ, Ribeiro LR, Da Silva AF, Matuo R and Mantovani MS (2006) Evaluation of antimutagenic activity and mechanism of action of β-glucan from barley, in CHO-k1 and HTC cell lines using the micronucleous test. Toxicol in vitro 20:1225-1233., 2007Oliveira RJ, Matuo R, Da Silva F, Matiazi HJ, Mantovani MS and Ribeiro LR (2007) Protective effect of β-glucan extracted from Saccharomyces cerevisae, against DNA damage and cytotoxicity in wild-type (k1) and repair-deficient (xrs5) CHO cells. Toxicol in vitro 21:41-52., 2009aOliveira RJ, Salles MJ, Da Silva AF, Kanno TYN, Lourenço ACS, Freiria GA, Matiazi HJ, Ribeiro LR and Mantovani MS (2009a) Effects of the polysaccharide β-glucan on clastogenicity and teratogenicity caused by acute exposure to cyclophosphamide in mice. Regul Toxicol Pharmacol 53:164-173., 2013Oliveira RJ, Salles MJS, Da Silva AF, Kanno TYN, Lourenço ACDS, Leite VDS, Matiazi HJ, Pesarini JR, Ribeiro LR and Mantovani MS (2013) In vitro evaluation of the antimutagenic and antigenotoxic effects of β-glucan extracted from Saccharomyces cerevisae in acute treatment with multiple doses. Genet Mol Biol 36:413-424., 2014Oliveira RJ, Pesarini JR, Salles MJS, Kanno TYN, Lourenço ACDS, Leite VDS, Da Silva AF, Matiazi HJ, Ribeiro LR and Mantovani MS (2014) Effect of β-glucan polysaccharide revealed lethal assay and micronucleous assays, and reproductive performance of male mice exposed to cyclofosfamide. Genet Mol Biol 37:111-119.). Antimutagenesis through mechanisms of desmutagenesis and bioantimutagenesis could explain our damage reduction data, since treatments were administered simultaneously, i.e., the damage-inducing agent and cardanol were administered sequentially.

Cardanol is not able to induce splenic phagocytosis, and its combination with cyclophosphamide caused no change in the levels found in the corresponding control (positive control - cyclophosphamide). These results suggest that cells with cardanol-induced damage experienced no phagocytosis. Thus, the compound did not demonstrate immunomodulatory activity.

When assessing cardanol-induced cell death, the results showed cardanol alone failed to induce apoptosis in liver, kidneys and spleen, although apoptosis reduction occurred in treatments combined with cyclophosphamide. This reduction in cell death occurred more efficiently at cardanol 2.5 mg/kg combined with cyclophosphamide. In general, apoptotic cell death is presumably triggered when cells experience extensive damage that cannot be repaired. Clastogenic and aneugenic damage, evidenced in micronuclei, could also be eliminated by apoptosis (Fenech et al., 1999Fenech M, Crott J, Tuner J and Brown S (1999) Necrosis, apoptosis, cytostasis and DNA damage in human lymphocytes measured simultaneously within the cytokinesis-block micronucleus assay: Description of method and results for hydrogen peroxide. Mutagenesis 14:605-612.). However, our results showed that cardanol increased micronuclei frequency, albeit not that of apoptosis. According to Vukicevic et al. (2004)Vukicevic V, Kampfinger K and Stopper H (2004) Influence of altered apoptosis in human lymphoblastoid cell lines on micronucleus frequency. Toxicol Lett 147:187-95., this may result from possible apoptotic suppression in micronucleated cells, which become necrotic even before undergoing mitosis.

According to Damasceno et al. (2002)Damasceno DC, Volpato GT, Sartori TC, Rodrigues PF, Perin EA, Calderon IM and Rudge MV (2002) Effects of Annona squamosa extract on early pregnancy in rats. Phytomedicine 9:667-672., Freitas et al. (2005)Freitas TG, Augusto PM and Montanari T (2005) Effect of Ruta graveolens L. on pregnant mice. Contraception 71:74-77., Brugiolo et al. (2010)Brugiolo SSS, Peters VM, Pimenta DS, Aarestrup BJV, Brugiolo ASS, Ribeiro DM, Ribeiro DM and de Oliveira-Guerra M (2010) Reproductive toxicity of Echinodorus grandiflorus in pregnant rats. J Toxicol Sci 35:911-922. and Gonçalves et al. (2013Gonçalves CA, Siqueira JM, Carollo CA, Mauro MO, David N, Cunha-Laura AL, Monreal ACD, Castro AH, Fernandes L, Chagas R, et al. (2013) Gestational exposure to Byrsonima verbascifolia: Teratogenicity, mutagenicity and immunomodulation evaluation in female Swiss mice. J Ethnopharmacol 150:843-850., 2014Gonçalves CA, Silva NL, Mauro MO, David N, Cunha-Laura AL, Auharek AS, Monreal ACD, Vieira MC, Silva DB, Santos FJL, et al. (2014) Evaluation of mutagenic, teratogenic, and immunomodulatory effects of Annona nutans hydromethanolic fraction on pregnant mice. Genet Mol Res 13:4392-4405.), the weight gain and relative weight of the organs during the experimental period can be used as toxicity parameters. Biometric parameters from the present study support the fact that cardanol lacks toxicity, when administered alone or in combination with cyclophosphamide. There was no statistically significant variation in weight gain and relative weight of the kidneys, heart and spleen. However, statistically significant differences were observed in the liver and lungs for the group that received cyclophosphamide combined with the lowest dose of cardanol. A possible explanation to this fact is that in this specific group there was no weight gain during the experimental period. Furthermore, this group had the highest standard error, indicating higher rate variation in the size of the animals, even after random distribution. Thus, we consider that this data is not biologically relevant.

A final interpretation of the data showed that, despite its chemoprotective capacity, cardanol has a tendency to induce DNA damage, and hence, caution is needed if it is used as a chemopreventive agent. Moreover, when combined with cyclophosphamide, this compound reduced the frequency of apoptotic cells. Thus, this compound is likely not to be used as an adjuvant in chemotherapy treatments that use cyclophosphamide.

Acknowledgments

This study was funded by the Brazilian Federal Agency for Support and Evaluation of Graduate Education (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, CAPES), the National Council for Scientific and Technological Development (Conselho Nacional de Desenvolvimento Científico e Tecnológico, CNPq) and the Mato Grosso do Sul Foundation for the Developmental of Education, Science and Tecnology (Fundação de Apoio ao Desenvolvimento do Ensino, Ciência e Tecnologia do Estado de Mato Grosso do Sul, FUNDECT). RM received funding from the Post-doctoral National Program-CAPES (Programa Nacional de Pós Doutorado, PNPD-CAPES).

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Internet Resources

Supplementary material

The following online material is available for this article:

Figure S1 - 1H-NMR spectrum of cardanol (CDCl3, 300 MHz)

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  • Associate Editor: Carlos F. M. Menck

Publication Dates

  • Publication in this collection
    Apr-Jun 2016

History

  • Received
    13 July 2015
  • Accepted
    20 Dec 2015
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