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In This Article
 »  Abstract
 »  Introduction
 »  Material and Methods
 »  Results
 »  Discussion
 »  Acknowledgements
 »  References

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RESEARCH PAPER
Year : 2004  |  Volume : 36  |  Issue : 2  |  Page : 87-92
 

Screening of certain chemoprotectants against cyclic peptide toxin microcystin-LR


Division of Pharmacology and Toxicology, Defence Research and Development Establishment, Jhansi Road, Gwalior - 474002, MP, India

Correspondence Address:
Division of Pharmacology and Toxicology, Defence Research and Development Establishment, Jhansi Road, Gwalior - 474002, MP, India
pvlrao@rediffmail.com

 » Abstract 

Objective: To evaluate the protective efficacy of certain chemoprotectants against cyclic peptide hepatotoxic microcystin-LR in mice. Material and Methods: Swiss albino female mice were used in all experiments for screening antidotes against the lethal dose of microcystin-LR (100 mg/kg body weight, i.p.). The agents, D-glucose, mannitol, dihydroxyacetone, Trolox®, L-cysteine, N-acetylcysteine, amifostine, glutathione, silymarin, naringin, rifampin and cyclosporin-a were administered as either pre-treatment (1, 3 and 24 h), co-administration or post-treatment. Percent survival and time to death were monitored. The biochemical profile of protected animals was monitored 24 h post-treatment. Results: D-glucose, mannitol, L-cysteine, naringin and amifostine extended the survival time of animals but offered no protection against lethality. N-acetylcysteine, glutathione and Trolox® gave partial protection (25-50%) on pretreatment or co-administration. Complete protection was observed with rifampin (25 mg/kg), cyclosporin-A (10 mg/kg) and silymarin (400 mg/kg) when given as pre-treatment. In addition, rifampin and cyclosprin-A gave complete protection when co-administered with microcystin-LR. Rifampin was the only agent which gave protection at 15 min post-treatment. The biochemical profile of surviving animals 24 h after treatment showed increased liver body weight index and levels of hepatic enzymes viz. LDH, ALT, SDH in serum. Conclusion: Chemoprotectants that can inhibit the specific uptake of toxin into the liver can be promising antidotes against lethal poisoning by microcystin-LR in mice.

How to cite this article:
Lakshmana Rao P V, Gupta N, Jayaraj R. Screening of certain chemoprotectants against cyclic peptide toxin microcystin-LR. Indian J Pharmacol 2004;36:87-92


How to cite this URL:
Lakshmana Rao P V, Gupta N, Jayaraj R. Screening of certain chemoprotectants against cyclic peptide toxin microcystin-LR. Indian J Pharmacol [serial online] 2004 [cited 2019 Dec 15];36:87-92. Available from: http://www.ijp-online.com/text.asp?2004/36/2/87/6766



 » Introduction Top


Microcystins are a family of structurally related cyclic peptide toxins that are produced by a variety of cyanobacteria but most often by those belonging to the genus Microcystis. The general structure of microcystins is cyclo (D-Ala-X-D-MeAsp-Y-Adda-D-Glu-Mdha-) in which X and Y are variable amino acids, D-MeAsp is D-erythro-b-methylaspartic acid, Adda is 3-amino-9-methoxy-2,6,8-trimethyl-10-phenyldeca-4,6-dienoic acid, and Mdha is N-methyldehydroalanine [Figure - 1]. Over 60 microcystin variants have been reported so far. The most common and toxic among them is microcystin-LR (MC-LR, MW 994), in which the variable amino acids are leucine (L) and arginine (R). Microcystins are known to be potent inhibitors of protein phosphatases 1 and 2A as well as skin and liver tumor promoters in animals.[1] These peptide toxins are also suspected to be involved in the promotion of primary liver cancer in humans exposed to long-term doses through drinking water.[2],[3] Acute illnesses and deaths in both humans and animals following exposure to microcystin-contaminated water sources have been reported worldwide.[4],[5] The clinical, pathological, and toxicological evidence points to microcystins having been the major cause of the death of 60 hemodialysis patients at Carauru, Brazil.[6],[7]
Because of the rapid, irreversible and severe damage to the liver caused by microcystins, therapy is likely to have little or no value, and effective prophylaxis is critical. In spite of the potential economic loss due to livestock poisoning and possible human hazards associated with this toxin, very little
work has been done on the development of suitable chemoprotectants against these toxins. In the present study a number of chemicals were investigated for their efficacy to antagonize microcystin poisoning in mice.


 » Material and Methods Top

Chemicals
Microcystin-LR (MC-LR) was purified from laboratory cultures of Microcystis aeruginosa (PCC 7820) and confirmed with authentic MC-LR standard obtained from Prof. W.W. Carmichael, Wright State University, Ohio, USA. Silymarin, rifampin, naringin, N-acetyl cysteine (NAC), L-cysteine, D-glucose, mannitol, dihydroxy acetone (DHA) were obtained from Sigma Chemical Co. USA. Trolox® (a water soluble vitamin E derivative; 6-hydroxy-2,5,7,8- tetramethyl-chroman-2-carboxylic acid) was obtained from Sigma-Aldrich (Aldrich, USA), cyclosporin-A (CsA) from Fluka, and GSH from Across, Belgium.

Animals
Swiss albino female mice (22-24 g) were maintained on standard laboratory diet and tap water ad libitum throughout the experiments. All mice were housed under conditions of controlled temperature (22 ± 20C) and lighting (12-hour light/dark cycle) and were allowed to acclimate for 5-7 days prior to initiation of the experiments. Establishment's Ethics Committee has approved this study.

Treatment regimen
Each treatment group consisted of four animals. All the biochemical modifiers or chemoprotectants were given intraperitoneally except amifostine, which was given orally. The doses of the biochemical modifiers were chosen based on previous published data. In cases where no previously published doses were available, the dose was established based on preliminary studies conducted at our laboratory. Mannitol, glutathione, NAC, L-cysteine, DHA and D-glucose were dissolved in PBS at required concentrations. Rifampin, naringin and silymarin were dissolved in minimum amount of neat DMSO and cyclosporin-A was dissolved in neat propylene glycol. Trolox® was dissolved in minimum amount of 1 M sodium bicarbonate and diluted to required concentration with phosphate buffer solution (PBS). All chemoprotectants were given in a volume of 0.20-0.25 ml. Control animals received a minimum amount (0.2 ml) of the respective solvents in which the agents were dissolved and no toxicity was observed with any of the solvents when administered alone (data not shown). The agents were tested alone, as pre-treatment at 1, 3, 24 h and co-administration. Those agents which showed some protection after co-administration, were further tested for their protective efficacy at 15 and 30 min post-treatment. For the sake of convenience the agents were grouped into categories. It is also likely that many of the agents may be grouped into more than one category based on their diverse biochemical effects.

Assessment of toxicity
Mice were administered MC-LR at 100 mg/kg dose at which all unprotected animals died. For preliminary screening, mean survival time and percent survival were calculated. Those antidotes which gave 100% protection against a lethal dose of MC-LR, were further evaluated for recovery pattern. In these experiments, the animals were pre-treated with antidote before MC-LR administration. The surviving animals were sacrificed 24 hours post-treatment. Liver samples were washed free of adhering extraneous material, blotted and weighed to determine liver body weight index (LBI = liver weight X 100/body weight). Hepatic GSH content was determined by fluorimetric method.[8] Serum samples were analyzed for enzyme levels of sorbitol dehydrogenase (SDH), alanine amino transferase (ALT), and lactate dehydrogenase (LDH) with reagent kits obtained from a commercial source (Bayer diagnostics, Baroda).

Statistical analysis
Results are presented as mean ± SEM. Significant differences between the toxin alone group and the antidote groups were determined by one-way analysis of variance followed by Dunnett's test using Sigma Stat software (Version 2.0, Jandel Scientific Inc. USA). A value of P < 0.05 was considered significant.


 » Results Top


Microcystin-LR at 100 mg/kg consistently produced 100% lethality and the mean time to death varied from 1 to 2 h. Previous studies have shown that mice that did not exhibit signs of toxicity within 24 h after treatment with MC-LR would not develop adverse effects thereafter.[9],[10] Therefore, survival to 24 h was chosen as an acceptable end-point for studies using potential chemoprotectants. [Table - 1] summarizes the results on the protective efficacy of certain osmotic agents and antioxidant/free radical scavengers. D-glucose at 2 g/kg after 1, 3 and 24 h pre-treatment extended survival time, but offered no protection from lethality. Similarly, mannitol (2 g/kg) and DHA (50 mg/kg) had no protective effect at all the pre-treatment time points. Pre-treatment with mannitol 1 h prior to the administration of microcystin-LR extended mouse survival time by 15-20 h. None of the agents protected the animals when co-administered with MC-LR. Trolox® at 24 h pre-treatment protected 25% of the animals. Co-administration with MC-LR significantly extended survival time (187.5 ± 7.5 min) but could not prevent lethality.
The protective efficacy of thiol contributors is shown in [Table - 2]. Pre-treatment with L-cysteine for 1, 3 h and co-administration offered no protection. But 24 h pre-treatment significantly extended survival time. One hour pre-treatment with NAC 15 mg/kg significantly extended survival time (193 ± 7.2 min). At 3 and 24 h pre-treatment 25% of the animals survived but co-administration was not effective. No protection was observed with amifostine pre-treatment at 1, 3 and 24 h though a marginal increase in survival time was observed. GSH at 2 g/kg concentration protected 25% of the mice at 3 h pre-treatment but no protection was observed at 1 and 24 h pre-treatment. Co-administration protected 50% of the animals. Post-treatment with GSH did not give any protection.
The protective efficacy of certain flavonoid compounds and hepatic activity modulators screened against a lethal dose of MC-LR is shown in [Table - 3]. Silymarin at 400 mg/kg protected 75% of the animals after 1 h pre-treatment and 100% protection was observed with 3 and 24 h pre-treatment. But it offered no protective effect when co-administered with MC-LR. Post-treatment did not offer protection. Naringin, the grape fruit flavonoid was evaluated for its protective efficacy against MC-LR. At 50 mg/kg, naringin protected 25% of the animals after 1 h pre-treatment. The mean time to death was also extended in the other three animals. At 3 and 24 h pre-treatment, no protection was observed but survival time was marginally extended.
Rifampin at 25 mg/kg pre-treatment 1 h prior to the dose of MC-LR completely protected all the mice. However, 3 h and 24 h pre-treatment study showed 75 and 100% mortality. Co-administration of rifampin gave 100% protection. Rifampin when administered 15 and 30 min after MC-LR could still protect 75% of the animals. CsA pre-treatment at 10 mg/kg for 1 and 3 h showed 100% protection as against 100% mortality in 24 h pre-treated mice with extended survival time. Similar to rifampin, co-administration of CsA with MC-LR gave 100% protection against lethality. But unlike rifampin, post-treatment for 15 min CsA could not prevent MC-LR induced lethality.
In order to evaluate the recovery of the surviving animals after rifampin, CsA or silymarin treatment, some biochemical variables were estimated in surviving animals 24 h post-treatment after challenge with the lethal dose of MC-LR. Animals that survived after protection with all three agents still showed an enlarged liver indicated by higher LBI after 24 h. The LBI was significantly higher than the control group but less than the MC-LR only group [Figure:2a]. MC-LR treated mice showed three-fold depletion of GSH levels as compared to the control group. Though animals protected with the three agents showed GSH augmentation, the GSH levels were still lower than the controls [Figure:2b]. Serum enzymes of LDH, ALT and SDH showed elevated levels after 24 h in all the three antidote-treated groups as compared to control animals [Figure:3a] - [Figure:3c].


 » Discussion Top


Microcystins are the most predominantly distributed among the cyanobacterial toxins. The consequence of acute poisoning by these compounds is rapid disorganization of the hepatic architecture, breakdown of sinusoidal structures and, in mammals, pooling of blood in the liver.[11],[12] The mode of action of the microcystins at the cellular level is the specific inhibition of the activity of protein phosphatase (PP1 and PP2A) activity.[13]
Studies aimed at finding antidotes for microcystin toxicity have shown in vivo protection in mice by a variety of chemically unrelated compounds. Adams et al[14] investigated chemicals known to affect macrophage function as potential prophylactic agents. Hermansky et al[9] in an empirical study performed prior to the publication of the protein phosphatase-inhibitory properties of microcystins, examined a variety of chemoprotectants against microcystin-LR. These compounds included antioxidants, enzyme inducers, calcium channel blockers, free-radical scavengers and hepatic activity modulators. Earlier studies indicate a possible role for free-radical scavengers in antagonizing microcystin-induced toxicity.[15],[16] However, of the free-radical scavengers / osmotic agents used in the study, D-glucose and mannitol extended only survival time (possibly due to the inactivation or dilution of the toxin in the peritoneal cavity) but could not prevent lethality.[9],[10] Trolox® that penetrates bio membranes and protects mammalian cells from oxidative damage gave only a partial protection.
Among thiol modulators / contributors no protection from lethality was observed with L-cysteine, and amifostine though they extended survival time. Partial protection was observed with NAC and GSH. It is speculated that the physical inhibition of absorption similar to that suggested for mannitol and glucose may be responsible for the protective effect of GSH. Additionally, GSH may react with MC-LR in the peritoneal cavity preventing sufficient absorption of the toxin to produce toxicity. Recent studies show that microcystin could conjugate with GSH and cysteine in both cell-free systems.[17],[18]
Keeping in view their biological activities, two flavonoids, silymarin and naringin were evaluated. Silymarin pre-treatment completely protected mice from lethality but was not effective when co-administered. Silymarin has been shown to increase the levels of glutathione and reduce the production of malondialdehyde, as a measure of lipid peroxidation in livers of rats acutely intoxicated with ethanol.[19] The antagonistic effect of silymarin could be similar to that of dithioerythritol by stabilizing protein-thiol, which may be important to the structure of liver cells. Rifampin and CsA pre-treatment and co-administration gave 100% protection. Both rifampin and CsA are known for their immunosuppressant activities. However, the dose used in the present study may not be high enough to produce immunosuppression. Both rifampin and CsA are known to block the hepatocellular uptake of bile acids.[20],[21] CsA has also been shown to protect the isolated hepatocytes from phalloidin, a cyclic heptapeptide toxin that is similar to microcystin-LR in its uptake and mode of action. Thus, the protective effects of rifampin and CsA may be related to blocked cellular uptake of MC-LR. Screening of various compounds has shown that only rifampin, silymarin and CsA could provide complete protection against MC-LR-induced lethality. The biochemical profile of surviving animals still showed elevated levels of various enzymes and LBI indicating the persistent toxic effect of MC-LR.
Microcystin-induced toxicity is mediated through the inhibition of cellular protein phosphatase 1 and 2A.[22],[23],[24] To date, there are no known inhibitors of the interaction of microcystin with protein phosphatases. Any potential chemoprotectant should have the ability to either prevent microcystin-protein phosphatase interaction or inhibit the uptake of the toxin into hepatocytes.
In conclusion, rifampin, cyclosprin-A and silymarin pre-treatment could prevent microcystin-induced lethality possibly by preventing the uptake and intracellular transport of toxin into the liver. Further studies are required to identify and characterize effective antidotes against this environmentally important class of toxins.


 » Acknowledgements Top


The authors thank Dr. R. Vijayaraghavan, Head, Division of Pharmacology and Toxicology and Mr. K. Sekhar, Director, DRDE for their support and keen interest. Nidhi Gupta is thankful to the Defence Research and Development Establishment for the award of research fellowship. 

 » References Top

1.Nishiwaki-Matsushima R, Ohta T, Nishiwaki S, Suganuma M, Kohyama K, Ishikawa T, et al. Liver tumour promotion by the cyanobacterial cyclic peptide toxin microcystin-LR. J Cancer Res Clin Oncol 1992;118:420-4.  Back to cited text no. 1  [PUBMED]  
2.Yu SZ. Primary prevention of hepatocellular carcinoma. J Gastroenterol Hepatol 1995;10:674-82.  Back to cited text no. 2  [PUBMED]  
3.Fleming LE, Carlos R, John B, Chris W, Judy AB, Kathleen AS, et al. Blue green algal (cyanobacterial) toxins, surface drinking water and liver cancer in Florida. Harmful Algae 2002;1:157-68.  Back to cited text no. 3    
4.Teixera M, Costa M, Carvalho V, Pereira M, Hage E. Gastroenteritis epidemic in the area of the Itaparica Dam, Bahia, Brazil. Bull Pan Am Health Org 1993;27:244-53.  Back to cited text no. 4    
5.Chorus I, Falconer IR, Salas HJ, Batram J. Health risks caused by freshwater cyanobacteria in recreational waters. J Toxicol Environ Health 2000;3:323-47.  Back to cited text no. 5    
6.Pouria S, De Andrade A, Barbosa J, Cavalcanti R, Barreto V, Ward C, et al. Fatal microcystin intoxication in haemodialysis unit in Caruaru, Brazil. Lancet 1998;352:21-6.  Back to cited text no. 6    
7.Carmichael WW, Azevedo MFO, An JS, Molica RJR, Jochimsen EM, Lau S, et al. Human fatalities from cyanobacteria: Chemical and biological evidence for cyanotoxins. Environ Health Perspect 2001;109:663-8.  Back to cited text no. 7    
8.Hisin PJ, Hilf R. A fluorometric method for determination of oxidised and reduced glutathione in tissues. Anal Biochem 1976;74:214-26.  Back to cited text no. 8    
9.Hermansky SJ, Stohs SJ, Eldeen ZM, Roche VF, Mereish KA. Evaluation of potential chemoprotectants against microcystin-LR hepatotoxicity in mice. J Appl Toxicology 1991;11:65-74.  Back to cited text no. 9    
10.Rao PVL, Bhattacharya R. The cyanobacterial toxin microcystin-LR induced DNA damage in mouse liver in vivo. Toxicology 1996;114:29-36.  Back to cited text no. 10    
11.Carmichael WW. Cyanobacteria secondary metabolites-cyanotoxins. J Appl Bacteriol 1992;72:445-59.  Back to cited text no. 11  [PUBMED]  
12.Nidhi G, Pant SC, Vijayaraghavan R, Lakshmana Rao PV. Comparative toxicity evaluation of cyanobacterial peptide toxin microcystin variants (LR, RR, YR) in mice. Toxicology 2003;188:285-96.  Back to cited text no. 12    
13.Mackintosh C, Baettie KA, Klumpp S, Cohen P, Codd GA. Cyanobacterial microcystin-LR is a potent and specific inhibitor of protein phosphatases 1 and 2A from both mammals and higher plants. FEBS Lett 1990;264:187-92.  Back to cited text no. 13    
14.Adams WH, Stoner RD, Adams DG, Read H, Slatkin DN, Siegelman HW. Prophylaxis of cyanobacterial and mushroom cyclic peptide toxins. J Pharmacol Exp Ther 1989;249:552-6.  Back to cited text no. 14    
15.Ding WX, Shin HM, Zhu HG, Ong CN. Studies on oxidative damage induced by cyanobacteria-extract in primary cultured rat hepatocytes. Environ Res 1998;78:12-8.  Back to cited text no. 15    
16.Ding WX, Ong CN. Role of oxidative stress and mitochondrial changes in cyanobacteria-induced apoptosis and hepatotoxicity. Toxicon 2003;220:1-7.  Back to cited text no. 16    
17.Kondo F, Matsumoto H, Yamada S, Ishikawa N, Ito E, Nagata S, et al. Detection and identification of metabolites of microcystins formed in vivo in mouse and rat livers. Chem Res Toxicol 1996;9:1355-9.  Back to cited text no. 17  [PUBMED]  [FULLTEXT]
18.Ding WX, Shen HM, Ong CN. Critical role of reactive oxygen species and mitochondrial permeability transition in microcystin-induced rapid apoptosis in rat hepatocytes. Hepatology 2000;32:547-55.  Back to cited text no. 18  [PUBMED]  [FULLTEXT]
19.Valenzuela A, Lagos C, Schmidt K, Videla LA. Silymarin protection against hepatic lipid peroxidation induced by acute ethanol intoxication in the rat. Biochem Pharmacol 1985;34:2209-12.  Back to cited text no. 19  [PUBMED]  
20.Mereish KA, Solow R. Effect of antihepatotoxic agents against microcystin-LR toxicity in cultured rat hepatocytes. Pharm Res 1990;7:256-9.  Back to cited text no. 20    
21.Dawson RM. The toxicology of microcystins. Toxicon 1998;36:953-62.  Back to cited text no. 21  [PUBMED]  [FULLTEXT]
22.Eriksson JE, Toivola D, Meriluoto JAO, Karaki H, Han Y-G, Hartshorne D. Hepatocyte deformation induced by cyanobacterial toxins reflects inhibition of protein phosphatases. Biochem Biophy Res Commun 1990;173:1347-53.  Back to cited text no. 22    
23.Runnegar MTC, Kong S, Berndt N. Protein phospatase inhibition and in vivo hepatotoxicity of microcystins. Am J Physiol 1993;265:G224-30.  Back to cited text no. 23    
24.Runnegar M, Berndt N, Kaplowitz N. Microcystin uptake and inhibition of protein phosphatases : effects of chemoprotectants and self-inhibition in relation to hepatic transporters. Toxicol Appl Pharmacol 1995;134:264-72.  Back to cited text no. 24  [PUBMED]  [FULLTEXT]
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