Introduction
Despite advances in modern medicine assisted by structural biology and bioinformatics,
naturally derived products and their derivatives still represent an important part
of our arsenal in maintaining health and well-being. This is because although many
active substances are available in the vastly diverse biological systems, their uses
are restricted as they usually occur in low amounts. Additionally, lengthy or unknown
biosynthetic pathways have made metabolic engineering difficult either in the organism
producing the active products or in microbes with characterized genetic background.
It is also known that many secondary metabolites are derived from various precursors,
such as amino acids whose synthesis is tightly regulated. Furthermore, organisms that
produce these active substances may not be cultivable.
In contrast to known secondary metabolic pathways [1], the anhydrofructose pathway is unique in two aspects ([Fig. 1]) [2], [3]. For the first, the precursors of AF are glycogen and starch, which as the carbon
and energy storage molecules in cells usually occur in large quantities; for the second,
this pathway involves only a limited number of well-characterized enzymes and genes.
This makes the in vitro biocatalytic production of these metabolites in large quantities possible [4], [5].
Fig. 1 The formation of AG, APP, and microthecin from α-1,4-glucans including glycogen via AF and ascopyrone M (APM) by α-1,4-glucan lyase. AF reductases, AF dehydratase, aldos-2-ulose dehydratase, and ascopyrone
tautomerase are the known enzymes of the anhydrofructose pathway [2], [3]. The applications including potential applications of these metabolites in medicine
are indicated.
In the last two decades, studies on AF biogenesis and its metabolism have been mainly
performed in EU laboratories [2], [3], while studies to explore the medical applications of AF have largely been carried
out by some laboratories in Japan [6], [7], [8], [9]. These works have been published in various forms and different languages. The purposes
of this review are to summarize and critically evaluate the achievements made in this
area with an emphasis on the roles of AF and its metabolites including chemical derivatives
in health care. Future developments that could further research in this area and perspectives
that could lead to additional uses of these products in health care are discussed.
Occurrence and Biosynthesis of AF and its Derivatives: The Anhydrofructose Pathway
The biological occurrence of AF was first reported in morels in 1987 [10]. It is produced by the degradation of α-1,4-glucans including glycogen, starch and maltosaccharides catalyzed by α-1,4-glucan lyase (EC 4.2.2.13) ([Fig. 1]) [11], [12]. As can be seen from [Fig. 1], via the anhydrofructose pathway, AF is metabolized in vivo to 1,5-anhydro-D-glucitol (AG), ascopyrone P (APP), microthecin and other metabolites. Today it is
known that AF or the AF-forming glucan lyase occurs in bacteria, fungi, algae and
mammalian tissues ([Table 1]) [13], [14], [15], [16], [17], [18], [19], [20]. For detailed treatment of this pathway the readers are referred to recent reviews
[2], [3].
Table 1 Occurrence of 1,5-anhydro-D-fructose (AF) and α-1,4-glucan lyase in selected prokaryotic and eukaryotic organisms.
|
Organisms
|
AF concentration (µg/g fresh tissue)
|
α-1,4-Glucan lyase
|
References
|
|
Escherichia coli C600 (Migula) Castellani et Chalmers
|
+ a
|
– b
|
[19]
|
|
Trichodesmium erythraeum Ehrenberg IMS101
|
–
|
+
|
[3]
|
|
Gracilariopsis lemaneiformis (Bory) Dawson, Acleto et Foldvik
|
37 - 1900
|
+
|
[11], [19], [56]
|
|
Gracilaria verrucosa (Hudson) Papenfuss
|
–
|
+
|
[11]
|
|
Gracilaria chorda Holmes
|
–
|
+
|
[57]
|
|
Ceramium gobii Waern
|
1.4
|
–
|
[19]
|
|
Furcellaria lumbricalis (Hudson) J. V. Lamouroux
|
1.7
|
–
|
[19]
|
|
Cladophora rupestres (Linnaeus) Kützing
|
0.31
|
–
|
[19]
|
|
Pilayella littoralis (Linnaeus) Kjellman
|
0.10
|
–
|
[19]
|
|
Morchella costata (Vent.) Pers. (ATCC 64 173),
|
–
|
+
|
[12], [58]
|
|
Morchella vulgaris (Pers.) Boud. (ATCC 64 176),
|
–
|
+
|
[12], [58]
|
|
Peziza ostracoderma Korf (ATCC 24 032)
|
–
|
+
|
[58]
|
|
Anthracobia melaloma (Alb. & Schwein.) Arnould (CBS 293.54)
|
–
|
+
|
[59]
|
|
Wistar rat liver
|
0.43
|
–
|
[18]
|
|
a Detected or presence; b Not determined
|
Enzymatic and chemical preparation of AF and its derivatives
The preparation of AF, APP and microthecin can be achieved from inexpensive and renewable
materials such as starch in one pot since none of the enzymes for their synthesis
such as glucan lyase, dehydratases and tautomerase need any cofactors [2], [3]. Thus laboratory-scale production of AF in kilogram quantities has been achieved
[4], [21]. Although inferior to the enzymatic method, AF can also be prepared chemically and
recently more efficient methods for the chemical synthesis of AF have been reported
[22], [23]. APP can also be prepared by chemical synthesis from AF [24], or simply by autoclaving AF followed by chromatographic separation [6]. This is why some trace amount of APP is found in toasted and fried foods [6]. AG and its stereoisomer 1,5-anhydro-D-mannitol (AM, syn.: styracitol) can be produced from AF by the action of AF reductases [2], [3], [25]. AG and AM can also be prepared chemically by stereoselective reduction of AF at
C-2 with the aid of suitable catalysts and reducing agents [26].
AF has been shown to be a versatile precursor for the synthesis of a variety of AF
derivatives. These include a variety of naturally occurring metabolites, such as 1-deoxymannojirimycin
[27], haliclonol [28], 5-epipentenomycin I [29], bissetone [30], [31], palythazine, isopalythazine, and clavulazine [23], [30]. For a discussion on their syntheses the readers are referred to the recent review
[23].
The Potential Effects of AF and its Derivatives in Medical Applications
The role of AF and its derivative AG in regulating sugar metabolism
The roles of AF and AG in regulating sugar metabolism have been evaluated, either
as the root cause, or as a potential treatment in related disorders including diabetes.
By structural comparisons, AF (1-deoxy-2-keto-D-glucose) and AG (1-deoxy-D-glucose) are both analogues of glucose, and therefore their roles as substrates or
effectors of selected sugar-metabolizing enzymes have been investigated. Thus rat
brain hexokinase (EC 2.7.1.1) has been found to be able to phosphorylate both AF and
AG with a Km
of 0.79 and 0.83 mM, respectively [32]. The phosphorylated forms of AF (AF 6-P) and AG (AG 6-P) have been shown to inhibit
the phosphorylation of D-glucose by rat brain hexokinase with a Ki
of 0.07 and 0.04 mM, respectively [32]. AG 6-P has also been shown to inhibit the oxidation of glucose [33]. In contrast to rat brain hexokinase, rat liver glucokinase (EC 2.7.1.2) phosphorylated
neither AF nor AG. The phosphorylation of glucose by the glucokinase was, however,
inhibited by both AF and AG. For instance, AF and AG at 3 mM inhibited the phosphorylation
of glucose at 3 mM by 43.5 and 38.7 %, respectively [32].
Mutarotase (EC 5.1.3.3) from hog kidney was inhibited by both AF and AG though at
a lesser extent [32]. For instance, at 2 mM, AF and AG inhibited the mutarotation of glucose at 2.3 mM
by 16 and 33 %, respectively. The mutarotase from hamster intestine was inhibited
by AG with a Ki
similar to its Km
for glucose (25 mM) [34]. Like glucose, AG has been reported to inhibit glycogenolysis by inhibiting rat
hepatocyte phosphorylase but unlike glucose it did not activate glycogen synthase
(EC 2.4.1.11) [35].
The data related to the effects of AF and AG on sugar metabolism at the enzymatic
level obtained to date are quite fragmentary. Moreover, the inhibitory effects of
AF and AG have not been linked to disorders of sugar metabolism. The roles of and
the further metabolism of AF 6-P and AG 6-P formed by hexokinase in different mammalian
organs and tissues deserves further investigation.
The roles of AF and its derivative AG in stimulation of insulin secretion
To further study the possible roles of AF and AG in regulating sugar metabolism and
related disorders, especially diabetes, in vitro and in vivo systems including cell cultures, isolated tissues, and rodent models have been used.
The results indicate that AF does not seem to play a major role in regulating blood
sugar levels either directly or indirectly. This is concluded from the observation
that feeding C57BL/6J mice challenged with a high-fat diet at a dose of AF of 30 mg/mouse/day
for 8 weeks did not result in a difference in basal blood glucose and insulin levels
between the AF-treated and control groups. Also compared to controls, AF treatment
did not affect body weight, food and water intake in the C57BL/6J mice fed with either
a high-fat diet or a normal diet (Yu et al., unpublished data).
The role of AG in insulin secretion was examined using isolated rodent islets and
cell cultures. Similar to AF, AG at a concentration of 0.05 to 10 mM did not stimulate
insulin secretion in isolated islets (Yu et al., unpublished data). In contrast, AG
stimulated insulin secretion in two rodent insulinoma cell lines studied, i.e., rat
RINr and mouse MIN6 [36]. Insulin release was maximally stimulated to levels 25 and 100 % higher than those
of controls (AG-free treatment) in RINr and MIN6, respectively. The effects were concentration-dependent
in the range of 30–610 µM, which is within the physiological range of AG concentrations
[36]. In addition, at an AG to glucose ratio of 1/200, AG showed an additive effect on
insulin secretion with 20 mM glucose. The additive effect was also observed with other
types of saccharides and polyols. The secretagogue action of AG was independent of
an increase in the intracellular content of cAMP and ATP [36]. These results suggest that AG stimulates insulin secretion through a mechanism
that is different from that of glucose. It is known that the MIN6 cell line, which
is more sensitive to AG-stimulated insulin secretion, closely resembles normal pancreatic
β-cells in glucose metabolism and glucose-dependent insulin secretion [36]. Studies have shown that pancreatic
β
-cells possess a unique AG transport system [37], which may be involved in the effects of AG. Additional studies are needed to have
a better understanding on the molecular basis of AG in insulin secretion in insulinoma
cell lines, isolated islets and rodent models. AG has been reported to affect the
adiponectin concentration in blood positively, which may ameliorate diabetic syndrome
[38].
The AF derivative AG as a marker for glycemic control
AG is the second most abundant polyol after glucose in human fluid [39]. In Wistar rats, AG has also been detected in brain, liver, pancreas, kidney, spleen,
thymus, lung, testis, muscle, and heart tissues at concentrations of 5–15 µg/g fresh
tissue [17]. The level of AG in human blood is used as a marker for glycemic control in diabetes
patients [40]. Normal serum AG concentration is in the range of 7 to 32 µg/mL (43–196 µM) while
in patients with non-insulin dependent diabetes mellitus, the AG concentration is
reduced to around 2 µg/mL [40]. The differences in the levels occur because AG competes with glucose for reabsorption
in the renal tubuli.
AF as an antioxidant
In neutral to alkaline milieu, AF exhibits good antioxidant properties as a result
of the enol function ([Fig. 1]) in the AF molecule which can tautomerize to the enediol function between C-2 and
C-3, a function also found in ascorbic acid [41], [42]. The antioxidant activity of AF was first proposed based on its fast reaction with
alkaline 3,5-dinitrosalicylic acid reagent at room temperature [43]. Later AF was shown to exhibit antioxidant activity by its scavenging action on
1,1-diphenyl-2-picrylhydrazyl (DPPH) radicals and preventing copper-mediated peroxidation
of LDL into proatherogenic oxLDL [41]. When tested with monocytic leukemia cells (THP-1 cells), AF inhibited the formation
of reactive oxygen species (ROS) including hydrogen peroxide and superoxide anion
induced in the presence of phorbol myristate acetate (PMA) [41]. It has been further demonstrated that AF shows stronger antioxidant activity at
physiological pH (pH 7.4) than at pH 6.5 and higher efficiency in scavenging superoxide
and peroxide generated by THP-1 cells compared to the nonphysiological DPPH radicals
[41]. The antioxidant nature of AF under neutral and alkaline conditions has also been
shown in other systems, such as certain food and beverage products including fresh
noodles [44], and green tea [42]. When considering its inhibitory effect on lipoprotein oxidation, AF like other
antioxidants might play a role in reducing atherosclerosis progression and thereby
decrease the incidence of cardiovascular disease [41]. AF has been reported to be safer than fructose [45].
AF as an anti-inflammatory agent
The anti-inflammatory effect of AF was first reported by Abeyama in 2006 [46]. Lipopolysaccharide (LPS) present on the outer membrane of gram-negative bacteria
is known to activate immune cells including macrophages and monocytes through a dedicated
receptor and initiate inflammation. In tests with cultured mammalian cells and murine
models, AF exhibits anti-inflammatory effects by reducing LPS-induced cytokine release
[47]. For example, following a challenge with LPS (2 mg/kg body weight) in a murine model,
a clear reduction of proinflammatory factors including interleukin (IL)-6 (− 57 %),
macrophage chemoattractant protein (MCP-1) (− 41 %), and tumor necrosis factor (TNF)-α (− 24.6 %) was observed in response to treatment with AF (38.5 mg/kg body weight)
compared to control (phosphate buffer saline, PBS). Similar results for the suppression
of IL-6, MCP-1, and TNF-α have also been observed in vitro with murine macrophage-like RAW 264.7 cells [47].
The mechanism of AF suppression of cytokine production has been linked to inhibition
of LPS-induced NF-κB DNA-binding activity via the suppression of phosphorylation at
Ser536 on the p65 subunit of NF-κB [48]. AF also suppresses nuclear translocalization of the NF-κB p65 subunit in LPS-stimulated
RAW 264.7 cells. AF has been shown to inhibit LPS-induced nitric oxide (NO) production
in the murine macrophage-like cell line RAW 264.7, and to protect mice from LPS-induced
lung injury by down-regulating the expression of inducible nitric oxide synthases
(iNOS, EC 1.14.13.39) and upregulating the production of IL-10 [48]. In contrast to AF, AG showed an anti-inflammatory effect [47], [48].
AF as an antimicrobial and anti-tooth decay agent
AF has been reported to possess certain antibacterial activities, especially against
gram-positive bacteria [7] and particularly anticariogenic activity (Abe et al., unpublished results) [8]. At a concentration of 1 %, AF had an inhibitory effect on the growth of Streptococcus mutans Clarke strain GS5 by extending the lag phase to 4–8 h [8]. Streptococcus mutans is a known significant contributor to tooth decay. AF at 0.5 % in the culture medium
suppressed the production of extracellular dextransucrase (EC 2.4.1.5) 20-fold by
S. mutans. More interestingly AF at 0.5 % completely inhibited dextransucrase-catalyzed synthesis
of the sticky extracellular polysaccharides which allow the bacteria to cohere on
the teeth, forming tooth plaque. AF at 0.5 % also slowed down the production of lactic
acid from fructose by S. mutans by a factor of 14 in a culture medium containing 5 % sucrose. Plaque formation and
lactic acid buildup contribute to dental decay by causing dental cavities. A future
directive would be to elucidate the growth inhibition mechanism, for example, to find
out if the effect of AF is at the enzymatic or gene expression level. Further work
to examine the effect of AF on other oral colonizers including Neisseria and other Streptococcus species is needed.
AF and its derivatives APP and microthecin as potential anticancer agents
AF and its derivatives APP and microthecin were examined for their possible anticancer
effects using cell lines and rodent models. AF and APP both show good anticancer effects
demonstrated using cell lines and rodent models. APP is apparently more efficient
than AF with regard to effective dosages. Microthecin is very effective at killing
blood cancer cell lines but on the other hand it also exhibits a cidal effect on normal
cell lines. Detailed discussions on these are given below.
For AF, it shows a good anticancer effect in both in vitro cell cultures and in vivo rodent models. AF exhibited an anticancer effect in in vivo studies with C57 BL/6 mice. B16 melanoma cells (5 × 106 cells) were disseminated in the abdominal cavities of the mice followed by daily
administration from day two of PBS (control) or AF at a dose level of 200 mg/kg into
the abdominal cavities. The average number of days the mice survived was 19 for those
treated with AF and 14 for the controls [9]. In in vitro studies the presence of AF (12 mM) reduced the number of attached monocytic leukemia
(THP-1) cells by 75 % [9]. This suggests that AF interferes with the adherence of THP-1 cancer cells to the
extracellular matrix.
Toxicology studies indicate that AF is not a mutagen when tested using prokaryotic
and eukaryotic cells [49]. AF gave no abnormal symptoms in rodents in acute oral toxicity at 5.0 g/kg body
weight and 90-day toxicity studies at 1.0 g/kg body weight daily [50].
For APP, its anticancer effect was demonstrated in vitro using various cancer cell lines ([Table 2]) and in vivo using animal models ([Fig. 2]) [9]. Furthermore, it has been shown that the anticancer mechanism of APP is due to its
inhibition on cellular DNA synthesis ([Fig. 3]) [9].
Fig. 2 Effect of APP on tumor growth in terms of tumor tissue volume. APP in phosphate buffer
saline (PBS) at a dosage of 25 mg/kg body weight was subcutaneously injected into
the tumor spots in the backs of C57/BL6 mice every other day from the 3rd day to the 13th day [9]. The mice had previously been disseminated with B16 melanoma cells (1 × 10 6 cells) at day zero.
Fig. 3 Evaluation of cell cycle affected by APP as monitored by flow cytometry. HeLa cells
were grown in the presence of FCS 10 % with or without the addition of APP (1.4 mM)
for 24 h and examined for cell populations with respect to cell division stages [9].
Table 2 Effect of ascopyrone P (APP) on the mortality of selected cancer cell lines. Cell
death was observed 48 h after APP had been incubated with the cancer cells in cell
culture medium containing APP (1.4 mM), FCS (10 %) at 37 °C and 5 % (v/v) CO2 atmosphere [9].
|
Cancer cells
|
Percentage of dead cells (%)
|
|
THP-1 (monocytic leukemia cells)
|
33.3 ± 0.7
|
|
HeLa (human cervical cancer cells)
|
8.3 ± 2.0
|
|
A549 (human lung adenocarcinoma cells)
|
48.6 ± 3.8
|
|
HaCaT (human keratinocyte derived tumor-like cells)
|
27.2 ± 3.1
|
|
B16 melanoma (C57 BL/6 mouse melanoma cells)
|
31.9 ± 3.6
|
In in vitro tests, it was observed that the number of B16 melanoma living cells decreased significantly
in a concentration-dependent manner in the presence of APP at 7 µM, 70 µM, 0.35 mM
and 0.70 mM. For instance, after one week of growth in the presence of 7 µM and 0.7 mM,
the number of viable cells decreased by 30 and 50 %, respectively, compared to control.
A similar effect was also seen with other cancer cell lines tested, which include
HaCaT (human keratinocyte derived tumor-like cells) and A549 (human lung adenocarcinoma
cells) ([Table 2]). In the mechanistic studies with HaCaT and A549 cells, apoptosis-specific DNA fragmentation
was observed within 48 h after the addition of 1.4 mM APP [9].
One of the specific features of APP is its selective inhibition of fast dividing cancer
cells with apparently no influence on cells with a slower growth rate (normal cells).
This has been demonstrated with HaCaT cells, which behave like tumor cells in the
presence of 10 % fetal calf serum (FCS) and like normal cells at 1 % FCS or lower.
While APP at 1.4 mM induced within 48 h about 30 % of cell death of HaCaT cells growing
rapidly in 10 % FCS ([Table 2]), almost no cell death was observed when they were grown in 1 % FCS [9].
The mechanism of action of APP was investigated using flow cytometry. These studies
suggest that APP interferes with the S period of the cell cycle, i.e., the DNA synthesis
period. APP inhibited the transition of cells from the S period to the G2/M period
([Fig. 3]), and consequently induced cell death. For HeLa cells which grow rapidly in the
presence of 10 % FCS, a significant increase in S period cell population and decrease
in G2/M period cell population was observed 24 h after the addition of APP (1.4 mM),
with about 10 % of cell death occurring in 48 h ([Table 2]) [9]. APP shows a good synergistic effect with known anticancer drugs such as cisplatin.
As shown in [Table 2], APP showed cidal effects on monocytic leukemia cells (THP-1 cells) as observed
after 48 h incubation. In another experimental set-up with THP-1 after 48 h incubation,
the cell mortality was between 46 % and 57 % in the presence of 0.3, 0.7 or 1.4 mM
of APP and 40 % for 2 mM of cisplatin alone. APP (0.3, 0.7 or 1.4 mM) combined with
cisplatin (2 mM) increased the cell mortality up 83 % to 90 % [9].
The anticancer effect of APP has also been demonstrated in C57 BL/6 mice [9]. B16 melanoma cells (5 × 106 cells) were disseminated in the abdominal cavities of the mice, PBS or APP solution
(200 mg/kg) was administered into the abdominal cavities every day from day 15, and
the survival was examined. The average survival time for mice after administration
was 8 days for those receiving APP and 4 for those given only PBS. APP also inhibited
tumor growth and the migration of the tumor cells in mice when APP was subcutaneously
injected into tumor spots at a dosage of 25 mg/kg daily ([Fig. 2]) [9].
Further work with APP could involve testing its toxicity and elucidating the molecular
mechanism of action, for example, whether APP interferes with DNA synthesis by interfering
with DNA polymerase (EC 2.7.7.6, EC 2.7.7.7). APP has been reported to be an antibacterial,
which may be used for food preservation [51]. The antibacterial effect of APP might also be related to its inhibition on DNA
synthesis. APP has been documented as a good water-soluble antioxidant due to the
existence of a conjugated enolone function in the molecule ([Fig. 1]) [42].
For microthecin, its anticancer effect was examined using malignant blood cell lines
(Mutu, Ramos, Raji) and the nonmalignant immortalized lymphoblastoid cell line [52]. Microthecin was toxic to all the cell lines tested with a cell mortality of 85–95 %
at 50 ppm (0.347 mM) [52]. The high efficacy of microthecin as a cell toxin could make it a promising drug
lead. Since the nonmalignant immortalized lymphoblastoid cell line was also killed
at low microthecin concentrations, there is obviously a need for a microthecin delivery
system such as a carrier to transport it in inactive form to cancer tissues where
it could be activated to its effective form. Reductive activation of cancer drugs
has been reported, as one based on lower oxygen pressure in cancer tissues compared
to normal tissues (tumor hypoxia) [53].
The antimicrobial effects of the AF derivative microthecin
Microthecin as an antibacterial agent exhibits inhibitory activities against both
gram-positive and gram-negative bacteria, including the human pathogen Pseudomonas aeruginosa PAO1 at 200–2000 ppm [52]. These studies also showed that microthecin was more efficient in controlling the
growth of P. aeruginosa under anaerobic conditions. Microthecin also shows activity against Aphanomyces cochlioides, an oomycete plant pathogen causing root rot disease [54]. It would be interesting to explore the efficacy of microthecin against other oomycete
species that cause diseases in humans and livestocks.
The antimicrobial and cytotoxic mechanisms of action of microthecin remain unknown.
It has been assumed that the α,β unsaturated ketone structure which exists in both microthecin and APP ([Fig. 1]) is essential for their bioactivities [55].
In summary, AF, APP and microthecin and their derivatives might be selected as new
leads for anticancer drug development to meet the low efficiency and increasing problem
of resistance of current cancer drugs. Further work is needed to consolidate these
in vitro and in vivo results achieved and evaluate the possible toxicity and efficacy of these compounds
against existing therapies before tests in human volunteers can begin. The other AF
derivatives, naturally occurring 1,5-anhydro-D-mannitol, 1-deoxymannojirimycin, haliclonol, 5-epipentenomycin I, bissetone, palythazine,
isopalythazine, and clavulazine, or the chemically synthesized ones [23] remain to be further evaluated for their biological activity and possible health
benefit.
