Biological activities and structural characterisation of anticancer Herbal Polysaccharides

Lin Zhang

A thesis submitted in fulfilment of the requirement of Doctor of Philosophy

National Institute of Complementary Medicine School of Science and Health Western Sydney University, Australia

Supervisors

Dr. Narsimha Reddy

Dr. Sundar Rao Koyyalamudi

Dr. Cheang Khoo

March 2017 Signed Statement of Authentication

I, Lin Zhang, declare that this thesis contains no material that has been accepted for the award of any other degree or diploma and that, to the best of my knowledge and belief, this thesis contains no material previously published or written by another person, except when due reference has been made in the text of this thesis.

Signed ...... 张璘......

i Abstract

In recent years, medicinal have become popular for the treatment of several diseases due to their efficacy and cost effectiveness. derived therapeutic agents are increasingly sought out as pharmaceuticals for the treatment of life-threatening illnesses. Important contributions have already been made in the recent years to the drug market by the compounds isolated from natural sources or from their derivatives. There is no doubt that, novel lifesaving drugs could be discovered by a systematic evaluation of ethno medicinal information using modern scientific tools.

This thesis attempts to systematically combine ethnomedicinal knowledge together with the

contemporary scientific methods to evaluate immunomodulatory and anticancer properties of

sixteen traditional medicinal herbs with an aim to discover anticancer formulations. The

major objective of this project is to isolate and characterise potent anticancer

polysaccharides from Traditional Chinese Medicinal (TCM) herbs.

In order to achieve these objectives, sixteen Chinese Medicinal herbs have been successfully

screened for their antioxidant, immunomodulatory and anticancer activities. Based on

their immunomodulatory and anticancer activities, three traditional anticancer TCM

herbs, namely, Amauroderma rugosum, chinensis and Artemisia annua have been

selected for further studies. Isolation and characterisation of polysaccharides from these three medicinal herbs has been carried out. The structural characterization

employing FT-IR and NMR spectroscopy has been carried out and presented in Chapters

5 to 7.

ii A total of eight potent immuno-therepuritic polysaccharides have been discovered for the first time from the three important anticancer TCM herbs (A. annua, L. chinensis and A. rugosum).

The structure of three of them have been determined. The MRI contrast potentials of Gd(III) complexes of three of the herbal polysaccharides have also been studied. Low molecular weight polysacchro-proteins were found to be T1 agents and high molecular weight polysacchro-proteins were T2 agents.

Findings of this thesis have contributed significant scientific knowledge that has offered some suggestions for designing new immuno-therepeutic formulations based on the eight polysaccharides discovered in this thesis. However, further research is required in order to design such formulations.

iii Acknowledgements

I am sincerely greatful to my supervisors: Dr. Narsimha Reddy, Dr. Sundar Rao and Dr.

Cheang Khoo from School of Science and Health, University of Western Sydney, for their valuable guidance and advice in this research.

I also would like to thank Dr. Christopher E Jones, for helping me in biological experiments.

I would like to thank the technical staff of School of Science and health, for their support during my research.

Last but not least, I wish thank my parents for encouraging me to pursue higher education and their priceless support.

I specially thank Dr. Narsimha Reddy, Dr. Sundar Rao and Dr. Cheang Khoo for their valuable guidance and giving me an opportunity to pursue research career.

iv Table of contents

Abstract ii

Acknowledgements iv

Table of contents v

List of Figures xv

List of Tables xviii

Publications and Papers Submitted

Chapter One: Introduction

1.1. Introduction 1

1.2. Thesis plan 2

1.3. References 5

Chapter Two: Literature review

2.1. Introduction 6

2.2. Traditional Chinese Medicine and Cancer treatment 7

2.3. Molecular basis of cancer formation 9

2.3.1. Free radicals and cancer 9

2.3.2. Chemokines and cancer 12 2.3.2.1. Immunosurveillance and immunoediting of cancer: Role of botanic polysaccharides 12

2.3.2.2. Antioxidant and immunomodulatory activities of polysaccharides from medicinal plants/mushroom 13

2.4. Review of literature on anticancer TCM herbs with special emphasis on bioactive polysaccharides 14

2.4.1. Anticancer organic molecules isolated from TCM herbs 16

2.4.2. Anti-tumor polysaccharides isolated from medicinal mushrooms 17

2.5. An overview of the factors influencing the mechanism of action of plant polysaccharides as anticancer agents 23

v 2.6. Structural characterization of polysaccharides 24

2.7. Basis for the selection of medicinal herbs used in this project 29

2.8. Aims and objectives 34

2.9. References 36

Chapter Three: Evaluation of Immunomodulatory and anticancer potentials of sixteen traditional anticancer herbs - selection of best herbs for further study

Abstract 50

3.1. Introduction 51

3.2. Materials and Methods 55

3.2.1. Procurement of medicinal plants associated with this research 55

3.2.2. Chemicals and reagents/enzymes 55

3.2.2.1. Chemicals 55

3.2.2.2. Reagents/enzymes 56

3.2.3. Extraction of crude polysaccharides from sixteen medicinal plants 56

3.2.4. Analysis of chemical composition 59

3.2.5. Bio-Assays 60

3.2.5.1. Antioxidant activities 60

3.2.5.1.1. Scavenging activity against DPPH● radicals 60

3.2.5.1.2. ABTS●+radical scavenging assay 60

3.2.5.1.3. Ions (Fe2+) Chelating assay 61

3.2.5.1.4. Ferric ions (Fe3+) reducing antioxidant power 61

3.2.5.2. Immunomodulatory activity assays 62

3.2.5.2.1. Production of IL-6 62

3.2.5.2.2. Production of TNF- α 63

3.2.5.2.3. Toxicity test 63

3.2.5.3. In vitro anticancer assays against various cancer cell lines 64

vi 3.2.6. Statistical analysis 65

3.3. Results and Discussion 65

3.3.1. Chemical composition of polysaccharides 65

3.3.2. Antioxidant activities of selected herbal polysaccharides 67

3.3.2.1. Scavenging abilities against DPPH● and ABTS●+ radicals 67

3.3.2.2. Ions (Fe2+) Chelating assay 69

3.3.2.3. Fe3+ reducing abilities 69

3.3.3. Immunomodulatory activities of crude polysaccharides 70

3.3.3.1. Effect of herbal polysaccharides to activate mouse macrophages

and produce TNF-α and IL-6 70

3.3.3.2. Toxicities of polysaccharides 76

3.3.4. Anticancer activities of crude polysaccharides 76

3.4. Conclusions 83

3.5. References 84

Chapter Four: Evaluation of Immunomodulatory and anticancer potentials of ethanol soluble organics from sixteen traditional anticancer herbs Abstract 96

4.1. Introduction 97

4.2. Materials and Methods 100

4.2.1. Collection of medicinal herbs associated with this research 100

4.2.2. Chemicals and reagents 101

4.2.3. Ethanol soluble water extraction preparations for bioactivity studies 101

4.2.4. Determination of total phenolic compounds 103

4.2.5. Determination of total flavonoids 104

4.2.6. Bioactivity tests 104

4.2.6.1. DPPH● radical scavenging assay 104

4.2.6.2. ABTS●+radical scavenging assay 104

vii 4.2.6.3. Immunomodulatory activities assays 105

4.2.6.3.1. Culture RAW 264.7 macrophages 105

4.2.6.3.2. NO production 105

4.2.6.3.3. TNF- α production 105

4.2.6.3.5. Determination of cell viability by MTT assay 105

4.2.6.4. Anticancer assays against various cancer cell lines 106

4.2.7. Statistical analysis 107

4.3. Results and Discussion

4.3.1. Chemical composition 107

4.3.2. Antioxidant activities 108 4.3.2.1. DPPH● and ABTS●+ scavenging activities 108

4.3.2.2. Fe3+ reducing power 110

4.3.3. Anti-inflammatory activities 114

4.3.3.1. Cell viability 116

4.3.4. Anticancer activities 118

4.4. Conclusions 123

4.5. References 126

Chapter Five: Biological and structural characterisation of polysaccharides fractions isolated from Amauroderma rugosum Trrond

Abstract 137

5.1. Introduction 138

5.1.1. Traditional use of Coriolus versicolor 139

5.1.1.1. Clinical studies of anti-tumor polysaccharides from C. versicolor 139

5.1.1.2. Anti-tumor mechanism of PSP and PSK isolated from C. versicolor 141

5.1.2. Anticancer polysaccharides from Ganodermataceae family of mushroom 143

5.1.2.1. Polysaccharides from Amauroderma genus 143

5.2. Materials and Methods 144

5.2.1. Materials 144

viii 5.2.2. Extraction and fractionation of polysaccharides from

Amauroderma rugosum 145

5.2.3. Determination of molecular weights of polysaccharide fractions 146

5.2.4. Analysis of mono-saccharides 147

5.2.5. Fourier transforms infrared (FT-IR) spectroscopy 147

5.2.6. NMR analysis 148

5.2.7. Bioactivity tests 148

5.2.7.1 . Antioxidant activity 148

5.2.7.2. Assay for the measurement of IL-6 production 149

5.2.7.3. Assay for the measurement of TNF- α production 150

5.2.7.4 . Determination of cell viability by MTT assay 150

5.2.8. Statistical analysis 151

5.3 Results and Discussion 151

5.3.1. Fractionation and purification of polysaccharides from A. rugosum 151

5.3.2. FT-IR spectroscopic characterisation of active polysaccharides 154

5.3.3. NMR spectroscopic study 156

5.3.4. Antioxidant activities ARPs 164

5.3.5. Immunomodulatory effects of polysaccharides from A. rugosum 166

5.3.6. Mechanism of action of ARPs 169

5.3.7. Cell viability 170

5.4 Conclusions 170

5.5 References 172

Chapter Six: Biological and structural characterisation of polysaccharides fractions isolated from Lobelia chinensis Lour

Abstract 183

6.1. Instruction 184

6.2. Materials and methods 187

ix 6.2.1. Material 187

6.2.2. Chemicals 187

6.2.3. Extraction and fractionation of polysaccharides from Lobelia chinensis 187

6.2.4. Determination of average molecular mass 188

6.2.5. Determination of chemical composition 188

6.2.6. FT-IR analysis 188

6.2.7. NMR analysis 188

6.2.8. Bioactivity tests 189

6.2.8.1. DPPH● scavenging assay 189

6.2.8.2. ABTS●+radical scavenging assay 189

6.2.8.3. OH● scavenging assay 189

6.2.8.4. Immunostimulatory activity assays 189

6.2.8.4.1. Culturing of macrophage cells 189

6.2.8.4.2. IL-6 production 190

6.2.8.4.3. TNF- α production 190

6.2.8.5. Determination of toxicity by MTT test 190

6.2.9. Statistical analysis 190

6.3 Results and Discussion 191

6.3.1. Extraction and fractionation of polysaccharides from L. chinensis 191

6.3.2. Chemical compositions of the fractions 192 6.3.3. FT-IR spectroscopy analysis 194

6.3.4. NMR spectroscopy analysis 196

6.3.5. Radical scavenging activities 201

6.3.6. Immunostimulatory activities of L. chinensis polysaccharides 204

6.3.7. Cell viability 206

6.4 Conclusions 207

6.5 References 209

x Chapter Seven: Biological and structural characterisation of polysaccharides

isolated from Artemisia annua L

Abstract 216

7.1. Introduction 217

7.1.1. Ethnopharmacology of the plants from Artemisia genus and

their photochemistry 219

7.1.2. Important polysaccharides from Artemisia genus 221

7.2 Materials and methods 223

7.2.1. Material 223

7.2.2. Chemicals 223

7.2.3. Extraction and fractionation of polysaccharides from A. annua 223

7.2.4. Determination of molecular weights of polysaccharide fractions 224

7.2.5. Analysis of mono-saccharides 224

7.2.6. Bioactivity tests 224

7.2.6.1. DPPH● scavenging assay 224

7.2.6.2. ABTS●+radical scavenging assay 225

7.2.6.3. OH● radical scavenging assay 225

7.2.6.4. Immunomodulatory activity assays 225

7.2.6.4.1. Maintenance, preparation and activation of RAW 264.7 macrophages 225

7.2.6.4.2. Assay for the measurement of IL-6 production 225

7.2.6.4.3. Assay for the measurement of TNF- α production 226 7.2.6.5. Determination of cell viability by MTT assay 226

7.2.7. Fourier transform infrared (FT-IR) spectroscopy 226

7.2.8. Statistical analysis 226

7.3 Results and Discussion 226

xi 7.3.1. Fractionation and purification of polysaccharides from A. annua L 227

7.3.2. FT-IR spectroscopic characterisation of active polysaccharides 232

7.3.3. Antioxidant activities AAPs 235

7.3.4. Immunomodulatory effects of polysaccharides from A. annua L 237

7.3.5. Cell viability 242

7.4. Conclusions 242

7.5. References 244

Chapter Eight: Evaluation of MRI contrast potential of Gd(III) complexes with

bioactive herbal polysaccharides

Abstract 253

8.1. Introduction 254

8.1.1. Principles of NMR spectroscopy 256

8.1.1.1. NMR relaxation phenomenon 257

8.1.1.2. Spin-lattice relaxation 258

8.1.1.3. Spin-spin relaxation 258

8.1.1.4. Factors influencing relaxation rates 259

8.1.1.5. Relaxation of water protons in biological tissues 260

8.1.2. Influence of paramagnetic contrast agents on water proton relaxivities 261

8.1.2.1. Mechanism of paramagnetic relaxation of water molecules 262

8.1.3. Basic principles of magnetic resonance imaging (MRI) 264

8.2. Experimental Methodology 265

8.2.1. NMR relaxation experiments 265

8.2.2. MRI experiments 268

8.2.3. T2-weighted images 268

8.2.4. T1-weighted images 269

xii 8.2.5. Acquisition of MR images 271

8.2.6. Construction of phantom for the evaluation of performance of

T1 and T2 agents 272

8.2.7. Inversion recovery spin-echo MRI experiments

(T1 contrast images) 273

8.2.8. Spin-echo / CPMG pulse sequence based MRI experiments

(T2 contrast images) 274 8.3. Results and Discussion 274

8.3.1. NMR relaxivity Results 274

8.3.1.1. Results on T1 agents 275

8.3.1.2. Relaxation values of [Gd-Dextran-10] at different

concentrations 275

8.3.1.3. Relaxation values of [Gd-LCP-2] at different concentrations 276

8.3.1.4. Relaxation values of [Gd-AAP-1] at different concentrations 279

8.3.2. MRI Results 283

8.3.2.1. Performance evaluation of T1 contrast agents 283

8.3.2.2. MRI performance evaluation of T1 agents 283

8.3.2.2.1. Evaluation of MRI performance of [Gd- Dextran-10]

complex: a T1 agent 283

8.3.2.2.2. Evaluation of MRI performance of [Gd-LCP-2]

complex: a T1 agent 284

8.3.2.3. Performance evaluation of T2 contrast agents 285

8.3.2.4. MRI performance evaluation of T2 agent 285

8.3.2.4.1. Evaluation of MRI performance of [Gd-AAP-1] complex:

a T2 agent 286

xiii 8.4. Conclusion 286

8.5. References 288

Chapter Nine: Conclusions and Future Research 292

xiv List of Tables

Chapter Two

Table 2.1. Some anticancer polysaccharides from medicinal mushrooms and

their biological activities 22

Table 2.2. Important anti-cancer herbs that are used by Chinese medical practitioners

and in clinical studies 34

Chapter Three

Table 3.1. The Chemical composition and monosaccharide content of crude polysaccharides extract from dried plant material 66

Table 3.2. Antioxidant activities of crude polysaccharides extracted from 68

sixteen medicinal plants

Table 3.3. Ferric ion reducing power of polysaccharides extracted from

sixteen medicinal plants 72

Table 3.4. Immunomodulatory activities of polysaccharides extracted from

selected medicinal herbs 74

Table 3.5. In vitro cytotoxicity (IC50) of crude polysaccharides isolated from herbs

against five cancer cell lines 78

Chapter Four

Table 4.1. Antioxidant activities of the extracts from sixteen Chinese Medicinal herbs along with their Total phenolic and flavonoid contents 109 Table 4.2. Ferric ions reducing power of the extracts isolated from sixteen medicinal herbs 111 Table 4.3. Anti-inflammatory activities of the extracts from selected medicinal herbs 115

Table 4.4. In vitro cytotoxicity (IC50) of the extracts from herbs against

xv five cancer cell lines 120

Table 4.5. Important anticancer herbal extracts identified in this research

together with their polyphenol contents 125

Chapter Five

Table 5.1. Chemical composition (sugar contents) of ARPs 153

Table 5.2. Chemical shift (ppm) of 1H NMR signal for ARP-2 163

Table 5.3: Antioxidant activities of polysaccharide fractions of A. rugosum

along with their molecular weights 165

Chapter Six

Table 6.1. The Chemical composition and monosaccharide contents of LCPs 193

Table 6.2. 1H and 13C chemical shifts (ppm) of LCP-2 from L. chinensis 198

Table 6.3. Proton and carbon correlations from 2D-NMR spectra data

of LCP-2 from L. chinensis 198

Table 6.4. Radical scavenging activities of LCPs along with their

average molecular mass 202

Chapter Seven

Table 7.1. Chemical composition (sugar contents) of polysacharide

fractions isolated from A. annua L 229

Table 7.2. Antioxidant activities of polysaccharide fractions of A. annua

along with their molecular weights 231

Table 7.3. Antioxidant activities of polysaccharide fractions of A. annua 236

xvi Chapter Eight

Table 8.1. Relaxation data for Gd3+ complex with Dextan-10 which is a

standard α-glucan (Average molecular mass =10 kDa) 277

Table 8.2. Relaxation data for Gd3+ complex with LCP-2 which is a

β-D-(2→1)-fructan discovery in this research 278

Table 8.3. Relaxation data for Gd3+ complex with AAP-1 which is a complex

polysaccharides (containing arabinose, galactose and glucose units)

discovered in this research 280

Table 8.4. Classification of type of Gd (III) based MRI contrast agents

formed with bio-macromolecules with different molecular masses

studied in Authors’ Laboratory (unpublished data) 282

xvii List of Figures

Chapter Two

Fig. 2.1. Simplified diagram showing free radical damage of biopolymers that leads to carcinogenic response 11

Fig. 2.2. Various anticancer effects of components 15 Fig. 2.3. Flow chart showing project summary 35

Chapter Three

Fig.3.1. Flow chart for the extraction of polysaccharides from selected herbs 58 Fig. 3.2. Concentration dependant immunomodulatory activities of most active polysaccharide extracts 75

Fig. 3.3. Anticancer activities (IC50) of polysaccharide extracts against four different cancer cell lines 79 Fig. 3.4. Dose dependant variation of anticancer activities of the polysaccharides from the three most active herbs 80 Fig. 3.5. A diagram developed to visualise the relationship of anticancer

activities and monosaccharide composition 81

Chapter Four

Fig. 4.1. Schematic diagram for the separation of ethanol soluble organics from hot water extracts of medicinal herbs 103 Fig. 4.2. Correlation between antioxidant activity and the total

phenolic and flavonoid contents in the extracts 113

Fig. 4.3. Concentration dependant immunomodulatory activities of most

active extracts from the selected herbs 117

Fig. 4.4. Anticancer activities (IC50) of the extracts against

four different cancer cell lines 121

Fig. 4.5. Dose dependant variation of anticancer activities of the extracts

from the three most active herbs 122

xviii Chapter Five

Fig. 5.1. Flow chart for the extraction of polysaccharides from A. rugosum 146

Fig. 5.2. Gel filtration chromatograms of polysaccharide fractions from A. rugos um 152

Fig. 5.3. Calibration curve for the determination of molecular weights of polysaccharides A. rugosum L based on the elution volume and the molecular mass of standard dextran series of T2000 (2,000 kDa), T450 (450 kDa), T150 (150 kDa), T70 (70 kDa), T40 (40 kDa), T10 (10 kDa) and Glucose (180 Da) (Note: Kav = (Ve – Vo) / (Vt – Vo), Vo is void volume, Vt is total volume, Ve is elution volume) 153

Fig 5.4. The FT-IR spectra of the three fractions from A. rugosum 155

Fig. 5.5. 1H NMR spectra of A. rugosum polysaccharides 157

Fig. 5.6. 13C NMR spectra of A. rugosum polysaccharide 159

Fig. 5.7. (a) g-COSY and (b) HSQC spectra of ARP-2 160

Fig. 5.8. DEPT spectra of ARP-2 161

Fig. 5.9. Structure of ARP-2 162

Fig. 5.10. Concentration dependant radical scavenging activities of two polysaccharide fractions (LCP-1 and LCP-2) 165

Fig. 5.11. Effects of A. rugosum polysaccharides on murine RAW 264.7 macrophages 168

Fig. 5.12. Cell viabilities of isolated polysaccharide fractions from A. rugosum at different concentrations 170

Chapter Six

Fig. 6.1. Isolation and purification of LCPs using Sepharose LC-6B column 191

xix Fig. 6.2. FTIR spectrum of LCP-1 and LCP-2 195

Fig. 6.3. NMR spectra of LCP-2 isolated from L. chinensis 199

Fig. 6.4. Structure of LCP-2 200

Fig. 6.5. Concentration dependant radical scavenging activities of two polysaccharide fractions (LCP-1 and LCP-2) 202

205 Fig. 6.6. Effects of L. chinensis polysaccharides on murine RAW 264.7 macrophages 207 Fig. 6.7. Cell viabilities of isolated polysaccharides from L. chinensis

Chapter Seven

Fig. 7.1. Size-exclusion chromatogram representing polysaccharide and

protein profiles of A. annua 227

Fig. 7.2. Calibration curve for the determination of molecular weights of polysaccharides of A. annua L based on the elution volume and the molecular mass of standard dextran series of T2000 (2,000 kDa), T450 (450 kDa), T150 (150 kDa), T70 (70 kDa), T40 (40 kDa), T10 (10 kDa) and Glucose (180 Da) (Note: Kav = (Ve – Vo) / (Vt – Vo), Vo is void volume, Vt is total volume, Ve is elution volume) 230

Fig. 7.3. The FT-IR spectra of the three fractions from A. annua 234

Fig. 7.4. Concentration dependant radical scavenging activities of two polysaccharide fractions 236

Fig. 7.5. Effects of A. annua polysaccharides on murine RAW 264.7 macrophages 239

Fig. 7.6. Schematic representation of mechanism of immunostimulatory activity F induced by inulin-type fructans (β-D-(2→1)-fructan) of longer chain length (Note: Fructans with shorter chain leads to decreased production of cytokines) 241

xx Fig. 7.7. Cell viabilities of isolated polysaccharide fractions from A. annua at different concentration 242

Chapter Eight

Fig 8.1. Spin-echo MRI pulse sequence 268

Fig 8.2. Inversion recovery spin-echo MRI pulse sequence 270

Fig 8.3. Phantom for T1 and T2- weighted MR imaging 273

Fig. 8.4. Relaxivity graphs plotted against concentration: (A) T1 relaxivity, and (B) T2 relaxivity (Results confirm that this is a T1 agent with r2/r1=1.2) 277

Fig. 8.5. Relaxivity graphs plotted against concentration: (A) T1 relaxivity, and (B) T2 relaxivity (Results confirm that this is a T1 agent with r2/r1=1.17) 278

Fig. 8.6. Relaxivity graphs plotted against concentration: (A) T1 relaxivity, and (B) T2

relaxivity (Results confirm that this is a T2 agent with r2/r1=9.66) 280

Fig. 8.7. T1-weighted images from the phantom made with [Gd-Dextran-10] samples with three different concentrations (using Bruker FLASH pulse sequence). The concentration used were: Tube-1) 2.88 mM, Tube-2) 1.63 mM and Tube-3) 1.15 mM. The imaging parameters employed were: TE=1.8 ms, TR=5.6 ms 284

Fig. 8.8. T1-weighted images from the phantom made with [Gd-LCP-2] samples with three different concentrations (using Bruker FLASH pulse sequence). Theconcentration used were: Tube-1) 3.57mM, Tube-2) 2.6mM and Tube-3) 1.8mM. The imaging parameters employed were: TE=1.9 ms, TR=5.6 ms 285

Fig. 8.9. T2-weighted image from the phantom made with [Gd-AAP-1] samples with three different concentrations (using Bruker CPMG pulse sequence). The concentration used were: Tube-1) 0.3 mM, Tube-2) 0.9 mM and Tube-3) 2.5 mM. The imaging parameters employed were: TE=18 ms, TR=3 s 286

xxi Publications and Papers Submitted during PhD research

1. Zhang, L., Li CG, Liang H, Reddy N (2017) Bioactive Mushroom Polysaccharides:

Immunoceuticals to Anticancer Agents. J Nutraceuticals Food Sci. 2(2), 1.

2. Zhang, L., Koyyalamudi, S. R., Khoo, C. S., Reddy, N., 2017. Antioxidant, anti-

inflammatory and anticancer activities of ethanol soluble organics from water extracts

of selected Medicinal Herbs and their relation with flavonoid and phenolic contents.

Pharmacologia 8 (2): 59-72

3. Zhang, L., Reddy, N. & Koyyalamudi, S.R. (2014). “Chapter 5: Isolation,

characterization and biological activities of polysaccharides from medicinal plants and

mushrooms”. In: Studies in Natural Products Chemistry. Atta-ur-Rahman (Ed.),

Elsevier Science Publishers, Oxford, UK. (ISBN 978-0-444-63281-4). 42, 117-151.

4. Zhang, L., Koyyalamudi, S. R., Jones, C. E., Khoo, C. S., Reddy, N., 2017.

Antioxidant and immunomodulatory activities and structural characterization of

polysaccharides isolated from Lobelia chinensis Lour. Int. J. Mol. Sci (submitted)

5. Zhang, L., Koyyalamudi, S. R., Jones, C. E., Khoo, C. S., Reddy, N., 2017. Biological

activities and structural characterization of polysaccharides isolated from

Amauroderma rugosum. Int. J. Mol. Sci (submitted)

xxii Chapter One

Introduction 1.1.Introduction

Cancer is one of the leading causes of death in the modern world (Zhang et al., 2014). The occurrence of cancer is increasing because of the aging of the population as well as an increasing prevalence of established risk factors such as lifestyle factors. Based on

GLOBOCAN estimates, about 14.1 million new cancer cases and 8.2 million deaths occurred in 2012 worldwide (Torre et al., 2015).

A closer look into Traditional Chinese Medicine (TCM) for anticancer herbal formulations could be of great importance in the discovery of new and effective anticancer agents based on herbal polysaccharides.In recent decades, botanical polysaccharides have attracted a great deal of attention in biomedical research due to their significant immunomodulatory and anti- proliferation capacities (Vetvicka and Vetvickova, 2012, Schepetkin and Quinn, 2006,

Friedman, 2016, Sugiyama, 2016 and Zhang et al., 2014). It is important to note that novel and lifesaving therapeutic agents could be discovered by a systematic evaluation of TCM herbs/mushrooms using modern scientific techniques .

In order to discover new and effective polysaccharide based cancer therapeutic agents from medicinal herbs, it is essential to:

• Extract and screen the herbal polysaccharides for their biological activities (e.g. antioxidant, anti-inflammatory, anti-cancer) from a well-chosen set of TCM based anticancer herbs with a view to select a few of the best herbs in this chosen set

• Purify and study the biological activities of the polysaccharides isolated from the selected herbs based on the studies carried out in the preceeding step

• Undertake detailed scientific investigations on the active herbs to identify the chemical structures and possible mechanism of action of the purified herbal polysaccharides.

• Develop formulations by combining the most active polysaccharides to design effective therapeutic agents. Such a design of effective formulations must take advantage of synergistic effects. It should be noted that the synergy effects of a

1

formulation can be maximised by including the componetnts that act by differing mechanisms.

The first three of the above investigations have been successfully undertaken in this study with the aim to discovering anticancer polysaccharides. The results presented in Chapters 3 to 7 are extremely promising. The last dot point above is the subject of future research.

Sixteen herbs selected for initial screening in this research are presented in Table 3.1 of

Chapter 3. Table 3.1 gives the list of TCM anticancer herbs that have been chosen and studied in this project. Selection of these plants was on the basis of their TCM knowledge and therapeutic properties repoted in the literature (Huang et al., 2008; Wei et al., 2010).

Previous research on these selected sixteen polysaccharides is reviewed in Chapter 2.

Based on the initial screening results (Chapter 3), three of the most active herbs have been selected for further detailed study of their polysaccharides. These herbs are: Artemisia annua

L, Lobelia chinensisLour and Amauroderma rugosum. The detailed results on the pure polysaccharides isolated from these three herbs are presented in Chapters 5 to 7. Excellent results have been obtained from these studies and this research has produced about ten pure polysaccharides with very high immunomodulatory and antioxidant potential indicating that they are potent candidates for immuno-chemotherapy. MRI contrast potential of four of the discovered herbal polysaccharides have also been evaluated and presented in Chapter 8.

1.2. Thesis plan

Encompassing all the above mentioned objectives, this thesis has been divided into nine chapters as described below.

Chapter 1 provides an introduction to anticancer plants with special reference to TCM herbs and the significance of their polysaccharides. The importance of modern scientific research to

2 develop effective anticancer formulations with their polysaccharides is also presented. This

Chapter also gives the plan of this thesis.

Chapter 2 presents a thorough literature review on TCM herbs and their polysaccharides. A review of literature on botanical polysaccharides is also included in this chapter.The basis of the selection of sixteen anticancer herbs is also provided in this chapter.

Chapter 3 presents the results on anticancer, immunomodulatory and antioxidant activities of crude polysaccharides extracted from the sixteen selected herbs.The results are thoroughly analysed in this chapter and the relationship of anticancer activities with mono-saccharide composition is are discussed. Based on these results, three of the best herbs are chosen for further detailed study. They are, Artemisia annua L, Lobelia chinensisLour and

Amauroderma rugosum.

Chapter 4 presents the results on anticancer, anti-inflammatory and antioxidant activities of small organics extracted from the sixteen selected herbs with hot water with a view to obtaining a comprehensive biological picture of all the hot water extractable constituents.

The results are analysed in detail in this chapter and the relationship of anticancer activities with flavonoid contents are discussed. The results presented in this chapter together with the results of Chapter 3 provide a comprehensive picture of most of the bioactive constituents

(polysaccharides and flavonoids) present in the hot water extracts of the selected sixteenherbs.

Based on these results, three of the best herbs were chosen for further detailed study.

Chapter 5 describes the isolation of polysaccharides from Amauroderma rugosumare discribed . The structural characterisation of the pure polysaccharides has been carried out

3 using GC, FT-IR and NMR techniques and the results are presented. Antioxidant and

immunomodulatory activities of polysaccharides from the anticancer mushroom

A. rugosumare also presented and discussed.

Chapter 6 presents the isolation, characterisation and bioactivity results of polysaccharides

from Lobelia chinensis. Structural characterisation including sugar composition, FTIR spectral features and NMR spectroscopic analysis have been carried out and presented in this

chapter. The antioxidant and immunomodulatory activities of these polysaccharides are also

presented and discussed.

Chapter 7 presents the results on isolation and characterisation of polysaccharides from

Artemisia annua. GC and FT-IR have been employed in order to obtain structural information

on the polysaccharides and the results are present in this chapter.

Chapter 8 povides the results on the evaluation of the bioactive herbal polysaccharides as

potential MRI contrast agents discovered in this study (described in Chapters 5-7). Three of

the bioactive polysaccharides: LCP-2, AAP-1 and AAP-2 have been used for the studies carried out in this Chapter. These bio-polymers have been complexed with Gd(III) ions and their relaxivities determined at 300 MHz. These results together with MRI performance evaluation results are presented.

The overall conclusions of the study and future directions of anticancer herbal polysaccharide

research is presented in Chapter 9.

4 1.3. References

Zhang, L., Koyyalamudi, S. R., Reddy, N., (2014). Isolation, characterization, and biological

activities of polysaccharides from medicinal plants and mushrooms, in ? Atta-ur-Rahman,

F.R.S (Ed), studies in Natural Products Chemistry, 1st ed.; UK

Torre, L. A., Bray, F., Siegel, R. L., Ferlay, J., Lortet‐Tieulent, J., and Jemal, A. (2015).

Global cancer statistics, 2012. CA: a cancer journal for clinicians, 65(2), 87-108.

Bubb, W. A. (2003). NMR spectroscopy in the study of carbohydrates: Characterizing the structural complexity. Concepts in Magnetic Resonance Part A, 19, 1-19.

Vetvicka, V., Vetvickova, J., (2012). Combination of glucan, resveratrol and vitamin C demonstrates strong anti-tumor potential. Anticancer Res. 32 (1), 81-87.

Schepetkin, I. A., and Quinn, M. T. (2006). Botanical polysaccharides: macrophage immunomodulation and therapeutic potential. International immunopharmacology, 6, 317-

333.

Friedman, M. (2016). Mushroom Polysaccharides: Chemistry and Antiobesity, Antidiabetes,

Anticancer, and Antibiotic Properties in Cells, Rodents, and Humans. Foods, 5, 80.

Sugiyama, Y., (2016). Polysaccharides. In Yamaguchi, Y (Ed), Immunotherapy of Cancer,

Springer: pp 37-50.

Huang, H. B., Li K. X., Liu, T., Zeng, C. Q., Lin, J., Qiu, M., (2008). Kang Zhong Liu Zhong

Yao Lin Chuang Ying Yong Yu Tu Pu (Clinical application of anti-tumor Chinese medicine).

1st ed. Guang Zhou: Guangdong Science and Technology Press.

Wei C. Z., Qu L., Kou T. Q., (2010) Kang Zhong Liu Zhang Yao Ji Jin (Views of Anticancer

Chinese Medicinal Herbs), 1st ed, Zhong Yao guji Press, Bei Jing

5

Chapter Two

Literature Review

2.1 Introduction

The occurrence of cancer is increasing because of the aging of the population as well as an

increasing prevalence of established risk factors such as smoking, overweight, physical

inactivity, and changing reproductive patterns associated with urbanization and economic

development. Lung cancer is the leading cause of cancer death among males in both more

and less developed countries, and has surpassed breast cancer as the leading cause of cancer

death among females in more developed countries; breast cancer remains the leading cause of cancer death among females in less developed countries (Torre et al., 2015). Other leading causes of cancer death in more developed countries include colorectal cancer among males and females and prostate cancer among males (Torre et al., 2015). In less developed

countries, liver and stomach cancer among males and cervical cancer among females are also

leading causes of cancer death (Torre et al., 2015). Although incidence rates for all cancers

combined are nearly twice as high in more developed than in less developed countries in both

males and females, mortality rates are only 8% to 15% higher in more developed countries

(Torre et al., 2015). This disparity reflects regional differences in the mix of cancers, which is affected by risk factors and detection practices, and/or the availability of treatment. Risk factors associated with the leading causes of cancer death include tobacco use (lung, colorectal, stomach, and liver cancer), overweight/obesity and physical inactivity (breast and

colorectal cancer), and infection (liver, stomach, and cervical cancer) (Torre et al., 2015).

Conventionally, surgical procedures, chemotherapy and radiotherapy are the major treatments

for cancer. However, these procedures have drawbacks which include traumatic side effects,

expensive diagnosis and treatment (Cho 2010). Medicinal herbs have therefore received a

significant interest in anti-cancer therapy as they alleviate some of these drawbacks.

6

2.2. Traditional Chinese Medicine and cancer treatment

In traditional Chinese medicine (TCM), the pathological condition of the patient is

established by using four basic diagnostic methods (Cho, 2010). The origin of cancer is

considered to be mainly due to lack of “Zheng Qi” (immune system deficiency) and

accumulation of “Xie Qi” (pathogenic factors) (Cho, 2010). After an accurate diagnosis of

cancer is established, five TCM principles are then employed to design an appropriate herbal

formulation for the treatment. These five principles organize the formulation of many herbal

prescriptions for the treatment of cancer: supplement the ‘qi’ and blood to strengthen host

resistance; activate circulation to dispel blood stasis and ecchymosis; relieve pain; eliminate

heat and toxins; and soften lumps and dissolve masses. In simpler terms, a herbal treatment

principle involves two main aspects, namely, (i) to improve blood circulation and (ii) to

strengthen the immune system of the patient (Fuzheng) while simultaneously regenerating

and repairing the body (Guben) (Ravipati et al., 2012 ;Cho, 2010). Chinese medicinal herbal

formulations to treat cancer may also be thought of as strengthening healthy ‘qi’ to eliminate

pathogens.

The treatment aims to supplement the “qi” and the blood to improve the immune system of

the patient and to activate circulation. According to TCM theory, “Xie qi” is recognised as

the main factor in the early stage of cancer, whereas the deficiency of “Zheng qi” is

considered to be the key factor in the middle and late stages of cancer. Blood stasis is also

recognised as one of the factors in the development of tumour (Ravipati et al., 2012 ;Cho,

2010). Therefore in CMH therapy for cancer in early stages, the prescription must address

clearing the excess of “Xie qi”, but it should also address protection of the “Zheng qi” to maximize the cancer patient’s immunity (Ravipati et al., 2012; Cho, 2010). According to

TCM theory, the early stages of tumour development is mainly caused by ‘qi’ stagnation

7

and blood stasis caused by heat, cold and phlegm. Thus the CMH prescription for tumours in their early stages should primarily focus on promoting circulation of ‘qi’ and blood, though it optimally should include herbs that clear heat and phlegm, reduce phlegm, and resolve masses in accordance with the individual patient’s status based on the four diagnostics examination.

In treating tumours in the later stages of the disease process, the cancer patient’s ‘Zheng qi’ is the primary factor to be addressed in the CMH prescription so as to maximize their immune status. This is essential to assist the body to attack the tumour and to achieve optimal clinical results. Studies of Fuzheng therapy in the United States and have demonstrated its value in treating a wide range of immune-compromised conditions, including cancer and leukemia. In a study of 76 patients with Stage II primary liver cancer, 29 of the 46 people receiving Fuzheng therapy in combination with radiation or chemotherapy survived for a year, and 10 survived for 3 years. Only 6 of the 30 patients who received radiation or chemotherapy alone survived 1 year, and all died by the third year (Cho, 2010).

It should be noted that there is a similar concept of balance between antioxidants and oxidants in modern medicine (Zhang et al., 2014; Cho, 2010). Imbalance between the level of antioxidant defence system and the production of free radicals and other oxygen-derived

●- ● species (ODS) such as superoxide radicals (O2 ), hydroxyl radicals (HO ), nitric oxide and

hydrogen peroxide (H2O2) are the main factors causing oxidative stress (Zhu et al., 2004).

These highly reactive species can cause DNA damage and also modify proteins (Zhu et al.,

2004). Such damage to the structures of biopolymers causes pro-carcinogenic response and

alters the cellular antioxidant defence system (Zhang et al., 2014; Zhu et al., 2004). Many

studies have shown that free radicals that produce oxidative stress in the body contribute to

8

both initiation and promotion of multistage carcinogenesis (Klaunig and Kamendulis, 2004;

Zhu et al., 2004). Recent literature also supports that inflammatory pathways activated by

oxidative stress lead to the process of cancer formation (Grivennikov, 2010). In this context

botanical polysaccharides have been shown to be of great importance to fight against

oxidative stress and to improve antioxidant defence of biological systems (Zhang et al., 2012;

Zhang et al., 2013; Zhang et al., 2014).

2.3. Molecular basis of cancer formation

It is known that the process of cancer formation is very complex. Generally, oxidative stress

has been proven to be a significant factor leading to the formation of cancer (Reuter et al.,

2010). It has been shown in the literature that excessive oxidative stress in the body for

extended periods of time activates inflammatory pathways which cause the transformation of

normal cells into cancer cells, support the survival of cancer cells, and finally leading to cancer cell proliferation (Ravipati et al., 2013; Zhang et al., 2011; Zhang et al., 2014).

2.3.1. Free radicals and cancer

The molecular basis of cancer formation is an important aspect and some of the details are discussed in this section. First, it is of interest to make a comparison between traditional and modern knowledge on pathology of cancer formation. In TCM, the common pathogenesis of cancer is considered to be the fatal imbalance of “yin-yang” energies due to deficiency of “qi’ and blood (Cho, 2010). There is a similar concept of balance between antioxidants and oxidants in modern medicine (Ravipati et al., 2013). Over-production of free radicals and

●- ● radical oxygen species (ROS) such as superoxide radicals (O2 ), hydroxyl radicals (HO ),

nitric oxide (NO) and hydrogen peroxide (H2O2) can cause oxidative stress which might lead

9

to DNA damage by converting guanine into 8-hydroxyguanine and also by protein modification (Zhang et al., 2014; Zhu et al., 2004). Such damage to the structures of biopolymers causes pro-carcinogenic response and alters the cellular antioxidant defence system (Zhang et al., 2014; Zhu et al., 2004). Many studies have shown that free radicals that produce oxidative stress in the body contribute to both initiation and promotion of multistage carcinogenesis (Zhu et al., 2004). This is illustrated in the Figure 2.1 (Zhang et al, 2014).

It should be mentioned here that, oxidative stress/inflammatory pathway is one of the causes

of cancer formation. Other pathways such as genetic factors can also lead to cancer formation

(Dunn et al., 2002; Dunn et al., 2004; Dunn et al., 2006) which is beyond the scope of this study .

10

Fig. 2.1. Simplified diagram showing free radical damage of biopolymers that leads to carcinogenic response (Adapted from Zhang et al, 2014; Zhu et al., 2004;Klaunig and Kamendulis, 2004)

11

2.3.2. Chemokines and cancer

Recent literature suggests that inflammatory cells can be activated by oxidative stress leading

to chronic infections. The associated inflammation may be further enhanced contributing to

the process of cancer formation (Grivennikov et al., 2010; Zhang et al., 2014). Inflammatory

cytokines such as tumour necrosis factor (TNF), interleukin-1 (IL-1), IL-6 and chemokines such as IL-8, CXC, chemokine receptor 4 (CXCR4) are the important products produced by inflammatory cells (Reuter et al., 2010). Evidence from the literature shows that chemokines, chemokine receptors and the epidermal growth factor receptor molecules such as human epidermal growth factor receptor (HER) family of molecules play a critical role in the formation and growth of tumour (Grivennikov et al., 2010). The effect of chemokines and chemokine receptors on tumour cells is very complex (Zhang et al., 2014). A detailed

discussion of this topic is beyond the scope of this research.

2.3.2.1. Immunosurveillance and immunoediting of cancer: Role of botanic polysaccharides

According to immunosurveillance theory, the immune system recognizes the cancer cells and destroys them. However, cancer immunosurveillance alone is not adequate to prevent cancer formation (Dunn et al., 2002). Literature has revealed that the cancer cells are capable of escaping immune recognition and survive (Dunn et al., 2004; Dunn et al., 2002; Dunn et al.,

2006), which is the basis of the new concept known as cancer immunoediting (Zhang et al.,

2014). The three phases of cancer immunoediting consist of elimination, equilibrium, and escape (Dunn et al., 2004).

This new concept of immunoediting emphasises that the weak immune system of the host is one of the key factors responsible for the formation of cancer. Hence, keeping the immune system healthy is an important way to initiate timely production of appropriate chemokines and cytokines that recognize and destroy cancer cells and prevent cancer formation (Dunn et

12

al., 2004). In this context, immunomodulatory plant/mushroom polysaccharides are very

important for the prevention and cure for cancer. Discovery of immunomodulatory

polysaccharides is one of the main aims of this project.

2.3.2.2. Antioxidant and immunomodulatory activities of polysaccharides from medicinal

plants/mushroom

As pointed out before, the defence system in humans is complex and involves many cell

types with distinct and overlapping roles (Janeway and Medzhitov, 2002). The cells relevant

for initial immune response are phagocytes such as neutrophils and monocytes and

macrophages, which are key participants in the innate immune response (Janeway and

Medzhitov, 2002, Uthaisangsook et al., 2002). Macrophages are the first line of host defence.

In addition, macrophages can interact with T lymphocytes to modulate the adaptive immune

response (Uthaisangsook et al., 2002).

Many studies have demonstrated that polysaccharides derived from higher plants possess

high antioxidant and immunomodulatory properties (Jeong et al., 2004; Jeong et al., 2012;

Zhang et al., 2012; Zhang et al., 2013). These compounds have been shown to produce a

range of responses by interacting with immune cells. Such responses include: (i) an increase

in macrophage cytotoxic activity against tumour cells and microorganisms, and (ii) activate

phagocytic activity, and enhance secretion of cytokines and chemokines, such as tumour

necrosis factor (TNF-α), interleukin (IL)-1β, IL-6, IL-8, IL-12, IFN-γ and IFN-β (Schepetkin and Quinn, 2006).

13

2.4. Review of literature on anticancer TCM herbs with special emphasis on bioactive

polysaccharides

It is well-known that cancer is a complex and dynamic disease and its treatment requires

chemo-therapeutics that possesses several biological activities (Cho, 2010). To be effective

for cancer treatment, a chemo-therapeutic agent must display a variety of anticancer effects summarised in figure below (Fig 2.2).

14

Various anticancer effects of components that is suitable for cancer treatment

Inhibition of Inhibition of Anti- Induction of Antioxidant Immunomodulatory proteinkinases topoisomerase angiogenesis apoptosis activity activity

Fig. 2.2. Various anticancer effects of components (Ravishankar et al., 2013, Sghaier et al., 2011; Boulikas and Tsogas, 2008;Dumontet and Jordan, 2010;Shah et al., 2013)

15

2.4.1. Anticancer organic molecules isolated from TCM herbs

Various bioactive compounds have been isolated from TCM herbs and clinically used as anticancer agents (Shah et al., 2013). Vinca alkaloids such as vinblastine, vinorelbine, vincristine and vindesine are the earliest and important anticancer agents in clinical use

(Boulikas and Tsogas, 2008, Dumontet and Jordan, 2010, Shah et al., 2013). Many scientific investigations has demonstrated that vinca alkaloids can inhibit cancer cell proliferation by binding to the tubulin during the cell mitotic stage and inhibition of cell mitosis as well as induce cell apoptosis (Dumontet and Jordan, 2010, Botta et al., 2009,

Govind, 2011). However, it should be noted that vinca alkaloids can also bind to the tubulin in the normal cell and lead to various negative effects such as reducing the number of white blood cells and bone marrow depression (Gragg and Newman, 2005, Lee et al., 2015). These risks limited the progression of vinca alkaloids in clinical use.

Flavonoids are the other class of anticancer therapeutic agents in clinical use/clinical trial

(Talhouk et al., 2007, Ravishankar et al., 2013, Sghaier et al., 2011). Scientific investigations demonstrate that flavonoids prevent cancer formation via (i) inhibition of protein kinases production, (ii) blocking the cell cycle, (iii) inducing apoptosis, and (iv) inhibiting angiogenesis (Rusak et al., 2005;Ravishankar et al., 2013). For instance, flavone and flavopiridol isolated from Dysoxylumbinectariferum Hook can prevent cancer formation by inhibition of several protein kinases such as cyclin-dependent kinases and tyrosine kinases

(Shah et al., 2013, Ravishankar et al., 2013). In addition, plant flavonoids such as quercetin, genistein, daidzein prevent cancer formation by their antioxidant and immunomodulatory activities (Hämäläinen et al., 2007; Fantini et al., 2015; Rusak et al., 2005; Ravishankar et al.,

2013). However, literature indicates that flavonoids exhibit significant multidrug resistance

(MDR) modulatory activity (Ravishankar et al., 2013), that causes a major problem of flavonoid use in anticancer clinical chemotherapy.

16 2.4.2. Anti-tumour polysaccharides isolated from medicinal mushrooms

In recent decades, botanical polysaccharides have attracted a great deal of attention in biomedical research due to their significant immunomodulatory and anti-proliferation capacities (Vetvicka and Vetvickova, 2012, Schepetkin and Quinn, 2006, Friedman, 2016,

Sugiyama, 2016 and Zhang et al., 2014). Several bioactive polysaccharides isolated from mushrooms have been clinically used as anticancer agents, these polysaccharides include: lentinan derived from Lentinula edodes (Sugiyama, 2016; Daba et al., 2003; Ina et al., 2013).

Polysaccharide Krestin (PSK) derived from Coriolus versicolor (Friedman, 2016, Sugiyama,

2016, Hattori et al., 2004 and Torisu et al., 1990), Polysaccharopeptide (PSP) isolated from

Coriolus versicolor (Ng, 1998, Cui and Chisti, 2003; Cheng and Leung, 2008), and schizophyllan from Schizophyllum commune (Sugiyama, 2016;Daba et al., 2003). These mushroom polysaccharides and their anticancer mechanisms are briefly discussed below.

Polysaccharide-Krestin (PSK) and polysaccharopeptide (PSP) are two famous anti- tumour polysaccharides isolated from medicinal mushroom Coriolus versicolor

(Polyporaceae) (Vetvicka and Vetvickova, 2012; Schepetkin and Quinn, 2006; Friedman,

2016; Sugiyama, 2016; Zhang et al., 2014). Clinical studies demonstrated that PSP and PSK, when used as immunochemotherapeutic agents in combination with chemotherapeutic agents such as FOLFOX4 (5-FU/folinic acid/oxaliplatin), can significantly reduce the risk of recurrence and increase the survival rates in patients with gastric and colorectal cancer

(Ohwada et al., 2006; Shibata et al., 2011; Sakai et al., 2008). Clinical studies also showed that PSP and PSK can inhibit tumour cell proliferation through the induction of apoptosis and cell cycle arrest (Zhang e al., 2014; Hirahara et al., 2011; Jiménez-Medina et al., 2008). More

17 details of these polysaccharide and their antitumour mechanism of action are provided in section 5.1.1.1 (Chapter 5).

Lentinan derived from a commonly used food mushroom Lentinula edodes (Berk) Pegler

(Polyporaceae),is an important anti-tumour polysaccharide which has been clinically used for the treatment of gastric cancer in Japan (Sugiyama, 2016, Daba et al., 2003and Ina et al.,

2013). Clinical studies indicate that lentinan used in chemo-immunotherapy in combination with chemotherapeutic agents (oral fluoropyrimidine) can significantly prolong the survival of patients with advanced gastric cancer, as compared to chemotherapy alone (Ina et al.,

2013). In addition, an in vivo study clearly demonstrated that lentinan can enhance the anti- tumour ability of trastuzumab, and significantly suppress tumour growth (Cheung et al.,

2002). However, without using lentinan, trastuzumabhas limited anti-tumour effect (Ina et al., 2013).

Anti-tumour mechanism oflentinan

Several studies have indicated that the significant immunomodulatory activities and cell signal modulation capacity of lentinan make it a suitable candidate for anticancer therapy

(Chen et al., 2007, Brown and Gordon, 2003, Ina et al., 2013). The molecular mechanisms of action of lentinan may be described as:

• Lentinan can bind with Dectin-1 receptor and activate several signalling pathways to

promote innate immune response. For example there is activation of phagocytosis and

production of anti-tumour cytokines such as IL-12 and TNF-α (Ina et al., 2013,

Brown and Gordon, 2003).

18

• Complement receptor type 3 (CR3) or scavenger receptors can recognise lentinan and

activate anti-tumour T-cell function as well as NK cells (natural killer cells) (Chen et

al., 2007).

• Granulocytes suppress the antitumour activities of lymphocytes (Ina et al., 2013).

Lentinan can reduce the ratio of granulocytes/ lymphocytes, and improve anti-tumour

effect of lymphocytes.

Schizophyllan (SPG) is another important mushroom polysaccharide isolated from functional food mushroom Schizophyllum commune Fr (Schizophyllaceae) (Zhang et al.,

2013, Daba et al., 2003), which has been clinically used for the treatment of cancer in Japan

(Zhang et al., 2013, Daba et al., 2003). Komatsu et al. (1969) have discovered SPG and demonstrated that this polysaccharide displays host-mediated antitumour activity against

Sarcoma 180. Clinical studies indicated that the antitumour capacity of SPG can be attributed to its significant immunostimulatory activities (Zhang et al., 2013). SPG stimulates the immune system and activates NK cells, spleen cells, lymphoid cells as well as bone marrow cells, thereby enhancing the production of antitumour cytokines such as interleukines 1,2 and

3 (Tsuchiya et al., 1989). Clinical studies have also indicated that SPG used in chemo- immunotherapy in combination with chemotherapeutic agents (tegafur or mitomycin and 5- fluorouracil) can significantly prolong the survival of patients with stage II cervical cancer, as compared to chemotherapy without SPG (Zhang et al., 2013).

Anti-tumour mechanism of Schizophyllan

The current understanding of the antitumour and immunomodulating effects of mushroom polysaccharides are: (i) prevention of oncogenesis by oral consumption of mushrooms or their preparations; (ii) direct antitumour activity against various allogeneic and syngeneic

19 tumours; (iii) immunopotentiation activity against tumours in combination with chemotherapy; (iv) preventive effect on tumour metastasis (Wasser, 2002; Zhang et al., 2007;

Zhang et al., 2014). Schizophyllan is similar to lentinan in biological activity, and its mechanism of immunomodulation and antitumour action appears to be quite similar (Zhang et al., 2013). Therefore, the antitumour activity of schizophyllan is due mainly to host- mediated immune responses (Zhang et al., 2013). Some anticancer polysaccharides from medicinal mushrooms and their biological activities are summarised in Table 2.1 below.

20

Table 2.1.Some anticancer polysaccharides from medicinal mushrooms and their biological activities

Medincal Types of Biological activities References Mushroom polysaccharides Agaricusblazei Glucan Immunomodulatory and anticancer activities Wasser, 2002, Akramiene et al., 2006 murrill Glucan Anti-tumour Armillaria mellea Galactoglucan Immunomodulatory and antioxidant activities Muszynska et al., 2011 Glucan-peptide complex Immunomodulatory and antioxidant activities Antrodia (1,3)-β-D-glucan Enhancing immunity, and anticancer Liu et al., 2004 camphaorate Auriculariaauricul (1,4)-D-glucan Induced apoptosis of cancer cell Ma et al., 2010 a-judae (1,3)-β-D-glucan Anticancer (1,6)-β-D-glucan Induced apoptosis of cancer cell Mannoglucan Immunomodulating Cordyceps Yu et al., 2007, Lee et al., 2010 militaris Galactoglucan Treatment of hypoglycemic, anticancer Poly-N- Antifibrotic acetylhexosamine (1,3)-, (1,4)- and (1,6)-β- Anticancer via inducing cell-cycle arrest and apoptosis; D-glucan immunomodulating Glucuronoglucan Treatment of hyperglycemia Ganoderma Zhang et al., 2010, Gao et al., 2003, Stachowiak lucidum Mannoglucan Immunomodulatory and antioxidant activities and Regula 2012 Heteroglucan Immunomodulatory and antioxidant activities Proteoglucan Immunomodulatory and antioxidant activities Lentinan Anticancer Mannoglucan Immunomodulating Ooi and Liu, 2000, Bisen et al., 2010, Hobbs et Lentinuse dodes Heteroglucan Antiviral al., 2000 Mannan-protein Hepatoprotective and antioxidant Heteroglucan-protein Hepatoprotectiveand antioxidant

21

Table 2.1.Some anticancer polysaccharides from medicinal mushrooms and their biological activities (Continued)

Types of Medincal Mushroom Biological activities References polysaccharides β-pachyman β-glucan Promoted the immune respones and increasing expression of Zhang et al., 2006, Huang and Zhang, Poria cocos (1,3)-α-D-glucan cytokines 2005 (1,3)-β-D-glucan Schizophyllum Schizaphyllan Anticancer and immunomodulating El Enshasy and Hatti-Kaul, 2013 commune Sclerotinia SSG Improveing the development of Th1 cells Ohno and Yamamoto, 1987 sclerotiorum Enhancing hematopoiesis and promoting the production of Sparassi scrispa SCG Tada et al., 2007 cytokine Trametes versicolor PSK Anticancer antioxidant and immunomodulating

PSP Anticancer antioxidant and immunomodulating Cui and Chisti, 2003

Heteroglucan Anticancer antioxidant and immunomodulating

Acidic Tremella fuciformis Inducing human monocytes to express interleukines Wasser, 2002 glucuronoxylomannan

22

2.5. An overview of the factors influencing the mechanism of action of plant

polysaccharides as anticancer agents

As discussed before, botanical polysaccharides (PS) display a variety of pharmacological

activities that include antitumour activity and immune regulation (Jeong et al., 2010, Jeong et al., 2012; Schepetkin and Quinn, 2006). Literature demonstrates that the differences in bioactivities of plant polysaccharides originate from the differences in their structures

(Lerouxel et al, 2006; Sheehan, 2008;Zhang et al., 2014). A review of important publications on plant / fungal polysaccharides (Jiang et al., 2010, Nie and Xie, 2011), revealed that certain structures such as β-glucans, acetylated glucomannans, sulfated PS, and arabinogalactans are responsible for their action (Jiang et al., 2010). A variety of factorssuch as monosaccharide composition, the main chain structure, branching, and functional groups impact on the anticancer activity of polysaccharides.(Zhang et al., 2007), these include:

• Literature strongly indicates that the antitumour properties of polysaccharides

isolated from medicinal plants/mushrooms are associated with their glucan

structures (Zhang et al., 2014).

• The type of glycosidic linkage in polysaccharides is the dominant factor for their

anticancer capacity. Many studies have indicated that most antitumour

polysaccharides contain β-(13)- and/or β-(16)-glycosidic linkages (Vetvicka

and Vetvickova, 2012; Zhang et al., 2007; Jiang et al., 2010; Zhang et al., 2014).

• High molecular mass is favourable for increasing immunomodulatory and

anticancer effects (Zhang et al., 2014, Jeong et al., 2010, Jeong et al., 2012, Mei

et al., 2016). For instance, polyporus polysaccharides (PPS) isolated from

Polyporusumbellatus with high molecular mass (1600kDa) possesses significant

immunomodulatory and anticancer activities (Zong et al., 2012).

23

• Degree of branching in the range of 0.2 to 0.33 is favourable for anticancer and

immunomodulatory activities (Zhang et al., 2014). For example, the degree of

branching of the anticancer agent schizophyllan is 0.33, and PSK and PSP are 0.2

(Zhang et al., 2014).

2.6. Structural characterization of polysaccharides

As discussed above, the structure of polysaccharides is the most important feature that

determines their function. The chemical structures of polysaccharides, such as the mono-

sugar composition, type of glycosidic linkage and their branching can be characterized by spectroscopic analysis, chemical analysis and chromatography techniques. Multi-dimensional

solution NMR spectroscopic techniques have also proven to be the most appropriate means to

determine the precise tertiary structures of the polysaccharides in addition to confirming

structural details including glycosidic linkages and branching (Zhang et al., 2014). Solution

NMR spectroscopy is therefore an indispensable tool for a clear understanding of the structure-function relationship of polysaccharides. Various techniques that are useful for structure determination of polysaccharides are discussed below.

Analysis of mono-saccharide composition

In generally, mono-saccharide composition in botanical polysaccharides is analysed by gas chromatography (GC) (Zhang et al., 2014). The main procedure for GC sample preparation includes hydrolysis, reduction, acetylation and methylation. The detailed information for GC analysis is described by Zhang et al (2014).

24

FTIR spectroscopy

FTIR spectroscopy is used to investigate the vibrational modes of molecules and is used to

study functional groups. The IR spectrum can be divided into three main regions: the far-IR

(< 400 cm-1), the mid-IR (4000 – 400 cm-1), and the near-IR (13,000 – 4,000 cm-1) (Stuart,

2005). Generally, many IR applications employ the mid-IR region, and it includes four

regions: (i) X-H stretching region (4000–2500 cm-1), (ii) triple-bond region (2500 – 2000 cm-

1), (iii) double-bond region (2000 – 1500 cm-1), and (iv) fingerprint region (1500 – 600 cm-1)

(Stuart, 2005). Important structural details of polysaccharides, such as the type of glycosidic

bonds and other functional groups can easily be identified using FTIR spectroscopy (Zhang et

al., 2014; Yang, and Zhang 2009) in the fingerprint region. For example, three strong IR absorption peaks result from pyranosides and two peaks from furanosides in the range of

1100 – 1010 cm-1 (Yang, and Zhang 2009; Zhang et al., 2014). Polysaccharides containing

mono-sugar units with functionally important β-structures have different IR stretching

frequencies when compared to those with generally inactive α-structures. For example,

polysaccharides with β-D-Glucose units give their stretching bands at 905 – 876 cm-1 and

those with α-D-Glucose units appear at 855 – 833 cm-1. Similar differences are observed in the stretching frequencies of other pyranoses with α- and β-structures(Yang, and Zhang 2009;

Zhang et al., 2014).

NMR spectroscopy

Liquid state NMR spectroscopy has played an important role in the structural studies of polysaccharides (Bubb, 2003; Yang, and Zhang 2009; Zhang et al., 2014). This is an excellent technique for the detailed structure determination of polysaccharides as long as they are soluble in a suitable solvent. Deuterated water and DMSO-d6 are common solvents used to run the 1 D- and 2D-NMR spectra in liquid state (Bubb, 2003).

25

Literature indicates that the 1HNMR signals of polysaccharides display severe overlap in the

chemical shift range of 3.5–5.5 ppm and it is difficult to assign them using one dimensional

1H NMR spectrum alone (Bubb, 2003; Yang, and Zhang 2009; Zhang et al., 2014). In a recent study by Leeuwen et al, (2008), the primary structural characterization of α-D-glucans

has been analysed using 1H NMR spectrum with some difficulty. The range of 13C chemical

shifts of polysaccharides is much wider than that of their 1H chemical shifts. Carbon chemical

shifts of polysaccharides range from 60 to 110 ppm (Bubb, 2003; Yang, and Zhang 2009;

Zhang et al., 2014).

A suite of two-dimensional (2D) NMR techniques that include DQF-COSY (double quantum

filtered-COSY), TOCSY (total correlation spectroscopy), HMQC (heteronuclear multiple-

quantum coherence spectroscopy) have been used for proton and carbon resonance

assignments of polysaccharides. These in turn (proton and carbon chemical shifts) have been

used for the analysis of polysaccharide structures, configurations and types of glycosidic

linkages (Bubb, 2003; Yang, and Zhang 2009; Zhang et al., 2014)

The salient features, of multidimensional NMR spectral analysis of polysaccharides, are

summarized here.

Homonuclear correlation (1H – 1H correlation) techniques, such as DQF-COSY and TOCSY

together with 1H-NMR are employed to assign proton chemical shifts of polysaccharides

(Bubb, 2003; Yang, and Zhang 2009; Zhang et al., 2014; Dunn, 2000; Ning, 1998). Once the

proton assignments are done, the strategy is then to use heteronuclear direct correlation (1H –

13C correlation) techniques, such as HMQC or HSQC to assign carbons that are directly

bonded to protons (Bubb, 2003; Yang, and Zhang 2009; Zhang et al., 2014; Duus, 2000;). In many situations, it is not possible to assign all the protons with homouclear 2D-NMR spectra

26

due to severe resonance overlap. In such a situation, one can begin assignments from known

13C resonances. It should be noted that the quaternary carbons and other non-protonated carbons cannot be assigned using HMQC or HSQC techniques. Such carbons are assigned by employing heteronuclear long range correlation methods, such as HMBC (heteronuclear multiple bond correlation spectroscopy) technique. Once all the proton and carbon chemical shifts of polysaccharides are assigned, the next step is to employ 2D-NOESY (nuclear

Overhauser enhancement spectroscopy) and / or 2D-ROESY (rotating frame Overhauser enhancement spectroscopy) to determine the three-dimensional structures (conformations) of polysaccharides (Bubb, 2003; Yang, and Zhang 2009; Zhang et al., 2014; Duus, 2000). Some details about practical approach to analyze solution NMR spectra of polysaccharides are provided below for a ready reference (Bubb, 2003; Yang, and Zhang 2009; Zhang et al.,

2014; Duus, 2000).

• The anomeric carbon resonances of polysaccharides (chemical shift range of 90–110

ppm) can be assigned by using 13C NMR spectra as per the method suggested by

Zhang, (1994)and hence the saccharide residues are determined. With anomeric

carbon assignments in hand, the assignment of anomeric proton resonances (chemical

shift range of 4.4–5.5 ppm) may easily be accomplished by using heteronuclear direct

correlation experiments, such as HMQC or HSQC.

• The assignment of individual monosaccharide residues of polysaccharides is carried

out starting from the known anomeric proton assignments (Duus et al., 2000; Zhang et

al., 2014). H2, H3, H4, H5 and H6 protons of each monosaccharide unit can be

recognized step by step based on the cross peaks starting from the anomeric proton in

homonuclear DQF-COSY or TOCSY spectra. It is then straight forward to assign C2,

27

C3, C4, C5 and C6 of individual monosaccharides by employing heteronuclear

HMQC (or HSQC) and HMBC spectra(Duus et al., 2000, Zhang et al., 2014).

• The long range heteronuclear correlation between the anomeric proton on one

monosacchride unit and the carbon on the adjacent monosaccharide can be established

using HMBC spectrum and hence the glycosidic linkage and the monosaccharide

sequence of polysaccharide can be obtained. Such sequential structure can be

confirmed from the through space correlations observed in NOESY spectra (Zhang et

al., 2014).

• The anomeric configuration can be obtained by recognizing the fact that the 13C

resonances of β-anomeric configuration always appears in the downfield region when

compared to that of α-anomeric configuration (Zhang et al., 2014; Zhang et al., 1994).

The range of chemical shifts of the β-anomeric 13C resonances is from 103 to105 ppm,

while the chemical shifts range of α-anomeric 13C is from 97 to 101 ppm (Zhang et al.,

2014; Bubb, 2003). In addition, the homonuclear and heteronuclear coupling

constants help to assign the anomeric configuration of saccharides (Zhang et al.,

2014).

• Positions of substituted groups (e.g. methyl, acetyl, sulfate substitutions on hydroxyl

groups of polysaccharides) can be distinguished by chemical shifts of corresponding

protons and carbon. For example, according to the study by Duus et al.,(2000), the

chemical shifts of substituted saccharides normally downfield shift about 0.2 to 0.5

ppm for protons and 6 to 7 ppm for 13C when compared to the unsubstituted

saccharides.

High molecular weight polysaccharides, which pose the problem of solubility, can be analyzed to some extent by using solid state 13C NMR techniques (Zhang et al., 2014).

28

Normally, magic-angle-spinning (MAS) experiments with cross polarization from proton to

13C nuclei are employed to obtain high resolution solid state NMR spectra with good

sensitivity to enable the structural analysis of insoluble polysaccharides (Zhang et al., 2014).

2.7. Basis for the selection of medicinal herbs used in this project

As mentioned above, TCM is considered as one of the oldest system used for the treatment of cancer. Three recently published monographs (Zhou et al., 2007; Huang et al., 2008; Wei et

al., 2010) summarized more than 800 species of TCM herbsassociated with cancer

treatment. Most of the documented anticancer herbal medicines and the relevant prescriptions

have been verified in clinical reports (Zhou et al., 2007; Huang et al., 2008; Wei et al., 2010).

From these published monographs, sixteen medicinal herbs (Table 2.2) were chosen in this study for the discovery of polysaccharides with anti-cancer properties. Most of these plants are important constituents in TCM anticancer formulations (Huang et al., 2008; Cho, 2010;

Wei et al., 2010) and hence are chosen for this study. Some details of these TCM anticancer herbs are given below.

Akebiaquinata (Lardizabalaceae) is one of the popular plants widely distributed in the south-

eastern provinces of China used in the treatment of various types of cancer such as lung, liver

and rectal cancers (Huang et al., 2008). In support of this, scientific investigations revealed

that the water extract of this herb can significantly inhibit the growth of JTC26 (inhibition rate

about 50%-70%), S180 and P38(Huang et al. 2008).

The stems of ArtemisiaannuaL. (Asteraceae) is used in traditional anticancer formulations

for the treatment of various cancers such as lung cancer, breast cancer, liver cancer and

29

stomach cancer (Huang et al., 2008). Several bioactive compounds were isolated from

A. annua, which include sesquiterpenoids, flavonoids, triterpenoids, steroids, (Bhakuni et

al., 2001, Bilia et al., 2006, Bora and Sharma, 2011). Several studies reported that,

artemisin isolated from A.annua can prevent cancer formation by blocking the cell cycle

to induce apoptosis, modulation of signalling pathway, inhibition of angiogenesis and

prevention of metastasis (Ghantous et al., 2010, Thoppil and Bishayee, 2011). A very recent

study indicated that polyphenols isolated from A.annua displayed significant anticancer

activity through the inhibition of highly metastatic breast cancer cells MDA-MB-231(Ko et

al., 2016). To the best our knowledge there is no literature on polysaccharides isolated from

A.annua, and this herb has been chosen for detailed study in this thesis (Chapter 7)

Artemisia vulgaris has been used byTCM practitioners for the treatment of cancer in addition

to other ailments (Zhou et al., 2007). TCM literature demonstrates that A. vulgaris is widely used in traditional anticancer formulations for the treatment of pancreatic cancer, lung cancer, and intraspinal cancer (Zhou et al., 2007). Several bioactive components have been isolated from this plant that include coumarins, and many types of terpenes (Govindaraj et al., 2013).

A recent study indicated that the methanol extract from the dry of A. vulgaris

displayed anticancer activity against the human hepatocellular carcinoma cell line HepG2 by

induced cancer cell apoptosis (Sharmila and Padma, 2013). Aqueous extracts from A.

vulgaris were shown to induce apoptosis in prostate, breast and colon cancer cell lines

(Nawab et al., 2011). It is reported in the literature that the essential oil from A. vulgaris

displayed significant anticancer properties by mitochondria-dependent apoptosis (Saleh et al.,

2014). To the best of our knowledge there is no literature on polysaccharides isolated from A.

vulgaris.

30 Rabdosiarubescens (Lamiaceae), a plant native to southern China, has been used in TCM for

the treatment of esophagus, cardia, mammary, liver and prostate cancers (Bai et al., 2010).

R. rubescens is rich in ent-kauranediterpenoids, which have been verified as the

main biologically active constituent (Bai et al., 2010). Other compounds were also

isolated including flavonoids, such as cirsiliol and pedalitin (Bai et al., 2010). A

recent study indicated that flavonoids isolated from R. rubescens inhibit the growth of

human leukemia HL-60 cells (Bai et al., 2010). Polysaccharides isolated from R. rubescens

showed significant anticancer activity against Sarcoma 180 in vivo test (Wang et al., 2001).

Lobelia chinensis Lour () is an important anticancer herb used in several

traditional anticancer formulations to treat gastric cancer, lung cancer, colorectal cancer and

liver cancer (Wei et al., 2010; Li et al., 2016). Studies have revealed that L.chinensis contains several important classes of bioactive compounds such as piperidine alkaloids, flavonoids,

terpenoids and coumarins(Kuo et al.,2011; Yang et al., 2014).The hot water extracts

(decoction) from L.chinensis have significant immunostimulatory and anticancer activity

against liver cancer (H22) and gastric cancer (BC-38) (Wei et al., 2010; Chen et al., 2014; Liu and Zhang, 2009; Shao and Zhang, 2010). Recently, an immunostimulatory α-glucan was isolated from L. chinesis (Li et al., 2016), and its structure determined. It should be noted that such an activity has not been found in the literature for α-glucans. Also, water soluble polysaccharides isolated in this study from this herb did not contain any α-glucans (Chapter

6).

Amaurodermarugosum has been chosen for this study because this mushroom belongs to the

famous family of Ganodermataceae (Chan et al., 2013). Traditionally, A. rugosum is used as

31 an anticancer, anti-inflammatory anti-epilepsy and anti-diuretic agent (Dai and Yang,

2008;Chan et al., 2015). To the best of our knowledge, there are very limited scientific

investigations on bioactive compounds from this mushroom (Chan et al., 2015). A very

recent study reported that, methanol extracts from A. rugosum displayed significant immuno-

suppressing activity (Chan et al., 2015). Sixteen anticancer herbs selected for this research are summarized in Table 2.2.

32

Table 2.2. Important anti-cancer herbs used by Chinese medical practitioners and in clinical studies

Plant name and number Chinese Name Family names Traditional Uses and Scientific study References Treatment of rheumatism, allergies 1. Akebia quinata (Houtt.) Decne. Ba yuezha Lardizabalaceae (Kang et al., 2010) diabetics, and anticancer (Samarghandian et al., 2. Alpinae officinarum Hance Gao liangjiang Zingiberaceae Anticancer and anti-allergic 2014) 3. Artemisia annua L Qing gao Asteraceae treat malaria and cancer (Ferreira et al., 2010) 4. Artemisia scopariaWaldst. & Kit. Yinchanhao Asteraceae Antioxidant, treat malaria and cancer (Cha et al., 2005) Anticancer; Inhibition growth of HL-60 5. Artemisia vulgaris L Ai ye Asteraceae leukemic cell line by mitochondria- (Saleh et al., 2014) dependent apoptosis Anticancer; Inhibition growth of Human 6. Citrus reticulataBlanco Ju ye Rutaceae (Xiu et al., 2015) Gastric Cancer Cells SNU-668 Anti-tumour; Inhibtion growth of lung 7. Curcuma aromaticaSalisb Yu jin Zingiberaceae (Ma et al., 2016) carcinoma cells 8. Cynanchum paniculatum L Xu changqing Apocynaceae Anticancer (Kim et el., 2013) antidiabetic, anti-obese, anti-platelet, 9. Cyperus rotundusL Xiang fu Cyperaceae anti-allergic, anti-inflammatory, and (Pirzada et al., 2015) anticancer Antioxidant activity, Anti-mutagenic 10. Lobelia chinensisLour Ban bianlian Campanulaceae activity and Anti-microbial activity and (Li et al., 2016) anticancer, Anticancer; inhibition growth of human 11. Polygonum cuspidatumSieb Hu zhang Polygonacae (Lee et al., 2015) skin melanoma cells Anticancer; apoptosis in human laryngeal 12. Rabdosia rubescens (Hamst.)Wuet. Dong ling cao Labiatae (Kang et al., 2015) cancer cells Antitumour, anti-inflammatory, 13. Rheum palmatum L Da huang Polygonaceae (You et al., 2013) antimicrobial and hemostatic properties 14. Spatholobus suberectus Dunn. Ji xieteng Leguminosae Anticancer (Wang et al., 2011) Anticancer; anti-inflammatory responses via the inhibition of nuclear factor-κB 15. Xanthium sibiricum L Chang ErZi Asteraceae (NF-κB) and signal transducer and (Ju et al., 2015) activator of transcription 3 (STAT3) in murine macrophages 16. Amauroderma rugosum(Blume & T. Jiazhi Ganodermataceae Anticancer (Chan et al., 2015) Nees)

33 2.8. Aims and objectives

The aim of this project was to investigate the antioxidant, immunomodulatory and anti-cancer

activities of polysaccharides from several medicinal plants and mushrooms, and to undertake

structural characterisation of the active polysaccharides in order to establish their structure-

function relationship. Initial screening involved evaluation of crude polysaccharides from 16

Chinese medicinal plants for their biological activities with the aim to select 3

herbs/mushrooms for further systematic studies. The selection was alsobased on their

traditional application in addition to the scientific investigation carried out in this project.

The extracts of herbs/mushrooms identified in the initial screening (Chapter 3) are

further, purified, screened for bioactivities and structures of the molecules determined.

Discovery of novel polysaccharides with anti-cancer therapeutic properties, which is the major objective of this project, is expected to lead the way towards new clinical trials in the

field of oncology. Concerted and collaborative scientific/medical advancements in these

fields of research can lead ultimately to more options for cancer treatment.An overview of the research undertaken in this project is summarised in the flow chart given below.

34 Selecting16 medicinal plants/mushroom Ethanol treated supernatant to isolate organic molecules

Hot water extraction Crude polysaccharides (PSs) Screening for bioactivities

(Chapter 3)

Selecting 3 most active plants based on initial screening

Separation and purification of PSs employing chromatographic methods

Conducting bioactivity tests on purified compounds

Structural characterisation using GC, FT-IR and NMR spectroscopy

Fig. 2.3. Flow chart showing project summary

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49 Chapter Three Evaluation of Immunomodulatory and anticancer potentials of sixteen traditional anticancer herbs _ selection of best herbs for further study Abstract

Plant-derived polysaccharides are known to possess significant antioxidant,

immunomodulatory and anticancer activities. In this research, six polysaccharides

formulations were designed and their biological activities studied. The antioxidant activities

were examined using 1,1-diphenyl-2-picrylhydrazyl (DPPH●) scavenging, 2,2'-azino-bis(3-

ethylbenzothiazoline-6-sulphonic acid) (ABTS●+) scavenging and OH● scavenging assays.

The immunomodulatory properties of the polysaccharides were determined by evaluating

their capacity to activate mouse macrophages (RAW 264.7) to produce the cytokines

interleukin-6 (IL-6) and tumour necrosis factor-α (TNF-α). The anticancer activities of the polysaccharides were determined against five human cancer cell lines. Cell viabilities were evaluated by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay in order to assess the toxicities of these polysaccharides. The total sugar content and monosaccharide composition of the polysaccharide extracts were determined with a view to correlate their bioactivities with chemical constituents. The polysaccharides isolated from

Artemisia annua L, Lobelia chinensis Lour, Amauroderma rugosum (Blume & T. Nees),

Artemisia scoparia Waldst. & Kit,Artemisia vulgaris L, Curcuma aromatica Salisb,

Rheum palmatum L and Cyperus rotundus Blanco show significant anticancer, immunomodulatory and antioxidant activities with low toxicity. The results suggest that the polysaccharides extracted from some of the selected TCM herbs have strong therapeutic potential for the treatment of cancer. These herbs include A. annua, L. chinensis, A. rugosum and C. rotundus. An analysis of the results indicate that the mannose, glucose and galactose contents of these polysaccharides correlate well with their immunomodulatory and anticancer activities.

50

3.1. Introduction

Traditional Chinese Medicinal (TCM) plants have thousands of years of history of successfully treating various life-threatening diseases including cancer (Cho, et al., 2010,

Ravipati et al., 2012, Ravipati et al., 2013, Lee et al., 2005, Zhang et al., 2012, Zhang et al.,

2013, Jeong et al., 2016, Palaniyandi, et al., 2016). Numerous scientific studies involving isolation of bioactive compounds from TCM plants exist in the literature (Ravipati et al.,

2013, Zhang et al., 2012; Zhang et al., 2013, Jeong et al., 2016; Palaniyandi, et al., 2016,

Huang et al., 2008; Ravipati et al., 2012). Such studies have led to the discovery of several important chemotherapeutic compounds and many of these agents are in an advanced stage of clinical usage/trials (Vetvicka and Vetvickova, 2012, Ooi et al., 1999, Schepetkin and Quinn,

2006, Butler et al., 2014, Shah et al., 2013, Ghorbani and Hosseini, 2015, Friedman, 2016 and Sugiyama, 2016). In this context plant/mushroom polysaccharides are of great interest in order to discover novel therapeutic agents with minimal side effects (Schepetkin and Quinn,

2006, Jeong et al., 2004, Jeong et al., 2010, Jeong et al., 2012; Zhang et al., 2014). During the past several years, botanical polysaccharides with immunomodulatory and anti-proliferative properties have been of enormous interest for the discovery of chemotherapeutic agents and significant progress has been achieved in this field (Vetvicka and Vetvickova, 2012,

Schepetkin and Quinn, 2006, Friedman, 2016, Sugiyama, 2016, Zhang et al., 2014). Anti- tumour activities of mushroom polysaccharides are well known, for example lentinan derived from Lentinula edodes (Sugiyama, 2016, Chihara, 1970, Chihara et al., 1987, Hamuro et al.,

1980, Taguchi, 1986, Daba et al., 2003, Ina et al., 2013). Polysaccharide Krestin (PSK) derived from Coriolus versicolor (Friedman, 2016; Sugiyama, 2016; Hattori et al., 2004,

Torisu et al., 1990), Polysaccharopeptide (PSP) isolated from Coriolus versicolor (Ng, 1998,

Cui and Chisti, 2003, Cheng and Leung, 2008), and schizophyllan from Schizophyllum commune (Sugiyama, 2016, Daba et al., 2003) are important anticancer agents.

51 All of these mushroom polysaccharides have been used as anticancer agents for many years

in Japan following excellent results in several clinical trials and government approval have

been given for their use (Friedman, 2016, Sugiyama, 2016, Chihara, 1970, Chihara et al.,

1987, Hamuro et al., 1980, Taguchi, 1986, Cheng and Leung, 2008, Cui and Chisti, 2003 and

Daba et al., 2003). Recent scientific investigations (Han et al., 2016 and Ayeka et al., 2016)

reveal that the polysaccharides isolated from Glycyrrhiza uralensis Fisch and Undaria

pinnatifida (Harvey) Suringar showed significant inhibition of cancer cell growth invivo (Han

et al., 2016) and invitro (Ayeka et al., 2016). Much more important advancements are

possible in this area in the near future with the availability of modern state of the art

techniques for characterisation of bioactive polysaccharides.

A program of research has been initiated in our laboratory for the discovery of novel

anticancer polysaccharides from TCM herbs. In this investigation, sixteen traditional

anticancer herbs have been carefully selected and studied with a view to identify a few

potential TCM plants/mushroom for further detailed study to isolate, screen and characterise

anticancer polysaccharides. The selected traditional anticancer plants/mushrooms used in this

study are given in Table 2.2. The Table also provides information on their traditional use and

published scientific literature on their immunomodulatory, anticancer and other ethno-

pharmacological properties (Cho et al., 2010, Vetvicka and Vetvickova, 2012, Wei et al.,

2010, Zhou et al., 2007, Kim et al., 2005, Xiu et al., 2015, Pirzada et al., 2015, Ma et al.,

2015, Kim et al., 2013, Li et al., 2016, Kang et al., 2010, You et al., 2013, Wang et al., 2011 and Ju et al., 2015). It should be noted that there is very limited literature available on polysaccharides from these sixteen herbs/mushrooms. To the best of our knowledge there are only a few scientific studies on polysaccharides isolated from two of these sixteen herbs (Li et al., 2016 and Wang et al., 2001). Immunomodulatory α-glucan has been isolated from L.

52 chinesis (Li et al., 2016), and its structure determined. The rest of the scientific studies on these plants/herbs involve the organic extracts (of small organic molecules) and their biological activities. A brief review of these studies is provided here. Akebia quinata is one of the important medicinal herbs used in traditional anticancer formulations (Zhao et al.,

2007 and Kang et al., 2010). Scientific studies have indicated that bioactive constituents isolated from A. quinata display significant anticancer properties and anti-inflammatory

activity (Kang et al., 2010 and Jung et al., 2004). Alpinia officinarum is another important

anticancer herb used in traditional formulations (Wei et al., 2010 and Samarghandian et al.,

2014), and which is also used externally for skin infection and skin cancer (Yasukawa et al.,

2008). Literature reports that the ethanol extracts of A. officinarum possesses significant

antitumor activity (Samarghandian et al., 2014). A. annua is yet another important TCM herb

used to treat cancer (Huang et al., 2008). Literature indicates that artemisinin isolated from

Artemisia annua showed significant anticancer activities invitro and invivo (Ferreira et al.,

2010). Lobelia chinensis Lour. (ban bian lian) has been widely used in anticancer formulations, as a venom antidote, and to treat liver cirrhosis and haemostat in TCM

(Shibano et al., 2001 and Yong and Lei, 2006). Literature reports that the extracts of L. chinesis display significant anticancer properties (Li et al., 2016, Shao and Zhang, 2010).

Amauroderma rugosum (Blume & T. Nees) has been traditionally used as anticancer, anti- inflammatory and anti-diuretic agents (Dai and Yang, 2008 and Chan et al., 2015). A recent study on the ethanol extracts of A. rugosum showed significant immunomodulatory activities

(Chan et al., 2015). Scientific investigations carried out on the bioactive components extracted from Artemisia scoparia, Artemisia vulgaris, Citrus reticulate, Cynanchum paniculatum, Cyperus rotundus, polygonum cuspidatum, Rabdosia rubescens,

Rheum palmatum, Spatholobus suberectus, Curcuma aromatica Salisb and Xanthium sibiricum revealed significant anticancer properties (Kim et al., 2005, Xiu et al., 2015,

53 Pirzada et al., 2015, Ma et al., 2015, Kim et al., 2013, Kang et al., 2015, You et al., 2013,

Wang et al., 2011, Ju et al., 2015, Cha et al., 2005, Saleh et al., 2014, Ma et al., 2016 and Lee et al., 2015). These studies and the associated traditional knowledge demonstrate great potential of TCM herbs for the discovery of anticancer agents.

In this chapter, polysaccharides have been extracted from the selected sixteen herbs and their

biological activities evaluated. It is well known that botanical polysaccharides displaying

significant antioxidant and immunomodulatory effects are likely to exhibit anticancer

properties (Schepetkin and Quinn, 2006 and Zhang et al., 2014). Therefore this chapter aims

to evaluate antioxidant, immunomodulatory and anticancer properties of the polysaccharides

isolated from these selected herbs.

In order to evaluate antioxidant activities, a few rapid and efficient screening methods have

been employed. These include diphenylpicrylhydrazyl radical (DPPH●) scavenging, 2,2'-

azino-bis(3-ethylbenzothiazoline-6-sulphonic acidradical (ABTS●+) scavenging, iron (Fe2+)

chelating and Fe3+ reducing assays (Lee et al., 2015, Alam et al., 2013, Rajendran et al.,

2016, Li et al., 2011, Umamaheswari and Chatterjee, 2008, Halliwell et al., 1987, Chen et al.,

2005 and Wang et al., 2008). The immunomodulatory properties of the polysaccharides were

determined by evaluating their capacity to activate mouse macrophages (RAW 264.7) to

generate interleukin-6 (IL-6) and tumour necrosis factor-α (TNF-α) (Zhang et al., 2012 and

Zhang et al., 2013). Cell viabilities were evaluated by MTT test to assess the toxicities of these polysaccharides (Thambiraj et al., 2015). Anticancer activities of polysaccharide extracts were measured against five different cancer cell lines, which include HT29 (colon

carcinoma), MCF7 (breast carcinoma), A549 (lung carcinoma), HepG2

(Hepatocites carcinoma), MiaPAca2 (pancreatic cancer), using MTT assay. This study also

54 aims to evaluate the monosaccharide content of these polysaccharides with a view to

understanding the correlation between their activities and mono-sugar content.

3.2. Materials and Methods

3.2.1. Procurement of medicinal plants associated with this research

The herbal plant materials have been purchased from a Chinese herbal medical centre known

as Bei Jing Tong Ren Tang located in Sydney (Australia). Sample specimens of all the herbs

are stored in our research laboratory. This company has branches all over the world and

is well known for their best practice in TCM. The herbs traded in the Sydney centre

have approvals from both Australian and Chinese governments. The company undertakes

stringent authentication and quality control procedures for all the herbal materials supplied by

them. The details of these selected herbs are presented in Table 2.2. All herbal samples

were powdered and subjected to an extraction procedure.

3.2.2. Chemicals and reagents/enzymes 3.2.2.1. Chemicals

The DPPH●, ABTS●+, dimethyl sulfoxide (DMSO), Folin–Ciocalteu reagent (F-C reagent),

sodium carbonate, 95% ethanol, ascorbic acid, Trypan blue 0.4%, tetra methyl benzidine,

sulfanilamide, N-(1-1-napthyl) ethylenediamine dihydrochloride, lipopolysaccharide (LPS) were purchased from Sigma (Australia) and Lomb Scientific Pty Ltd (Australia). The Foetal bovine serum (FBS), antibiotics, and Dulbecco’s modified Eagle’s medium (DMEM) with

gluMax were purchased from BD bioscience. The tumour necrosis factor-α (TNF-α) and

interleukin (IL-6) (mouse) ELISA standards and antibodies were purchased from BD

Bioscience (USA).

55 3.2.2.2. Reagents/enzymes

Mouse macrophage cells (RAW 264.7) have been used in this study to test for immunostimulatory activities of polysaccharides from these traditional anticancer herbs and mushroom. Lipopolysaccharide (LPS) is used as positive control. The capacity of polysaccharides to produce IL-6 and TNF-α was measured by using suitable ELISA kits.

DPPH● and ABTS●+ radical scavenging assays, iron (Fe2+) chelating and ferric ion reducing power assay were used for the measurement of antioxidant activity. Anticancer activities of polysaccharides are determined using five different tumour cell lines, which are MCF7

(ATCC HTB-22 Breast carcinoma) HT29 (ATCC HTB-38 Colon carcinoma), A549 (ATCC

CCL-185 lung carcinoma), HepG2 (ATCC HB-8065 hepatocytes carcinoma), and MiaPAca2

(ATCC CRL-1420 pancreatic cancer).

3.2.3. Extraction of crude polysaccharides from medicinal plants

30 g of dried medicinal plant were ground to powder form and mixed well. The powdered material was subjected to hot water extraction using an autoclave method (at 121oC for 2 hours) and then cooled to laboratory temperature and the supernatant separated by filtration.

The supernatant (extract) was then treated with 95% ethanol (extract:ethanol = 1:4 volume ratio) for 24 hours at 4.1oC. The resulting precipitate consisting of biopolymers

(polysaccharides and proteins) was centrifuged (10,000 rpm for about 20 minutes) to obtain the sample in the form of a pellet which was re-dissolved in deionised water. The solution was subjected to filtration using 0.45 µm Whatman filter paper. The solution was then freeze dried (Zhang et al., 2012, Zhang et al., 2013, Jeong et al., 2004, Jeong et al., 2010, Jeong et al., 2012 and Thambiraj et al., 2015). The entire extraction process is summarised in Fig. 3.1.

The freeze dried polysaccharide extracts were re-dissolved in deionised water (10 mg/mL),

56 and mixed with 1/4 volume mixture of the Sevag reagent (n-butanol:chloroform = 1:4 volume ratio) for removing the free protein (Zhang et al., 2014). De-proteinated polysaccharide extracts were stored at -20oC until use.

57 Powdered plant/mushroom

material • Hot water extraction (autoclaving) (121 for 2 h)

• Centrifugation (10,000 rpm for 20 min)℃

Marc Water Supernatant

• Precipitation using 95% EtOH(volume : volume =1:4 for 24 h) • Centrifuge (10,000 rpm for 20 min) • Freeze dry

Crude biopolymer

Crude biopolymer dissolved in water

• Sevag reagent • Votex 20 min • Contrifuge (5000 rpm for 15 min)

Precipitation using 95% EtOH (Volume:Volume = 1:4)

• Centrifuge (10,000 rpm for 20 min)

• Freeze dry

Crude polysaccharide

Fig.3.1. Flow chart for the extraction of polysaccharides from selected herbs

58 3.2.4. Analysis of chemical composition

The method, phenol-sulfuric acid method developed originally by Dubios et al., (Dubios et

al., 1956) was employed to measure the total sugar content. In this method, the concentrated

sulfuric acid breaks down any polysaccharides, oligosaccharides, and disaccharides to

monosaccharides. Pentoses (5-carbon compounds) are then dehydrated to furfural, and

hexoses (6-carbon compounds) to hydroxymethyl furfural. These compounds then reacted

with phenol to produce a yellow-gold colour. Glucose was used to construct a standard

curve: y = 0.0018x + 0.0374 (R2 = 0.9964). The method of Lowry et al., (Lowry et al., 1951)

was employed to measure the total bound protein in the polysaccharide samples.

Gas chromatographic analysis was performed to measure the mono-sugar content of the polysaccharides. Analysis was performed using a Hewlett Packard 7890B gas chromatograph with a flame ionisation detector (FID) detector and a capillary medium polarity column

(HP-5 column). The method developed by Jones and Albersheim (Jones and Albersheim

1972 and Zhang et al., 2014) was used to prepare the polysaccharide samples and for GC analysis. Fucose, arbinose, ribose, xylose, rhamnose, fructose, galactose and glucose sugars were used as standards.

Instrumentation and analytical conditions for the GC-FID system

GC chromatograph Hewlett Packard 7890

HP-5 capillary column (30m long, 0.32mm i.d., 0.25µm film thickness; SGE Analytical Science Pty Ltd., Ringwood, VIC, Australia)

GC Inlet 240°C, split ratio 90:10

Carrier gas Nitrogen

Oven temperature 90 °C (3 min), 4 °C/min to 240°C(5 min)

Detector FID

Injection volume 5µL

59 3.2.5. Bio-Assays

3.2.5.1. Antioxidant activities

3.2.5.1.1. Scavenging activity against DPPH● radicals

The Blois method (Blois, 1958) was employed to determine the DPPH● scavenging ability of

the polysaccharide samples. DPPH● solution was prepared using the procedure outlined in a

previous publication (Zhang et al., 2012, Zhang et al., 2013 and Alam et al., 2013). 150 μL of

DPPH● solution (62.5 μM) was added to 50 μL of polysaccharide sample and incubated for

about 30 minutes in a 96 well microtiter plate. The absorbance values of the incubated

samples were then determined using a UV spectrophotometer at 492 nm (Multiskan 141 EX,

Thermo Electron, USA). Ascorbic acid (a known standard) was employed as positive control

and deionised water was used as blank. A standard curve was built using different

concentrations of ascorbic acid solutions (in 60% methanol) in the range of 0 to 200 µM. The

regression of the standard curve gave a linear equation (y = -0.0026x + 0.5578 with R² =

0.9715). DPPH● scavenging potential of the polysaccharides was determined as the ascorbic acid equivalence using the above equation.

3.2.5.1.2. ABTS●+radical scavenging assay

A stock solution of 2,2'-azino-bis(3-ethylbenzothiazoline-6-sulphonic acid (ABTS) was

prepared at a concentration of 7 mM using PBS buffer (pH 7.4). ABTS stock solution was

mixed with potassium persulfate (2.45 mM) to initiate the formation of radical cations

(ABTS●+). The mixture was then kept in the dark overnight to make sure that the radical

formation iscomplete (Li et al., 2011 and Alam et al., 2013). Absorbance of the ABTS●+

radical solution was adjusted to about 0.74 using PBS buffer (pH 7.4) to dilute the solution.

200 μL of ABTS●+ solution was added to 20μL of polysaccharide sample and incubated for

about 30 minutes in a 96 well microtiter plate. The absorbance value of the incubated

60 samples was then determined using a UV spectrophotometer at 734 nm (Multiskan 141 EX,

Thermo Electron, USA). Ascorbic acid was employed as positive control and PBS buffer (pH

7.4) was used as blank. A standard curve was built using different concentrations of ascorbic acid solutions (in 60% methanol) in the range of 0 to 400 µM. The regression of the standard curve gave a linear equation (y = -0.0019x + 0.7274 with R² = 0.9852). The radical scavenging capacities of the polysaccharides were determined as the ascorbic acid equivalence using the above equation.

3.2.5.1.3. Ions (Fe2+) chelating assay

The affinity of polysaccharides to complex with Fe2+ were determined by measuring the

absorbance of the complex formed in the presence of ferrozine (Jeong et al., 2016 and Li et al., 2011). First, 0.1mL of polysaccharide sample was mixed with 0.5 mL of FeCl2 (0.2 mM) to form the Fe-polysaccharide complex. To this complex, 0.2mL of ferrozine (5 mM) was added and thoroughly mixed to trigger the competition between polysaccharide and ferrozine for Fe2+. The mixture was incubated for about 10 min. The absorbance of the red coloured

ferrozine-Fe2+ complex was determined using a UV spectrophotometer at 562 nm (Genesys

10S UV-Vis spectrophotometer, Thermo Fisher Scientific, Australia) (Li et al., 2011).

Ethylenediaminetetraacetic acid (EDTA) was employed as positive control and deionised

water was used as blank. A standard curve was built using different concentrations of EDTA

solution in the range of 0 to 855 µM. The regression of the standard curve gave a linear

equation (y = -0.002x + 1.7779 with R² = 0.9726). The chelating activities of the

polysaccharide samples were calculated using the above equation.

3.2.5.1.4. Ferric ions (Fe3+) reducing antioxidant power

Polysaccharide samples were prepared at different concentrations in the range of 0-1000

µg/mL. 100µL of the sample was added with phosphate buffer (250 μL, 0.2 mol/L, pH 6.6)

61 and then mixed with K3Fe(CN)6 (250μL, 1% w/v). The solution was vortexed and incubated

at about 50 ºC for 25 min. 250μL of 10% trichloroacetic acid (w/v) was then added to the

incubated samples and the supernatant collected by centrifuging at 3500 rpm for about 10

min. The supernatant was then added with equivalent volumes of distilled water and FeCl3

(0.1% w/v) and placed immediately into a spectrophotometer to measure the absorbance

values 700 nm. The samples were analysed in groups of three, and when the analysis of one

group has finished, the next group of three samples were mixed with FeCl3 to avoid oxidation by air. Reducing power of ascorbic acid (standard) was also measured for comparison purposes (Lee et al., 2015, Alam et al., 2013, Wang et al., 2008).

3.2.5.2. Immunomodulatory activity assays

3.2.5.2.1. Production of IL-6

Mouse macrophages (RAW 264.7) are first added to DMEM (culture medium containing 1%

antibiotic and 5% FBS) and incubated for 4 days at 37°C in 5% CO2 in air. Cells were then

diluted with the medium to achieve a density of 2x105 cells/mL. 200µL of diluted cells were

transferred into a 96-well microtiter plate and then for a further 20 hours at 37 °C in 5% CO2

in air. The old medium was then removed from all the wells and 180 µL of new medium added to each well containingthe incubated cells. Immediately following this, to each well

was added either 20µL of polysaccharide samples at different concentrations (0-1 mg/mL:

final concentration) or 20 µL of LPS (100 ng/mL: final concentration). Then the microtiter plate was incubated overnight at 37°C in 5% CO2 (Jeong et al., 2004, Jeong et al., 2010,

Jeong et al., 2012 and Ni et al., 2016). The supernatant (100 µL) from each well was then

carefully transferred into a new multi-well plate. ELISA kit (IL-6, BD Biosciences, San Jose,

CA, USA) was then used to measure the concentration of IL-6 as per the procedure provided

in the manufacturer’s manual. Triplicate measurements were made .

62 The regression of the standard curve gave a linear equation (y = 0.0018x + 0.0294with R² =

0.9887). The concentration of IL-6 produced by the polysaccharide extracts were calculated using the above equation.

3.2.5.2.2. Production of TNF- α

The initial cell macrophage culturing and sample preparation were carried out as described in section 3.2.5.2.1 above. The supernatant (100 µL) from each well was carefully transferred

into a new multi-well plate. ELISA kit (TNF-α, BD Biosciences, San Jose, CA, USA) was

then used to measure the concentration of TNF-α as per the procedure provided in the

manufacturer’s manual (Zhang et al., 2012 and Zhang et al., 2013). Triplicate measurements

were made .

The regression of the standard curve gave a linear equation (y = 0.0015x + 0.0734 with R² =

0.9879). The concentration of TNF-α produced by the polysaccharide extracts were calculated

using the above equation.

3.2.5.2.3. Toxicity test

Viability of macrophage cells (RAW 264.7) were measured employing 3-(4,5-

dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay (Thambiraj et al., 2015).

Briefly, mouse macrophages were treated by herbal polysaccharides, and incubated at 37 °C for 18 hours. After that, the supernatant was removed and 100 µL of MTT solution (0.2 mg/mL, dissolved in DMEM medium) added to each well and incubated at 37 oC for 4 hours.

The supernatant was then discarded and 50 µL DMSO was added to each well to solubilise

the crystalline formazan. The absorbance was measured at 595 nm.

(%) = 100%

𝑂𝑂𝑂𝑂 𝑜𝑜𝑜𝑜 𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆 𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶 𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣 𝑋𝑋 Where, positive control is mouse macrophages𝑂𝑂𝑂𝑂 𝑜𝑜𝑜𝑜treated𝑝𝑝𝑝𝑝𝑝𝑝 𝑐𝑐𝑜𝑜with𝑛𝑛𝑛𝑛𝑛𝑛 𝑛𝑛𝑛𝑛 DMEM medium (without LPS)

63 3.2.5.3. In vitro anticancer assays against various cancer cell lines

The cancer cell lines were cultured and incubated according to the procedure outlined in

previous publications (Royo et al., 2003, Tormo et al., 2005). All the cancer cell lines studied

in this research were purchased from the American Type Culture Collection (ATCC,

Manassas, VA, USA). 1) HT29 cells (human colon carcinoma HTB-38), were cultured in

McCoy`s 5A medium modified 10 % FBS and 2 mM glutamine. 2) A549 monolayer cells

(human lung carcinoma, CCL-185) were grown in Ham`s F12 medium containing 10% FBS,

2 mM L-glutamine, 100 U/mL penicillin, and 100 µg/mL streptomycin. 3) MiaPAca2 cells

(pancreatic cancer CRL-1420) were cultured in ATCC-formulated DMEM with 10 %

qualified FBS. 4) Hep_G2 cells (human liver carcinoma, CCL-8065) were grown in ATCC-

formulated Eagle´s M essential medium (MEM) with 10 % qualified FBS, 2 mM L-

glutamine, 1 mM sodium pyruvate, and 100 µM MEM non-essential amino acids. 5) MCF7

cells (human breast HTB-22) were preserved in MEM containing with 0.01 mg/mL bovine

insulin. All cell cultures were incubated at 37 ºC under 5% CO2.

Five cancer cell lines were treated by herbal polysaccharides, and kept at 37 °C overnight.

After that, the supernatant was removed and treated with 100 µL MTT solution (0.2 mg/mL,

dissolved in DMEM medium) added to each well and kept at 37 oC for 4 hours. The supernatant was discarded and 50µL DMSO added to each well to dissolve the crystalline formazan. The rate of decrease of MTT is a measure of cytotoxicity. The cell density per well was adjusted to 200,000 for MCF7, 200,000 for A549, 100,000 for MiaPAca2, 150,000 for

HepG2, and 150,000 for HT29 by diluting with medium. Polysaccharide samples (3-50

µg/mL) were then added to each well and kept at 37 ºC under 5% CO2 for 24 hours. Optical

density was then determined at 570 nm using a spectrofluorometer.

64 % = 100 sample pos contr OD − OD 𝑖𝑖𝑖𝑖ℎ𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖 𝑁𝑁𝑁𝑁𝑁𝑁 𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐 𝑝𝑝𝑝𝑝𝑝𝑝 𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐 𝑋𝑋 Where, ODNeg Contr represents the optical𝑂𝑂 𝐷𝐷density of− the 𝑂𝑂𝐷𝐷 negative control

ODPos Contr represents the optical density of the positive control

The culture medium containing DMSO (1%) was used negative control and the medium

with 2mM MMS was used as positive control.

3.2.6. Statistical analysis

All data were measured in triplicate and the mean ± SD calculated. The group mean was

compared using a one-way analysis of variance (ANOVA) and Duncan’s multiple range tests.

Statistical calculations were done using IBM SPSS, OriginPro 8.5 and Excel 2016. The

data were considered as statistically significant if p < 0.05.

3.3. Results and Discussion

3.3.1. Chemical composition of polysaccharides

The total sugar content of polysaccharides extracted from the selected herbs was measured

using phenol-sulfuric acid method (Dubois et al., 1956) and the results are given in Table 3.2.

It is clear that most polysaccharides contained a significant quantity of total sugar content

(>50%) except for R. rubescens. Table 3.1 also shows the monosaccharide composition of all these polysaccharides (monosaccharide standards used included: rhamnose, frucose, ribose,

arabinose, xylose, fructose, galactose and glucose). It is interesting to note that glucose is the

main constituent in all polysaccharides except in C. aromatica which contained 98.7%

galactose. These other monosaccharide (glucose, mannose and arabinose) concentrations are

appreciable. Ribose is absent in all polysaccharides.

65 Table 3.1. The Chemical composition and monosaccharide content of crude polysaccharides extract from dried plant material

Total Plant Rhamnose Ribose Fucose Arabinose Xylose Mannose Glucose Galactose Name of the plants carbohydrate No content (%)* (%) (%) (%) (%) (%) (%) (%) (%) 1 Akebia quinata (Houtt.) Decne. 86 ± 6 1.21 0.89 97.36 0.54 2 Alpinae officinarum Hance 90 ± 4 1.29 1.25 0.74 95.84 0.88 3 Artemisia annua L 53 ± 2 5.32 24.24 4.24 9.88 35.79 20.53 4 Artemisia scoparia Waldst. & Kit. 79 ± 1 13 16.75 13.08 12.1 19.05 26.02 5 Artemisia vulgaris L 53 ± 1 6.68 14.64 6.00 7.62 47.05 18.01 6 Citrus reticulata 77 ± 5 2.23 9.82 3.5 77.46 6.99 7 Curcuma aromatica Salisb 99 ± 3 1.26 98.74 8 Cynanchum paniculatum L 83 ± 2 2.62 7.4 1.35 2.83 76.96 8.84 9 Cyperus rotundus L 95 ± 7 3.8 18.03 2.29 62.34 13.54 10 Lobelia chinensis Lour 94 ± 1 3.54 10.01 1.45 11.04 65.09 8.84 11 Polygonum cuspidatum Sieb. et Zucc 76 ± 1 4.72 2.06 86.33 6.89 12 Rabdosia rubescens (Hamst.)Wuet. 37 ± 6 4.34 19.29 3.27 2.14 60.02 10.94 13 Rheum palmatum L 92 ± 4 2.64 12.02 75.62 9.72 14 Spatholobus suberectus Dunn. 66 ± 1 9.12 24.1 40.03 26.75 15 Xanthium sibiricum L 79 ± 4 8.89 36.00 10.63 24.91 19.57 16 Amauroderma rugosum 83 ± 4 2.96 18.03 2.68 5.73 45.93 24.67 * These polysaccharides have combined protein. The numbers represent percentage carbohydrate content and the remaining portion is protein content

66 3.3.2. Antioxidant activities of selected herbal polysaccharides

3.3.2.1. Scavenging abilities against DPPH● and ABTS●+radicals

DPPH● and ABTS●+scavenging abilities of the polysaccharides are provided in Table 3.2. It is

clear from the results that the majority of the polysaccharides effectively scavenged DPPH●

radicals and these activities ranged from 109 µM to 178 µM ascorbate equivalent/g. Their

ABTS●+scavenging activity ranged from 158 µM to 296 µM ascorbate equiv/g. Highly

effective radical scavenging abilities were displayed by polysaccharides isolated from

Artemisia annua, Artemisia scoparia, Artemisia vulgaris, Rabdosia rubescens, Polygonum cuspidatum,Spatholobus suberectus and Amauroderma rugosum (Blume & T. Nees) (Table

3.2). However, polysaccharides extracted from C. aromatica and C. rotundus did not show

any scavenging activity. This may be due to the fact that these two polysaccharides did not

fully dissolve in water and formed starchy/turbid solutions.

67 Table 3.2. Antioxidant activities of crude polysaccharides extracted from medicinal plants.

#DPPH scavenging activity #ABTS scavenging activity &Chelating activity (EDTA Plant.No Name of the plants (Ascorbate equivalent (µM)) (Ascorbate equivalent (µM)) equivalent (µM))

1 Akebia quinata (Houtt.) Decne. 124.06 ± 1.88 258.38 ± 0.25 395.45 ± 0.01 2 Alpinae officinarum Hance 146.77 ± 1.57 231.86 ± 0.66 306.95 ± 0.02 3 Artemisia annua L 154.48 ± 2.53 274.61 ± 0.43 606.28 ± 1.53 4 Artemisia scoparia Waldst. & Kit. 167.4 ± 1.44 296.78 ± 0.87 597.28 ± 0.29 5 Artemisia vulgaris L 154.27 ± 0.72 256.59 ± 0.18 562.62 ± 0.76 6 Citrus reticulata 147.6 ± 2.19 261.57 ± 0.43 306.95 ± 0.02 * 7 Curcuma aromatica Salisb NA NA 306.95 ± 0.03 8 Cynanchum paniculatum L 110.73 ± 1.05 210.26 ± 1.15 405.95 ± 0.50 9 Cyperus rotundus L NA NA 306.95 ± 0.01 10 Lobelia chinensis Lour 109.9 ± 1.57 158.96 ± 1.15 602.28 ± 0.29 11 Polygonum cuspidatum Sieb. et Zucc 158.85 ± 1.3 276.35 ± 1.57 601.78 ± 1.26 12 Rabdosia rubescens (Hamst.)Wuet. 178.44 ± 1.88 287.07 ± 0.66 446.28 ± 1.61 13 Rheum palmatum L 133.85 ± 2.82 237.80 ± 1.00 414.12 ± 0.29 14 Spatholobus suberectus Dunn. 161.35 ± 2.01 282.87 ± 0.43 391.95 ± 0.50 15 Xanthium sibiricum L 109.69 ± 1.88 197.94 ± 0.66 612.78 ± 0.29 16 Amauroderma rugosum 109.9 ± 3.15 214.46 ± 0.66 615.62 ± 0.76

# DPPH, ABTS free radical scavenging activity was expressed as equivalent of ascorbic acid. & chelating activity was measured with equivalent of EDTA * NA: no activity Values are: mean ± standard deviation (n = 3)

68 Interestingly, the results presented in Tables 3.1 and 3.2 indicate that the most active polysaccharides contain large quantities of galactose and glucose, and average quantities of mannose. This suggests that these monosaccharides may be responsible for the observed radical scavenging activities (Chen et al., 2005 and Chen et al., 2014). Numerous studies have demonstrated that galactose, glucose and mannose indeed contribute to the radical

scavenging abilities of plant based polysaccharides (Zhang et al., 2014, Thambiraj et al., 2015,

Chen et al., 2015, Xu et al., 2013 and Deng et al., 2016). Chen et al., (Chen et al., 2014)

demonstrated that polysaccharides isolated from Elaegnus angustifolia L display significant radical scavenging activity and contained large quantities of galactose, glucose and mannose.

Thambiraj et al., (Thambiraj et al., 2015) showed that the polysaccharides extracted and

purified from Lupinusangustifolius displayed high antioxidant activities and contained large

quantities of glucose, and siginificant quantities of mannose, galactose and rhamnose/frucose.

3.3.2.2. Ions (Fe2+) chelating assay The results for the chelating activity of polysaccharides are presented in Table 3.2. The Fe2+ chelating ability of the polysaccharide extracts were monitored by spectrophotometric method. The absorbance of the red coloured complex formed in the reaction decreases as the concentration of the polysaccharide-Fe(II) complex increases. Among the polysaccharides studied, those from A. annua, A. scoparia, A. vulgaris L. chinensis,P. cuspidatum, X. sibiricum, and A. rugosum showed significant Fe2+ chelating capacity. It is clear from Tables

3.1 and 3.2 that galactose and glucose are most likely candidates for the chelating ability of these polysaccharides (Thambiraj et al., 2015).

Literature reports indicate that the antioxidant capacities of natural products are determined by their combined abilities to scavenge radicals and chelate with Fe2+ (Thambiraj et al., 2015,

69 Raza et al., 2017). Most of the herbal polysaccharides studied in this research displayed

significant radical scavenging abilities as well as Fe2+-chelating potential. Hence, it is

expected that the herbal polysaccharides considered in this study will have high antioxidant

potential.

3.3.2.3. Fe3+ reducing abilities

The results of the Fe3+ reducing abilities of polysaccharides is presented in Table 3.3.The

reducing ability was measured by monitoring Fe3+→Fe2+ conversion by herbal

polysaccharides. The formation of Fe2+ is determined from the absorbance values at 700 nm

(Umamaheswari and Chatterjee, 2008 andMeir et al., 1995) at five different concentrations. It can be seen that most of the polysaccharides exhibited good reducing power. Polysaccharides

from S. suberectus, A. vulgaris, R. rubescens, P. cuspidatumn and A. annua have showed

highly significant reducing ability.

These activities of herbal polysaccharides may be linked to the presence of reducing sugars

such as galactose, glucose and xylose (Table 3.1) (Selvendran and Isherwood, 1967).

It should be noted that all the active polysaccharides studied here contain large quantities

of galactose and glucose.

3.3.3. Immunomodulatory activities of crude polysaccharides

3.3.3.1. Effect of herbal polysaccharides to activate mouse macrophages and produce TNF-α

and IL-6

Strong evidence exists in the literature that the botanical polysaccharides activate the immune

system to produce various cytokines (Schepetkin and Quinn, 2006, Zhang et al., 2014 and Li

70 et al., 2016). Treatment of RAW 264.7 cells with polysaccharides from these medicinal herbs showed concentration-dependent enhancement in the production of TNF-α and IL-6 (Table

3.4 and Fig. 3.2).

71 Table 3.3. Ferric ion reducing power of polysaccharides extracted from medicinal plants

Absorbance at 700 nm Plants/standard 1000 µg/mL 500 µg/mL 250 µg/mL 125 µg/mL 62.5 µg/mL Vit C 1.707±0.096 0.706±0.001 0.331±0.001 0.193±0.001 0.127±0.001 Akebia quinata 0.163±0.022 0.088±0.001 0.048±0.002 0.029±0.001 0.014±0.002 Alpinae officinarum 0.103±0.002 0.049±0.001 0.03±0.001 0.017±0.002 0.006±0.002 Artemisia annua 0.409±0.001 0.228±0.002 0.115±0.001 0.056±0.003 0.037±0.001 Artemisia scoparia 0.302±0.003 0.173±0.002 0.086±0.002 0.047±0.002 0.014±0.001 Artemisia vulgaris 1.035±0.001 0.605±0.002 0.325±0.002 0.179±0.001 0.078±0.001 Citrus reticulata 0.218±0.002 0.115±0.003 0.053±0.003 0.026±0.002 0.014±0.003 Curcuma aromatica NA NA NA NA NA Cynanchum paniculatum 0.257±0.001 0.126±0.002 0.063±0.002 0.039±0.001 0.036±0.047 Cyperus rotundus 0.026±0.003 0.013±0.002 NA NA NA Lobelia chinensis 0.067±0.002 0.049±0.001 0.026±0.002 0.015±0.003 0.009±0.001 Polygonum cuspidatum 0.467±0.002 0.215±0.001 0.086±0.001 0.035±0.001 0.014±0.002 Rabdosia rubescens 0.693±0.002 0.385±0.001 0.217±0.001 0.114±0.003 0.053±0.006 Rheum palmatum 0.169±0.001 0.087±0.001 0.045±0.001 0.023±0.002 0.014±0.002 Spatholobus suberectus 1.581±0.172 0.952±0.001 0.523±0.001 0.267±0.001 0.112±0.001 Xanthium sibiricum 0.064±0.001 0.044±0.001 0.019±0.001 0.009±0.001 0.007±0.001 Amauroderma rugosum 0.176±0.002 0.098±0.001 0.045±0.001 0.026±0.002 0.013±0.002 * NA: no activity # Values given in this table are the absorbance values measured at 700 nm. The values are: mean ± STD (n = 3)

72 The immunomodulatory activities were measured at different concentrations 0 to 1 mg/mL and expressed in term of EC50 values (Table 3.4). Toxicities for various polysaccharides are also given in Table 3.5. The results indicat e that most of the isolated polysaccharides from the 16 herbs display significant immuno-stimulatory activity by increasing the production of

TNF-α and IL-6. A. annua , A. rugosum, L. chinensis, C. reticulata and S. suberectus showed

high immunostimulatory activities as evidenced by the production of TNF-α and IL-6 (EC50 values less 120 µg/m) L . Polysaccharides from the remaining herbs have also displayed

significant immunostimulatory activities with EC50 values in the range of 130 µg/mL to 300

µg/mL.

Concentration dependant immunostimulatory activities of most active herbs are shown in Fig.

3.2. Polysaccharides from L. chinensis and S. suberectus display extremely high activity as indicated by TNF-α production. The other two herbs A. rugosum and A. annua have also

displayed significant activity. With respect to the production of IL-6, the polysaccharides

from A. rugosum and A. annua are the best. L. chinensis and S. suberectus have also induced

the production of significant quantities of IL-6.

73 Table 3.4. Immunomodulatory activities of polysaccharides extracted from selected medicinal herbs

EC for the IL-6 50 EC for TNF-a production Cell viability (% 50 Cell viability (% Plant.No Name of the plants # production # (µg/mL)* of cell survival) of cell survival) (µg/mL)*

1 Akebia quinata (Houtt.) Decne. 266.59 ± 4.00 99.17 ± 3.55 324.6 ± 3.37 107.97 ± 0.50 2 Alpinae officinarum Hance 322.78 ± 4.78 94.8 ± 6.82 334.94 ± 4.59 105.17 ± 1.53 3 Artemisia annua L 107.78 ± 4.94 90.90 ± 6.20 107.35 ± 5.26 74.97 ± 2.52 4 Artemisia scoparia Waldst. & Kit. 337.82 ± 1.40 96.07 ± 7.83 347.75 ± 3.10 94.67 ± 3.51 5 Artemisia vulgaris L 159.95 ± 2.00 97.77 ± 1.17 203.82 ± 4.50 86.67 ± 4.49 6 Citrus reticulata 94.23 ± 3.40 97.87 ± 5.04 79.56 ± 4.52 95.07 ± 4.24 7 Curcuma aromatica Salisb 337.37 ± 1.46 86.5 ± 5.63 308.14 ± 4.52 68.50 ± 0.50 8 Cynanchum paniculatum L 160.37 ± 4.52 98.53 ± 6.69 104.18 ± 5.48 76.2 ± 2.55 9 Cyperus rotundus L 113.52 ± 5.31 94.87 ± 4.76 193.09 ± 2.29 65.73 ± 2.97 10 Lobelia chinensis Lour 93.23 ± 4.22 93.7 ± 3.94 61.74 ± 1.19 87.33 ± 2.08 11 Polygonum cuspidatum Sieb. et Zucc 62.17 ± 2.99 93.23 ± 10.51 174.91 ± 2.89 76.53 ± 5.71 12 Rabdosia rubescens (Hamst.)Wuet. 233.79 ± 5.22 93.5 ± 7.13 130.93 ± 3.9 78.13 ± 4.92 13 Rheum palmatum L 175.13 ± 5.05 88.43 ± 0.45 118.24 ± 5.56 96.5 ± 5.07 14 Spatholobus suberectus Dunn. 59.28 ± 0.51 98 ± 14.29 62.36 ± 2.3 75.3 ± 5.98 15 Xanthium sibiricum L 113.52 ± 5.31 91.5 ± 0.01 263.13 ± 2.02 96.4 ± 4.61 16 Amauroderma rugosum 62.5 ± 2.43 94.87 ± 1.79 62.09 ± 4.27 96.43 ± 1.40 * IL-6 and TNF-α production was expressed in terms of EC50 values # Cell viabilities are measured at the EC50 values corresponding to the production of 50% IL-6 and TNF-α

74 A B

Fig. 3.2. Concentration dependant immunomodulatory activities of most active polysaccharide extracts: (A). TNF-α production and (B) IL-6 production. Results are given as mean ± SD (n = 3); p < 0.05 is considered to be statistically significant.

75 It is therefore expected that the herbal polysaccharides from A. rugosum, A. annua , L. chinensis and S. suberectus have huge potential to be used as immunostimulators and this property makes them highly desirable candidates as anticancer agents (Schepetkin and Quinn,

2006 and Zhang et al., 2014). It is important to note from the literature that plant derived immunostimulatory polysaccharides are potential agents for cancer therapy (Schepetkin and

Quinn, 2006, Zhang et al., 2014, Zhang et al., 2013). For instance, Lentinan is one of the well-known immune-enhancing mushroom polysaccharide that has been successfully used in chemo-immunotherapy in combination with fluoropyrimidine to improve survival rates of patients with gastric cancer (Ina et al., 2013). It is therefore expected that the polysaccharides extracted from A. rugosum, A. annua, L. chinensis and S. suberectus are promising candidates for the formulation of immunotherapeutic agents.

3.3.3.2. Toxicities of polysaccharides

The toxicities of the polysaccharide extracted from selected medicinal plants are given in

Table 3.4. Cell viabilities were measured at the concentrations corresponding to the EC50

values of IL-6 and TNF-α production. The results demonstrate that the polysaccharides

studied here display good cell viabilities (Table 3.5) indicating low toxicity. These results are

in agreement with literature findings (Schepetkin and Quinn, 2006, Zhang et al., 2012 and

Zhang et al., 2014).

3.3.4. Anticancer activities of crude polysaccharides

The anticancer activities of the polysaccharides isolated from 16 Chinese medicinal plants

were measured against several cancer cell lines, namely, A549 (lung carcinoma), MCF7

76 (breast carcinoma), HT29 (colon carcinoma), HepG2 (hepatocites carcinoma) and MiaPAca2

(pancreatic carcinoma) and the results are presented in Table 3.5 and Figures 3.3 and 3.4.

The polysaccharides from A. annua, A. rugosum , C. rotundus and L. chinensis display

significant anticancer activities against two or more cancer cell lines (Table 3.5 and Fig. 3.3).

It is interesting to note from Figure 3.3 that the polysaccharides extracted from A. annua

displayed extremely high anticancer activity against A529 (lung carcinoma) and MiaPAca2

(pancreatic carcinoma). A. annua was therefore been chosen as an important candidate for detailed study. Similarly, L. chinensis and A. rugosum also exhibited significant anticancer activities against two cancer cell lines (Fig. 3.3). These two herbs were also chosen for

detailed study. It can be seen from Figure 3.4 that three of the selected herbs have highly

significant activities in a dose dependant manner against cancer cell lines.

77 Table 3.5. In vitro cytotoxicity (IC50) of crude polysaccharides isolated from herbs against five cancer cell lines

# IC50 (µg/mL) P.No Name of the plants A549 MCF7 HT29 MiaPAca2 HepG2* P.1 Akebia quinata (Houtt.) Decne. P.2 Alpinae officinarum Hance P.3 Artemisia annua L 11.97 ± 2.10 18.98 ± 1.49 7.51 ± 2.82 P.4 Artemisia scoparia Waldst. & Kit. 13.15 ± 2.48 P.5 Artemisia vulgaris L 10.58 ± 3.95 P.6 Citrus reticulata P.7 Curcuma aromatica Salisb 17.78 ± 1.18 P.8 Cynanchum paniculatum L P.9 Cyperus rotundus L 15.02 ± 0.4 20.49 ± 1.58 P.10 Lobelia chinensis Lour 15.6 ± 1.38 18.18 ± 1.95 P.11 Polygonum cuspidatum Sieb. et Zucc P.12 Rabdosia rubescens (Hamst.)Wuet. P.13 Rheum palmatum L 18.02 ± 1.85 P.14 Spatholobus suberectus Dunn. P.15 Xanthium sibiricum L P.16 Amauroderma rugosum 13.48 ± 2.32 11.82 ± 1.35 * None of the polysaccharide extracts were active against HepG2 cell lines # Smaller IC50 value indicates high activity

78 Fig. 3.3.Anticancer activities (IC50) of polysaccharide extracts against four different cancer cell lines.

79 Fig. 3.4. Dose dependant variation of anticancer activities of the polysaccharides from the three most active herbs.

80 A diagrammatic representation of the correlation of anticancer activities of the polysaccharides from 16 herbs and their monosaccharide contents are presented in Fig. 3.5.

Fig. 3.5. A diagram developed to visualise the relationship of anticancer activities and monosaccharide composition. (A) Plants P3, P4, P5 and P10 showed anticancer activity and contain significant quantities of four monosaccharides (mannose, galactose, glucose and arabinose); (B) Plants P9, P13 and P16 showed anticancer activity and contain significant quantities of three monosaccharides (galactose, glucose and arabinose/mannose); (C) Plant P7 showed anticancer activity and only contains high glucose content; (D) Plants P1, P2, P6, P8, P11 and P12 showed no anticancer activity and only contains high galactose content; (E) Plants P14 and P15 showed no anticancer activity and did not contain any Arabinose or Mannose contents (Note: Refer to Table 3.1 for the details of plant names and numbers)

An examination of the activities (Table 3.5) and the monosaccharide contents (Table 3.1) indicates that galactose, glucose, mannose and arabinose are likely to contribute towards the anticancer activities of these polysaccharides. The pie-chart given in Figure 3.5 indeed shows a good correlation of the activities with these four monosaccharides. For example, the plants

Artemisia annua, Artemisia scoparia, Artemisia vulgaris and Lobelia chinensis showed good anticancer activity also contain significant quantities of galactose, glucose, mannose, and arabinose (Tables 3.1 and 3.5); The plants Cyperus rotundus, Rheum palmatum and

Amauroderma rugosum showed anticancer activity also contain significant quantities of the monosaccharides galactose and glucose, and arabinose/mannose (Tables 3.1 and 3.5). The

81 plant Curcuma aromatica Salisb showed anticancer activity and only contains a high galactose content (Tables 3.1 and 3.5) The plants Akebia quinata, Alpinae officinarum, Citrus reticulata, Cynanchum paniculatum , and Polygonum cuspidatum did not show anticancer activity and only contain high glucose content. The plants Spatholobus suberectus and

Xanthium sibiricum did not show anticancer activity also did not contain any arabinose or mannose . Rabdosia rubescens is the only plant that deviated from this correlation diagram.

This exception may be due to the fact that the polysaccharides from this plant contain significantly low total sugar content (38.62%).

It is pertinent to further discuss the findings on immunostimulatory and anticancer effects of these polysaccharides in the light of published literature. PSP and PSK are the well-known anticancer polysaccharides that have been successfully used to treat several types of cancers in Japan (Vetvicka and Vetvickova, 2012, Friedman, 2016, Sugiyama, 2016, Ina et al., 2013,

Cheng and Leung, 2008). The most important benefit of PSP and PSK in treating cancer patients is their simultaneous immunomodulatory and anticancer activities (Zhang et al., 2014 and Cheng and Leung, 2008). Another example of anticancer polysaccharides with immuno- enhancing capability is schizophyllan which is a mushroom polysaccharide that increases cellular immunity by activating killer-cells to normal levels (Zhang et al., 2013). It is important to activate this immune function as killer-cells become dormant in cancer patients.

It is also demonstrated in the literature that several plant derived polysaccharides are efficient immunostimulators (Ina et al., 2013, Zhang et al., 2013, Wang et al., 2017 and He et al.,

2016). Lentinan is one of the well-known immune-enhancing mushroom polysaccharide that has been successfully used in chemo-immunotherapy in combination with fluoropyrimidine to improve survival rates of patients with gastric cancer (Ina et al., 2013).

It is important to examine the findings of this Chapter in the light of the above literature

(Friedman, 2016, Sugiyama, 2016, Ina et al., 2013, Cheng and Leung, 2008, Zhang et al.,

82 2013). Three of the herbal polysaccharides studied in this research (namely, A. annua, L.

chinesis, and A. rugosum) exhibited significant immunostimulatory as well as anticancer activities. Hence, they are potential candidates for the discovery of anti-tumour polysaccharides. Also, several herbal polysaccharides studied in this research displayed highly significant immunostimulatory activities (namely, A. annua, A. rugosumL. chinensis,C. reticulata and S. suberectus) which are likely candidates as chemo- immunotherapeutic agents in combination with known chemotherapeutic agents.

3.5. Conclusion

In this study, polysaccharides from selected TCM herbs/mushroom have been investigated for

their antioxidant, immunomodulatory and anticancer activities. Polysaccharides from A.

annua, A. rugosum, L. chinensis,S. suberectus, A. scoparia, P. cuspidatum and X. sibiricum

showed significant radical scavenging and iron chelating activities indicating that these

polysaccharide extracts have great antioxidant potential. In addition, the immunomodulatory

activities revealed that crude polysaccharides from A. annua, A. rugosum L. chinensis,C.

reticulata and S. suberectus exhibited significant stimulation of mouse macrophages to

produce TNF-α and IL-6 (Table 3.4, Figure 3.2). It is interesting to note that monosaccharides

such as galactose, glucose, mannose and arabinose are most likely to be responsible for the

antioxidant and immunomodulatory activities. Amongst these polysaccharides studied, four of

them from A. annua, A. rugosum,L. chinensis, and C. rotundus, showed significant anticancer activities against two or more cancer cell lines. Three of these most active herbs (A. annua, A. rugosum,and L. chinensis) have been chosen for further study. The polysaccharides

from these three herbs also showed significant antioxidant and immunomodulatory activities.

Hence, these herbs have great potential for the isolation of anticancer polysaccharides with

immune enhancing capabilities.

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95 Chapter Four Evaluation of Immunomodulatory and anticancer potentials of ethanol soluble organics from sixteen traditional anticancer herbs Abstract

Medicinal herbs offer an important traditional way to prevent and cure several diseases such as

chronic inflammation and cancer as they contain bioactive compounds including those with

antioxidant, immunomodulatory and anticancer activities. In this study, sixteen herbs were

selected based on their traditional medicinal uses and their hot water extracts obtained. Ethanol

soluble organic molecules have been separated from these extracts and their antioxidant, immunomodulatory and anticancer activities assessed. Antioxidant activities were evaluated by using DPPH●, ABTS●+scavenging methods, and ferric ion reducing assay. Total phenolic and total

flavonoid contents of these extracts were estimated based on the Folin-Ciocalteau and aluminium

chloride methods. The immunomodulatory properties of the herbal extracts were determined on

the basis of their ability to inhibit NO and TNF-α production in LPS induced RAW 264.7

macrophages. Cell viabilities were determined using MTT assay. Anticancer activity was

measured against five human cancer cell lines. Organic molecules extracted from Alpinae

officinarum, Artemisia annua, Cynanchum paniculatum, Lobilia chinesis, Spatholobus suberectus,

Xanthium sibiricum and Amauroderma rugosum exhibited significant antioxidant activities and

greatly inhibited the production of NO and TNF-α. Seven herbal extracts out of the sixteen herbs

studied showed highly significant anticancer activity against MCF7 (breast cancer cell line). The

extract from Rabdosia rubescens displayed significant anticancer activity against three cancer cell

lines. Observed biological activities of the extracts showed good correlation with their flavonoid

contents. Extracts from A. quinata, A. officinarum, A. scoparia, L. chinesis, S. suberectus and A.

rugosum exhibited significant biological activities with large quantities of polyphenols. These

herbs are potential candidates for the isolation of novel anticancer agents.

96 4.1. Introduction

It is well-known that medicinal herbs have been an important source of novel drugs and can be lead compounds for the discovery of new drugs (Shah et al., 2013, Lee et al., 2005, Palaniyandi et al., 2016). Herbs continue to contribute to the development of important new classes of therapeutics including anticancer drugs and hence it is beneficial to investigate their medicinal value using modern scientific tools (Shah et al., 2013). Several medicinal herbs have been used traditionally to treat different types of cancer (Huang et al., 2008, Shah et al., 2013). However the large majority of these are yet to be investigated comprehensively.

Traditional Chinese Medicinal (TCM) herbs have been used for treatment of different types of cancers for thousands of years in Asian countries (Ravipati et al., 2013, Lee et al., 2005,

Zhang et al., 2013, Jeong et al., 2016, Palaniyandi et al., 2016). Many bioactive compounds isolated from medicinal herbs are in clinical use as anticancer agents. Literature on some of these molecules and their anticancer potentials are briefly discussed here. One such class of anticancer agents are the vinca alkaloids such as vinblastine, vinorelbine, vincristine and vindesine (Boulikas and Tsogas, 2008, Dumontet and Jordan, 2010, Shah et al., 2013). Numerous investigations demonstrated that vinca alkaloids can induce cancer cell apoptosis by inhibition of cell mitosis

(Jordan et al., 1998, Gragg and Newman, 2005, Nobili et al., 2009, Dumontet and Jordan, 2010,

Botta et al., 2009, Govind, 2011, Lee et al., 2015). However, it should be noted that vinca alkaloids can also reduce the number of white blood cells (Gragg and Newman, 2005, Lee et al.,

2015) leading to various side effects which include bone marrow depression, nausea, vomiting, fatigue, headaches, dizziness, peripheral neuropathy, hoarseness, ataxia, dysphagia, urinary retention, constipation, diarrhea (Lee et al., 2015). These risks have limited the progression of vinca alkaloids into clinical use. Another class of important therapeutic agents consist of flavonoids that display anticancer activities (Talhouk et al., 2007, Ravishankar et al., 2013,

97 Sghaier et al., 2011). For example, investigations demonstrate that flavone and flavopiridol

isolated from Dysoxylum binectariferum Hook can prevent cancer formation by inhibition of several protein kinases such as cyclin-dependent kinases and tyrosine kinases (Shah et al., 2013,

Ravishankar et al., 2013). Curcumin from Curcuma longa L has been used in anticancer clinical

trials due to its significant immunomodulatory properties (Aggarwal et al., 2003, Julie and

Jurenka, 2009) as well as protein kinase inhibition activities with minimal toxicity (Aggarwal et

al., 2003, Li and Zhang, 2014). Genistein isolated from soybeans displays antiangiogenic effects

by regulating the expression of vascular endothelial growth factor (Ravishankar et al., 2013,

Farina et al., 2006, Guo et al., 2007, Su et al., 2005). In addition, plant flavonoids such as

quercetin, genistein, daidzein prevent cancer formation by their antioxidant and

immunomodulatory activities (Hämäläinen et al., 2007,Fantini et al., 2015, Rusak et al., 2005,

García-Lafuenteet al., 2009, Ravishankar et al., 2013). Some of these compounds are in advanced

phases of clinical trials for several types of cancers (Bulter, 2008, Ravishankar et al., 2013). There

is abundant literature to indicate the existence of several prenylated flavonoids which exhibit a

broad spectrum of properties relevant to anticancer activity (Venturelli et al., 2016). However,

this important class of molecules have not fully been exploited to unravel their cancer-preventative properties and their therapeutic potential to treat cancer (Venturelli et al., 2016). It is therefore important to undertake a detailed study on the anticancer behaviour of flavonoids from herbal medicine.

As part of the research program initiated in our laboratory to discover anticancer agents from

TCM herbs, sixteen traditionally known anticancer herbs (Table 3.1 in Chapter 3) have been

carefully selected and investigated. Table 3.1 provides their traditional uses and biological

activities. Available scientific studies and the TCM knowledge demonstrate that these sixteen

medicinal herbs exhibit significant therapeutic properties such as immunomodulatory, anticancer

98 and other pharmacological potential. The literature on some of the selected herbs is reviewed in the following paragraphs.

Artimisia annua is a famous traditional herb that is widely used for the treatment of malaria and cancer (Huang et al., 2008, Ferreira et al., 2010). Scientific studies have indicated that artemisinin

from A. annuacan prevent cancer formation by blocking the cell cycle to induce apoptosis,

modulation of signalling pathway, inhibition of angiogenesis and metastasis (Ghantous et al.,

2010, Huang et al 2012, Thoppil and Bishayee, 2011). Chrysosplenetin isolated from A. annua

showed significant anticancer activities against three different cancer cell lines which are A549,

HL60 and U87 (Chu et al., 2014).A very recent study indicated that polyphenolic compounds

isolated from A. annua displayed significant anticancer activity through inhibition adhesion and

epithelial-mesenchymal transition of highly metastatic breast cancer cells MDA-MB-231(Ko et

al., 2016),

Artemisia vulgaris is traditionally used for treatment of fever, malaria, and cancer (Huang et al.,

2008, Saleh et al., 2010). A recent study indicated that the methanol extract from the dry leaves of

A. vulgaris displayed anticancer activity against human hepatocellular carcinoma cell line HepG2

by induced cancer cell apoptosis (Sharmila & Padma, 2013). In addition, the essential oil of A.

vulgaris displayed significant anticancer properties by mitochondria-dependent apoptosis (Saleh et al., 2010).

Artemisia scoparia is an important traditional Chinese medicinal herb for the treatment of

inflammation and cancer (Abad et al., 2012). Several pharmacological compounds such as

flavones (Lin et al., 2004), coumarins (Ali et al., 2003), and various volatile oils (Singh et al.,

2009, Singh et al., 2008) have been isolated from A.scoparia. A study indicated that methanol

extracts from A.scoparia display significant anticancer activity against human breast cancer (Choi

et al., 2013).

99 The outcomes of the above investigations and the traditional knowledge of the selected herbs

warrant further study on their organic extracts. It is common practice in the TCM to use hot

water extracts for cancer and other treatments (Cho, 2010). Systematic studies involving hot

water extractable therapeutic agents from the selected sixteen TCM herbs is very limited (Cai et

al., 2004, Zhang et al., 2011, Ravipati et al., 2012). The objectives of this study are to isolate

ethanol soluble organic molecules from hot water extracts of the selected herbs and to determine

their antioxidant, anti-inflammatory and anticancer properties. It also aims to correlate the bioactivities of these extracts with the total flavonoid and phenolic content.

In this study, antioxidant activities of the selected herbal extracts were evaluated by DPPH●

scavenging (diphenylpicrylhydrazyl), ABTS●+ scavenging (2,2'-azino-bis(3-ethylbenzothiazoline-

6-sulphonic acid), and ferric ions reducing assays (Li et al., 2011; Umamaheswari et al., 2008,

Alam et al., 2013). Anti-inflammatory properties of the extracts from these herbs were evaluated

by measuring their ability to inhibit the production of NO and TNF-α in LPS-induced RAW 264.7 macrophages (Zhang et al., 2011, Ravipati et al., 2012). The anticancer activities were evaluated against five different cancer cell lines which included A549 (lung carcinoma), MCF7 (breast

carcinoma), HT29 (colon carcinoma), HepG2 (hepatocites carcinoma), MiaPAca2 (pancreatic cancer) (Ravipati et al., 2013). Toxicities of the herbal extracts were determined by MTT assay by measuring cell viability (Zhang et al., 2011, Ravipati et al., 2012).

4.2 Materials and methods

4.2.1. Collection of medicinal herbs associated with this research

The herbal plant materials were purchased from a Chinese herbal medical centre known as Bei

Jing Tong Ren Tang located in Sydney (Australia). Sample specimen of all the herbs is stored in our research laboratory. This company has branches all over the world and is well known for their

100 best practice in TCM. The herbs traded in Sydney centre have approvals from both Australian and

Chinese Governments.

The details of these selected herbs are presented in Table 2.2 (Chapter 2). All herbal samples were powdered and subjected to an extraction procedure.

4.2.2. Chemicals and reagents

The gallic acid, quercetin, sodium nitrate aluminium chloride, DPPH●, ABTS●+, DMSO, F-C reagent, sodium carbonate, 95% ethanol, ascorbic acid, Trypan blue 0.4%, tetra methyl benzidine, sulfanilamide, N-(1-1-napthyl) ethylenediamine dihydrochloride, lipopolysaccharide (LPS) were purchased from Sigma (Australia) and Lomb Scientific Pty Ltd (Australia). The Foetal bovine serum (FBS), antibiotics, and Dulbecco’s modified Eagle’s medium (DMEM) with gluMax were purchased from BD Bioscience. The tumour necrosis factor-α (TNF-α) – ELISA standards and antibodies were purchased from BD Bioscience (USA).

In this study, mouse leukaemia monocyte macrophage cell line (RAW 264.7 macrophages) was used to test the immunomodulatory properties of herbal extracts from sixteen traditional anticancer herbal and mushroom (Refs). Lipopolysaccharide (LPS) is used as positive control. The abilities of herbal extracts to inhibit production of NO and TNF-α were measured by Griess assay and ELISA tests. DPPH● radical scavenging assay, ABTS●+ radical scavenging assay, Iron (Fe2+) chelating and ferric ions reducing power assays were used for the analysis of antioxidant activity.

Anticancer activities of herbal extracts are determined using five different tumour cell lines which are MCF7 (breast carcinoma) HT29 (colon carcinoma), A549 (lung carcinoma), HepG2

(hepatocytes carcinoma), MiaPAca2 (pancreatic cancer).

101 4.2.3. Ethanol soluble water extraction preparations for bioactivity studies

About 30g of dried herbs were ground to powder form and mixed well. The powdered plant material was subjected to hot water extraction using the autoclave method (at 121 oC for 2 hours) and then cooled to laboratory temperature and the supernatant was separated by filtration. The supernatant (extract) was then treated with 95% ethanol (extract: ethanol = 1:4 volume ratio) for

24 hours at 4.1 oC.The ethanol supernatant was then collected and filtered through a 0.45 µm

Whatman filter paper. The solution was then freeze dried and kept in -20 °C until use (Jeong et al., 2016). The entire process of extraction from ethanol supernatant is summarised in Figure 4.1.

102 Powdered plant/mushroom material • Hot water extraction (autoclaving) (121 for 2 h) • Centrifugation (10,000 rmp for 20 min)℃

Marc Supernatant

• EtOH precipitation (95%) (Supernatant: EtOH =1:4 for 24 h, 4°C)

Ethanol supernatant

• Filtration • Freeze drying

Small organic molecules

Fig. 4.1. Schematic diagram for the separation of ethanol soluble organics from hot water extract of medicinal herbs

4.2.4. Determination of total phenolic compounds

The Folin-Coicalteu (F-C) reagent method was employed for determination of total phenolic

content (Cicco et al., 2009). The procedure followed for the assay is similar to the one published

previously (Cicco et al., 2009, Zhang et al., 2011, Ravipati et al., 2012). A standard curve was

built using different concentrations of gallicacid (0-1000 µg/Lm) (Cai et al., 2004). The regression of the standard curve gave a linear equation (y = 0.004x + 0.0496, R2 = 0.9961). The samples were

analysed in triplicate. The total phenolics in the ethanol soluble water extracts were calculated

using the above equation.

103 4.2.5. Determination of total flavonoids

The aluminium chloride method was employed using for determination of total flavonoids

(Zhishen et al., 1999). The procedure followed for the assay is based on the method published

before (Zhishen et al., 1999, Zhang et al., 2011, Ravipati et al., 2012). A standard curve was built

using different concentrations of quercetin (0-1000 µg/mL) (Cai et al., 2004). The regression of

the standard curve gave a linear equation (y = 0.0006x - 0.0033, R2 = 0.9942). The samples were

analysed in triplicate.

4.2.6. Bioactivity tests

4.2.6.1. DPPH● radical scavenging assay

The Blois method (Blois, 1958, Zhang et al., 2011, Ravipati et al., 2012) was employed to determine the DPPH● radical scavenging ability of the herbal extracts . The methodology

employed for this assay is similar to that used in the Chapter 3. A standard curve was built using

different concentrations of ascorbic acid solutions (in 60% methanol) in the range of 0 to 200 µM.

The regression of the standard curve gave a linear equation (y = -0.0016x + 0.3515 with R² =

0.9648). The free radical scavenging activity was calculated as the ascorbic acid equivalent using

the above equation.

4.2.6.2. ABTS●+radical scavenging assay

ABTS●+ was employed in order to determine the radical scavenging ability of the herbal extracts

(Li et al., 2011, Alam et al., 2013).The methodology employed is similar to the method used in the Chapter 3. The regression of the standard curve gave a linear equation (y = -0.0023x + 0.6996 with R² = 0.9852). The free radical scavenging activity was calculated as the ascorbic acid equivalent using the above equation.

104 4.2.6.3. Immunomodulatory activities assays

4.2.6.3.1. Culture RAW 264.7 macrophages

Mouse macrophages (RAW 264.7) are first added to DMEM (culture medium containing 1%

antibiotic and 5%FBS) and incubated for 4 days at 37 °C in 5% CO2 (Ni et al., 2016, Zhang et

al., 2012, Zhang et al., 2013, Thambiraj et al., 2015, Jeong et al., 2012). The methodology

employed for this assay was similar that used in the Chapter 3.

4.2.6.3.2. NO production

The supernatant (100 µL) from each well is then carefully transferred into a new multi-well plate.

50µL of suffanilamide (1% w/v, dissolved in 5% H3PO4) was then added to the supernatant and kept for 5 min at room temperature, and 50 µL naphthyl ethylenediamine (0.1% w/v) was added to measure the concentration of NO as per the described procedure (Jeong et al., 2012, Zhang et al., 2013, Zhang et al., 2012, Thambiraj et al., 2015). Triplicate measurements were made .

Sodium nitrate was used as standard. The regression of the standard curve gave a linear equation

(y = 0.0011x + 0.3975 with R² = 0.9757). The immunomodulatory activities of the herbal extracts

were calculated using the above equation.

4.2.6.3.3. TNF- α production

The supernatant (100 µL) from each well was transferred into a new multi -well plate (Jeong et al.,

2012, Zhang et al., 2013, Zhang et al., 2012). The methodology employed for this assay is similar to that used in the Chapter 3.Triplicate measurements were made . The regression of the standard

curve gave a linear equation (y = 0.001x + 0.1069 with R² = 0.9879). The immunomodulatory

activities of the herbal extracts were calculated using the above equation.

4.2.6.3.5. Determination of cell viability by MTT assay

105 Viability of macrophage cells (RAW 264.7) were measured employing 3-(4,5-dimethylthiazol-2-

yl)-2,5-diphenyltetrazolium bromide (MTT) assay (Zhang et al., 2013, Zhang et al., 2012,

Thambiraj et al., 2015). The methodology employed for this assay was similar to that used in the

Chapter 3. The absorbance values were the measured at 595 nm.

(%) = 100%

𝑂𝑂𝑂𝑂 𝑜𝑜𝑜𝑜 𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆 𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶 𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣 𝑋𝑋 Where, positive control is mouse macrophages𝑂𝑂𝑂𝑂 treated𝑜𝑜𝑜𝑜 𝑝𝑝𝑝𝑝 w𝑝𝑝ith𝑐𝑐𝑜𝑜 𝑛𝑛DMEM𝑛𝑛𝑛𝑛𝑛𝑛𝑛𝑛 Medium (without LPS)

4.2.6.4. Anticancer assays against various cancer cell lines

The cancer cell lines were cultured and incubated according to procedure out-lined in a previous

publication (Royo et al., 2003; Tormo et al., 2005;Ravipati et al., 2013, Prodo et al., 2013). The

method employed for this assay was similar to that used in the Chapter 3.

Optical density was determined at 570 nm using a spectrofluorometer (Victor2TM Wallac

spectrofluorometer). The percentage inhibition against various cancer cells was calculated using

the following equation.

% = 100 pos contro ODsample− OD 𝑖𝑖𝑖𝑖ℎ𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖 𝑁𝑁𝑁𝑁𝑁𝑁 𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐 𝑝𝑝𝑝𝑝𝑝𝑝 𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐 𝑋𝑋 Where, ODNeg Contr is the optical density of𝑂𝑂 𝐷𝐷the negative− 𝑂𝑂control𝐷𝐷

ODPos Contr is the optical density of the positive control

The culture medium containing DMSO (1%) was used as a negative control and the medium

with 2mM MMS was used as positive control.

106 4.2.5. Statistical analysis

All data were measured in triplicate and the mean ± SD was calculated. The group mean was

compared using a one-way analysis of variance (ANOVA) and Duncan’s multiple range tests.

Statistical calculations were done using IBM SPSS, OriginPro 8.5 and Excel 2016. The data is

considered to be statistically significant if p < 0.05.

4.3. Results and discussion

4.3.1. Chemical composition

Total flavonoid and phenolic content of ethanol soluble organics in the water extracts of the selected sixteen herbs was measured using Folin-Coicalteu and aluminium chloride assays

respectively and the results are presented in Table 4.2. The phenolic and flavonoid contents were expressed in gallic acid equivalent (GAE mg/g) and quercetin equivalent (QE mg/g) of the extract per gram of the dried plant material. The total phenolic content of the selected plant extracts ranged

from 0.12 to 14.33 (mg/g). The highest phenolic content was observed in the extracts of P.

cuspidatum (14.33 ± 0.14 mg/g). The flavonoid content was relatively large in all the extracts

compared to their phenolic contents (Table 4.2). Highly significant flavonoid contentwas found in

P. cuspidatum (24.86 ± 4.19 mg/g), X. sibiricum (20.61 ± 1.67 mg/g), A. quinata (20.46 ± 1.67

mg/g), A. vulgaris (19.09 ± 0.96 mg/g), and A. rugosum (17.85 ± 1.67 mg/g). The herbs A. officinarum, A. annua, A. scoparia and S. suberectus also had significant levels of flavonoid

content.

107 4.3.2. Antioxidant activities

4.3.2.1. DPPH● and ABTS●+ scavenging activities

In this study, the antioxidant activities of the extracts from sixteen selected medicinal herbs were evaluated using DPPH● and ABTS●+radical scavenging activity. The results of free radical

scavenging capacity of the extracts are presented in Table 4.2. Most of the plant extracts showed

significant scavenging activity. The values of DPPH● scavenging activity ranged from 112.4 µmol

to 198.9 µmol ascorbic acid equivalent. The ABTS●+scavenging activity of the extracts ranged

from 121 µmol to 303.74 µmol ascorbic acid equivalents. Highly significant DPPH● scavenging activities are shown by the extracts of R. rubescens, P. cuspidatum, A. officinarum , A. quinata, A. scoparia, A. vulgaris, A. annua,S. suberectus, X. sibiricum and A. rugosum for which the activities were greater than 180 µM ascorbic acid equivalent. High ABTS●+ scavenging activities were shown by the extracts of R. rubescens, A. quinata, A. officinarum, A. scoparia, A. annua, A.

vulgaris, P. cuspidatum, and A. rugosum which were greater than 270 µM ascorbic acid

equivalent.

108 Table 4.1. Antioxidant activities of the ethanol soluble organics from water extracts from sixteen Chinese medicinal herbs along with their total phenolic and flavonoid content

DPPH scavenging ABTS scavenging Phenolic content Flavonoid content Name of herbs * activity (Ascorbate activity (Ascorbate (GAE mg/g) (QE mg/g)* # # S. No equivalent (µM) equivalent (µM) 1 Akebia quinata (Houtt.) Decne. 8.87 ± 0.14 20.46 ± 1.67 188.65 ± 0.36 302.43 ± 0.01 2 Alpinae officinarum Hance 5.2 ± 0.14 14.38 ± 1.67 190.1.1 ± 0.36 283.59 ± 0.25 3 Artemisia annua L 7.19 ± 0.29 12.98 ± 4.41 185.31 ± 0.63 296.35 ± 0.04 4 Artemisia scoparia Waldst. & Kit. 3.77 ± 0.25 11.51 ± 0.96 182.69 ± 0.63 263.74 ± 0.03 5 Artemisia vulgaris L 6.09 ± 0.52 19.09 ± 0.96 185.06 ± 0.36 294.17 ± 0.01 6 Citrus reticulata 4.68 ± 0.75 4.39 ± 1.67 145.31 ± 0.63 203.16 ± 3.70 7 Curcuma aromatica Salisb 1.82 ± 0.29 3.24 ± 0.47 125.31 ± 0.72 142.43 ± 0.25 8 Cynanchum paniculatum L 0.12 ± 0.63 1.36 ± 0.96 112.4 ± 2.89 133.16 ± 0.25 9 Cyperus rotundus L 3.41 ± 0.29 4.66 ± 0.02 154.06 ± 0.63 192.43 ± 0.01 10 Lobelia chinensis Lour 2.45 ± 0.14 8.13 ± 1.92 174.31 ± 1.08 208.43 ± 0.02 11 Polygonum cuspidatum Sieb. et Zucc 14.33 ± 0.29 24.86 ± 4.19 189.69 ± 0.72 298.81 ± 0.25 12 Rabdosia rubescens (Hamst.)Wuet. 8.4 ± 0.66 9.51 ± 3.47 198.9 ± 2.25 303.74 ± 0 13 Rheum palmatum L 0.16 ± 0.29 2.16 ± 1.92 118.44 ± 0.63 121.86 ± 0 14 Spatholobus suberectus Dunn. 5.62 ± 1.28 15.35 ± 0.96 187.19 ± 1.65 228.67 ± 0.25 15 Xanthium sibiricum L 6.22 ± 0.14 20.61 ± 1.67 184.69 ± 1.25 238.81 ± 0.5 16 Amauroderma rugosum 8.18 ± 0.38 17.85 ± 1.67 176.56 ± 2.86 275.19 ± 5.02 *Total phenolic and flavonoid content were expressed in gallic acid and quercetin equiv/mg respectively. #DPPH, ABTS free radical scavenging activity was expressed as equivalent of ascorbic acid (µM). All values are mean of triplicate determination ± standard deviation.

109 4.3.2.2. Fe3+ reducing power

Fe3+ reducing power of the extracts were also measured as part of evaluating the antioxidant potential of the herbal extracts. The results of concentration dependant reducing power of the extracts are presented in Table 4.2. The extracts from A. officinarum, A. vulgaris, R. palmatum and

S. suberectus showed significant reducing ability.

Antioxidants eliminate oxidative stress by scavenging free radicals that cause damage to DNA and other biopolymers. Natural antioxidants from TCM herbs are attractive alternatives to synthetic antioxidants (Zhu et al., 2004). Extracts from several selected herbs studied in this research have exhibited significant radical scavenging as well as Fe3+ reducing ability. The more potent extracts include A. officinarum, A. vulgaris, P. cuspidatum, R. rubescens, S. suberectus and X. sibiricum. It is therefore expected that these herbs are potential candidates for the isolation of antioxidant compounds. A correlation of antioxidant activities of the selected herbal extracts and their polyphenol contents is presented in Table 4.2 below.

110 Table 4.2. Ferric ions reducing power of the ethanol soluble water extracts isolated from sixteen medicinal herbs

Absorbance at 700 nm S. No Herbs/standard 1000 µg/mL 500 µg/mL 250 µg/mL 125 µg/mL 62.5 µg/mL Vit C 1.707±0.006 0.706±0.001 0.331±0.001 0.193±0.001 0.127±0.001 1 Akebia quinata (Houtt.) Decne. 0.285±0.001 0.136±0.002 0.074±0.002 0.035±0.003 0.014±0.004 2 Alpinae officinarum Hance 1.138±0.001 0.741±0.005 0.345±0.001 0.214±0.002 0.106±0.002 3 Artemisia annua L 0.37±0.001 0.257±0.001 0.133±0.002 0.066±0.002 0.033±0.002 4 Artemisia scoparia Waldst. & Kit. 0.349±0.001 0.234±0.024 0.121±0.004 0.05±0.001 0.027±0.001 5 Artemisia vulgaris L 1.157±0.003 0.734±0.001 0.316±0.002 0.184±0.001 0.086±0.003 6 Citrus reticulata Blanco 0.269±0.001 0.153±0.003 0.075±0.001 0.052±0.001 0.048±0.001 7 Curcuma aromatica Salisb NA* NA NA NA NA 8 Cynanchum paniculatum L 0.444±0.003 0.254±0.002 0.153±0.004 0.077±0.002 0.035±0.001 9 Cyperus rotundus L 0.274±0.002 0.137±0.002 0.042±0.002 0.024±0 NA 10 Lobelia chinensis Lour NA NA NA NA NA 11 Polygonum cuspidatum Sieb. et Zucc 0.876±0.002 0.518±0.002 0.281±0.007 0.097±0.001 0.017±0.003 12 Rabdosia rubescens (Hamst.)Wuet. 0.726±0.002 0.412±0.003 0.208±0.001 0.108±0.001 0.058±0.001 13 Rheum palmatum L 1.091±0.001 0.709±0.002 0.407±0.001 0.216±0 0.122±0.001 14 Spatholobus suberectus Dunn. 1.962±0.045 0.976±0.003 0.447±0.001 0.285±0.001 0.192±0.005 15 Xanthium sibiricum L 0.504±0.003 0.247±0.002 0.127±0.003 0.076±0.002 0.017±0.001 16 Amauroderma rugosum(Blume & T. Nees) Torrend 0.296±0.002 0.204±0.001 0.088±0.002 0.038±0.002 0.014±0.002 *NA: no activity; P < 0.05

111 Correlation plots were developed in order to reveal the relationship between the antioxidant activity and polyphenol content of the extracts (total phenolics and flavonoids) (Fig.4.2). DPPH● and ABTS●+ scavenging activities of the extracts showed significant correlation (R2 >0.55) with total phenolic content (Fig.4.2A and 4.2C) and also with the total flavonoid content (Fig. 4.2B and

4.2D). The results indicate that the total phenolic and flavonoid contents are important contributors to the antioxidant activities of the ethanol soluble water extracts of the herbal medicine and this observation is in agreement with the literature (Cai et al., 2004, Chan et al.,

2014, Joeng et al., 2016, Zhang et al., 2011, Ravipati et al., 2012). The observed correlations of radical scavenging activities of the extract from A. rogosum with total phenolics is in agreement with those reported in the literature (Chan et al., 2014). It should be noted that some of the herbal extracts significantly deviated from the linear correlation. For instance, C. reticulata and C. rotundus were found to have high antioxidant activities but low levels of phenolic/flavonoid content (Table 4.2). It is therefore reasonable to conclude that in addition to phenolics and flavonoids there are other antioxidant components that are likely to be present in the ethanol soluble water extracts, which may also contribute to their antioxidant activities.

112 250 250 A B 200 200 150 150 R² = 0.641 R² = 0.5563 100 100 50 50 0 0 in ethanol extracts (µM) ethanol extracts in

in ethanol extracts (µM) ethanol extracts in 0 5 10 15 20 0 10 20 30 DPPH Scavegning activity activity DPPH Scavegning DPPH Scavegning activity activity DPPH Scavegning Phenolics content in water extracts (mg/g) Flavonoids content in water extracts (mg/g)

400 350 D

350 C 300 300 250 250 R² = 0.6869 R² = 0.6485 200 200 150 150 100 100 50 50

ethanol extracts (µM) extracts ethanol 0 0 in ethanol extracts (µM) extracts ethanol in ABTS Scavegning activity in in activity Scavegning ABTS 0 5 10 15 20 ABTS Scavegning activity 0 10 20 30 Phenolics content in water extracts (mg/g) Flavonoids content in water extracts (mg/g)

Fig. 4.2. Correlation between antioxidant activity and the total phenolic and flavonoid contents in the extracts: (A) DPPH● and phenolics, (B): DPPH● and flavonoids, (C): ABTS●+ and phenolics, (D): ABTS●+ and flavonoids.

113 4.3.3. Anti-inflammatory activities

Evidence from the literature indicates that increased production of NO and TNF-α can cause the development of inflammation (Durga et al., 2014, Kiemer et al., 2002). This study investigated the ability of the herbal extracts to inhibit the production of NO and TNF-α in LPS-induced RAW

264.7 macrophages. The inhibition activity is expressed in terms of IC50 values and the results are presented in Table 4.4. It can be seen that many herbal extracts showed inhibitory activity against the production of nitric oxide (NO). The extracts from A. annua, A. rugosum, A. vulgaris, A.

rugosum, L. chinesis, S. suberectus, and X. sibiricum significantly down regulated the NO

production with IC50 values that are less than 0.23 mg/mL. There was no inhibition activity in the

extracts from Curcuma aromatic, Cynanchum paniculatum and Rheum palmatum .

Results presented in Table 4.4 indicate that the extracts from A. annua, A. rugosum, A. vulgaris,

Cyperus rotundus and L. chinesis showed significant inhibitory activity against TNF-α production

with IC50 values less than 330 µg/mL. Interestingly, the extracts from C. aromatica, C.

paniculatum and R. palmatum did not show inhibitory activities against both NO and TNF-α

production.

114 Table 4.3. Anti-inflammatory activities of the extracts from selected medicinal herbs

IC for the IC50 for the inhibition 50 Cell viability (% Cell viability (% S. No Name of herbs inhibition of NO & of TNF-α production & of cell survival) of cell survival) production (µg/mL)* (µg/mL) 1 Akebia quinata. 687.12 ± 5.22 94.4 ± 1.47 484.64 ± 2.42 89.17 ± 3.55 2 Alpinae officinarum 229.31 ± 4.61 96.8 ± 1.73 348.67 ± 2.43 91.47 ± 10.09 3 Artemisia annua 47.42 ± 0.78 106.43 ± 4.04 156.67 ± 1.78 87.57 ± 8.99 4 Artemisia scoparia. 245.13 ± 3.99 94.5 ± 3.5 388.49 ± 1.92 86.07 ± 2.29 5 Artemisia vulgaris 108.15 ± 6.21 97.77 ± 1.17 128.42 ±0.48 95.43 ± 0.93 6 Citrus reticulata 333.92 ± 1.92 92.73 ± 3.31 343.08 ± 4.90 74.53 ± 3.52 7 Curcuma aromatica NA NA 8 Cynanchum paniculatum NA NA 9 Cyperus rotundus 217.72 ± 2.54 65.73 ± 2.97 271.58 ± 4.96 78.2 ± 1.54 10 Lobelia chinensis 159.95 ± 2 87.33 ± 2.08 143.76 ± 5.34 77.03 ± 1.96 11 Polygonum cuspidatum 265.14 ± 4.95 76.53 ± 5.71 330.37 ± 5 88.43 ± 0.45 12 Rabdosia rubescens. 253.42 ± 2.88 96.5 ± 5.07 430.83 ± 3.44 93.5 ± 7.13 13 Rheum palmatum NA NA 14 Spatholobus suberectus 200.94 ± 3.35 88.63 ± 0.32 301.69 ± 1.17 57 ± 2.58 15 Xanthium sibiricum 148.13 ± 3.01 79.73 ± 10.71 313.91 ± 5.02 68.5 ± 0.5 16 Amauroderma rugosum 81.31 ± 4.47 88.77 ± 2.87 327.38 ± 3.67 94.87 ± 1.79

* Inhibition of NO and TNF- α production was expressed in terms of IC50 values; P < 0.05 & Cell viabilities were measured at appropriate IC50 values corresponding to the inhibition of NO and TNF-α production. NA: no activity

115 Concentration dependant anti-inflammatory activities of most active herbal extracts are shown in

Figures 4.3A and 4.3B. Extracts from A. annua and A. vulgaris,displayed high activity against

TNF-α production. The extracts of C. rotundus and L. chinesis also displayed significant activity

against TNF-α production (Fig.4.3B). The extracts from A. annua,A. vulgaris,A. rugosum and X.

sibiricum show concentration dependant inhibition of NO production (Fig.4.3A).

4.3.3.1. Cell viability

The effect of the extract from the sixteen medicinal herbs on the viability of mouse macrophages

is given in Table 4.4. Cell viability was measured at appropriate IC50 values corresponding to the production of NO and TNF-α. It is clear from these results that all of the extracts showed significant cell viabilities (> 57% ). These results indicate that the extracts of chosen herbs exhibit

low toxicity and this is consistent with literature reports (Zhang et al., 2011, Ravipati et al., 2012,

Ravipati et al., 2013).

116 A B

Fig. 4.3. Concentration dependant immunomodulatory activities of most active extracts from the selected herbs: (A). NO production, and (B). TNF-α production. Values are expressed as mean ± SD (n=3), P < 0.05.

117 It is interesting to note from the results that there is a good correlation between the anti-

inflammatory activities and total phenolic and flavonoid content. For instance, A. officinarum, A.

annua, X. sibiricum,S. suberectus and A. rugosum which inhibited the production of NO/TNF-α

(low IC50 values) and also had significant levels of total phenolics and flavonoid content. Other

herbs such as C. aromatic, C. paniculatum and R. palmatum which were found to contain low

levels of phenolic and flavonoid content also did not display anti-inflammatory activity (Table

4.4). These results are in agreement with previous studies that report that phenolics and

flavonoids influence anti-inflammatory activities (da Silva Oliveira et al., 2011). Literature reports

indicates that polyphenols isolated from medicinal herbs display strong anti-inflammatory activities. For instance the polyphenolic compounds galangin and 5-hydroxy-7-(4″-hydroxy-3″- methoxyphenyl)-1-phenyl-3-heptanone, isolated from A. officinarum significantly inhibited the production of pro-inflammatory factor (COX-2) (Honmore et al., 2016). On the other hand, the anti-inflammatory activities of some of the herbs are not consistent with their total phenolic and flavonoid content. For instance, C. reticulata, and C. rotunduswere found to have significant anti- inflammatory activities (inhibition of production of both NO and TNF-α), but contained low levels of phenolics and flavonoids. Hence, it is concluded that chemical constituents other than phenolics and flavonoids may also be responsible for the anti-inflammatory properties of such plants (Zhang et al., 2011, Ravipati et al., 2013).

4.3.4. Anticancer activities

The anticancer activities of these extracts from Chinese medicinal herbs were evaluated against

five human cancer cell lines which included A549 (lung carcinoma), MCF7 (breast

carcinoma), HT29 (colon carcinoma), HepG2 (hepatocites carcinoma), MiaPAca2 (pancreatic

cancer). These results are expressed in terms of IC50 values and presented in Table 4.4.

118 A review of the literature (Zhu et al., 2004, Zhang et al., 2014) offers strong evidence that prolonged oxidative stress leads to inflammation and tissue damage that can potentially cause cancer . Therefore, the agents that simultaneously possess antioxidant, anti-inflammatory and anticancer properties are of great importance for the prevention and treatment of cancer

(Ravishankar et al., 2013, Sghaier et al., 2011). Many of the herbal extracts studied in this research exhibited these important biological activities and hence are highly suitable for the isolation of anticancer agents. Polyphenols in general and flavonoids in particular are known to be potential anticancer agents (Durga et al., 2014, Ravishankar et al., 2013, Sghaier et al., 2011). Correlation of observed anticancer activities of herbal extracts with their polyphenol contents is discussed below.

119

Table 4.4. In vitro cytotoxicity (IC50) of the extracts from herbs against five cancer cell lines

IC50 (µg/mL)* No Name of Herbs A549 MCF7 HT29 MiaPAca2# Hep_G2 1 Akebia quinata. 14.65 ± 0.94 2 Alpinae officinarum 14.64 ± 1.34 3 Artemisia annua 4 Artemisia scoparia 6.86 ± 2.60 5 Artemisia vulgaris 6 Citrus reticulata 7 Curcuma aromatica 36.23 ± 2.53 8 Cynanchum paniculatum 9 Cyperus rotundus 10 Lobelia chinensis 11.75 ± 3.91 11 Polygonum cuspidatum 12 Rabdosia rubescens . 15.33 ± 0.22 22.00 ± 8.64 10.75 ± 2.91 13 Rheum palmatum 14 Spatholobus suberectus 10.65 ± 1.3 15 Xanthium sibiricum 16 Amauroderma rugosum 11.75 ± 5.64 # None of the extracts were active against Hep_G2 cell lines *Smaller IC50 value indicate high activity

120 Fig. 4.4. Anticancer activities (IC50) of the extracts against four different cancer cell lines: (A).The extracts from Akebia quinata, Alpinae officinarum, Artemisia scoparia, Curcuma aromatica, Lobelia chinensis, Spatholobus suberectus and Amauroderma rugosum against breast cancer cell line (MCF-7) and (B).The extracts from Rabdosia rubescens against three different cancer cell lines (A529, HT29 and Hep_G2).

121 Fig. 4.5.Dose dependant variation of anticancer activities of the extracts from the three most active herbs. (a) the extracts from Rabdosia rubescens against three different cancer cell lines (A529, HT29 and Hep_G2), (b) the extracts from Artemisia scoparia, against breast cancer cell line (MCF-7), and (c) the extracts from Spatholobus suberectus against breast cancer cell line (MCF-7).

122 Many of the herbal extracts studied in this research showed significant correlation of anticancer

activities with their phenolic and flavonoid content. For example, A. quinata, A. officinarum, A.

scoparia, L. chinensis, R. rubescens, S. suberectus and A. rugosum contained medium to high quantities of polyphenols and exhibited significant anticancer activities. This observation is consistent with the literature reports that flavonoids possess significant anticancer activities

(Ravishankar et al., 2013, Sghaier et al., 2011). It should be noted that some of the herbal extracts

studied here contain polyphenols (Table 4.2), but did not display any anticancer activity (e.g. A.

annua, A. vulgaris, C. reticulate, C. rotundus, P. cuspidatum and X. sibiricum). This may be due

to the fact that the flavonoids present in these extracts may not be structurally relevant to

anticancer activities (Ravishankar et al., 2013, Silici et al., 2007, Chaubal et al., 2005). Evidence

from the literature indicates the existence of a relationship between the chemical structure of

flavonoids and their anticancer properties (Ravishankar et al., 2013, Scotti et al., 2012, Dai and

Mumper, 2010). For example, the anticancer activities of flavonoids depend on the number and

position of hydroxyl groups, methoxy groups and presence of C-C double bond in ring-B

(Ravishankar et al., 2013, Casagrande and Darbon, 2001,Scotti et al., 2012).

4.4. Conclusions

A summary of the spectrum of biological activities of herbal extracts studied in this research are

presented in Table 4.5. In this Table, the notation “+++” is used to represent very high activity or

large quantity of total polyphenols in the extracts. The notation “++” is used to represent

significant activity or significant quantity of polyphenols. “+” means average activity or average

quantity of polyphenols in the extracts. It can be seen from Table 4.6 that the extracts from A.

quinata, A. officinarum, A. scoparia, L. chinensis, S. suberectus and A. rugosum exhibited highly

significant activities and also contain large quantities of polyphenols. It is therefore concluded that

these six herbs are very important candidates for the discovery of novel anticancer agents.

123 Findings of this research strongly support the traditional use of these herbs. It is interesting to

note that the six important herbs short-listed by this research (Table 4.6) are extensively used by

TCM practitioners in anticancer formulations.

124 Table 4.6. Important anticancer herbal extracts identified in this research together with their polyphenol content

Plant Total quantity Antioxidant Anti-inflammatory Anticancer No Name of the herbs of polyphenol activity activity activity Comment 1 Akebia quinata +++ +++ + +++ High potential candidate* 2 Alpinae officinarum ++ +++ ++ +++ High Potential candidate 3 Artemisia annua ++ +++ +++ 4 Artemisia scoparia ++ ++ ++ +++ Potential candidate 5 Artemisia vulgaris +++ +++ +++ 6 Citrus reticulata + + 7 Curcuma aromatica + 8 Cynanchum paniculatum 9 Cyperus rotundus ++ +++ 10 Lobelia chinensis + ++ +++ +++ Potential candidate 11 Polygonum cuspidatum +++ +++ ++ 12 Rabdosia rubescens + +++ ++ 13 Rheum palmatum 14 Spatholobus suberectus ++ ++ +++ +++ High Potential candidate 15 Xanthium sibiricum +++ ++ +++ 16 Amauroderma rugosum +++ +++ +++ +++ High potential candidate “+++” represents extremely high activity or large quantity of polyphenols “++” represents significant activity or significant quantity of polyphenols “+” represents average activity or average quantity of polyphenols *Potential candidates for anticancer flavonoids

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Zhang, L., Ravipati, A.S., Koyyalamudi, S.R., Jeong, S.C., Reddy, N., Smith, P.T., Bartlett, J., Shanmugam, K., Münch, G., and Wu, M.J. (2011). Antioxidant and anti-inflammatory activities of selected medicinal plants containing phenolic and flavonoid compounds. J Agric Food Chem 59, 12361-12367.

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136 Chapter Five

Biological and structural characterisation of polysaccharides fractions isolated from Amauroderma rugosum Abstract

Amauroderma rugosum is an important medicinal mushroom used for the treatment of cancer in Chinese medicine. To examine the biological activities of polysaccharides from A. rugosum, water-soluble polysaccharides were isolated and their pharmacological and anticancer activities determined. A.rugosum polysaccharides (ARPs) were extracted and purified using size-exclusion chromatography to obtain three main polysaccharides, ARP-1,

ARP-2 and ARP-5, having molecular masses of 1498 kDa, 450 kDa and 7 kDa respectively.

The antioxidant potentials of the isolated polysaccharides were evaluated by measuring radical scavenging activities against DPPH● (2,2-diphenyl-1-picrylhydrazyl radical), ABTS●+

(2,2'-azino-bis(3-ethylbenzothiazoline-6-sulphonic acid) radical), and OH● (hydroxyl radical).

Immunostimulatory activities of ARP-1, ARP-2 and ARP-5 were measured by using mouse macrophages. The three polysaccharide fractions displayed significant antioxidant activities and stimulate the production of tumour necrosis factor-α (TNF-α) and interleukin-6 (IL-6), where the ARP-1 and ARP-2 were found to be the most active . A detailed structural characterisation of these ARPs was carried out by gas chromatography (GC) and FT-IR techniques and NMR spectroscopic methods. ARP-1 and ARP-2 consist of β- (1→3)-D- glucans with β-(1→6)-D-glucopyranosyl branches. The results also suggest that the polysaccharides from A. rugosum are potential candidates for immunotherapeutic agents.

137 5.1 Introduction

Generally mushrooms are used as functional foods or dietary supplements for their

nutritional and medicinal values (Chang and Miles, 2004). The bioactivities of mushrooms

have been confirmed by extensive studies (Jeong et al., 2004, Cui and Chisti, 2003 and

Cheng and Leung, 2008, Jeong et al., 2010, Jeong et al., 2012). Several medicinal

mushrooms were identified and used to treat cancer in traditional Chinese medicine (TCM)

for many centuries (Cheng and Leung, 2008). For instance, Corolus versicolor is one such

mushroom that has been well investigated and is currently used in China and Japan in

combination with chemotherapy (Cheng and Leung, 2008). Several decades ago Lucas

(1957) demonstrated that the biopolymers isolated from a food mushroom (Boletus edulis)

exhibited significant anticancer activity against Sarcoma 180 tumour cells (Lucas, 1957).

Subsequently, numerous antitumour polysaccharides have been extracted from a variety of

medicinal mushrooms (Jeong et al., 2004, Cui and Chisti, 2003, Cheng and Leung, 2008,

Jeong et al., 2010, Jeong et al., 2012, Zhang et al., 2007, Vetvicka and Vetvickova, 2012,

Schepetkin and Quinn, 2006, Friedman, 2016, Sugiyama, 2016, Zhang et al., 2014). For

instance, β-glucans isolated from medicinal mushroom (such as Corolus versicolor,

Schizophyllum commune), have proven to possess pharmacological effects such as immunomodulatory, anticancer, anti-inflammatory and antioxidant activities (Rout and

Banerjee, 2007, Moradali et al., 2007, Schepetkin and Quinn, 2006, Lu et al., 2010, Mau et

al., 2001). In particular, several polysaccharides and polysaccharoproteins have been isolated

from medicinal mushrooms and clinically used for anticancer therapy (Schepetkin and Quinn,

2006, Zhang et al., 2014, Friedman, 2016, Zhang et al., 2007, Vetvicka and Vetvickova,

2012; Sugiyama, 2016, Cheng and Leung, 2008). For example lentinan derived from

Lentinula edodes (Sugiyama, 2016, Chihara, 1970, Chihara et al., 1986, Daba et al., 2003 and

Ina et al., 2013; Cheng and Leung, 2008), polysaccharide Krestin (PSK) derived from

138 Coriolus versicolor (Friedman, 2016, Sugiyama, 2016, Hattori et al., 2004; Cheng and

Leung, 2008 and Torisu et al., 1990); polysaccharopeptide (PSP) isolated from Coriolus

versicolor (Ng, 1998, Cui and Chisti, 2003 and Cheng and Leung, 2008); and schizophyllan

from Schizophyllum commune (Sugiyama, 2016 and Daba et al., 2003) are some of the

important immune enhancing and anticancer polysaccharides. All of these mushroom

polysaccharides have been used as anticancer agents for many years in Japan following good

results in several clinical trials (Friedman, 2016, Sugiyama, 2016, Chihara, 1970, Chihara et

al., 1987, Cheng and Leung, 2008, Cui and Chisti, 2003, Daba et al., 2003). A brief review of

literature on these mushrooms and their polysaccharides is provided below.

5.1.1. Traditional use of Coriolus versicolor

Coriolus versicolor belongs to the Basidiomycetes class and Polyporaceae family (Hobbs,

1995, Ng, 1998, Huang et al., 2008, Chu et al., 2007, Cui and Chisti, 2003). According to the

theory of TCM, C. versicolor has a slightly sweet taste and ‘cold’ property, exerting its

effects via the liver and spleen (Huang et al., 2008, Cho, 2010). TCM literature reports that

C. versicolour dispells heat, removes toxins, strengthens physique, increases energy and spirit, and enhances the host’s immune function (Chu et al., 2007, Cho, 2010, Huang et al.,

2008). In the clinical practice of TCM, C. versicolor is often indicated for the treatment of

various types of cancers such as uterine cancer and liver cancer (Huang et al., 2008, Cho,

2010).

5.1.1.1. Clinical studies of anti-tumorpolysaccharides from C. versicolor

Polysaccharide-Krestin (PSK) and polysaccharopeptide (PSP) are the most important polysaccharides isolated from C. versicolor, and both of them are clinically used for the treatment of cancer (Zhang et al., 2007, Vetvicka and Vetvickova, 2012, Schepetkin and

139 Quinn, 2006, Friedman, 2016, Sugiyama, 2016, Zhang et al., 2014). PSK was first isolated in

Japan and developed as a cancer therapeutic agent after an extensive study (Zhang et al.,

2007, Vetvicka and Vetvickova, 2012, Schepetkin and Quinn, 2006, Friedman, 2016,

Sugiyama, 2016 and Zhang et al., 2014). PSK has also been used clinically as a

immunochemotherapeutic agent in combination with one of the chemotherapeutic agents

such as fluoropyrimidines (Sakai et al., 2008), UFT (tegafur/ uracil) (Ohwada et al., 2006;

Yoshitani and Takashima, 2009), S-1 (tegafur/gimeracil/oteracil) (Kono et al., 2008) and

FOLFOX4 (5-FU/folinic acid/oxaliplatin) to treat gastric and colorectal cancer (Shibata et al.,

2011). This treatment protocol can improve long-term prognosis (Sakai et al., 2008), reduce

the risk of recurrence and increase the survival rates in patients with gastric and colorectal

cancer (Ohwada et al., 2006, Shibata et al., 2011). In addition, in vivo studies have shown that

PSK can also enhance the cytotoxicity of such chemotherapeutic drugs (Katoh and Ooshiro,

2007; Kinoshita et al., 2010). For example, PSK could enhance the anti-tumor efficacy of

trastuzumab, and significantly suppressed tumour growth through its immunostimulatory

activities by binding with toll-like receptor (TLR-2) and inhibition of the TGF-β pathway

(Lu et al., 2011, Ono et al., 2012). PSK also showed direct anti-tumour effects by inhibiting the proliferation of various tumour cell lines via the arrest of cell cycle and the induction of apoptosis (Hirahara et al., 2010, Hirahara et al., 2011, Jiménez-Medina et al., 2008).

PSP is another important polysaccharide isolated from C. versicolor in China and was

developed as an anticancer agent after extensive scientific and clinical studies (Cheng and

Leung, 2008). It has been demonstrated that PSP inhibits tumour cell proliferation through

the induction of apoptosis and cell cycle arrest (Hsieh et al., 2006). PSP enhances the

cytotoxicity of certain S-phase targeted chemotherapeutics, such as doxorubicin, etoposide,

camptothecin and cyclophosphamide against human cancer cells (Wan, Sit, and Louie, 2008,

140 Wan et al., 2010). It has been shown that PSP kills cancer cells in the S-phase (Hui et al.,

2005, Wan et al., 2008) and potentiates the efficacy of camptothecin (Wan et al., 2010). In addition, PSP has shown chemo-preventive effect on prostate cancer by targeting prostate cancer stem cell-like populations (Luk et al., 2011). Clinical studies have demonstrated that

PSP in combination with chemotherapeutic agents can reduce chemotherapy-induced side effects and increase survival rate and quality of life of patients (Cheng and Leung, 2008). A new formulation composed of PSP and Astragalus polysaccharide (APS) has shown enhanced immunomodulatory effects and can restore the immunological effects against

Adriamycin induced immunosuppression. These results indicate that the new formulation has better effects than using PSP alone (Jin et al., 2008).

5.1.1.2. Anti-tumour mechanism of PSP and PSK isolated from C. versicolor

Two important mechanisms have been thought to be responsible for the anticancer action of these polysaccharides: they are: (i) indirect anticancer effect though immunomodulatory activity and (ii) direct anticancer effect (Maehare et al., 2012, Jiang et al., 2010, Zhang et al.,

2007).

The indirect anticancer activity of PSP and PSK occurs mainly through their immunomodulatory activities by activation of B lymphocytes, T lymphocytes, macrophages and monocytes, bone marrow cells, natural killer cells, and lymphocyte-activation killer cells

(Cui andChisti, 2003, Zhang et al., 2007, Lu et al., 2011, Zhang et al., 2014, Meng et al.,

2016). This activation of immune cells can induce the production of various cytokines and antibodies such as interferons, interleukin-2 and interleukin-6 (IL-6), tumour necrosis factor

(TNF-α), and immunoglobulin-G (Cui and Chisti, 2003, Zhang et al., 2014, Meng et al.,

2016, Zhang et al., 2017). The immuno-regulation effects of PSK are attributed to the prevention of the apoptosis of circulating T cells, restoration of immunosuppression resulting

141 directly from cancer as well as from the treatment (Maehara et al., 2012) and bone marrow

suppression induced by chemotherapy (Kono et al., 2008, Shibata et al., 2011).

PSP and PSK exhibit direct antitumour effects by: (i) inducing apoptosis and preventing

angiogenesis via the production of glutathione peroxidase and superoxide dismutase

(Maehara et al., 2012), and (ii) reducing the expression of cancer cell cycle related proteins such as cyclin D1, cyclin E and Bcl-2 and up-regulation of p12 (Maehara et al., 2012).

The polysaccharide portion of PSP and PSK has β-(1→3)-glucan structure with branching at

4 and 6 positions. This structure has been suggested to be responsible for the immuno- regulatory and anticancer activities of these polysaccharides (Zhang et al., 2007, Zhang et al.,

2014).

As discussed in the previous sections, there is an abundance of literature on anticancer and

immunomodulatory activities of polysaccharides isolated from medicinal mushrooms. Some of these are listed in Table 2.4 (Chapter 2) along with their specific activities. The biological activities of the polysaccharides given in Table 2.4 have been investigated either by in vivo or in vitro methods.

This chapter aims to investigate immunomodulatory activities of polysaccharides from

Amauroderma rugosum which is a well know medicinal mushroom (Chan et al., 2015). This

mushroom belongs to the Ganodermataceae family. A brief description of traditional use and

previous research on Ganodermataceae polysaccharides is provided below.

142 5.1.2. Anticancer polysaccharides from the Ganodermataceae family of mushroom

Ganodermataceae family (known as “Lingzhi” in China) is an important family of medicinal mushrooms and are widely used for treatment of heart disease, hypertension, hepatitis, diabetes, neurasthenia and cancer in China and other countries (Zhou et al., 2007, Huang et al., 2008). Ganodermataceae mushrooms contain a numbers of bioactive natural constituents such as polysaccharides, ganoderic acids, ergosterols, proteins, unsaturated fatty acids, vitamins and minerals (Niuet al., 2002). However, polysaccharides are the most important constituents of the Lingzhi family of mushrooms. Studies involving polysaccharides and protein-conjugated polysaccharides indicated that a majority of bioactive polysaccharides isolated from the Ganoderma species contain β-(1, 3)-D-glucans with β-(1, 6)-D-

glucopyranosyl branches (Zhou et al., 2007).

5.1.2.1. Polysaccharides from Amauroderma genus

Amauroderma genus belongs to Ganodermataceae family. Mushrooms of this genus are widespread in Malaysia and other tropical areas and comprises about 30 species (Chan

et al., 2015). There is very limited literature on the bioactive constituents from the

Amauroderma species (Pen et al., 2015, Chan et al., 2015). A polysaccharide isolated from

Amauroderma rude exhibited significant immunostimulatory and anticancer activities (Pan

et al., 2015).

Amauroderma rugosum (Blume and T. Nees) Torrendis a traditional anticancer, anti- inflammatory anti-epilepsy and anti-diuretic agent (Dai and Yang, 2008, Chan et al., 2015). A recent study involving the ethanol extracts of A. rugosum showed significant anti- inflammatory activities (Chan et al., 2015). To the best of our knowledge, there is no report on polysaccharides from A. rugosum. Preliminary studies in the authors’ laboratory on water soluble crude polysaccharides from A. rugosum revealed significant immunostimulatory and

143 anticancer activities (Chapter 3). Therefore, this chapter describes the purification of the

polysaccharides from A. rugosum and the investigation of their immunomodulatory and antioxidant properties. It is important to recognise at this point that, suitable modulation of the immune system and addressing the oxidative stress are the two key aspects to be considered while formulating the treatment protocols for cancer (Cui and Chisti, 2003,

Schepetkin and Quinn, 2006, Jeong et al., 2010, Jeong et al., 2012, Zhang et al., 2013, Zhang

et al., 2014, Thambiraj et al., 2015, Yuan et al., 2015, Friedman, 2016, Sugiyama, 2016,

Cheng and Leung, 2008). In addition, structural characterisation of these polysaccharides

using FT-IR and NMR is also described with a view to understanding the structure -activity

relationships.

5.2. Materials and Methods

5.2.1. Materials

500 g of the dried roots of Amauroderma rugosum (known as “JiaZhi” in TCM terminology)

was obtained from Herbal Life Chinese Herbal Medicine shop, Sydney, Australia. A voucher specimen of the plant has been deposited in the laboratory. The plant materials was ground to a fine powder in a kitchen grinder (Inalsa Mixer Grinder) before extraction.

In this study, mouse leukaemia monocyte macrophage cell line (RAW 264.7 macrophages)

was used to test the immunodulatory properties of polysaccharide fractions extracted from

Amaurodermarugosum. RAW 264.7 cells were treated with polysaccharide fractions extracted

from Lobelia chinensisto induce the production of IL-6 and TNF-α, lipopolysaccharides

(LPS) was used as positive control. The ability of polysaccharides to produce IL-6 and TNF-

α were measured by ELISA tests. DPPH ABTS and NO radical scavenging assays were used

as measure of antioxidant activity.

144 5.2.2. Extraction and fractionation of polysaccharides from Amauroderma rugosum

The whole plant of Amaurodermarugosum was powdered, and then homogenized. The sample was then autoclaved for 2 hours at 121 oC, followed by cooling to room temperature before filtration. The procedure followed for the crude polysaccharides preparation is described in Chpater 3 (Staub, 1965, Jeong et al., 2004, Jeong et al., 2006, Jeong et al., 2007, Zhang et al., 2012) A crude polysaccharide extract with a yield of 4g/kg was obtained.

The crude polysaccharide extract was dissolved in 3 mL distilled water at a concentration of

10 mg/mL and then fractionated by size-exclusion chromatography using a Sepharose CL-

6B column (2.4 x 99 cm) equilibrated with distilled water and eluted with distilled water at a

flow rate of 0.51 mL/min. The polysaccharide elution profile was determined by the phenol–

sulfuric acid method and Lowry’s method (Lowry et al., 1951; Dubios et al., 1956; Jeong et

al., 2006; Jeong et al., 2012). The relevant fractions were collected, pooled, and concentrated

by freeze-drying. The entire extraction, de-proteination and purification processes are

illustrated Figure 5.1.

145 Powdered plant material

Hot water extraction (autoclaving) (121 for 2 h) Centrifugation (10,000 rpm for 20 min) ℃

Marc Water Supernatant

Precipitation using 95% EtOH (v/v =1:4 for 24 h)

Centrifuge (10,000 rpm for 20 min)

Freeze Dry

Crude biopolymer

Sevag reagent (1:4 v/v) Votex 20 mins Contrifuge (5000 rpm for 15 mins)

Precipitation using 95% EtOH (Volume:Volume = 1:4)

Centrifuge (10,000 rpm for 20 min)

Freeze Dry

Crude polysaccharides

Fractionation using CL-6B size

ARPs fractions

Fig. 5.1:Flow chart for the extraction of polysaccharides from A. rugosum

5.2.3. Determination of molecular weight of polysaccharide fractions

Estimation of molecular weights of the purified polysaccharide fractions was done on the basis of the elution volume and the molecular weight using a standard dextran series that

146 included T2000 (2000 KDa), T450 (450 KDa), T150 (150 KDa), T70 (70 KDa), T40 (40

KDa) T10 (10 KDa) and glucose at a concentration of 10 mg/mL each for calibration of the

Sepharose CL-6B column (Jeong et al., 2004, Jeong et al., 2012, Zhang et al., 2012).

The linear regression of the data has provided the standard equation, y = -0.2291x + 1.5495 with a high correlation coefficient (R² = 0.9716). This standard curve was used to determine the molecular weight of the extracted polysaccharide fractions.

5.2.4. Analysis of mono-saccharides

The total sugar content was determined by the phenol–sulfuric acid method (Dubios et al.,

1956) using glucose as a reference standard. Total protein content of polysaccharides was determined by the method of Lowry et al., (Lowry et al., 1951). Bovine serum albumin

(BSA) was used as a standard to measure the protein content (Jeong et al., 2004). The monosaccharide composition was analysed by a Hewlett Packard 7890gas chromatograph

(Agilent Technologies, Palo Alto, CA, USA) equipped with a flame-ionization detector using a HP-5 capillary column (30m long, 0.32mm i.d., 0.25 µm film thickness; SGE Analytical

Science Pty Ltd., Ringwood, VIC, Australia). Mono-sugars, produced from the polysaccharide fractions by hydrolysis were acetylated and injected into the GC-FID (Jones andAlbersheim, 1972). Fructose, glucose, xylose, arbinose, galactose, ribose, rhamnose and fucose sugars were used as standards.

5.2.5. Fourier transforms infrared (FT-IR) spectroscopy

Three fractions of A. rugosumwere characterized by FTIR spectroscopy on a TENSOR II

FTIR Spectrometer (BRUKER) at room temperature (25 °C), and spectra were scanned between 4000 and 450 cm−1 with a resolution of 4 cm−1.

147 5.2.6. NMRanalysis

1H, 13C, g-COSY and HSQC spectral data were acquired using a Bruker Avance 400MHz

NMRspectrometer equipped with an inverse detection probe with pulsed field gradient capabilities. ARP-2 (25 mg) was dissolved in 600 µL of D2O (99.9%) containing 0.15%

trimethylsilylpropanoic acid (TSP) (v/v ratio). TSP was used to reference 1H and 13C chemical shifts. All NMR experiments were performed at 25°C.

5.2.7. Bioactivity tests

5.2.7.1 . Antioxidant activity

The DPPH● free radical scavenging assay was conducted using the Blois method. Each fraction (50 μL) was added to a 150 μL of 62.5 μM DPPH●. After 30 min incubation, the

absorbance of the reaction mixture was measured at 492 nm using a microplate reader

(Multiskan 141 EX, Thermo Electron, USA). Ascorbate (vitamin C), an antioxidant, was

used as a positive control. The blank control was distilled water instead of polysaccharides.

The standard concentrations (0, 10, 20, 40, 60, 80, 100 and 200 µM) were prepared in 60%

methanol. The free radical scavenging activity of the polysaccharides was calculated as the ascorbic acid equivalent against the calibration standard curve. The linear regression equation of y = -0.0026x + 0.5578 was obtained with a correlation coefficient (R² = 0.9715).

ABTS●+ free radical reagent was dissolved in water to a 7 mM concentration. ABTS radical

cation (ABTS●+) was produced by reacting ABTS stock solution with 2.45 mM potassium

persulfate (final concentration) and allowing the mixture to stand in the dark at room

temperature for 12–16 hours before use (Li et al., 2011, Alam et al., 2013). For the study of

plant extracts, the ABTS•+solution was diluted with PBS (pH 7.4), to an absorbance of

0.70±0.02 to 0.75±0.025 at 734 nm and equilibrated at 30°C. Ascorbate (vitamin C), an

148 antioxidant, was used as a positive control. The blank control was distilled water instead of

polysaccharides. The standard concentrations (0, 10, 20, 40, 60, 80, 100, 200 and 400 µM)

were prepared in 60% methanol. The free radical scavenging activity of the polysaccharides

was calculated as the ascorbic acid equivalent against the calibration standard curve. The

linear regression equation of y = -0.0019x + 0.7274 was obtained with a good correlation

coefficient (R² = 0.9852).

The OH● scavenging assay was modified on the basis of a method described by de Avellar et

al (2004). Peptide samples or glutathione (50 μL at a final concentration of 1mg/mL in 0.1 M

sodium phosphate buffer, pH 7.4) were first added to a 96-well macroplate followed by the of

addition 50 μL 3 mM 1,10-phenanthroline (in phosphate buffer) and 50 μL of 3 mM

FeSO 4 (in water). To initiate the reaction, 50 μL of 0.01% aqueous H2O2 was added, and

the reaction mixture was covered and incubated at 37°C for 1 hour with shaking. The absorbance was measured at 536 nm using a spectrophotometer. The absorbance was also determined for blank (without polysaccharides and H2O2) and a control (without polysaccharides). The OH• scavenging activity was calculated as below:

● OH scavenging activity (%) = X100% 𝑂𝑂𝑂𝑂 𝑜𝑜𝑓𝑓 𝑠𝑠𝑠𝑠𝑠𝑠𝑠𝑠𝑠𝑠𝑠𝑠−𝑂𝑂𝑂𝑂 𝑜𝑜𝑜𝑜 𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐 𝑂𝑂𝑂𝑂 𝑜𝑜𝑜𝑜 𝑏𝑏𝑏𝑏𝑏𝑏𝑏𝑏𝑏𝑏−𝑂𝑂𝑂𝑂 𝑜𝑜𝑜𝑜 𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐

5.2.7.2. Assay for the measurement of IL-6 production

Mouse macrophages (RAW 264.7) was first added to DMEM (culture medium containing

1% antibiotic and 5% FBS) and incubated for ≈ 4 days at 37°C in 5% CO2. Cells were then

diluted with the medium to achieve a density of 2x105 cells/mL. The procedure is based on a

published method (Jeong et al., 2004; Yao et al., 2015; Yao et al., 2016; Jeong et al.,

2012;Ni, Wang, Zhang, Guo, and Shi, 2016).

149 The respective intercept and slope values were used in the measurement of IL-6 production

capacity of polysaccharides. The linear regression equation of y = 0.002x + 0.1482 was

obtained with a good correlation coefficient (R² = 0.9935).

5.2.7.3. Assay for the measurement of TNF- α production

RAW 264.7 cells were incubated for 40 hours in culture medium with or without various

doses of polysaccharide fractions (20 µL) or LPS as a positive control in 96-well flat-bottom microtiter plates at a density of 4 x 105 cells per well. TNF-α secreted in the culture

supernatants were quantified using enzyme-linked immunosorbent assay kits (BD

Biosciences, San Jose, CA, USA). Cytokine concentrations were determined by extrapolation from a TNF-α standard curve, according to the manufacturer’s protocol (Joeng et al., 2012).

All measurements are performed in triplicate.

The respective intercept and slope values were used in the measurement of TNF-α production

capacity of polysaccharides. The linear regression equation of y = 0.0021x + 0.1634 was

obtained with a significant correlation coefficient (R² = 0.9921).

5.2.7.4 . Determination of cell viability by MTT assay

Viability of macrophage cells (RAW 264.7) were measured employing a MTT assay

described in the recent publications (Dore et al., 2013, Thambiraj et al., 2015). Briefly, mouse

macrophages were treated by herbal polysaccharides, and incubated at 37 °C for 12 hours.

After that, the supernatant was removed and treated with100 µL of MTT solution (0.2 mg/mL, dissolved in DMEM medium) added to each well and incubated at 37oC for 4 hours.

150 Then, the supernatant was removed and 50 µL of DMSO was added to each well to solubilise the crystalline formazan. The absorbance values were the measured at 595nm.

(%) = 100%

𝑂𝑂𝑂𝑂 𝑜𝑜𝑜𝑜 𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆 𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶 𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣 𝑋𝑋 𝑂𝑂𝑂𝑂 𝑜𝑜𝑜𝑜 𝑝𝑝𝑝𝑝𝑝𝑝 𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐

5.2.8. Statistical analysis

All data were measured in triplicate and mean ± SD was determined. A one-way analysis of variance (ANOVA) and Duncan’s multiple range tests were used for data analysis . Statistical calculations were performed using OriginPro 8.5 and Excel 2016. The data were considered to be statistically significant if p < 0.05.

5.3. Results and discussion

5.3.1. Fractionation and purification of polysaccharides from A. rugosum

Polysaccharides were extracted from A. rugosum (ARPs) as described in Chapter 2 and were fractionated by Sepharose CL-6B size-exclusion chromatography. Five fractions were selected on the basis of the total carbohydrate elution profiles obtained by phenol-sulfuric acid test. These crude polysaccharide fractions are designated as ARP-1, ARP-2, ARP-3,

ARP-4 and ARP-5 (Fig. 5.2). The results for total carbohydrate contents in each of the fractions is presented in Table 5.1. Based on the calibration curve obtained from analysis of dextran molecular weight standards (Fig. 5.3), the average molecular masses of the various fractions have been determined. The molecular mass of the fraction ARP-1 was found to be relatively high, with an estimated average molecular mass of 1498 kDa (Fig. 5.2).

151 Fig. 5.2: Gel filtration chromatograms of polysaccharide fractions from A. rugosum

This was followed by ARP-2 and ARP-3 which contained polysaccharides with average molecular masses of 450 and 152 kDa respectively (Fig. 5.3), and ARP-5 showed a minimal average molecular weight of 7 kDa. Table 5.1 shows total sugar and protein content of the various polysaccharide fractions. It can be seen from these results that ARP-1 only consisted of glucose (100%). The main mono-sugar present in ARP-2 is glucose (95.04%) with small quantities of mannose (2.47%) and galatcose (2.48%). The monosaccharides in ARP-5 were glucose (75.34%), and galactose (17.15%), with small amount of fucose and mannose (Table

5.1). It is interesting to note that ARP-1 and ARP-2 consisted mainly of glucose indicating that these are possibly glucans. The fractions ARP-3 and ARP-4 yielded only a small quantity in SEC purification and were not sufficient to undertake further biological and structural studies.

152 Fig. 5.3: Calibration curve for the determination of molecular weights of polysaccharides of A. rugosumL based on the elution volume and the molecular mass of standard dextran series of T2000 (2,000 kDa), T450 (450 kDa), T150 (150 kDa), T70 (70 kDa), T40 (40 kDa), T10 (10 kDa) and Glucose (180 Da) (Note: Kav = (Ve – Vo) / (Vt – Vo), Vo is void volume, Vt is total volume, Ve is elution volume).

Table 5.1 Chemical composition (sugar contents) of ARPs

ARP-1 ARP-2 ARP-3* ARP-4* ARP-5 Total Protein (%) 21.57 14.95 6.95 1.31 0.32

Total Carbohydrate (%) 78.43 85.05 93.05 98.69 99.68

Monosaccharide (%)

Rhamnose (%) Ribose (%) Fucose (%) 3.58 3.21 3.3 Arabinose (%) Xylose (%) Mannose (%) 2.47 4.65 6.48 4.21 Glucose (%) 100% 95.04 51.12 50.76 75.34 Galactose (%) 2.48 40.65 39.55 17.15 Unknown (%) *ARP-3 and ARP-4 were minor fractions and yielded very small quantity. Hence, these fractions were not considered for further study

153 5.3.2. FT-IR spectroscopic characterisation of active polysaccharides

Fig. 5.4 presents FT-IR spectra of A. rugosum polysaccharides (ARP-1, ARP-2 and ARP-5).

ARP-1 showed peaks corresponding to β-glycosidic linkage (891 cm-1) (Fig. 5.4a) (Zhang et

al., 2014, Yang and Zhang, 2009, Thambiraj et al., 2015, Pawar and Lalitha, 2014). The

spectrum also showed three strong absorption bands at 995 cm-1, 1061 cm-1 and 1033 cm-1

(corresponding to C-O stretching vibrations related to glycosidic linkage) indicating the

presence of pyranose sugar in ARP-1 (Zhang et al., 2014, Yang and Zhang, 2009, Thambiraj

et al., 2015, Pawar and Lalitha, 2014). The rest of the vibrational bands conform to a

polysaccharide structure. The broad band centred on 3316 cm−1 corresponds to the hydroxyl

stretching vibrations of the polysaccharide and the peak at 2919 cm−1 belongs to C-H

stretching vibrations (Zhang et al., 2014, Yang and Zhang, 2009). These observations lead to

the conclusion that ARP-1 contains pyranose sugars with β-glycosidic linkages. These

spectral feature together with GC findings strongly indicate that ARP-1 is a β-glucan.

ARP-2 (Fig. 5.4b) has peaks at 891 cm−1 indicating the presence of β-glycosidic linkage

(Zhang et al., 2014, Yang and Zhang, 2009, Thambiraj et al., 2015, Pawar and Lalitha, 2014).

The three strong absorption peaks in the range of 1066 cm−1 – 1000 cm−1 (corresponding to

C-O stretching vibrations related to glycosidic linkage) indicating the presence of pyranose sugars in ARP-2 (Zhang et al., 2014, Yang and Zhang, 2009). The rest of the FT-IR bands conform to a polysaccharide structure. These observations confirm that ARP-2 also contains pyranose sugars with β-glycosidic linkages. These findings together with the results presented in section 5.3.1 indicate that ARP-2 may also be a β-glucan. Results presented in sections

5.3.4 and 5.3.5 demonstrates that ARP-1 and ARP-2 are the most active polysaccharides from

A. rugosum. Therefore, a detailed structural analysis of ARP-1 and ARP-2 were carried out

employing NMR spectroscopy (section 5.3.3).

154 a: ARP-1

b: ARP-2

c: ARP-5

Fig 5.4: The FT-IR spectra of the three fractions from A. Rugosum. (a: ARP-1, b: ARP-2, and c: ARP-5)

155 ARP-5 (Fig. 5.4c) has peaks at 893 cm-1 indicating the presence of β-glycosidic linkage

(Zhang et al., 2014, Yang and Zhang, 2009, Thambiraj et al., 2015, PawarandLalitha, 2014).

The spectrum showed three strong absorption peaks in the range of 1061cm−1 – 1008 cm−1

(corresponding to C-O stretching vibrations related to glycosidic linkage) indicating the presence of furanose sugars in ARP-5 (Zhang et al., 2014, Yang and Zhang, 2009). Rest of

the FT-IR bands are consistent with polysaccharide structure.

5.3.3. NMR spectroscopic study

Results presented in sections 5.3.5 and 5.3.6 demonstrate that ARP-1 and ARP-2 are the most

active polysaccharides isolated from A. rugosum. Therefore, a detailed structural analysis of

ARP-1 and ARP-2 was carried out using NMR spectroscopy. 1H and 13C NMR spectra of

ARP-1 and ARP-2 are given in Figures 5.5 and 5.6. From Fig. 5.5, the sugar proton region (3

to 4.6 ppm) has superimposable spectral features for these two polysaccharides (expect that

ARP-1 gave sharper proton resonances than ARP-2). Proton chemical shift of both fractions

are very similar. Figure 5.5 also shows that these polysaccharides are protein conjugates

(region between 0.5 to 2.6 ppm) and this is expected in most bioactive mushroom

polysaccharides reported in the literature (Ng, 1998, Cui and Chisti, 2003, Cheng and Leung,

2008, Friedman, 2016, Sugiyama, 2016, Hattori et al., 2004).

156 Fig. 5.5: 1H NMR spectra of A. rugosum polysaccharides: (A) ARP-1 and (B) ARP-2. Parameter used: number of scans = 128; relaxation delay ≈ 4 sec; data points = 64 k (zero filled to 128 k before Fourier transform).

157 13C NMR spectra of ARP-1 and ARP-2 also display identical spectral features with minor

variations in chemical shift (Fig. 5.6). The detailed 2D-NMR assignments are presented for one of these active polysaccharides (ARP-2). Fig. 5.7 shows g-COSY and HSQC spectra of

ARP-2. Standard assignment protocols were used to obtain proton and carbon chemical shift assignments from 1D- and 2D-NMR spectra (Tables 5.2). These proton and carbon assignments are consistent with those reported in the literature for β-glucans from medicinal mushrooms (Saito et al., 1977; Bubb, 2003; Zhang et al., 2007; Sutivisedsak et al,. 2013; Liu et al., 2014). The DEPT spectrum of ARP-2 (Fig. 5.8) further confirmed the assignments of

C6 carbons (CH2-carbons). Three distinct -CH2 signals were identified at 62.98 ppm (C6 of

D-ring), 63.48 ppm (C6 of A and C rings), and 71.6 ppm (C6 of B-ring) (Table 5.2 and Fig.

5.9). These assignments are consistent with HSQC (Table 5.2 and Fig. 5.5b). NMR findings together with GC and FT-IR results strongly indicate that ARP-2 consists of β- (1→3)-D- glucan with β-(1→6)-D-glucopyranosyl branches (Fig. 5.9).

Very similar 1H and 13C NMR chemical shifts of ARP-1 and ARP-2 (Figs. 5.5 and 5.6) indicate that ARP-1 is also a β- (1→3)-D-glucan with very similar structure (Fig. 5.9).

158 Fig. 5.6. 13C NMR spectra of A. rugosum polysaccharide: (A) ARP-1 and (B) ARP-2. Parameter used: number of scans = 2048; relaxation delay ≈ 3.36 sec; data points = 64 k (zero filled to 128 k before Fourier transform).

159 Fig. 5.7. (a) g-COSY and (b) HSQC spectra of ARP-2. Parameter used for g-COSY: Number of scans = 48; relaxation delay ≈ 1.68 sec; data points: 2048 in t2 dimension and 256 in t1 dimension (zero filled to 4 k and 1 k before Fourier transform in t2 and t1 dimensions respectively). Parameter used for HSQC: Number of scans = 40; relaxation delay ≈ 1.6 sec; data points: 1024 in t2 dimension and 256 in t1 dimension (zero filled to 4 k and 1 k before Fourier transform in t2 and t1 dimensions respectively). PS: sugar rings A, B, C and D are represented in Fig. 5.9.

160 Fig. 5.8. DEPT spectra of ARP-2. Parameter used: Number of scans = 3000; relaxation delay ≈ 3.36 sec; data points = 64 k (zero filled to 128k before Fourier transform); DEPT pulse angel = 135º. PS: sugar rings A, B, C and D are represented in Fig. 5.9.

161 OH

OH OH D ring H O

OH 1 H O β (1, 6) OH OH 6 O O O 5 H OH OH OH CH3 H O O 3 1 3 O 1 OH OH OH OH β (1,3) H β (1,3) C ring A ring B ring H

n

Fig. 5.9. Structure of ARP-2

162 Table 5.2. Chemical shift (ppm) of NMR signal for ARP-2

H1/C1 (ppm) H2/C2 (ppm) H3/C3 (ppm) H4/C4 (ppm) H5/C5 (ppm) H6/C6 (ppm)

A* 4.75 105.47 3.32 75.89 3.75 87.09 3.50 70.91 3.49 78.33 3.89 63.49

B* 4.75 105.47 3.52 75.89 3.75 87.09 3.50 70.91 3.76 78.65 3.85/4.2 71.61

C* 4.75 105.47 3.32 75.89 3.75 87.09 3.50 70.91 3.49 78.33 3.89 63.49

D* 4.53 105.33 3.40 72.37 3.64 77.64 3.50 70.91 3.49 78.33 3.74 62.99

*sugar rings A, B, C and D are represented in Fig. 5.7.

163 Summary of findings of the three structural characterisation techniques:

• GC analysis (section 5.3.1) revealed that ARP-1 and ARP-2 contains mainly glucose

as the building block.

• FT-IR results (section 5.3.2) indicated that ARP-1 and ARP-2 contains pyranose

sugars with β-glycosidic linkages

• NMR results confirm that ARP-1 and ARP-2 have a β-D-(1→3)-glucopyranosyl units

in the backbone with β-(1→6)-glucopyranosyl branches in their structure (Fig. 5.9)

The structures of ARP-1 and ARP-2 determined in this Chapter are similar to that of

schizophyllan isolated from Schizophyllum commune (Saito et al., 1977, Zhang et al., 2007,

Sutivisedsak et al,. 2013).

5.3.4. Antioxidant activities ARPs

The results of free radical scavenging capacity of these major polysaccharide fractions (ARP-

1, ARP-2 and ARP-5) are presented in Table 5.3. All the polysaccharide fractions exhibited

significant DPPH● and ABTS●+scavenging capacity that ranged from 128 µM to 150 µM

ascorbate equiv/g and 266 µM to 308 µM ascorbate equiv/g, respectively. Very high

antioxidant activity was displayed by polysaccharide fractions ARP-1, with DPPH● and

ABTS●+ scavenging capacities more than 60% and 70% respectively (Fig. 5.10 A and B).

164 Table 5.3: Antioxidant activities of polysaccharide fractions of A. rugosum along with their molecular weights.

S.NO Molecular Mass DPPH scavenging activity(Ascorbate ABTS scavenging activity (Ascorbate %OH● (1mg/ml) (kDa) equivalent µM)# equivalent µM)# scavenging ARP-1 1498 150.50 ± 4.07 308.53 ± 4.59 88.02 ARP -2 450 146.27 ± 3.29 289.31 ± 5.65 67.63 ARP-5 7 128.83 ± 2.56 266.96 ± 8.49 53.72 # ABTS andDPPH free radical scavenging activity was measured as equivalent of ascorbic acid. * the Percentage of inhibition of NO production after treatment with polysaccharides. All the values are mean of triplicate determination ± standard deviation (SD).

Fig. 5.10. Concentration dependant radical scavenging activities of two polysaccharide fractions (LCP-1 and LCP-2): (A). DPPH● scavenging activity, (B) ABTS●+ scavenging activity, and (C) OH● scavenging activity. p < 0.05 is considered to be statistically significant (n=3). (% activity has been calculated with respect to negative control)

165 Antioxidant activities of polysaccharide fractions of A. rugosum were also measured by

hydroxyl (OH●) radical scavenging assay and the results are presented in Table 5.3.

Fractions ARP-1 shows extremely high OH● scavenging activity (more than 70 %), followed

by ARP-2 andARP-5 (Fig. 5.10C).

Literature reports indicate that various factors can influence the antioxidant capacity of

botanical polysaccharides (Wang et al., 2013, Kong et al., 2010, Thambiraj et al., 2015, Wang

et al., 2016), which includes: (i) higher average molecular mass (>90 kDa) of polysaccharides

display higher antioxidant activities (Wang et al., 2013), (ii) β-glycosidic linkages present in

the polysaccharide structure is favourable for antioxidant activity (Wang et al., 2013, Kong et

al., 2010), (iii) chemical composition of plant polysaccharides such as glucose and galactose

can improve antioxidant capacity of the polysaccharides (Wang et al., 2013, Thambiraj et al.,

2015, Wang et al., 2016), and (iv) protein conjugated polysaccharides increase radical

scavenging abilities. For instance, PSP and PSK exhibit significant superoxide radical and

hydroxyl radical scavenging activities (Wang et al., 2016, Zhang et al., 2014).

The observed results for ARP-1 are in good agreement with those reported in the literature.

ARP-1 with significant antioxidant activities has (i) large molecular weight (1498 kDa)

(Table 5.2 and Fig. 5.2), (ii) contain β-glycosidic linkages (Fig. 5.3), (iii) binds with protein

(20% protein content) (iv) is mainly composed of glucose (Table 5.1).

5.3.5. Immunomodulatory effects of polysaccharides from A. rugosum

From the results presented in Figure 5.11 it is evident that all the polysaccharides isolated from A. rugosum display significant immunomodulatory activity by increasing the IL-6 and

166 TNF-α production in a dose-dependent manner (Fig. 5.11 A to D). Results presented in

Figures 5.11A and B indicate that ARP-1 and ARP-2 exhibit significantly superior activities than LPS (a well-known positive control) with respect to the production of both TNF-α and

IL-6. As can be seen from Figures 5.11 C and D, the immunostimulatory activities of ARP-1,

ARP-2 and ARP-5 increase sharply when the polysaccharide concentration is greater than 10

µg/mL. The excellent immunostimulatory activities are exemplified by the fact the ARP-1

showed: (i) over 16-fold increase in the production of TNF-α (at 100 µg/mL) (Fig. 5.11C),

and (ii) more than 17-fold increase in the production of IL-6 as compared to the negative

control (untreated macrophages) (Fig. 5.11D). Significant immunostimulatory activities of

ARP-2 at 100µg/mL are exemplified by the fact that: (i) over 13-fold increase in the

production of TNF-α (Fig. 5.11C), and (ii) nearly 15-fold increase in the production of IL-6

compared to the negative control (untreated macrophages) (Fig. 5.11D). ARP-5 showed the least activity amongst the three fractions (however the activities are very significant when compared to polysaccharides from other anticancer herbs). These observations are highly significant and demonstrate that ARP-1, ARP-2 and ARP-5 are prime candidates for stimulating the immune system.

167 Fig. 5.11. Effects of A. rugosum polysaccharides on murine RAW 264.7 macrophages. (A and C): represent Interleukin 6 (IL-6) production, and (B and D): represent tumor necrosis factor-α (TNF-α) production. Statistical difference for the positive control (LPS treated group) and the samples was significant, n = 3, p < 0.05

168 5.3.6. Mechanism of action of ARPs

Information from the literature indicates that β-glucans exhibit immunostimulatory activity

by their interaction with immune cell receptors (Jiang et al., 2010, Cleary et al., 1999,

Batbayar et al., 2012, Brown and Gordon, 2003, Volman et al., 2008, El Enshasy and Hatti-

Kaul, 2013). This mechanism of action stimulates innate as well as adaptive immune

response and leads to the production of various cytokines such as IL-6, IL-1 and TNF-α

(Jiang et al., 2010, Cleary et al., 1999, Batbayar et al., 2012, Brown and Gordon, 2003,

Volman et al., 2008, El Enshasy and Hatti-Kaul, 2013). This property of β-D-(1→3)-glucans

is responsible for their indirect anticancer action via the activation of immune system.

β-glucans are known to interact with two types of immune receptors: (i) Dectin-1 receptor

(also known as β-glucan receptor) which is the most important receptor that can recognise β-

(1→3)-glucans, thereby activating macrophages as well as dendritic cells (DCs) (Jiang et al.,

2010, Cleary et al., 1999, Batbayar et al., 2012, Brown and Gordon, 2003, Volman et al.,

2008, El Enshasy and Hatti-Kaul, 2013), and (ii) Toll like receptors (TLR), especially TLR-2

and TLR-4 which can also recognise β-(1→3)-glucans and activate macrophages to produce

cytokine secretion (Jiang et al., 2010, El Enshasy and Hatti-Kaul, 2013). It is also known that

the molecular mass of β-glucans is one of the important factors in this mechanism of action

and this is consistent with the high immunomodulatory activity determined for ARP-1 which

has largest molecular weight (Cleary et al., 1999, Batbayar et al., 2012, Brown and Gordon,

2003, Volman et al., 2008, El Enshasy and Hatti-Kaul, 2013). The structures of ARP-1 and

ARP-2 (section 5.3.2 and 5.3.3) have been identified in this chapter as β-(1→3)-glucans

branched with β-(1→6) linked side chains, which is favourable for immunomodulatory

activity, is another factor that determines immunostimulatory activities (Cleary et al., 1999,

169 Batbayar et al., 2012, Brown and Gordon, 2003, Volman et al., 2008, El Enshasy and Hatti-

Kaul, 2013).

5.3.7. Cell viability

The effect of ARP-1, ARP-2 and ARP-5 on the viability of mouse macrophage cells is given

in Figure 6. It is clear from these results that, from the polysaccharides from A. rugosum

show significant cell viabilities even at the highest concentration (100 µg/mL) used in this

study (Fig. 5.12) indicating that they are essentially non-toxic. These results are consistent

with literature reports (Jeong et al., 2004, SchepetkinandQuinn, 2006, Jeong et al., 2010,

Jeong et al., 2012) that botanical polysaccharides have lowertoxicity.

120

100

80

60 ARP-1 ARP-2 40 ARP-5 Cell viabilities (%) Cell viabilities 20

0 0 10 25 50 100 Concentration of polysaccharides (µg/mL)

Fig. 5.12. Cell viabilities of isolated polysaccharide fractions from A. rugosum at different concentrations.

5.4. Conclusion

In this study, three polysaccharides were isolated from A. rugosum (ARP-1, ARP-2 and ARP-

5). Two novel immunostimulatory polysaccharides (ARP-1 and ARP-2) having a β-D-

(1→3)-glucan backbone with β-D-(1→6) branched structures have been isolated for the first

time from A. rugosum. These polysaccharides also displayed high antioxidant activities and

170 lowtoxicity demonstrating that they are potentially powerful immunotherapeutic agents.

These results suggest the potential of A. rugosum polysaccharides as natural immuno-

enhancing agents. Findings of this chapter together with the anticancer properties of the crude

polysaccharides from A. rugosum (Chapter 3) strongly demonstrate the potential of ARPs to be used in anticancer formulations.

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182 Chapter Six

Biological and structural characterisation of polysaccharides fractions isolated from Lobelia chinensis Lour Abstract

Lobelia chinensis Lour is an important anticancer herb used in traditional Chinese medicine.

The molecular basis underpinning the anticancer activity is not well understood, but polysaccharides, broadly recognised as having immunomodulatory, antioxidant and anticancer activity, are potentially key active agents. To examine the function of polysaccharides in L. chinensis were isolated and the water-soluble polysaccharides characterised and their activity in biological assays relevant to anticancer function was determined. Water-soluble L.chinensis polysaccharides (LCPs) were extracted and purified using size-exclusion chromatography to obtain two dominant polysaccharides, LCP-1 and

LCP-2, having molecular masses of 1899 kDa and 5.3 kDa respectively. The antioxidant potentials of the isolated polysaccharides were evaluated by measuring radical scavenging activities against DPPH● (2,2-diphenyl-1-picrylhydrazyl radical), ABTS●+ (2,2'-azino-bis(3- ethylbenzothiazoline-6-sulphonic acid) radical), and OH● (hydroxyl radical).

Immunostimulatory activities of LCP-1 and LCP-2 were measured using mouse macrophages. The two polysaccharide fractions displayed significant antioxidant activities and stimulate the production of tumour necrosis factor-α (TNF-α) and interleukin-6 (IL-6), although LCP-2 is more effective in all assays. Preliminary structural characterisation of both

LCPs was carried out by gas chromatography (GC) and FT-IR techniques. A detailed structural characterisation by NMR was undertaken for the most active fraction (LCP-2) showing that LCP-2 is inulin-type of fructan. The results suggest that another polysaccharide may be viewed as a potential candidate for immunotherapy and treatment of cancer.

183 6.1. Introduction

Lobelia chinensis Lour (Campanulaceae) is an important anticancer herb which has been widely used as diuretic, hemostat, antidote and anticancer agents in traditional Chinese medicine (TCM) for decades (Wei, Qu, and Kou 2010, Li et al., 2016, Shibano et al., 2001).

This herb is used in several traditional anticancer formulations to treat gastric cancer, lung cancer, colorectal cancer and liver cancer (Wei et al., 2010, Li et al., 2016). Modern studies revealed that L. chinensis contains several important classes of bioactive compounds such as piperidine alkaloids, flavonoids, terpenoids andcoumarins (Kuo et al., 2011, Chen et al.,

2014, Yang et al., 2014).Several studies demonstrated that extracts from this herb displayed antibacterial, anti-venom and anticancer activities (Kuo et al., 2011, Chen et al., 2014, Yang et al., 2014). The hot water extracts (decoction) from L. chinensis have significant immunostimulatory and anticancer properties against liver cancer (H22) and gastric cancer

(BC-38) (Wei et al., 2010, Chen et al., 2014, Liu and Zhang, 2009, Shao and Zhang, 2010).

Preliminary scientific studies from authors’ laboratory indicated that the aqueous extracts from L. chinensis have high antioxidant and immunostimulatory activities (Ravipati et al.,

2012). Also, water soluble crude polysaccharides from this herb have shown significant immunomodulatory and anticancer activities (Chapter 3). However literature on the biological activities of purified polysaccharides from L. chinensis and their characterisation is very limited (Li et al., 2016).

Literature reports indicate that botanical polysaccharides exhibit a variety of pharmacological activities that include anticancer, immune regulation and antioxidant activities (Cui and Chisti, 2003, Schepetkin and Quinn, 2006, Jeong et al., 2010, Jeong et al.,

2012, Zhang et al., 2013, Zhang, Koyyalamudi and Reddy, 2014, Thambiraj et al., 2015,

Yuan et al., 2015, Friedman, 2016, Sugiyama, 2016, Cheng

184 and Leung, 2008, Yao, Zhu and Ren, 2016). Over recent decades, herbal polysaccharides are

proving to be ideal candidates for anticancer agents due to their relevant biological activities

with minimal side effects (Schepetkin and Quinn, 2006, Zhang et al., 2014, Zhu et al., 2016,

Kowalczewska et al., 2016, Shan et al., 2017, Hu et al., 2016, Li et al., 2016, Seedevi et al.,

2016, Liu et al., 2017). It is important to recognise that, there are two strategies to develop

suitable polysaccharides for cancer treatment.

(i). Anticancer polysaccharides: All the anticancer polysaccharides known in the literature

have significant immunomodulatory activities (Friedman, 2016, Sugiyama, 2016, Zhang et al., 2014, Schepetkin and Quinn, 2006, Cheng and Leung, 2008, Cui and Chisti, 2003, Daba

and Ezeronye, 2003). For example, polysaccharide Krestin (PSK) and polysaccharopeptide

(PSP) isolated from medicinal mushrooms are clinical anticancer polysaccharides and possess

excellent immuno-regulatory abilities (Friedman, 2016, Sugiyama, 2016, Zhang et al., 2014,

Schepetkin and Quinn, 2006, Cheng and Leung, 2008, Cui and Chisti, 2003, Daba and

Ezeronye, 2003). Therefore, screening for immunomodulatory polysaccharides is an

important step towards the discovery of new anticancer agents.

(ii). Immunomodulatory polysaccharides: It is known from the literature that the most

effective strategy for cancer treatment is a combination therapy (also known as immuno-

chemotherapy) which involves the use of both immuno-regulatory agents and anticancer agents (Friedman, 2016, Sugiyama, 2016, Zhang et al., 2014). Lentinan and schizophyllan are the immuno-regulatory agents used in combination anticancer therapy (Friedman, 2016,

Sugiyama, 2016, Zhang et al., 2014). Therefore, the discovery of polysaccharides with good

185 immuno-regulatory abilities is an alternate strategy to develop immunotherapy agents for

cancer treatment.

Both of these strategies lead to the conclusion that the discovery of immunomodulatory

polysaccharides is important. It is therefore of great interest to investigate herbal

polysaccharides with immunomodulatory potential to develop novel therapeutics for the

treatment of cancer. To the best of our knowledge, there is only one publication involving

isolation of α-Glucan from L. chinensis that displayed significant immunostimulatory activity

(Li et al., 2016).

Hence, the objectives of this study are to isolate polysaccharides from L. chinensis, and evaluate their antioxidant and immunostimulatory activities. It is important to recognise that

suitable modulation of the immune system and addressing the oxidative stress are the two key

aspects to be considered while formulating the treatment protocols for cancer (Cui and Chisti,

2003, Schepetkin and Quinn, 2006; Jeong et al., 2010, Jeong et al., 2012, Zhang et al., 2013,

Zhang et al., 2014, Thambiraj et al., 2015, Yuan et al., 2015, Friedman, 2016, Sugiyama,

2016, Cheng and Leung, 2008, Yao et al., 2016). Hence we sought to evaluate the immunomodualty and antioxidant behaviour of the polysaccharides from L. chinensis. It is also important to carry out structural characterisation of L. chinensis polysaccharides using

FT-IR and NMR spectroscopic techniques with a view to gaining a more detailed

understanding of the structure-activity relationship.

186 6.2. Materials and Methods

6.2.1. Materials

Lobelia chinensis Lour was purchased from Bei Jing Tong Ren Tang, a Chinese Herbal

Medical Centre located in Sydney (Australia). This company has branches all over the world and is well known for their best practice in TCM. The herbs traded in Sydney centre have approvals from both Australian and Chinese Governments.

6.2.2. Chemicals

● ●+ The DPPH , ABTS , bovine serum albumin (BSA), 1,10-phenanthroline, H2O2, dimethyl sulfoxide (DMSO), 95% ethanol, ascorbic acid, Trypan blue 0.4%, sulfanilamide, N-(1-1- napthyl) ethylenediaminedihydrochloride, lipopolysaccharide (LPS) were purchased from

Lomb Scientific Pty Ltd (Australia) and Sigma-Aldrich (Australia). The foetal bovine serum

(FBS), Dulbecco’s modified Eagle’s medium (DMEM) with gluMax, antibiotic, tumour necrosis factor-α (TNF-α) and interleukin (IL-6) (mouse) – ELISA standards and antibodies were purchased from BD Bioscience (USA).

6.2.3. Extraction and fractionation of polysaccharides from Lobelia chinensis

To extract water-soluble compounds, 25 g of Lobelia chinensis Lour was powdered then autoclaved (121°C, 2 hours). Details of the procedure followed for the extraction and purification of polysaccharides is similar to that published previously and is described in the

Chapter 5 (Fig. 5.2.2). (Lowry et al., 1951, Dubois et al., 1956, Zhang et al., 2012, Zhang et al., 2013, Zhang et al., 2014, Jeong et al., 2004, Jeong et al., 2010, Jeong et al., 2012,

Thambiraj et al., 2015). These fractions were collected and concentrated by freeze-drying, then stocked at -20°C for further studies.

187 6.2.4. Determination of average molecular mass

Molecular weights of these fractions were determined by calibrating the Sepharose CL-6B

gel filtration column. Standard dextrans with average molecular weights (from 2000 kDa to 1

kDa) were used to obtain a calibration curve (Jeong et al., 2004, Jeong et al., 2012,

Thambiraj et al., 2015, Zhang et al., 2012, Zhang et al.,2013, Zhang et al.,2014). The

regression of the data for dextran standards produced the calibration curve (y = -0.2291x +

1.5495, with R² = 0.9716). This equation was used to estimate the average molecular weight

of polysaccharides obtained from L. chinensis (LCPs).

6.2.5. Determination of chemical composition

The monosaccharide composition was analysed employing Hewlett Packard 7890B gas

chromatograph Mono-sugars were prepared from polysaccharide fractions and analysis mothed were described in Chapter 3 (Jones and Albersheim, 1972, Zhang et al., 2014).

Fructose, glucose, galactose, xylose, arabinose, rhamnose, fucose and ribose were used as

monosaccharide standards. The detailed information was described in Chapter 5 (Section

5.2.4).

6.2.6. FT-IR analysis

The procedure employed for this assay was similar to that described in Chapter 5 (Section

5.2.5).

6.2.7. NMR analysis

1H, 13C, g-COSY and HSQC spectral data were acquired using a Bruker Advance 400MHz

NMR spectrometer equipped with an inverse detection probe with pulsed field gradient

188 capabilities. LCP-2 (25 mg) was dissolved in 600 µL D2O (99.9%) containing 0.15% TSP

(v/v ratio) and all NMR experiments were performed at 40°C.

6.2.8. Bioactivity tests

6.2.8.1. DPPH● scavenging assay

Blois method (Blois, 1958) was employed in order to determine the DPPH● scavenging abilities of polysaccharides. The procedure employed for this assay was similar to the method in Chapter 5 (Section 5.2.7.1) (Zhang et al., 2012; Zhang et al., 2013; Jeong et al., 2012).

6.2.8.2. ABTS●+radical scavenging assay

ABTS●+ scavenging abilities of polysaccharides were determined using a method published

in the literature (Li et al., 2011; Alam et al., 2013; Thambiraj et al., 2015; Jeong et al., 2016).

The procedure employed for this assay was similar to the method described in Chapter 5

(Section 5.2.7.1).

6.2.8.3. OH● scavenging assay

The OH● scavenging assay was modified on the basis of a method described by de Avellar et al (2004) with minor modification. Detailed procedure for this assay is described in chapter 5

(Section 5.2.7.1).

6.2.8.4. Immunostimulatory activity assays

6.2.8.4.1. Culturing of macrophage cells

Mouse macrophages (RAW 264.7) are first added to DMEM (culture medium containing 1% antibiotic and 5% FBS) and incubated for ≈ 4 days at 37°C in 5% CO2. The approach

followed to implement this procedure is based on published literature (Jeong et al., 2004; Yao

189 et al., 2015; Yao et al., 2016; Jeong et al., 2012; Ni et al., 2016). Details of this assay are discussed in section 5.2.7.2 (Chapter 5).

6.2.8.4.1. IL-6 production

The procedure employed for this assay was similar to that described in Chapter 5 (Section

5.2.7.2). The regression of the standard curve gave a linear equation (y = 0.0019x + 0.0248 with R² = 0.992). The concentrations of IL-6 produced by the polysaccharides were

calculated using the above equation.

6.2.8.4.2. TNF- α production

The procedure employed for this assay was similar to that described in Chapter 5 (Section

5.2.7.3). The regression of the standard curve gave a linear equation (y = 0.0017x + 0.0706

with R² = 0.9875). The concentration of TNF- α produced by the polysaccharide extracts

were calculated using the above equation.

6.2.8.5. Determination of toxicity by MTT test

The procedure employed for this assay was similar to that described in Chapter 5 (Section

5.2.7.4). The absorbance values were the measured at 595nm.

(%) = 100%

𝑂𝑂𝑂𝑂 𝑜𝑜𝑜𝑜 𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆 𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶 𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣 𝑋𝑋 𝑂𝑂𝑂𝑂 𝑜𝑜𝑜𝑜 𝑝𝑝𝑝𝑝𝑝𝑝 𝑐𝑐𝑜𝑜𝑛𝑛𝑛𝑛𝑛𝑛𝑛𝑛𝑛𝑛

6.2.9. Statistical analysis

All data were measured in triplicate and mean ± SD were determined. A one-way analysis of variance (ANOVA) and Duncan’s multiple range tests were used for analysis of data.

190 Statistical calculations were performed using OriginPro 8.5 and Excel 2016. The data were

considered to be statistically significant if p < 0.05.

6.3. Results and Discussion

6.3.1. Extraction and fractionation of polysaccharides from L. chinensis

Two polysaccharide fractions, namely, LCP-1 and LCP-2, were isolated from L. chinensis after water extraction under high temperature/pressure and purification on a Sepharose CL-

6B column (Fig. 6.1). Calibration of the column with dextran standards (Section 2.4) revealed that the average molecular masses of LCP-1 and LCP-2 were 1899kDa and 5.3kDa respectively (Fig. 6.1).

Fig. 6.1. Isolation and purification of LCPs using Sepharose LC-6B column (two fractions: LCP- 1and LCP-2 were separated). Average molecular masses of LCP-1 and LCP-2 were determined using dextran standards.

191 6.3.2. Chemical compositions of the fractions

Total carbohydrate and total protein composition of isolated fractions (LCP-1 and

LCP-2) were analysed and these results presented in Table 6.1. The carbohydrates are the chief constituents of each fraction (94% of LCP-1 and 96% of LCP-2).

192 Table 6.1. The Chemical composition and monosaccharide contents of LCPs LCP-1 LCP-2* Total Protein (%) 5.95 3.57 Total Carbohydrate (%) 94.05 96.43 Monosaccharide (% ratio) Rhamnose (%) 14.39 Fucose (%) Ribose (%) Arabinose (%) 24.39 Xylose (%) 1.87 Mannose (%) 3.31 43.83* Glucose (%) 18.87 56.17* Galactose (%) 33.80 Unknown (%) 3.46 *As discussed in section 3.2 and 3.3, fructose is the major monosaccharide present in LCP-2. It should be noted that, during the reduction step of GC sample preparation, fructose gets reduced to mannnitol and glucitol. Therefore, mannose and glucose are seen in the GC results instead of fructose.

193 Table 6.1 also presents the monosaccharide compositions of the isolated fractions. It can be

seen from these results that LCP-1 consisted mainly of rhamnose (14.39%), arabinose

(24.39%), galatcose (33.80%), and glucose (18.87%). However, the main monosaccharides from LCP-2 were mannose (43.83%) and glucose (56.17%) (Table 6.1). It is important to note from the literature that reduction of fructose during GC sample preparation yields mannnitol and glucitol (Xu et al., 2005, Fan et al.,2014, Li et al., 2017). It is therefore

expected that LCP-2 may possibly contain glucomannan and/or fructan. Further

characterisation is necessary to understand the structure of LCP-2. FT-IR and NMR

spectroscopic investigations provided further structural details of LCP-2 (section 6.3.3 and

6.3.4).

6.3.3. FT-IR spectroscopy analysis

Figure 6.2 presents FT-IR spectra of L. chinensis polysaccharides LCP-1 and LCP-2. LCP-1

showed peaks consistent with α-glycosidic linkage (755.6 cm-1) and β-glycosidic linkage

(893 cm-1 and 914 cm-1) (Fig. 6.2A) (Zhang et al., 2014, Yang and Zhang, 2009, Thambiraj et

al., 2015, Pawar and Lalitha, 2014). The spectrum also showed three strong absorption bands

at 1014 cm-1, 1073 cm-1 and 1097 cm-1 (corresponding to C-O stretching vibrations related to

glycosidic bonds) indicating the presence of a pyranose sugar in LCP-1 (Zhang et al., 2014,

Yang and Zhang, 2009, Thambiraj et al., 2015, Pawar and Lalitha, 2014). The broad band

centred at 3294 cm−1 corresponds to hydroxyl stretching vibrations of the polysaccharide and

the peaks at 2935 cm−1 are due to C-H stretching vibrations (Zhang et al., 2014, Yang and

Zhang, 2009). The remaining peaks are consistent with a polysaccharide structure.

194 Fig. 6.2. FTIR spectrum of LCP-1 and LCP-2

195 These observations lead to the conclusion that LCP-1 contains pyranose sugars with α- and β-

glycosidic linkages. LCP-2 (Fig. 6.2B) has peaks at 908 cm-1 and 853 cm−1 indicating the

presence of β-glycosidic linkage (Zhang et al., 2014, Yang and Zhang, 2009, Thambiraj et al.,

2015, Pawar and Lalitha, 2014). The two strong absorption peaks in the range of 1011 cm−1 –

1053 cm−1 (corresponding to C-O stretching vibrations related to glycosidic bonds) indicate

the presence of furanose sugars in LCP-2 (Zhang et al., 2014, Yang and Zhang, 2009). As can

be seen from the vibrational bonds in the range 1010 cm-1 to 1100 cm-1 of the FT-IR

spectrum (Fig. 6.2B), there are no pyranose type sugars in LCP-2 (Zhang et al., 2014, Yang and Zhang et al., 2009). The presence of only furanose sugars indicates that LCP-2 might be a fructan (Fan et al., 2014, Li et al., 2017). The broad band centred on 3264cm−1 corresponds

to the hydroxyl stretching vibrations of the polysaccharide and the peaks at 2930.72 cm−1 and

2887cm−1 belongs to C-H stretching vibrations. These observations confirm that LCP-2

contains furanose sugars with β-glycosidic linkages.

6.3.4. NMR spectroscopy analysis

Results presented in this section (section 6.3.5 and section 6.3.6) demonstrate that LCP-2 is

the most active polysaccharide fraction isolated from L. chinensis. Therefore, a detailed

structural analysis of LCP-2 was carried out by NMR spectroscopy. 1H, 13C, g-COSY, and

HSQC spectra of LCP-2 are given in Fig. 6.3. Standard assignment protocols were used to obtain proton and carbon chemical shift assignments (Table 6.2) using 1D- and 2D-NMR

spectra. Absence of intense proton resonances in 4.4-5.5 ppm range (Fig. 6.3A) indicates that

there are no anomeric protons in LCP-2. In addition, LCP-2 showed six intense carbon peaks

indicating that it contains a single monosaccharide unit. These observations together with GC

and FT-IR results strongly indicate that LCP-2 is a fructan with fructose units in the backbone. The weak anomeric doublet at 5.42 ppm in the proton spectrum (Fig. 6.3A) is

196 likely due to the presence of a chain terminating glucose residue indicating a fructan. A set

of weak resonances between 3.3-3.6 ppm confirms the terminal glucose residue.

The fructan backbone structure of LCP-2 can be confirmed from the proton and carbon connectivities in g-COSY and HSQC spectra. The g-COSY spectrum showed several proton connectivities as shown in Table 3. Clearly, the protons H3 to H6 within the fructofuranosyl ring (Fig. 6.3) displayed correlations in the g-COSY spectrum. Also, the two allylic protons

H1ꞌ and H1" attached to C1 showed intense cross peak in the g-COSY spectrum (Table 6.3 and Fig. 6.3C). Five intense cross peaks are clearly observed for the five protonated carbons in the HSQC spectrum (Table 6.3 and Fig. 6.3D). The anomeric carbon (C2) at 105.91 ppm

(Table 6.2 and Fig. 6.3B) did not show any cross peak as there are no protons attached to this carbon (Table 6.3 and Fig. 6.3). Literature shows that β-anomeric 13C resonances are

commonly located between 103 and 105 ppm (Zhang et al., 2014, Yang and Zhang, 2009,

Bubb, 2003). Therefore, the chemical shift value (105.91 ppm) observed for the anomeric

carbon demonstrates that LCP-2 likely has a β-glycosidic linkage (Yang and Zhang, 2009,

Bubb, 2003, Zhang et al., 2014). Proton and carbon chemical shifts of LCP-2 (Table 6.2) are

consistent with the correlations observed in the 2D-NMR spectra. These assignments indicate that LCP-2 contains the following fructan backbone with glucose in the chain terminating position (Fig. 6.4).

197 Table 6.2.1H and 13C chemical shifts (ppm) of LCP-2 from L. chinensis

H1'/H1" C1 H2 C2 H3 C3 H4 C4 H5 C5 H6'/H6" C6

3.7/3.9 63.66 - 105.91 4.24 79.78 4.08 77.08 3.85 83.78 3.77/3.82 64.83

Table 6.3. Proton and carbon correlations from 2D-NMR spectra data of LCP-2 from L. chinensis

1H-1H connectivities from g-COSY (Fig. 4C) 1H-13C connectivities from HSQC (Fig. 4C)

H1ꞌ ↔ H1" C1 ↔ H1

H3 ↔ H4 C2 ↔ No cross peak*

H4 ↔ H5 C3 ↔ H3

H5 ↔ H6 C4 ↔ H4

C5 ↔ H5

C6 ↔ H6

*There is no proton on C2 (no H2) in fructan

198 Fig. 6.3. NMR spectra of LCP-2 isolated from L. chinensis: (A) 1H-NMR, (B) 13C-NMR, (C) g-COSY and (D) HSQC. Parameter used for 1H: Number of scans =128; relaxation delay ≈ 4 sec; data points = 64 k (zero filled to 128k before Fourier transform) Parameter used for 13C: Number of scans = 2048; relaxation delay ≈ 3.36 sec; data points = 64 k (zero filled to 128k before Fourier transform) Parameter used for g-COSY: Number of scans = 8; relaxation delay ≈ 2.2 sec; data points: 2048 in t2 dimension and 1024 in t1 dimension (zero filled to 4 k and 1 k before Fourier transform in t2 and t1 dimensions respectively). Parameter used for HSQC: Number of scans = 16; relaxation delay ≈ 1.6 sec; data points: 1024 in t2 dimension and 512 in t1 dimension (zero filled to 4 k and 1 k before Fourier transform in t2 and t1 dimensions respectively).

199 β (2, 1)

α (1, 2)

Fig. 6.4. Structure of LCP-2: α-D-glucopyranosyl-(1→2)- [β-D-fructofuranosyl -(2, 1)-β-D- fructofuranosyl]n-(2→1)- β-D-fructofuranosyl

200 The chemical shifts of LCP-2 presented in Table 6.2 match well with the inulin type β-

fructans isolated from Saussureacostus (Fan et al., 2014), Artemisia japonica (Li et al.,

2017), Matrisiamaritima (Cérantola et al., 2004) and Ophiopogon japonicas (Xu et al., 2005).

It is interesting to know that, consistent with LCP-2, all the herbal fructans reported in the

literature are low molecular weight polysaccharides (Fan et al., 2014, Li et al., 2017,

Cérantola et al., 2004).

Conclusions from the findings of the three characterisation techniques:

• GC analysis (section 6.3.2) revealed that LCP-2 may contain galactomannan and/or

fructan.

• FT-IR results (section 6.3.3) indicated that LCP-2 contains only furanose sugars with

β-glycosidic linkage (and no pyranose sugars are present)

• NMR results confirm that LCP-2 is a β-D-(2→1) fructofuranoside

Overall finding from these results confirm β-D-(2→1)-fructofuranosyl units in the backbone

with one chain terminating glucosyl residue in the structure of LCP-2 (Fig. 6.4).

6.3.5. Radical scavenging activities

Polysaccharides are often able to act as antioxidants, therefore we wanted to test whether the

L. Chinensis polysaccharides LCP-1 and LCP-2 had this activity. The results of free radical scavenging activities of LCPs (against three different radicals) are presented in Table 6.4.

201 Table 6.4.Radical scavenging activities of LCPs along with their average molecular mass.

Sample Molecular ABTS●+ scavenging activity DPPH● scavenging activity % OH radical (1mg/Lm) mass (kDa) (Ascorbic acid equivalent µM) # (Ascorbic acid equivalent µM) # scavenging * LCP-1 1899 206.12 ± 0.29 145.56 ± 2.32 48.21 ± 1.04 LCP-2 5.3 155.78 ± 0.37 103.76 ± 2.31 44.08 ± 0.86 # ABTS and DPPH free radical scavenging activity was expressed as equivalent of ascorbic acid. *the percentage of inhibition of OH production after treatment with polysaccharides. Values: mean ± standard deviation (n=3)

60 80 C 70 A 50 60 40 50 activity (%) activity

40 30 LCP-1 LCP-1 30 LPC-2 20 LCP-2 20 scavenging 10 10 OH DPPH scavenging activity (%) activity DPPH scavenging 0 0 1000 500 250 125 63 31 16 0 1000 500 250 125 62 Concentration of polysaccharide fractions (µg/ml Concentration of polysaccharide fractions (µg/ml)

Fig. 6.5. Concentration dependant radical scavenging activities of two polysaccharide fractions (LCP-1 and LCP-2): (A). DPPH● scavenging activity, (B) ABTS●+ scavenging activity, and (C) OH● scavenging activity. p< 0.05 is considered to be statistically significant (n=3).

202 The concentration dependant variation of radical scavenging activities of LCP-1 and LCP-2 is

shown in Figure 6.5. As can be seen from these results, both LCP-1 and LCP-2 displayed

significant radical scavenging activities against the three radicals tested. It is clear from these

results that at the higher concentrations tested LCP-1 exhibited better scavenging activity

than LCP-2 (Table 6.4 and Fig. 6.5). This may be due to various factors suggested in the

literature (Wang et al., 2013, Kong et al., 2010, Thambiraj et al., 2015):

• High molecular weight (>90 kDa) is favourable for antioxidant activity

• Presence of β-glycosidic linkages in the main chain/side chain increase antioxidant

activities

• Presence of monosaccharides such as galactose, rhamnose and arabinose increase the

activity

The observed results for LCP-1 are in good agreement with those reported in the literature.

For instance, LCP-1 with high antioxidant activity has large molecular weight (1899 kDa)

(Table 6.4 and Fig. 6.1), and contains β-glycosidic linkages (section 6.3.6) and is composed

of glucose, rhamnose and arabinose in addition to galactose.

It should be noted that the antioxidant activities of LCP-2 are also significant (slightly lower

than LCP-1) (Table 6.4 and Fig. 6.5). An interesting point to be noted here is that the major monosaccharide present in LCP-2 is fructose (section 6.3.3 and 6.3.4). The antioxidant activities of LCP-2 observed in this research are consistent with the literature showing that fructans have good antioxidant activities (Peshev and Van den Ende, 2014). Overall, it may be concluded that the antioxidant activities of LCPs correlate well with fructose, glucose, galactose, arabinose, galactose and rhamnose contents.

203 6.3.6. Immunostimulatory activities of L. chinensis polysaccharides

Immunostimulatory activities of LCP-1 and LCP-2 were measured by treating RAW 264.7

cells with purified fractions. It can be seen from the results that LCP-1 and LCP-2 exhibited immunostimulatory effects as demonstrated by an increase in the production of TNF-α and

IL-6 as a function of polysaccharide concentration (Fig. 6.6). Results presented in Figure

6.6A indicate that LCP-2 exhibits better activity than LPS (positive control) with respect to

the production of TNF-α. From Figures 6.6C and 6.6D, the immunostimulatory activities of

LCP-1 and LCP-2 increase sharply when the polysaccharide concentration is >30 µg/Lm.

Excellent immunostimulatory activities have been observed for LCP-2 at 125 µg/mL as

indicated by (i) over 12-fold increase in the production of TNF-α as compared to the negative control (untreated macrophages) (Fig. 6.6C), and (ii) nearly 8-fold increase in the production of IL-6 (Fig. 6.6D). These observations are very significant and demonstrate that LCP-2 is a highly suitable candidate to stimulate the immune system. Literature reports indicate that fructans can stimulate immune cells by binding to toll-like receptor (TLR) (Peshev and Van den Ende, 2014). It is of interest to note that the high immunostimulatory activities of the

LCPs correlate well with their fructose, glucose, arabinose, galactose and rhamnose contents.

204 1400 1200 C 1000 800 600 LCP-1 LCP-2

- α Production (%) 400 200 TNF 0 0 15.6 31.25 62.5 125 Concentration of biopolymer fractions (µg/ml)

1000 D 800 600

400 LCP-1

- 6 Production (%) LCP-2

IL 200 0 0 15.6 31.25 62.5 125 Concentration of biopolymer fractions (µg/ml)

Fig. 6.6. Effects of L. chinensis polysaccharides on murine RAW 264.7 macrophages. A and C: represent the production of tumour necrosis factor-α (TNF-α), and B and D: represent the production of interleukin 6 (IL-6). LPS was the positive control (100 ng/mL). ELISA assay was used for the quantification of IL-6 and TNF-α production. * Statistical difference for the positive control (LPS treated group) and the samples was significant (p < 0.02, n = 3) ** Statistical difference for the positive control (LPS treated group) and the samples was significant (p < 0.01, n = 3)

205 These observations are consistent with the literature findings that plant polysaccharides

containing the above mono-sugars display immunomodulatory activities (Jiang et al., 2010,

Thambiraj et al., 2015, Zhang et al., 2007).

The structure of LCP-2 (section 6.3.2) has been identified as a β-(2→1)-fructan with an average molecular mass of 5.3 kDa. Fructans of this size are known in the literature to possess significant immunostimulatory activities (Vogt et al., 2013, Franco-Robles and

Lopez, 2015). β-(2→1)-linked fructans with large chain length (consisting of 11 - 60 fructose

units) can directly interact with toll-like receptors (TLRs) present on DCs or macrophages,

and stimulate immune response and produce cytokines (such as IL-6, IL-1 and TNF-α) (Vogt

et al., 2013; Franco-robles and Lopez, 2015; Jiang et al., 2010). It has also been recognised

that the β-fructan chain length is an important factor in this mechanism of action with long

chain length favouring greater immunostimulatory activity (Vogt et al., 2013; Franco-Robles and Lopez, 2015).

It is important to note from the literature that immunomodulatory activity plays an important

role in anticancer activity (Zhang et al., 2014; Schepetkin andQuinn, 2006; Bafna and Mishra,

2009, Jeong et al., 2012, Zhang et al., 2012, He et al., 2016, Zhang et al., 2013, Ayeka, 2016,

Wang et al., 2016, Yu et al., 2017). Hence, L. chinensis polysaccharides isolated in this study are the potential candidates for developing new anticancer agents.

6.3.7. Cell viability

The effect of LCP-1 and LCP-2 on cell viabilities are given in Fig. 6.7. Results demonstrate

that the polysaccharides from L. chinensis showed low toxicities even at the highest

concentrations (125 µg/mL) studied in this research (Fig. 6.7). These findings are in

206 agreement with those reported in the literature (Zhang et al., 2014, Thambiraj et al., 2015, Li

et al., 2016, Kowalczewska et al., 2016, Shan et al., 2017, Hu et al., 2016) that plant

polysaccharides display less toxicity.

110 100 90 80 70

(%) 60 50 LCP-1 40 LCP-2 30 20

Cell viability viability Cell 10 0 15.625 31.25 62.5 125 Concentration of polysaccharides fractions (µg/mL)

Fig. 6.7. Cell viabilities of isolated polysaccharides from L. chinensis

6.4. Conclusion

In this study, two polysaccharide fractions were isolated from L. chinensis (LCP-1 and LCP-

2). Furthermore, a novel immunostimulatory polysaccharide (LCP-2) with a β-D-(2→1)- fructofuranoside structure has been isolated for the first time from L. chinensis. GC, FT-IR and NMR sepectroscopic techniques have been used to unambiguously determine the structure of LCP-2. LCP-1 and LCP-2 showed highly significant immunostimulatory and antioxidant activities. LCP-2 particularly displayed very high immunostimulatory activity as well as low toxicity demonstrating that it is has great potential as an immunotherapeutic agent. These results suggest that the L. chinensis polysaccharides are most likely candidates to be used as natural immuno-enhancing agents. Findings reported in this chapter together

207 with the anticancer properties reported in Chapter 3 strongly demonstrate the potential of

LCP-s to be used in anticancer formulations.

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215 Chapter Seven

Biological and structural characterisation of polysaccharides isolated from Artemisia annua L Abstract

Arimisia annua L is an important anticancer herb used in traditional Chinese medicine. The

molecular basis underpinning the anticancer activity is not fully understood, but polysaccharides, broadly recognised as having immunomodulatory, antioxidant and anticancer activities, are potentially key active agents. To examine the function of polysaccharides in A. annua,water-soluble polysaccharides were extracted from this herb

(AAPs) and purified using size-exclusion chromatography to obtain three dominant

polysaccharides, AAP-1, AAP-2 and AAP-3 having molecular masses of 1685 kDa, 445 kDa

and 5.9 kDa respectively. The antioxidant potentials of the isolated polysaccharides were evaluated by measuring radical scavenging activities against DPPH● (2,2-diphenyl-1-

picrylhydrazyl radical), ABTS●+ (2,2'-azino-bis(3-ethylbenzothiazoline-6-sulphonic acid)

radical), and OH● (hydroxyl radical). Immunostimulatory activities of AAP-1, AAP-2 and

AAP-3 were measured using mouse macrophages. The three polysaccharide fractions display

significant antioxidant activities and stimulate the production of tumour necrosis factor-α

(TNF-α) and interleukin-6 (IL-6), Preliminary structural characterisation of both AAPs were

carried out employing gas chromatography (GC) and FT-IR techniques. The results suggest

that these polysaccharides are potential candidates for immunotherapy and treatment of

cancer.

216 7.1. Introduction

Natural products derived from plants have been used to improve human health for a long time

due to their significant pharmacological properties such as immunomodulatory, anti-

microbial, anti-diabetic, anti-hypertensive and anticancer activities (Huang et al., 2008; Wei

et al., 2007; Zhou et al., 2010). Several types of bioactive compounds have been isolated

from plants which include polysaccharides, anthraquinone glycosides, polyphenols, tannins,

terpenoids, diterpenoids, resins, lignans, alkaloids, protein and peptides (Shah et al., 2013;

Ravishankar et al., 2013; Sghaier et al., 2011; Zhang et al., 2011, Ravipati et al., 2012, Zhang et al., 2012, Zhang et al., 2013, Zhang et al., 2014).

Traditionally, medicinal plants have been used for thousands of years for the treatment of a

wide variety of diseases such as inflammation, malaria, fever, cough, cold and cancer in

China, Japan, Korea, India, and South East Asian countries (Cho, 2010, Huang et al., 2008,

Wei et al., 2007, Zhou et al., 2010, Zhang et al., 2011, Ravipati et al., 2012, Cai et al, 2004).

In this arena, plant based Traditional Chinese Medicinal (TCM) herbs are of enormous interest. Over the years, traditional Chinese practitioners have also developed suitable herbal formulations for the treatment of several diseases (Huang et al., 2008, Wei et al., 2007, Zhou et al., 2010, Cho, 2010). These developments have occurred with the transfer of traditional knowledge and experiences through multiple generations over a long period (Cho, 2010,

Huang et al., 2008; Wei et al., 2007; Zhou et al., 2010) and are available to current

researchers . Corroboration of the wealth of traditional knowledge with modern scientific

techniques has resulted in the discovery of several therapeutic agents (Cho, 2010). Many such

therapeutics derived from traditional medicinal plants are currently in clinical use for the

treatment of life-threatening diseases (Cheng and Leung, 2008, Cui and Chisti, 2003, Daba,

217 and Ezeronye, 2003, Cho, 2010), and some are in clinical trials (Shah et al., 2013) owing to

theirbiological activities such as immunomodulatory, antioxidant, anticancer, antibacterial

and anti-microbial activities (Friedman, 2016, Sugiyama, 2016, Cheng and Leung, 2008,

Cho, 2010, Boulikas and Tsogas, 2008, Dumontet and Jordan, 2010, Shah et al., 2013). For

instance, vinca alkaloids (vinblastine and vincristin), polysaccharide-Krestin (PSK), lentinan,

polysaccharopeptide (PSP) and schizophyllan (SPG) that have been isolated from medicinal

plants/mushrooms are in clinical use for the treatment of various cancers (Shah et al., 2013,

Friedman, 2016, Sugiyama, 2016, Cheng and Leung, 2008). This chapter aims to isolate

polysaccharides from Artmesiaannua L which belongs to the Asteraceae family and

Artemisia genus. A brief introduction to the medicinal plants of this genus is provided in the

following paragraphs.

The Artemisia L (Asteraceae) is one of the largest and diverse genus of plants, which consist of more than 500 species and mainly found in Asia, Europe and North America (Abad et al.,

2012). Many of these plants are widely used for medicinal purposes (Bora and Sharma,

2011, Abad et al., 2012), such as treatment of cancer, malaria, hepatitis, inflammation and infections caused by fungi, bacteria and viruses (Abad et al., 2012; Bora and Sharma, 2011;

Willcox et al., 2009). For instance, Artemisiaannua L, Artemisia scoparia and Artemisia vulgaris have been used as anticancer, anti-inflammatory, anti-microbial and anti-malaria agents (Huang et al., 2008, Abad et al., 2012, Ferreira et al., 2010, Saleh et al., 2014).

Several classes of bioactive compounds such as terpenoids, flavonoids, coumarins, sterols,

acetylenes, volatile components such as essential oils and sesquiterpene lactones have been

isolated from Artemisia genus plants (Bora and Sharma, 2011). Pharmacological activities

218 and important phyto-constituents isolated from this genus are summarised in the following

section.

7.1.1. Ethnopharmacology of the plants from Artemisia genus and their photochemistry

Traditionally, ArtemisiaannuaL. (Asteraceae) is a perennial plant found in the northern parts

of China. The stems of A. annua were traditionally used in Chinese medicine for preventing

malaria, and enhancing immunity in patients(Elfawal et al., 2012). A. annua is also used in

traditional anticancer formulations for the treatment of lung cancer, breast cancer, liver

cancer and stomach cancer (Huang et al., 2008). Several bioactive compounds were isolated

from A. annua, which include sesquiterpenoids, flavonoids, coumarins, triterpenoids,

steroids, phenolics purines, and lipids (Bhakuni et al., 2001, Bilia et al., 2006, Bora and

Sharma, 2011). Among these bioactive components, artemisinin is considered the main active constituent (Bilia et al., 2006, Salminen et al., 2008, Ghantous et al., 2010, Bora and

Sharma, 2011). Artemisinin from A. annua L is wieldy used for treatment of malaria in

China, Vietnam and other countries (Bore and Sharma, 2011, Salminen et al., 2008,

Ghamtous et al., 2010). Several studies reported that artemisinin can also prevent cancer formation by blocking the cell cycle to induce apoptosis, modulation of signalling pathway, inhibition of angiogenesis and prevention of metastasis (Ghantous et al., 2010, Huang et al

2012, Thoppil and Bishayee, 2011). A recent study indicated that polyphenols isolated from

A. annua display significant anticancer activity through inhibition of highly metastatic breast

cancer cells MDA-MB-231 (Ko et al., 2016). To the best our knowledge there is no literature

on polysaccharides isolated from A. annua.

Seeds of Artemisia sphaerocephala Krasch was traditionally used in noodles and other

traditional Chinese foods to improve sensory qualities such as elasticity and chewing quality

219 in northwest China (Ren et al., 2017). According to practitioners of TCM powdered seeds from A. sphaerocephala are useful for the treatment of diabetes and other diseases such as parotitis, tonsillitis, scabies and ileuses (Ren et al., 2017). Phytochemical studies indicated that A. sphaerocephala contains polyphenols (Sun et al., 2016) and triterpenoids (Sun et al.,

2016). Recent reports indicate that a polysaccharide extracted from A. sphaerocephala seeds exhibits biological activities, such as alleviating hyperglycemia, hyperlipidemia and insulin resistance (Ren et al., 2014). A recent study indicated that polysaccharides from A. sphaerocephala displayed immune enhancing abilities by activating RAW 264.7 macrophages and production of cytotoxic molecules (NO) and the cytokines (TNF-α, INF-β, and IL-6) (Ren et al., 2017).

Artemisia argyi (Asteraceae) is a perennial herbaceous plant widely distributed in China, and has been used in TCM for the treatment of ailments such as coughs, colds, headaches, microbial infections, inflammatory diseases, diarrhoea, hepatitis, malaria, cancer, and circulatory disorders (Adams et al., 2006, Khan et al., 2011, Bora and Sharma, 2011).

Phytochemical studies have revealed that A. argyi contains coumarins, glycosides, flavonoids, polyacetylenes, monoterpenes, sterols, triterpenes, sesquiterpene lactones and essential oils (Bao et al., 2013). Some of these compounds displayed biological activities, such as antiulcer (Yoon et al., 2011), antidiabetic (Adams et al., 2012), antioxidant (Ferreira et al., 2010), antimutagenic (Nakasugi et al., 2000), anti-inflammatory (Cai, 2001) and anticancer properties (Adams et al., 2006). Recently a polysaccharide (consisting of N-acetyl- d-glucosamine, glucose, mannose, galactose, rhamnose, arabinose, xylose and ribose) was isolated from A. argyi that displayed anticancer activity against mice Sarcoma 180 (S180) tumour by immunostimulation in a combination therapy along with 5-FU, combination therapy along with 5-FU, resulting in enhanced e survival rates in mice (Bao et al., 2013).

220 Artemisia japonica Thunb is a traditional medicinal herb used for the treatment of fever, headache, malaria, hypertension and tuberculosis in Japan, China, Korea and Vietnam (Giang et al., 2014). Phytochemical studies have shown that A. japonica contains acetylenic , sesquiterpenes and polyphenol compounds (Kwon and Lee, 2001). Pharmacological studies have revealed that the ethanol extracts of A. japonica display anti-malarial activity (Valecha et al, 1994), methanol extracts from A. japonica display significant anticancer activity against the human breast cancer estrogen receptor-α positive T47D (Choi et al., 2013). Recently, an inulin-type fructan (ASKP-1) was isolated from A. japonica that displayed significant anti- arthritic effects (Li et al., 2017).

Artemisia asiatica Nakai has been used in traditional medicine for the treatment of cancer, inflammation, infections and ulcerogenic diseases (Bora and Sharma, 2011). Phytochemical studies revealed that several active components are found in A. asiatica such as flavonoids, sesquiterpenoids, and essential oils such as eupatilin, artemisolide, 1,8-cineole, and terpinen-

4-ol (Kalemba et al., 2002; Kim et al., 2004; Reddy et al., 2006). Eupatilin (DA-9601

(Stillen™)) isolated from the ethanol extract of A. asiatica, is the main active constituent, which has been used clinically to treat gastric mucosal ulcers and inflammation in South

Korea (Jeong et al., 2014). Literature also indicate that eupatilin can inhibit 5-lipoxygenase activity in mastocytoma cells and induce apoptotic death of cultured human promyelocytic leukaemia (HL-60) cells (Koshihara et al., 1983, Seo et al., 2002).

221 7.1.2. Important polysaccharides from the Artemisia genus

Polysaccharides are the ideal candidates to develop novel therapeutic agents for the treatment of cancer due to their excellent biological activities such as immunomodulatory, antioxidant an anticancer activities (Jeong et al., 2004; Schepetkin and Quinn, 2006; Jeong et al., 2010;

Jeong et al., 2012; Zhang et al., 2013; Zhang et al., 2014; Thambiraj et al., 2015). As described in Chapter 2, several polysaccharides purified from medicinal mushrooms have been clinically used for the treatment of various cancers due to their significant anticancer and immunomodulatory activities (Friedman, 2016, Sugiyama, 2016; Daba and Ezeronye 2003;

Ina et al., 2013).

Artemisia L genus plants display significant anticancer and immunomodulatory properties.

Especially, A. annua has been used in anticancer formulations for treating liver cancer, breast cancer, lung cancer and stomach cancer (Huang et al., 2008, Wei et al., 2010, Zhou et al.,

2007). Limited scientific literature exists on the polysaccharides isolated from genus

Artemisia (Chen et al., 2014, Bao et al., 2013, Ren et al., 2017, Li et al., 2017). The polysaccharides isolated from A. apiacea displayed significant immunomodulatory and anticancer activities (Chen et al., 2014), polysaccharide (ASKP-1) isolated from A. sphaerocephala exhibit immune echancing capacity (Ren et al., 2017), an inulin-type fructan from A. japonica displayed significant anti-arthritic effects (Li et al., 2017). To the best of our knowledge, there is no study involving polysaccharides from A. annua which is one of the herbs chosen for a detailed study in this research.

Preliminary studies carried out in Chapter 3 strongly indicate that A. annua has good potential for isolating immunomodulatory and anticancer polysaccharides. The aim of thischapter is to describe the purification of the polysaccharides from A. annua and to evaluate their antioxidant and immunomodulatory activities. It is important to recognise that

222 suitable modulation of the immune system and addressing oxidative stress are the key

aspects to be considered while formulating the treatment protocols for cancer (Cui & Chisti,

2003; Schepetkin & Quinn, 2006; Jeong et al., 2010; Jeong et al., 2012; Zhang et al., 2013;

Zhang et al., 2014; Thambiraj et al.,2015; Friedman, 2016; Sugiyama, 2016, Cheng & Leung,

2008; Yao et al., 2016). Hence, we aim to evaluate immunomodualty, antioxidant potentials

as well as structural characterisation of the polysaccharides from A. annua to understand

structure-activity relationship and the mechanism of action.

7.2. Materials and Methods

7.2.1. Material

Artemisia annuaL(Qing Hao, full plant) have been purchased from Herbal life Chinese

Herbal Medicine shop, Sydney, Australia. The herbs traded in Sydney centre have approvals from both Australian and Chinese Governments.

7.2.2. Chemicals

● ●+ The DPPH , ABTS , 1,10-phenanthroline, H2O2, Dimethyl sulfoxide (DMSO), 95%

ethanol, ascorbic acid, Trypan blue 0.4%, sulfanilamide, N-(1-1-napthyl)

ethylenediaminedihydrochloride, and lipopolysaccharide (LPS) were purchased from Sigma

(Australia) and Lomb Scientific Pty Ltd (Australia). The foetal bovine serum (FBS),

Antibiotics, and Dulbecco’s modified Eagle’s medium (DMEM) with gluMax were purchased from BD Bioscience. The tumour necrosis factor-α (TNF-α) and interleukin (IL-6)

(mouse) – ELISA standards and antibodies were purchased from BD Bioscience (USA).

7.2.3. Extraction and fractionation of polysaccharides from A. annua

To extract water-soluble compounds, 25 g of A. annua was powdered then autoclaved

(121°C, 2 hours). Details of the procedure followed for the extraction and purification of

223 polysaccharides is similar to that published previously and is described in the Chapter 5 (Fig.

5.1). (Zhang et al., 2012, Zhang et al., 2013, Zhang et al., 2014, Jeong et al., 2004, Jeong et al., 2010, Jeong et al., 2012, Thambiraj et al., 2015). These fractions were collected and

concentrated by freeze-drying, then stored at -20°C for further studies.

7.2.4. Determination of molecular weights of polysaccharide fractions

Estimation of molecular weights of the purified polysaccharide fractions was done on the

basis of the elution volume and molecular weight using a standard dextran series that

included T2000 (2000 kDa), T450 (450 kDa), T150 (150 kDa), T70 (70 kDa), T40 (40 kDa)

T10 (10 kDa) and glucose at a concentration of 10 mg/mL each for calibration of the

Sepharose CL-6B column (Jeong et al., 2004, Jeong et al., 2012, Zhang et al., 2012, Zhang et

al.,2013, Zhang et al.,2014).

Linear regression of the data provided the standard equation, y = -0.2291x + 1.5495 with R²

= 0.9716. This standard curve was used to determine the molecular weights of extracted polysaccharide fractions.

7.2.5. Analysis of mono-saccharides

The monosaccharide composition was analysed employing a Hewlett Packard 7890B gas

chromatograph Mono-sugars were prepared from polysaccharide fractions and analysis

method are described in Chapter 3 (Jones and Albersheim, 1972, Zhang et al., 2014).

Fructose, glucose, galactose, xylose, arabinose, rhamnose, fucose and ribose were used as

monosaccharide standards.

7.2.6. Bioactivity tests

7.2.6.1. DPPH● scavenging assay

224 The Blois method (Blois, 1958) was employed to determine the DPPH● scavenging ability of

polysaccharides. The procedure employed for this assay is similar to the method in Chapter 5

(Section 5.2.7.1) (Zhang et al., 2012, Zhang et al., 2013, Jeong et al., 2012).

7.2.6.2. ABTS●+radical scavenging assay

ABTS●+ scavenging abilities of polysaccharides were determined using a published method

(Alam et al., 2013, Thambiraj et al., 2015, Jeong et al., 2016). The procedure employed is

similar to the method described in Chapter 5 (Section 5.2.7.1).

7.2.6.3. OH● radical scavenging assay

The OH● scavenging assay was modified on the basis of a method described by de Avellar et

al (2004) with minor modifications. A detailed procedure for this assay is described in chapter 5 (Section 5.2.7.1).

7.2.6.4. Immunomodulatory activity assays

7.2.6.4.1. Maintenance, preparation and activation of RAW 264.7 macrophages

Mouse macrophages (RAW 264.7) is first added to DMEM (culture medium containing

1% antibiotic and 5% FBS) and incubated for 4 days at 37°C in 5% CO2. Cells were then diluted with the medium to achieve a density of 2x105 cells/mL. The approach

followed to implement this procedure is based on published literature (Jeong et al., 2004,

Jeong et al., 2010, Jeong et al., 2012, Ni et al., 2016).

7.2.6.4.1. Assay for the measurement of IL-6 production

The procedure employed for this assay is similar to that described in Chapter 5 (Section

5.2.7.2).The regression of the standard curve gave a linear equation (y = 0.0019x + 0.0248

225 with R² = 0.992). The concentrations of IL-6 produced by the polysaccharides were

calculated using the above equation.

7.2.6.4.2. Assay for the measurement of TNF- α production

The procedure employed for this assay is similar to that described in Chapter 5 (Section

5.2.7.3).The regression of the standard curve gave a linear equation (y = 0.0017x + 0.0706

with R² = 0.9875). The concentration of TNF-α produced by the polysaccharide extracts was calculated using the above equation.

7.2.6.5. Determination of cell viability by MTT assay

The procedure employed for this assay is similar to that described in Chapter 5 (Section

5.2.7.4).The absorbance values were the measured at 595nm.

(%) = 100%

𝑂𝑂𝑂𝑂 𝑜𝑜𝑜𝑜 𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆 𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶 𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣𝑣 𝑋𝑋 𝑂𝑂𝑂𝑂 𝑜𝑜𝑜𝑜 𝑝𝑝𝑝𝑝𝑝𝑝 𝑐𝑐𝑜𝑜𝑛𝑛𝑛𝑛𝑛𝑛𝑛𝑛𝑛𝑛

7.2.7. Fourier transform infrared (FT-IR) spectroscopy

The procedure employed for this assay is similar to that described in Chapter 5 (Section

5.2.5).

7.2.8. Statistical analysis

Data is expressed as mean ± standard deviation (SD) values. The group mean was compared

using a one-way analysis of variance (AOVAN) and Duncan’s multiple range tests. The

statistical difference was considered significant if p < 0.05. All statistical analyses was

performed using OriginPro 8.5 and Excel 2016.

7.3. Results and discussion

226 7.3.1. Fractionation and purification of polysaccharides from A. annua L

Polysaccharides were extracted from A. annua L (AAPs) as described in Chapter 2and fractionated by Sepharose CL-6B size-exclusion chromatography. Three fractions were selected on the basis of the total carbohydrate elution profile (Fig. 7.1) obtained by the phenol-sulfuric acid method. These crude polysaccharide fractions were designated as AAP-

1, AAP-2, and AAP-3 (Fig. 7.1). Figure 7.1 also gives the protein profile of the fractions.

Fig. 7.1. Size-exclusion chromatogram representing polysaccharide and protein profiles of A. annua

The results for total carbohydrate and protein content in each of the fractions are presented in

Table 7.1. Based on the calibration curve obtained from the analysis of dextran molecular weight standards (Fig. 7.2 and Table 7.2), the average molecular masses of the various fractions were determined. The molecular mass of the fraction AAP-1 was found to be relatively large, with an estimated average molecular mass of 1685 kDa (Fig. 7.2 and Table

7.2). This was followed by AAP-2 and AAP-3 which had average molecular masses of 449 and 5.9 KDa respectively (Table 7.2 and Fig. 7.2). Table 7.1 shows the total sugar and protein

227 contents of the various polysaccharide fractions. Table 7.1 also provides the results of

monosaccharides content of each polysaccharide fraction. It can be seen that AAP-1 consists

mainly of arabinose (33.35%), glucose (8.69%), and galatcose (30.92%). The main mono-

sugar content in AAP-2 are arabinose (36.02%), glucose (22.16%), mannose (18.17%) and

galatcose (16.07%). The monosaccharides detected in AAP-3 are mannose (53.08%),

glucose (46.92%) (Table 7.1). It should be noted that reduction of fructose yields mannnitol

and glucitol during GC sample preparation (Fan, Liu, Bligh, Shi, & Wang, 2014; Li et al.,

2017). Therefore AAP-3 might be 100% fructose . This aspect is discussed along with the

FT-IR results. All of the fractions consisted primarily of glucose, galatcose, mannose, and arbinose.

228 Table 7.1. Chemical composition (sugar content) of polysacharide fractions isolated from A. annua L

AAP-1 AAP-2 AAP-3 Total Protein (%) 29.57 10.95 9.32 Total Carbohydrate (%) 70.43 89.05 90.68 Monosaccharide (% ratio) Rhamnose (%) 9.67 Ribose (%) Fucose (%) Arabinose (%) 33.35 36.02 Xylose (%) 7.67 Mannose (%) 1.44 18.17 53.09 Galactose (%) 30.92 16.07 Glucose (%) 8.69 22.16 46.92 Unknown (%) 8.26 7.58

229 AAP-3 (5.9kDa)

AAP-2 (445kDa) AAP-1

(1685kDa)

Fig. 7.2. Calibration curve for the determination of molecular weights of polysaccharides of A. annua L based on the elution volume and the molecular mass of standard dextran series of T2000 (2,000 kDa), T450 (450 kDa), T150 (150 kDa), T70 (70 kDa), T40 (40 kDa), T10 (10 kDa) and Glucose (180 Da) (Note: Kav = (Ve – Vo) / (Vt – Vo), Vo is void volume, Vt is total volume, Ve is elution volume).

230 Table 7.2. Antioxidant activities of polysaccharide fractions of U. rhyncophylla and T. chinensis along with their molecular weights.

S.NO Molecular ABTS scavenging activity of water DPPH scavenging activity of water ● # # %OH scavenging (1mg/Lm) Mass (kDa) extracts (Ascorbate equivalent µM) extracts (Ascorbate equivalent µM) AAP-1 1685 302.56 ± 3.26 120.35 ± 0.04 78.09 ± 3.49 AAP-2 445 301.00 ± 2.10 118.96 ± 4.31 49.17 ± 2.28 AAP-3 5.9 150.67 ± 4.32 100.46 ± 2.32 47.65 ± 1.80 # ABTS andDPPH free radical scavenging activity was measured as equivalent of ascorbic acid. * the percentage of inhibition of NO production after treatment with polysaccharides. All the values are mean of triplicate determination ± standard deviation (SD).

231 7.3.2. FT-IR spectroscopic characterisation of active polysaccharides

Figure 7.3 presents FT-IR spectra of A. annua polysaccharides (AAP-1, AAP-2 and AAP-2).

AAP-1 showed peaks corresponding to β-glycosidic linkage (914 – 891 cm-1) (Fig. 7.3a)

(Zhang et al., 2014, Yang and Zhang, 2009, Thambiraj et al., 2015). The spectrum of AAP-1

also showed three strong absorption bands at 1018 cm-1, 1047 cm-1 and 1074 cm-1

(corresponding to C-O stretching vibrations related to glycosidic linkage) indicating the presence of pyranose sugar in AAP-1 (Zhang et al., 2014; Yang and Zhang, 2009; Thambiraj et al., 2015; Pawar&Lalitha, 2014). The rest of the vibrational bonds conform to a

polysaccharide structure. The broad band centred on 3394 cm−1 corresponds to the hydroxyl

stretching vibrations of the polysaccharide and the peak at 2934 cm−1 belongs to C-H

stretching vibrations (Zhang et al., 2014; Yang and Zhang, 2009). These observations lead to

the conclusion that AAP-1 contains pyranose sugars with β-glycosidic linkages.

AAP-2 (Fig. 7.3b) has a peak at 914 cm−1 indicating the presence of β-glycosidic linkage

(Zhang et al., 2014, Yang and Zhang, 2009, Thambiraj et al., 2015, Pawar and Lalitha, 2014).

The three strong absorption peaks in the range of 1025 cm−1 – 1072 cm−1 (corresponding to

C-O stretching vibrations related to glycosidic linkage) indicate the presence of pyranose

sugar in AAP-2 (Zhang et al., 2014, Yang and Zhang, 2009). The broad band centred on 3339

cm−1 corresponds to the hydroxyl stretching vibrations of the polysaccharide and the peak at

2944 cm−1 belongs to C-H stretching vibrations. These observations confirm that AAP-2

contains pyranose sugars with β-glycosidic linkages.

AAP-3 (Fig. 7.3c) showed a distinctly different FT-IR spectral feature compared to AAP-1

and AAP-2. Especially the region between 815 to 1025 cm-1 shows different structural

features for AAP-3. The peaks at 873 cm-1 and 815 cm−1 indicate the presence of α- as well as

β-glycosidic linkages (Zhang et al., 2014, Yang and Zhang, 2009, Thambiraj et al., 2015).

Two strong absorption peaks in the range of 1000 cm−1 – 1100 cm−1 (corresponding to C-O

232 stretching vibrations related to glycosidic linkage) indicate the presence of furanose sugars in

AAP-3 (Zhang et al., 2014, Yang and Zhang, 2009). It is important to note the absence of

pyranose sugars in AAP-3 (as there are only two strong absorption bands in the range of 1000

– 1100 cm-1). These spectral feature together with GC findings strongly point to the fact that

AAP-3 is a fructan (Fig. 7.3c) (Zhang et al., 2014; Yang and Zhang et al., 2009; Fan et al.,

2014; Li et al., 2017). The broad band centred on 3280.6 cm−1 corresponds to the hydroxyl stretching vibrations of the polysaccharide and the peaks at 2929 cm−1 and 2889 cm−1 belongs

to C-H stretching vibrations. These observations indicate that AAP-3 mainly contains

furanose sugars with α- and β-glycosidic linkages. These findings together with the results

presented in Chapter 6 for LCP-2 indicates that AAP-3 may be a β- fructofuranoside. It will

be interesting to study the detailed structure of AAP-3 using NMR spectroscopy. This was not possible in this study as the size exclusion separation gave a very small quantity of this

fraction.

233 Fig 7.3. The FT-IR spectra of the three fractions from A. annua. (a: AAP-1, b: AAP-2, and c: AAP-3)

234 7.3.3. Antioxidant activities AAPs

The results of free radical scavenging capacity of these polysaccharide fractions are presented in Tables 7.2 and 7.3. All the polysaccharide fractions exhibited significant DPPH● and

ABTS●+scavenging capacity that ranged from 150 µMto 302 µM ascorbate equiv/g and 100

µM to 120 µM ascorbate equiv/g, respectively. Very high radical scavenging activity was displayed by polysaccharide fraction AAP-1, with respect to DPPH● and ABTS●+ radicals

(more than 60% and 70% respectively) (Table 7.3 and Fig. 7.4A and B).

Antioxidant activities of polysaccharide fractions of A. annua were also measured by hydroxyl (OH●) radical scavenging abilities and the results are presented in Table 7.2 and

Figure 7.4. These results indicate that AAP-1 shows very high OH● scavenging activity (

>70 %), followed by AAP-2 andAAP-3 (Fig. 7.4C). Literature reports indicate that various factors can influence the antioxidant capacities of botanical polysaccharides (Wang et al.,

2013, Kong et al., 2010, Thambiraj et al., 2015, Wang et al., 2016): (i) higher average molecular weight (more than 90 kDa) is favourable for antioxidant (Wang et al., 2013), (ii) presence of β-glycosidic linkages can enhance the activity (Wang et al., 2013; Kong et al.,

2010), (iii) presence of large quantities of glucose, galactose, rhamnose and arabinose can improve the activities (Wang et al., 2013, Thambiraj et al., 2015, Wang et al., 2016); (iv) protein or peptide conjugation will increase the radical scavenging abilities of polysaccharides (Wang et al., 2016, Zhang et al., 2014).

235 Table 7.3. Antioxidant activities of polysaccharide fractions of A. annua.

S.NO ABTS scavenging activity (%) DPPH scavenging activity (%) (1mg/ml) AAP-1 73.37 ± 0.03 68.24 ± 0.98 AAP-2 70.39 ± 0.05 59.99 ± 2.24 AAP-3 59.15 ± 0.08 47.93 ± 0.59

Fig. 7.4. Concentration dependant radical scavenging activities of two polysaccharide fractions (LCP-1 and LCP-2): (A). DPPH● scavenging activity, (B) ABTS●+ scavenging activity, and (C) OH● scavenging activity. p < 0.05 is considered to be statistically significant (n = 3).

236 The results for AAP-1 are in good agreement with those reported in the literature (Wang et

al., 2013; Kong et al., 2010; Zhang et al., 2014; Kong et al., 2010; Thambiraj et al., 2015;

Wang et al., 2016). AAP-1 with significant antioxidant activities has (i) high molecular

weight (1899 kDa) (Table 7.2 and Fig. 7.2), (ii) contains β-glycosidic linkages (Fig. 7.3 in

section 7.3.2), (iii) AAp-1 has protein conjugation (29% protein content), and (iv) AAP-1

contains glucose, rhamnose and arabinose in addition to galactose (Table 7.1).

7.3.4. Immunomodulatory effects of polysaccharides fromA. annuaL

Immunomodulatory activities of the three isolated polysaccharide fractions were determined

by the treatment of RAW 264.7 macrophages with AAPs and the results on the production of

TNF-α and IL-6 are presented in Figure 7.5.

The results from Figure 7.5) show that AAPs has significant immunomodulatory activity as

indicated by increasing IL-6 and TNF-α production in a dose-dependent manner (Figs. 7.5).

As can be seen from Figures 7.5C and D, the immunostimulatory activities of AAP-1, AAP-2 and AAP-3 increases sharply when the polysaccharide concentration was greater than 15

µg/mL. Excellent immunostimulatory activities are observed for AAP-1 at 125 µg/mL as

indicated by: (i) over 14-fold increase in the production of IL-6 compared to the control

(untreated macrophages) (Fig. 7.7C), and (ii) nearly 18-fold increase in the production of

TNF-α (Fig. 7.7D). Immunostimulatory activities of AAP-2 at 125 µg/mL was: (i) had nearly

8-fold increase in the production of IL-6 compared to the control (untreated macrophages)

(Fig. 7.7C), and (ii) nearly 10-fold increase in the production of TNF-α (Fig. 7.7D).

Immunostimulatory activities was observed for AAP-3 at 125 µg/mL as indicated by: (i) over 15-fold increase in the production of IL-6 compared to the control (untreated

237 macrophages) (Fig. 7.7C), and (ii) a more than 12-fold increase in the production of TNF-α

(Fig. 7.7D). These observations are very significant and demonstrate that AAP-1, AAP-2 and

AAP-3 are highly suitable candidates to stimulate the immune system.

Information from literature indicates that toll like receptors (TLR) can recognise and bind

with various types of polysaccharides such as protein-polysaccharide complexes, inulins and

glucans and activate macrophages to promote cytokine secretion (Jiang et al., 2010, Peshev and Van de Ende, 2014). For instance, high molecular weight polysaccharide-protein

complex isolated from Lentinusedodes displayed significant immunomodulatory activities

(Jiang et al., 2010; Franco-robles and Lopez, 2015).

These observations are consistent with literature findings that the plant polysaccharides

display immunomodulatory activities (Jiang et al., 2010; Thambiraj et al., 2015; Zhang et al.,

2007; Vogt et al., 2013; Franco-robles and Lopez, 2015).

238 Fig. 7.5. Effects of A. annua polysaccharides on murine RAW 264.7 macrophages. (A and C): represent Interleukin 6 (IL-6) production, and (B and D): represent tumour necrosis factor-α (TNF-α) production. * Statistical difference for the positive control (LPS treated group) and the samples was significant, n = 3, P < 0.05. ** Statistical difference for the positive control (LPS treated group) and the samples was significant, n = 3, P < 0.03.

239 The structure of AAP-3 (section 7.3.2) has been identified as a β-(2→1)-fructan with an average molecular mass of 5.9 kDa. Fructans of this size are known to possess significant immunostimulatory activities (Vogt et al., 2013, Franco-Robles and Lopez, 2015). β-(2→1)-

linked fructans with large chain length (consisting of 11 - 60 fructose units) can directly

interact with dendritic cells (DCs) (Fig. 7.6). The toll-like receptors (TLRs) present on DCs

and macrophages recognise β-(2→1)-linked fructans (inulin-type fructans) can activate TLR-

2 to stimulate immune response and produce cytokines (such as IL-6, IL-1 and TNF-α) (Vogt

et al., 2013, Franco-robles and Lopez, 2015, Jiang et al., 2010). Fructans can mainly activate

TLR-2, but also TLR-4 and other TLRs to a lesser extent (Vogt et al., 2013, Franco-Robles

and Lopez, 2015). It has also been recognised that the β-fructan chain length is an important

factor in this mechanism of action (Fig. 7.5) with large chain length favouring better

immunostimulatory activity (Vogt et al., 2013; Franco-Robles and Lopez, 2015).

It is important to note that two β-(2→1)-linked fructans (inulin type immunomodulatory

fructans) have been discovered in this research: (i) LCP-2 with an average molecular mass of

5.3 kDa (Chapter 6), and (ii) AAP-3 with an average molecular mass of 5.9 kDa. Consistent

with the literature (Vogt et al., 2013, Franco-robles and Lopez, 2015), AAP-3 with a larger

molecular mass showed significantly higher immunostimulatory activity than LCP-2 (Section

7.3.4; Section 6.3.6 of Chapter 6).

240 Fig. 7.6. Schematic representation of mechanism of immunostimulatory activity induced by inulin-type fructans (β-D-(2→1)-fructan) of longer chain length (Note: Fructans with shorter chain leads to decreased production of cytokines) (Vogt et al., 2013; Franco-Robles & Lopez, 2015).

It is important to note from the literature that (Zhang et al., 2014, Schepetkin and Quinn,

2006, Jeong et al., 2012, Zhang et al., 2012, Zhang et al., 2013, Ayeka, 2016, Wang, 2016,

Yu et al., 2017) the immunomodulatory activity plays an important role in cancer treatment.

Hence, A. annua polysaccharides isolated in this study are a potential candidate for developing anticancer agents.

241 7.3.5. Cell viability

The effect of AAP-1, AAP-2 and AAP-3 on the viability of mouse macrophage cells is given

in Figure 7.7. The results that the polysaccharides from A. annua show significant cell viabilities even at the highest concentration (125 µg/mL) used in this study (Fig. 7.7) indicating that they are less toxic. These results are consistent with literature reports (Jeong et al., 2004; Schepetkin&Quinn, 2006;Jeong et al., 2010; Jeong et al., 2012) that plant polysaccharides are non-toxic.

Fig. 7.7. Cell viabilities of isolated polysaccharide fractions from A. annua at different concentrations.

7.4. Conclusion

Three polysaccharide fractions were isolated from A. annua (AAP-1, AAP-2 and AAP-3).

FT-IR results indicated that AAP-1 and AAP-2 are pyranose containing polysaccharides with

β-linkages. GC and FT-IR findings lead to the conclusion that AAP-3 is a β-fructofuranoside.

It is pertinent to further compare the biological and structural results of LCP-2 (Chapter 6) with those of AAP-3 (this Chapter). Both polysaccharides gave very similar mono-sugar ratios, similar FT-IR spectral features and very comparable biological activities. These results

242 strongly indicate that AAP-3 is a β-fructan. Unfortunately, the fraction corresponding to

AAP-3 yielded low quantity and was not sufficient to undertake a detailed structural study

by NMR spectroscopy which is the subject of future study.

AAPs isolated from A. annua has highly significant immunostimulatory capacity and

antioxidant activities. Especially, AAP-1 has displayed very high immunostimulatory

activity and low toxicity demonstrating that it has high potential as an immune-enhancing

agent. These results suggest the potential of A. annua polysaccharides as a natural immuno-

enhancing agent. The findings of this chapter together with the anticancer properties of crude polysaccharides from A. annua (Chapter 3) strongly demonstrate the potential of AAPs to be

used in anticancer formulations.

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252 Chapter Eight

Evaluation of MRI contrast potential of Gd(III) complexes with bioactive herbal polysaccharides Abstract

Results presented in Chapter 3 demonstrate that the herbal polysaccharides display significant

metal-chelation abilities. To examine this aspect further and to evaluate the MRI contrast

potential of the purified bioactive herbal polysaccharides, NMR relaxivities of three of the

bioactive polysaccharides (LCP-2, AAP-1 and AAP-2) have been studied in this Chapter. The results indicated that the three herbal polysaccharides (LCP-2, AAP-1 and AAP-2)

discovered in this thesis (Chapters 6 and 7) formed stable complexes with Gd(III) ions and

each of these complex has significantly influenced the water relaxation parameters (T1 and

T2). The relaxivity results also indicated that LCP-2 (5.3 kDa) was a T1 contrast agent and the

other two herbal polysaccharides (AAP-1 and AAP-2) with high molecular mass displayed the relaxation behaviour consistent with T2 contrast agents. The relaxivity results on standard

Dextrans (linear α-glucans) with different molecular weights showed that these linear α-

glucans are T1 agents at low as well as high molecular weights (even the highest molecular

weight Dextran with 2000 kDa showed T1 behaviour). However, this is in contrast to the

results on the high molecular weight herbal polysaccharides (AAP-1 and AAP-2) with

attached protein which showed T2 relaxivity behaviour. This is a novel finding that has not

been explored in the literature. The results on MRI performance evaluation using the

phantom samples of these herbal polysaccharides have demonstrated bright contrast (with

LCP-2) and dark contrast (with AAP-1) which are consistent with T1 and T2 agents respectively.

253 8.1. Introduction

Magnetic Resonance Imaging (MRI) is a non-invasive diagnostic imaging technique that is widely used in modern medicine. MRI provides images of the whole human body without exposure to harmful and high energy electromagnetic radiation; rather the technique uses low energy radiofrequency (RF) waves. MRI is based on the principles of nuclear magnetic resonance (NMR) and the object to be imaged must contain atoms with non-zero nuclear spin

(e.g. 1H, 13C, 31P). 1H is the most commonly used nuclear spin in many medical imaging

applications due to its large natural abundance and also due to the presence of large quantity

of water in living systems.

Good resolution, soft tissue contrast and anatomical details can easily be obtained with

modern MRI techniques (Reddy and Smith, 2012). As discussed in Chapter 2, simultaneous

application of external static and varying magnetic fields together with RF pulses provides spatial encoding necessary for MR imaging (Reddy and Smith, 2012; Morris and Liberman,

2005). Rich information content of these images is due to the fact that the MR signal intensity/contrast depends on a variety of physical variables such as proton density and relaxation parameters (T1 and T2) that characterise biological tissue (Moser, 2009). Also, MRI

is very sensitive to soft tissue and fluid flow in addition to its ability to visualise hard tissues

(joints/bones) (Li and Poon, 1988; Morris and Liberman, 2005). Due to these advantages

MRI has become extremely important tool in modern clinical diagnostics (Morris and

Liberman, 2005; Yao et al., 1996; Koh and Collins, 2012; Bookheimer, 1996).

The NMR signal arising from the nuclei present in the imaging object is spatially encoded and imaged by applying linear magnetic field gradients (Mansfield, 1982) (Section 8.1.3).

The intensity of MR images of biological tissue depends on proton density, the relaxation

254 times T1 and T2, and the pulse sequence parameters (Reddy and Smith, 2012; Callaghan,

1991). It is well known that, biological tissues are characterised by large variations in their proton density and the relaxation parameters T1 and T2 (Callaghan, 1991). It is also important to note that the relaxation parameters change dramatically when changes occur in the pathological state of the tissue (Callaghan, 1991). Thus, variations in the nature of biological tissue and their pathological state greatly influence the intensity and the contrast of MR images. It is therefore clear that MR imaging has inbuilt ability to provide contrast between different tissue types and different organs. Especially, such a contrast is prominent if there is underlying pathology in the tissue being imaged (e.g. presence of cancer) (Weishaupt et al.,

2008; Hennig et al., 2003; Smith et al., 2001). Therefore, MRI provides natural image contrast even without the use of any contrast agents and this is the unique characteristics of this imaging modality (Callaghan, 1991). In addition, the opportunity of using paramagnetic metal complexes to improve image contrast makes this technique an extremely valuable and sensitive diagnostic method to determine the underlying pathological state of soft tissue in human body (Caravan, 1999). Furthermore, the non-invasive nature of MRI makes it a versatile and indispensable clinical tool.

As discussed above, the proton NMR relaxation parameters (T1 and T2) are extremely

important to determine tissue contrast in MRI. Hence, section 8.1.1 provides general

principles of NMR, relaxation phenomenon and also a description of water proton relaxation

in biological tissue. A description of the influence of paramagnetic contrast agents on water

proton relaxivities is then provided (section 8.1.2), before providing a brief description of the

methods to measure NMR relaxation parameters (T1 and T2). A brief discussion on MRI principles is then provided in section 8.1.3, followed by a short sketch of MRI pulse sequences employed in this chapter to evaluate the performance of Gd (III) complexes of bioactive herbal polysaccharides discovered in this thesis (Chapters 5 to 7). A description of

255 the instrumentation used for realaxivity measurements and the micro-imaging system used

for MRI experiments is provided in section 8.1.4.Section 8.2 deals with the experimental

methodology and the protocols employed to evaluate the performance of herbal

polysaccharide based macromolecular Gd (III) contrast agents. Finally, the results on

relaxivities and MRI performance evaluation are presented and discussed in section 8.3,

before providing concluding remarks.

8.1.1. Principles of NMR spectroscopy

Nuclei with non-zero spin act as tiny magnets that are in random orientation in an initial state

with no applied magnetic field. When a steady magnetic field (B0) is applied, the nuclear

magnetic moments tend to either align with or align against the magnetic field. The aligned

spins are associated with lower energy compared to those opposing the magnetic field.

According to classical description, for a spin I=½ nucleus (e.g. 1H), the vector sum of these

oriented nuclear magnetic moments is known as the net magnetisation (M0) (Derome, 1987).

The net nuclear magnetisation (M0) interacts with applied magnetic field (B0) leading to the

classical precessional motion of nuclear spins with respect to the applied magnetic field

(usually Z-axis). The angular frequency of precession is given by ω0 = γB0; with ω0 = 2πv0,

where v0 is the frequency expressed in cycles per second (Hz) (James, 1998). It is important

to note that the classical and quantum mechanical descriptions of nuclear spins, in a magnetic

field, lead to the identical results in the case of non-interacting isolated spins (Slichter , 1990;

Slitcher, 1978; Derome, 1987). However, the classical mechanics fails to accurately describe

the spin system for bulk samples involving several interacting spins (Slitcher, 1978). In

modern NMR spectroscopy, radiofrequency (RF) field is applied in the form of narrow pulses

of a few microseconds duration. The field generated by RF pulses is called the B1 magnetic field (alternating magnetic field). The B1 field is always applied in a direction perpendicular

256 to the direction of the main magnetic field (e.g. X-axis). Application of RF pulses cause

rotations of magnetisation by a well-defined angle (as viewed from a fictitious rotating

frame). For example, a 90o pulse applied along X-axis rotates the magnetisation vector clockwise by 90o about the X-axis (down to the Y-axis) and a 180o pulse rotates the

magnetisation vector by 180o (down to negative Z-direction). Such RF pulses provide the

desired responses from an NMR sample and all the modern NMR/MRI experiments are based

on suitably designed RF pulse sequences. For example, a single RF pulse yields an FID (free

induction decay) signal and a two pulse sequence yields a spin-echo signal. A detailed

discussion of modern pulsed NMR spectroscopy is beyond the scope of this thesis and

excellent text books are available for such purposes (Slichter , 1990).

8.1.1.1. NMR relaxation phenomenon

Application of a resonant RF pulse disturbs the magnetisation (M0) from its thermal

equilibrium (Abraham et al., 1988). Subsequently, a process known as relaxation will restore

the equilibrium magnetisation. The process by which the Z-magnetisation (Mz) returns to

thermal equilibrium is known as spin-lattice relaxation (also known as longitudinal

relaxation) and is characterised by the time constant T1. Concurrent to spin-lattice relaxation, another process known as spin-spin relaxation (also known as transverse relaxation) takes place, when a spin system is disturbed from thermal equilibrium. Spin-spin relaxation process

is characterised by the time constant T2 and involves a dephasing process amongst the spins.

An understanding of spin-lattice and spin-spin relaxation processes is very important to gain

insight into the NMR and MRI experiments. A brief description of these processes is given

below.

257 8.1.1.2. Spin-lattice relaxation

After the application of a RF pulse, the Z-magnetisation (Mz) returns to thermal equilibrium

by spin-lattice relaxation process. This process can be described by the following differential

equation (Callaghan, 1991):

dM M0 Mz z = Eq 8.1 d − 𝑡𝑡 1 𝑇𝑇

Where, M0 is the Z-magnetisation at thermal equilibrium and T1 is the time constant that

describes the return of Z-magnetisation (Mz) towards the equilibrium. This time constant is known as spin-lattice relaxation time and the solution of Equation 8.1 is given by:

Eq 8.2 Mz( ) = M0(1 2 ) 𝑡𝑡 − �𝑇𝑇 1 𝑡𝑡 − 𝑒𝑒 As the name suggests, the process of spin-lattice relaxation involves an exchange of spin

energy to surrounding thermal reservoir, known as lattice. The dominant sources of

interactions responsible for spin-lattice relaxation are magnetic dipolar couplings that are

modulated by molecular motions.

8.1.1.3. Spin-spin relaxation

After the application of a RF pulse (e.g. 90ᵒ RF pulse), the net magnetisation in the X-Y-plane

undergoes transverse relaxation. During this process, the spins in the transverse plane

exchange their energy with other spins to reach a thermal equilibrium among them. This

process is known as spin-spin relaxation and the characteristic time constant that governs the

process is denoted by T2. Spin-spin relaxation is described by the following

phenomenological equation (Mansfield, 1982):

, = , Eq 8.3 𝑑𝑑𝑴𝑴𝑥𝑥 𝑦𝑦 𝑴𝑴𝑥𝑥 𝑦𝑦 𝑑𝑑𝑑𝑑 − 𝑇𝑇2

258 Where, Mx,y denotes the transverse magnetisation along X- or Y-axis. A simple exponential solution of Equation 8.3 is given by (Abraham et al., 1988):

Mx,y( ) = Mx,y(0) Eq 8.4 −𝑡𝑡 �𝑇𝑇2 𝑡𝑡 𝑒𝑒 T2 values of water protons in biological tissue can be determined from NMR experiments

employing Carr-Purcel-Meiboom-Gill pulse sequence (Bodenhausen, 1983) and an

exponential regression of the data with Equation 8.4.

8.1.1.4. Factors influencing relaxation rates

It is important to note that the relaxation rates are dependent on many factors such as

molecular structure, size, solution viscosity and temperature. Relaxation process can be

visualised as transitions between the spin energy levels caused by randomly fluctuating

magnetic fields produced by molecular motions (Derome, 1987).

Such randomly fluctuating fields generated by interactions within the spins and also with the

environment. These fields become time dependant by molecular rotations (tumbling) and

other motions (Geraldes, 1999; Botta, 2000).

Important factors that influence the relaxation rate are: (i) strength of the interaction

responsible for relaxation which depends on the detailed knowledge of the origin of the

random fields and often it is related to geometry (Derome, 1987), and (ii) spectral density

which has a large effect on relaxation rates and is an important factor to consider when

discussing T1 and T2 mechanisms (Derome, 1987). Spectral density is a measure of the intensity of fluctuating field created by random molecular motions (characterised by molecular rotational correlation time, τc) (Derome, 1987).

259 8.1.1.5. Relaxation of water protons in biological tissues

1H nuclei are present in the biological tissues in the form of water and other bio-molecules.

Water is the most abundant amongst these various molecular species and exists in two states

in biological tissue (free and bound). The 1H (proton) NMR signal from water is the strongest

and is most commonly used for in-vivo MRI (Reddy and Smith, 2012). As discussed before,

dipolar interactions between the water protons and the random molecular motions produce

fluctuating magnetic fields that cause nuclear relaxivities (Reddy and Smith, 2012;

Callaghan, 1991). Due to the dependence of nuclear spin relaxation on molecular motion the

proton NMR signal (and hence MRI) is very sensitive to the physical environment of the host

molecule (e.g. water molecules in different biological tissue) (Reddy and Smith, 2012). This

sensitivity is reflected in the variation of MRI signal intensity from one type of tissue to

another. Therefore, nuclear spin relaxation is an important property that can be used to

improve contrast, which is crucial for diagnostic MR images (Reddy and Smith, 2012).

These interactions fluctuate as the water molecules undergo rotational reorientation and the

resulting fluctuating fields induce transitions responsible for relaxation. For free water the

rotational reorientation is fast and the value of T1 is large (2.72 s) (Reddy and Smith, 2012;

Callaghan, 1991). The water molecules in different states (bound and free states) exchange with one another and this exchange correlation also contributes to relaxation. Another important contribution to spin relaxation in tissue arises from the fast exchange of labile protons on biopolymers with water protons. Water molecules and water protons therefore undergo complex dynamics that varies significantly from one type of tissue to another.

Variations in water dynamics in different types of tissue cause variation of fluctuating dipolar interaction responsible for spin relaxation. These significant differences in proton relaxation behaviour (T1 and T2) of water molecules in different tissues arise because of the variation in

260 water dynamics (Reddy and Smith, 2012). In addition, the dynamics of water molecules also

changes with pathological state of the tissues (such as cancer) resulting in variation in

relaxivities.

8.1.2. Influence of paramagnetic contrast agents on water proton relaxivities

Addition of agents with electronic spins (such as paramagnetic agents) introduces further

pathways of relaxivities of water protons in biological tissue. These pathways are caused by

electronic spin-nuclear spin interactions, which are extremely strong compared to nuclear

spin-spin interactions. Paramagnetic agents therefore improve relaxivities of water in

biological systems by many folds.

Larger electron magnetic moment of paramagnetic metals (e.g. Gd3+ in contrast agents) leads

to larger strength of the local magnetic field fluctuations at the site of the protons and is much

more effective in promoting nuclear spin relaxation when compared to the nuclear-nuclear

dipolar interaction. Hence, the paramagnetic contrast agents provide very efficient nuclear

relaxation (Jame, 1998).

The strength of the interaction between paramagnetic metal centre and the water hydrogen nuclei depends on several factors and a relation was first described by Bloembergen et al.,

(Bloembergen, 1957; Bloembergen and Morgan, 1961) and subsequently modified by others

(Runge e al., 1983).

= 𝟐𝟐 𝟐𝟐 𝟐𝟐 Eq 8.5 𝟏𝟏 𝟏𝟏𝟏𝟏𝝅𝝅 𝜸𝜸 𝝐𝝐𝝁𝝁 𝑵𝑵 �𝑻𝑻𝟏𝟏� 𝟓𝟓𝟓𝟓𝟓𝟓 Where µ is the effective magnetic moment of the paramagnetic ions, ϵ is the viscosity of the

solvent, k is Boltzman’s constant, T is the absolute temperature, γ is the gyromagnetic ratio

(for the hydrogen nucleus), and N is the number of paramagnetic ions per unit volume

261 (concentration) (Runge e al., 1983). From this equation, it is apparent that the spin-lattice

relaxation rate (r1) (and also, spin-spin relaxation rate, r2) is directly dependent on: (i) the

concentration of the paramagnetic agent (N) and (ii) the square of the effective magnetic

moment (µ2) of the paramagnetic ions. By appropriate selection of these two factors, one can achieve a greater decrease of the T1 and T2 parameters (faster relaxation rate). It is also important to remember while developing contrast agents that the paramagnetic effect falls off rapidly with the sixth power of the distance between the paramagnetic centre and the resonating nucleus (1/r6) (Runge e al., 1983). Therefore, facile access of water molecules

closer to coordination sites increases paramagnetic relaxation efficiency. The value of “r”

which is the distance between the paramagnetic metal centre and bound water protons mainly

depends on water coordination strength and the exchange rate of water molecules between

the inner coordination sphere and the bulk. Also, the effect of a paramagnetic contrast agent

increases with the number of unpaired electrons as the magnetic moment (µ) increases. For

example, Gd3+ seven unpaired electrons have a large electron paramagnetic moment and is an

ideal metal ion to design contrast agents (Chen et al., 1984).

8.1.2.1. Mechanism of paramagnetic relaxation of water molecules

The paramagnetic relaxation of water molecules in the presence of paramagnetic metals is

characterised by two mechanisms: inner sphere (IS) and outer sphere (OS) mechanisms. The

inner sphere relaxation relies on the exchange of water molecules between the inner

coordination sphere of the metal ion and the bulk solvent. This exchange helps to propagate

the influence of paramagnetic effect to the totality of the bulk water (Burtea et al., 2008).

This exchange process directly influences the coordination sphere residence time (τm) of

water molecules and has pronounced effect on paramagnetic relaxivity (Mercier, 1998).46

A strong metal-water coordination means relatively longer τm which will directly contribute

262 to faster relaxivity as long as the system is in the fast exchange limit (Mercier, 1998). It

should be noted that fast exchange limit is important in order to allow the propagation of

paramagnetic effects to the bulk. This means that τm should not be too long.

The contribution of the inner sphere mechanism to relaxivity is given by (Burtea et al., 2008;

Chan et al., 2007):

= Eq 8.6 𝑰𝑰𝑰𝑰 𝟏𝟏 𝑹𝑹𝟏𝟏 𝑪𝑪𝑪𝑪 𝑻𝑻𝟏𝟏𝟏𝟏+𝝉𝝉𝑴𝑴 Where:

C = the concentration of the paramagnetic metal complex

q = the number of water molecules in the first coordination sphere

τm = the residence life time of water molecules in the IS

The outer sphere contribution to the paramagnetic relaxation is due to the long distance dipolar interaction between the paramagnetic metal centre and the hydrogen atoms of water molecules. This mechanism is governed by the relative translational diffusion (D) of the paramagnetic centre and the bulk water (Burtea et al., 2008).

Some of the paramagnetic contrast agents (e.g. small molecular contrast agents) produce similar improvements in both T1 and T2 relaxivities. These are known as T1-contrast agents that produce brighter MR images. However, certain class of paramagnetic agents (e.g. macrocyclic contrast agents) lead to much larger improvement in T2 relaxivities when

compared to T1 relaxivities. These are known as T2-contrast agents that produce darker MR

images. Both types of paramagnetic contrast agents are extremely useful in diagnostic MRI

and the focus of this chapter has been to evaluate the potential of Gd (III) complexes of

bioactive polysaccharides as T1 and T2 agents.

263 8.1.3. Basic principles of magnetic resonance imaging (MRI)

In MRI, linearly varying magnetic fields (known as ‘field gradients’) are applied to the

sample in addition to the static B0 field. Under the influence of such field gradients, the

Larmor frequencies of the spins display linear spatial dependence (Callaghan, 1991). This

linear relationship between the spatial coordinates of the spins and the Larmor frequencies forms the basis of MRI (Reddy and Smith, 2012). When a single field gradient is applied, a mathematical expression for such an encoding is given by,

( ) = Eq. 8.7 𝛄𝛄 𝐁𝐁𝐨𝐨+𝐆𝐆𝐗𝐗 𝛎𝛎𝐩𝐩 𝟐𝟐𝟐𝟐

Where νp is the larmor frequency in Hz,γ is the gyromagnetic ratio of proton, B0is the static

magnetic field strength, Gx is the magnetic field gradient applied along X-direction.

The application of a selective RF pulse (pulse with narrow excitation bandwidth) then excites only a specific region of the sample. In the case of a single X-gradient, NMR signal is obtained from the spins in YZ-plane. This is equivalent to obtaining a projection of the object perpendicular to X-axis (plane sensitive image) (Bovey and Mirau, 1996).

Simultaneous application of double or triple orthogonal gradients will result in a line sensitive or point sensitive images respectively from the object to be imaged. For example, with a single gradient field, simply changing the direction of the gradient field can be produced several two-dimensional projections of the object (Bovey and Mirau, 1996). These

projections can then be used to reconstruct the image of the original object by means of

‘projection reconstruction techniques’ (Bovey and Mirau, 1996). It should be noted that the

original method of Lauterbur (Bovey and Mirau, 1996) was based on the reconstruction of

objects from the projections taken from rotating an object around an axis perpendicular to the

linear gradient direction (or vice versa), then applying the projection reconstruction algorithm

264 to generate a matrix representation of the image in question. This method is referred to as

‘plane sensitive’ projection reconstruction technique. While this is conceptually a simple

method, it takes a long time to obtain reasonable MR images. Another disadvantage with

projection reconstruction based MRI is the relatively poor image quality (Reddy and Smith,

2012; Callaghan, 1991).

The most commonly used method in modern MRI instruments is based on Fourier imaging

(Kumar et al., 1975). This technique eliminates most of the disadvantages of the projection

reconstruction method. The Fourier MRI method involves the application of a sequence of

pulsed orthogonal linear magnetic field gradients to an object during the FID or a spin echo

signal (Kumar et al., 1975). Detailed description of the Fourier MRI method can be found in

the literature (Reddy and Smith, 2012). MRI pulse sequences/techniques used in this research

include, (i) two-dimensional spin-echo based Fourier imaging, (ii) two-dimensional inversion

recovery spin-echo Fourier imaging and (iii) CPMG pulse sequence based Fourier imaging

techniques are used in this research. Detailed descriptions of these methods can be found in

the literature (Reddy and Smith, 2012).

8.2. Experimental Methodology

Varian Unity plus 300 MHz NMR spectrometer was used for the measurement of NMR

relaxation parameters reported in this chapter. Bruker Avance 600 MHz microimaging

system was employed for performing the MRI experiments reported in this chapter.

8.2.1. NMR relaxation experiments

Materials

Gadolinium(III) chloride (AR grade) used in these experiments were purchased from Sigma

Aldrich. Precision NMR tubes (5 mm x 7” L) were purchased from Wilmad. Pure de-ionised

265 water (resistivity 1 – 10 MΩ.cm and conductivity 1.0 – 0.1 µS/cm) was used to prepare

solutions of paramagnetic metal complexes with the herbal polysaccharides discovered in this

research (Chapters 6 and 7). A concentrated stock solution of each paramagnetic metal

complex in pure water was serial diluted to make the required concentrations for the NMR

relaxation measurements.

1 o H NMR relaxation times T1 and T2 (25 C) of the water protons (H2O samples) were measured at 300 MHz on a Varian Unity plus 300 MHz NMR spectrometer equipped with a wide bore magnet and a micro-imaging probe. T1 and T2 measurements have been conducted

at various concentrations of paramagnetic metal complexes of bioactive polysaccharides. The

T1 and T2 measurements were conducted at different concentrations as follows: (i) 2.88 mM,

1.63 mM and 1.15 mM (Dextran-10), (ii) 3.57 mM, 2.6 mM, 1.8 mM (LCP-2), and (iii) 2.5

mM, 0.9mM and 0.3 mM (AAP-1). These concentrations are close to the concentrations used

to test the MRI contrast performances of the Gd-metal complexes of bioactive

polysaccharides.

Probe was tuned with every sample before conducting T1 and T2 experiments and the RF

pulses have been calibrated to ensure the accuracy of results. The spin-lattice relaxation

time(T1)was determined by using a standard inversion recovery pulse sequence (180° – τ –

90°) followed by signal detection (Vold et al., 1968;Waugh et al., 1968).Recovery of the

inverted signal was recorded as a function of the inversion delay (Ti) between the pulses. The

resulting data was fitted to the exponential function (Eq 8.8) to determine T1 values:

S(τ) = S(0) [1 – 2exp(-Ti/T1)] Eq 8.8

Where, S(0) is the signal intensity when Ti = 0, and S(τ) is the signal intensity for different values of Ti.. All T1 experiments were conducted with a minimum array size of 15 Ti values

266 (at least 15 increments). Four scans (or multiples of 4 scans) were used for each increment in

order to be consistent with CYCLOPS phase cycling procedure. Array dimension and the

increment size were carefully determined for each concentration of paramagnetic agents

keeping in view of the possibility of extremely small T1 values.

Pulse sequence repetition time was suitably adjusted to more than 5 x T1 value to enable the

magnetisation to fully recover between the scans and also between the increments. Care was

taken to make an initial quick estimation of T1 values, which were then employed to

determine relaxation delays for the final measurements. All measurements were conducted in

duplicate in order to achieve reliability.

The Carr–Purcell–Meiboom–Gill (CPMG) pulse sequence (Meiboom and Gill, 1958) was

employed to determine the spin-spin relaxation time (T2). In this sequence, an initial 90°

pulse was followed by a burst of 180° pulses with suitable delays (τ). Decay of the resulting

spin-echo signal was monitored and an exponential regression of the data (using the

following equation) yielded values for T2.

S(τ) = S(0) exp (-τ/T2) Eq 8.9

Where, S(0) is the spin-echo signal intensity when τ = 0, and S(τ) is the spin-echo signal

intensity for different values of τ. The parameter τ is related to “bt” in Varian CPMG pulse sequence program.

All T2 experiments were conducted with a minimum array size of 15 τ values (at least 15

increments). All other necessary precautions have been exercised in order to ensure the

accuracy of the results (similar to T1 experiments described above).

267 T1 and T2 data was processed using Varian VNMR 6.1C software on Sun Microsystems

(ULTRA 10) host computer system. The standard Varian relaxation analysis protocols have

been employed for data processing.

8.2.2. MRI experiments

Bruker Avance 600 MHz microimaging system was employed for performing the MRI

experiments reported in this chapter.

8.2.3. T2-weighted images

Spin-echo MRI pulse sequence (Bovey and Mirau, 1996) is given in the Fig 8.1 below. This

pulse Spin-echo sequence was employed for generating non-selective MR images and also

for producing T2-weighted images (a CPMG variant of this pulse sequence was actually used

for producing T2-weighted images). However, a simple interpretation for T2-weighted image formation is provided below using this pulse sequence.

Fig 8.1. Spin-echo MRI pulse sequence (Bovey and Mirau, 1996).

268 The response of spin-echo pulse sequence is given by (Reddy, 2006),

( ) = ( )/ / Eq. 8.10 𝑻𝑻𝑻𝑻−𝑻𝑻𝑻𝑻 𝑻𝑻𝟏𝟏 −𝑻𝑻𝑻𝑻 𝑻𝑻𝟐𝟐 𝑰𝑰 𝑺𝑺𝑺𝑺 𝑴𝑴𝒐𝒐�𝟏𝟏 −𝒆𝒆 �𝒆𝒆 Where I(SE) is the maximum spin-echo signal intensity, Mo is the nuclear spin concentration

that determines the transverse (Iy) magnetisation generated by spin-echo sequence, TR is the pulse sequence repetition time, TE is the echo time (see Fig 8.1), T1 is the spin-lattice relaxation time and T2 is the spin-spin relaxation time of water protons. It should be noted that the values of T1 and T2 would be extremely small in the presence of paramagnetic contrast agents.

An examination of spin-echo pulse sequence (Fig 8.1) reveals that an increase of TE (echo

time delay) leads to the decrease of spin-echo signal intensity due to the loss of signal due to spin-spin relaxation and hence produces darker image. It can also be seen that the spin-echo signal intensity decreases dramatically in the presence of a contrast agent with extremely short T2 values (T2 contrast agents). Hence, T2-agents produce dark contrast (also known as negative contrast) (Caravan, 1999). If a study phantom contains several samples with different T2 values, the sample with shortest T2 gives darkest image and the sample with longest T2 gives brightest image. This sequence therefore produces T2-weighted images and can be used to test the performance of T2 contrast agents. In this chapter, Bruker CPMG pulse sequence has been used to test the performance of T2 contrast agents.

8.2.4. T1-weighted images

Inversion recovery based spin-echo MRI pulse sequence is shown in the following figure. This pulse sequence is employed for generating T1-weighted images.

269 Fig 8.2. Inversion recovery spin-echo MRI pulse sequence (Reddy and smith, 2012; Reddy,

2006).

Taking relaxation into consideration, the response of inversion recovery pulse sequence is

given by (Reddy, 2006),

( ) = ( )/ / / Eq. 8.11 𝑻𝑻𝑻𝑻+𝑻𝑻𝑻𝑻−𝑻𝑻𝑻𝑻 𝑻𝑻𝟏𝟏 −𝑻𝑻𝑻𝑻 𝑻𝑻𝟏𝟏 −𝑻𝑻𝑻𝑻 𝑻𝑻𝟐𝟐 𝑰𝑰 𝑰𝑰𝑰𝑰 𝑴𝑴𝒐𝒐�𝟏𝟏 −�𝟐𝟐 − 𝒆𝒆 �𝒆𝒆 �𝒆𝒆 Where I(IR) is the intensity of the spin-echo signal formed after the initial inversion pulse

(Fig 8.2), Mois the initial nuclear spin magnetisation that determines the transverse

magnetisation generated by IR spin-echo sequence, TR is the pulse sequence repetition time,

TE is the echo time (Fig 8.1), T1 is the spin-lattice relaxation time and T2 is the spin-spin relaxation time of water protons. It should be noted that the values of T1 and T2 would be extremely small in the presence of paramagnetic contrast agents.

It can easily be seen from the IR pulse sequence and Eq 8.11 that, the inverted magnetisation

recovers towards thermal equilibrium during TI period at a rate dictated by T1 value of the sample/tissue. The recovered magnetisation is proportional to the signal intensity in IR

270 imaging sequence (Fig 8.2). If a phantom containing several samples (each with different T1 values) is studied by this sequence, the sample with shortest T1 (recovers fastest) gives highest signal. Hence, the signal intensity in an IR pulse sequence decreases as T1 increases. The sample with shortest T1 gives brightest image and the sample with longest T1 gives weakest image. This sequence therefore produces T1-weighted images and can be used to test the performance of T1 contrast agents. Bruker FLASH imaging pulse sequence has been used in this research for the evaluation of the performance of T1 contrast agents. Extremely small TR value (5.6 ms) was used in this pulse sequence to obtain T1 contrast.

8.2.5. Acquisition of MR images

Standard Bruker operating procedure was used to acquire all the images. RF and gradient pulse calibrations were performed to set up the imaging system in the beginning of each series of imaging experiments. Probe tuning and shimming were performed before acquiring images from each phantom sample.

All Gd3+ metal complexes were produced by titrating with the herbal polysaccharides

discovered in this thesis (Chapters 6 and 7). Pure de-ionised water was used to prepare

solutions of paramagnetic metal complexes. Precision NMR tubes (5 mm x 7” L) were

purchased from Wilmad.

All MRI experiments were conducted on phantom samples specifically constructed for

imaging studies. Separate phantom was constructed for experiments with each paramagnetic

metal complex studied. Phantoms for the performance evaluation of T1 and T2 agents

consisted of three (3) 5 mm NMR tubes with four different concentrations. A brief procedure

for the construction of these phantoms is given below.

271 8.2.6. Construction of phantom for the evaluation of performance of T1 and T2 agents

A large glass tube with 3cm internal diameter and 10 cm long was used for this purpose.

This tube has been fitted with a foam lid with three equally spaced holes (spacer). A 25 mM solution of the desired Gd3+-complex was used to prepare three samples with three different

concentrations by dilution with deionised water. Concentrations used for each imaging

experiment was varied slightly and the exact values are given under each performance

evaluation MR images (Figs. 8.7 to 8.9)

These solutions with varying paramagnetic metal concentration were transferred into three clean 5 mm NMR tubes and these tubes were inserted into the large glass tube through the

holes of the foam lid. The holes in the foam lid on the large tube were equally spaced that

acted as a spacer to hold 5 mm sample tubes in position. A cross-section of the phantom with

three tubes for acquiring T1 and T2 contrast images is shown in Fig 8.3 below. The samples

were arranged in the phantom such that the concentrations decreased from tube-1 to tube-3 in

T1 contrast experiments (tube-1 being highest concentration). Whereas, the concentration of

samples increased from tube-1 to tube-3 in T2 contrast experiments (tube-3 being highest

concentration).

The phantom was inserted up-right into the vertical bore of the micro-imaging magnet system

for MRI studies.

272 2

3 1

Fig 8.3. Phantom for T1 and T2- weighted MR imaging. (Concentrations in the tube-1, tube-2 and tube-3 were suitably adjusted as discussed in section 8.1.4.5).

8.2.7.Inversion recovery spin-echo MRI experiments (T1 contrast images)

T1-weighted images have been acquired using standard inversion recovery spin-echo MRI pulse sequence. All images were transverse sections of the phantom object. In this experiment, the inversion recovery time (TI), echo time (TE) and the repetition time (TR) are

the parameters, which control the timing of the sequence.

TI was varied in the range of 50 to 80 ms and the TI value that gave optimum contrast

between the four concentrations was taken as the final TI. TR, which controls the repetition

time of the pulse sequence, was set according to the pre-determined spin-lattice relaxation

time T1 for the sample with lowest concentration within the phantom (section 8.3). The value

of TR was set to at least five times that of T1 value. Following imaging parameters were used

for T1-contrast experiments. TR was 1.0 s; TE was varied in the range of 9.6 to 20 ms

(generally a TE value in the range of 11-15 ms was found to be optimum for T1-contrast experiments; slice thickness was 1 mm; field of view parameter was set to 3.5 x 3.5 cm. Total acquisition time for each transverse section was about 9 - 12 minutes.

273 8.2.8. Spin-echo / CPMG pulse sequence based MRI experiments (T2 contrast images)

In these experiments, the echo time (TE) and the repetition time (TR) are the parameters,

which control the timing of the sequence. TE was determined from the range of T2 valuesof

the paramagnetic complex with different concentrations. TR, which controls the repetition

time of the pulse sequence, was set according to the pre-determined spin-lattice relaxation

time T1 for the sample with lowest concentration within the phantom (section 5.3). The value of TR was set to at least five times T1 value of the sample with lowest concentration in the

phantom. Following imaging parameters were used for T2-contrast experiments: TR was 1.0 s; TE was in the range of 9.6 to 20 ms; slice thickness was 1 mm; field of view parameter was set to 3.5 x 3.5 cm. Total acquisition time for each transverse section was about 9 - 12 minutes.

8.3. Results and Discussion

In this section, the results of experimentally determined relaxation parameters (T1 and T2), as

a function of the concentration of Gd-herbal polysaccharide complexes, are presented for

each of the three herbal polysaccharides used for MRI studies (and also for one of the

Dextran standard studied for comparison purposes). The relevant relaxivities (r1 and r2) have also have calculated by graphical method for each of the Gd-herbal polysaccharide complex studied and these results are presented in section 8.3.1 below. The MRI performance evaluation results are presented in section 8.3.2.

8.3.1. NMR relaxivity Results

T1 and T2 relaxation parameters of water protons were measured at various concentrations of

the Gd3+ complexes of three herbal polysaccharides discovered in this research and also for

274 the Gd3+ complexes of Dextran (a polysaccharide standard). These results are presented and

discussed in this section.

8.3.1.1. Results on T1 agents

Relaxation measurements of water protons at different concentrations of complexes were performed for [Gd-Dextran-10] and [Gd-LCP-2] and the results are presented below (Tables

8.1 and 8.2). From the measured relaxation parameters (T1 and T2), relaxation rates (R1 =

1/T1 and R2 = 1/T2) have been computed for these complexes (Tables 8.1 and 8.2). The plots

(Figures 8.4 and 8.5) of relaxation rates as a function of concentration yielded relaxivities of individual complexes (gradient of the plots gives relaxivities r1 and r2). Longitudinal (r1) and

transverse (r2) relaxivity values determined for individual complexes are also presented in

Tables 8.1 and 8.2. It should be noted that the magnitude of ratio of relaxivities (r2/r1)

classifies paramagnetic contrast agents into T1 or T2 agents (Caravan et al, 1999). T1 agents, that produce bright contrast, usually have r2/r1 ratio of 1-2 and the T2 agents, that produce

dark contrast, have an extremely large r2/r1 ratio of about 8 or more (Caravan et al, 1999).

8.3.1.2. Relaxation values of [Gd-Dextan-10] at different concentrations

The results present in Table 8.1 and Figure 8.4 clearly demonstrate that the [Gd-Dextan-10]

complex is T1 agent. Indeed, the MRI r esults present in section 8.3.2.2 prove that this agent

performs as a bright contrast agent. It should be noted that we have tested t he relaxivities of

four Dextran samples in the molecular weight range of 10 to 2000 kDa .All of them showed results consistent with T1 agents (Table 8.4). Iit s surprising tot note tha , even the Dextran

with the largest mass formed T1 agent. Results presented in table 8.4 indicate that protein

standard BSA with 66.5 kDa formed a T2 agent. This is an interesting result in the sense that

the biopolymers (polysaccharides and proteins) studied in this research behaved differently as

far as the type of MRI agents are concerned. Table 8.4 also highlights that low molecular

275 weight proteins are T1 agents whereas the high molecular weight proteins/peptides form T2

agents (~ 10 kDa or more). However, the Dextrans formed T1 agents independent of

molecular mass (Table 8.4). This may be due to the fact that the Dextrans studied in this

research are linear α-glucans. It will be interesting / necessary to study the MRI contrast

behaviour of the Gd-complexes with branched polysaccharides and also those with

conformational structures.

8.3.1.3. Relaxation values of [Gd-LCP-2] at different concentrations

The results present in Table 8.2 and Fig. 8.5 clearly demonstrate that the [Gd-LCP-2] complex is T1 agent. Indeed, the MRI results presented in section 8.3.2.2 prove that this agent performs as a bright contrast agent. This observation is consistent with the results presented

in Table 8.4. LCP-2 is low molecular weight linear β-fructan (5.3 kDa). As expected low

molecular weight polysaccharides form T1 agents (Table 8.4).

276 Table 8.1. Relaxation data for Gd3+ complex with Dextan-10 which is a standard α-glucan (Average molecular mass =10 kDa)

Concentration of -1 -1 -1 -1 Gd-D10 T1 (ms) T2 (ms) R1 (1/T1 s ) R2 (1/T2 s ) r1 (mM s ) r2 (mM s ) r2/r1 complex(mM) 1.15 111 ± 0.05 86.1 ± 2.6 9.01 11.61 1.2 1.63 79.7 ± 0.08 62.8 ± 2.2 12.55 15.92 7.45 8.95 (T1 agent) 2.88 45.7 ± 0.04 36.9 ± 1.8 21.88 27.1

Dextran-10kDa A Dextran-10kDa B 30.00 30.00 y = 8.9494x + 1.3283

) ) 1 20.00 y = 7.4463x + 0.4305 2 20.00 (1/T (1/T

1 10.00 2 R 10.00 R

0.00 0.00 0 1 2 3 4 0 1 2 3 4 Concentration (mM) Concentration (mM)

Fig. 8.4. Relaxivity graphs plotted against concentration: (A) T1 relaxivity, and (B) T2 relaxivity (Results confirm that this is a T1 agent with r2/r1=1.2)

277 Table 8.2. Relaxation data for Gd3+ complex with LCP-2 which is a β-D-(2→1)-fructan discovered in this research (Chapter 6)

Concentration of T (ms) T (ms) R (1/T s-1) R (1/T s-1) r (mM s-1) r (mM s-1) r /r Gd-LCP-2 complex(mM) 1 2 1 1 2 2 1 2 2 1 1.8 112 ± 0.2 92.5 ± 3.9 8.93 10.81 2.6 72.3 ± 0.2 58.2 ± 1.8 13.83 17.18 1.17 4.66 5.44 3.57 55.5 ± 0.2 45.2 ± 2.5 18.02 22.12 (T1 agent) 6.82 30.5 ± 0.01 25.7 ± 1.1 32.79 38.91

LCP-2 A LCP-2 B 35.00 50.00 y = 4.6638x + 1.1467 30.00 40.00 y = 5.4427x + 2.1326

) 25.00 ) 1 20.00 2 30.00 (1/T (1/T

1 15.00 2 20.00 R 10.00 R 5.00 10.00 0.00 0.00 0 2 4 6 8 0 2 4 6 8 Concentration (mM) Concentration (mM)

Fig. 8.5. Relaxivity graphs plotted against concentration: (A) T1 relaxivity, and (B) T2 relaxivity (Results confirm that this is a T1 agent with r2/r1=1.17)

278 8.3.1.4. Relaxation values of [Gd-AAP-1] at different concentrations

Relaxation measurements of water protons at different concentrations of complex [Gd-AAP-

1] were performed and the results are presented below (Table 8.3). From the measured

relaxation parameters (T1 and T2), relaxation rates (R1 = 1/T1 and R2 = 1/T2) have been

computed (Table 8.3). The plots (Figure 8.6) of relaxation rates as a function of

concentration yielded relaxivities of [Gd-AAP-1] (gradient of the plots gives relaxivities r1

and r2). Longitudinal (r1) and transverse (r2) relaxivity values determined for [Gd-AAP-1]

complex are also presented in Table 8.3.

The r2/r1 ratio for this Gd-complex with AAP-1 (1685 kDa) was 9.66 indicating that this

herbal polysaccharide (AAP-1) forms a T2 agent with Gd(III). However, it should be noted

that even the high molecular weight Dextran (2000 kDa) formed a T1 agent (Table 8.4). As

can be seen from the results present in Table 8.4 for Dextran standards, the complex formed

by AAP-1 (1685 kDa) is expected to be a T1 agent if it is a pure polysaccharide without any

protein conjugation. The results presented in Chapter 7 indicated that AAP-1 is a

polysaccharo-protein (with about 20 % protein). These results suggest that protein plays an

important role in determining the agent type with biomacromolecular ligands

(polysaccharides and proteins). This leads to the conclusion that pure polysaccharides with no

protein conjugation form T1 agents independent of molecular weight (Table 8.4). However, in

the case of polysaccharo-proteins or pure proteins as ligands lead to the formation of T2

agents at high molecular mass (~ 10 kDa or more). The change from T1 to T2 agents occurred at a molecular mass of about 10 kDa for pure proteins (Table 8.4). These are extremely important results observed with macromolecular complexes with Gd 3+.

279 Table 8.3. Relaxation data for Gd3+ complex with AAP-1 which is a complex polysaccharide (containing arabinose, galactose and glucose units) discovered in this research (Chapter 7) Concentration of -1 -1 -1 -1 AAP-1 complex T1 (ms) T2 (ms) R1 (1/T1 s ) R2 (1/T2 s ) r1 (mM s ) r2 (mM s ) r2/r1 (mM) 0.14 425 ± 3.2 54.5 ± 1.0 2.35 18.35 0.3 222 ± 1.2 27.7 ± 0.9 4.5 36.1 9.66 12.71 122.84 0.9 72 ± 0.03 8.45 ± 0.35 13.89 118.34 (T2 agent) 2.5 30.8 ± 0.06 3.25 ± 0.11 32.47 307.69

B AAP-1 A AAP-1 35 350 y = 12.711x + 1.1004 y = 122.84x + 2.1956 30 300

25 250 ) ) 2 1 20 200 (1/T (1/T

2 1 15 150 R R 10 100 5 50 0 0 0 0.5 1 1.5 2 2.5 3 0 0.5 1 1.5 2 2.5 3 Concentration (mM) Concentration (mM)

Fig. 8.6. Relaxivity graphs plotted against concentration: (A) T1 relaxivity, and (B) T2 relaxivity (Results confirm that this is a T2 agent with r2/r1=9.66)

280 To the best of our knowledge, there are no reports in the literature demonstrating a systematic

switch occurring from T1 to T2 type agents when the biomolecular mass is increased. In this

study, we observed this switch to occur for peptides at about 10 kDa in the case of pure

protein/peptide based contrast agents. However, the exact molecular weight required for such

a switch could not be determined for polysaccharo-proteins due to non-availability of such

samples with different molecular masses. Polysaccharo-proteins with all the available

molecular masses were tested (Table 8.4). Such a switch has been observed at about 46 kDa

in the case of polysaccharo-protein isolated in Authors’ laboratory (Table 8.4). However,

further research is required to determine exact molecular mass at which the switchoccurs.

It should be noted that, very few Gd-complexes of T2 type exist in the literature (Botta,

2000). A few macrocyclic ligands have been designed by previous authors’ in our research group (Chalmers, 2014).

281 Table 8.4. Classification of type of Gd (III) based MRI contrast agents formed with bio-macromolecules with different molecular masses studied in Authors’ Laboratory (unpublished data)

Biopolymer Type of agents Dextran-10 (10 kDa) T1 agent Dextran-40 (40 kDa) T1 agent Polysaccharide standards Dextran-70 (70 kDa) T1 agent Dextran-2000 (2000 kDa) T1 agent

* Polysaccharides LCP-2 (5.3 kDa) T1 agent * AAP-2 (445 kDa) T2 agent * Bioactive polysaccharo-proteins from AAP-1 (1658 kDa) T2 agent # Authors' laboratory YLP-3 (4 kDa) T1 agent # BLP-5 (46 kDa) T2 agent # WLP-1 (1162 kDa) T2 agent

Protein standard BSA (66.5 kDa) T2 agent

** Protein/peptides Fl-4h (< 2kDa) T1 agent Bioactive peptides from Authors' ** Fl-2h (< 10kDa) T2agent laboratory ** Pep-3h (< 10kDa) T2 agent *Details of bioactive polysaccharide LCP-2, AAP-1 and AAP-2 are presented in Chapter 6 and Chapter 7 of this Thesis.

# Thambiraj, S. (2017), “Biological activities and Structural characterisation of Three Australia Sweet Lupin Species”, PhD Thesis, Submitted to Western Sydney University.

** Kamran, F. (2017), “Enzymatic hydrolysis of Lupin protein: Isolation and characterisation of bioactive peptides”, PhD Thesis, Submitted to Western Sydney University.

282 8.3.2. MRI Results

In this section, the results of MRI experiments designed to evaluate the performances of

paramagnetic contrast agents prepared by complexing herbal polysaccharides with Gd3+ ions

are presented (and also with one of the Dextran standard studied for comparison purposes).

Measured relaxivities of these paramagnetic contrast agents (section 8.3.1) have been used to

devise and implement suitable MRI protocols to test their efficacy as contrast agents.

Experimentally determined relaxivities (section 8.3.1) have also assisted in the explanation of

the observed MRI contrast efficiencies of these agents developed in this research.

8.3.2.1. Performance evaluation of T1 contrast agents

Gd3+ complexes with low molecular weight herbal polysaccharides and the Gd3+ complex

with Dextran standard were found to be T1 agents (section 8.3.1). Results on T1 contrast performances of these agents are presented and discussed in this sub-section.

8.3.2.2. MRI performance evaluation of T1 agents

3+ Two Gd complexes formed with [Gd-Dextan-10] and [Gd-LCP-2] have been found to be T1 agent in this research. As can be seen from the relaxivity studies (section 8.3.1.1), both these

Gd3+ complexes formed by a low molecular weight polysaccharide LCP-2 (5.3 kDa) and

medium molecular weight Dextran standard (10 kDa) formed T1 agents (Table 8.4). These

two complexes have been studied to evaluate their efficacies as T1 contrast agents and the

results are presented in this section below.

8.3.2.2.1. Evaluation of MRI performance of [Gd-Dextran-10] complex: T1 agent

Results presented in Figure 8.7 indicated that [Gd-Dextran-10] complex is a T1 agent.

Clearly, the sample with highest concentration gave brightest image (Tube 1 in the image).

The sample with lowest concentration gave darkest image (Tube 3 in the image). Hence, this

283 complex showed a bright contrast in MR image (Fig. 8.7), consistent with the results

expected for a T1 agents.

Fig. 8.7. T1-weighted images from the phantom made with [Gd-Dextran-10] samples with three different concentrations (using Bruker FLASH pulse sequence). The concentrations used were: Tube-1) 2.88 mM, Tube-2) 1.63 mM and Tube-3) 1.15 mM. The imaging parameters employed were: TE=1.8 ms, TR=5.6 ms.

8.3.2.2.2. Evaluation of MRI performance of [Gd-LCP-2] complex: T1 agent

Results presented in Figure 8.8 indicated that [Gd-LCP-2] complexT is a 1 agent. Clearly, the sample with highest concentration gave brightest image (Tube 1 in the image). The sample

with lowest concentration gave darkest image (Tube 3 in the image). Hence, this complex

showed a bright contrast in MR image (Fig. 8.8), consistent with the results expected for a T1 agent.

284 Fig. 8.8. T1-weighted images from the phantom made with [Gd-LCP-2] samples with three different concentrations (using Bruker FLASH pulse sequence). Theconcentrations used were: Tube-1) 3.57 mM, Tube-2) 2.6 mM and Tube-3) 1.8 mM. The imaging parameters employed were: TE=1.9 ms, TR=5.6 ms.

8.3.2.3. Performance evaluation of T2 contrast agents

Gd3+ complex with one of the high molecular weight herbal polysaccharide was found to be a

T2 agent in this research (section 8.3.1). Results on T2 contrast performance of this agent are

presented and discussed in this sub-section.

8.3.2.4. MRI performance evaluation of T2 agent

Only one Gd3+ complex formed with [Gd-AAP-1] has been studied in this research as this

was the only herbal polysaccharide that had T2 type behaviour (Table 8.3). As can be seen

from the relaxivity s tudies (Table 8.3), this polysaccharo-protein hadr2/r1 ratio of about 9.66

indicating that this is a T2 agent.

285 8.3.2.4.1. Evaluation of MRI performance of [Gd-AAP-1] complex: T2 agent

Results present in Fig. 8.9 indicate that [Gd-AAP-1] complex showed MRI performance

consistent with that of a T2 agent. Clearly, the sample with lowest concentration gave

brightest image (Tube 1 in the image). The sample with highest concentration gave darkest

image (Tube 3 in the image). Hence, this complex showed a dark contrast in MR image (Fig.

8.9), and this is consistent with the results expected for a T2 agent.

Fig. 8.9. T2-weighted image from the phantom made with [Gd-AAP-1] samples with three different concentrations (using Bruker CPMG pulse sequence). The concentrations used were: Tube-1) 0.3 mM, Tube-2) 0.9 mM and Tube-3) 2.5 mM. The imaging parameters employed were: TE=18 ms, TR=3 s.

8.4. Conclusion

In this chapter, relaxation behaviour of three herbal polysaccharide based Gd complexes and

their MRI performances have been evaluated. Relaxation results on several other

286 macromolecular-Gd complexes (both polysaccharides and peptides) have also been presented in this Chapter for a more detailed understanding of macromolecular-Gd complexes (Table

8.4). The results presented in Table 8.4 are the unpublished data from other co-workers in authors’ laboratory. However, it should be noted that only three of the complexes listed in

Table 8.4 are from this thesis, which are, ([Gd-Dextan-10], [Gd-LCP-2] and [Gd-AAP-1]).

Results presented in this Chapter clearly demonstrate that the Gd-macromolecular complexes formed by polysaccharo-proteins display T2 behaviour at higher molecular weight (about 46 kDa or more). However, the Gd-macromolecular complexes formed by linear polysaccharides displayed only T1 behaviour at low as well as high molecular weights (even

at 2000 kDa). This is a very interesting result and needs further investigations in order to

develop a clear understanding of such behaviour which is expected to depend on molecular

mass as well as protein content. This behaviour may partially be explained by rotational

dynamics of these macromolecular complexes. Proteins are well-structured molecules and the complexes of Gd(III) formed with such ligands are expected to form rigid structures and hence display slow tumbling.

287 8.5. References

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288 Chalmers, G. (2014). “Design and evaluation of novel Gd(III) complexes as MRI contrast agents”. PhD thesis, submitted to Western Sydney Unversity.

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291 Chapter Nine

Conclusions and Future Work 9. Conclusion and Future Research Possibilities

Systematic studies involving pharmacological activities and establishing structure – function relationships of bioactive consituents derived from herbal medicine are only emerging in recent years. Traditional medicine therefore has great future potential for the discovery of new and effective medications not only to treat cancer but also other life-threatening ailments.

The main objectives of this thesis were to discover potent immuno-therapeutic and anticancer polysaccharides, with minimal side effects. In order to fulfil these objectives, the crude polysaccharides from sixteen carefully chosen traditional anticancer Chinese medicinal herbs have been screened for their antioxidant, immunomodulatory and anticancer properties.

Quantification of bioactive components (total sugar, and protein contents) has also been carried out in order to establish a relationship between the crude polysaccharides and bioactive properties of these sixteen herbal polysaccharides. Many polysaccharides that have been studied in this thesis displayed significant antioxidant, immunomodulatory, and anti- cancer properties (Chapter 3). Crude polysaccharides from three of these herbs performed extremely well in terms of their immunomodulatory and anticancer properties (Chapter 3).

These herbs are: A. annua, L. chinensis, and A. rugosum which have been selected for turther detailed study.

In order to obtain a comprehensive picture of the activities of all hot water extractable constituents from the sixteen selected herbs, ethanol soluble organics have been isolated and screening for their antioxidant, anti-inflammatory and anticancer activities (Chapter 4). This result together with the results of polysaccharides (Chapter 3) lead to the conclusion that the crude polysacchairdes from A. annua, L. chinensis, and A. rugosum are the best candidates for further purification and detailed study.

292 The detail results of these three herbal polysaccharides are presented in Chapter 5 to 7. From the results presented in Chapter 5, two novel immunostimulatory polysaccharides (ARP-1

and ARP-2) having β-D-(1→3)-glucan backbone with β-D-(1→6) branched structures have

been identified for the first time in the literature from A. rugosum which is the well-known

traditional anticancer medicinal mushroom. These results suggest the potential of A. rugosum

polysaccharides as natural immuno-enhancing agents. Findings of this chapter together with

the anticancer properties of crude polysaccharides from A. rugosum (Chapter 3) strongly demonstrate the potential of ARPs to be used in anticancer formulations. It will be interesting to determine anticancer activities of these two A. rugosum polysaccharides (ARP-1 and ARP-

2). Another interesting future direction of A. rugosum polysaccharides is to undertake animal and human studies to assess their immuno-therapeutic efficacies. These are the subjects of future studies. Such future research is expected to provide cues to design effective immuno- therepurtic and anti-cancer formulations.

Results presented in Chapter 6 leads to the conclusion that, two pure immunostimulatory

polysaccharides were identified from L. chinensis (LCP-1 and LCP-2). Detailed structural studies on one of these immunostimulatory polysaccharides (LCP-2) showed a β-D-(2→1)-

fructofuranoside structure. A plausible mechanism of action of this β-fructan has also been proposed in Chapter 6. LCP-2 has displayed extremely high immunostimulatory activity and was less toxic demonstrating that it is a highly potent immuno-therapeutic agent. These

results suggest that the L. chinensis polysaccharides are most likely candidates to be used as

natural immuno-enhancing agents. Findings of this chapter together with the anticancer

properties reported in Chapter 3 strongly demonstrate the potential of L. chinensis

polysaccharides to be used in anticancer formulations. It will be interesting to determine anticancer activities of L. chinensis polysaccharides (LCP-2). Another interesting future

293 direction of L. chinensis polysaccharides is to undertake animal and human studies to assess their immuno-therapurtic effecacies. These are the subjects of future studies. Such future

research is expected to provide cues to design effective immuno-therepurtic and anti-cancer formulations.

Results presented in Chapter 7 lead to the conclusion that, three pure immunostimulatory

polysaccharides were identified from A. annua (AAP-1, AAP-2 and AAP-3). Structural

studies on one of these immunostimulatory polysaccharides (AAP-3) showed that it is

possibly a β-D-(2→1)-fructofuranoside. A plausible mechanism of action of this β-fructan

has been provided in Chapter 7. AAP-1 and AAP-3 have displayed extremely high

immunostimulatory activity and were less toxic demonstrating that they are highly potent

immuno-therapeutic agents. These results suggest that the A. annua polysaccharides are most

likely candidates to be used as natural immuno-enhancing agents. Findings of this chapter

together with the anticancer properties reported in Chapter 3 strongly demonstrate the

potential of A. annua polysaccharides to be used in anticancer formulations. It will be

interesting to determine anticancer activities of A. annua polysaccharides (AAP-1, AAP-2

and AAP-3). Another interesting future direction of A. annua polysaccharides is to undertake

animal and human studies to assess their immuno-therapeutic efficacies. These are the

subjects of future studies. Such future investigations are expected to provide cues to design

effective immuno-therepurtic and anti-cancer formulations.

Overall, the reseach carried out as part of this PhD thesis has led to the discovery of eight

potent immuno-therepuritic agents for the first time from three important anticancer TCM

herbs (A. annua, L. chinensis and A. rugosum).

294 Results presented in Chapter 8 clearly demonstrated that the Gd-macromolecular complexes formed by polysaccharo-proteins display T2 behaviour at higher molecular weight (at about

46 kDa or more) (Table 8.4). However, the Gd-macromolecular complexes formed by linear

polysaccharides displayed T1 behaviour at low as well as high molecular weights (even at

2000 kDa) (Table 8.4). This is a very interesting result and needs further investigations in

order to describe such behaviour. This behaviour may partially be explained by rotational

dynamics of these macromolecular complexes. Proteins are well-structured molecules and

complexes formed with such ligands are expected to form rigid structures with least internal mortion and hence display slow tumbling. Further research in this area is required in order to make firm conclusions.

295