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The deleterious effect of p-cresol on human colonic epithelial cells is prevented by proanthocyanidin-containing polyphenol extracts from fruits and proanthocyanidin bacterial metabolites Ximena Wong, Catalina Carrasco-Pozo, Elizabeth Escobar, Paola Navarrete, François Blachier, Mireille Andriamihaja, Annaïg Lan, Daniel Tomé, Maria Jose Cires, Edgar Pastene, and Martin Gotteland J. Agric. Food Chem., Just Accepted Manuscript • DOI: 10.1021/acs.jafc.6b00656 • Publication Date (Web): 04 Apr 2016 Downloaded from http://pubs.acs.org on April 4, 2016
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Journal of Agricultural and Food Chemistry
The deleterious effect of p-cresol on human colonic epithelial cells is prevented by proanthocyanidin-containing polyphenol extracts from fruits and proanthocyanidin bacterial metabolites
Ximena Wong1, Catalina Carrasco-Pozo1, Elizabeth Escobar1, Paola Navarrete2, Franςois Blachier3, Mireille Andriamihaja3, Annaig Lan3, Daniel Tomé3, Maria Jose Cires1, Edgar Pastene4, Martin Gotteland1, 2 *
1
Department of Nutrition, Faculty of Medicine, University of Chile, Independencia 1027, Independencia, Santiago, Chile. 2
Institute of Nutrition and Food Technology (INTA), University of Chile, Santiago, Chile.
3
INRA/AGROPARISTECH, UMR 914 Nutrition Physiology and Ingestive Behavior, Paris, France 4
Laboratory of Pharmacognosy, Faculty of Pharmacy, University of Concepción, Concepción, Chile
*Corresponding author: Phone: 56-2-29786977. E-mail:
[email protected] 1 ACS Paragon Plus Environment
Journal of Agricultural and Food Chemistry
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Abstract
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The protective effect of proanthocyanidin-containing polyphenol extracts from apple,
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avocado, cranberry or grape, or proanthocyanidin microbial metabolites was evaluated in
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colonic epithelial cells exposed to p-cresol, a deleterious compound produced by the
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colonic microbiota from L-tyrosine. In HT29 Glc-/+ cells, p-cresol significantly increased LDH
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leakage and decreased ATP contents while in Caco-2 cell monolayers it significantly
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decreased the transepithelial electrical resistance and increased the paracellular transport
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of FITC-dextran. The alterations induced by p-cresol in HT29 Glc-/+ cells were prevented by
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the extracts from cranberry and avocado while they were worsened by those from apple
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and grape. The proanthocyanidin bacterial metabolites decreased LDH leakage,
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ameliorating cell viability without improving intracellular ATP. All the polyphenol extracts
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and proanthocyanidin bacterial metabolites prevented the p-cresol-induced alterations of
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barrier function. These results suggest that PAC-containing polyphenol extracts and
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proanthocyanidin metabolites likely contribute to the protection of the colonic mucosa
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against the deleterious effects of p-cresol.
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Keywords: p-cresol, mitochondria, proanthocyanidins, colonic cells, microbiota, avocado,
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apple, cranberry, grapes, gut barrier function
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Journal of Agricultural and Food Chemistry
Introduction
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Polyphenols are secondary metabolites including phenolic acids and flavonoid compounds
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(flavanols, flavonols and anthocyanins) that are implicated in the protection of plants
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against depredators, infection and diverse type of stress. Due to their chemical structure,
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polyphenols exhibit a great number of health-promoting properties such as antioxidant,
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antibacterial, anti-inflammatory, anti-hypertensive, anti-proliferative, regulatory of the
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mitochondrial function, etc.1 For this reason, polyphenols are considered as beneficial
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dietary non-nutrients whose intake, under the form of fruits and vegetables, is
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recommended to decrease the risk of chronic non-communicable diseases in the
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population. Among dietary polyphenols, proanthocyanidins (PACs), also known as
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condensed tannins, are oligomeric forms of flavan-3-ols abundant in plant-derived
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foodstuffs such as red wine, green tea, grape seed and skin, cocoa, avocados, cranberries,
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peanut cuticle, cinnamons and apples.2, 3 In the U.S. population, they are the second most
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abundant phenolic compounds in the diet after lignin, being the estimated PAC daily
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intake of 224 mg, approximately.2, 3 Dietary PACs with a degree of polymerization higher
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than 3 are in general poorly absorbed in the intestine, thus reaching the colon where they
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are metabolized by the colonic microbiota.4-7 Studies in humans and animals consuming
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cocoa, red wine, apple or green tea have shown that the PACs present in these foodstuffs
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stimulate the growth of bacterial populations from the autochthonous microbiota in the
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colon, including C. histolyticum, E. rectale Lactobacillus and Bifidobacterium spp.8-13 It is
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therefore possible that this prebiotic-like effect explains some of their health promoting
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properties. The bacterial metabolism of dietary PACs generates aromatic acids such as 3-
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hydroxyphenyl acetic acid (3-HPAA), 4-hydroxyphenyl valeric acid (4-HPVA), 4-
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hydroxyphenyl acetic acid (4-HPAA), 3,4-dihydroxyphenyl propionic acid (3,4-DHPPA), 3-
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(3-hydroxyphenyl) propionic acid (3-HPPA) and 3-phenylpropionic acid (3-PPA) that may
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be detected in high concentrations in stools or fecal water of healthy subjects.6, 8, 13, 14
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These compounds may be absorbed in the colon and, eventually, they may be detected in
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the bloodstream at micromolar concentrations (2-50µM) and exert systemic activities. For
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example, 3,3-DHPPA has been shown to act as a potent vasodilator in rats while 3,4-
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DHPPA exhibit cytotoxic and anti-inflammatory properties.15-17
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On the other hand, the colonic microbiota also expresses proteases and peptidases
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capable of partially degrading dietary and endogenous proteins that remain in the small
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intestine and reach the colon. The phenylalanine, tyrosine and tryptophan released
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through this process are subsequently fermented, resulting in the formation of phenolic
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metabolites including p-cresol (4-methylphenol).18,
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produced from L-tyrosine by the anaerobic bacteria, a process which occurs preferentially
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in the distal colon where protein breakdown is more intense and then, the concentrations
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of p-cresol more elevated.20 p-cresol is absorbed by the epithelial colonic cells, transferred
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into the bloodstream, metabolized in the liver and excreted in the urine where it
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represents more than 90% of the phenolic compounds recovered.21 Interestingly, higher
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urinary concentrations of p-cresol have been described in patients with colorectal
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cancer.22 In this respect, we recently showed that p-cresol negatively affects human
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colonic epithelial cells (HT-29 Glc-/+) in vitro, inhibiting their proliferation and respiration,
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decreasing their ATP content and increasing DNA damage.23 Additionally, p-cresol is also
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This compound is specifically
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recognized as a uremic toxin and in patients with chronic kidney disease its accumulation
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or that of its conjugate, p-cresyl-sulphate, contributes to the development of renal and
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cardiovascular complications.24-26 It is noteworthy that the intracolonic concentrations of
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p-cresol and, eventually, its subsequent deleterious effects in the epithelium increased in
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individuals consuming high protein diets27 while they decreased in those consuming diets
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rich in resistant starch or pre- and probiotics.28, 29 Interestingly, a decrease of p-cresol has
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also been reported in the colon of rats fed a diet supplemented with epigallocatechin
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gallate (EGCG), the main phenolic compound present in green tea.30
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In this context, the aim of the present study was to determine whether polyphenol
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extracts containing PACs from apple, cranberry, grape and avocado, or PAC microbial
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metabolites may protect colonic epithelial cells from the deleterious effects of p-cresol in
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human colonic cell lines in terms of cell viability, mitochondrial function and epithelial
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integrity.
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Materials and methods •
Chemicals
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CytoTox-ONE Homogeneous Membrane Integrity Assay kits and CellTiter-Glo luminescent
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cell viability assay kits were from Promega (Madison, USA). Flavonol glycosides quercetin
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3-O-galactoside (hyperoside), quercetin 3-O-glucoside (isoquercitrin) and quercetin 3-O-
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rhamnoside (quercitrin) were from Roth (Karlsruhe, Germany). 5-caffeoyl quinic acid and
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4-caffeoyl quinic acid were obtained from Phytolab (Vestenbergsgreuth, Germany). All
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solvents (HPLC-grade acetonitrile, methanol and TFA) were purchased from Merck
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(Darmstadt,
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dihydroxyphenyl propionic acid (3,4-DHPPA), 3-phenylpropionic acid (3-PPA), fluorescein
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isothiocyanate-dextran (FD-4), rhodamine 123 quercetin, rutin, apigenin, kaempferol,
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myricetin, isorhamnetin, epicatechin, catechin, epicatechin gallate, catechin gallate,
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phloretin-2´-xyloglucoside, phloretin-2´-glucoside (phloridzin), cyanidin-3-O-glucoside,
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cyanidin-O-arabinoside, peonidin-O-arabinoside, gallic acid, syringic acid, vanillic acid,
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chlorogenic acid, caffeic acid, ellagic acid, sinapic acid, ferulic acid, anisic acid, p-coumaric
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acid, cinnamic acid, protocatechuic acid, p-hydroxybenzoic acid, m-hydroxybenzoic acid,
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caffeoyl glucoside, feruloyl glucoside, coumaroyl glucoside and the Folin-Ciocalteu reagent
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were purchased from Sigma-Aldrich (St. Louis, MO, USA).
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•
Germany).
p-cresol,
4-hydroxyphenylacetic
acid
(4-HPAA),
3,4-
Preparation of the polyphenol extracts from fruits
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The polyphenol extracts from cranberry, avocado, grape and apple were prepared from
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concentrated cranberry juice (Agricola Cran Chile Ltda., Lanco, Chile), grape skin and seeds
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(Cabernet Sauvignon variety, De Neira Vinyard, Guarilihue, Chile), apple peels (Granny
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Smith variety, Surfrut Ltda, Chile) and avocado peels (Hass variety, purchased in local
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market), respectively.31 500g of frozen samples (−20 °C) of grape, apple and avocado peels
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were mixed with hot water (5 min, 90 °C) and filtered on a sintered glass funnel (70-100
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μm). Marcs were homogenized for one min with an Ultraturrax and extracted again with
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water at 65 °C. After 60 min of maceration, the pH of the pooled extracts was adjusted to
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2.5 with formic acid and these were poured on a glass column (150 mm i.d. x 300 mm)
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packed with Sepabeads SP-850 (Supelco, Bellefonte, USA) pre-conditioned with acidic 6 ACS Paragon Plus Environment
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water. Sugars and other water soluble compounds were removed by washing with 5L of
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distilled water and the polyphenol extracts were obtained after elution with absolute
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ethanol26. Cranberry extract was obtained from concentrated juice (500mL) by five-fold
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dilution with acidic water (pH 2.5) and adsorption on Amberlite XAD7HP column. The
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ethanolic fractions were evaporated under vacuum (