Evidence-Based Complementary and Alternative Medicine
Volume 2019 (2019), Article ID 1730452, 14 pages
https://doi.org/10.1155/2019/1730452

Research Article

Antitrypanosomal Effects of Zanthoxylum zanthoxyloides (Lam.) Zepern. & Timler Extracts on African Trypanosomes

Aboagye Kwarteng Dofuor,1,2 Georgina Isabella Djameh,³ Frederick Ayertey,⁴ Peter Bolah,⁴ Michael Amoa-Bosompem,³ Kwaku Kyeremeh,⁵ Laud Kenneth Okine,1,2 Theresa Manful Gwira,1,2 and Mitsuko Ohashi3,6

¹West African Center for Cell Biology of Infectious Pathogens, University of Ghana, Legon, Ghana
²Department of Biochemistry, Cell and Molecular Biology, University of Ghana, Legon, Ghana
³Department of Parasitology, Noguchi Memorial Institute for Medical Research, University of Ghana, Legon, Ghana
⁴Center for Plant Medicine Research, Mampong-Akuapem, Ghana
⁵Department of Chemistry, University of Ghana, Legon, Ghana
⁶Department of Environmental Parasitology, Tokyo Medical and Dental University, Tokyo, Japan

Correspondence should be addressed to Theresa Manful Gwira; tmanful@ug.edu.gh and Mitsuko Ohashi; mitsukoohashi0605@gmail.com

Received 5 April 2019; Accepted 15 June 2019; Published 4 July 2019

Academic Editor: Filippo Maggi

Copyright © 2019 Aboagye Kwarteng Dofuor et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract.

African trypanosomiasis is a disease caused by the parasitic protozoa of the Trypanosoma genus. Despite several efforts at chemotherapeutic interventions, the disease poses serious health and economic concerns to humans and livestock of many sub-Saharan African countries. Zanthoxylum zanthoxyloides (Lam.) Zepern. & Timler (Z. zanthoxyloides LZT) is a plant species of important phytochemical and pharmacological relevance in the subtropical zones of the African continent. However, the mechanisms of its antitrypanosomal effects in African trypanosomes remain to be elucidated. The aim of the study was to determine the in vitro effects and mechanisms of action of Z. zanthoxyloides LZT (root) fractions against Trypanosoma brucei. T. brucei (GUTat 3.1 strain), L. donovani (D10 strain), P. falciparum (3D 7 strain), Jurkat cells, and Chang liver cells were cultivated in vitro to the log phase in their respective media at 37°C. Crude extracts and fractions were prepared from air-dried pulverized plant material of Z. zanthoxyloides LZT (root) using the modified Kupchan method of solvent partitioning. Half-maximal inhibitory concentrations () were determined through the alamar blue cell viability assay. Effects of fractions on cell death and cell cycle of T. brucei were determined using flow cytometry. Fluorescence microscopy was used to investigate the effects of fractions on the morphology and distribution of T. brucei. Antitrypanosomal compounds of fractions were characterized using high-performance liquid chromatography (HPLC) and attenuated total reflectance infrared (ATR-IR) spectroscopy. Methanol, butanol, and dichloromethane fractions were selectively active against T. brucei with respective values of 3.89, 4.02, and 5.70 μg/ml. Moreover, methanol, butanol, and dichloromethane fractions significantly induced apoptosis-like cell death with remarkable alteration in the cell cycle of T. brucei. Furthermore, dichloromethane and methanol fractions altered the morphology, induced aggregation, and altered the ratio of nuclei to kinetoplasts in the parasite. The HPLC chromatograms and ATR-IR spectra of the active fractions suggested the presence of aromatic hydrocarbons with hydroxyl, carbonyl, amine, or amide functional groups. The results suggest that Z. zanthoxyloides LZT have potential chemotherapeutic effects on African trypanosomes with implications for novel therapeutic interventions in African trypanosomiasis.

1. Introduction

African trypanosomiasis (AT) is a tsetse-transmitted disease of humans and livestock caused by the parasitic protozoan genus Trypanosoma. Human African trypanosomiasis (HAT) and animal African trypanosomiasis (AAT) form the two main types of AT [1, 2]. An estimated 70 million population in about 36 countries of sub-Saharan Africa may be at risk of HAT while AAT threatens the lives of millions of cattle every year [1, 2]. HAT is caused by two subspecies of Trypanosoma brucei (T. brucei) that infect either humans (T. b. gambiense) or animals (T. b. rhodesiense) [1], while AAT threatens the lives of several million herds of cattle every year thereby requiring new approaches of combating the disease [2].

The prospect of vaccine development for AT is beset with various challenges partly due to the parasite’s immune evasion strategies that include antigenic variation of variant surface glycoproteins, trypanolytic factor defense, and modulation of the immune system [3]. Hence, the most efficient and economically viable option is chemotherapy. AAT may be treated with isometamidium, homidium, diminazine, pyritidium, and quinapyramine, while HAT is usually treated with pentamidine, eflornithine, nifurtimox, melarsoprol, and suramin depending on the stage of the disease [4, 5]. However, challenges such as drug resistance, undesirable side effects, and difficulty in regimen application are usually associated with trypanosomiasis chemotherapy [5–10]. In view of the fact that about two-thirds of the world population depends on traditional medical remedies as a result of the limited affordability and availability of pharmaceutical products [11], a better understanding of such antitrypanosomal effects is required if novel drugs that can circumvent the challenges associated with the currently available antitrypanosomal drugs are to be developed.

Zanthoxylum is a genus of deciduous and evergreen trees and shrubs which comprises at least 500 species [12]. It is a widely distributed plant genus native to most temperate and subtropical zones of Africa, Asia, North America, South America, and Australia. Traditionally, the leaves, stem, and roots of Zanthoxylum are used in medicinal preparations for the treatment of diseases such as colic, toothache, stomachache, and oral infections [13]. The medicinal values of Zanthoxylum may be attributed to various pharmacological properties, namely, antimicrobial, insecticidal, anti-inflammatory, antioxidant, antiparasitic, antitumor, antihelmintic, antinociceptive, and antiviral activities [12]. For instance, the aqueous extract of the root of Zanthoxylum zanthoxyloides (Lam.) Zepern. & Timler (Z. zanthoxyloides LZT), one of the most important species on the African continent, was reported to exhibit analgesic effects probably via the inhibition of prostaglandin [14]. Aqueous and ethanolic extracts from the leaves of the same species also exhibited antihelmintic activities against Ascaris lumbricoides, Haemonchus contortus, and Trichostrongylus colubriformis [15, 16].

Zanthoxylum is endowed with a vast array of diverse phytochemicals which may largely be responsible for its pharmacological effects. Canthine-6-one alkaloids isolated from Z. chiloperone Mart. ex Engl contributed towards the significant reduction of parasitemia and serological response after treatment in mice [17–20]. Moreover, Z. zanthoxyloides LZT is known to possess pharmacologically useful phytochemicals such as acridones, citronellol, and divanilloylquinic acids [21–23], which might have contributed to the trypanostatic effect observed after treatment in mice [24, 25]. However, the mechanisms of antitrypanosomal activity were not investigated in any of these studies.

Determination of the effects and mechanisms of antitrypanosomal action of Zanthoxylum may foster the development of novel drugs that can circumvent the challenges associated with the currently available antitrypanosomal drugs. The aim of this study was thus to determine the active fractions of the Ghanaian species of Z. zanthoxyloides LZT (root) as well as to determine their effects and mechanisms of action using a panel of cell biological approaches. Z. zanthoxyloides LZT (root) significantly induced apoptosis-like cell death and resulted in a significant alteration of the cell cycle and morphology of T. brucei. Our results suggest that Z. zanthoxyloides LZT (root) has promising antitrypanosomal effects with implications for potential therapeutic interventions towards AT.

2. Methods

2.1. Culture of Parasites and Human Cell Lines

Blood stream forms of the subspecies T. b. brucei (GUTat 3.1 strain) and Jurkat cells (acute lymphoblastic leukemia cells) were cultivated in vitro to the log phase using Hirum’s Modified Iscove’s Medium (HMI9, Thermo Fisher Scientific) with 10% fetal bovine serum (FBS) (Thermo Fisher Scientific) at 5% CO₂ and 37°C. Chang liver (HeLa derivative) cell lines were cultivated in vitro to the log phase using Minimum Essential Medium (MEM, Thermo Fisher Scientific) with 10% FBS at 5% CO₂ and 37°C. L. donovani (D10 strain) was cultivated in vitro to the log phase using Medium 199 (M199, Thermo Fisher Scientific) with 10% FBS at 5% CO₂ and 37°C. P. falciparum (3D7 strain) was cultivated in vitro to the log phase using the Roswell Park Memorial Institute Medium (RPMI 1640, Gibco) in culture flasks containing packed red blood cells suspended at 4% hematocrit. Plasmodium cultures were maintained with a gas mixture (2% O₂, 5% CO₂ and 93% N₂) at 37°C.

2.2. Crude Extraction and Fractionation of Plant

The present study focused on the Ghanaian plant species Z. zanthoxyloides LZT. The plant was collected from an arboretum and the environs of the Center for Plant Medicine Research (CPMR), Mampong-Akuapem, Ghana. It was authenticated by Herone Blagogee, a senior botanist at the Plant Development Department of CPMR and voucher specimen number CPMR 4120/4121/4122 assigned and lodged at the herbarium of CPMR. Crude extracts and fractions were prepared from the air-dried pulverized plant material by extraction with dichloromethane and methanol followed by the modified Kupchan method [26] of solvent extraction. Briefly, the pulverized air-dried plant material was soaked in dichloromethane and left in the cold to percolate for one week. The dichloromethane extracts were decanted and filtered through a mixture of cotton and glass wool. The plant material was then soaked in methanol for one week and the methanol extract was decanted and filtered. The methanol and dichloromethane extracts were combined and dried under vacuum with a Heidolph Rotavap at 40°C and 1 atm pressure to give the total crude extract (TCE). The TCEs were suspended in water and extracted three times with dichloromethane. The remaining aqueous layer was then extracted once with sec-butanol and the butanol fraction was dried under vacuum to give the WB fraction. The dichloromethane layer was dried under vacuum and the extract was suspended in a 1:9 mixture of water and methanol. This fraction was then extracted three times with hexane after which the hexane layer was dried under vacuum to give an FH fraction. The remaining 1:9 mixture of water and methanol layer was phase adjusted to a 1:1 mixture, extracted three times with dichloromethane, and dried under vacuum to give an FD fraction. The 1:1 water methanol layer was also dried under vacuum to give the FM fraction.

2.3. Chromatography and Spectroscopy Analysis

Mid-infrared (IR) spectroscopy was carried out by the Universal Attenuated Total Reflectance (UATR) spectrometer with the following instrument (PerkinElmer) specifications: spectrum version=10.03.09; model=spectrum 2; serial number=94133; number of scans=24; resolution=4. High-performance liquid chromatography (HPLC) was performed using the following instrument (Agilent) specification: pump=G4289A, detector=UV G1314, data software=chemstation enterprise view, column=COSMOSIL Cholester (4.6 x 250 mm) (Nacalai Tesque INC), chromatography interface=Agilent 1120 compact LC. The chromatographic conditions used included: column temperature=30°C; injection volume= 10 μl; flow rate= 1 ml/min; wavelength=254 nm; solvent system=acetonitrile: 0.1% V/V formic acid (100:0, 10 mins; 90:10, 5 mins; 80:20, 50 mins; 70:30, 5 mins; 60:40, 5 mins; 50:50, 5 mins).

2.4. Cell Viability Analysis

Determination of cell viability involved colorimetric analysis through the use of resazurin (alamar blue) [27]. T. brucei, L. donovani, P. falciparum, and Jurkat cells were seeded at a density of 1.5x10⁵ cells/ml on 96-well plates with the fractions and incubated for 24 hours. Alamar blue dye (10% V/V) was added to wells and incubated for another 24 hours. Chang liver (HeLa derivative) cells were plated at a density of 1.5x10⁵ cells/ml for 24 hours to allow for sufficient adherence to plates, before fractions were added to cells and incubated for another 24 hours. Alamar blue dye (10% V/V) was then added to wells and incubated for another 72 hours to allow for a complete color change. Experiments were run in triplicate. Spectrophotometric absorbance was read at a wavelength of 540 nm using a reference wavelength of 595 nm.

2.5. Analysis of Apoptosis

Flow cytometry-based detection of apoptosis-like cell death using annexin-V and 7-amino actinomycin-D was employed [28]. Cells were seeded at a density of 1.5x10⁵ cells/ml on a 96-well plate in a twofold dilution of fractions and incubated for 24 hours. Nexin reagent containing annexin-V and 7-amino actinomycin-D (EMD, Millipore) was added to each well in a volumetric ratio of 1:1. Plates were incubated in darkness for 20 mins with gentle shaking. Each experiment was run in duplicate. Dot plots were recorded with the Guava easyCyte HT flow cytometer.

2.6. Analysis of Cell Cycle

The cell cycle assay was based on a univariate analysis of DNA content upon staining with propidium iodide [29]. Cells were seeded at a density of 3.0x10⁵ cells/ml in 25cm² culture dish with or without fractions for 24 hours and centrifuged at 1700 rpm for 10 mins. Cell pellets were suspended in 1.5 ml of 1x phosphate-buffered saline (PBS) and vortexed well. A 3.5 ml of absolute ethanol was added (final concentration of 70%) to fix cells at -20°C for 1 hour. Cells were centrifuged at 1700 rpm for 10 mins. Cell pellets were suspended with 200 μl of guava cell cycle reagent that contained propidium iodide (EMD, Millipore). Suspended cells were added to wells containing the same volume of fresh guava cell cycle reagent. Cells were incubated for 30 mins in darkness at room temperature. Distribution of cells at distinct cell cycle phases was measured with the BD LSFortessa X-20 flow cytometer.

2.7. Fluorescence Microscopy

Cells were cultured with or without fractions for 24 hours and centrifuged at 1700 rpm for 10 mins. Cell pellets were suspended in 375 μl of PBS and vortexed. A 125 μl of 16% paraformaldehyde (final concentration of 4%) was added to pellets, incubated for 5 mins at room temperature, and spun at 1700 rpm for 5 mins. Cell pellets were suspended in 500 μl of PBS and 50 μl were put on a glass slide. Cells on the glass slide were incubated at room temperature for 1 hour. They were rinsed once in PBS for 5 mins, followed by a second rinse in PBST (PBS with 0.1% Triton X) for 15 mins. They were then incubated with 4’, 6-diamidino-2-phenylindole (DAPI) (5μg/ml in PBS) for 10 mins in the dark at room temperature. Cells were washed twice in PBS for 5 mins each, followed by a second single wash in PBST for 5 mins. Cells were mounted with 90% glycerol in PBS using a cover slip, sealed with manicure, and observed with the Olympus DP72 reflected fluorescence microscope. Data was analysed with the CellSens standard imaging software and Adobe Photoshop CS6.

2.8. Statistical Analysis

Data from cell viability assay was analysed with Graphpad Prism (version 5) and Microsoft Excel. The half-maximal inhibitory concentration () was calculated as the concentration that caused a 50% reduction in cell viability. were calculated from a nonlinear regression model as statistically appropriate. Dot plots from cell death and cell cycle assays were analysed with the guavaSoft 2.1 and BD FACSDiva 8.0.1, respectively. Histograms for cell cycle were generated with FlowJo V10. Statistical analysis of percentage counts was carried out with Graphpad Prism version 5 using the unpaired t-test. P values ≤0.05 were considered to be significant.

3. Results

3.1. Z. zanthoxyloides LZT (Root) Possesses Selective Antitrypanosomal Activity

The antiparasitic activity of the total crude extracts of different parts of Z. zanthoxyloides LZT (root, stem bark, and leaves) prepared by cold maceration in dichloromethane and methanol (Figure 1) was determined in a 48-hour alamar blue cell viability assay against three protozoan parasites: T. brucei, Leishmania donovani (L. donovani), and Plasmodium falciparum (P. falciparum) (Table 1). The assay also included Jurkat (acute lymphoblastic leukemia cells) to investigate potential selectivity profiles of Z. zanthoxyloides LZT in the parasites. Respectively, the root, stem bark, and leaves of Z. zanthoxyloides LZT exhibited different levels of activity and selectivity towards T. brucei (=3.41 μg/ml, P<0.001, SI=72.48; =39.43 μg/ml, P<0.01, SI=6.27; =27.73 μg/ml, P<0.01, SI=3.46) (Table 1). Moreover, while the root exhibited the strongest activity and selectivity (=3.41 μg/ml, P<0.001, SI=72.48) against T. brucei, the activity of the stem bark (=13.50 μg/ml, P<0.01, SI=18.30) was the strongest against L. donovani (Table 1). The activity and selectivity profiles against P. falciparum were the weakest in all the plant parts.

Table 1: Effect of the crude extracts of Z. zanthoxyloides LZT on cell viability of T. brucei, L. donovani, P. falciparum, and Jurkat cells.

Part of plant used
MEAN   ±SEM (μg/ml)
SI

Jurkat
T. brucei
L. donovani
P. falciparum
T. brucei
L. donovani
P. falciparum

Root
247.16±0.05
3.41±0.03
45.2±0.10
334.77±0.02
72.48
12.91
0.74

Stem bark
583.53±0.02
39.43±0.04
13.5±0.04
112.15±0.01
6.27
18.30
5.20

Leaves
95.83±0.15
27.73±0.02
>1000±0.12
>1000±0.15
3.46
<0.10
<0.96

Mean and standard errors (SE) were calculated from three distinct experiments. Selectivity index (SI) was calculated as the ratio of in Jurkat to in the respective parasite.

Figure 1: Schematic for modified Kupchan method of liquid-liquid extraction. The plant material was macerated in dichloromethane and the extracts were decanted and filtered. The plant material was then soaked in methanol for one week and the methanol extract was decanted and filtered. The methanol and dichloromethane extracts were combined and dried under vacuum to give the total crude extract (TCE). Extraction with solvents of varying polarities then gave rise to 4 fractions: butanol fraction (WB), hexane fraction (FH), dichloromethane fraction (FD), and methanol fraction (FM). ZR=Z. zanthoxyloides LZT root; MeOH=methanol; DCM=dichloromethane; BuOH=butanol; Hex=n-hexane.

Due to the promising antitrypanosomal activity and selectivity profiles of the root extract of Z. zanthoxyloides, LZT different solvent fractions were prepared from the root of the same plant material to characterize the chemical properties using spectroscopy and chromatography. This characterization may also provide support for the presence of phytochemicals as being responsible for the observed antitrypanosomal activities. ZRFH (Z. zanthoxyloides LZT, root, hexane fraction), ZRFD (Z. zanthoxyloides LZT, root, dichloromethane fraction), ZRFM (Z. zanthoxyloides LZT, root, methanol fraction), and ZRWB (Z. zanthoxyloides LZT, root, water butanol fraction) were prepared from Z. zanthoxyloides LZT (root) using the Kupchan method of solvent extraction (Figure 1). The crude extract was prepared through a stepwise maceration in absolute methanol and absolute dichloromethane for 1 week each. The two solvent extracts were combined and dried under vacuum to form the total crude extract from which ZRFH, ZRFD, ZRWB, and ZRFM were prepared as outlined diagrammatically (Figure 1).

Antitrypanosomal compounds in each Kupchan fraction were then characterized using attenuated total reflectance infrared (ATR-IR) spectroscopy (Table 2, Additional file 1) and analytical high-performance liquid chromatography (HPLC) (Table 3, Additional file 2). All the fractions exhibited absorbance intensities within a range of wavenumbers suggesting the presence of carbonyl (1950-1450 cm⁻¹) and aromatic (900-400 cm⁻¹) groups (Table 2). The IR spectra were also suggestive of the presence of hydroxyl, amine, or amide groups in the fractions (3700-2500 cm⁻¹) (Table 2, Additional file 1). The methanol and dichloromethane fractions were particularly similar in their IR spectra, although they differed in the exact transmittance intensities at the respective wavenumbers. HPLC was performed using a gradient solvent system of absolute acetonitrile and 0.1% V/V formic acid. The absorbance of individual compounds was recorded with an ultraviolet detector system at 254 nm. The compounds in all the fractions separated within a range of minimum and maximum retention times of approximately 2 and 15 mins respectively (Table 3). The major compounds in hexane, butanol, dichloromethane, and methanol fractions were separated at retention times of 3.746, 3.732, 3.743, and 3.745 mins, respectively (Table 3). Several compounds of minor quantities that may have contributed to the selective antitrypanosomal activities of Z. zanthoxyloides LZT (root) were also detected at varying retention times in all the fractions (Table 3, Additional file 2).

Table 2: Wavenumbers for Kupchan fractions in IR spectroscopy.

Peak
ZRC
ZRFH
ZRFD
ZRFM
ZRWB

cm⁻¹(x)
%T(y)
cm⁻¹ (x)
%T(y)
cm⁻¹(x)
%T(y)
cm⁻¹ (x)
%T(y)
cm⁻¹ (x)
%T(y)

1
3321.82
82.62
3300.1
97.04
3286.06
86.31
3288.03
87.51
3323.31
70.01

2
2926.06
76.00
2923.81
65.26
2957.50
77.74
2957.30
78.11
2932.86
77.69

3
1657.39
78.24
2853.79
75.37
2925.93
77.42
2925.30
77.12
1699.41
81.61

4
1612.15
78.01
1743.38
73.01
2870.81
82.94
1656.31
64.24
1599.87
69.61

5
1551.17
80.14
1659.16
87.74
1656.29
62.85
1611.20
62.78
1511.53
64.64

6
1490.74
79.82
1630.76
89.39
1610.77
60.59
1547.67
65.37
1456.86
65.25

7
1454.42
75.31
1546.12
90.56
1548.04
63.26
1503.32
63.18
1427.81
66.09

8
1370.11
78.47
1490.71
91.92
1503.44
63.58
1489.69
56.43
1278.27
50.51

9
1247.16
69.35
1461.89
81.18
1489.74
55.56
1464.74
67.80
1217.08
51.48

10
1085.23
74.73
1372.99
87.77
1465.26
68.46
1446.14
58.12
1028.45
36.32

11
1042.2
61.93
1246.00
79.57
1446.23
57.17
1368.08
75.18
807.57
62.80

12
997.68
72.87
1161.00
74.84
1355.27
74.85
1244.88
41.57
762.34
55.93

13
878.83
78.23
1099.30
83.94
1245.12
40.54
1158.03
71.22
529.58
46.65

14
518.64
70.23
1040.97
84.02
1157.73
72.27
1099.19
71.95
NA
NA

15
NA
NA
997.43
81.07
1099.77
74.73
1037.68
51.18
NA
NA

16
NA
NA
879.69
90.99
1037.85
53.97
995.45
59.91
NA
NA

17
NA
NA
809.39
92.92
996.90
59.87
930.99
68.02
NA
NA

18
NA
NA
721.97
84.02
930.52
68.63
851.92
78.81
NA
NA

19
NA
NA
424.87
92.98
851.27
77.50
808.79
69.94
NA
NA

20
NA
NA
NA
NA
808.25
68.49
744.67
80.02
NA
NA

21
NA
NA
NA
NA
596.94
73.00
672.73
80.05
NA
NA

22
NA
NA
NA
NA
517.94
69.61
596.95
78.49
NA
NA

23
NA
NA
NA
NA
424.60
75.60
518.25
77.31
NA
NA

24
NA
NA
NA
NA
NA
NA
425.62
82.08
NA
NA

Ordinate(x) = %transmittance; Abscissa (y) = wavenumber; ZR= Z. zanthoxyloides LZT (root); ZRC= crude extract of ZR; ZRFH= Z. zanthoxyloides hexane fraction; ZRFD= Z. zanthoxyloides dichloromethane fraction; ZRFM= Z. zanthoxyloides methanol fraction; ZRWB= Z. zanthoxyloides butanol fraction; NA= not applicable.

Table 3: Retention times for Kupchan fractions in HPLC.

Peak
(x) RT (min)
Width (min)
Area (mAUs)
(y) Height (mAU)
Area (%)

ZRC

1
2.872
0.1155
61.05810
7.38034
1.7119

2
3.167
0.0989
240.89647
37.04975
6.7541

3
3.373
0.1350
270.91974
37.48990
7.5958

4
3.730
0.1115
2536.17334
337.99835
71.1074

5
4.328
0.1290
115.58913
13.35508
3.2408

6
4.621
0.1279
15.72073
1.79944
0.4408

7
5.301
0.1223
129.75060
15.88849
3.6379

8
5.654
0.1332
33.90483
3.83241
0.9506

9
14.339
0.1536
101.36829
9.34081
2.8421

10
14.693
0.2510
61.30116
3.50620
1.7187

ZRFH

1
2.879
0.1101
32.03850
4.44205
1.4512

2
3.183
0.0999
105.94155
15.86805
4.7988

3
3.377
0.0904
60.97616
9.96817
2.7620

4
3.479
0.0849
35.27485
6.24909
1.5978

5
3.746
0.1102
1726.87097
233.63256
78.2214

6
4.336
0.1189
71.96671
9.13256
3.2598

7
5.318
0.1276
102.20798
11.97620
4.6297

8
14.451
0.1441
72.39410
7.21304
3.2792

ZRFD

1
2.902
0.1293
36.92966
4.47213
1.4285

2
3.185
0.1008
440.68698
64.46280
17.0464

3
3.372
0.0900
94.99347
15.39953
3.6745

4
3.482
0.0933
56.08873
9.30652
2.1696

5
3.743
0.1033
1624.33984
232.98772
62.8316

6
3.927
0.0924
206.64229
32.40942
7.9932

7
4.335
0.1152
41.74596
5.58815
1.6148

8
5.304
0.1243
36.92151
4.52034
1.4282

9
14.357
0.1347
46.87906
5.07797
1.8133

ZRFM

1
2.891
0.1349
63.85921
7.53434
1.6574

2
3.185
0.1042
525.79871
74.60051
13.6468

3
3.374
0.0883
109.30883
18.13418
2.8370

4
3.485
0.0934
75.00216
12.25811
1.9466

5
3.745
0.1082
2825.35791
386.82672
73.3303

6
4.336
0.1164
70.74014
9.34014
1.8360

7
5.306
0.1243
61.64240
7.46639
1.5999

8
14.459
0.1800
121.21284
9.81946
3.1460

ZRWB

1
2.874
0.1237
35.44300
4.41159
3.1619

2
3.174
0.1107
41.06397
5.46061
3.6634

3
3.374
0.1285
43.36354
4.61984
3.8685

4
3.732
0.1124
830.25043
109.60705
74.0683

5
4.324
0.1217
36.01653
4.53515
3.2131

6
5.28 9
0.1306
53.58618
6.15428
4.7805

7
14.342
0.1273
48.23082
5.29576
4.3028

8
14.605
0.2202
32.97150
2.06582
2.9415

Ordinate(x) = absorbance intensity; Abscissa (y) = retention time; ZR=Z. zanthoxyloides LZT (root); ZRC=crude extract of ZR; ZRFH= Z. zanthoxyloides hexane fraction; ZRFD= Z. zanthoxyloides dichloromethane fraction; ZRFM= Z. zanthoxyloides methanol fraction; ZRWB= Z. zanthoxyloides butanol fraction; NA= not applicable.

The fractions were then tested for their antitrypanosomal activities in a 48-hour alamar blue cell viability assay (Table 4). The assay also included Jurkat and Chang liver cells (HeLa derivatives) to investigate selectivity profiles of the promising fractions. ZRFM, ZRWB, and ZRFD stood out as the most promising antitrypanosomals with respective values of 3.89, 4.02, and 5.70 μg/ml (P<0.001) (Table 4). Generally, fractions were more selective to the parasites as compared to Jurkat or Chang liver cells, albeit the selectivity was higher in the latter. ZRFD and ZRWB showed relatively high toxicity against Jurkat cells with respective selectivity indices (SI) of 9.13 and 6.29 while ZRFM, ZRFD, and ZRWB displayed low toxicity profiles towards Chang liver cells with SI of 24.12, 15.78, and 93.43, respectively (Table 4). Moreover, ZRFD, ZRFM, and ZRWB exhibited inverted sigmoidal dose-response curves with Hill coefficients less than -1 (Figure 2), which might be an indication of positively cooperative binding from a mechanistic point of view [30]. The inverted Hill coefficient was highest and lowest for ZRFD (-2.75) and ZRFM, respectively (-1.47) (Figure 2).

Table 4: Effect of Kupchan fractions on cell viability of T. brucei and human cell lines.

FRACTIONS
MEAN   ± SE (μg/ml)
SI

T. brucei
Jurkat
Chang liver
Jurkat
Chang liver

ZRC
3.41±0.06
NA
NA
NA
NA

ZRFD
5.70 ± 0.03
52.04 ± 0.04
89.93 ± 0.03
9.13
15.78

ZRFH
13.26 ± 0.11
NA
NA
NA
NA

ZRFM
3.89 ± 0.06
68.15 ± 0.05
93.84 ± 0.03
17.52
24.12

ZRWB
4.02 ± 0.06
25.28 ± 0.05
375.58 ± 0.07
6.29
93.43

DA
0.54 ± 0.05
NA
39.72 ± 0.03
NA
73.56

DX
NA
0.27 ± 0.28
145.22 ± 0.02
NA
NA

Mean and standard errors (SE) were calculated from three distinct experiments. SI was calculated as the ratio of in Jurkat or Chang liver cells to the in T. brucei. ZR=Z. zanthoxyloides, root; ZRC=crude extract of ZR; ZRFH= Z. zanthoxyloides hexane fraction; ZRFD= Z. zanthoxyloides Dichloromethane fraction; ZRFM= Z. zanthoxyloides methanol fraction; ZRWB= Z. zanthoxyloides butanol fraction; DA=Diminazene aceturate, (an antitrypanosomal drug); DX=Doxorubicin, (an antileukaemia drug); SI= selectivity index; NA=Not applicable (only ZRFD, ZRFM, and ZRWB were considered for further analysis due to their promising values against T. brucei).

Figure 2: Dose-response curves of selected fractions. The best-fit inverted logistic dose-response curves and corresponding s were modelled from three distinct alamar blue assays. The crude extract and its fractions have Hill slopes less than -1 (shown in parentheses). ZR=Z. zanthoxyloides LZT, root; ZRC=crude extract of ZR; FD=Dichloromethane fraction; FM=methanol fraction; WB= butanol fraction.

3.2. Z. zanthoxyloides LZT (Root) Induces Apoptosis-Like Cell Death and Cell Cycle Changes in T. brucei

Exploration of antitrypanosomal effects in the context of mechanisms of cell death and cell cycle can aid in the development of antitrypanosomal drugs. In order to determine effects on cell death, parasites challenged with fractions for 24 hours were used in a cell death assay (Figures 3(a) and 3(b)). The assay explored the interaction between phycoerythrin-bound annexin-V protein and phosphatidyl serine released from the integral side of the plasma membrane to the periphery during either early apoptosis or late apoptosis, as well as the binding between 7-amino-actinomycin-D (7-AAD) and the fragmented DNA during either late apoptosis or necrosis [28]. Doubling the concentration of individual fractions caused a corresponding increase in induction of apoptosis-like cell death. At the , ZRFD, ZRFM, and ZRWB caused a significant induction of apoptosis-like cell death from 0.40% in the untreated control to 1.55%, 1.45%, and 1.20% of cells, respectively (P<0.05) (Figures 3(a) and 3(b)).

(a)

(b)

Figure 3: Effect of selected fractions on induction of apoptosis in T. brucei. (a) The assay measures the binding between phycoerythrin-bound annexin-V protein (annexin V-PE, X-axis) and phosphatidyl serine during either early apoptosis (lower right quadrant) or late apoptosis (upper right quadrant). It also captures the binding between 7-amino-actinomycin-D (7-AAD, Y-axis) and fragmented DNA during either late apoptosis (upper right quadrant) or necrosis (upper left quadrant). At lower left quadrant, there is predominance of viable cells that are negative for both annexin V-PE and 7-AAD. (b) P values were calculated from 3 distinct counts (n=3) [P:< 0.05()]. Error bars originate from mean percentage count ± standard deviation of the mean (Mean ± SD). Fractions were investigated at the values. ZR=Z. zanthoxyloides LZT, root; WB=butanol fraction; FD=Dichloromethane fraction; FM=Methanol fraction; CN=Negative control.

To identify any alterations in distinct cell cycle phases (G0-G1, S, and G2-M phases) of the parasites, cell cycle assay was performed with parasites challenged with fractions at the (Figures 4(a) and 4(b)). The assay was designed to capture the interaction between propidium iodide and DNA [29]. Overall, there was a significant reduction of G0-G1 phase from 61.43% in the negative control to 50.80% (P<0.001), 52.60% (P<0.01), and 55.25% (P<0.05) in ZRFD, ZRFM, and ZRWB, respectively (Figure 4(b), Additional file 3). Also, there was a significant increase of G2-M phase from 22.93% in the negative control to 31.48%, 29.18%, and 30.18% in ZRFD, ZRFM, and ZRWB, respectively (P<0.05) (Figure 4(b), Additional file 3). Moreover, ZRFD and ZRFM significantly increased the S phase from 15.53% in the untreated control to 19.08% and 19.03%, respectively (P<0.05) (Figure 4(b), Additional file 3).

(a)

(b)

Figure 4: Effect of selected fractions on cell cycle of T. brucei. (a) Dot distribution of first column represents plot of side scatter versus forward scatter; second column compares intensity of propidium iodide with forward scatter; third column compares population count of parasites with intensity of propidium iodide. Three phases of the parasite are captured in the histograms: G0-G1, first peak; S, middle trough; G2-M, second peak. Fractions were investigated at the values. (b) P values were calculated from 4 distinct counts (n=4): (P < 0.05). Error bars originate from mean percentage count ± standard deviation of the mean (Mean ± SD). ZR=Z. zanthoxyloides LZT, root; WB=butanol fraction; FD=Dichloromethane fraction; FM=Methanol fraction; CN=Negative control; ns=not significant.

3.3. Z. zanthoxyloides LZT (Root) Alters Morphology and Distribution of T. brucei

Exploration of antitrypanosomal effects on parasite morphology can provide insights into intracellular mechanisms of antitrypanosomal action. Parasites challenged for 24 hours at the of the two most promising fractions (ZRFD and ZRFM) were observed for morphological changes via fluorescence microscopy using DAPI. ZRFD and ZRFM induced severe distortion of parasite morphology and resulted in the aggregation of a considerable number of parasites (Figure 5).

Figure 5: Effect of selected fractions on cell morphology and structure of T. brucei. Cells were mostly distorted or clustered as compared to the negative control (white arrows). Red arrow=kinetoplast; green arrow=nucleus; yellow arrow=flagellum; ZR=Z. zanthoxyloides LZT, root; FD=Dichloromethane fraction; FM=Methanol fraction; CN=Negative control.

The effect of fractions on parasite morphology was strengthened by the observed alterations in the number of nuclei and kinetoplasts. In comparison to the negative control, ZRFD and ZRFM variably altered the ratio of nuclei to kinetoplasts in distinct populations of the parasites (Figure 6). In the majority of affected parasites, ZRFD and ZRFM resulted in the respective loss of kinetoplasts in 37.5% and 32.5% of cells (P<0.01), while keeping the nuclei relatively intact (Figure 6). In yet another population of relatively few cells (ZRFD, 12.5%; ZRFM, 2.5%; P<0.05), the loss of kinetoplasts was four times more than the nuclei (Figure 6). Furthermore, the fractions resulted in a complete loss of the nuclei in other population of parasites while more than doubling the kinetoplasts (ZRFD, 5.0%; ZRFM, 10.0%; P<0.05) (Figure 6).

Figure 6: Effect of selected fractions on nuclei and kinetoplasts in T. brucei. Two hundred and forty cells were counted to determine effects of selected fractions on number of nuclei and kinetoplasts using fluorescence microscopy. P values were calculated from 3 distinct counts (P < 0.05). ZR=Z. zanthoxyloides LZT, root; FD=Dichloromethane fraction; FM=Methanol fraction; CN=Negative control. K=Kinetoplast; N=nucleus; X and Y=variables (X>2, Y>4).

4. Discussion

Trypanosomiasis chemotherapy is beset with various challenges such as drug resistance, undesirable side effects, and difficulty in regimen application [5–10]. The medicinal values of Zanthoxylum may be attributed to the rich array of pharmacological and phytochemical properties [12, 31]. In view of the urgent need to circumvent the challenges associated with the currently available antitrypanosomal drugs, determination of the mechanisms of antitrypanosomal action of Zanthoxylum may facilitate drug discovery in AT. The present study is probably the first time the potential effects of Z. zanthoxyloides LZT on critical aspects of the cell biology of T. brucei, namely, cell cycle, cell morphology, and induction of cell death, are investigated.

The methanol, dichloromethane, and butanol fractions of Z. zanthoxyloides LZT (root) exhibited the most promising selective antitrypanosomal activities which may be attributed to the presence of secondary metabolites. The similarity in effects and mechanisms of antitrypanosomal actions observed for methanol and dichloromethane fractions may be partially accounted for by the presence of the same major secondary metabolites in the two fractions. Probably, major compounds that were not completely extracted by dichloromethane in the Kupchan solvent extraction ended up in the methanol fraction. Despite the similarities in their chromatographic and spectroscopic profiles, the methanol and dichloromethane fractions also differed in the absorption intensities and retention times of other minor but potentially active antitrypanosomal compounds which could have contributed to subtle but important differences in the observed antitrypanosomal activities between the two fractions. Furthermore, the dose-response curves of all fractions indicated inverted Hill coefficients less than -1, which might be an indication of positively cooperative binding [30]. This suggests that the interaction between compounds of the fractions and the parasite may increase the affinity of molecules of the same or other compounds towards the parasite thereby leading to a synergistic reduction of cell viability.

Distinct mechanisms of cell death have been observed in Trypanosoma [32–35]. The essential oil of Zanthoxylum bungeanum was also reported to induce apoptosis in HaCaT human keratinocytes [36]. However, the present study is the first time a species of Zanthoxylum is reported to induce apoptosis-like cell death in T. brucei. Dichloromethane, methanol, and butanol fractions of Z. zanthoxyloides LZT significantly induced apoptosis-like cell death in T. brucei. All fractions practically exerted no effect on necrosis-like cell death at the observed concentrations. However, the importance of other mechanisms of cell death not investigated in the present study cannot be ruled out [33, 37]. The observation of autophagy in T. brucei highlights the importance of other potential mechanisms of cell death in the parasite [33]. Studies that will consider the induction of other types of cell death by Z. zanthoxyloides LZT could be investigated. It is however important to interpret with caution apoptosis and necrosis mechanisms in unicellular protozoans since these protists do not encode caspases in their genome [37].

As other eukaryotes, the cell cycle of trypanosomes includes four phases: G1, S, G2, and M phases [38]. Zanthoxylum has been reported to affect the cell cycle of different types of cells such as the human hepatoma-derived cell lines and human colon adenocarcinoma cell lines (Chou et al., 2011) [39]. However, the present study is the first time Zanthoxylum is shown to affect the cell cycle of trypanosomes. All the fractions significantly reduced the number of cells in the G0-G1 phase while increasing the G2-M population. This suggests that the fractions constrained most of the parasites to the G2-M phase thereby inhibiting karyokinesis and cytokinesis [38]. The complete separation of parasites into two daughter cells would therefore be inhibited, thereby relatively increasing the number of tetraploid cells at the G2-M phase. Moreover, all the fractions caused an increase in the S phase population of parasites, thereby suggesting an inhibitory effect on DNA synthesis.

The fractions also exerted morphological and structural changes on the parasites. ZRFD and ZRFM induced severe distortion and aggregation of the parasites. Interestingly, the fractions variably altered the ratio of kinetoplasts to nuclei in distinct populations of the parasites. However, in the majority of the parasites, this alteration resulted in the loss of kinetoplasts while keeping the nuclei relatively intact. The kinetoplast consists of circular DNA molecules that are topologically relaxed and interlocked to form a network of minicircles and maxicircles involved in RNA editing [40–42]. Moreover, the beginning and completion of kinetoplast DNA replication usually precedes that of the nuclear DNA in T. brucei [38]. By the end of the G2 phase, the replication of the kinetoplast is usually complete while that of the nucleus is about half-way through [38]. Therefore, it is possible that ZRFD and ZRFM may have impact on the nuclei and kinetoplasts through selective interactions with enzymes responsible for the synthesis of proteins and RNA during G1 and G2 phases. However, further studies are required to fully understand the apparent variation in effects between the nucleus and the kinetoplast.

5. Conclusions

In this study, the antitrypanosomal activity of Z. zanthoxyloides LZT (root) with regard to effects on the cell viability, cell death, cell cycle, morphology, and distribution of T. brucei, as well as the chromatographic and spectroscopic characterization of the antitrypanosomal compounds, was investigated. Z. zanthoxyloides LZT (root) was found to exhibit significant effects on apoptosis-like cell death with a remarkable alteration in the cell cycle of T. brucei. The antitrypanosomal compounds consisted mainly of aromatic hydrocarbons that could largely be responsible for the observed antitrypanosomal activities of the fractions. Our results suggest that Z. zanthoxyloides LZT holds significant potential for chemotherapeutic interventions in African trypanosomiasis. The identification and subsequent determination of the antitrypanosomal effects of these compounds would further deepen our understanding of the mechanisms of antitrypanosomal actions for the purpose of drug discovery in AT.

Abbreviations

Z. zanthoxyloides LZT: | Zanthoxylum zanthoxyloides (Lam.) Zepern. & Timler
HAT: | Human African trypanosomiasis
AAT: | African animal trypanosomiasis
HPLC: | High-performance liquid chromatography
ATR-IR: | Attenuated total reflectance infrared spectroscopy
ZR: | Z. zanthoxyloides LZT (root)
FH: | Hexane fraction of ZR
FD: | Dichloromethane fraction of ZR
WB: | Butanol fraction of ZR
FM: | Methanol fraction of ZR.

Data Availability

The data used to support the findings of this study are included within the article.

Disclosure

The views expressed in this publication are those of the authors and not necessarily those of AAS, NEPAD Agency, Wellcome Trust or the UK government.

Conflicts of Interest

The authors declare that they have no conflicts of interest.

Authors’ Contributions

Aboagye Kwarteng Dofuor, Laud Kenneth Okine, Theresa Manful Gwira, and Mitsuko Ohashi designed the research. Aboagye Kwarteng Dofuor, Georgina Isabella Djameh, Frederick Ayertey, Peter Bolah, Michael Amoa-Bosompem, and Kwaku Kyeremeh performed the experiments. Aboagye Kwarteng Dofuor, Kwaku Kyeremeh, Laud Kenneth Okine, Theresa Manful Gwira, and Mitsuko Ohashi analysed the data and wrote and revised the manuscript. All authors read and approved the final version.

Acknowledgments

This study was part of a PhD research carried out at the West African Centre for Cell Biology of Infectious Pathogens, Department of Biochemistry, Cell and Molecular Biology, University of Ghana. Part of this work was presented as a poster during the 2018 Spring meeting of the British Society for Parasitology held at the University of Aberystwyth, Wales, United Kingdom. Jurkat and Chang liver cells were generously obtained from Professor (Mrs.) Regina Appiah-Opong, Department of Clinical Pathology, Noguchi Memorial Institute for Medical Research, University of Ghana. Technical assistance with regard to the BD LSFortessa X-20 flow cytometry was provided by Prince Berko Nyarko, West African Centre for Cell Biology of Infectious Pathogens, University of Ghana. We thank Dr. Sam Alsford, London School of Hygiene and Tropical Medicine, United Kingdom, for the discussion and critical reading of the manuscript. This work was supported by funds from a World Bank African Centres of Excellence grant (ACE02-WACCBIP: Awandare) and a DELTAS Africa grant (DEL-15-007: Awandare). The DELTAS Africa Initiative is an independent funding scheme of the African Academy of Sciences (AAS)’s Alliance for Accelerating Excellence in Science in Africa (AESA) and supported by the New Partnership for Africa’s Development Planning and Coordinating Agency (NEPAD Agency) with funding from the Wellcome Trust (107755/Z/15/Z: Awandare) and the UK government. The work was also partially supported by the Japan Initiative for Global Research Network on Infectious Diseases (J-GRID) from the Ministry of Education, Culture, Sport, Science & Technology in Japan, and Japan Agency for Medical Research and Development (AMED).

Supplementary Materials

Additional file 1: attenuated total reflectance infrared spectra of Kupchan fractions. Mid-infrared spectroscopy was carried out by the Universal Attenuated Total Reflectance (UATR) spectrometer. Ordinate= transmittance intensity (%T); abscissa=wavenumber (cm-¹); ZR=Z. zanthoxyloides LZT (root); ZRC=crude extract of ZR; FD=Dichloromethane fraction; FM=methanol fraction; WB= butanol fraction. Additional file 2: HPLC chromatograms of Kupchan fraction. HPLC was carried out at 254 nm using a gradient solvent system of absolute acetonitrile and 0.1% V/V formic acid. Ordinate= absorbance intensity (mAU); abscissa=retention time (mins); ZR=Z. zanthoxyloides LZT (root); ZRC=crude extract of ZR; FD=Dichloromethane fraction; FM=methanol fraction; WB= butanol fraction. Additional file 3: effect of selected fractions on cell cycle of T. brucei. Mean percentage cell count was calculated from the dot distributions and histograms of the cell cycle in 4 distinct counts. Standard error of the mean (SEM) was calculated from 4 distinct cell counts. ZR=Z. zanthoxyloides LZT, root; BP=B. pilosa, whole plant; WB=butanol fraction; FD=Dichloromethane fraction; FM=Methanol fraction; CN=Negative control. (Supplementary Materials)

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