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Mutation Research 758 (2013) 29–34

Contents lists available at ScienceDirect


Mutation Research/Genetic Toxicology and
Environmental Mutagenesis
journal homepage: www.elsevier.com/locate/gentox
Community address: www.elsevier.com/locate/mutres

Sulforaphane mitigates genotoxicity induced by radiation and


anticancer drugs in human lymphocytes
Omika Katoch, Arun Kumar, Jawahar S. Adhikari,
Bilikere S. Dwarakanath, Paban K. Agrawala ∗
Division of Radiation Biosciences, Institute of Nuclear Medicine and Allied Sciences, Brig. SK Mazumdar Road, Timarpur, Delhi 110054, India

a r t i c l e i n f o a b s t r a c t

Article history: Sulforaphane, present in cruciferous vegetables such as broccoli, is a dietary anticancer agent. Sul-
Received 28 January 2013 foraphane, added 2 or 20 h following phytohemaglutinin stimulation to cultured peripheral blood
Received in revised form 21 August 2013 lymphocytes of individuals accidentally exposed to mixed  and ␤-radiation, reduced the micronucleus
Accepted 26 August 2013
frequency by up to 70%. Studies with whole blood cultures obtained from healthy volunteers confirmed
Available online 1 September 2013
the ability of sulforaphane to ameliorate -radiation-induced genotoxicity and to reduce micronucleus
induction by other DNA-damaging anticancer agents, such as bleomycin and doxorubicin. This reduction
Keywords:
in genotoxicity in lymphocytes treated at the G0 or G1 stage suggests a role for sulforaphane in mod-
Sulforaphane
Radiation protection ulating DNA repair. Sulforaphane also countered the radiation-induced increase in lymphocyte HDAC
Micronucleus activity, to control levels, when cells were treated 2 h after exposure, and enhanced histone H4 acety-
HDAC inhibitor lation status. Sulforaphane post-irradiation treatment enhanced the CD 34+ Lin− cell population in culture.
Sulforaphane has therapeutic potential for management of the late effects of radiation.
© 2013 Elsevier B.V. All rights reserved.

1. Introduction survival, transformation, and mutation. The accessibility of DNA


in chromatin, an important determinant of response, is regulated
Development of radioprotective agents is of interest for appli- by post-translational modifications (especially acetylation) of
cations in defence, the nuclear power industry, radiation accident histones, among other factors. Acetylation and deacetylation of
response, space flight, and reducing damage to normal tissues dur- histone and non-histone proteins are tightly regulated by the
ing cancer radiotherapy. Progress has been made in development opposing effects of HATs (Histone Acetyltransferase) and HDACs
of prophylactic agents that reduce biological damage when admin- (Histone Deacetylase), respectively [3,4]. Modifiers of HATs and
istered prior to exposure, although amifostine (an amino thiol; HDACs affect cellular responses to radiation [4]. HDAC inhibitors
WR-2712, originally developed at Walter Reed Army Institute, USA) have shown radioprotective activity in animal models, espe-
remains the only radioprotective agent approved by the US FDA [1]. cially against late effects of radiation [3,5]. Sulforaphane (SFN)
Therapeutic management of radiation-exposed persons makes use is an HDAC inhibitor present in broccoli [4], SFN also affects the
of standard supportive care drugs and growth factors, generally Nrf-2-Keap system [6,7]. Here, we report the ability of SFN to
administered following the appearance of symptoms. The devel- mitigate radiation-induced genotoxicity under in vitro conditions,
opment of approaches for mitigation [2] of radiation damage has in cultured peripheral blood samples from a cohort of accidentally
received attention only recently. An ideal radiomitigating agent radiation-exposed individuals.
would provide benefit against both acute and delayed effects of The blood samples used in this study were obtained from
ionizing radiation when administered orally, soon after exposure. persons referred to INMAS for the assessment of radiation doses
Acute and late effects of ionizing radiation arise due to macro- received by individuals who were exposed due to the negligent
molecular damage, especially DNA double strand breaks. Cellular dismantling of a Co-60 gamma source in Delhi [8,9]. The gamma
repair and recovery involve multiple damage response pathways irradiator was imported to India in 1968, with an estimated initial
regulating DNA repair, cell cycle perturbations, cell death, etc., acti- strength of approximately 3600 Ci, and was disposed in March
vated soon after damage induction, and determining subsequent 2010. The scrap dealer tried to dismantle the instrument, leading
to the exposure of workers and other persons. Some individuals
spent 12–14 h per day near the source, which led to a relatively
∗ Corresponding author. Tel.: +91 11 23905187; fax: +91 11 23914390. higher exposure and subsequent radiation sickness symptoms,
E-mail addresses: paban@inmas.drdo.in, pkagrawal@gmail.com (P.K. Agrawala). prompting hospitalization of 5–7 persons. The highest estimated

1383-5718/$ – see front matter © 2013 Elsevier B.V. All rights reserved.
http://dx.doi.org/10.1016/j.mrgentox.2013.08.009
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30 O. Katoch et al. / Mutation Research 758 (2013) 29–34

absorbed dose reported for one of the victims was 3.1 Gy. One of cytochalasin-B 44 h after PHA stimulation until harvesting, i.e., 72 h after PHA stimu-
the accidentally exposed individuals succumbed to hematopoietic lation. Cells were washed with PBS twice and fixed with methanol: acetic acid (3:1).
The fixative was removed by centrifugation (300 g; 10 min) and fresh fixative was
syndrome [9].
added to the cell pellet to remove lysed red blood cells and retain only the nucleated
Our results show that addition of SFN to blood cultures 2 or cells. Fixed cells were kept at 4 ◦ C until slide preparation.
20 h post-PHA stimulation (i.e., G0 or G1 stage of the lymphocytes
[10]) significantly decreased micronucleus (MN) formation in the 2.6. Slide preparation and scoring
peripheral blood lymphocytes of these radiation-exposed subjects.
These observations prompted us to investigate further the poten- Two or three drops of cell suspension were dropped onto precleaned-chilled
slides and allowed to air dry. Slides were stained with Giemsa diluted in phosphate
tial of SFN as an antimutagen, using blood from healthy volunteers buffer, pH 6.8 m for 10–12 min. Excess stain was washed away with the same buffer
exposed to agents such as -radiation [11], a known clastogen, and slides were observed under 40× magnification under a light microscope. The
bleomycin [11], a known clastogen, and the radiomimetic agent criteria described earlier [13] were followed, for scoring micronuclei and determi-
doxorubicin [12], a DNA-intercalating agent and topo-II inhibitor. nation of nuclear division index (NDI). A minimum of 1000 binucleated cells from
three or four slides were scored for each sample and the slides were coded before
scoring.
2. Material and methods

2.1. Chemicals 2.7. Calculation of nuclear division index

Sources of materials were as follows: dl-sulforaphane, doxorubicin, The nuclear division index (NDI), a measure of cell division kinetics, was calcu-
cytochalasin-B, RPMI-1640, IDM, penicillin-streptomycin solution, BCA kit: lated by scoring cells for the presence of one, two, three or more nuclei. The NDI
Sigma–Aldrich (St. Louis, MO); bleomycin: obtained locally; FBS and PHA: Life was calculated as follows: NDI = (M1 + 2 × M2 + 3 × M3 + 4 × M4)/N, where M1–M4
Technologies (India); HDAC assay kit: BioVision, USA (San Francisco, CA); PathScan® indicates the number of cells with one to four nuclei, and N is the total number of
acetyl-histone H4 kit: Cell Signaling Technology, USA (Danvers, MA); PE-Cy-7- cells scored.
labeled CD-34 antibody: e-Biosciences, USA (San Diego, CA); FITC-labeled lineage
cocktail: BD Biosciences; 7-AAD: Molecular Probes, USA (Eugene, OR). All other 2.8. Peripheral blood HSC assay
chemicals were purchased locally and were of analytical grade. Sodium-heparin
vacutainers were purchased from Becton Dickinson, USA (San Jose, CA). Blood lymphocytes were isolated using Histopaque and cultured in IDM media
containing 20% FBS and antibiotics, as described earlier [14]. Sets of lymphocyte
2.2. Subjects and sample collection cultures (control, 2 Gy, 400 nM SFN, and 2 Gy + 400 nM SFN) were evaluated for
CD34+ Lin− cells between 4 and 48 h. 7-AAD was used to eliminate dead cells from
Blood from healthy volunteers (3–4 ml; n = 6, 4 male and 2 female, ages 25–38 analysis. A minimum of 50,000 cells from each sample were acquired on a LSR-II
y) and suspected radiation-exposed individuals (n = 32, 26 male and 6 female, ages flowcytometer equipped with suitable optics.
12–80) were drawn into Na-heparin-containing vacutainers by trained medical
technologists of the institute. All subjects provided written informed consent. From 2.9. HDAC assay
questionnaire data, it was found that only ten male individuals (ages 28–56 y) among
the 32 individuals were actually involved in work with the irradiator or spent some Blood lymphocytes were isolated using Histopaque and cultured in RPMI media
time in its vicinity. The data presented here are from those ten individuals only. Other containing 20% FBS and antibiotics. Nuclear protein samples (10 ␮g) from four sets
donors were relatives who had never visited the site of the irradiator. The guide- of triplicate lymphocyte cultures (control, 2 Gy, 400 nM SFN, and 2 Gy + 400 nM SFN)
lines provided by the Indian Council for Medical Research (ICMR), the Government were evaluated for deacetylated lysine content using the HDAC colorimetric assay
of India, and the institutional ethics committee were strictly followed during this lit (K331-100; BioVison, San Francisco, CA, USA) at 405 nM, using a Spectra Max 2
study, which was duly approved by the Institutional Regulatory Board (IRB Approval multimodal plate reader (Molecular Devices, Eugene, OR, USA), as per the manufac-
letter INM/TS/IEC/01/1012). turer’s instructions. The values are presented as the amount of deacetylated lysine
equivalent per ␮g nuclear protein, as estimated from a standard curve prepared
2.3. Whole blood culture using the kit deacetylated lysine standard.
Acetylation status of histone H4 was assayed using PathScan® acetyl histone H4
Whole blood for each sample was cultured using a standard procedure. Briefly, sandwich ELISA following the manufacturer’s instructions. Cell lysates containing
whole blood (0.5 ml) was added to medium (4.5 ml) containing 20% FBS and antibi- equal amount of protein from each treatment groups were used after dilution and
otics, within 2 h of collection of the sample, and stimulated with 100 ␮l PHA (stock absorbance was recorded at 450 nm.
solution 1 mg/ml in PBS). Culture flasks were placed in a humidified CO2 incubator Total protein in the nuclear extract and cell lysate were quantified using the BCA
at 37 ◦ C until harvesting, with intermittent shaking of the flasks every day. Sul- assay kit (Sigma–Aldrich), with BSA standard.
foraphane (400 nM) was added to each culture either when the lymphocytes were
at G0 (within 2 h of PHA treatment) or G1 (20 h after PHA treatment) phase of the 2.10. Statistical analysis
cell cycle [10].
Data presented are mean ± SD of all samples in the experiment. MN frequencies
2.4. In vitro irradiation, genotoxic chemical, and sulforaphane treatment were compared using students’ t-test and P < 0.05 was considered significant.

Blood samples collected from healthy volunteers were cultured as described


3. Results
above. Cultures were exposed to Co-60 -radiation (0.25, 0.50, 1, or 2 Gy at
1.17 Gy/min) from a Cobalt-60 teletherapy machine (Bhabhatron-II, Panacea Medi-
cal Technologies, Bengaluru, India). Standard chemical dosimetry (Fricke’s method) 3.1. In vitro CBMN assay
and ion-chamber dosimetry were followed for dose calibration. Whole blood
cultures were treated with bleomycin (15 ␮g/ml) or doxorubicin (25 ␮g/ml) in A dose response curve for the induction of micronuclei was gen-
incomplete medium (without FBS) for 1 h and washed twice with sterile PBS, before
adding complete medium to promote growth and expression of micronuclei. The
erated following in vitro irradiation of human lymphocytes, using
treatment conditions were designed to mimic the accidental exposure of indi- the CBMN assay, in the absorbed dose range 0–2 Gy (Fig. 2). This
viduals as closely as possible; i.e. test agents were added to whole blood before curve was used to extrapolate the possible dose received by the
mitogenic stimulation. Sulforaphane 400 nM) was added 2 or 20 h after the addi- individuals. These individuals did not have a history of smoking,
tion of PHA, so as to ensure exposure of lymphocytes to sulforaphane at either
chronic alcohol consumption, or recent fever. The estimated doses
the G0 (2 h) or G1 (20 h) stage of the cell cycle [10]. Fig. 1(a–c) depicts schemat-
ically the treatment protocols for each experiment performed. The dose of SFN in nearly ten individuals were in the range 0.25–1.7 Gy, based on
was based on our preliminary observation of HUVEC cell survival assessed by the the in vitro dose-response plot (Fig. 2). Addition of SFN (400 nM)
XTT {2,3-bis (2-methoxy-4-nitro-5-sulfophenyl)-5-[(phenylamino) carbonyl]-2H- either 2 or 20 h after irradiation resulted in a significant decrease
tetrazolium hydroxide} assay (unpublished data). in MN frequency, which was not strictly dependent on the time of
addition of SFN (Fig. 3). Under the present experimental conditions,
2.5. Cytochalasin-B-blocked micronucleus assay
SFN reduced bleomycin- and doxorubicin-induced micronuclei by
The MN assay using cytochalasin-B block was performed essentially according 30–44% in the whole blood cultures obtained from healthy volun-
to the method described earlier [13]. Briefly, all cultures were treated with 5 ␮g/ml teers (Fig. 4). Bleomycin is a radiomimetic agent that can induce
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O. Katoch et al. / Mutation Research 758 (2013) 29–34 31

PHA Fixation
a) 2 or 20 hr 42 or 22 hr 28 hr
Whole blood SFN Cyto-B
Irradiation

Doxo Wash
or and
Bleo PHA Fixation
b) 1 hr 2 or 20 hr 42 or 22 hr 28 hr
Whole SFN Cyto-B
blood

PHA
c)
2 hr 2 hr 20 hr
Lymphocyte SFN
Irradiation Protein Isolation for Protein Isolation for
HDAC assay and H4 H4 Acetylation status
Acetylation status

Fig. 1. A schematic representation of different experimental protocols showing the timings of treatments like (a) whole blood irradiation with respect to PHA stimulation, SFN
treatment and harvesting for fixation, (b) carcinogen (doxorubicin or bleomycin) treatment of whole blood with respect to PHA stimulation, SFN treatment and harvesting
for fixation and (c) isolated lymphocyte irradiation with respect to PHA stimulation, SFN treatment and harvesting for HDAC activity assay. The schematic representation is
not to scale and details are given in the text.

clustered DNA damage; doxorubicin is a topo-II poison capable that 3.2. CD 34+ Lin− cell population in peripheral blood
can cause DNA strand breaks.
Treatment with 400 nM SFN, either 2 or 20 h after PHA stim- A significant decrease in the population of CD 34+ Lin− cells was
ulation, significantly (P < 0.05) reduced the radiation-induced MN observed in the group receiving 2 Gy irradiation, at all time points
frequency in the lymphocytes of the ten subjects who worked in studied, as compared to the control group (Fig. 5). The SFN and
the contaminated area (Table 1). Similar results were obtained irradiation plus SFN groups were comparable to the control group
with in vitro irradiation of the blood from normal volunteers at corresponding time points.
(Fig. 3).
The concentration of SFN (400 nM) used here did not compro- 3.3. HDAC activity assay
mise the nuclear division index (NDI), either in case of the in vitro
irradiation of whole blood from healthy volunteers or the blood Irradiation (2 Gy -radiation) of the lymphocytes significantly
cultures from suspected exposed individuals (Table 1). (P < 0.05) increased the amount of deacetylated lysine in the nuclear

250
2
R = 0.98
200
MN per 1000 BN

150

100

50

0
0 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.8 2
Radiation Dose (Gy)

Fig. 2. Heparinized blood from healthy six volunteers was cultured and exposed to 0–2 Gy Co-60 gamma rays before PHA stimulation. Slides were prepared for MN observation
as described in the text. MN frequencies in all treatment groups were plotted as a function of radiation dose. The curve obtained without SFN treatment was used as the
standard curve for absorbed dose estimation in the accidentally exposed individuals, the dotted lines shows upper and lower confidence limits (95% confidence interval).
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32 O. Katoch et al. / Mutation Research 758 (2013) 29–34

Fig. 3. Heparinized blood from healthy volunteers was cultured and exposed to 0–2 Gy Co-60 gamma rays before PHA stimulation. Whole blood cultures exposed to identical
radiation dose were treated with 400 nM SFN either 2 or 20 h post-PHA stimulation. 72 h after culture, slides were prepared for MN observation as described and MN
frequencies in all treatment groups were plotted as a function of radiation dose. The curve obtained without SFN treatment was used for absorbed dose estimation in the
accidentally exposed individuals. Values presented are mean ± SD of blood from six healthy volunteers.

Table 1
Effect of SFN treatment of radiation induced MN frequency and NDI.

MN frequency (Percent) NDI

No SFN SFN Fold change No SFN SFN Fold change

1.30 1.20 0.92 1.56 1.50 1.04


1.69 1.20 0.71 1.55 1.56 0.99
1.40 1.15 0.82 1.56 1.56 1.00
1.20 1.11 0.92 1.45 1.50 1.03
1.40 1.25 0.89 1.48 1.51 1.02
0.90 0.90 1.00 1.56 1.52 0.97
5.15 2.80 0.54 1.58 1.44 1.09
4.45 3.57 0.80 1.60 1.67 0.96
4.10 3.14 0.77 1.55 1.49 1.04
4.65 3.60 0.77 1.56 1.48 1.05
24.90 7.20 0.29 1.46 1.53 0.95
17.30 10.00 0.57 1.44 1.45 1.006
8.70 7.20 0.29 1.46 1.53 0.95
Fig. 4. Whole blood samples from healthy volunteers were treated with chemical 5.50 3.10 0.56 1.55 1.52 0.98
mutagens like bleomycin or doxorubicin for 1 h, washed with sterile PBS and treated 2.90 2.20 0.75 1.48 1.49 1.006
with PHA. SFN was administered at a concentration of 400 nM at either 2 or 20 h post 4.50 3.25 0.72 1.51 1.50 1.006
PHA stimulation and MN frequency was estimated as described in the text. Values Whole blood cultures from accidentally radiation exposed individuals were treated
presented are mean ± SD of blood from six healthy volunteers. with 400 nM SFN 2 h after PHA stimulation. First six samples are from healthy vol-
unteers and remaining are from the cohort of accidentally exposed individuals.
Micronuclei frequency in binucleated lymphocytes and nuclear division index were
estimated as described in Section 2. Effect of SFN was designated in terms of fold
change (ratio of MN frequency or NDI with out SFN and with SFN treatment groups).

extract as compared to the untreated samples (controls), at 2 h


post-SFN treatment (Fig. 6a). SFN alone did not alter the total
deacetylated lysine level while treatment with 400 nM SFN 2 h after
2 Gy irradiation restored the deacetylated lysine level comparable
to the untreated controls (Fig. 6a).
Fig. 6b depicts the changes in acetylation status of histone H4
as a function of time. SFN treatment 2 h after 2 Gy irradiation was
observed to enhance H4 histone acetylation status until 24 h, as
compared to the control and radiation-alone groups.

4. Discussion

Fig. 5. The percentage of live circulating hematopoietic stem cells were studied The mutagenic effects of physical and/or chemical agents can be
using antibodies for CD 34 and Lin markers and 7-AAD as described in Section 2. ameliorated by multiple mechanisms, broadly classified as mod-
Values presented are mean ± SD of blood from six healthy volunteers. ification (prevention) of the induction of genomic damage and
enhancement of DNA repair capability. Several compounds can
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O. Katoch et al. / Mutation Research 758 (2013) 29–34 33

a 30

25

20

HDAC Acvity 15

10

0
Con 2Gy SFN DR
Treatme nt groups

b 4

3.5

3
Acetylated H4 (O.D)

2.5

1.5

0.5

0
1hr 2hr 4hr 24 hr 1hr 2hr 4hr 24 hr 4hr 24 hr 4hr 24hr

Con 2Gy SFN 2Gy+SFN


Treatments

Fig. 6. (a): HDAC activity (␮M deacetylated lysine generated per ␮g nuclear protein) in the lymphocyte nuclear protein obtained from various treatment groups as depicted
in the figure was assayed as described in Section 2. Values presented are mean ± SD of blood from six healthy volunteers. (b) The acetylation status of histone H4 was studied
using PathScan acetyl H4 sandwich ELISA as described by the manufacturer. Values presented are mean ± SD of blood from six healthy volunteers.

antagonize the effects of mutagenic agents, and these are grouped ND index values (Table 1). Another study [19] also demonstrated
based on their mechanism and site of action. For example, inhibitors the antimutagenic potential of SFN against four known mutagens,
of tumor initiation are called blocking agents of mutagenesis, without any adverse affects of SFN on cell division or cell death at
while suppressing agents are inhibitors of cancer promotion and a concentration of >10 ␮M. In our study also, SFN did not induce
progression [15]. On the other hand, desmutagens inactivate muta- significant apoptotic cell death (data not shown), which otherwise
gens before they can attack DNA and antimutagens interfere with could contribute to the reduction in micronuclei frequency. These
the fixation of DNA damage [16]. The ICPEMC Expert Group on observations also suggest that the SFN concentration required for
Antimutagens and Desmutagens made a distinction between stage- mitigation (as used here) is neither toxic to cells nor has any cyto-
1 inhibitors, acting extracellularly, and stage-2 inhibitors, acting static effect.
intracellularly [17]. Antimutagens act at the cellular level as mod- Ex vivo SFN treatment many days to several weeks after
ulators of DNA repair and replication [18]. The protective effects of accidental exposure to radiation was effective in mitigating
antimutagens can be mediated by increases in the fidelity of DNA radiation-induced micronuclei in the blood cells of human sub-
replication, by stimulating error-free repair of DNA damage, or by jects (Table 1). It is important to note here that the individuals
inhibiting error-prone repair systems. were exposed to low doses of gamma and beta (since the pencils
As was evident from the in vitro irradiation studies, SFN ame- were dismantled) radiation, over a period of several days inter-
liorated radiation-induced MN formation under various treatment mittently before sample collection took place. The total absorbed
regimens, implying its potential application as an antimutagen. MN dose and dose rate were dependent on the time spent and prox-
formation is a result of DNA strand breaks caused by radiation and imity of the individuals to the source, based on the nature of their
other clastogenic agents. Amelioration of MN formation by SFN work duties. This indicates that SFN can ameliorate micronuclei
administered 2 or 20 h following PHA stimulation (Figs. 3 and 4) arising not only due to exposure to acute gamma radiation but also
suggests that its anti-mutagenic effect could arise either due to due to mixed radiation exposure over a prolonged period. If SFN
enhanced repair or reduced manifestation of the damage. Reduc- merely suppressed the expression of micronuclei and not reduce
tion in the micronuclei by SFN was not due to reduced proliferation the manifestation of damage, then the survival of cells is expected
(an important pre-requisite for MN expression), as revealed by the to be compromised under these conditions, which should affect
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34 O. Katoch et al. / Mutation Research 758 (2013) 29–34

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