Professional Documents
Culture Documents
Induced by Alprazolam
DOI: 10.5455/medarh.2013.67.388-392
Med Arh. 2013 Dec; 67(6): 388-392
Received: June 18th 2013 | Accepted: October 15th 2013
ORIGINAL PAPER
I
ntroduction: Alprazolam is a triazolobenzodiazepine used in panic disorders and other anxiety malian cells. The growing root tips of
states. Target organ of Alprazolam is CNS, causing depression of respiration and consciousness. the onion, Allium cepa provide a readily
Aim: This study aimed to estimate the genotoxic potential of Alprazolam using Allium cepa available source of material for study-
test. Methods: Allium cepa is one of the most suitable plants for detecting different types of xe- ing the damaging effects of chemicals
nobiotics. The test enables the assessment of different genetic endpoints making possible damage on chromosomes. This plant is useful
to the DNA of humans to be predicted. Results: Alprazolam induced chromosomal (anaphase for evaluating DNA damages that ex-
bridges, breaks, lagging and stickiness, abnormal spiralisation, multipolarity and polyploidy) and press such as CAs, disturbances in the
cytological aberrations, especially nuclear alterations (nuclear buds, fragmented nucleus and mitotic cycle, nuclear alterations (NAs)
apoptotic bodies, cells without nucleus, binucleated and micronucleated cells), morphological and presence of MNi in meristem cells.
alterations in shape and size of cells, spindle disturbance and polar deviation in root tip meristem
The decrease in the mitotic index
cells of Allium cepa at all tested concentrations. Alprazolam also caused significant inhibition of
(MI) of Allium cepa meristem cells
mitotic index in these cells. Conclusion: These changes in cells are indicators of genotoxic potential
can be considered as a reliable method
of Alprazolam suggesting a need for further in vitro studies on animal and human lymphocytes as
to determine the presence of cytotoxic
well as in vivo studies. Key words: Allium cepa test, Alprazolam, Genotoxicity, Apoptotic bodies
agents in the environment. CAs are
Corresponding author: Prof. Hilada Nefic, PhD. Department of Biology of the Faculty of Science including changes in either chromo-
in Sarajevo, Zmaja od Bosne 33-35, Sarajevo 71000, Bosnia and Herzegovina. Phone: ++387 somal structure or in the total number
(0)33723717; Fax: ++387 (0)33649359. . E-mail addresses: hnefic@pmf.unsa.ba; hnefic@gmail.com of chromosomes. Structural chromo-
somal alterations may be induced by
DNA breaks, inhibition of DNA syn-
1. INTRODUCTION cepa L. The first modification of the Al- thesis and replication of altered DNA.
The root tips several of plant spe- lium cepa test for environmental moni- The CAs, such as chromosome bridges
cies have been used for the study of in- toring was introduced by Fiskesjö (4, 5). and breaks, are indicators of a clasto-
duced chromosomal aberrations (CAs) The chromosome assays on plants genic action. The numerical CAs (an-
and presence of micronuclei (MNi). are rapid and inexpensive and do not euploidy and polyploidy) are conse-
Root tips of different Allium species are require elaborate laboratory facilities quences of abnormal segregation of
used the most frequent as experimental and a wide range of genetic endpoints chromosomes (chromosome losses,
material. The plants possess some ad- is available. The chromosomes of plants delays, adherence, multipolarity and
vantages over other organisms in cer- and animals are morphologically sim- C-metaphases) which can occur either
tain circumstances. The plants usually ilar, and appear to respond to treat- spontaneously or by the action of an-
have the large chromosomes and the ment with mutagens in a similar way eugenic agents. Chromosome without
low chromosome number. The root to those of mammals and other eukary- telomeres become “sticky” and may fuse
meristem contains a high proportion otes. There are some important limita- with other broken chromosome ends.
of cells in mitosis (1-3). Plant systems tions as well, such as the longer life cy- The result of these chromosomal rear-
had a major part in early investigations cle of most plants than bacteria, yeast or rangements are acentric fragments, di-
of the genetic changes caused by muta- Drosophila and some biochemical dif- centric bridges that can be observed in
genic chemicals and radiation. One of ferences between plants and mammals. mitotic cells of the first cell cycle after
the most suitable plants for detecting There are also fundamental differences mutagenic treatment or MNi in the in-
different types of xenobiotics is Allium in structure between plant and mam- terphase cell in the next cell cycle.
The Allium cepa test is used for Healthy young onion bulbs that were each concentration of Alprazolam and
screening and monitoring environmen- the same size were used in the test. The the control. For cytogenetic examina-
tal chemicals with mutagenic and car- outer scales are removed from bulbs tion of mitotic cells was used a micro-
cinogenic potential (6-10). Alprazolam and they scraped at the root to pro- scope (Jenaval) at1000x magnification.
is a newer benzodiazepine that is be- mote the emergence of new roots. On- The Mitotic Index (MI) represents
ing used more commonly in overdose. ion bulbs then have been grown in water the total number of dividing cells in re-
Overdose in adults frequently involves at room temperature. The bulbs should lation to the number of analysed cells
co-ingestion of other central nervous remain in the dark. When the newly in cell cycle. A minimum of 1,000 cells
system (CNS) depressants, which act emerged roots are 2 cm in length, they were scored for MI and expressed as a
synergistically to increase toxicity. Al- are ready for treatment with the test percentage of total number of examined
prazolam is assumed to be capable of drug. Adequate root growth should be cells undergoing mitosis. The frequency
causing fatal harm and an increased obtained in 3-4 days. The bulbs should of CAs was expressed as the number of
risk if congenital abnormalities when be transferred to petri dish with 30 ml aberrant cells per 100 cells examined.
administered to a pregnant woman dur- of Alprazolam solution appropriate A hundred metaphase cells were scored
ing the first trimester. concentration for the treatments. We for each bulb in experimental group and
The aim of this study was to evalu- use group of 6 bulbs of Allium cepa the number of aberrant cells in each ex-
ate the genotoxic potential of benzodi- for each treatment. Roots of Allium perimental group is compared with the
azepine drug Alprazolam. For estimate cepa have been treated with a series of values from the control group. The Al-
the genotoxicity of this benzodiazepine concentration 100, 150, 200, 250 and lium cepa test enables to estimate CAs
and for assessment of risks from expo- 500μg/ml for 24h. Freshly prepared so- in all phases of the cell cycle.
sure to Alprazolam we used the Allium lutions of Alprazolam should be used. Data were expressed as the mean ±
cepa test. Treatments took place in the dark. A standard deviation (SD) of the means
negative control has been treated with for MI and frequency of aberrant cells.
2. MATERIAL AND METHODS distilled water. After 24h, the roots of For statistical analysis of variance
Alprazolam (Xanax, Helex, Alpro- each bulb were extracted and fixed in (ANOVA) was used. Relationships be-
nax) is a triazolobenzodiazepine used freshly prepared and cool mixture (4-10 tween different concentrations of Al-
in panic disorder and other anxiety °C) containing 3 parts of methanol and prazolam and MI or frequency of aber-
states. Alprazolam, like other benzo- 1 part of glacial acetic acid (3:1, v/v) for rant cells were investigated using Pear-
diazepines, binds to specific sites on 24h. Roots can be stored in fixative for son’s correlation analysis and/or Spear-
the GABA A (gamma-amino-butyric several days or weeks. man’s rank correlation. Analyses were
acid) receptor. The chemical name of For preparation root tip chromo- done at P<0.05 and 95% confidence level
Alprazolam is 8-chloro-1-methyl-6- some slides acetorcein squash tech- using MedCalc Version 12.5.0.0 statis-
phenyl-4H-s-triazolo [4,3-a] [1,4] ben- nique has been used to analyse MI, cy- tical software package.
zodiazepine. The molecular formula is totoxic effects and CAs. The root tips
C17H13ClN4 which corresponds to a mo- of bulbs hydrolysed in 1N hydrochlo- 3. RESULTS
lecular weight of 308.76. ric acid (HCl) at 60 ºC for 4-5 min. The The results this study showed con-
The root tip cells of onion were used cell wall has to dissolve by hydroly- centration-dependent reduction in MI
to test the potentially genotoxic effects sis with acid. From HCl the roots are of Allium cepa root tip meristem cells
of Alprazolam. The test was carried out transferred to distilled water and left treated with different concentrations of
according to Fiskesjö protocol (4, 11- for a few minutes. The roots then were Alprazolam for 24h (Table 1). This dif-
12) with some modifications. Common transferred on clean slide. Three roots ference was significant in Pearson’s cor-
onion (Allium cepa L.) has eight pairs tips were used for each slide. On the relation analysis where correlation coef-
of relatively large chromosomes (2n = slide, tips were crushed in drop of 2% ficient (r) was -0.7454 with significance
16) that allows for the easy detection acetorcein (Gurr Orcein, BDH Chemi- level P<0.0001 and 95% confidence in-
of CAs. The plant material is available cals Ltd., Poole, England) with the flat terval (CI) for r -0.8700 to -0.5315. The
all the year round, it is inexpensive and end of metal rod (taper) and squashed similar results we obtained after using
easily to grow and handled. The size of under a cover slip. The pressure was ap- Spearman’s rank correlation. Spear-
chromosomes makes Allium cepa tips plied under several thickness of blot- man’s coefficient of rank correlation
as favourable material for the study of ting filter paper during sideways move- (rho) was -0.725 with significance level
the effects of chemicals on frequency ments of cover slip must be avoided. The P<0.0001 and 95% CI for rho -0.859 to
of CAs which are biomarkers of dam- two slides prepared for each of bulbs in -0.500. Based on the statistical analy-
age of genetic material. The root tip each experimental group (concentra- sis using ANOVA test we observed in-
cells have a very low spontaneous ab- tion of the test drug). A thousand cell hibition of MI in meristem cells that
erration frequency and a stable chro- for MI and a hundred metaphase cells was statistically significant at all tested
mosome number. (except for concentration of 500μg/ml concentrations (P<0.05) but not signifi-
To perform this test we used onion due to reduction in MI) for CAs were cant at 150μg/ml when compared with
bulbs that cultivated without the ap- counted for each bulb per treatment the control.
plication of herbicides or fungicides. group. Twelve slides were prepared for
Concentration Number of Phase index totic bodies), binucleated cells and mi-
MI (%)
of Alprazolam dividing cells P PM M A T cronucleus formation (Table 3). MNi
Control (0) 86.78±24.31 8.7±2.43 26.33±7.09 4.00±4.00 24.33±8.23 19.11±8.87 14.11±8.68 were present in the different phases
100μg/ml 61.50±24.19* 6.2±2.42* 16.67±3.44 2.83±3.19 24.33±15.40 10.67±4.80 7.00±2.90
of cell cycle in root meristem cells of
150μg/ml 63.00±4.83 6.3±0.48 15.25±3.30 1.75±1.26 21.00±3.46 19.00±3.37 6.00±12.73
200μg/ml 50.20±20.62* 5.0±2.06* 13.00±5.24 3.60±2.88 17.20±8.23 11.40±7.50 5.00±1.41
Allium cepa. The spindle disturbance
250μg/ml 40.00±1.83* 4.0±0.18* 10.25±3.77 3.50±3.11 10.25±3.69 8.25±2.22 5.25±3.86 and polar deviation can lead to abnor-
500μg/ml 8.62±20.23* 1.57±2.02* 6.67±4.73 0.00±0.00 5.00±8.66 3.00±5.20 1.00±1.73 mal kinetics of chromosome and pro-
Legend: P: prophase, PM: prometaphase, M: metaphase, A: anaphase, T: telophase. longed prophase. Figure 2 shows nu-
ANOVA test: *Statistically significant at p<0.05 when compared with untreated control.
clear abnormalities that can be found
Table 1. Mitotic index (MI) of Allium cepa root tip cells exposed to different concentrations of
in Allium cepa meristem cells exposed
Alprazolam (mean ± SD)
to Alprazolam. Statistically positive
Chromosomal aberrations (CAs)
Concentration Total number of
of Alprazolam Abnormal Abnormal aberrant cells
Bridges Breaks Lagging Stickiness Polyploidy Multipolarity
spiralisation kinetics
Control (0) 0.00±0.00 0.11±0.33 0.00±0.00 0.44±1.01 0.22±0.44 0.00±0.00 0.00±0.00 0.67±1.00 1.44±2.19
100μg/ml 1.00±1.26 0.83±0.75 1.17±1.17 4.00±4.65 0.67±1.03 0.17±0.41 0.50±0.84 7.33±4.59 15.67±7.71
150μg/ml 0.75±0.96 1.50±0.58 3.50±0.58 1.75±2.06 0.00±0.00 1.50±0.58 0.75±0.96 10.50±1.29 20.25±4.35*
1.20±1.79 0.60±0.89
200μg/ml 3.60±3.29 5.20±3.56 4.20±2.68 4.00±2.65 0.80±1.79 11.20±6.53 30.80±17.40*
250μg/ml 6.00±1.63 5.75±0.96 8.25±0.96 7.25±2.22 0.25±0.50 0.75±0.96 3.00±0.00 11.00±1.41 42.25±5.06*
500μg/ml 0.00±0.00 0.00±0.00 0.00±0.00 0.67±1.15 0.67±1.15 0.67±1.15 0.00±0.00 2.33±4.04 4.33±7.51
ANOVA test: *Statistically significant at p<0.05 when compared with untreated control.
Table 2. Chromosome aberration assay in Allium root cells exposed to Alprazolam (100, 150, 200, 250 and 500μg/ml for 24h)
2013; 22(3): 342-344. Terrestrial and Aquatic Environmental 16. Leme DM, de Franceschi de Angelis D,
6. Sofradžija A, Hadžiselimovic R, Maslic Toxicology 2012; 6(2): 90-95. Marin-Morales MA. Action mechanisms
E. Genotoksicnost pesticida. Svjetlost, 11. Fiskesjö G. A 2-3 day plant test for tox- of petroleum hydrocarbons present in
Sarajevo, 1989. icity assessment by measuring the mean waters impacted by an oil spill on the ge-
7. Knasmuller S, Gottmann E, Steinkell- root growth of onions (Allium cepa L.). netic material of Allium cepa root cells.
ner H, Fomin A, Pickl C, Paschke A, God Environ Toxicol Water Quality. 1993; Aquatic Toxicology. 2008; 88: 214-219.
R, Kundi M. Detection of genotoxic ef- 8: 461-470. 17. Yousif WB. Microscopic Studies on the
fects of heavy metals contaminted soils 12. Fiskesjö G. Allium Test For Screening Effect of Alprazolam (Xanax) on the
with plant bioassays. Mutat Res. 1998; Chemicals; Evaluation of Cytological Liver of Mice. Pakistan Journal of Bio-
420: 37-48. Parameters, In: Wang W, Gorsuch JW, logical Sciences. 2002; 5(1): 1220-1225.
8. Ma TH. The role of plant systems for Hughes JS (Eds.). Plants for Environ- 18. Musanovic J, Ramic N, Nefic H, Dzubur
the detection of environmental muta- mental Studies, Lewis, New York, USA, A. Chromosome aberration and irregu-
gens and carcinogens. Mutat Res. 1999; 1997: 308-333. lar cell cycle in Allium cepa root cells
437: 97-100. 13. Türkoğlu S. Genotoxicity of five food pre- caused by different concentrations of Al-
9. Cabaravdic M. Induction of Chromo- servatives tested on root tips of Allium prazolam. International Journal of Col-
some Aberrations in the Allium cepa cepa L. Mutat Res. 2007; 626: 4-14. laborative Research on Internal Medi-
Test System Caused by the Exposure of 14. Badr A, Ibrahim AG. Effect of herbicide cine & Public Health. 2013; 5(6): 407-418.
Cells to benzo(a)pyrene. Med Arh. 2010; Glean on mitosis, chromosomes and nu- 19. Isbister GK, O’Regan L, Sibbritt D, Whyte
64(4): 215-218. cleic acids in Alium cepa and Vicia faba IM. Alprazolam is relatively more toxic
10. Sharma S, Vig AP. Genotoxicity of Atra- root meristems. Cytol. 1987; 52: 293-302. than other benzodiazepines in overdose.
zine, Avenoxan, Diuron and Quizalofop- 15. Fenech M, Cytokinesis-block micronu- Br J Clin Pharmacol. 2004; 58(1): 88-95.
P-ethyl Herbicides using the Allium cepa cleus cytome assay, Nature protocols.
Root Chromosomal Aberration Assay. 2007; 2(5): 1084-1104.