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and K. SHETTY
ABSTRACT
INTRODUCTION
H2O2 H2O
NO OONO HOONO NO
Nitric Peroxynitrite
oxide anion
and Parke 1995). ROS are ideally suited to be signaling molecules, and at low
levels, they have been implicated in many cellular processes, including intra-
cellular signaling, which is responsible for proliferation or apoptosis (Droge
2002), modulation of immune response (Niess et al. 1999) and for mounting
a defense response against pathogens (Sculley and Langley-Evans 2002
(Fig. 3). Although the exact mechanism of the action of ROS in effecting these
physiological processes is not very well understood, there is growing evidence
that ROS, at some level, are capable of activating or repressing many biolog-
ical effector molecules (Morel and Barouki 1999). It has been shown to
activate or to repress transcription factors by directly activating them, by
oxidizing the sulfhydryl groups present or by modulating a complex array of
kinases and phosphatases which are important in signal transduction. Many
ion channels, which maintain the electrostatic balance of the cell required for
many physiological processes such as cell growth and cell death, are now also
shown to be regulated by ROS. Another important mechanism by which ROS
are now shown to be regulating the cell function is by altering the redox status
Oxidative stress
Adaptive response
by regulating the levels of oxidized and reduced glutathione (GSSG and GSH,
respectively) (Lusini et al. 2001).
AH2 A
PER H2O + O2
NADPH2
From pentose
phosphate
pathway
pylori are now also linked to oxidative stress and is associated with lower
responses of the enzymes CAT and SOD (Götz et al. 1996; Schwarz 1996).
Recent experimental findings suggest that overproduction of ROS, lowered
antioxidant defense and alterations of enzymatic pathways in humans with
poorly controlled diabetes mellitus can contribute to endothelial, vascular and
neurovascular dysfunction (Jakus 2000). Neurodegenerative disorders such as
Alzheimer’s, Parkinson’s disease and dementia have also been associated with
the oxidation of carbohydrates and proteins by ROS and with the reduced
activities of enzymes involved in antioxidant defense response such as perox-
idases, SOD and CAT (Offen et al. 1998).
prolonged UV exposure (Mann 1978; Bravo 1998; Crozier et al. 2000). Phe-
nolic phytochemicals, because of their important biological functions, are
ubiquitous in all plants and therefore find their place in almost all food groups.
Common fruits such as apples, cranberries, grapes, raspberries and strawber-
ries and their beverages like red wine, apple and orange juices are rich sources
of phenolic phytochemicals.
There are numerous different types of these phenolic phytochemicals
because of metabolic processing in plants for their final biological function.
Differences in substituent groups and linkages have resulted in wide varieties
of chemical structures having distinct properties. More than 8000 different
phenolic structures categorized into 10 classes have been identified. They vary
structurally from being simple molecules (e.g., phenolic acids with a single
ring structure) (Fig. 5), biphenyls and flavanoids having two to three phenolic
rings (Harborne 1980; Haslam 1998) and polyphenols containing 12 to 16
phenolic groups (Fig. 5). All the phenolic phytochemicals are derived from a
common biosynthetic pathway, incorporating precursors from both the shiki-
mate and/or the acetate–malonate pathways (Mann 1978; Strack 1997) (Fig. 6).
Glucose
Nucleotide
metabolism
UDP-glucose
Carbohydrate Glucose-6-phosphate
metabolism
Aminoacid
metabolism Metabolism
S-Adenosylmethionine
Glycosylation of phenols
Methylation of phenols
Pentose phosphate Glycolysis Pyruvate
pathway
Acetyl CoA
NADPH2 Sugar phosphates
Shikimate
pathway Maonyl CoA
Phenyl propanoid
pathway
Defense Coumarins Stilbene Defense
biosynthesis biosynthesis
Pigment
UV protection Signaling
HO O HO
O OH
HO OH
HO O
OH OH H3C O
HO Gallic acid Caffeic acid Ferulic acid
OH HO HO
HO
OH O OH HO NH2
O
Protocatechuic acid Coumaric acid L-DOPA
O
OH
HO
O
OH
HO HO
O OH
OH Resveratrol
O
Ellagic acid
OH O
HO O OH
O OH
HO O
OH HO OH
HO O OH
Rosmarinic acid
Quercetin
OH
HO OH
C O
OH O
HO
CH2
O
H O H OH
HO C O H O
HO C O O C OH
H O
O OH OH
C
HO
OH O
OH
OH
Ellagic acid was also found to significantly reduce the number of bone
marrow cells with chromosomal aberrations and chromosomal fragments as
effectively as alpha-tocopherol (Thresiamma et al. 1998). Moreover, the
administration of ellagic acid inhibited radiation-induced DNA strand breaks
in rat lymphocytes. Ellagic acid induced G1 arrest, inhibited overall cell
growth and caused apoptosis in tumor cells (Narayanan et al. 1999). One of
the studies reported a better protection by ellagic acid than vitamin E against
oxidative stress (Hassoun et al. 1997). Ellagic acid reduced cytogenetic dam-
age induced by radiation, H2O2 and mitomycin C in the bone marrow cells of
mice (Cozzi et al. 1995; Thresiamma et al. 1998). Chen et al. (2000) sug-
gested that the antitumor-promoting action of ellagic acid and of other related
phenolics may be mediated in part by inducing a redox modification of protein
kinase C which serves as a receptor for tumor promoters. Ellagic acid is also
suggested to carry out its antimutagenic and anticarcinogenic effects by the
inhibition of xenobiotic metabolizing enzymes (Zhang et al. 1993) and by the
induction of antioxidant responsive element-mediated induction of NADPH:
quinone reductase and GST genes which can detoxify carcinogens and reduce
carcinogen-induced mutagenesis and tumorigenesis (Barch and Rundhaugen
1994; Barch et al. 1995). Wood et al. (1982) showed that ellagic acid is a
potent antagonist of the adverse biological effects of the ultimate carcinogenic
metabolites of several polycyclic aromatic hydrocarbons and suggested that
this naturally occurring plant phenolic, normally ingested by humans, may
inhibit the carcinogenicity of polycyclic aromatic hydrocarbons.
Studies have shown that ellagic acid is a potent inhibitor of DNA topoi-
somerases which are involved in carcinogenesis. Structure–function activity
studies identified the 3,3¢-hydroxyl groups and the lactone groups as the most
essential elements for the topoisomerase inhibitory actions of plant phenolics
(Constantinou et al. 1995). Some recent studies have shown that ellagic acid
was found to be better than quercetin for chemoprevention (Khanduja et al.
1999). When the effect of both of these compounds on GSH, an important
endogenous antioxidant, and on lipid peroxidation was investigated in rats,
both ellagic acid and quercetin caused a significant increase in GSH and a
decrease in NADPH- and ascorbate-dependent lipid peroxidation. However,
ellagic acid was found to be more effective in decreasing the lipid peroxidation
and in increasing the GSH (Khanduja et al. 1999). This suggested that it may
be more effective in inducing the intracellular synthesis of GSH and may be
more capable in regenerating the oxidized GSH. This may be one of the
reasons for the well-documented anticarcinogenic activity of ellagic acid
compared to quercetin (Khanduja et al. 1999). When the ability of vitamin E
succinate and ellagic acid to modulate 2,3,7,8-tetrachlorodibenzo-p-dioxin-
induced developmental toxicity and oxidative damage in embryonic/fetal and
placental tissues was compared in C57BL/6 J mice (Hassoun et al. 1997),
FUNCTIONALITY OF ELLAGIC ACID 247
ellagic acid provided better protection than vitamin E succinate and decreased
lipid peroxidation in embryonic and placental tissues.
AOX
Growth Stress Phytochemicals,
ellagic acid, synergies
H2O2
Glucose MDA
Fructose-6-phosphate NADP+
e- 6-Phosphogluconolactone
ETC dehydrogenase
NADPH2
Glutamate Glutamate 6-Phosphogluconolactone
Antioxidant enzyme
response pathway Phenolic
(SOD/CAT) biosynthesis
TCA Shikimate
a-ketogluterate Plants
GPX
GPX
Lignin Phenl propanoid
pathway
Phen
membrane (Stout and Charles 2003; Cohen and Fields 2004). An apparent
modulation in the concentrations of calcium either by calcium binding or by
modulating the calcium-sensing receptor can activate these cellular signaling
cascades which can result in the changes in many physiological pathways
including the stimulation of the PPP (Bellomo et al. 1984; Stout and Charles
2003; Cohen and Fields 2004). Phenolic phytochemicals such as ellagic acid
have been shown to interact with proteins and to alter their configuration.
These phytochemicals can therefore directly interact with the cell surface
receptors and ion pumps and can directly activate signaling cascades by
inducing structural changes in the membrane receptor proteins and pumps
(Hagerman and Butler 1981; Pan et al. 2002; Papadopoulou and Frazier 2003;
Kim et al. 2004). The partially hydrophobic ellagic acid, as mentioned earlier,
can also directly interact with the proton pumps and can modulate their
function. In addition, phenolic phytochemicals, especially flavanoids, have
been shown to be able to interact with the membranes (Tsuchiya et al. 1987;
Tsuchiya 2001). Such an interaction can alter the permeability of the cell and
can cause changes in the electrochemical gradient across the cell membrane
causing the rapid influx of protons into the cytosol and the activation of many
signaling cascades leading to the stimulation of dehydrogenase-linked PPP
(Fig. 7). The stimulation of PPP, which results in the NADPH2 synthesis, can
help in decreasing the excess protonation of the cytosol by the phenolic
phytochemical by combining the protons with NADP+ to make NADPH2
through dehydrogenases (Fig. 7). The stimulation of the PPP could be an
important cellular mechanism in the management of antioxidant stress
response and may be closely linked to stimulation of cellular antioxidant
response pathways (Shetty and Wahlqvist 2004; Shetty 2004). The availability
of reducing equivalents in the cell could now further stimulate the antioxidant
stress response managed by GSH, ascorbate, SOD, CAT and GST which
require NADPH2 for their effective functioning (Mates and Sanchez-Jimenez
1999; Mates et al. 1999; Nordberg and Arner 2001). Phenolic phytochemicals
are known to modulate gene expression either by activating or repressing
transcription factors or by directly binding to the DNA (Mazumder et al. 1997;
Durant and Karran 2003). The phenolic phytochemicals such as ellagic acid
can aid in the cellular antioxidant defense response by activating the expres-
sion of enzymes involved in antioxidant defense and repressing the expression
of oxidative stress producing pathways such as NADPH-oxidase, and CYP
dependent Phase-I enzymes.
The stimulation of the PPP could further be coupled to the biosynthesis
of proline made from glutamic acid and requires NADPH2 (Wu 1998; Brosnan
2000). Phenolic phytochemicals such as ellagic acid can stimulate the biosyn-
thesis of proline and can subsequently create a demand for the tricarboxylic
acid (TCA) cycle intermediates such as a-ketoglutarate to be channeled to
FUNCTIONALITY OF ELLAGIC ACID 251
Simple phenolics
Hyperaciditiy OH
OH
HO OH HO
OH OH
HO OH HO
O OH O
OH O
O OH
HO
OH
Simple phenolics
OH
OH
OH
HO O
OH HO
HO
OH
Hydrophobic
O OH O O O
O O
HO HO HO
O O O
OH O OH OH
HO HO HO
HO
O O O O
OH OH OH OH
O HO O O
O
OH
Ellagic acid O
Ellagic acid
O O
O HO HO
O O O
HO
O HO OH OH
O HO HO
OH O
HO OH
HO HO O O
O O OH OH
OH O
O OH OH O O
HO O
H+-ATPase O Ion
OH
channel H+-ATPase Ion channel
O chelation
ca2+, ions H+
chelation ca2+, ions
H+
H+
Less cytosolic acidification
and increased acid tolerance
through dehydrogenase
coupling
(A) (B)
cations. Many ion pumps and channels such as Na+/K+ or Ca2+ pumps are
responsible for critically regulating many cellular functions such as motility,
cell division and cell death. The impairment of calcium homeostasis or cal-
cium signaling can cause disruption in the normal cellular function of the
microorganism and therefore death (Fig. 8). Phytochemicals such as tannins
and their hydrolyzed products such as ellagic acid can inhibit the growth of
microorganisms by sequestering metal ions that are critical for the microbial
growth and metabolism (Aidoo et al. 1982; Acamovic and Stewart 1992;
McDonald et al. 1996; Kainja et al. 1998) or by inhibiting the critical func-
tions of the bacterial membrane such as ion channels and proteolytic activity
(Muhammed 1999) which are all dependent on pH and on ionic strength.
Many key proteins and receptors on the membrane are responsible for the
receptor-mediated transport of nutrients and cofactors. These proteins are
FUNCTIONALITY OF ELLAGIC ACID 253
potentially confers them with more buffering capacity and hydrophobicity and
therefore could create an unfavorable environment for simple phenolics to
exert their hyperacidification effect.
SUMMARY
Oxidative stress is now suggested to be one of the major causes for the
induction of many chronic diseases. In this context, populations consuming
diets rich in fruits and vegetables have been shown to have lower incidences
of many oxidation-linked chronic diseases such as cancer, cardiovascular
disease and diabetes (Jakus 2000). This has led to a recent surge in the use
and understanding of diet as a potential tool to manage oxidation-linked
disease (Block et al. 1992; Serdula et al. 1996; Tapiero et al. 2002; Duthie
et al. 2003). Phenolic phytochemicals with antioxidant properties are impor-
tant components in fruits and vegetables and are partly responsible for these
beneficial health effects (Mates et al. 1999; Mates and Sanchez-Jimenez 1999;
Nordberg and Arner 2001). Ellagic acid is a phenolic lactone commonly found
in many fruits and vegetables. Several biological functionalities of ellagic acid
have been well-documented. Ellagic acid has been shown to be a powerful
anticarcinogenic and antimutagenic compound involved in preventing the
activation of toxins, mutagens and environmental carcinogens (Khanduja
et al. 1999).
Although several functions of ellagic acid are described, the mechanism
biological functionality of ellagic acid is not very well-understood. Many
studies have suggested that the biological functionality of ellagic acid is
associated with its direct antioxidant activity which counters the negative
effects of ROS that are generated during cellular metabolism and in response
to chemical and environmental stresses. Different studies have also suggested
that ellagic acid can aid in the regeneration of cellular antioxidants such as
GSH, prevent the activation of carcinogens mediated by Phase-I enzymes,
activate Phase-II enzymes such as GST, inhibit DNA topoisomerase, mediate
256 D.A. VATTEM and K. SHETTY
cell cycle arrest and activate apoptotic pathways leading to the reduction of
cancer and other chronic diseases (Teel et al. 1986; Barch and Rundhaugen
1994; Barch et al. 1995; Constantinou et al. 1995; Khanduja et al. 1999). In
addition to anticarcinogenic functions, anti-inflammatory and antimicrobial
activities of ellagic acid have also been described (Wood et al. 1982; Kaur
et al. 1997; Loarca-Pina et al. 1998; Khanduja et al. 1999).
These models have explained the beneficial effect of phenolic phy-
tochemicals including ellagic acid either on the basis of one mechanism of
action such as a free radical-scavenging activity or by the activation or the
repression of specific genes. Therefore, these models are deficient in explain-
ing several different effects mediated by a single phenolic phytochemical such
as ellagic acid and their synergistic interactions with other bioactive ingredi-
ents in foods. Biological adaptive response resulting in antioxidant protection
is suggested to be mediated by modulating the expression of genes and of
transcription factors such as AP1, NFkB and cfos (Morel and Barouki 1999).
These genes and transcription factors regulate the antioxidant enzyme
response mediated by GSH, SOD/CAT and GST interface and also manage
several pathways resulting in the production of ROS (Morel and Barouki
1999; Droge 2002).
A limitation of the currently available models is in explaining the several
upstream and early metabolic processes that ultimately contribute to the
manifestation of the energy-intensive (requiring constant supply of ATP
and NADPH2) adaptive response that maintains the cellular homeostasis
(Nordberg and Arner 2001). Using existing models, it is also challenging to
explain the biphasic response of the phytochemicals such as ellagic acid which
promotes the survival of eukaryotes and inhibits the growth and survival of
pathogens. To understand these apparently conflicting modes of action of
phytochemicals, we have reviewed the current models available to explain the
functionality of phenolic phytochemicals such as ellagic acid. In addition, we
have also proposed a model which comprehensively explains the functionality
of phytochemicals such as ellagic acid in the early stages of stimulating the
antioxidant response-mediated cellular homeostasis (Shetty and McCue 2003;
Shetty and Wahlqvist 2004). This model proposes that phenolic antioxidants
aid the antioxidant response of the cell not only by acting as redox modulators
by virtue of their antioxidant (free radical scavenging) activity but are also
able to stimulate pathways such as the PPP that can replenish the need for
reducing equivalents. It is further proposed that this stimulation of PPP be
linked to the stimulation of proline biosynthesis which can further drive the
PPP and can also function as an alternative reductant in place of NADH
(Shetty and Wahlqvist 2004). Preliminary investigations have empirically
defined the biological functionality of ellagic acid on the basis of this model
in eukaryotic (Vattem et al. 2005a,b) and prokaryotic systems (Vattem et al.
FUNCTIONALITY OF ELLAGIC ACID 257
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