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Effects of Crude Fucus distichus Subspecies evanescens Fucoidan Extract on Retinal Pigment Epithelium Cells―Implications for Use in Age-Related Macular Degeneration

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Fucoidan extracts may have beneficial effects in age-related macular degeneration(AMD). Over-the-counter fucoidan preparations are generally undefined, crude extracts. In thisstudy, we investigated the effect of a crude fucoidan extract from Fucus distichus subspeciesevanescens (Fe) on the retinal pigment epithelium (RPE). Fe extract was investigated for chemicalcomposition and molar mass. It was tested in primary RPE and RPE cell line ARPE19. Oxidativestress was induced with tert-butyl hydroperoxide, cell viability evaluated with MTT assay, VEGFsecretion assessed in ELISA. Phagocytosis was evaluated in a fluorescence microscopic assay.Wound healing ability was tested in a scratch assay. Additionally, the inhibition of elastase andcomplement system by Fe extract was studied. The Fe extract contained about 61.9% fucose andhigh amounts of uronic acids (26.2%). The sulfate content was not as high as expected (6.9%). It wasnot toxic and not protective against oxidative stress. However, Fe extract was able to reduce VEGFsecretion in ARPE19. Phagocytosis was also reduced. Concerning wound healing, a delay could beobserved in higher concentrations. While some beneficial effects could be found, it seems tointerfere with RPE function, which may reduce its beneficial effects in AMD treatment.
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Mar. Drugs 2019, 17, 538; doi:10.3390/md17090538 www.mdpi.com/journal/marinedrugs
Article
Effects of Crude Fucus distichus Subspecies
evanescens Fucoidan Extract on Retinal Pigment
Epithelium CellsImplications for Use
in Age-Related Macular Degeneration
Kevin Rohwer 1, Sandesh Neupane 2, Kaya Saskia Bittkau 2, Mayra Galarza Pérez 2,
Philipp Dörschmann 1, Johann Roider 1, Susanne Alban 2 and Alexa Klettner 1,*
1 Department of Ophthalmology, University Medical Center, University of Kiel, 24105 Kiel, Germany;
k.rohwer@live.de (K.R.); Philipp.Doerschmann@uksh.de (P.D.); Johann.Roider@uksh.de (J.R.)
2 Department of Pharmaceutical Biology, Pharmaceutical Institute, University of Kiel, 24105 Kiel, Germany;
sneupane@pharmazie.uni-kiel.de (S.N.); kbittkau@pharmazie.uni-kiel.de (K.S.B.);
mperez@pharmazie.uni-kiel.de (M.G.P.); salban@pharmazie.uni-kiel.de (S.A.)
* Correspondence: AlexaKarina.Klettner@uksh.de, Tel.: +0049-431-500-24283
Received: 14 August 2019; Accepted: 10 September 2019; Published: 16 September 2019
Abstract: Fucoidan extracts may have beneficial effects in age-related macular degeneration
(AMD). Over-the-counter fucoidan preparations are generally undefined, crude extracts. In this
study, we investigated the effect of a crude fucoidan extract from Fucus distichus subspecies
evanescens (Fe) on the retinal pigment epithelium (RPE). Fe extract was investigated for chemical
composition and molar mass. It was tested in primary RPE and RPE cell line ARPE19. Oxidative
stress was induced with tert-butyl hydroperoxide, cell viability evaluated with MTT assay, VEGF
secretion assessed in ELISA. Phagocytosis was evaluated in a fluorescence microscopic assay.
Wound healing ability was tested in a scratch assay. Additionally, the inhibition of elastase and
complement system by Fe extract was studied. The Fe extract contained about 61.9% fucose and
high amounts of uronic acids (26.2%). The sulfate content was not as high as expected (6.9%). It was
not toxic and not protective against oxidative stress. However, Fe extract was able to reduce VEGF
secretion in ARPE19. Phagocytosis was also reduced. Concerning wound healing, a delay could be
observed in higher concentrations. While some beneficial effects could be found, it seems to
interfere with RPE function, which may reduce its beneficial effects in AMD treatment.
Keywords: Fucus distichus subsp. evanescens; fucoidan; retinal pigment epithelium; VEGF; oxidative
stress; phagocytosis
1. Introduction
Fucoidans are sulfated polysaccharides derived from brown seaweed, consisting mainly of
sulfated fucose. Many different biological activities have been described for fucoidan, but fucoidans
are heterogeneous, varying strongly between different species [1].
Among the biological activities described for fucoidans are those interesting for potential
treatment of age-related macular degeneration (AMD) [2]. AMD is the main cause for blindness and
visual impairment in the elderly. Its pathogenesis is complex and multifactorial yet accepted as a
major factor in the development of AMD is oxidative stress [3–5]. The retina is exposed to high
degrees of oxidative stress through constant exposure to high-energetic sun light, due to a high
activity of mitochondria in photoreceptors and retinal pigment epithelial cells (RPE), and due to the
presence of oxidized fatty acids. The retinal pigment epithelium, a monolayer between the
photoreceptors and the choroid, protects the retina from oxidative stress [6] but may succumb to the
accumulating damage and degenerate later in life, leading to secondary degeneration of the
Mar. Drugs 2019, 17, 538 2 of 14
photoreceptors [4,7,8]. In a subset of AMD, the exudative or wet form, choroidal vessels may grow
into the retina, trying to compensate for hypoxia that may be present in the retina due to poor
oxygen supply. These vessels are highly immature and leak fluids into the subretinal space,
destroying RPE cells and photoreceptors. The most important factor for this neovascularization is
vascular endothelial growth factor (VEGF) and VEGF inhibition is the current treatment for
exudative AMD [3,9].
Fucoidans have been shown to be protective against oxidative stress in various cell assays [10–
13], and we have shown such a protective, anti-oxidative stress effect of fucoidan from Fucus
vesiculosus in ocular cells as well [14]. Furthermore, a variety of fucoidans have been shown to inhibit
VEGF and VEGF-mediated angiogenesis [15–17], including in our study on fucoidan of Fucus
vesiculosus tested on endothelial cells stimulated with RPE supernatant [18]. However, the pro- or
anti-angiogenic effect as well as its influence on VEGF are highly dependent on the origin, structure,
and molecular weight of the fucoidan [19] and may exert different effects in different experimental
systems [14].
Most studies have been carried out with commercially available fucoidan from Fucus
vesiculosus. In this study, we have investigated a fucoidan extract from Fucus distichus subspecies
evanescens. Previous studies on fucoidans from Fucus evanescens mainly focused on
immunomodulating effects [20–22], while there have been only limited studies in the context of
potential use for AMD [23].
Several studies have reported different structure and composition of fucoidan extracted from F.
evanescens [20,24–27]. They described fucose as the main monosaccharide with a low amount of other
sugars like mannose, glucose, galactose, and xylose. The diversity in their composition can be
dependent on harvest time, place, and the applied extraction method [28].
In our study, we have used a crude extract from Fucus distichus subsp. evanescens harvested in
the Kiel Fjord. The extract was chemically characterized, and some additional basic activities were
determined to enable an estimation of its potencies compared to purified fucoidans and was
investigated regarding its potential to protect against oxidative stress-induced cell death and to
inhibit VEGF secretion. Furthermore, as a functional RPE is a prerogative for functional
photoreceptors and needs to be protected to avoid the development of AMD, we additionally tested
the effects of the extract on parameters of RPE functions, such as toxicity, phagocytosis, and wound
healing.
2. Results
2.1. Chemical Characterization of Fe Extract
We determined the basic structural composition of Fe extract (Table 1). Its content of neutral
monosaccharides showed to be very low (7.54%), whereas the uronic acid content was quite high
(26.1%). The neutral monosaccharides were composed of fucose (61.9%), xylose (10.1%), mannose
(24.1%) and glucose (3.9%). Additionally, the molecular weight (Mw) (88.6 ± 1.0 kDa), sulfate content
(SO3Na; 6.9%), protein content (2.8%), and total phenolic content (TPC; 14.4 ± 0.7 µg GAE/mg) were
determined (Table 1).
Table 1. Structural composition of extract from Fucus distichus subsp. evanescens (Fe).
Monosaccharide
composition (mol %)
Uronic
acid (%) Mw (kDa) SO3Na
(%) Protein (%) TPC
(µg GAE/mg)
Fuc Xyl Man Glc
26.1 ± 0.2 88.60 ± 1.0 6.9 2. 8 14.4 ± 0.7
61.9 10.1 24.1 3.9
2.2. Activity Assays
Testing of the concentration-dependent inhibitory potency of Fe on elastase and complement
system activation revealed half-maximal inhibitory concentrations (IC50) of 1.48 ± 0.08 µg/mL
(elastase) and 5.73 ± 1.11 µg/mL (complement system) (Table 2). The antioxidant capacity (AOC) of
Mar. Drugs 2019, 17, 538 3 of 14
Fe extract (500 µg/mL) amounted to 4.65 ± 1.80%. However, compared to the reference compound
Trolox, the effect was about 500 times weaker.
Table 2. Activities of Fe extract.
Elastase inhibition IC50
(µg/mL)
Complement system inhibition IC50
(µg/mL) DPPH AOC (%) of 500 µg/mL
1.48 ± 0.08 5.73 ± 1.11 4.65 ± 1.80
2.3. Toxicity of Fe
We have tested a potential toxic effect of Fe extract on ARPE19 and primary RPE cells. For
ARPE19, no influence of Fe extract in the tested concentrations (1 µg/mL, 10 µg/mL, 100 µg/mL and
250 µg/mL) was found after one day and three days of incubation. After seven days, a slight
decrease of cell viability could be noted at a concentration of 100 µg/mL (95.60 ± 3.43%), which
reached statistical significance (Figure 1 a–c). In primary RPE cells, no influence could be found after
1, 3 or 7 days (Figure 1 d–f). In addition, even after four weeks of incubation or after use of
500 µg/mL Fe extract at any tested time point, no loss of cell viability could be seen (data not shown).
Consequently, Fe extract does not impair the viability of RPE cells.
Figure 1. Cell viability tests after incubation with Fucus distichus subsp. evanescens fucoidan extract
for 24 h, three days or seven days. Cell viability was determined by MTT assay. In ARPE19 cells, no
influence was found on cells after 24 h (a) or three days (b). After seven days, a slight but significant
reduction of cell viability was seen at a concentration of 100 µg/mL, but not at higher concentrations
(c). In primary RPE cells, no influence on cell viability was seen after 24 h (d), three days (e), or seven
days (f). Significance was evaluated with student’s t-test, + p < 0.05, co = untreated control, Fe = crude
fucoidan from Fucus distichus subsp. evanescens, h = hour.
2.4. Oxidative Stress Protection
Oxidative stress protection has been attributed to fucoidan and to polyphenols, found in crude
fucoidan extracts. We tested the protective effect of Fe extract on ARPE19 cells treated with 500, 750,
and 1000 µM tert-butyl hydroperoxide (TBHP). All three concentrations of TBHP significantly
reduced cell viability in ARPE19 cells. When treated with Fe extract (1 µg/mL, 10 µg/mL, 100 µg/mL,
and 250 µg/mL), no increase in cell viability was found for any TBHP or Fe extract concentration
tested (Figure 2a–c). Clearly, this extract does not provide protection against oxidative stress.
Mar. Drugs 2019, 17, 538 4 of 14
Figure 2. Cell viability after the induction of oxidative stress by tert-butylhydroperoxid (TBHP). Cell
viability was determined by MTT assay. ARPE19 cells were incubated for 24 h with 500 µM (a), 750
µM (b), or 1000 µM (c) TBHP and the protective effect of Fe extract was measured for 1, 10, 100, and
250 µM. No increase of cell viability was found for any concentration of Fe extract at any oxidative
stimulus tested. Significance was evaluated with student’s t-test, +++ p < 0.001 against untreated
control, co = untreated control, Fe = crude fucoidan from Fucus distichus subsp. evanescens.
2.5. VEGF Secretion
VEGF secretion was detected in ARPE19 cells after incubation with the different concentrations
of Fe extract (1 µg/mL, 10 µg/mL, 100 µg/mL and 250 µg/mL) after 24 h, three days or seven days
(Figure 3). At all time points, Fe extract reduced the VEGF concentration in the supernatants
compared to untreated control, with the most profound effect after 24 h, which reached statistical
significance at concentrations of 100 and 250 µg/mL Fe extract (100 µg/mL: 54.87 ± 7.12%, p < 0.001;
250 µg/mL 28.87 ± 18.50%, p < 0.001) (Figure 3 a). After three days, a significant reduction could be
found at a concentration of 100 µg/mL (81.23 ± 13.48%, p < 0.05). Of note, 1 and 10 µg/mL resulted in
a slight but significant increase of VEGF (1 µg/mL 113.61 ± 9.91%, p < 0.05; 10 µg/mL 113.97 ± 9.00%,
p < 0.05) (Figure 3b). After seven days, a significant decrease of the VEGF content could be found for
250 µg/mL (67.00 ± 12.32, p < 0.01) (Figure 3c).
Figure 3. Effect of Fe extract on VEGF secretion of ARPE19 cells. VEGF content in the cell supernatant
was investigated with a commercial ELISA. Fucus distichus subsp. evanescens fucoidan extract was
tested in various concentrations (1 µg/mL, 10 µg/mL, 100 µg/mL, 250 µg/mL) for 24 h (a), three days
(b), or seven days (c) on ARPE19 cells. After 24 h (a), a significant reduction of VEGF could be found
for 100 and 250 µg/mL. After three days (b), 100 µg/mL was still significantly effective. Of note, a
slight but significant increase of VEGF secretion could be found for 1 and 10 µg/mL after three days.
After seven days (c), 250 µg/mL significantly reduced VEGF content. Significance was evaluated
with student’s t-test against untreated control, + p < 0.05, ++ p < 0.01, +++ p < 0.001, reduction against
untreated control, * p < 0.05, increase against untreated control, co = untreated control, Fe = crude
fucoidan from Fucus distichus subsp. evanescens, h = hour.
2.6. Phagocytosis
Phagocytosis of shed photoreceptor outer segments is an important task of RPE cells. After
incubation with Fe extract for 24 h, 1 µg/mL Fe extract significantly enhanced phagocytic activity
(1 µg/mL 139.92 ± 68.32%, p < 0.05), while 100 and 250 µg/mL significantly decreased it compared to
untreated control (100 µg/mL 41.00 ± 30.75%, p < 0.001; 250 µg/mL 24.77 ± 19.94%, p < 0.001)
(Figure 4a). After three days, all concentrations tested significantly decreased phagocytic activity
compared to untreated control (1 µg/mL 56.42 ± 40.34%; 10 µg/mL 45.29 ± 24.05%; 100 µg/mL 16.07 ±
Mar. Drugs 2019, 17, 538 5 of 14
9.39%; 250 µg/mL 21.56 ± 20.02%; all p < 0.001) (Figure 4b). After seven days of Fe extract incubation,
a significant reduction of phagocytosis compared to untreated cells was seen at 100 µg/mL (33.97 ±
17.35%; p < 0.001) and 250 µg/mL (40.82 ± 34.74%; p < 0.001) (Figure 4c).
Figure 4. Phagocytic activity of RPE cells after incubation with Fucus distichus subsp. evanescens
fucoidan extract. Phagocytic activity was investigated with a phagocytosis assay using photoreceptor
outer segment-treated fluorescent latex beads. RPE cells were treated for 24 h (a), three days (b), or
seven days (c) with different concentrations of Fe extract (1 µg/mL, 10 µg/mL, 100 µg/mL, 250
µg/mL). After 24 h, 1 µg/mL induced a significant increase in phagocytic activity, while 100 and
250 µg/mL significantly reduced phagocytosis. After three days, all tested concentrations
significantly reduced phagocytosis. After seven days, phagocytosis was significantly reduced by 100
and 250 µg/mL. Significance was evaluated with student’s t-test against untreated control, +++ p <
0.001, reduction against untreated control, * p < 0.05, increase against untreated control. co =
untreated control, Fe = crude fucoidan from Fucus distichus subsp. evanescens, h = hour.
2.7. Wound Healing
In the scratch assay, the wound area was analyzed 24 and 48 h post scratch of a confluent cell
layer of RPE after treatment for 24 h, four days, or seven days with Fe extract. Incubation with Fe
extract for 24 h significantly slowed down wound healing measured 24 h after scratch at 100 and 250
µg/mL Fe extract (control: 71.17 ± 7.16%; 100 µg/mL 80.31 ± 3.67%; 250 µg/mL 83.62 ± 3.18%; (both p <
0.001). At 48 h after scratch, also 10 µg/mL as well as 100 µg/mL and 250 µg/mL significantly delayed
wound healing (co 58.89 ± 11.54%, 10 µg/mL 67.41 ± 4.30, p < 0.01; 100 µg/mL 68.12 ± 4.49, p < 0.01;
250 µg/mL 70.81 ± 6.24%, p < 0.001) (Figure 5a). After four days of incubation with Fe, wound healing
24 h post scratch was significantly delayed at concentrations of 10 µg/mL (co 65.01 ± 13.34%; 10
µg/mL 80.74 ± 12.42%, p < 0.01), 100 µg/mL (79.70 ± 9.03%; p < 0.001), and 250 µg/mL (89.05 ± 11.31%;
p < 0.001) compared to scratched control not treated with Fe extract. But at 48 h after scratch, only 250
mg/mL displayed a significant delay of wound healing (co 61.60 ± 15.69%; 250 µg/mL 76.88 ± 20.12%,
p < 0.05) (Figure 5b). Long-term incubation with Fe extract for seven days 24 h post-scratch showed a
significant delay in wound healing again for 100 µg/mL (co 72.91 ± 9.46%; 100 µg/mL 81.94 ± 9.41%, p
< 0.01) and 250 µg/mL (81.34 ± 9.71%, p < 0.05). After 48 hours, however, this effect was lost and
conversely, wound healing was accelerated by 10 µg/mL Fe extract (co 69.54 ± 8.15%; 10 µg/mL 51.93
± 16.29%, p < 0.001) (Figure 5c).
Figure 5. Wound healing of primary RPE cells after incubation with Fucus distichus subsp. evanescens
fucoidan extract. A scratch was applied to a confluent RPE cell layer and the wound area was
assessed 24 and 48 h after application. Cells were incubated for 24 h (a), four days (b), or seven days
(c) with different concentrations of Fe extract (1 µg/mL, 10 µg/mL, 100 µg/mL, 250 µg/mL). (a) When
cells were treated for 24 h with Fe extract, wound healing was significantly delayed one day after
Mar. Drugs 2019, 17, 538 6 of 14
scratch at 100 and 250 µg/mL. After 48 h, wound healing was significantly delayed at 10, 100 and
250 µg/mL. When cells were treated for four days with Fe extract (b), wound healing was
significantly delayed one day after scratch at 10, 100, and 250 µg/mL. Forty-eight hours after scratch,
a significant delay could be seen at 250 µg/mL. After seven days of Fe extract incubation (c) and 24 h
after scratch, wound healing was significantly delayed at 100 and 250 µg/mL. This effect was lost 48 h
after scratch, where 10 µg/mL significantly accelerated wound healing. Significance was evaluated
with student’s t-test against untreated control, + p < 0.05, ++ p < 0.01, +++ p < 0.001, delayed wound
healing; *** p < 0.001, accelerated wound healing, co = scratched control with Fe treatment, Fe = crude
fucoidan from Fucus distichus subsp. evanescens, h = hour.
3. Discussion
Potential use of fucoidans in medical application has raised much interest [29]. However, the
effects of fucoidans may not only differ in dependence on the algae species but also due to the used
extraction methods and different degrees of purity [1]. Often, commercially available cosmetics and
food supplements are declared to contain fucoidans, but these are generally poorly defined, with
considerable deviation in fucoidan content. So far, much research has been done with commercially
available fucoidan from Fucus vesiculosus [30], including our own study on Fucus vesiculosus fucoidan
for potential use in AMD or uveal melanoma [14,18]. In the present study, we have investigated a
fucoidan from another alga, Fucus distichus subsp. evanescens, which has so far not received as much
attention in the literature. Recently, quite pure fucoidan from Fucus distichus subsp. evanescens
(Fuc-Fe) showed to reduce the VEGF secretion in ARPE19 and displayed high affinity to VEGF but
had no protective effect on ARPE19 [23]. In the current study, we used a crude extract of this alga,
which can be easily produced in high amounts, elucidating its efficacy.
Despite of the high content of fucose (61%) in the Fe extract, which is the main monosaccharide
of fucoidans, the low yield of neutral monosaccharides in the GLC analysis indicate that the content
of fucoidan in the Fe extract is quite low. Accordingly, the sulfate content (6.9% as SO3Na) was also
quite low compared to 15–46% found in crude as well as purified fucoidans from Fucus distichus
subsp. evanescens [20,25–27]. This suggests that Fe extract contains far less than 25% fucoidan,
whereas the high uronic acid content (26%) indicates a high content of alginic acid, another typical
cell wall compound of brown algae. This had to be expected, since methods to remove alginic acid
from the extract such as a precipitation with calcium were not applied for the production of Fe
extract. As previously shown, the antioxidative capacity of fucoidans is mainly due to co-extracted
polyphenols [28,31]. The Fe extract exhibited only weak radical scavenging potency, which was
comparable with that of Fuc-Fe and correlated with the respective total phenolic content, which
turned out to be lower than that of fucoidan from Fucus vesiculosus (manuscript submitted). This is in
line with the missing oxidative stress protection of Fe extract (see below).
Regarding a potential use of fucoidan from brown algae as a treatment option for age-related
macular degeneration, we tested its effect against oxidative stress, as this comprises a general
pathological pathway in AMD, and its interaction with VEGF, as this is the major pathological factor
for exudative AMD.
Fe extract did not exhibit any protection against oxidative-stress induced loss of cell viability in
ARPE19 cells. This is in contrast to our finding for fucoidan from Fucus vesiculosus, which protected
the uveal melanoma from oxidative stress-induced cell death [14], and in correspondence with a
paper recently published by our group, which showed a protection by Fuc-Fe of against oxidative
stress in uveal melanoma cells but not in ARPE19 [23]. Obviously, different cell types react
differently to oxidative stress. Uveal melanoma cell lines are rather susceptible to oxidative stress, as
their superoxide dismutase (SOD) activity, which acts in oxidative stress protection, tends to be
reduced [32], while RPE are highly resistant to oxidative stress, which is mainly mediated by Nrf-2
[6,33]. Fucoidan has been reported to confer its protection by activation of Nrf-2 and upregulation of
SOD [12,13,34], and it is conceivable that this protective pathway may work on one cell line with
reduced SOD activity (uveal melanoma) but not with a cell line with constitutive Nrf-2 activation
(RPE). However, the lack of any effect concerning oxidative-stress induced cell death strongly
Mar. Drugs 2019, 17, 538 7 of 14
indicates that we find no scavenging effect for this Fe extract. These data on oxidative stress
protection confirm our previous findings that fucoidan from species other than Fucus distichus subsp.
evanescens may be more suitable for oxidative stress protection [23] but also that the presence of
additional compounds in a crude extract does not hold any beneficial effects considering oxidative
stress protection.
Concerning VEGF inhibition, Fe extract turned out to reduce VEGF secretion. However, this
effect was time- and concentration-dependent, showing the strongest effect after one day. Of note,
however, we found an induction of VEGF secretion after three days for lower concentrations of
fucoidan (1 and 10 µg/mL), which is not desirable, as the VEGF content in (exudative) AMD eyes has
to be reduced. Compared with our data obtained with fucoidan from commercially available Fucus
vesiculosus and with the purer Fuc-Fe [18,23], our data indicate that Fe extract is less suitable for
VEGF secretion inhibition. As this is a crude extract, our data also suggest that no benefit can be seen
from additional compounds other than fucoidan present in the extract. Furthermore, fucoidans from
other species such as Saccharina latissima or Fucus vesiculosus may be more promising for further
development [23].
RPE cells have a plethora of function in the retina and their functions are vital for a healthy,
functioning retina [35]. Furthermore, RPE cells in AMD patients are already challenged and in
danger of degeneration. Therefore, any substance to be considered for use in AMD should interfere
as little with RPE function as possible. We have tested toxicity, wound healing and phagocytosis as
parameters. Similar to our findings with Fucus vesiculosus fucoidan as well as fucoidans from five
other algae [36], we did not find a relevant toxic effect. However, some minor but nevertheless
significant reduction was seen after seven days, which was not observed for Fucus vesiculosus
fucoidan [18]. Notably, both Fucus vesiculosus and Fe extract reduced the wound healing abilities of
RPE cells. However, the data obtained 24 and 48 hours after scratch suggest that this is a transient
effect and might therefore not be of further consequence for RPE cell function. More importantly,
considering the function of RPE cells, Fe extract reduced phagocytic activity of the cells at all tested
time points at 100 and 250 µg/mL (and additionally at 1 and 10 µg/mL after three days). A previous
study testing fucoidan of Fucus vesiculosus at a concentration of 100 µg/mL did not exhibit a
reduction of phagocytic activity [18]. In that study, phagocytosis was evaluated only after short term
incubation, therefore the effect could be related to duration of fucoidan exposition. However, the
effect of the Fe extract was found at every time point tested, indicating a species-dependent effect. In
addition, it is possible that other components present in the extract are interfering with phagocytic
activity. As a prolonged reduction of phagocytosis could possibly impair the function of the retina,
which is not desirable when treating AMD, further testing is needed to elucidate the effects of purity
and species of fucoidans on RPE function.
The results so far indicate some beneficial effects of this crude extract of Fucus distichus subsp.
evanescens with regard to AMD, concerning VEGF inhibition. Previous investigations with the purer
Fuc-Fe suggest that beneficial effects are due to the fucoidan content and not due to other
compounds of the Fe extract. The reduction of phagocytic activity in RPE cells may be of concern.
There are other aspects of interest for AMD pathology that we did not test in our assays, such as
lipid metabolism [37,38], which may be influenced by fucoidans [39,40], or inflammatory aspects
[41], which also could be influenced by fucoidans and especially by fucoidan of Fucus distichus
subsp. evanescens [22,42]. Future studies should address these issues, but for these, highly purified
fucoidans should be used. In conclusion, crude extracts from Fucus distichus subsp. evanescens are of
some interests in regard to potential AMD treatment considering their effect on RPE cells. However,
fucoidans of other species may be of higher interest, and, importantly, further studies should be
performed with highly purified fucoidans.
Mar. Drugs 2019, 17, 538 8 of 14
4. Materials and Methods
4.1. Extraction
Fucus distichus subsp. evanescens was cleaned from epiphytes and washed with tap water,
drained and autoclaved. The material was mixed with four volumes of extraction buffer (100 mM
Tris base, pH 10.0) and shredded and blended with Ultraturrax (Sigma-Aldrich, Steinheim,
Germany) for 1 min at maximum speed. After centrifugation and separation of the supernatant, the
algae material was two further times treated as described with one volume of extraction buffer each.
Then, NaCl and citric acid were added to the combined supernatants resulting in 600 mM NaCl and
pH 4.75. The extract was then mixed with ethanol (final concentration 50%) (v/v) for precipitation
over night at room temperature. After centrifugation, the pellet was dissolved in 20 mM NaOH, and
the precipitation procedure including the addition of NaCl and citric acid was repeated once, and
was finally dissolved in pure water (pH ~6.0), frozen, and lyophilized. The yield amounted to about
4% in relation to wet algae mass and to 18.4% in dry algae mass.
4.2. Elemental Analysis
The contents of hydrogen, carbon, nitrogen, and sulfur in the crude Fucus distichus subsp.
evanescens fucoidan extract (Fe) were determined by elemental analysis performed with the
HEKAtech CHNS Analyser (HEKAtech, Wegberg, Germany; calibrator: sulfanil amide). After gas
liquid chromatographic separation (carrier gas: helium), the respective analyte gases were detected
in a thermal conductivity detector. The nitrogen content (%) was multiplied by 6.25 to estimate the
protein content [43]. Based on the sulfur content (%), the content of sulfate groups (as SO3Na) was
calculated.
4.3. Molecular Weight (Mw) Determination
The average molecular weight (Mw) of the fucoidan extract was examined by size exclusion
chromatography (SEC) (ÄKTA Pure 25 from GE Healthcare, Munich, Germany), coupled with
online multi-angle light scattering (MALS) and refractive index (RI) detection using DAWN 8+ and
Optilab T-rex (Wyatt Technology Corporation, Dernbach, Germany). For the separation by
hydrodynamic volume, an OHPak LB-806M 8.0 mmID X 300 mmL (ShodexTM, Munich, Germany)
column was used. The mobile phase was composed of 0.15 mol/L NaCl, 0.025 mol/L NaH2PO4,
0.025 mol/L Na2HPO4 (pH 7.0) and a flow rate of 0.5 mL/min was applied. The sample was dissolved
in the elution buffer to a concentration of 2.0 mg/mL, and 100 µL were injected. The elution buffer
was degassed using ultrasound for 30 min. The MALS detector was calibrated by the manufacturer
using toluol. The used refractive index increment (dn/dc) was 0.150 mL/g. The Mw values were
calculated with ASTRA 7.1.2.5 (Wyatt Technology Corporation, Dernbach, Germany). The
chromatographic system was controlled by UNICORN 7.2 GE (Healthcare, Munich, Germany).
4.4. Monosaccharide Composition by Acetylation Analysis
For the determination of neutral monosaccharide composition, the Fe extract was hydrolyzed
with 2.0 mol/L trifluoroacetic acid (TFA) at 121 °C [44] and, after evaporation of TFA, converted into
alditol acetate derivatives (AA) by reduction and acetylation [45]. The AA were separated by gas
liquid chromatography (GLC) on an OPTIMA-225-0.25 µm fused silica capillary column (25 m × 0.25
mm i.d., film thickness 0.25 µm, Macherey-Nagel, Düren, Germany) using an GC 7890B gas
chromatograph (Agilent Technologies, Waldbronn, Germanywith integrated flame ionization
detector. The helium flow rate was 1.0 mL/min, the oven temperature was 180 °C for 5 min followed
by an increase of 1 °C/min up to 210 °C held for 10 min, the temperatures of injector and detector
were 250 °C and 240 °C, respectively. The AA were identified by their retention times. For
quantitative analysis, the samples were supplemented with a defined amount of myo-inositol as an
internal standard. The percentage of the respective AA was calculated by Agilent MassHunter
Qualitative Analysis Workflows B.08.00, (Waldbronn, Germany).
Mar. Drugs 2019, 17, 538 9 of 14
4.5. Uronic Acid Determination
Uronic acids were quantified by reaction with 3-hydroxydiphenyl according to the method by
Blumenkrantz and Asboe-Hansen modified by Filisetti-Cozzi and Carpita [46].
4.6. Total Phenolic Content
The total phenolic content (TPC) was determined by a modified Folin–Ciocalteu method in a
microplate format [47] with slightly adapted volumes. Aqueous fucoidan extract (20 µL) was mixed
with 0.025 N Folin–Ciocalteu reagent (200 µL; Merck Millipore, Cat. 109001) and incubated for
5 min. Then, 2 M Na2CO3 (30 µL) was added and absorption was measured at 660 nm (FLUOstar
Omega, BMG LABTECH GmbH, Ortenberg, Germany) after 2 h. Gallic acid (Roth, Cat. 7300.1) was
used as reference and TPC of sample was expressed as gallic acid equivalents (GAE) in µg per mg of
the dry substance.
4.7. DPPH Scavenging Assay
The antioxidant potency of the crude Fucus distichus subsp. evanescens fucoidan extract was
determined by the 2,2-diphenyl-1-picrylhydrazyl radical (DPPH; Sigma-Aldrich, Munich, Germany,
Cat. D9132) scavenging microplate assay as previously described [48]. An aliquot of 100 µL of a
0.20 mmol/L DPPH-solution in ethanol 70% (V/V) was mixed with 100 µL of the sample (0.5 mg/mL
in ethanol 70% (V/V)). For the control, 100 µL DPPH solution were mixed with 100 µL ethanol 70%
(V/V). After incubation for 30 min at 20 °C in the dark, the absorption (A) was measured at 520 nm
using the plate reader FLUOstar Omega (BMG LABTECH GmbH, Ortenberg, Germany). The radical
scavenging potency of the fucoidan samples was calculated by the formula
radical scavenging potency (%) = (A control A sample)/A control × 100.
Trolox (6-hydroxy-2,5,7,8-tetramethylchroman-2-carboxylic acid; Sigma Aldrich, Munich,
Germany) dissolved in ethanol 70% (V/V) was used as reference substance. Its concentration ranged
from 3 to 12 µg/mL.
4.8. Fluorigenic PMN-Elastase Activity Assay
The elastase inhibitory activity was examined by a fluorogenic microplate assay using elastase
from human polymorph nuclear granulocytes (PMN, EC 3.4.21.37, Merck Millipore, Germany) and
the substrate MeOSuc-Ala-Ala-Pro-Val-7-amido-4-methylcoumarin (Bachem, Bubendorf,
Switzerland) as previously described [49,50]. By means of the concentration-dependent inhibition
curves, the concentration of test compound for 50% inhibition of elastase activities (IC50 in µg/mL)
was calculated.
4.9. Hemolytic Classical Complement Modulation Assay
An aliquot of 75 µL fucoidan extract in veronal buffered saline (VBS: 5,5-diethylbarbituric acid
4.94 mmol/L, NaCl 145 mmol/L, MgCl2 0.83 mmol/L, CaCl2 0.25 mmol/L, pH 7.3) was mixed with
50 µL of a hemolytic system consisting of sheep erythrocytes sensitized with rabbit antibodies
(Labor Dr. Merk & Kollegen, Ochsenhausen, Germany) in the well of a V-bottom microplate (nunc™
249570, Thermo Fisher Scientific, Germany). Then, 25 µL of a 2.1% human pooled serum dilution in
VBS were added. After incubation for 45 min at 37 °C and subsequent centrifugation for 15 min at
952 x g at room temperature, 100 µL of the supernatant was transferred into a well of a flat bottom
microplate (nunc™ 269620, Thermo Fisher Scientific, Regensburg, Germany) and diluted with
100 µL distilled water. The optical density was measured at 405 nm. For control values, VBS instead
of crude Fe extract and hemolytic system were mixed with 2.1% serum dilution (100% hemolysis)
and inactivated 2.1% serum dilution (0% hemolysis), respectively. By means of the
concentration-dependent hemolysis curves, the IC50 (µg/mL) was calculated.
Mar. Drugs 2019, 17, 538 10 of 14
4.10. Cell Culture
Primary porcine RPE cells were prepared and cultivated as previously described [51] with
modifications [52]. In brief, eyes were obtained from a local slaughterhouse, cleaned, the anterior
segment and retina were discarded, and RPE cells harvested by trypsin digestion. Cells were used in
the first passage at confluence, morphology, and confluency observed in light microscopy. Cells
were maintained in HyClone DMEM (GE Healthcare, Munich, Germany, supplemented with
penicillin/streptomycin (1%), HEPES (2.5%), sodium pyruvate (110 mg/mL), and 10% fetal calf
serum, Linaris GmbH, Wertheim-Bettingen, Germany). The immortal RPE cell line ARPE19 was
obtained from ATCC and cultivated in DMEM (Merck, Darmstadt, Germany), supplemented with
penicillin/streptomycin (1%), non-essential amino acids (1%), and 10% fetal calf serum.
4.11. Treatment with Fucus distichus subsp. evanescens extract (Fe)
Fe extract was solved in Ampuwa water (Fresenius Kabi, Bad Homburg, Germany) in a
concentration of 10 mg/mL and filtered through a 0.2 µm filter. Cells were treated with 1, 10, 100,
and 250 µg/mL Fe extract for indicated time periods, diluted in cell culture medium. If stimulation
time exceeded three days, medium (including Fe extract) was renewed twice a week.
4.12. Oxidative Stress
Oxidative stress was induced by tert-butyl hydroperoxide (TBHP), a stable inducer of oxidative
stress in RPE cells, as previously described [33]. In this study, we used 500 µM, 750 µM, and
1000 µM TBHP for 24 h on ARPE19 cells. Cells were incubated with indicated concentration of Fe
extract for 30 min, then TBHP (500 µM, 750 µM, and 1000 µM, respectively) was added. After
incubation for 24 h, cell viability was tested using an MTT test as described below.
4.13. Methyl Thiazolyl Tetrazolium (MTT) Assay
MTT assay is an established viability assay [53] and was conducted as previously described
[18]. In brief, cells were incubated with 0.5 mg/mL MTT
(3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazoliumbromid), solved in DMEM without phenol red,
washed, and lysed in dimethyl sulfoxide (DMSO). Absorption was measured at 550 nm with a
spectrometer (Elx800, BioTek, Bad Friedrichshall, Germany).
4.14. VEGF ELISA
ARPE19 supernatants were collected after 24 h, three days and seven days, by quick
centrifugation and stored at 20 °C until assessment. VEGF content of the supernatant of ARPE19
cells were determined using a commercially available ELISA kit (R&D Systems), following the
manufacturer’s instructions.
4.15. Phagocytosis Assay
Phagocytosis assay was conducted as previously described [54]. In brief, photoreceptor outer
segments were prepared from porcine retina and used to opsonize fluorescence-labelled latex beads.
Cells were incubated with Fe extract for indicated time periods and treated with opsonized latex
beads for four hours. Uptake of beads was detected by fluorescence microscopy (Apotome, Zeiss
Microscopy GmbH, Jena, Germany) and evaluated in Axiovision software (Zeiss).
4.16. Wound Healing Assay (Scratch Assay)
Scratch assay was conducted as previously described [18]. In brief, a wound (“scratch”) was
applied to a confluent cell layer of primary RPE cells using a pipet tip. Photos were taken
immediately after the wound application as well as 24 and 48 h later in light microscopy. Area of
wound was assessed with Axiovision software. Wound healing is depicted as % wound area in
relation to wound area at time of scratch.
Mar. Drugs 2019, 17, 538 11 of 14
4.17. Statistics
Each experiment was independently repeated at least three times. Calculation of mean,
standard deviation, and significance was conducted in Microsoft Excel. Significance was assessed
with student’s t-test. A p-value of 0.05 or below was considered significant.
5. Conclusions
In conclusion, crude extracts from Fucus distichus subsp. evanescens are of some interests in
regard to potential AMD treatment considering their VEGF reducing effect on RPE cells. However,
other fucoidans have shown more promising effects. Furthermore, the tested crude extracts interfere
with RPE function, such as phagocytosis, which may be a cause of concern. Taken together,
fucoidans of other species may be of higher interest, and, importantly, further studies should be
performed with highly purified fucoidans.
Author Contributions: Conceptualization, A.K. and S.A.; methodology, A.K., K.S.B., K.R., P.D., M.G.P., and
S.A.; S.N. validation, A.K., K.S.B., K.R., S.A., and S.N.; formal analysis, A.K., K.S.B., K.R., M.G.P.; P.D., S.A., and
S.N.; investigation, K.R., K.S.B., M.G.P., and S.N.; resources, A.K., J.R., and S.A.; data curation, K.S.B., K.R., and
S.N.; writing—original draft preparation, A.K. and S.A.; writing—review and editing, A.K., J.R., K.R., K.S.B.,
P.D., S.N., and S.A.; visualization, A.K. and K.R.; supervision, A.K., J.R., and S.A.; project administration, A.K.;
funding acquisition, A.K
Funding: This study has been conducted with funding of the Baltic Blue Biotechnology Alliance (InterReg5b)
and with funding of the FucoSan Health from the Sea Project, supported by EU InterReg-Deutschland-Denmark
and the European Fond of Regional Development.
Acknowledgments: We especially thank Coastal Research & Management and Kiel, for the collection of the
algae and PD Dr. Christoph Plieth, Center for Biochemistry and Molecular Biology, University of Kiel, for
providing the extracts.
Conflicts of Interest: The authors declare no conflict of interest.
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© 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access
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... Fucoidans are also interesting substances for possible treatment of ocular diseases such as age-related macular degeneration (AMD) [8,9] and uveal melanoma [10][11][12]. The bioactive properties of fucoidans are directly linked to their structural characteristics; therefore, a structural elucidation is necessary to uncover structure-function relationships [8][9][10][11][12][13][14][15][16]. ...
... In addition, they also can exhibit antitumorigenic activities [10,12]. These biological activities of fucoidans improve with the higher grade of purity, measured as fucose content, excluding the use of crude fucoidans [14,15]. ...
... In addition, Rower et al. 2019 showed that crude fucoidan extract from Fucus distichus subsp. Evanescens can reduce wound healing ability [15]. Therefore, the effect on wound healing ability seems to be inherent to fucoidans. ...
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Fucoidans are polysaccharides and constituents of cell walls of brown algae such as Laminaria hyperborea (LH). They exhibit promising effects regarding age-related macular degeneration (AMD). However, the safety of this compound needs to be assured. The focus of this study lies on influences of an LH fucoidan on the retinal pigment epithelium (RPE). The high-molecular weight LH fucoidan Fuc1 was applied to primary porcine RPE cells, and a tetrazolium (MTT) cell viability assay was conducted. Further tests included a scratch assay to measure wound healing, Western blotting to measure expression of retinal pigment epithelium-specific 65 kDa protein (RPE65), as well as immunofluorescence to measure uptake of opsonized fluorescence beads into RPE cells. Lipopolysaccharide was used to proinflammatorily activate the RPE, and interleukin 6 (IL-6) and interleukin 8 (IL-8) secretion was measured. RPE/choroid cultures were used to assess vascular endothelial growth factor (VEGF) secretion. Real-time polymerase chain reaction (real-time PCR) was performed to detect the gene expression of 91 different genes in a specific porcine RPE gene array. Fuc1 slightly reduced wound healing, but did not influence cell viability, phagocytosis or RPE65 expression. Fuc1 lowered IL-6, IL-8 and VEGF secretion. Furthermore, Fuc1 did not change tested RPE genes. In conclusion, Fuc1 does not impair RPE cellular functions and shows antiangiogenic and anti-inflammatory activities, which indicates its safety and strengthens its suitability concerning ocular diseases.
... The main structural units are represented by 1→ 4 and 1→ 3 linked L-fucose [12,18,19]. F. distichus fucoidan exhibits anti-inflammatory and anticoagulant activities [10], which have a beneficial effect on age-related macular degeneration [20,21]. In previous publications, the promising antioxidant potential of F. distichus was associated with I ts high phlorotannin content [11]. ...
... Crude fucoidan from F. distichus harvested in the Kiel Fjord (Germany) contained about 61.9−76.7 mol.% fucose, and the fucose to xylose ratio was 6.13−7.83 [20,54]. Fucoidan extracted from F. distichus from the western coast of Iturup Island (the Okhotsk Sea) collected in summer was composed of 59.4 mol.% fucose and 5.7 mol.% xylose, and the ratio of fucose to xylose was 10.42 [52]. ...
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Fucus distichus L. is the dominant canopy-forming macroalga in the rocky intertidal areas of the Arctic and Subarctic. In the present study, the impact of the geographic location of F. distichus collected in the Baffin Sea (BfS), Norwegian Sea (NS), White Sea (WS), and Barents Sea (BS) on the variations in biochemical composition, antiradical properties, and health risk was evaluated. The accumulation of main carbohydrates (fucoidan, mannitol, and alginic acid) varied from 335 mg/g dry weight (DW) in NS to 445 mg/g DW in BS. The highest level of the sum of polyphenols and flavonoids was found in samples of F. distichus from WS and was located in the following ranking order: BS < BfS < NS < WS. The 2,2-diphenyl-1-picrylhydrazyl radical scavenging activity of seaweed is correlated with its phenolic content. It is notable that in most Arctic F. distichus samples, Cd, Cr, Pb, and Ni were not detected or their concentrations were below the limit of quantification. According to calculated targeted hazard quotient and hazard index values, all studied samples of Arctic F. distichus are safe for daily consumption as they do not pose a carcinogenic risk to the health of adults or children. The results of this study support the rationale for using Arctic F. distichus as a rich source of polysaccharides, polyphenols, and flavonoids with important antiradical activity. We believe that our data will help to effectively use the potential of F. distichus and expand the use of this algae as a promising and safe raw material for the food and pharmaceutical industries.
... We have previously demonstrated that fucoidans from Saccharina latissima, L. digitata, L. hyperborea, F. distichus subsp. evanescens, F. serratus, and F. vesiculosus can exert antioxidative effects against H2O2 or tert-butylhydroperoxide (TBHP) depending on the cellular model system (ARPE-19, OMM-1), the used brown algae species, molecular weight, purity, and extraction procedure [4,5,37,38]. ...
... Briefly, the fucoidans were hydrolyzed using trifluoroacetic acid [61], reduced and acetylated to obtain alditol acetate derivatives (AA) [62]. The AA were separated using gas-liquid chromatography, and the percentage of the respective AA were calculated as previously reported [37]. ...
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Fucoidans are algal polysaccharides that exhibit protective properties against oxidative stress. The aim of this study was to investigate different fucoidans from brown seaweeds for their ability to protect against iron-dependent oxidative stress (ferroptosis), a main hallmark of retinal and brain diseases, including hemorrhage. We investigated five new high-molecular weight fucoidan extracts from Fucus vesiculosus, F. serratus, and F. distichus subsp. evanescens, a previously published Laminaria hyperborean extract, and commercially available extracts from F. vesiculosus and Undaria pinnatifida. We induced oxidative stress by glutathione depletion (erastin) and H2O2 in four retinal and neuronal cell lines as well as primary cortical neurons. Only extracts from F. serratus, F. distichus subsp. evanescens, and Laminaria hyperborea were partially protective against erastin-induced cell death in ARPE-19 and OMM-1 cells, while none of the extracts showed beneficial effects in neuronal cells. Protective fucoidans also attenuated the decrease in protein levels of the antioxidant enzyme GPX4, a key regulator of ferroptosis. This comprehensive analysis demonstrates that the antioxidant abilities of fucoidans may be cell type-specific, besides depending on the algal species and extraction method. Future studies are needed to further characterize the health-benefiting effects of fucoidans and to determine the exact mechanism underlying their antioxidative abilities.
... The neutral monosaccharide composition of the fucoidans was determined by converting the samples into alditol acetate derivatives as previously described [77,78], which were then analyzed by gas-liquid chromatography using a Agilent 7890B system (Agilent Technologies, Santa Clara, CA, USA) with FID (flame ionization detection) [32,53]. ...
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Fucoidans from brown algae are described as anti-inflammatory, antioxidative, and antiangiogenic. We tested two Saccharina latissima fucoidans (SL-FRO and SL-NOR) regarding their potential biological effects against age-related macular degeneration (AMD). Primary porcine retinal pigment epithelium (RPE), human RPE cell line ARPE-19, and human uveal melanoma cell line OMM-1 were used. Cell survival was assessed in tetrazolium assay (MTT). Oxidative stress assays were induced with erastin or H2O2. Supernatants were harvested to assess secreted vascular endothelial growth factor A (VEGF-A) in ELISA. Barrier function was assessed by measurement of trans-epithelial electrical resistance (TEER). Protectin (CD59) and retinal pigment epithelium-specific 65 kDa protein (RPE65) were evaluated in western blot. Polymorphonuclear elastase and complement inhibition assays were performed. Phagocytosis of photoreceptor outer segments was tested in a fluorescence assay. Secretion and expression of proinflammatory cytokines were assessed with ELISA and real-time PCR. Fucoidans were chemically analyzed. Neither toxic nor antioxidative effects were detected in ARPE-19 or OMM-1. Interleukin 8 gene expression was slightly reduced by SL-NOR but induced by SL-FRO in RPE. VEGF secretion was reduced in ARPE-19 by SL-FRO and in RPE by both fucoidans. Polyinosinic:polycytidylic acid induced interleukin 6 and interleukin 8 secretion was reduced by both fucoidans in RPE. CD59 expression was positively influenced by fucoidans, and they exhibited a complement and elastase inhibitory effect in cell-free assay. RPE65 expression was reduced by SL-NOR in RPE. Barrier function of RPE was transiently reduced. Phagocytosis ability was slightly reduced by both fucoidans in primary RPE but not in ARPE-19. Fucoidans from Saccharina latissima, especially SL-FRO, are promising agents against AMD, as they reduce angiogenic cytokines and show anti-inflammatory and complement inhibiting properties; however, potential effects on gene expression and RPE functions need to be considered for further research.
... Blindness has become a serious global social problem. The common causes of blindness include trachoma [2], glaucoma [3], cataracts [4], diabetic retinopathy [5] (DR), and age-related macular degeneration [6] (AMD). Monocular blindness (MB) is a severe ocular condition that affects patients of all age and can cause vision loss in 1 eye and visual interference in stereovision, field coverage, and exteroception of shape and color, thereby affecting the performance of visuomotor tasks [7]. ...
Article
Background: We used fractional amplitude of low-frequency fluctuation (fALFF) technology to investigate spontaneous ce-rebral activity in patients with monocular blindness (MB) and in healthy controls (HCs). Material/Methods: Thirty MB patient and 15 HCs were included in this study. All subjects were scanned by resting-state functional magnetic resonance imaging (rs-fMRI). The independent sample t test and chi-squared test were applied to analyze demographics of MB patients and HCs. The 2-sample t test and receiver operating characteristic (ROC) curves were applied to identify the difference in average fALFF values between MB patients and HCs. Pearson's correlation analysis was applied to explore the relationship between the average fALFF values of brain areas and clinical behavior in the MB group. Results: MB patients had lower fALFF values in the left anterior cingulate and higher fALFF values in the left precune-us and right and left inferior parietal lobes than in HCs. Moreover, the mean fALFF values of MB patients in the left anterior cingulate had negative correlations with the anxiety scale score (r=-0.825, P<0.001) and the depression scale score (r=-0.871, P<0.001). Conclusions: Our study found that MB patients had abnormal spontaneous activities in the visual and vision-related regions. The finding of abnormal neuronal activity helps to reveal the underlying neuropathologic mechanisms of vision loss.
... The scratch assay was conducted as established with slight modifications (Rohwer et al. 2019). Primary porcine RPE cells were cultivated for exactly two weeks and a scratch was applied with a sterile pipette tip. ...
Article
Properties of retinal pigment epithelium (RPE) are relevant for the development of cell culture models concerning an exact reproduction of the ocular cell biology. Here, we want to investigate how different carrier materials and coatings influence proliferation, differentiation and functions of RPE in regard to development of a three-dimensional cell culture model based on primary porcine RPE. Human RPE cell line ARPE-19 and primary porcine RPE were used. Cells were cultivated on plates which were coated with collagen I, collagen IV, laminin or fibronectin, respectively, and cell numbers were assessed after different time periods via trypan blue staining. Also, the ARPE-19 were cultivated on polydimethylsiloxane (PDMS), alginate, gelatin methacrylate (GelMA), poly-N-isopropylacrylamide (PNIPAM) and cells number were assessed. Primary RPE were cultured on PDMS material. Supernatants were collected and analyzed via ELISA for their vascular endothelial growth factor (VEGF) and transforming growth factor β (TGF-β) content. After day 14 cells were lysed and retinal pigment epithelium-specific 65 kDa protein (RPE65) and bestrophin-1 (BEST1) expression was investigated via Western blot. Cellular functions were tested on collagen I, collagen IV, laminin and fibronectin with and without PDMS. Scratch assay was performed to detect wound healing 24 and 48 h after scratch application. Immunolabeling was used to highlight tight junctions in concert with Hoechst staining and phalloidin to label cell nuclei and actin filaments, respectively. Phagocytosis of fluorescently labeled latex beads opsonized with photoreceptor outer segments (POS) was assessed via fluorescence microscopy. Transepithelial electrical resistance was measured for detection of cellular barrier. Gene expression of RDH11 (retinol dehydrogenase 11), BEST1 (bestrophin 1) and TGFB1 (transforming growth factor beta 1) was investigated via real-time PCR. Only PDMS carrier material was appropriate for primary RPE and ARPE-19 cell cultivation. Coating of PDMS with laminin led to increased proliferation. In primary RPE, VEGF secretion was increased if PDMS was coated with laminin or fibronectin compared to uncoated PDMS. No significant changes in phagocytic ability and generation of tight junctions were detected between different coatings, but RPE65 expression was reduced on fibronectin coated PDMS. Laminin coating decreased TGF-β and increased BEST1 protein expression. Also, RPE on collagen IV showed highest TEER on transwell plates. The genes RDH11 and TGFB1 were decreased when coated with collagen IV without PDMS as well as coated PDMS. Laminin and collagen IV coating led to an increased wound healing. Cultivation of RPE and ARPE-1 on PDMS is a possible alternative for cell culture models whereas alginate, GelMA and PNIPAM were not suitable. Coating with laminin increased the proliferation, wound healing and VEGF secretion of the cells. The results suggest that laminin coated PDMS as carrier material is suitable for the development of 3D culture model systems.
... Crude fucoidan of Fucus distichus subsp. evanescens [111]; fucoidans of Fucus vesiculosus [114], Fucus vesiculosus, F. distichus subsp. evanescens, Fucus serratus, Laminaria digitata, Saccharina latissimi [115,117] and Laminaria hyperborean [116] have been shown to reduce VEGF expression. ...
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Age-related macular degeneration (AMD) is a multifactorial disease associated with anatomical changes in the inner retina. Despite tremendous advances in clinical care, there is currently no cure for AMD. This review aims to evaluate the published literature on the therapeutic roles of natural antioxidants in AMD. A literature search of PubMed, Web of Science and Google Scholar for peer-reviewed articles published between 1 January 2011 and 31 October 2021 was undertaken. A total of 82 preclinical and 18 clinical studies were eligible for inclusion in this review. We identified active compounds, carotenoids, extracts and polysaccharides, flavonoids, formulations, vitamins and whole foods with potential therapeutic roles in AMD. We evaluated the integral cellular signaling pathways including the activation of antioxidant pathways and angiogenesis pathways orchestrating their mode of action. In conclusion, we examined the therapeutic roles of natural antioxidants in AMD which warrant further study for application in clinical practice. Our current understanding is that natural antioxidants have the potential to improve or halt the progression of AMD, and tailoring therapeutics to the specific disease stages may be the key to preventing irreversible vision loss.
... •Centell asiatica extracts [193] •Crocetin (antioxidant carotenoid in saffron) via PDGFBB [183] •Pentacyclic triterpene-rich Centella extract [193] •Asiaticoside Centella extract [193] •Madecassoside Centella extract [193] •Lactobacillus crispatus [185] •L. crispatus supernatent [185] •Fucus distichus subspecies evanescens extract [194] •Casein hydrolysates (concentration and fraction dependent) [195] •non silencing siRNA [196] •Heat killed L. crispatus [185] •L.acidophilus [185] Metabolic Mediators ...
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The scratch assay is an in vitro technique used to analyze cell migration, proliferation, and cell-to-cell interaction. In the assay, cells are grown to confluence and then ‘scratched’ with a sterile instrument. For the cells in the leading edge, the resulting polarity induces migration and proliferation in attempt to ‘heal’ the modeled wound. Keloid scars are known to have an accelerated wound closure phenotype in the scratch assay, representing an overactivation of wound healing. We performed a qualitative review of the recent literature searching for inhibitors of scratch assay activity that were already available in topical formulations under the hypothesis that such compounds may offer therapeutic potential in keloid treatment. Although several shortcomings in the scratch assay literature were identified, caffeine and allicin successfully inhibited the scratch assay closure and inflammatory abnormalities in the commercially available keloid fibroblast cell line. Caffeine and allicin also impacted ATP production in keloid cells, most notably with inhibition of non-mitochondrial oxygen consumption. The traditional Chinese medicine, shikonin, was also successful in inhibiting scratch closure but displayed less dramatic impacts on metabolism. Together, our results partially summarize the strengths and limitations of current scratch assay literature and suggest clinical assessment of the therapeutic potential for these identified compounds against keloid scars may be warranted.
... A scratch assay was performed as described before with modifications. 33 In brief, confluent primary porcine RPE cells treated with the respective VEGF antagonist for the indicated period of time were "wounded" with a pipette tip. Cells were washed (PBS, Biochrome, #L1835) and medium was supplemented, containing either bevacizumab or aflibercept. ...
Article
Purpose/aim of the study: Vascular endothelial growth factor (VEGF)-antagonists are given over long time periods in the clinic, but the long-term effects on retinal pigment epithelium (RPE) cells are not fully investigated. This study aims to investigate these effects with two clinical relevant VEGF antagonists, bevacizumab and aflibercept, on the function of primary RPE cells. Materials and methods: All tests were conducted with primary porcine RPE. Cells were stimulated with bevacizumab or aflibercept (both 250 µg/ml) for 1 day, 7 days or 4 weeks. Cell viability was tested in MTT Assay. Secretion of TGF-ß was tested in ELISA, phagocytosis in a microscopic assay, migration in a scratch assay, and expression of RPE65 in Western blot. Barrier function was tested for bevacizumab in transwell-cultured cells by measuring transepithelial electrical resistance for up to 3 days. Results: Viability was reduced by both antagonists at all time points tested. TGF-ß secretion was not altered by any treatment. Phagocytosis was not significantly reduced by any treatment. Wound healing ability was not significantly altered by any treatment. The expression of RPE65 was reduced by bevacizumab but not aflibercept after 4 weeks. Transepithelial electrical resistance was not altered. Conclusions: Long-term treatment with anti VEGF may affect viability of RPE cells, and treatment with bevacizumab may have effects on RPE function in long-term treatment.
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Fucoidans extracted from brown algae exert manifold biological activities paving the way for the development of numerous applications including treatments outside tumor therapy such as age-related macular degeneration or tissue engineering. In this study, we investigated the antiproliferative effects of fucoidans extracted from six different algae (Fucus vesiculosus, F. serratus, F. distichus subsp. evanescens, Dictyosiphon foeniculaceus, Laminaria digitata, Saccharina latissima) as well as three reference compounds (Sigma fucoidan, heparin, enoxaparin) on tumor (HL-60, Raji, HeLa, OMM-1, A-375, HCT-116, Hep G2) and non-tumor (ARPE-19, HaCaT) cell lines. All fucoidans were extracted according to a standardized procedure and tested in a commercially available MTS assay. Cell viability was measured after 24 h incubation with test compounds (1-100 µg/mL). Apart from few exceptions, fucoidans and heparins did not impair cell viability. In contrast, fucoidans significantly increased cell viability of suspension cell lines, but not of adherent cells. Fucoidans slightly increased viability of tumor cells and had no impact on the viability of non-tumor cells. The cell viability of HeLa and ARPE-19 cells negatively correlated with protein content and total phenolic content (TPC) of fucoidans, respectively. In summary, none of the tested fucoidans turned out to be anti-proliferative, rendering them interesting for future studies and applications.
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Background: Fucoidans are interesting for potential usage in ophthalmology, and especially age-related macular degeneration. However, fucoidans from different species may vary in their effects. Here, we compare fucoidans from five algal species in terms of oxidative stress protection and vascular endothelial growth factor (VEGF) interference in ocular cells. Methods: Brown algae (Fucus vesiculosus, Fucus distichus subsp. evanescens, Fucus serratus, Laminaria digitata, Saccharina latissima) were harvested and fucoidans isolated by hot-water extraction. Fucoidans were tested in several concentrations (1, 10, 50, and 100 µg/mL). Effects were measured on a uveal melanoma cell line (OMM-1) (oxidative stress), retinal pigment epithelium (RPE) cell line ARPE19 (oxidative stress and VEGF), and primary RPE cells (VEGF). Oxidative stress was induced by H2O2 or tert-Butyl hydroperoxide (TBHP). Cell viability was investigated with methyl thiazolyl tetrazolium (MTT or MTS) assay, and VEGF secretion with ELISA. Affinity to VEGF was determined by a competitive binding assay. Results: All fucoidans protected OMM-1 from oxidative stress. However, in ARPE19, only fucoidan from Saccharina latissima was protective. The affinity to VEGF of all fucoidans was stronger than that of heparin, and all reduced VEGF secretion in ARPE19. In primary RPE, only the fucoidan from Saccharina latissima was effective. Conclusion: Among the fucoidans from five different species, Saccharina latissima displayed the most promising results concerning oxidative stress protection and reduction of VEGF secretion.
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Fucoidan is a sulfated polysaccharide derived from brown algae and possesses various beneficial activities, including antioxidant property. Previous studies have shown that fucoidan displays protective effect against ischemia-reperfusion injury in some organs. However, few studies have been reported regarding the protective effect of fucoidan against transient cerebral ischemic insults and its related mechanisms. Therefore, in this study, we examined the neuroprotective effect of fucoidan against transient global cerebral ischemia (tGCI), as well as underlying its mechanism using a gerbil model of tGCI which shows a loss of pyramidal neurons in the hippocampal cornu ammonis 1 (CA1) area after 5 min of tGCI. Fucoidan (25 and 50 mg/kg) was intraperitoneally administered once daily for 5 days before tGCI. Pretreatment with 50 mg/kg of fucoidan, not 25 mg/kg of fucoidan, attenuated tGCI-induced hyperactivity and protected CA1 pyramidal neurons from tGCI. In addition, pretreatment with 50 mg/kg of fucoidan inhibited activations of astrocytes and microglia in the ischemic CA1 area. Furthermore, pretreatment with 50 mg/kg of fucoidan significantly reduced the increased 4-hydroxy-2-noneal and superoxide anion radical production in the ischemic CA1 area and significantly increased expressions of SOD1 and SOD2 in the CA1 pyramidal neurons before and after tGCI. Additionally, treatment with diethyldithiocarbamate (an inhibitor of SODs) to the fucoidan-treated gerbils notably abolished the fucoidan-mediated neuroprotection. In brief, our present results indicate that fucoidan can effectively protect neurons from tGCI through attenuation of activated glial cells and reduction of oxidative stress via increase of SODs. Thus, we strongly suggest that fucoidan can be used as a useful preventive agent in cerebral ischemia.
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Acetaminophen (APAP) is a widely used analgesic and antipyretic drug that leads to severe hepatotoxicity at excessive doses. Fucoidan, a sulfated polysaccharide derived from brown seaweeds, possesses a wide range of pharmacological properties. However, the impacts of fucoidan on APAP-induced liver injury have not been sufficiently addressed. In the present study, male Institute of Cancer Research (ICR) mice aged 6 weeks were subjected to a single APAP (500 mg/kg) intraperitoneal injection after 7 days of fucoidan (100 or 200 mg/kg/day) or bicyclol intragastric administration. The mice continued to be administered fucoidan or bicyclol once per day, and were sacrificed at an indicated time. The indexes evaluated included liver pathological changes, levels of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) in the serum, levels of reactive oxygen species (ROS), malondialdehyde (MDA), superoxide dismutase (SOD), glutathione (GSH) and catalase (CAT) in the liver, and related proteins levels (CYP2E1, pJNK and Bax). Furthermore, human hepatocyte HL-7702 cell line was used to elucidate the potential molecular mechanism of fucoidan. The mitochondrial membrane potential (MMP) and nuclear factor-erythroid 2-related factor (Nrf2) translocation in HL-7702 cells were determined. The results showed that fucoidan pretreatment reduced the levels of ALT, AST, ROS, and MDA, while it enhanced the levels of GSH, SOD, and CAT activities. Additionally, oxidative stress-induced phosphorylated c-Jun N-terminal protein kinase (JNK) and decreased MMP were attenuated by fucoidan. Although the nuclear Nrf2 was induced after APAP incubation, fucoidan further enhanced Nrf2 in cell nuclei and total expression of Nrf2. These results indicated that fucoidan ameliorated APAP hepatotoxicity, and the mechanism might be related to Nrf2-mediated oxidative stress.
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Age-related macular degeneration is one of the leading causes of vision loss in the elderly. Genetics, environmental insults, and age-related issues are risk factors for the development of the disease. All these risk factors are linked to the induction of oxidative stress. In young subjects retinal pigment epithelial cells mitigate reactive oxygen generation by the elimination of dysfunctional mitochondria, via mitophagy, and by increasing antioxidant defenses via Nrf2 activation. The high amount of UV light absorbed by the retina, together with cigarette smoking, cooperate with the aging process to increase the amount of reactive oxygen species generated by retinal pigment epithelium where oxidative stress arises. Moreover, in the elderly both the mitophagic process and Nrf2 activation are impaired thus causing retinal cell death. This review will focus on the impact of oxidative stress on the pathogenesis of age-related macular degeneration and analyze the natural and synthetic Nrf2-activating compounds that have been tested as potential therapeutic agents for the disease.
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Despite strong genetic associations, compelling human histological data and numerous hypotheses generated with supportive animal data, the mechanisms of inflammation or inflammatory control of cell health during progression of age-related macular degeneration arguably remain elusive. This perspective delivers a view that maintaining tissue health requires active immune cellular and tissue pathways, but when responses are perturbed or exaggerated, chronic inflammation is destructive. There are potential pathways and processes to enable understanding and determine how potential causative factors including altered cellular metabolism, senescence, oxidative stress disrupt tissue homeostasis are engaged. Establishing differences in the immune phenotype between normal aging and AMD, and how the inter-relatedness of these triggers contribute to pathobiology is integral for future therapeutic success.
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Background Prostate cancer is the most common cancer in men in the United States. Fucoidan is a bioactive polysaccharide extracted mainly from algae. The aim of this study was to investigate anti-tumor and anti-angiogenic effects of fucoidan in both cell-based assays and mouse xenograft model, as well as to clarify possible role of JAK-STAT3 pathway in the protection. MethodsDU-145 human prostate cancer cells were treated with 100–1000 μg/mL of fucoidan. Cell viability, proliferation, migration and tube formation were studied using MTT, EdU, Transwell and Matrigel assays, respectively. Athymic nude mice were subcutaneously injected with DU-145 cells to induce xenograft model, and treated by oral gavage with 20 mg/kg of fucoidan for 28 days. Tumor volume and weight were recorded. Vascular density in tumor tissue was determined by hemoglobin assay and endothelium biomarker analysis. Protein expression and phosphorylation of JAK and STAT3 were determined by Western blot. Activation of gene promoters was investigated by chromatin Immunoprecipitation. ResultsFucoidan could dose-dependently inhibit cell viability and proliferation of DU-145 cells. Besides, fucoidan also inhibited cell migration in Transwell and tube formation in Matrigel. In animal study, 28-day treatment of fucoidan significantly hindered the tumor growth and inhibited angiogenesis, with decreased hemoglobin content and reduced mRNA expression of CD31 and CD105 in tumor tissue. Furthermore, phosphorylated JAK and STAT3 in tumor tissue were both reduced after fucoidan treatment, and promoter activation of STAT3-regulated genes, such as VEGF, Bcl-xL and Cyclin D1, was also significantly reduced after treatment. Conclusions All these findings provided novel complementary and alternative strategies to treat prostate cancer.
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There is an urgency to find new treatment strategies that could prevent or delay the onset or progression of AMD. Different classes of lipids and lipoproteins metabolism genes have been associated with AMD in a multiple ways, but despite the ever-increasing knowledge base, we still do not understand fully how circulating lipids or local lipid metabolism contribute to AMD. It is essential to clarify whether dietary lipids, systemic or local lipoprotein metabolismtrafficking of lipids in the retina should be targeted in the disease. In this article, we critically evaluate what has been reported in the literature and identify new directions needed to bring about a significant advance in our understanding of the role for lipids in AMD. This may help to develop potential new treatment strategies through targeting the lipid homeostasis.
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The fucose-containing sulfated polysaccharides (syn. fucoidans) from brown algae exhibit a wide range of bioactivities and are therefore considered promising candidates for health-supporting and medical applications. During the past three decades, research on isolation, molecular characterization, and screening of in vitro and in vivo pharmacological activities has significantly increased. Until now, however, fucoidans are only used as ingredients in cosmetics and food supplements, especially due to the proclaimed antioxidant activities of fucoidan. One obstacle to medical applications is the usually high molecular mass of native fucoidans, as it is associated with unfavorable biopharmaceutical properties and possibly undesired effects. Therefore, it seems reasonable to develop fucoidan derivatives with reduced size. So far, in this study, fucoidan from Fucus vesiculosus was gradually degraded from Mw 38.2 down to 4.9 kDa without concomitant desulfation. Compared to hydrothermal treatment, the degradation with H2O2 showed to be more efficient and additionally eliminated the antioxidant and antiproliferative activities of the genuine fucoidan. This confirmed our previous hypothesis that rather co-extracted compounds like terpenoids and polyphenols than the fucoidan itself exhibit these effects.
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In recent decades, attention to cancer-preventive treatments and studies on the development of anticancer drugs have sharply increased owing to the increase in cancer-related death rates in every region of the world. However, due to the adverse effects of synthetic drugs, much attention has been given to the development of anticancer drugs from natural sources because of fewer side effects of natural compounds than those of synthetic drugs. Recent studies on compounds and crude extracts from marine algae have shown promising anticancer properties. Among those compounds, polysaccharides extracted from brown seaweeds play a principal role as anticancer agents. Especially, a number of studies have revealed that polysaccharides isolated from brown seaweeds, such as fucoidan and laminaran, have promising effects against different cancer cell types in vitro and in vivo. Herein, we reviewed in vitro and in vivo anticancer properties reported for fucoidan and laminaran toward various cancer cells from 2013 to 2016.