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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 Cells―Implications 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.
References
1. Li, B.; Lu, F.; Wei, X.; Zhao, R. Fucoidan: Structure and bioactivity. Molecules 2008, 13, 1671–1695.
2. Klettner, A. Fucoidan as a potential therapeutic for major blinding dieases—A hypothesis. Mar. Drugs
2016, 14, 31.
3. Miller, J.W. Age-related macular degeneration revisited-piecing the puzzle: The LXIX Edward Jackson
memorial lecture. Am. J. Ophthalmol. 2013, 155, 1–35.
4. Bellezza, I. Oxidative Stress in Age-Related Macular Degeneration: Nrf2 as Therapeutic Target. Front.
Pharmacol. 2018, 9, 1280. doi:10.3389/fphar.2018.01280.
5. Klettner, A. Age-related macular degeneration—Biology and treatment. Med. Monatsschr. Pharm. 2015, 38,
258–264.
6. Klettner, A. Oxidative stress induced cellular signaling in RPE cells. Front. Biosci. 2012, 4, 392–411.
7. Datta, S.; Cano, M.; Ebrahimi, K.; Wang, L.; Handa, J.T. The impact of oxidative stress and inflammation
on RPE degeneration in non-neovascular AMD. Prog. Retin. Eye Res. 2017, 60, 201–218.
8. Nowak, J.Z. Oxidative stress, polyunsaturated fatty acids-derived oxidation products and bisretinoids as
potential inducers of CNS diseases: Focus on age-related macular degeneration. Pharmacol. Rep. 2013, 65,
288–304.
9. Schmidt-Erfurth, U.; Chong, V.; Loewenstein, A.; Larsen, M.; Souied, E.; Schlingemann, R.; Eldem, B.;
Monés, J.; Richard, G.; Bandello, F. European Society of Retina Specialists. Guidelines for the management
of neovascular age-related macular degeneration by the European Society of Retina Specialists
(EURETINA). Br. J. Ophthalmol. 2014, 98, 1144–1167.
10. Kim, K.J.; Yoon, K.Y.; Lee, B.Y. Low molecular weight fucoidan from the sporophyll of Undaria
pinnatifida suppresses inflammation by promoting the inhibition of mitogen-activated protein kinases
and oxidative stress in RAW264.7 cells. Fitoterapia 2012, 83, 1628–1635.
11. Kim, E.A.; Lee, S.H.; Ko, C.I.; Cha, S.H.; Kang, M.C.; Kang, S.M.; Ko, S.C.; Lee, W.W.; Ko, J.Y.; Lee, J.H.; et
al. Protective effect of fucoidan against AAPH-induced oxidative stress in zebrafish model. Carbohydr.
Polym. 2014, 102, 185–191.
Mar. Drugs 2019, 17, 538 12 of 14
12. Ryu, M.J.; Chung, H.S. Fucoidan reduces oxidative stress by regulating the gene expression of HO−1 and
SOD−1 through the Nrf2/ERK signaling pathway in HaCaT cells. Mol. Med. Rep. 2016, 14, 3255–3260.
13. Wang, Y.Q.; Wei, J.G.; Tu, M.J.; Gu, J.G.; Zhang, W. Fucoidan Alleviates Acetaminophen-Induced
Hepatotoxicity via Oxidative Stress Inhibition and Nrf2 Translocation. Int. J. Mol. Sci. 2018, 19, 4050.
14. Dithmer, M.; Kirsch, A.M.; Richert, E.; Fuchs, S.; Wang, F.; Schmidt, H.; Coupland, S.E.; Roider, J.; Klettner,
A. Fucoidan does not exert anti-tumorigenic effects on uveal melanoma cell lines. Mar. Drugs 2017, 15, 193.
15. Koyanagi, S.; Tanigawa, N.; Nakagawa, H.; Soeda, S.; Shimeno, H. Oversulfation of fucoidan enhances its
anti-angiogenic and antitumor activities. Biochem. Pharmacol. 2003, 65, 173–179.
16. Chen, H.; Cong, Q.; Du, Z.; Liao, W.; Zhang, L.; Yao, Y.; Ding, K. Sulfated fucoidan FP08S2 inhibits lung
cancer cell growth in vivo by disrupting angiogenesis via targeting VEGFR2/VEGF and blocking
VEGFR2/Erk/VEGF signaling. Cancer Lett. 2016, 382, 44–52.
17. Rui, X.; Pan, H.F.; Shao, S.L.; Xu, X.M. Anti-tumor and anti-angiogenic effects of Fucoidan on prostate
cancer: Possible JAK-STAT3 pathway. BMC Complement. Altern. Med. 2017, 17, 378.
18. Dithmer, M.; Fuchs, S.; Shi, Y.; Schmidt, H.; Richert, E.; Roider, J.; Klettner, A. Fucoidan reduces secretion
and expression of vascular endothelial growth factor in the retinal pigment epithelium and reduces
angiogenesis in vitro. PLoS ONE 2014, 9, e89150.
19. Ustyuzhanina, N.E.; Bilan, M.I.; Ushakova, N.A.; Usov, A.I.; Kiselevskiy, M.V.; Nifantiev, N.E. Fucoidans:
Pro- or antiangiogenic agents? Glycobiology 2014, 24, 1265–1274.
20. Anastyuk, S.D.; Shevchenko, N.M.; Ermakova, S.P.; Vishchuk, O.S.; Nazarenko, E.L.; Dmitrenok, P.S.;
Zvyagintseva, T.N. Anticancer activity in vitro of a fucoidan from the brown alga Fucus evanescens and
its low-molecular fragments, structurally characterized by tandem mass-spectrometry. Carbohydr. Polym.
2012, 87, 186–194.
21. Kuznetsova, T.A.; Besednova, N.N.; Somova, L.M.; Plekhova, N.G. Fucoidan extracted from Fucus
evanescens prevents endotoxin-induced damage in a mouse model of endotoxemia. Mar. Drugs 2014, 12,
886–898.
22. Makarenkova, I.D.; Logunov, D.Y.; Tukhvatulin, A.I.; Semenova, I.B.; Besednova, N.N.; Zvyagintseva,
T.N. Interactions between sulfated polysaccharides from sea brown algae and Toll-like receptors on
HEK293 eukaryotic cells in vitro. Bull. Exp. Biol. Med. 2012, 154, 241–244.
23. Dörschmann, P.; Bittkau, K.S.; Neupane, S.; Roider, J.; Alban, S.; Klettner, A. Effects of Fucoidans from
Five Different Brown Algae on Oxidative Stress and VEGF Interference in Ocular Cells. Mar. Drugs 2019,
17, 258.
24. Skriptsova, A.V.; Shevchenko, N.M.; Tarbeeva, D.V.; Zvyagintseva, T.N. Comparative study of
polysaccharides from reproductive and sterile tissues of five brown seaweeds. Mar. Biotechnol. 2012, 14,
304–311.
25. Vishchuk, O.S.; Ermakova, S.P.; Zvyagintseva, T.N. The fucoidans from brown algae of Far-Eastern seas:
Anti-tumor activity and structure-function relationship. Food Chem. 2013, 141, 1211–1217.
26. Bilan, M.I.; Grachev, A.A.; Ustuzhanina, N.E.; Shashkov, A.S.; Nifantiev, N.E.; Usov, A.I. Structure of a
fucoidan from the brown seaweed Fucus evanescens C.Ag. Carbohydr. Res. 2002, 337, 719–730.
27. Cumashi, A.; Ushakova, N.A.; Preobrazhenskaya, M.E.; D’Incecco, A.; Piccoli, A.; Totani, L.; Tinari, N.;
Morozevich, G.E.; Berman, A.E.; Bilan, M.I.; et al. Consorzio Interuniversitario Nazionale per la
Bio-Oncologia, Italy. A comparative study of the anti-inflammatory, anticoagulant, antiangiogenic, and
antiadhesive activities of nine different fucoidans from brown seaweeds. Glycobiology 2007, 17, 541–552.
28. Schneider, T.; Ehrig, K.; Liewert, I.; Alban, S. Interference with the CXCL12/CXCR4 axis as potential
antitumor strategy: Superiority of a sulfated galactofucan from the brown alga Saccharina latissima and
fucoidan over heparins. Glycobiology 2015, 25, 812–824.
29. Fitton, J.H.; Stringer, D.N.; Karpiniec, S.S. Therapies from Fucoidan: An Update. Mar. Drugs 2015, 13,
5920–5946.
30. Sanjeewa, K.K.A.; Lee, J.S.; Kim, W.S.; Jeon, Y.J. The potential of brown-algae polysaccharides for the
development of anticancer agents: An update on anticancer effects reported for fucoidan and laminaran.
Carbohydr. Polym. 2017, 177, 451–459.
31. Lahrsen, E.; Liewert, I.; Alban, S. Gradual degradation of fucoidan from Fucus vesiculosus and its effect on
structure, antioxidant and antiproliferative activities. Carbohydr. Polym. 2018, 192, 208–216.
Mar. Drugs 2019, 17, 538 13 of 14
32. Blasi, M.A.; Maresca, V.; Roccella, M.; Roccella, F.; Sansolini, T.; Grammatico, P.; Balestrazzi, E.; Picardo,
M. Antioxidant pattern in uveal melanocytes and melanoma cell cultures. Investig. Ophthalmol. Vis. Sci.
1999, 40, 3012–3016.
33. Koinzer, S.; Reinecke, K.; Herdegen, T.; Roider, J.; Klettner, A. Oxidative Stress Induces Biphasic ERK1/2
Activation in the RPE with Distinct Effects on Cell Survival at Early and Late Activation. Curr. Eye Res.
2015, 40, 853–857.
34. Kim, H.; Ahn, J.H.; Song, M.; Kim, D.W.; Lee, T.K.; Lee, J.C.; Kim, Y.M.; Kim, J.D.; Cho, J.H.; Hwang, I.K.;
et al. Pretreated fucoidan confers neuroprotection against transient global cerebral ischemic injury in the
gerbil hippocampal CA1 area via reducing of glial cell activation and oxidative stress. Biomed.
Pharmacother. 2019, 109, 1718–1727.
35. Strauss, O. The retinal pigment epithelium in visual function. Physiol. Rev. 2005, 85, 845–881.
36. Bittkau, K.S.; Dörschmann, P.; Blümel, M.; Tasdemir, D.; Roider, J.; Klettner, A.; Alban, S. Comparison of
the Effects of Fucoidans on the Cell Viability of Tumor and Non-Tumor Cell Lines. Mar. Drugs 2019, 17,
441.
37. Handa, J.T.; Cano, M.; Wang, L.; Datta, S.; Liu, T. Lipids, oxidized lipids, oxidation-specific epitopes, and
Age-related Macular Degeneration. Biochim. Biophys. Acta Mol. Cell Biol. Lipids 2017, 1862, 430–440.
doi:10.1016/j.bbalip.2016.07.013. Epub 30 July 2016.
38. Van Leeuwen, E.M.; Emri, E.; Merle, B.M.J.; Colijn, J.M.; Kersten, E.; Cougnard-Gregoire, A.; Dammeier, S.;
Meester-Smoor, M.; Pool, F.M.; de Jong, E.K.; et al. A new perspective on lipid research in age-related
macular degeneration. Prog. Retin. Eye Res. 2018, 67, 56–86. doi:10.1016/j.preteyeres.2018.04.006.
39. Yokota, T.; Nomura, K.; Nagashima, M.; Kamimura, N. Fucoidan alleviates high-fat diet-induced
dyslipidemia and atherosclerosis in ApoE(shl) mice deficient in apolipoprotein E expression. J. Nutr.
Biochem. 2016, 32, 46–54.
40. Park, M.K.; Jung, U.; Roh, C. Fucoidan from marine brown algae inhibits lipid accumulation. Mar. Drugs
2011, 9, 1359–1367.
41. Copland, D.A.; Theodoropoulou, S.; Liu, J.; Dick, A.D. A Perspective of AMD Through the Eyes of
Immunology. Investig. Ophthalmol. Vis. Sci. 2018, 59, AMD83–AMD92.
42. Li, C.; Gao, Y.; Xing, Y.; Zhu, H.; Shen, J.; Tian, J. Fucoidan, a sulfated polysaccharide from brown algae,
against myocardial ischemia-reperfusion injury in rats via regulating the inflammation response. Food
Chem. Toxicol. 2011, 49, 2090–2095.
43. Mariotti, F.; Tomé, D.; Mirand, P.P. Converting nitrogen into protein--beyond 6.25 and Jones’ factors. Crit.
Rev. Food Sci. Nutr. 2008, 48, 177–184.
44. Albersheim, P.; Nevins, D.J.; English, P.D.; Karr, A. A method for the analysis of sugars in plant cell-wall
polysaccharides by gas-liquid chromatography. Carbohydr. Res. 1967, 5, 340–345.
doi:10.1016/S0008-6215(00)80510-8.
45. Blakeney, A.B.; Harris, P.J.; Henry, R.J.; Stone, B.A. A simple and rapid preparation of alditol acetates for
monosaccharide analysis. Carbohydr. Res. 1983, 113, 291–299. doi:10.1016/0008-6215(83)88244-5.
46. Filisetti-Cozzi, T.M.; Carpita, N.C. Measurement of uronic acids without interference from neutral sugars.
Anal. Biochem. 1991, 197, 157–162.
47. Sánchez-Rangel, J.C.; Benavides, J.; Heredia, J.B.; Cisneros-Zevallos, L.; Jacobo-Velázquez, D.A. The Folin–
Ciocalteu assay revisited. Improvement of its specificity for total phenolic content determination. Anal.
Methods 2013, 5, 5990. doi:10.1039/c3ay41125g.
48. Gerhäuser, C.; Klimo, K.; Heiss, E.; Neumann, I.; Gamal-Eldeen, A; Knauft, J.; Frank, N. Mechanism-based
in vitro screening of potential cancer chemopreventive agents. Mutat. Res. 2003, 523, 163–172.
49. Groth, I.; Alban, S. Elastase inhibition assay with peptide substrates—An example for the limited
comparability of in vitro results. Planta Med. 2008, 74, 852–858. doi:10.1055/s-2008-1074549.
50. Becker, M.; Franz, G.; Alban, S. Inhibition of PMN-elastase activity by semisynthetic glucan sulfates.
Thromb. Haemost. 2003, 89, 915–925. doi:10.1055/s-0037-1613479.
51. Wiencke, A.K.; Kiilgaard, J.F.; Nicolini, J.; Bundgaard, M.; Röpke, C.; La Cour, M. Growth of cultured
porcine retinal pigment epithelial cells. Acta Ophthalmol. Scand. 2003, 81, 170–176.
52. Klettner, A.; Roider, J. Comparison of bevacizumab, ranibizumab, and pegaptanib in citro: Efficiency and
possible additional pathways. Investig. Ophthalmol. Vis. Sci. 2008, 49, 4523–4527.
53. Riss, T.L.; Moravec, R.A.; Niles, A.L.; Duellman, S.; Benink, H.A.; Worzella, T.J.; Minor, L. Assay Guidance
Manual [Internet]; Eli Lilly & Company and the National Center for Advancing Translational Sciences:
Mar. Drugs 2019, 17, 538 14 of 14
Bethesda, MD, USA, 2004. 1 May 2013 [updated 1 July 2016]. Available online:
https://www.ncbi.nlm.nih.gov/books/NBK144065/ (accessed on 12
th
of September, 2019)
54. Klettner, A.; Möhle, F.; Lucius, R.; Roider, J. Quantifying FITC-labeled latex beads opsonized with
photoreceptor outer segment fragments: An easy and inexpensive method of investigating phagocytosis
in retinal pigment epithelium cells. Ophthalmic Res. 2011, 46, 88–91.
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