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Chemico-Biological Interactions
journal homepage: www.elsevier.com/locate/chembioint
Astaxanthin-antioxidant impact on excessive Reactive Oxygen Speciesgeneration induced by ischemia and reperfusion injury
M. Zuluaga, V. Gueguen, D. Letourneur, G. Pavon-Djavid∗
INSERM U1148, Laboratory for Vascular Translational Science, Cardiovascular Bioengineering, Paris 13 University, Sorbonne Paris Cite 99, Av. Jean-Baptiste Clément,93430 Villetaneuse, France
A R T I C L E I N F O
Keywords:AstaxanthinDrug deliveryOxidative stressIschemia and reperfusionROS
A B S T R A C T
Oxidative stress induced by Reactive Oxygen Species (ROS) was shown to be involved in the pathogenesis ofchronic diseases such as cardiovascular pathologies. Particularly, oxidative stress has proved to mediate ab-normal platelet function and dysfunctional endothelium-dependent vasodilatation representing a key factor inthe progression of ischemic injuries. Antioxidants like carotenoids have been suggested to contribute in theirprevention and treatment. Astaxanthin, a xanthophyll carotenoid produced naturally and synthetically, showsinteresting antioxidant and anti-inflammatory properties. In vivo studies applying different models of inducedischemia and reperfusion (I/R) injury confirm astaxanthin's protective action after oral or intravenous admin-istration. However, some studies have shown some limitations after oral administration such as low stability,bioavailability and bioefficacy, revealing a need for the implementation of new biomaterials to act as astax-anthin vehicles in vivo. Here, a brief overview of the chemical characteristics of astaxanthin, the carrier systemsdeveloped for overcoming its delivery drawbacks and the animal studies showing its potential effect to treat I/Rinjury are presented.
1. Introduction
Reactive oxygen species (ROS) refers to a variety of highly reactivemolecules and free radicals derived from molecular oxygen. ROS areformed as a normal byproducts of aerobic respiration and current cel-lular metabolism [1]. Moderate amounts of ROS have beneficial effectson several physiological processes like the reduction of malignant pa-thogens, wound healing, and tissue repair processes by acting as sig-naling molecules [2–4]. In contrast, ROS overproduction disrupts thebody homeostasis inducing oxidative tissue damage [5]. Indeed, highROS levels leads to decreased bioavailability of nitric oxide, impairingendothelium-dependent vasodilatation thus promoting vasoconstriction[6]. These alterations occur early in the development of vascular dis-ease [7]. Moreover, overproduction of superoxide anion radical andhydroxyl radical have been considered causative agents of severe dis-eases, such as arteriosclerosis and I/R injury [8–10], pathologies cur-rently linked to increased rates of lipids peroxidation [8,11].
In the cell, these reactions are counteracted by the action of enzy-matic and non-enzymatic antioxidant defenses. Tissue damage takesplace when these antioxidant defenses are not sufficient to control theradicals generation [12]. Recent studies suggest the use of exogenousantioxidant supplementation with carotenoids would enhance
antioxidant defenses thanks to their potential scavenging capabilities[13–17]. Astaxanthin carotenoid is known to be a potent quencher ofsinglet oxygen and an efficient scavenger of superoxide anion [18], andhydroxyl radical [19,20] by acting as an antioxidant. Moreover, withinthe cell, it can effectively scavenge lipid radicals and effectively de-stroys peroxide chain reactions to protect fatty acids and sensitivemembranes [21,22] reducing the risk of atherosclerotic plaque forma-tion [23,24]. Furthermore, the astaxanthin effect in the prevention andtreatment of I/R pathologies in vivo revels its potent action as anti-oxidant molecule. However, astaxanthin as a highly unsaturated mo-lecule decomposes easily when being exposed to heat, light and oxygen.Additionally, its poor water solubility, stability and bioavailabilitylimits its appropriate oral administration and delivery in vivo. The im-plementation of new biomaterials to act as astaxanthin vectors has beenattempted through various strategies. Here, a review of in vivo studiesreporting the effect of astaxanthin supplementation to counteractischemia/reperfusion injury will be presented, including a brief reviewof astaxanthin carrier's system successfully developed for overcomingdelivery challenges.
https://doi.org/10.1016/j.cbi.2017.11.012Received 5 July 2017; Received in revised form 3 November 2017; Accepted 21 November 2017
∗ Corresponding author.E-mail address: [email protected] (G. Pavon-Djavid).
Chemico-Biological Interactions 279 (2018) 145–158
Available online 24 November 20170009-2797/ © 2017 Elsevier B.V. All rights reserved.
T
2. Astaxanthin: A powerful antioxidant molecule
2.1. Astaxanthin sources
The carotenoid astaxanthin is found in various microorganisms andmarine animals, such us yeast, microalgae, salmon, krill, shrimp,complex plants and some birds [25–29]. As in general with all car-otenoids, astaxanthin is not synthesized by humans and therefore re-quires to be ingested in the diet, seafood being the main source [30,31].
Haematococcus pluvialis (H. pluvialis), a unicellular biflagellate greenmicroalgae, is believed to have the highest capacity to accumulate as-taxanthin in nature under environmental stresses such as starvation,high salt or pH, elevated temperature, or irradiation [25,32]. Underthese unfavorable conditions, microalgae modify their cellular mor-phology, increasing their size to become red cysts charged with ∼80%of astaxanthin pigment [54] and 20% comprised a mixture of othercarotenoids [33]. Due to the high astaxanthin concentration, micro-algae represent the primary natural source of processed astaxanthin forhuman applications such as dietary supplements, cosmetics, and foodand beverages [34], while the synthetic [35,36], yeast (mutated Xan-thophyllomyces dendrorhous) [37] and bacteria sources (from Paracoccuscarotinifaciens, an aerobic bacteria) [38] are predominantly used in theaquaculture sector [35]. Moreover, dietary supplements containing H.pluvialis astaxanthin have proved to be safe and accepted by theAmerican Food and Drug Administration at daily doses of 2–12 mg perday [39,40].
2.2. Chemical characteristics
Astaxanthin (3,3′-dihydroxy-β,β′-carotene-4,4′-dione) carotenoid isa fat-soluble orange-red color pigment with the molecular formulaC40H52O4 and molar mass of 596.84 g/mol. Astaxanthin structureconsists of 40 carbon atoms which contain two oxygenated β-ionone-type ring systems linked by a chain of conjugated double bonds
(polyene chain). The oxygen presence in astaxanthin ionone rings inboth hydroxyl (OH) and keto (C]O) groups, makes it a member of thexanthophyll carotenoid family and confers to astaxanthin a more polarnature than other carotenoids [41]. Additionally, the conjugated doublebonds allow astaxanthin to act as a strong antioxidant by electron do-nation and by reacting with free radicals [42] (Fig. 1A).
In its free form, astaxanthin is considerably unstable and particu-larly susceptible to oxidation, therefore, this form is mainly producedsynthetically or from yeast [43]. In nature, it is found either conjugatedwith proteins (e.g., salmon muscle or lobster exoskeleton) or esterifiedby hydroxyl reaction with one (monoester) or two (diester) fatty acids,which stabilize the molecule. Natural astaxanthin from H. pluvialiscontains 70–90% of monoesters, about 8% of diester and 2% of freeform [41,44,45] (Fig. 1B–C). A protective role against high light andoxygen radical has been attributed to astaxanthin accumulation in H.pluvialis [33]. The stereogenic carbons in the 3 and 3′ positions on the β-ionone moieties define astaxanthin conformation as chiral [(3S, 3′S) or(3R, 3′R)] or as meso form (3R, 3′S), with the chiral conformation themost abundant in nature [27] (Fig. 1D–E). Astaxanthin from microalgaeH. pluvialis biosynthesizes the (3S, 3′S) isomer whereas yeast produces(3R, 3′R) isomer [41]. The synthetic source consists of isomers (3S, 3′S)(3R, 3′S) and (3R, 3′R) [27].
2.3. Extraction, storage, stability of astaxanthin
When the stress is induced, the microalgae H. pluvialis becomesencysted cells and accumulates high quantities of astaxanthin [46]. Thisgrowth stage is usually produced in either enclosed outdoor systems orclosed indoor photo-bioreactors, which are preferred to avoid con-tamination by other microorganisms and to guarantee optimal andcontrolled growth conditions [36]. Different methods had been carriedout to extract the greatest quantity of the carotenoid from H. pluvialisbiomass by cracking the cell [33]. Some of them are based on the use ofsolvents [47], edible oils [48], enzymatic digestion [49], but
Fig. 1. (A) Structure of free astaxanthin with a numbering scheme in the stereoisomer form 3S, 3′S. Astaxanthin (B) monoester and (C) diester form. (D–E) Astaxanthin stereoisomers3R,3′S and 3R,3′R. Natural H. pluvialis produced astaxanthin 3S,3′S containing 2% free, 90% monoester and 8% of diester, while synthetic astaxanthin exists as free form constituted by3S,3′S, 3R,3′S and 3R, 3′R in a ratio of 1:2:1, respectively [25,43,44].
M. Zuluaga et al. Chemico-Biological Interactions 279 (2018) 145–158
146
supercritical fluid extraction still represents the method most widelyused in the ago-alimentary industry [50–52]. An innovative method forastaxanthin extraction from H. pluvialis using supramolecular solvents(SUPRAS) is currently under development [53]. Once astaxanthin isextracted from the biomass, its stability and storage must be assured toavoid degradation by environmental factors such as temperature, pHand light [26].
2.4. Pharmacokinetics and toxicity of astaxanthin
The low bioavailability of astaxanthin and all xanthophyll car-otenoids after oral administration has been attributed to their poorwater solubility/dispersibility. Particularly, the limited solubility indigestive fluids compromise the uptake of astaxanthin by intestinalepithelial cells and their final secretion to lymph as chylomicrons[30,54]. After ingestion, xanthophyll carotenoids are solubilized in themixed micelles in the small intestine. These micelles represent a mix-ture of bile acids, phospholipids, cholesterol, fatty acids and mono-acylglycerols surrounded by the bile acids [55]. Then carotenoidstransfer from the micelles to the epithelial cells by simple and fa-cilitated diffusion across the phospholipid bilayers of the cytoplasmicmembrane [30]. Once degraded, carotenoids are stored in the liver andre-secreted as very low-density lipoproteins (VLDL), low density lipo-proteins (LDL), and high-density lipoproteins (HDL) reaching a higherlevel of bioavailability, and eventually to be transported to the tissuesvia the circulation [56].
Due to the presence of polar ends in its structure, astaxanthin can beabsorbed better than other non-polar carotenoids, such as lycopene andβ-carotene [57–59]. In the case of esterified astaxanthin, before LDLtransport, esters need to be hydrolyzed by cholesterol esterase [21,22].Coral-Hinostroza et al. [58] showed that after oral administration, as-taxanthin esters are hydrolyzed selectively during absorption, sug-gesting that unesterified astaxanthin may be preferentially absorbed orselectively transported through circulation in human. Additionally,astaxanthin blood levels have been reported as up to 0.19 μmol/L after
1–12 mg human intake for 1 year [60].Conversely, animal studies showed a higher uptake of astaxanthin
diesters than esters after oral administration [61]. H. D Choi et al. [62]evaluated the pharmacokinetics of astaxanthin in rats, reporting theelimination of an important portion of intravenous administered as-taxanthin at doses up to 20 mg/kg via a non-renal route. Moreover, alonger astaxanthin half-life and a hepatic and gastrointestinal first-passextraction ration of 0.490 and 0.901, respectively, were obtained when200 mg/kg of astaxanthin was administered using an oral (1460 min)than intravenous (569 min) pathways. These results could indicate thatbioavailability and a half-life of astaxanthin is influenced by its ester-ification status [34] and suggests that the lipophilic properties of themolecule require the use of additives and surfactants to incorporate itinto carrier systems for use in foods, beverages and pharmaceuticalproducts [63].
The safety of astaxanthin has been assessed in Sprague rats afterreceiving daily oral administration of astaxanthin-rich H. pluvialis bio-mass at concentrations up 500 mg astaxanthin/kg/day for 90 days [64],or synthetic astaxanthin in a range between 880 and 1240 mg/kg bw/day, for 13 weeks, [65]. No adverse effects were reported on the ana-lyzed health-related parameters. The toxicity of synthetic astaxanthinwas also tested in pregnant New Zealand white rabbits at concentra-tions up to 400 mg/kg bw/day without showing harmful effects onreproduction or fetal development [66]. Additionally, Katsumata et al.[67] performed a sub-chronic-toxicity evaluation of a natural astax-anthin-rich carotenoid extract produced from the natural bacteriaParacoccus carotinifaciens suspended in olive oil and administered dailyto rats by oral gavage at doses of up to 1000 mg/kg/day for 13 weeks.The only result highlighted was the excretion of dark-red color feceswithout reporting any considerable adverse effect.
A. Satoh et al. [68] evaluated the human clinical toxicity and effi-cacy of long-term administration of soft capsules containing an oilbased natural astaxanthin-rich product by measuring biochemical andhematological blood parameters and by analyzing brain function. Theparticipants received an astaxanthin concentration up to 20 mg daily
Fig. 2. I/R injury enhance ROS levels and oxidative stress conditions. Adapted from Refs. [15,71,82].
M. Zuluaga et al. Chemico-Biological Interactions 279 (2018) 145–158
147
Table1
Summaryof
seve
ralin
vivo
stud
iesev
alua
ting
theeff
ectof
astaxa
nthintreatm
enton
indu
cedI/Rinjury.
Ref.
Source
Mod
elPa
thway
Doses/
Duration
Effects
ofAstax
anthin
treatm
ent
Gross
and
Look
woo
-d20
04[98]
Disod
ium
Disuc
cina
teAstax
anthin
(from
Dr.
Samue
lF.
Lockwoo
d,Haw
aii
Biotech,
Inc.)
Sterile
DI
Water
Rat
myo
cardial
I/R
I:30
min
R:2
h
Intrav
enou
sinjection
One
of3
doses(25,
50,a
nd75
mg/
kg)for4
days
prior
toI/R
Carda
xat
50an
d75
mg/
kgfor4da
yssign
ificantly
redu
cesinfarctsize
atarea
atrisk
to35
±3%
(41%
salvag
e)an
d26
±2%
(56%
salvag
e),respective
ly.
Gross
and
Look
woo
-d20
05[99]
Dog
myo
cardial
I/R
I:60
min
R:3
h
Intrav
enou
sinjection
50mg/
kg2hor
4da
ysprior
toI/R
Red
uction
ininfarctsizeat
area
atrisk
to11
.0±
1.7%
(47.3%
salvag
e)in
dogs
treatedon
lyon
ceIV
at2hpriorto
occlusion,
and6.6
±2.8%
(68.4%
salvag
e)in
dogs
treatedfor4da
ys.
Lauv
eret
al.,
2005
[100
]
Rab
bit
myo
cardial
I/R
I:30
min
R:3
h
Intrav
enou
sinjection
(1mL/
min)
50mg/
kg/d
ay4 co
nsecu-
tive
sprior
toI/R
Infarctsize
redu
ctionexpressedas
ape
rcen
tage
ofthearea
atrisk
(25.8
±4.7%
)in
theDDA-treated
.Myo
cardialsalvag
eof
51%.
Red
uced
erythroc
ytehe
molysis
indicatedby
high
lyfavo
rablemeanmyo
cardium/serum
ratios
(10.1
±1.6μM
)Red
ucede
position
ofCRPan
dMACan
tibo
dies
intheinfarctregion
Gross
and
Look
woo
-d 20
06[101
]
Rat
myo
cardial
I/R
I:30
min
R:2
h
Oral
administra-
tion
asfeed
supp
lemen
t
0.1an
d0.4%
;∼12
5an
d50
0mg/
kg/d
ay,
respec-
tive
lyfor
seve
nda
ys
Carda
xTM
at0.1an
d0.4%
infeed
for7da
ysresulted
inasign
ificant
meanredu
ctionin
infarctsize
atarea
atrisk
to45
±2.0%
(26%
salvag
e)an
d39
±1.5%
(36%
salvag
e),r
espe
ctively.
Myo
cardialleve
lsof
Carda
xachiev
edafter7-da
ysupp
lemen
tation
ateach
ofthetw
oco
ncen
trations
400
±65
nMan
d16
34±
90nM
,respe
ctively.
Red
uction
ofarachido
nicacid
andlin
oleicacid
(lipid
peroxida
tion
prod
ucts)in
plasmaleve
ls
Adluriet
al.,
2013
[102
]
VitaePro(2%
astaxa
nthin,
8.1%
lutein
and1.23
%zeax
anthin;
VitaeLa
bAS,
Eneb
akkv
eie
Oslo,
Norway
)
Rat
myo
cardial
I/R
I:30
min
R:2
h
Oralga
vage
Dissolved
insafflow
eroil
70mg/
kgbo
dyweigh
tfor
21da
ys
Increasedleft
ventricu
larfunc
tion
alreco
very
afterI/R
Decreaseinfarctsize
(27.68
±1.7)
Decreaseap
optoticcardiomyo
cytes(61.7
±10
.6)measuredby
TUNEL
assay
Decreasethioba
rbituric
acid
reactive
substanc
esleve
ls(80
±3)
Wan
get
al.,
2017
[96]
Astax
anthin
(from
Jian
heBiotechCo.
Ltd.
Jian
he,
Heb
ei,
China
)
Mice
tran
svers
aortic
constriction
Oralga
vage
200mg/
kg/d
ayfor12
days
prior
toTA
C
Mitigationof
TACindu
cedcardiacdy
sfun
ction,
myo
cardialfibrosis
andmyo
cardialdisorder
show
ingthat
SIRT1
participates
intheseprotective
func
tion
sby
attenu
atingR-SMAD
acetylation.
Red
uction
intheexpression
ofproteinan
dtran
script
leve
lsof
TGF-β,
α-SM
Aan
dCOLI.
Luet
al.,20
10[103
]Astax
anthin
(from
Sigm
a-Aldrich
,St.
Louis,
MO,
USA
)
Rat
cerebral
I/R
I:2h
R:2
4h
Oralga
vage
20,5
0,80
mg/
kgintrag
as-
trically
twiceat
5han
d1hprior
to isch
emia
Red
uction
ofinfarctsize
volume14
.6±
5.4%
and11
.4±
4.9%
afterdo
sesof
50an
d80
mg/
kgrespective
lyIm
prov
edne
urolog
ical
deficitto
1.5
±0.7an
d0.9
±0.8afterdo
sesof
50an
d80
mg/
kgrespective
lyNeu
rons
cells
protection
upto
99.5
±12
.6.
Leeet
al.,
2010
[104
]
Rat
cerebral
I/RI:1
0min
Intrap
eriton
-ealinjection
30mg/
kgof
at0an
d90
min
of
Protective
effectof
59.5%
atdo
sesof
30mg/
kgon
CA1hipp
ocam
palne
uron
s.Inhibition
ofpo
ly(A
DP-ribo
se)po
lymerase(PARP-1,
apop
toticmarke
r)cleava
geat
ado
seof
20mg/
kg
(con
tinuedon
next
page)
M. Zuluaga et al. Chemico-Biological Interactions 279 (2018) 145–158
148
Table1(con
tinued)
Ref.
Source
Mod
elPa
thway
Doses/
Duration
Effects
ofAstax
anthin
treatm
ent
R:0
and
90min
Dissolved
inpu
reetha
nol
cerebral
repe
rfu-
sion
.Li
etal.,20
15[105
]Micerena
lI/R
I:60
min
R:2
h,8h
and24
h
Oralga
vage
Dissolved
inoliveoil
30mg/
kgor
60mg/
kg)for14
days
Decreaseof
ALT
andAST
enzymes
inado
se-dep
ende
ntman
ner:
Low
astaxa
nthindo
sesredu
cerena
lne
crotic
area,w
hile
high
dosesincrease
protection
Red
uction
ofinflam
matorycytokine
sleve
ls(TNF-αan
dIL-6)in
serum
andtissue
.Prom
oted
anti-apo
ptotic
Bcl-2
andinhibitedpro-ap
optoticBa
xleve
lsA
downw
ardtren
din
proteinkina
ses(p-P38
MAPK
,p-ER
Kan
dp-JN
K)expression
inliv
ertissue
Curek
etal.,
2010
[106
]
ASX
(from
Sigm
a–Aldrich
Che
mie,
Steinh
eim,
German
y)
Rat
liver
I/R
I:60
min
R:6
0min
Oralga
vage
Dissolved
inoliveoil
5mg/
kg/
day
14da
yspriorto
I/R
Decreased
oxidativestress
byhe
paticco
nversion
ofXDH
toxa
nthine
oxidasean
dtissue
proteincarbon
ylleve
lsPa
rtialredu
ctionof
cellda
mag
e,sw
ellin
gof
mitoc
hond
riaan
ddisarran
gemen
tof
roug
hen
doplasmatic
reticu
lum
Red
uced
ofproteincarbon
ylform
ationbu
tno
sign
ificant
effecton
GSH
andnitrite/nitrateleve
ls
Qiu
etal.,
2015
[107
]
Free
astaxa
nthin
(≥97
%,
Sigm
a-Aldrich
,St.L
ouis,M
O,
USA
)
Micerena
lI/R
I:45
min
R:1
2han
d24
h
Oralga
vage
Dissolved
inoliveoil
5mg/
kg/
day
during
14da
yspriorto
I/R
Preserva
tion
ofrena
lfunc
tion
after12
and24
hpo
stI/Rreflectedby
redu
cedbloo
dserum
urea
nitrog
enan
durinecreatinine
leve
ls.
Decreaseof
apop
toticcells
andα-sm
ooth
muscleactinexpression
assessed
byTU
NEL
assay
Decreaseexpression
sof
TNF-α,
IL-1β,
andIL-6
inflam
matoryproteins
Red
uceox
idativestress
reflectedby
sign
ificantly
increasedof
supe
roxide
dism
utaseleve
lan
dde
creasedleve
lof
malon
dialde
hyde
Hussein
etal.,
2005
[24]
ASX
-O,
compo
sedof
5.5%
astaxa
nthin
(FujiChe
mical
Indu
stry
Co.,
Ltd.,T
oyam
a,Japa
n)
Mice
cerebral
isch
emia
I:20
min
Oralga
vage
Dissolved
inan
edible
oil
base
ASX
-Oat
5,50
and
500mg/
kg Sing
leor
daily
dose
for2
weeks
ASX
-Oshow
edarterial
bloo
dpressure
loweringeff
ectfrom
thefirstweekat
thedo
seof
50mg/
kg.
Nosign
ificant
chan
gein
thehe
artrate
afterASX
-Otreatm
ent
ASX
-O(50mg/
kg)sign
ificantly
delaye
dtheincide
nceof
stroke
M. Zuluaga et al. Chemico-Biological Interactions 279 (2018) 145–158
149
Table2
Somepo
lymeric
system
sprop
osed
toprotectan
den
hanc
eastaxa
nthinprop
erties.
Ref.
Astax
anthin
source
System
Results
Antioxida
ntev
alua
tion
Polymeric
system
sHigue
ra-Ciapa
raet
al.,20
04[121
]Sy
nthe
ticastaxa
nthin(from
Sigm
aChe
mical
Co.
St.L
ouis,M
O,U
SA)
Microen
capsulationin
chitosan
matrix
cross-lin
kedwithglutaralde
hyde
bymultipleem
ulsion
/solve
ntev
aporation
Non
-hom
ogen
eous
size
anddiam
eter
(5–5
0μm
)Goo
dstorag
eat
T°<
45°C
for8weeks
Yield
of92
%an
dmoistureco
nten
tof
11.25%
77%
ofastaxa
nthinextraction
inmetha
nol/dich
lorometha
ne
Not
performed
Dai
etal.,20
13[125
]Astax
anthin
(from
Sigm
aAldrich
Co·St.
Louis,
MO,U
SA).
Extractedin
dich
lorometha
ne
Microen
capsulationusinga
Mon
odispe
rseDroplet
SprayDryer
tech
niqu
e
Micropa
rticleswithrelative
lyna
rrow
size
distribu
tion
(Meansize:
122μm
)Moistureco
nten
tof
4.55
wt%
Astax
anthin
released
immed
iately
from
themicropa
rticlesin
amixture
ofPB
Sbu
ffer
andaceton
e(16%
released
inthefirst6h).
Limited
loss
ofan
tiox
idan
tcapa
bilityat
140°C
calculated
byDPP
Hmetho
d(EC50
:1.872
×10
−4g/
mL)
Zhan
get
al.,20
17[126
]Astax
anthin
(nutraceutical
grad
e,ob
tained
from
Sigm
aChe
mical
Co.,U
SA)
Microen
capsulated
incalcium
algina
teHighen
capsulationeffi
cien
cy(>
85%)an
dHighstorag
estab
ility
atT°
<50
°CUniform
size
distribu
tion
(1.61mm)
Sustaine
dastaxa
nthinrelease
Not
cytotoxiceff
ecton
adipose-de
rive
dstem
cells
Determinationof
lipid
peroxida
tion
inhibitory
activity
bythe
thioba
rbituric
acid
(TBA
)metho
d
Kittika
iwan
etal.,
2007
[127
]H.p
luvialis
Astax
anthin
biom
ass(from
Wak
oChe
micals,
Japa
n)Algabe
adsco
atingwithmultiplelaye
rof
chitosan
fil
Uniform
size
andshap
e(0.431
±0.02
8cm
)Con
servationof
astaxa
nthinbiom
ass
Improv
edthermal
stab
ility
at80
°COptim
alstorag
eat
18°C
unde
rN2atmosph
erein
theda
rk
Loss
of3%
ofan
tiox
idan
tactivity
afteren
capsulationcalculated
byABT
Sassay
Leeet
al.,20
11[128
]Astax
anthin
rich
Xan
thop
hyllo
myces
dend
rorhou
s(A
stax
anthin,nu
traceu
tical
grad
eIG
ENEBiotechn
olog
yInc.
Colum
bia,
MD,U
SA
Astax
anthin-calcium
algina
tege
l(C
AG)
bead
sprep
ared
byionicge
lation
Bead
swithov
oidshap
ean
dsm
ooth
surface(ave
rage
size
2.41
mm)
23-31%tof
entrap
men
teffi
cien
cyCon
stan
tastaxa
nthinreleaserate
over
12h
Lipidpe
roxida
tion
inhibition
using
FTCan
dTB
Ametho
dsshow
edto
inhibitox
idationof
linoicacid
Bustos-G
arza
etal.,20
13[129
]H.p
luvialis
cyst
cells
(fFu
ture
Food
sSA
deCV,M
éxico)
oleo
resin
Extractedin
HClan
dethy
lacetate
Microen
capsulationusinglecithin
asem
ulsifier
andwhe
yproteinan
dgu
mArabicas
wallmaterials.
Prod
uctyieldof
theastaxa
nthinoleo
resin61
.2–7
0%8.31
–11.17
%of
moistureco
nten
tin
theastaxa
nthinoleo
resin
microen
capsulates
particle
sizesfrom
1to
10μm
Not
performed
Macha
doet
al.
2014
[130
]H.p
luvialis
(Eliz
abethAda
irMicroalga
eCollection,
Brazil)
Extractedin
dich
lorometha
ne
Co-po
lymer
poly
(hyd
roxy
butirate-co-
hydrox
yvalerate)
(PHBV
)
Minor
rigidity
andcrystalline
Precipitationpressure
influe
ncepa
rticle
size
(0.128
μm)
Increaseden
capsulationeffi
cien
cyby
increasing
astaxa
nthinbiom
ass
Not
performed
Suga
nyaet
ashe
eba,
2015
[131
]
Astax
anthin
isolated
from
crab
s(G
andh
imarke
t,Trichy
,Tam
ilnad
u,India).
Solven
t:he
xane
:isop
ropa
nol
Microen
capsulationprep
ared
by2%
sodium
algina
tean
d3%
calcium
chloride
usingiono
trop
icge
lation
metho
d.
Heterog
eneo
usmicrosphe
resin
size
(5.65μm
–8.98μm
)Rou
ndshap
edwithsm
ooth
surface.
Drugco
nten
t35
.25–
42.21mg
Not
performed
Shen
-FuLinet
al.,
2016
[123
]
Astax
anthin
(from
Orgch
emTe
chno
logies,
Hsinc
hu,T
aiwan
)Microen
capsulationin
calcium
algina
tebe
ads
Solution
calcium
chloride
,sod
ium
algina
te,a
ndTw
een20
assurfactant
Themicroen
capsulationyieldrang
edfrom
97.94to
25.83%
,and
load
ingeffi
cien
cyrang
edfrom
100%
to82
%.
Size
=68
5.9–
1044
.4μm
Goo
dstab
ility
after21
days
ofstorag
eat
25°C
Not
performed
M. Zuluaga et al. Chemico-Biological Interactions 279 (2018) 145–158
150
Table 3Some lipid based carriers evaluated to protect and enhance astaxanthin properties.
Ref. Astaxanthin source System Results Antioxidant evaluation
Lipid basedcarriers
Barroset al., 2001[138]
Astaxanthin fromSigma-Aldrich SwedenABn-hexane as solvent
Incorporation into egg-yolkphosphatidylcholine liposomes(PCL)
Astaxanthin was successfully incorporated intoPCL
Reduction of lipid damage causedby addition of:Ferrous ions + H2O2 = 45%t-ButOOH: 45%Ascorbate = 33%Reduction of H2O2-inducedlipoperoxidation in Iron PCL by26%.
Peng et al.,2010 [139]
Astaxanthin fromSigma Chemical Co. St.Louis, MO, USA)Solvent: Chloroform/methanol (2:1 v/v)
Liposomes Astaxanthin content 89 mg/gImprove stability after 25 h exposure in cell-freemediumHomogeneous dispersion in water (size251 ± 23 nm)Disintegration after 8 ± 1.8 minBetter access to cell surfaces after 2 hToxicity on Hep3B and HepG2 cell lines atconcentration between 5 and 40 μg/mL and nottoxicity on BNL CL2 line
Not performed
Acevedoet al., 2014[140]
Astaxanthin (fromSigma Chemical Co·St.Louis, MO, USA).
Microencapsulation in oil bodiescarriers based on oleosomesisolated from plant seeds in aratio (0.01–0.3).
Morphological stability (size average:3.444 ± 0.479 μm)Reduction of astaxanthin degradation after air andlight exposure by twice.Decrease of endothelial cell viability (28% at25–100 mg/mL of astaxanthin-microcapsules)
Intra-and extracellular ROSreduction up to 74.49% and47.7% respectively at 1000 mg/mL
Hamaet al., 2012[19,20]Kamezakiet al., 2016[141]
Astaxanthin (fromSigma Aldrich Co·St.Louis, MO, USA).
LiposomesEgg phosphatidylcholine (EPC)as based lipid
Liposomes size between 151.4 and 33.6 nmProtection of mouse skin fibroblast NIH3T3 cellsfrom hydroxyl radical induced cytotoxicity.
High hydroxyl radical scavengingat concentration< 20 μMReduction of singlet oxygenproduction up to 88%Inhibition of skin damageinduced by UV irradiation aftertopical application (40 μM)Co-encapsulation of astaxanthinand tocotrienol induce asynergistic scavenging activity
Bustamant-e et al.,2016 [142]
Astaxanthin (98%purity, fromSigma–Aldrich,Steinheim, Germany)Solvents: (1:1 v/v)diethyl ether:hexane
Microencapsulation withdifferent fatty acid compositionobtained by supercritical fluidextraction (SFE)Fatty acids: sunflower oil (SO) orhigh oleic sunflower oil (HOSO)
Lower degradation rateDroplet sizes of the SO + SFE and HOSO + SFEemulsions ranged from 0.31 to 0.56 μm and0.29–0.76 μm, respectively
Not performed
Odeberget al., 2003[143]
Commercialformulation of algalmeal and dextrin inhard gelatin capsules(Napro Pharma,Brattvaag, Norway).
Incorporation in three lipidbased formulations containingpolysorbate 80 and:1.Long-chain triglyceride (palmoil)2. glycerol mono- and dioleate3. glycerol mono- and dioleate,and sorbitan monooleate
Enhanced bioavailability, ranging from 1.7 to 3.7times Highest bioavailability using formulation Bafter a one dose human trial. Astaxanthin doses upto 40 mg were well tolerated.
Not performed
Ribeiroet al., 2005[144]
Crystalline astaxanthin(80% purity, BASF,Ludwigshafen,Germany)
O/W Emulsions prepared byrepeated premix membraneemulsificationDispersed in medium chaintriglyceride oil (palm oil)
30% of Astaxanthin degradation during storageDroplets stability up to 3 weeks
Not performed
Tachapruti-n et al.,2009 [145]
Astaxanthin (97% (w/w) purity, AcrosOrganics, Geel,Belgium)Solubilized in DMF//water
Polymeric nanocarries using:poly (ethylene oxide)-4-methoxycinnamoylphthaloylchi-tosan (PCPLC),
Stable aqueous suspensionNanospheres diameter: 68.3 ± 0.35 to312 ± 5.83 nm40% (w/w) astaxanthin loadingImproved thermal stability at 70 °C
Not performed
Anarjan etTan 2013[63,146,1-47]
Astaxanthin (> 90%,from Kailu EverBrillianceBiotechnology Co., Ltd.Beijing, China)
Nanodispersions using S1:Polysorbate 20 (PS20, 29% w/w), sodium caseinate (SC, 65%w/w) and gum Arabic (GA, 6%w/w); S2: Tween 20 with 62%w/w acetone and 38% w/wdichloromethane
Spherical-shaped with particle size of 88.9 nm forS2 and 114.6 nm using S1Astaxanthin loss of 32.4% (w/w) S2 and 20% (w/w) at 25 °C after 8 weeks of storage using S1Higher HT-29 uptake of astaxanthinnanodispersions
Not performed
Tamjidiet al., 2014[148]
H.Pluvialis oleoresin(astaxanthin content40%; from WuhanEreli Import & ExportCo. Ldt Wuhan, China)Extracted indichloromethane
Nanostructured lipid carriers(NCL) using tween80 andlecithin as emulsifiers and oleicacid and glycerol behenate aslipids
Good storage stability for 25 daysHigh drug loadingParticle size 85.1–138 nmDecrease in astaxanthin content due to hothomogenization method but increase in long-termstability
Not performed
Not performed(continued on next page)
M. Zuluaga et al. Chemico-Biological Interactions 279 (2018) 145–158
151
for 4 weeks. No safety concerns were reported and a positive effect onmetabolic syndrome and cognitive function was suggested.
Astaxanthin has been approved by the United States Food and DrugAdministration (US FDA) as well as the European Food Safety Authority(EFSA) for used as a food ingredient and feed additive. However, onlyastaxanthin from H. pluvialis and P. carotinifaciens have been approvedas a human dietary supplement at dosages from 12 to 24 mg/day and6 mg/day respectively, for no more than 30 days [28,43,69]. Althoughseveral toxicology studies confirmed astaxanthin safety and no toxicityrisks, it is important to consider that animal studies are of doubtfulhuman relevance and that there is a need for further evaluations ofastaxanthin toxicity in humans.
3. Influence of oxidative stress in I/R: Astaxanthin antioxidanttreatment
3.1. ROS production during I/R injury
Reperfusion injury is induced after blood flow is restored followingan ischemic period. Recent studies shown that an oxidative stress couldbe a critical factor involved in the pathogenesis of this injury [70]. Theinduction of an ischemic state leads to an imbalance in the oxygenproduction and consumption. This lack of oxygen further restricts bloodsupply, inducing a hypoxic state which leads to microvascular dys-function [71]. Restoration of blood flow and reoxygenation is fre-quently associated with an increased amount of tissue injury and anelevated inflammatory response [72], also called ‘reperfusion injury’[73]. Reperfusion injury leads to the depression of the inner body de-fense mechanism, inducing an imbalance between a burst of ROS pro-duction and the inability of reoxygenated cells to handle this radicalload [8]. Under these conditions, cell death programs including apop-tosis, autophagy-associated cell death and necrosis [74] are activated,leading to a multi-organ failure, even if only one organ underwent I/R[75]. Here, extracellular ATP depletion from apoptotic cells acts as a‘find-me’ signal that attracts phagocytes [76,77]. Additionally, limitedoxygen availability is associated with the activation of inflammatorysignals which control the stability of the transcription nuclear factorNF-kB [73] through a mechanism involving hypoxia-dependent in-hibition of oxygen sensors [78], and adaptive immune responses thatinvolves the infiltration of various types of inflammatory cells (neu-trophils, T lymphocytes, monocyte/macrophages) [79,80].
In normal physiological conditions the undamaged endotheliumprevents adhesion and activation of platelets and leukocytes by severalmechanisms [81].
During reperfusion injury, adhesion of platelets and leukocytes toendothelial cells are enhanced leading a procoagulant state as well asplatelet and leukocyte activation [83]. This activation results in theinduction of proinflammatory cytokines and chemokines (TNF and IL-
1B) [84] that are further released by activated leukocytes in the re-perfused blood [85]. Under these circumstances, the endothelial cellbarrier gets weak, increasing vascular permeability and leakage [86].Endothelial damage is enhanced by the hydroxyl radical, superoxideand peroxynitrite overproduction that are formed following the reac-tion of NO with oxygen in the reperfused blood [82]. L-arginine is themain precursor of endothelial nitric oxide synthase, eNOS, which is incharge of NO synthesis which further enhances inducible NOS and iNOS[87]. Moreover, activation of NADPH oxidase in activated neutrophils,induces peroxynitrite which, then, in turn, generates more ROS by theincreased availability of free iron during ischemia [88]. This excessiveradical generation leads to lipid peroxidation of tissues within thesubendothelial space. Accumulation of oxidized low-density lipopro-teins (ox-LDL) within monocytes-derived macrophages generates foamcells that further amplify the inflammatory cascade [89], ultimatelyleading to the formation of thrombus and occlusion of the vessel [90](Fig. 2).
3.2. Astaxanthin: An antioxidant ROS blocking agent
Natural carotenoids have shown particular abilities to entrap ROSand enhance the cellular capacity to block oxidative stress [91]. Theeffects of carotenoids vary depending on how they interact with cellmembranes [92,93]. Astaxanthin carotenoid has been shown to reducelipid peroxidation damages by the preservation of membranes struc-tures using a polyunsaturated fatty acid enriched membrane model[94]. This action was attributed to its polar end groups which extendedtoward the polar regions of the membrane bilayer [95].
Astaxanthin has been currently studied in the cardiovascular fieldthanks to its antioxidants and anti-inflammatory properties [95]. As-taxanthin showed reduction of blood coagulation, platelet aggregationand promoted fibrinolytic activity in a high-fat diet-induced hyperli-pidemic rats. These positive effects were correlated with decrease ofserum lipid and lipoproteins levels, antioxidants production and pro-tection of endothelial cells [96]. Moreover, the protective effect of as-taxanthin has been studied on different in vivo models of I/R such asmyocardial, cerebral, liver and renal (Table 1). In which animals re-ceived an oral or intravenous injection of astaxanthin dose rangingbetween 5 and 500 mg/kg/day. In these cases, astaxanthin was ad-ministered in both hydrophilic (solubilized on DI water and other or-ganic solvents) and lipophilic (solubilized on oils) formulations beforeinducing the ischemic damage, thus acting as a preventive agent. Awater soluble synthetic astaxanthin derivative or disodium disuccinateastaxanthin (Cardax Hawaii Biotech, Inc., USA) was studied on ex-perimental myocardial I/R models in rat, rabbit and dogs (Table 1).After parental administration this derivative showed a potential effi-cacy to reduce infarct size and plasma lipid peroxidation levels attrib-uted the direct scavenging of superoxide anion [97]. Similar results
Table 3 (continued)
Ref. Astaxanthin source System Results Antioxidant evaluation
Meor MohdAffandiet al., 2011[149]
Astareal 10FC grade(an oil extractcontaining 10% w/wof standardizedastaxanthin, from FujiChemical Industry,Nakaniikawa, Toyama,Japan).
Nanoemulsion using Tween 80and lecithin as emulsifiers (2.5%w/w)
Particles size at 5 cycles of homogenizing pressure122.9 ± 1.55 nm.Conservation of stability and storage at25 ± 2 °C/60% ± 5% relative humidity for 3months.
Chun-HungChiu et al.,2016 [150]Secondpart of thestudy[139].
Astaxanthin (> 99%,from the Fuji ChemicalIndustry Co., Ltd.Toyama Prefecture,Japan).
Liposomes Particles size distribution of 240 ± 58 nmAstaxanthin instantaneous pharmacokineticsrelease from the nanoliposome particles.Efficient and stable transport allowing a higherintrahepatic uptake
Attenuation of nuclear levels ofiNOS and NF-kBHepatoprotective effects andcompletely alleviated the acuteinflammatory status at a 10 mg/kg-day dosage.
M. Zuluaga et al. Chemico-Biological Interactions 279 (2018) 145–158
152
were obtained with natural astaxanthin and carotenoids mixtures (Vi-taePro, astaxanthin, lutein and zeaxanthin) in a rat model of I/R.
Oil-based astaxanthin formulations, administered mostly by oralgavage, showed a potential reduction of inflammatory cytokines ex-pression, decreased organ infarct size area and reduction of arterialblood pressure lowering the risk of strokes. These studies are brieflysummarized on Table 1.
Animal studies supports the potential preventive effect of astax-anthin supplementation to reduce the impact of cardiovascular dis-eases. The potential astaxanthin effects in the prevention and treatmentof cardiovascular disease have been extensively studied [23,25,28].Moreover, first preclinical studies support its antioxidant abilities toprevent oxidative processes. For instance, patients who received as-taxanthin supplementation showed an increased resistance to LDLoxidation when administered at doses of 1.8–21.6 mg/day during 14days [108] and a slight glucose-lowering effect at doses of 4–20 mg/dayin other studies [109]. Additionally, the amelioration of triglycerideand HDL-cholesterol in correlation with increased serum adiponectinlevels after administration at doses of 12–18 mg/days during 12 weekswas also reported in another patient group [110]. In a clinical study,Park et al. [47] examined the action of dietary astaxanthin (2 and 8 mg/day for 8 days) in regulating immune response, oxidative damage andinflammation in humans. Results showed an enhancement of immunemarkers and reduction in DNA oxidative damage biomarker and in-flammation.
Additionally, there is evidence of the effects of astaxanthin againstoxidative damage in other disorders such as diabetes, obesity andneurodegenerative diseases.
Animal studies showed the astaxanthin potential to reduce the al-tered oxidative stress environment in diabetic and obese rats. Yeh et al.[111] studied the astaxanthin capacity to protect against oxidativedamage in the ocular tissues of streptozotocin-induced diabetic Wistarrats receiving 3 mg/kg daily of astaxanthin for 8 weeks. Their resultssuggested a protective effect in the preservation and reduction of dia-betic retinopathy mediated by downregulation of NF-κB activity, anincrease of antioxidant enzymes, and reduction of downstream in-flammatory mediators' expression. Mimoun-Benar et al. [112] studiedthe capacity of free-astaxanthin to reduce plasmatic triglycerides in pre-obesity diet-induced dyslipidaemia mice, showing a positive effect inreducing triglycerides concentrations up to 45% but not cholesterollevels after astaxanthin supplementation for 8 weeks. Also, Al-bulishet al. [113] showed astaxanthin capacity to prevent the increasingoxidative stress biomarkers in rats presenting streptozotocin-inducedhyperglycemia and pancreatic cell injury, after the animals receivedoral astaxanthin administration (20 mg/kg of body weight) for 12weeks.
Human studies have also been conducted to identify the potential ofusing this antioxidant to reduce overweight and obesity problemslinked to oxidative stress induction. Satoh et al. [68] showed the re-duction of systolic blood pressure, triglyceride, and fasting glucosevalues after astaxanthin intake by patients with borderline diabetesmellitus or persons at risk for metabolic syndrome. Choi et al. [114]confirmed the capacity of astaxanthin to improve oxidative stress bio-markers by suppressing lipid peroxidation and stimulating the activityof the antioxidant defense system in overweight and obese adults inKorea, these patients daily received an oral administration of astax-anthin at concentrations up to 20 mg for 3 weeks.
Oxidative stress plays an important role in the induction of neuro-logical diseases by damaging macromolecules and leading to neuronaldysfunction [115]. Astaxanthin has been evaluated as a potential neu-roprotective agent due to its capacity to cross the brain blood barrierprotecting the brain for acute injury and chronic neurodegeneration[116]. Grimmig et al. [117] reviewed the potential of astaxanthin topromote or maintain neural plasticity, suggesting that astaxanthincould increase the cognitive function by promoting neurogenesis andbehavioral performance on hippocampal-dependent tasks. Additionally,Ta
ble4
Cyclode
xtrininclusionco
mplexes
evalua
tedto
protectan
den
hanc
eastaxa
nthinprop
erties.
Referen
ceAstax
anthin
source
System
Results
Antioxida
ntev
alua
tion
Cyclode
xtrininclusion
complex
Don
get
al.,20
14[155
]Astax
anthin
(purity>
98%,from
Dr.
Ehrenstorfer
Co.
Ltd.
German
y)InclusionwithHyd
roxy
prop
yl-β-
cyclod
extrin
Inclusionrate
30.4%
Starting
deco
mpo
sition
tempe
rature
at50
°CGoo
dwater
solubilityat
50mg/
mof
astaxa
nthin
conc
entrationev
enafter12
days.
Stab
lestorag
eun
derda
rkan
dlig
htco
nditions
at4,
25,3
7,an
d50
°Cwithin26
0h
Com
plex
show
edaDPP
Hradicalactivity
lower
than
astaxa
nthinat
sameco
ncen
trations
HighFe
3+
toFe
2+
redu
cedpo
wer
capa
bilities
than
pure
astaxa
nthinun
derthesame
conc
entration
Lockwoo
det
al.,
2003
[156
]Astax
anthin
Sigm
alot71
K15
40Inclusionin
captisol
(Sulfobu
tylEthe
rb-Cyclode
xtrin)
Increasedtheap
parent
water
solubility
approx
imately71
-fold,
toaco
ncen
trationof
2mg/
mL
Not
performed
Kim
etal.,20
10[157
]Astax
anthin
(purch
ased
from
Sigm
aChe
mical
Co·St.Lo
uis,
MO,U
SA).
Solven
t:Dichlorom
etha
nean
dAcetone
Inclusionwithβ-cyclod
extrin
Enha
nced
thewater
solubilityup
to11
0-fold
atpH
6.5an
d25
°C.
Improv
edstab
ility
againsth
eat,lig
ht,a
ndox
idation
byov
er7–
9folds
Thermal
stab
ility
even
at10
0°C.
Not
performed
Che
net
al.,20
07[158
]Astax
anthin
prep
ared
from
smallshrim
psSo
lven
t:Dichlorom
etha
ne/acetone
1:1v/
v
Inclusionwithβ-cyclod
extrin
Improv
edwater
solubility<
0.5mg/
mLthermal
(57°C)an
dlig
htstab
ility
after6da
ysInclusionrate
of48
.96%
Not
performed
Nalaw
adeet
Gajjar
2015
[159
]Astax
anthin
(from
Shan
gyuNHU
Bio-
Che
m,C
hina
)So
lubiliz
edin
Hyd
ro-alcoh
olic
solution
(2:1
v/v)
Inclusionwithmethy
lated-β-
cyclod
extrin
usingspraydrying
tech
niqu
e
Solubilityen
hanc
ed54
times
over
astaxa
nthin
alon
e.A
dissolutionrate
of85
%ov
er45
min
Increasedbio-accessibility
onHep
G2celllin
e.
Not
performed
M. Zuluaga et al. Chemico-Biological Interactions 279 (2018) 145–158
153
Wu et al. [118] reviewed astaxanthin's effect to act as a potentialneuroprotective agent, based on its anti-oxidative, anti-inflammatory,and anti-apoptotic effects. In particular, Grimmig et al. studied [119]the potential of astaxanthin to attenuate the neurodegeneration processinduced in Parkinson's disease, while Lobos et al. [120] showed as-taxanthin capacity to protect neurons from the oligomers' noxious ef-fects on mitochondrial ROS production on primary hippocampal cul-tures in vitro.
3.3. Encapsulation carrier's systems
Despite the positive results described above there is still a lack in theunderstanding of astaxanthin's therapeutic mode of action, uptake,distribution, pharmacokinetics, and metabolism. Furthermore, solvingastaxanthin stability drawbacks and parenteral administration pro-blems are of crucial interest for the development of astaxanthin-basedtherapies to prevent and treat oxidative stress-induced cardiovascularpathologies. Consequently, the implementation of new biomaterials toact as astaxanthin vectors in vivo is of vital interest. Tables 2–4 sum-marize some carrier's systems successfully developed for overcomingastaxanthin delivery challenges. These systems were divided into threegroups including polymeric systems, lipid-based carriers, and inclusioncomplex using cyclodextrins (Fig. 3).
3.3.1. Polymeric systemsThe microencapsulation process with polymeric systems consists in
the formation of a polymeric matrix or coating layer around a particularcompound to provide a physical barrier between the core material andenvironmental conditions. These types of systems protect the com-pound's biological activity and enhance its physicochemical stability.
Natural polymeric systems include polysaccharides like cellulose,starch, gum Arabic, alginate or chitosan [121] and the use of proteinslike albumin, gelatin or soy proteins [122] (Table 2). Microencapsula-tion with polymer matrices controls the molecule release, reducing thecore reactivity with environmental factors and facilitating molecularhandling [123,124].
In polymeric nanosystems the absorption profile of the loaded mo-lecules is driven by the particle size, shape and surface properties of thenanoparticles [54], which could be useful to control the drug releaserate during oral administration until it reaches the systemic circulation[122]. Indeed, chitosan-alginate complexes have been shown to de-grade slowly in phosphate buffer, avoiding the initial release of drugsoccurring when using uncoated microspheres [31]. Conversely, poly-meric micelles improve their steric stabilization and ability to interactwith cells due to their hydrophilic shell [122].
Table 2, presents nine different studies using polymeric matrixes toimprove astaxanthin solubility properties. Natural polysaccharides suchas chitosan and alginate are currently being studied for astaxanthinmicroencapsulation due to their biocompatibility and biodegradabilityproperties. For instance, chitosan showed to improve astaxanthin sto-rage conditions and to preserve its antioxidant scavenging abilities, asconfirmed by ABTS chemical method. A high astaxanthin loading effi-ciency was reported in studies using calcium-alginate, however mi-crocapsules size distribution varied from 5.6 to 2041 μm between thestudies. The preservation of the lipid peroxidation inhibitory activitywas confirmed by two of four studies using the TBA method and onlyone study evaluated the in vitro cytotoxicity of the system. In general,all polymeric methods improved astaxanthin solubility but lack in thecomplete evaluation and verification of the antioxidant activity pre-servation after encapsulation.
Fig. 3. Different strategies explored for astaxanthin encapsulation and posterior delivery.
M. Zuluaga et al. Chemico-Biological Interactions 279 (2018) 145–158
154
3.3.2. Lipid based carriersLipid based carriers include micelles, solid lipid nanoparticles
(SLN), nanostructured lipid carriers (NLC), nanoemulsions and micro-emulsions. These systems had been used to encapsulate, protect, anddeliver lipophilic bioactive components by enhancing their long-termstability while increasing bioavailability [132]. The system stabilizationis achieved by surface charge or by surface adsorption of a layer ofsurfactant or polymer, or the combination of both methods [122].
O/W microemulsions and nanoemulsions differ according to theirstability. Microemulsions are thermodynamically stable colloidal dis-persions consisting of small spheroid particles dispersed within anaqueous medium, O/W nanoemulsions refer to a thermodynamicallyunstable colloidal dispersion consisting of two immiscible liquids, beingone of the liquids dispersed in the other liquid [132]. SLN are a mix ofO/W nano/micro-emulsions in which the lipid phase is fully crystal-lized and has a highly-ordered crystalline structure at room/bodytemperature [133]. The low drug loading capacity and drug releaseafter polymorphic transition of the lipid core during storage representsa disadvantage for the use of SLN [133,134]. Nanostructured lipidcarriers (NLC) are modified SLN consisting of a lipid phase of a bio-compatible mixture of solid and liquid lipids in a less-ordered crystal-line structure [135,136]. The incorporation of oil into the core of a solidlipid leads to a higher loading capacity and controlled drug release.Here, the drug is dissolved in the oil and simultaneously encapsulatedin the solid lipid [137]. Lipid based carriers size can range from around10 nm for micelles to hundreds of nanometers for other systems [132].
Lipid based carrier systems presented in Table 3 showed the en-hancement of astaxanthin properties. Five of twelve studies evaluatedthe in vitro interaction of the system after cellular supplementationwithout reporting toxicity problems. The in vitro antioxidant capacity ofthe system was assessed in four studies reporting the reduction of ROSlevels and the attenuation of cellular inflammatory markers. Moreover,one human trial study revealed the improvement of astaxanthin bioa-vailability after incorporating into a lipid based formulation [143].
3.3.3. Inclusion complex using cyclodextrinCyclodextrins have been used extensively as additives to increase
the solubility of poorly water-soluble organic compounds [122]. Cy-clodextrins are natural macrocyclic oligosaccharides well known forhaving toroid-shaped structures with rigid lipophilic cavities and ahydrophilic outer surface. They are able to enclose highly hydrophobicmolecules inside their hydrophobic cavity, constituting a true mole-cular encapsulation [151]. The resulting non-covalent inclusions orhost–guest complexes are of current scientific and technological interestfor their particular physical, chemical and biological properties. Thesenon-covalent associations can improve the guests water solubility,bioavailability and stability [152], while regulating the release of theguest molecules [153,154].
Cyclodextrin systems highly increased the astaxanthin water solu-bility and its stability against heat, light and oxygen. Two of the sixsystems presented in Table 4 evaluated the chemical antioxidant ac-tivity of the inclusion system using the DPPH, the reduction powerassay and the hydroxyl radical scavenging test. Moreover, one studyconfirmed the system bio-accessibility on HepG2 cell line.
Almost all reviewed studies were focused on chemical formulationsand stabilization parameters. Polymeric, lipid and cyclodextrin systemsshowed an improvement on astaxanthin solubility and stability prop-erties. However, very few studies evaluated astaxanthin antioxidantcapacities after the encapsulation process. Some studies that used thelipid based formulations assessed the in vitro potential of the system.Inclusion process using cyclodextrin represent a practical option tostudy different in vivo delivery pathways due to the higher water so-lubility of the obtained system. Regardless of the results reported usingthe different techniques, all of them require a deeper chemical andbiological characterization to confirm their potential to be used as as-taxanthin carrier systems in order to consider for future evaluations in
clinical applications for the prevention and treatment of cardiovasculardiseases.
4. Conclusion
Despite the influence of ROS to destabilize membrane and cellhomeostasis, a regular production of these radicals is essential in themaintaining of redox signaling. Thus, antioxidant systems oversee ROSregulation without completely eliminating them. All antioxidants havedifferent ways of action; their biological activity may also be condi-tioned by the cellular structure in which they act. Astaxanthin hasshown potent antioxidant actions to stabilize ROS influx during oxi-dative stress related diseases such as I/R injury, as presented here.Indeed, astaxanthin showed a strong ability to reduce lipid oxidationthanks to its polar end groups which extend toward the polar regions ofthe membrane bilayer, thus contributing to the inhibition of thrombusand atherosclerotic plaque formation. However, a drawback of astax-anthin's action has also been attributed to its structure, which renders itprone to oxidation and lowers its bioavailability. Protective en-capsulation systems have been studied to solve these drawbacks.Additionally, new delivery systems may also contribute to limit po-tential untoward effects of in vivo antioxidant therapy that have beenlimited by antioxidant appropriate doses. Finally, the studies reviewedhere show the interesting properties and potential medical use of as-taxanthin to treat oxidative stress related pathologies, particularly incardiovascular diseases such as I/R injury.
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