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Shen W, Yang G, Guo Q, Lv L, Liu L, Wang X, Lou B, Wang Q, Wang Y. Combined toxicity assessment of myclobutanil and thiamethoxam to zebrafish embryos employing multi-endpoints. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2021; 269:116116. [PMID: 33288291 DOI: 10.1016/j.envpol.2020.116116] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/03/2020] [Revised: 09/07/2020] [Accepted: 11/17/2020] [Indexed: 06/12/2023]
Abstract
It is necessary to understand the interactions between different pesticides in ecotoxicology because pesticides never appear as individual compounds but rather in combinations with other compounds. In this study, we planned to explicate the combined toxic effect of myclobutanil (MYC) and thiamethoxam (THI) on the zebrafish (Danio rerio) by adopting multiple biomarkers. Results unraveled that the 96-h LC50 values of MYC to D. rerio at various life phases ranged from 5.2 to 10.3 mg L-1, which were lower than those of THI ranging from 147 to 246 mg L-1. Combinations of MYC and THI exhibited synergetic toxicity to zebrafish embryos. The activities of antioxidative enzymes (T-SOD, Cu/Zn-SOD and POD) and detoxification enzyme (GST) were obviously varied in most of the MYC, THI and combined exposures compared to the control. The mRNA expressions of eight genes (Cu-sod, cas3, il-8, cxcl, erα, crh, cyp17 and dio1) involved in antioxidation, apoptosis, immunity and endocrine were obviously altered in the combined exposure of MYC and THI compared to their individual exposures. Our findings hinted the threats when YMC and THI co-existed, which would be beneficial for the risk assessments of pesticide mixtures.
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Affiliation(s)
- Weifeng Shen
- State Key Laboratory for Managing Biotic and Chemical Threats to the Quality and Safety of Agro-products / Institute of Hydrobiology, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou, 310021, Zhejiang, China
| | - Guiling Yang
- State Key Laboratory for Managing Biotic and Chemical Threats to the Quality and Safety of Agro-products / Institute of Hydrobiology, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou, 310021, Zhejiang, China
| | - Qi Guo
- State Key Laboratory for Managing Biotic and Chemical Threats to the Quality and Safety of Agro-products / Institute of Hydrobiology, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou, 310021, Zhejiang, China
| | - Lu Lv
- State Key Laboratory for Managing Biotic and Chemical Threats to the Quality and Safety of Agro-products / Institute of Hydrobiology, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou, 310021, Zhejiang, China
| | - Li Liu
- State Key Laboratory for Managing Biotic and Chemical Threats to the Quality and Safety of Agro-products / Institute of Hydrobiology, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou, 310021, Zhejiang, China
| | - Xinquan Wang
- State Key Laboratory for Managing Biotic and Chemical Threats to the Quality and Safety of Agro-products / Institute of Hydrobiology, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou, 310021, Zhejiang, China
| | - Bao Lou
- State Key Laboratory for Managing Biotic and Chemical Threats to the Quality and Safety of Agro-products / Institute of Hydrobiology, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou, 310021, Zhejiang, China
| | - Qiang Wang
- State Key Laboratory for Managing Biotic and Chemical Threats to the Quality and Safety of Agro-products / Institute of Hydrobiology, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou, 310021, Zhejiang, China
| | - Yanhua Wang
- State Key Laboratory for Managing Biotic and Chemical Threats to the Quality and Safety of Agro-products / Institute of Hydrobiology, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou, 310021, Zhejiang, China.
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Wang Y, Dai D, Yu Y, Yang G, Shen W, Wang Q, Weng H, Zhao X. Evaluation of joint effects of cyprodinil and kresoxim-methyl on zebrafish, Danio rerio. JOURNAL OF HAZARDOUS MATERIALS 2018; 352:80-91. [PMID: 29574263 DOI: 10.1016/j.jhazmat.2018.03.023] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/11/2017] [Revised: 03/12/2018] [Accepted: 03/13/2018] [Indexed: 06/08/2023]
Abstract
Aquatic organisms are usually exposed to a mixture of pesticides instead of individual chemicals. However, risk assessment of pesticides is traditionally based on toxicity data of individual compounds. In this study, we aimed to examine the joint toxicity of two fungicides cyprodinil (CYP) and kresoxim-methyl (KRM) to zebrafish (Danio rerio) using a systematic experimental approach. Results from 96-h semi-static test indicated that the LC50 values of KRM to D. rerio at multiple life stages (embryonic, larval, juvenile and adult stages) ranged from 0.034 (0.015-0.073) to 0.61 (0.39-0.83) mg a.i. L-1, which were higher than those of CYP ranging from 1.05 (0.88-1.52) to 4.42 (3.24-6.02) mg a.i. L-1. Pesticide mixtures of CYP and KRM exhibited synergistic effect on embryonic zebrafish. The activities of carboxylesterase (CarE) and cytochrome P450 (Cyp450) were significantly altered in most of the individual and combined exposures compared with the control group. The expressions of seven genes (Mnsod, cyp17, crhr 2, crh, gnrhr 4, gnrhr 1 and hmgrb) were significantly altered upon exposure to combined pesticides compared with their individual pesticides. Collectively, these findings suggested joint effects should be considered in the risk assessment of pesticides and development of water quality criteria for the protection of aquatic environment.
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Affiliation(s)
- Yanhua Wang
- State Key Laboratory Breeding Base for Zhejiang Sustainable Pest and Disease Control/Key Laboratory for Pesticide Residue Detection of Ministry of Agriculture/Laboratory (Hangzhou) for Risk Assessment of Agricultural Products of Ministry of Agriculture, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou, 310021, Zhejiang, China
| | - Dejiang Dai
- Institute for the Control of Agrochemicals of Zhejiang Province, Hangzhou, 310020, China
| | - Yijun Yu
- Administration for Farmland Quality and Fertilizer of Zhejiang Province, Hangzhou, 310020, China
| | - Guiling Yang
- State Key Laboratory Breeding Base for Zhejiang Sustainable Pest and Disease Control/Key Laboratory for Pesticide Residue Detection of Ministry of Agriculture/Laboratory (Hangzhou) for Risk Assessment of Agricultural Products of Ministry of Agriculture, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou, 310021, Zhejiang, China
| | - Weifeng Shen
- State Key Laboratory Breeding Base for Zhejiang Sustainable Pest and Disease Control/Key Laboratory for Pesticide Residue Detection of Ministry of Agriculture/Laboratory (Hangzhou) for Risk Assessment of Agricultural Products of Ministry of Agriculture, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou, 310021, Zhejiang, China
| | - Qiang Wang
- State Key Laboratory Breeding Base for Zhejiang Sustainable Pest and Disease Control/Key Laboratory for Pesticide Residue Detection of Ministry of Agriculture/Laboratory (Hangzhou) for Risk Assessment of Agricultural Products of Ministry of Agriculture, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou, 310021, Zhejiang, China
| | - Hongbiao Weng
- State Key Laboratory Breeding Base for Zhejiang Sustainable Pest and Disease Control/Key Laboratory for Pesticide Residue Detection of Ministry of Agriculture/Laboratory (Hangzhou) for Risk Assessment of Agricultural Products of Ministry of Agriculture, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou, 310021, Zhejiang, China.
| | - Xueping Zhao
- State Key Laboratory Breeding Base for Zhejiang Sustainable Pest and Disease Control/Key Laboratory for Pesticide Residue Detection of Ministry of Agriculture/Laboratory (Hangzhou) for Risk Assessment of Agricultural Products of Ministry of Agriculture, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou, 310021, Zhejiang, China.
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3
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Xu C, Li X, Jin M, Sun X, Niu L, Lin C, Liu W. Early life exposure of zebrafish (Danio rerio) to synthetic pyrethroids and their metabolites: a comparison of phenotypic and behavioral indicators and gene expression involved in the HPT axis and innate immune system. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2018; 25:12992-13003. [PMID: 29480392 DOI: 10.1007/s11356-018-1542-0] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/19/2017] [Accepted: 02/13/2018] [Indexed: 05/06/2023]
Abstract
Ecotoxicological studies have revealed the association between synthetic pyrethroid (SP) exposure and aquatic toxicity in fish; however, research on the toxic effects of SP metabolites is still limited. In this study, the toxicity of two SPs (permethrin (PM) and β-cypermethrin (β-CP)) and their three metabolites (3-phenoxybenzoic alcohol (PBCOH), 3-phenoxybenzaldehyde (PBCHO), and 3-phenoxybenzoic acid (PBCOOH)) towards zebrafish embryos and larvae was evaluated. Both SPs and their metabolites exhibited significant developmental toxicities, caused abnormal vascular development, and changed locomotor activities in larvae. The alteration of gene expression involved in the thyroid system and the innate immune system indicated that SPs and their three metabolites have the potency to induce thyroid disruption and trigger an immune response. The results from the present study suggest that SP metabolites could induce multiple toxic responses similar to parent compounds, and their toxicity should be considered for improving the understanding of environmental risks of SPs.
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Affiliation(s)
- Chao Xu
- Research Center of Environmental Science, College of Environment, Zhejiang University of Technology, Hangzhou, 310032, China.
| | - Xinfang Li
- Research Center of Environmental Science, College of Environment, Zhejiang University of Technology, Hangzhou, 310032, China
| | - Meiqing Jin
- Research Center of Environmental Science, College of Environment, Zhejiang University of Technology, Hangzhou, 310032, China
| | - Xiaohui Sun
- Zhejiang Environmental Monitoring Centre, Hangzhou, 310012, China
| | - Lili Niu
- Research Center of Environmental Science, College of Environment, Zhejiang University of Technology, Hangzhou, 310032, China.
- International Joint Research Center for Persistent Toxic Substances (IJRC-PTS), MOE Key Laboratory of Environmental Remediation and Ecosystem Health, College of Environmental and Resource Sciences, Zhejiang University, Hangzhou, 310058, China.
| | - Chunmian Lin
- Research Center of Environmental Science, College of Environment, Zhejiang University of Technology, Hangzhou, 310032, China
| | - Weiping Liu
- International Joint Research Center for Persistent Toxic Substances (IJRC-PTS), MOE Key Laboratory of Environmental Remediation and Ecosystem Health, College of Environmental and Resource Sciences, Zhejiang University, Hangzhou, 310058, China
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Shi G, Xie Y, Guo Y, Dai J. 6:2 fluorotelomer sulfonamide alkylbetaine (6:2 FTAB), a novel perfluorooctane sulfonate alternative, induced developmental toxicity in zebrafish embryos. AQUATIC TOXICOLOGY (AMSTERDAM, NETHERLANDS) 2018; 195:24-32. [PMID: 29247975 DOI: 10.1016/j.aquatox.2017.12.002] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/14/2017] [Revised: 10/28/2017] [Accepted: 12/06/2017] [Indexed: 05/05/2023]
Abstract
6:2 fluorotelomer sulfonamide alkylbetaine (6:2 FTAB) is a major component of Forafac®1157, a novel perfluorooctane sulfonate (PFOS) alternative used globally in aqueous film forming foams (AFFFs). Although 6:2 FTAB has been recently detected in the aquatic environment, its toxic effects on aquatic organisms remain unclear. Here, zebrafish embryos were exposed to various concentrations of 6:2 FTAB (0, 5, 10, 20, 40, 60, 80, and 100 mg/L) from 6 to 120 h post-fertilization (hpf) to investigate its developmental toxicity and possible mechanism of action. Results showed that exposure to 40 mg/L or higher concentrations of 6:2 FTAB significantly decreased the survival percentage and increased the malformation percentage. The median lethal concentration (LC50) at 120 hpf was 43.73 ± 3.24 mg/L, and the corresponding benchmark dose lower limit (BMDL) of lethal effect was 33.79 mg/L. These values were both higher than those for PFOS, supporting the notion that 6:2 FTAB is less toxic than PFOS to zebrafish embryos. The most common developmental defect in 6:2 FTAB-treated embryos was rough-edged skin/fins. TUNEL assay showed that 6:2 FTAB exposure induced cell apoptosis in the tail region compared with that of the control, which might explain the rough-edged skin/fins. The increased transcriptional levels of p53, bax, and apaf1 and the increased activities of caspase-3, -8, and -9 provided further evidence of 6:2 FTAB-induced apoptosis. We also analyzed the effects of 6:2 FTAB on oxidative stress and the immune system. Results showed that reactive oxygen species and malondialdehyde accumulated in concentration-dependent manners after exposure to 6:2 FTAB, and antioxidant enzyme activities (catalase and glutathione peroxidase) also changed. Exposure to 6:2 FTAB also altered the transcriptional levels of ccl1, il-1β, il-8, tnfα, ifn, and cxcl-c1c, which play important roles in the innate immune system. Collectively, our data suggest that 6:2 FTAB exposure can induce cell apoptosis, oxidative stress, and immunotoxicity, thus highlighting the developmental toxicity of 6:2 FTAB in zebrafish embryos.
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Affiliation(s)
- Guohui Shi
- Key Laboratory of Animal Ecology and Conservation Biology, Institute of Zoology, Chinese Academy of Sciences, Beijing 100101, PR China; University of Chinese Academy of Sciences, Beijing 100049, PR China
| | - Yu Xie
- Key Laboratory of Animal Ecology and Conservation Biology, Institute of Zoology, Chinese Academy of Sciences, Beijing 100101, PR China
| | - Yong Guo
- Key Laboratory of Organofluorine Chemistry Shanghai Institute of Organic Chemistry, Chinese Academy of Sciences, Shanghai, PR China
| | - Jiayin Dai
- Key Laboratory of Animal Ecology and Conservation Biology, Institute of Zoology, Chinese Academy of Sciences, Beijing 100101, PR China.
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Yin J, Wang AP, Li WF, Shi R, Jin HT, Wei JF. Time-response characteristic and potential biomarker identification of heavy metal induced toxicity in zebrafish. FISH & SHELLFISH IMMUNOLOGY 2018; 72:309-317. [PMID: 29111395 DOI: 10.1016/j.fsi.2017.10.047] [Citation(s) in RCA: 42] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/12/2017] [Revised: 10/23/2017] [Accepted: 10/26/2017] [Indexed: 06/07/2023]
Abstract
The present work aims to explore the time-response (from 24 h to 96 h) characteristic and identify early potential sensitive biomarkers of copper (Cu) (as copper chloride dihydrate), cadmium (Cd) (as cadmium acetate), lead (Pb) (as lead nitrate) and chromium (Cr) (as potassium dichromate) exposure in adult zebrafish, focusing on reactive oxygen species (ROS), SOD activity, lipid peroxidation and gene expression related to oxidative stress and inflammatory response. Furthermore, the survival rate decreased apparently by a concentration-dependent manner after Cu, Cr, Cd and Pb exposure, and we selected non-lethal concentrations 0.05 mg/L for Cu, 15 mg/L for Cr, 3 mg/L for Cd and 93.75μg/L for Pb to test the effect on the following biological indicators. Under non-lethal concentration, the four heavy metals have no apparent histological change in adult zebrafish gills. Similar trends in ROS production, MDA level and SOD activity were up-regulated by the four heavy metals, while MDA level responded more sensitive to Pb by time-dependent manner than the other three heavy metals. In addition, mRNA levels related to antioxidant system (SOD1, SOD2 and Nrf2) were up-regulated by non-lethal concentration Cu, Cr, Cd and Pb exposure. MDA level and SOD1 gene have a more delayed response to heavy metals. Genes related to immunotoxicity were increased significantly after heavy metals exposure at non-lethal concentrations. TNF-α and IL-1β gene have similar sensibility to the four heavy metals, while IL-8 gene was more responsive to Cr, Cd and Pb exposure at 48 h groups and IFN-γ gene showed more sensitivity to Cu at 48 h groups than the other heavy metals. In conclusion, the present works have suggested that the IFN-γ gene may applied as early sensitive biomarker to identify Cu-induced toxicity, while MDA content and IL-8 gene may use as early sensitive biomarkers for evaluating the risk of Pb exposure. Moreover, IL-8 and IFN-γ gene were more responsive to heavy metals, which may become early sensitive and potential biomarkers for evaluating inflammatory response induced by heavy metals. This work reinforces the concept of the usefulness of gene expression assays in the evaluation of chemicals effects and helps to establish a background data as well as contributes to evaluate early environmental risk for chemicals, even predicting toxicity.
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Affiliation(s)
- Jian Yin
- Institute of Materia Medica, Chinese Academy of Medical Sciences & Peking Union Medical College, No. 1 Xian Nong Tan Street, Postal Code 100050, Beijing, China
| | - Ai-Ping Wang
- Institute of Materia Medica, Chinese Academy of Medical Sciences & Peking Union Medical College, No. 1 Xian Nong Tan Street, Postal Code 100050, Beijing, China
| | - Wan-Fang Li
- Institute of Materia Medica, Chinese Academy of Medical Sciences & Peking Union Medical College, No. 1 Xian Nong Tan Street, Postal Code 100050, Beijing, China
| | - Rui Shi
- Institute of Materia Medica, Chinese Academy of Medical Sciences & Peking Union Medical College, No. 1 Xian Nong Tan Street, Postal Code 100050, Beijing, China
| | - Hong-Tao Jin
- Institute of Materia Medica, Chinese Academy of Medical Sciences & Peking Union Medical College, No. 1 Xian Nong Tan Street, Postal Code 100050, Beijing, China
| | - Jin-Feng Wei
- Institute of Materia Medica, Chinese Academy of Medical Sciences & Peking Union Medical College, No. 1 Xian Nong Tan Street, Postal Code 100050, Beijing, China.
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Su M, Qian C, Hu Y, Lu W, Huang R, Chen M, Chen J. Inhibitory effect of the low-toxic exogenous aryl hydrocarbon receptor modulator 3'3-diindolylmethane on gastric cancer in mice. Oncol Lett 2017; 14:8100-8105. [PMID: 29344254 DOI: 10.3892/ol.2017.7185] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2015] [Accepted: 08/08/2017] [Indexed: 12/14/2022] Open
Abstract
3'3-Diindolylmethane (DIM) has been proved to exhibit anticancer properties in many solid tumors. In our previous study, we demonstrated that DIM inhibited SGC7901 cell proliferation by inducing apoptosis and delaying cell cycle progression. Herein, we further explored the anti-tumor effect of DIM on SGC-7901 tumor bearing mice. Tumors were excised, weighed, and tested by western blot and TdT-UTP nick-end labeling (TUNEL) assay. Blood samples were collected for biochemical analysis. The expression levels of AhR and cytochrome P450, family 1, subfamily A, polypeptide 1 (CYP1A1) protein were evaluated by western-blot assay. Our data show that with the increase of DIM dose (0, 5, 10, 20 mg/kg/day), AhR protein gradually decreased as CYP1A1 protein increased. The weight of the tumors found in the treated animals was significantly lower than that of the control group (0.845±0.096 vs. 1.275±0.236 g, 0.768±0.161 vs. 1.275±0.236 g, 0.607±0.106 vs. 1.275±0.236 g, P<0.05). TUNEL test showed that DIM induced increased apoptosis in the treatment groups in a dose-dependent manner. Blood tests also indicated that DIM showed no toxic effect on animal weight or liver and kidney function. These results indicated that DIM agent could be a safe and potent drug in therapy of gastric cancer.
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Affiliation(s)
- Mingli Su
- Department of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510080, P.R. China
| | - Chenchen Qian
- Department of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510080, P.R. China
| | - Yumin Hu
- Sun Yat-sen University Cancer Center, Guangzhou, Guangdong 510060, P.R. China
| | - Wenhua Lu
- Sun Yat-sen University Cancer Center, Guangzhou, Guangdong 510060, P.R. China
| | - Rongkang Huang
- Department of Colorectal Surgery, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510655, P.R. China
| | - Minhu Chen
- Department of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510080, P.R. China
| | - Jie Chen
- Department of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510080, P.R. China
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Acrylamide induces immunotoxicity through reactive oxygen species production and caspase-dependent apoptosis in mice splenocytes via the mitochondria-dependent signaling pathways. Biomed Pharmacother 2017; 94:523-530. [DOI: 10.1016/j.biopha.2017.07.033] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2017] [Revised: 07/03/2017] [Accepted: 07/06/2017] [Indexed: 02/04/2023] Open
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Karimabad MN, Falahati-Pour SK, Hassanshahi G, Koochakzadeh L. WITHDRAWN: The anti-cancer properties in parallel with toxic effects of indole-3-carbinol derivatives. Immunol Lett 2017:S0165-2478(17)30138-4. [PMID: 28851630 DOI: 10.1016/j.imlet.2017.08.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2017] [Revised: 08/14/2017] [Accepted: 08/14/2017] [Indexed: 10/19/2022]
Abstract
This article has been withdrawn at the request of the editor. The Publisher apologizes for any inconvenience this may cause. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal.
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Affiliation(s)
| | | | - Gholamhossein Hassanshahi
- Molecular Medicine Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran; Department of Immunology, Faculty of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
| | - Lili Koochakzadeh
- Molecular Medicine Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran; Department of Clinical Biochemistry, Faculty of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran; Department of Immunology, Faculty of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran; Pistachio Safety Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran; Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran.
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Yang Y, Liu W, Mu X, Qi S, Fu B, Wang C. Biological response of zebrafish embryos after short-term exposure to thifluzamide. Sci Rep 2016; 6:38485. [PMID: 27924917 PMCID: PMC5141451 DOI: 10.1038/srep38485] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2016] [Accepted: 11/10/2016] [Indexed: 12/13/2022] Open
Abstract
Thifluzamide is a new amide fungicide, and its extensive application may have toxic effects on zebrafish. To better understand the underlying mechanism, we investigated in detail the potential toxic effects of thifluzamide on zebrafish embryos. In the present study, embryos were exposed to 0, 0.19, 1.90, and 2.85 mg/L thifluzamide for 4 days. Obvious pathological changes were found upon a histological exam, and negative changes in mitochondrial structure were observed under Transmission Electron Microscopy (TEM), which qualitatively noted the toxic effects of thifluzamide on embryos. Moreover, we quantitatively evaluated the enzyme activities [succinate dehydrogenase (SDH), superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPx), caspases], the contents of malonaldehyde (MDA) and interleukin-8 (IL-8) and the expression levels of the related genes. This study suggests that the negative changes in mitochondrial structure and SDH activity might be responsible for oxidative damage, cell apoptosis and inflammation, which would facilitate the action of these factors in cell death and might play a crucial role during toxic events. In addition to providing the first description of the mechanism of the toxic effects of thifluzamide on embryos, this study also represents a step towards using embryos to assess mitochondrial metabolism and disease.
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Affiliation(s)
- Yang Yang
- College of Sciences, China Agricultural University, Beijing, People's Republic of China
| | - Wenxian Liu
- State Key Laboratory of Grassland Agro-ecosystems, College of Pastoral Agriculture Science and Technology, Lanzhou University, Lanzhou, People's Republic of China
| | - Xiyan Mu
- Center of Fishery Resources and Ecology Environment Research, Chinese Academy of Fishery Sciences, Beijing, People's Republic of China
| | - Suzhen Qi
- College of Sciences, China Agricultural University, Beijing, People's Republic of China
| | - Bin Fu
- College of Sciences, China Agricultural University, Beijing, People's Republic of China
| | - Chengju Wang
- College of Sciences, China Agricultural University, Beijing, People's Republic of China
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10
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Yang Y, Qi S, Wang D, Wang K, Zhu L, Chai T, Wang C. Toxic effects of thifluzamide on zebrafish (Danio rerio). JOURNAL OF HAZARDOUS MATERIALS 2016; 307:127-136. [PMID: 26780700 DOI: 10.1016/j.jhazmat.2015.12.055] [Citation(s) in RCA: 85] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/14/2015] [Revised: 12/10/2015] [Accepted: 12/28/2015] [Indexed: 06/05/2023]
Abstract
Thifluzamide is a fungicide widely used to control crop diseases, and it therefore constitutes a hazard to the environment. In this study, zebrafish were selected to assess the aquatic toxicity of thifluzamide. The acute and development toxicity of thifluzamide to embryos, larvae, and adult zebrafish were measured and the corresponding 96h-LC50 values were as follows: adult fish (4.19mg/L) <larvae (3.52mg/L) <embryos (3.08mg/L). A large suite of symptoms was found in these three stages of zebrafish, including abnormal spontaneous movement, slow heartbeat, hatching inhibition, growth regression, and morphological deformities. In addition, for adult zebrafish, distinct pathological changes were noted in liver and kidney 21 days post exposure (dpe) to 0.19, 1.33, and 2.76mg/L. Liver damage was more severe than kidney damage. In another 28 days exposure of adult zebrafish to 0.019, 0.19, and 1.90mg/L, negative changes in mitochondrial structure and enzymes activities [succinate dehydrogenase (SDH) and respiratory chain complexes] were found. These might be responsible for the adverse expansion of the apoptosis- and immune-related genes, which would facilitate the action of these factors in programmed cell death and might play a key role during the toxic events.
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Affiliation(s)
- Yang Yang
- College of Sciences, China Agricultural University, Beijing, People's Republic of China
| | - Suzhen Qi
- College of Sciences, China Agricultural University, Beijing, People's Republic of China
| | - Donghui Wang
- Plant Developmental Biology, College of Life Sciences, Peking University, 5 Yiheyuan Road, Beijing 100871, People's Republic of China
| | - Kai Wang
- College of Sciences, China Agricultural University, Beijing, People's Republic of China
| | - Lizhen Zhu
- College of Sciences, China Agricultural University, Beijing, People's Republic of China
| | - Tingting Chai
- College of Sciences, China Agricultural University, Beijing, People's Republic of China
| | - Chengju Wang
- College of Sciences, China Agricultural University, Beijing, People's Republic of China.
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11
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Aksu EH, Akman O, Ömür AD, Karakuş E, Can İ, Kandemir FM, Dorman E, Uçar Ö. 3,3 diindolylmethane leads to apoptosis, decreases sperm quality, affects blood estradiol 17 β and testosterone, oestrogen (α and β) and androgen receptor levels in the reproductive system in male rats. Andrologia 2016; 48:1155-1165. [DOI: 10.1111/and.12554] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/29/2015] [Indexed: 12/27/2022] Open
Affiliation(s)
- E. H. Aksu
- Faculty of Veterinary Medicine; Department of Reproduction and Artificial Insemination; Atatürk University; Erzurum Turkey
| | - O. Akman
- Faculty of Veterinary Medicine; Department of Reproduction and Artificial Insemination; Atatürk University; Erzurum Turkey
| | - A. D. Ömür
- Faculty of Veterinary Medicine; Department of Reproduction and Artificial Insemination; Atatürk University; Erzurum Turkey
| | - E. Karakuş
- Faculty of Veterinary Medicine; Department of Pharmacology; Atatürk University; Erzurum Turkey
| | - İ. Can
- Faculty of Medicine; Department of Histology; Kafkas University; Kars Turkey
| | - F. M. Kandemir
- Faculty of Veterinary Medicine; Department of Biochemistry; Atatürk University; Erzurum Turkey
| | - E. Dorman
- Faculty of Medicine; Biochemistry Laboratories; Atatürk University; Erzurum Turkey
| | - Ö. Uçar
- Faculty of Veterinary Medicine; Department of Reproduction and Artificial Insemination; Atatürk University; Erzurum Turkey
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12
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Jiang J, Wu S, Wang Y, An X, Cai L, Zhao X, Wu C. Carbendazim has the potential to induce oxidative stress, apoptosis, immunotoxicity and endocrine disruption during zebrafish larvae development. Toxicol In Vitro 2015; 29:1473-81. [DOI: 10.1016/j.tiv.2015.06.003] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2014] [Revised: 04/16/2015] [Accepted: 06/04/2015] [Indexed: 12/26/2022]
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13
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Jiang J, Wu S, Liu X, Wang Y, An X, Cai L, Zhao X. Effect of acetochlor on transcription of genes associated with oxidative stress, apoptosis, immunotoxicity and endocrine disruption in the early life stage of zebrafish. ENVIRONMENTAL TOXICOLOGY AND PHARMACOLOGY 2015; 40:516-523. [PMID: 26318563 DOI: 10.1016/j.etap.2015.08.005] [Citation(s) in RCA: 52] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/17/2015] [Revised: 07/29/2015] [Accepted: 08/06/2015] [Indexed: 06/04/2023]
Abstract
The study presented here aimed to characterize the effects of acetochlor on expression of genes related to endocrine disruption, oxidative stress, apoptosis and immune system in zebrafish during its embryo development. Different trends in gene expression were observed after exposure to 50, 100, 200μg/L acetochlor for 96h. Results demonstrated that the transcription patterns of many key genes involved in the hypothalamic-pituitary-gonadal/thyroid (HPG/HPT) axis (e.g., VTG1, ERβ1, CYP19a and TRα), cell apoptosis pathway (e.g., Bcl2, Bax, P53 and Cas8), as well as innate immunity (e.g., CXCL-C1C, IL-1β and TNFα) were affected in newly hatched zebrafish after exposure to acetochlor. In addition, the up-regulation of CAT, GPX, GPX1a, Cu/Zn-SOD and Ogg1 suggested acetochlor might trigger oxidative stress in zebrafish. These finding indicated that acetochlor could simultaneously induce multiple responses during zebrafish embryonic development, and bidirectional interactions among oxidative stress, apoptosis pathway, immune and endocrine systems might be present.
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Affiliation(s)
- Jinhua Jiang
- Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, 198 Shi Qiao Rd, Hangzhou 310021, Zhejiang, PR China.
| | - Shenggan Wu
- Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, 198 Shi Qiao Rd, Hangzhou 310021, Zhejiang, PR China
| | - Xinju Liu
- Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, 198 Shi Qiao Rd, Hangzhou 310021, Zhejiang, PR China
| | - Yanhua Wang
- Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, 198 Shi Qiao Rd, Hangzhou 310021, Zhejiang, PR China
| | - Xuehua An
- Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, 198 Shi Qiao Rd, Hangzhou 310021, Zhejiang, PR China
| | - Leiming Cai
- Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, 198 Shi Qiao Rd, Hangzhou 310021, Zhejiang, PR China
| | - Xueping Zhao
- Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, 198 Shi Qiao Rd, Hangzhou 310021, Zhejiang, PR China.
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14
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Mu X, Chai T, Wang K, Zhang J, Zhu L, Li X, Wang C. Occurrence and origin of sensitivity toward difenoconazole in zebrafish (Danio reio) during different life stages. AQUATIC TOXICOLOGY (AMSTERDAM, NETHERLANDS) 2015; 160:57-68. [PMID: 25621397 DOI: 10.1016/j.aquatox.2015.01.001] [Citation(s) in RCA: 94] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/12/2014] [Revised: 01/02/2015] [Accepted: 01/03/2015] [Indexed: 06/04/2023]
Abstract
We report here an investigation of the mechanisms contributing to the divergent sensitivity toward the triazole fungicide difenoconazole of zebrafish (Danio reio) during different life stages. Adult and embryonic zebrafish were exposed to three different concentrations of difenoconazole (0.01, 0.5 and 1.0mg/L). The death rate, bioaccumulation of difenoconazole, oxidative stress parameters and transcription of related genes were tested at 4 and 8 days post-exposure (dpe). The death rate for adult zebrafish was much higher than that of the embryos at an exposure concentration of 1.0mg/L at both 4 and 8 dpe. The concentrations of difenoconazole in both the embryos and adult fish were similar, except for the group exposed to 0.01mg/L difenoconazole. A decrease in antioxidant enzyme activities was observed in both the embryos and the livers of adult fish after exposure to difenoconazole. Significant lipid peroxidation was found in the livers of adult fish in all exposure groups at 8 dpe, but was not observed in the treated embryos. The gene transcription response of the embryos toward difenoconazole was different from that in the livers of adult fish at 4 dpe. At 8 dpe, the modification in the transcription of the tested genes in the embryos and adult fish was similar, except for the genes related to the synthesis of sterols.
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Affiliation(s)
- Xiyan Mu
- College of Sciences, China Agricultural University, Beijing 100913, People's Republic of China.
| | - Tingting Chai
- College of Sciences, China Agricultural University, Beijing 100913, People's Republic of China.
| | - Kai Wang
- College of Sciences, China Agricultural University, Beijing 100913, People's Republic of China.
| | - Jie Zhang
- College of Sciences, China Agricultural University, Beijing 100913, People's Republic of China.
| | - Lizhen Zhu
- College of Sciences, China Agricultural University, Beijing 100913, People's Republic of China.
| | - Xuefeng Li
- College of Sciences, China Agricultural University, Beijing 100913, People's Republic of China.
| | - Chengju Wang
- College of Sciences, China Agricultural University, Beijing 100913, People's Republic of China.
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15
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Jiang J, Wu S, Wu C, An X, Cai L, Zhao X. Embryonic exposure to carbendazim induces the transcription of genes related to apoptosis, immunotoxicity and endocrine disruption in zebrafish (Danio rerio). FISH & SHELLFISH IMMUNOLOGY 2014; 41:493-500. [PMID: 25304545 DOI: 10.1016/j.fsi.2014.09.037] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/07/2014] [Revised: 08/13/2014] [Accepted: 09/29/2014] [Indexed: 06/04/2023]
Abstract
Carbendazim is one of the most widespread environmental contaminant that can cause major concern to human and animal reproductive system. To date, very few studies have been conducted on the toxic effect of carbendazim in the non-target organism zebrafish (Danio rerio). The study presented here aimed to assess how carbendazim triggers apoptosis, immunotoxicity and endocrine disruption pathways in zebrafish during its embryo development. Our results demonstrated that the expression patterns of many key genes involved in cell apoptosis pathway (e.g. P53, Mdm2, Bbc3 and Cas8) were significantly up-regulated upon the exposure to carbendazim at the concentration of 500 μg/L, while the Bcl2 and Cas3 were down-regulated at the same concentration, interestingly, the expression level of Ogg1 decreased at all the exposure concentrations. It was also observed that the mRNA levels of CXCL-C1C, CCL1, IL-1b and TNFα which were closely related to the innate immune system, were affected in newly hatched zebrafish after exposed to different concentrations of carbendazim. Moreover, the expression of genes that are involved in the hypothalamic-pituitary-gonadal/thyroid (HPG/HPT) axis including VTG, ERα, ERβ2, Dio1, Dio2, Thraa and Thrb were all down-regulated significantly after the exposure to carbendazim. The expression levels of two cytochrome P450 aromatases CYP19a and CYP19b were increased significantly after 20 and 100 μg/L carbendazim exposure, respectively. Taken together, our results indicated that carbendazim had the potential to induce cell apoptosis and cause immune toxicity as well as endocrine disruption in zebrafish during the embryo developmental stage. The information presented here also help to elucidate the environmental risks caused by the carbendazim-induced toxicity in aquatic organisms.
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Affiliation(s)
- Jinhua Jiang
- State Key Laboratory Breeding Base for Zhejiang Sustainable Pest and Disease Control, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou 310021, Zhejiang, China; Key Laboratory for Pesticide Residue Detection of Ministry of Agriculture, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou 310021, Zhejiang, China.
| | - Shenggan Wu
- State Key Laboratory Breeding Base for Zhejiang Sustainable Pest and Disease Control, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou 310021, Zhejiang, China; Key Laboratory for Pesticide Residue Detection of Ministry of Agriculture, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou 310021, Zhejiang, China
| | - Changxing Wu
- State Key Laboratory Breeding Base for Zhejiang Sustainable Pest and Disease Control, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou 310021, Zhejiang, China; Key Laboratory for Pesticide Residue Detection of Ministry of Agriculture, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou 310021, Zhejiang, China
| | - Xuehua An
- State Key Laboratory Breeding Base for Zhejiang Sustainable Pest and Disease Control, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou 310021, Zhejiang, China; Key Laboratory for Pesticide Residue Detection of Ministry of Agriculture, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou 310021, Zhejiang, China
| | - Leiming Cai
- State Key Laboratory Breeding Base for Zhejiang Sustainable Pest and Disease Control, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou 310021, Zhejiang, China; Key Laboratory for Pesticide Residue Detection of Ministry of Agriculture, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou 310021, Zhejiang, China
| | - Xueping Zhao
- State Key Laboratory Breeding Base for Zhejiang Sustainable Pest and Disease Control, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou 310021, Zhejiang, China; Key Laboratory for Pesticide Residue Detection of Ministry of Agriculture, Institute of Quality and Standard for Agro-products, Zhejiang Academy of Agricultural Sciences, Hangzhou 310021, Zhejiang, China.
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16
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Luliński P, Klejn D, Maciejewska D. 3,3′-Diindolylmethane imprinted polymers: synthesis, characterization and analytical procedure for template isolation from biological matrix. POLYM INT 2013. [DOI: 10.1002/pi.4572] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Affiliation(s)
- Piotr Luliński
- Department of Organic Chemistry, Faculty of Pharmacy; Medical University of Warsaw; Banacha 1 02-097 Warsaw Poland
| | - Dorota Klejn
- Department of Organic Chemistry, Faculty of Pharmacy; Medical University of Warsaw; Banacha 1 02-097 Warsaw Poland
| | - Dorota Maciejewska
- Department of Organic Chemistry, Faculty of Pharmacy; Medical University of Warsaw; Banacha 1 02-097 Warsaw Poland
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17
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Jin Y, Pan X, Cao L, Ma B, Fu Z. Embryonic exposure to cis-bifenthrin enantioselectively induces the transcription of genes related to oxidative stress, apoptosis and immunotoxicity in zebrafish (Danio rerio). FISH & SHELLFISH IMMUNOLOGY 2013; 34:717-723. [PMID: 23261506 DOI: 10.1016/j.fsi.2012.11.046] [Citation(s) in RCA: 65] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/09/2012] [Revised: 11/09/2012] [Accepted: 11/26/2012] [Indexed: 06/01/2023]
Abstract
Cis-bifenthrin (cis-BF) is used widely for agricultural and non-agricultural purpose. Thus, cis-BF is one of the most frequently detected insecticides in the aquatic ecosystem. As a chiral pesticide, the commercial cis-BF contained two enantiomers including 1R-cis-BF and 1S-cis-BF. However, the difference in inducing oxidative stress, apoptosis and immunotoxicity by the two enantiomers in zebrafish still remains unclear. In the present study, the zebrafish were exposed to environmental concentrations of cis-BF, 1R-cis-BF and 1S-cis-BF during the embryos developmental stage. We observed that the mRNA levels of the most genes related to oxidative stress, apoptosis and immunotoxicity including Cu/Zn-superoxide dismutase (Cu/Zn-Sod), catalase (Cat), P53, murine double minute 2 (Mdm2), B-cell lymphoma/leukaemia-2 gene (Bcl2), Bcl2 associated X protein (Bax), apoptotic protease activating factor-1 (Apaf1), Caspase 9 (Cas9), Caspase 3 (Cas3), interleukin-1 beta (IL-1β) and interleukin-8(Il-8) were much higher in 1S-cis-BF treated group than those in cis-BF or 1R-cis-BF treated ones, suggesting that 1S-cis-BF has higher risk to induced oxidative stress, apoptosis and immunotoxicity than 1R-cis-BF in zebrafish. The information presented in this study will help with elucidating the differences and environmental risk of the two enantiomers of cis-BF-induced toxicity in aquatic organisms.
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Affiliation(s)
- Yuanxiang Jin
- College of Biological and Environmental Engineering, Zhejiang University of Technology, Hangzhou 310032, China
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18
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Fang YC, Chou CT, Chi CC, Lin KL, Li YD, Cheng HH, Lu YC, Cheng JS, Kuo CC, Jan CR. Effect of diindolylmethane on Ca2+ homeostasis and viability in MDCK renal tubular cells. Hum Exp Toxicol 2012; 32:344-53. [DOI: 10.1177/0960327112462727] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The effect of the natural product diindolylmethane (DIM) on cytosolic Ca2+ concentrations ([Ca2+]i) and viability in MDCK renal tubular cells was explored. The Ca2+-sensitive fluorescent dye fura-2 was applied to measure [Ca2+]i. DIM at concentrations 1–50 μM induced a [Ca2+]i rise in a concentration-dependent manner. The response was reduced partly by removing Ca2+. DIM induced Mn2+ influx leading to quenching of fura-2 fluorescence. DIM-evoked Ca2+ entry was suppressed by nifedipine, econazole, SK&F96365 and protein kinase C modulators. In the absence of extracellular Ca2+, incubation with the endoplasmic reticulum Ca2+ pump inhibitor thapsigargin (TG) or 2,5-di-tert-butylhydroquinone (BHQ) greatly inhibited DIM-induced [Ca2+]i rise. Incubation with DIM abolished TG or BHQ-induced [Ca2+]i rise. Inhibition of phospholipase C with U73122 reduced DIM-induced [Ca2+]i rise by 50%. At 1, 10, 40 and 50 μM, DIM slightly enhanced cell proliferation. The effect of 50 μM DIM was reversed by chelating cytosolic Ca2+ with 1,2-bis(2-aminophenoxy)ethane- N, N, N', N'-tetraacetic acid. In sum, in MDCK cells, DIM induced a [Ca2+]i rise by evoking phospholipase C-dependent Ca2+ release from the endoplasmic reticulum and Ca2+ entry via protein kinase C-sensitive store-operated Ca2+ channels. DIM did not induce cell death.
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Affiliation(s)
- Y-C Fang
- Department of Laboratory Medicine, Zuoying Armed Forces General Hospital, Kaohsiung, Taiwan
| | - C-T Chou
- Department of Nursing, Division of Basic Medical Sciences, Chang Gung University of Science and Technology, Chia-Yi, Taiwan
- Chronic Diseases and Health Promotion Research Center, Chang Gung University of Science and Technology, Chia-Yi, Taiwan
| | - C-C Chi
- Department of Otolaryngology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
| | - K-L Lin
- Department of Rehabilitation, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
| | - Y-D Li
- Department of Laboratory Medicine, Zuoying Armed Forces General Hospital, Kaohsiung, Taiwan
| | - H-H Cheng
- Department of Medicine, Chang Bing Show Chwan Memorial Hospital, Changhua County, Taiwan
| | - Y-C Lu
- Department of Orthopedics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
| | - J-S Cheng
- Department of Medicine, Yongkang Veterans Hospital, Tainan, Taiwan
| | - C-C Kuo
- Department of Nursing, Tzu Hui Institute of Technology, Pingtung, Taiwan
| | - C-R Jan
- Department of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
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