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PHARMACOLOGY OF OLIVE BIOPHENOLS IN ALZHEIMER’S DISEASE PREVENTION AND TREATMENT SYED HARIS OMAR B.Pharm & M.Pharm (Pharmacology) A thesis submitted for Charles Sturt University for the degree of Doctor of Philosophy MARCH 2015 School of Biomedical Sciences Faculty of Science Charles Sturt University Wagga Wagga, NSW, Australia i TABLE OF CONTENTS LIST OF TABLES ................................................................................................................... viii LIST OF FIGURES ................................................................................................................. viii CERTIFICATE OF AUTHORSHIP ........................................................................................ x ACKNOWLEDGMENTS ......................................................................................................... xi ETHICS, BIOSAFETY AND/OR RADIATION SAFETY APPROVAL ............................ xii PUBLICATIONS ..................................................................................................................... xiii ABSTRACT .............................................................................................................................. xiv LIST OF ABBREVIATIONS ................................................................................................. xvi CHAPTER 1 ................................................................................................................................ 1 PLANT BIOPHENOLS AND ALZHEIMER’S DISEASE: TOWARDS A HOLISTIC APPROACH ................................................................................................................................ 1 1.1. ABSTRACT ....................................................................................................................... 2 1.2. INTRODUCTION ............................................................................................................. 3 1.3. BIOPHENOLS ................................................................................................................... 5 1.4. ALZHEIMER’S DISEASE ................................................................................................ 5 1.5. PATHOPHYSIOLOGY OF AD ........................................................................................ 6 1.5.1. The Amyloid Cascade and Modified Amyloid Hypothesis .......................................... 6 1.5.2. Cholinergic Hypothesis ............................................................................................... 8 1.5.3. Mitochondrial Cascade Hypothesis ............................................................................ 9 1.5.4. Oxidative Stress Hypothesis ...................................................................................... 10 1.5.5. Other Hypotheses ...................................................................................................... 11 1.6. PLANTS FOR FIGHTING AD ....................................................................................... 13 1.7. PHARMACOLOGY OF BIOPHENOLS IN AD ............................................................ 16 1.8. CELLULAR AND MOLECULAR LEVEL: BIOCHEMICAL EFFECTS .................... 19 1.8.1. Antioxidant activity ................................................................................................... 19 1.8.1.1. Evidence from in vitro studies ........................................................................... 20 1.8.1.2. Evidence from animal studies ............................................................................ 22 1.8.1.3. Evidence from human studies ............................................................................ 23 1.8.1.4. Assessment of the evidence ............................................................................... 24 1.8.2. Neuroprotective activity ............................................................................................ 26 1.8.2.1. Evidence from in vitro studies ........................................................................... 27 1.8.2.2. Evidence from animal studies ............................................................................ 27 1.8.2.3. Evidence from human studies ............................................................................ 28 1.8.2.4. Assessment of the evidence ............................................................................... 28 ii 1.8.3. Cholinesterase inhibition activity ............................................................................. 29 1.8.3.1. Evidence from in vitro studies ........................................................................... 29 1.8.3.2. Evidence from animal studies ............................................................................ 30 1.8.3.3. Evidence from human studies ............................................................................ 31 1.8.3.4. Assessment of the evidence ............................................................................... 31 1.8.4. NMDA receptor antagonistic activity ....................................................................... 31 1.8.5. Mitochondrial protective activity .............................................................................. 32 1.8.6. Epigenetic activity ..................................................................................................... 33 1.8.7. Anti-prion activity ..................................................................................................... 34 1.9. TISSUE LEVEL: EFFECTS ON HISTOPATHOLOGY ................................................ 34 1.9.1. Anti-amyloidogenic activity ...................................................................................... 35 1.9.1.1. Evidence from in vitro studies ........................................................................... 35 1.9.1.2. Evidence from animal studies ............................................................................ 39 1.9.1.3. Evidence from human studies ............................................................................ 41 1.9.1.4. Assessment of the evidence ............................................................................... 42 1.9.2. Anti-tau aggregation activity .................................................................................... 42 1.9.2.1. Evidence from in vitro studies ........................................................................... 43 1.9.2.2. Evidence from animal studies ............................................................................ 45 1.9.2.3. Assessment of the evidence ............................................................................... 45 1.10. FUNCTIONAL LEVEL: EFFECTS ON COGNITION AND BEHAVIOUR .............. 46 1.10.1. Evidence from in vitro studies ................................................................................. 46 1.10.2. Evidence from epidemiological studies ................................................................... 46 1.10.3. Evidence from animal studies ................................................................................. 47 1.10.4. Evidence from Clinical studies ............................................................................... 49 1.10.5. Assessment of the evidence ..................................................................................... 51 1.11. CONCLUSIONS ............................................................................................................ 53 CHAPTER 2 .............................................................................................................................. 57 ANTI-ALZHEIMER’S DISEASE ACTIVITIES OF OLIVE BIOPHENOLS: THE KNOWN & THE UNKNOWN (TOWARDS A RATIONALE FOR THESE STUDIES) . 57 2.1. Mediterranean Diet: where it all began ............................................................................ 58 2.2. Olive Biophenols: the chemistry ...................................................................................... 58 2.3. Olive biophenols: the antioxidant activity ....................................................................... 59 2.4. Olive biophenols and AD ................................................................................................. 60 2.5. The aim & objectives of the current study ....................................................................... 62 2.5.1. To characterize some commercially available olive biophenol extracts and to ....... 62 compare their phenolic composition. .................................................................................. 62 2.5.2. To evaluate the in vitro antioxidant activity of olive biophenols at the .................... 62 molecular level and compare individual biophenols with phenolic extracts. ..................... 62 iii 2.5.3. To evaluate the in vitro inhibitory activity of olive biophenols against a ................. 62 number of enzymes involved in AD and compare individual biophenols with .................... 62 phenolic extracts. ................................................................................................................ 62 2.5.4. To evaluate the in vitro anti-amyloid activities of olive biophenols and .................. 62 extracts. ............................................................................................................................... 62 2.5.5. To evaluate the neuroprotective activities of olive biophenols and extracts at ........ 62 the cellular level against various neurotoxic substances. ................................................... 62 2.5.6. To evaluate the capability of olive biophenol extract to exert anti-AD activities ..... 62 in vivo using a genetically-modified mouse model of AD. .................................................. 62 CHAPTER 3 .............................................................................................................................. 63 PHENOLIC COMPOSITION OF OLIVE BIOPHENOL EXTRACTS AND IN VITRO ANTIOXIDANT ACTIVITY IN COMPARISON WITH INDIVIDUAL OLIVE BIOPHENOLS .......................................................................................................................... 63 3.1. Abstract ............................................................................................................................ 64 3.2. Introduction ...................................................................................................................... 65 3.3. Materials and Methods ..................................................................................................... 67 3.3.1. Chemicals and plant extracts .................................................................................... 67 3.3.2. Sample preparation ................................................................................................... 67 3.3.3. Determination of total phenol content in commercial extracts ................................. 68 3.3.4. Determination of total flavonoid content in commercial extracts ............................. 69 3.3.5. HPLC-DAD-online ABTS radical scavenging analysis ............................................ 69 3.3.6. Liquid Chromatography-Mass spectrometry (LC-MS) ............................................. 70 3.3.7. Superoxide radical (SOR) scavenging assay ............................................................ 71 3.3.8. In vitro H O scavenging assay ................................................................................. 71 2 2 3.3.9. Ferric reducing/antioxidant power (FRAP) assay .................................................... 72 3.3.10. Statistical analysis .................................................................................................. 72 3.4. Results and discussion ..................................................................................................... 73 3.4.1. Total phenol and total flavonoid contents ................................................................. 73 3.4.2. HPLC-DAD-ABTS analysis and LC-MS ................................................................... 74 3.4.3. SOR scavenging activities ......................................................................................... 80 3.4.4. H O radical scavenging activities by olive biophenols ........................................... 84 2 2 3.4.5. Iron (III) reducing power in FRAP ........................................................................... 85 3.5. Conclusion ....................................................................................................................... 87 CHAPTER 4 .............................................................................................................................. 89 MODULATION OF SOME ENZYMES INVOLVED IN ALZHEIMER’S DISEASE BY OLIVE BIOPHENOLS ............................................................................................................ 89 4.1. Abstract ............................................................................................................................ 90 4.2. Introduction ...................................................................................................................... 91 iv 4.3. Materials and methods ..................................................................................................... 94 4.3.1. Beta-secretase (BACE-1) inhibition assay ................................................................ 94 4.3.2. Acetylcholinesterase and butyrylcholinesterase inhibition assay ............................. 95 4.3.3. Determination of tyrosinase enzyme kinetic parameters .......................................... 96 4.3.4. Tyrosinase inhibition assay ....................................................................................... 96 4.3.5. Histone deacetylase (HDAC) inhibition assay .......................................................... 97 4.3.6. Statistical analysis .................................................................................................... 97 4.4. Results and discussion ..................................................................................................... 98 4.4.1. BACE1 enzyme inhibition by olive biophenols ......................................................... 98 4.4.2. AChE and BChE inhibition by olive biophenols ..................................................... 100 4.4.3. Tyrosinase and L-DOPA Kinetics ........................................................................... 105 4.4.4. Tyrosinase inhibition assay ..................................................................................... 106 4.4.5. HDAC inhibitions by olive biophenols .................................................................... 108 4.5. Conclusion ..................................................................................................................... 110 CHAPTER 5 ............................................................................................................................ 114 ANTI-AMYLOID PROPERTIES OF OLIVE BIOPHENOLS ......................................... 114 5.1. Abstract .......................................................................................................................... 115 5.2. Introduction .................................................................................................................... 116 5.3. Material and methods ..................................................................................................... 118 5.3.1 Aβ fibril preparation.............................................................................................. 119 42 5.3.2. Acetylcholinesterase and butyrylcholinesterase induced Aβ fibril preparation ... 119 42 5.3.3. Aβ fibril formation and aggregation inhibitory assay .......................................... 119 42 5.3.3.1 Transmission electron microscope (TEM) imaging .......................................... 120 5.3.3.2. Thioflavin-T (ThT) fluorometric assay ............................................................ 120 5.3.3.3. Congo red binding assay .................................................................................. 121 5.3.3.4. HPLC analysis of Aβ with or without olive biophenols ................................ 121 42 5.3.4. In situ copper and amyloid binding assay............................................................... 122 5.3.5. Statistical analysis .................................................................................................. 122 5.4. Results and discussion ................................................................................................... 122 5.4.1. The effect of olive biophenols on Aβ aggregation (TEM) ..................................... 122 42 5.4.2. ThT fluorometric assay of Aβ fibril inhibition by olive biophenols ...................... 124 42 5.4.3. Congo red assay of Aβ inhibition by olive biophenols ......................................... 126 42 5.4.4 Effect of olive biophenols on Aβ fibril formation (HPLC analysis) ....................... 127 42 5.4.5. Copper-chelation activity with Aβ ........................................................................ 135 42 5.5. Conclusion ..................................................................................................................... 136 CHAPTER 6 ............................................................................................................................ 139 v NEUROPROTECTIVE EFFECTS OF OLIVE BIOPHENOLS AGAINST SOME NEUROTOXIC SUBSTANCES ............................................................................................ 139 6.1. Abstract .......................................................................................................................... 140 6.2. Introduction .................................................................................................................... 141 6.3. Material and methods ..................................................................................................... 142 6.3.1. Aβ fibril preparation............................................................................................. 143 42 6.3.2. Cell culture .............................................................................................................. 143 6.3.3. H O -induced toxicity in SH-SY5Y cells and neuroprotective potential ................. 144 2 2 6.3.4. Aβ induced SH-SY5Y cell toxicity and olive biophenols treatment ...................... 144 42 6.3.5. L-DOPA-induced SH-SY5Y toxicity and protection by olive biophenols ................ 144 6.3.6. Copper induced SH-SY5Y toxicity and protection by olive biophenol .................... 145 6.3.7. Cell viability assay .................................................................................................. 146 6.4. Results and discussion ................................................................................................... 146 6.4.1. Neuropreventive effect against H O -induced oxidative stress ............................... 146 2 2 6.4.2. Aβ induced SH-SY5Y toxicity and protection by olive biophenols ....................... 148 42 6.4.3. L-DOPA toxicity and SH-SY5Y protection by olive biophenols .............................. 150 6.4.4. Copper induced SH-SY5Y cells toxicity and protection by olive biophenols .......... 153 6.5. Conclusion ..................................................................................................................... 155 CHAPTER 7 ............................................................................................................................ 160 ANTI-ALZHEIMER’S ACTIVITY OF OLIVE BIOPHENOLS IN VIVO ..................... 160 7.1. Abstract .......................................................................................................................... 161 7.2. Introduction .................................................................................................................... 162 7.3. Materials and methods ................................................................................................... 163 7.3.1. Materials ................................................................................................................. 163 7.3.2. Animals ................................................................................................................... 164 7.3.3. Diet .......................................................................................................................... 164 7.3.4. Behavioral analysis ................................................................................................. 164 7.3.4.1. Novel Objection Recognition in mice .............................................................. 165 7.3.4.2. The light and dark test ...................................................................................... 167 7.3.4.3. Barnes maze test............................................................................................... 167 7.3.5. Histology ................................................................................................................. 169 7.3.5.1. Amyloid plaque burden counting ..................................................................... 170 7.3.6. Blood sampling and plasma collection ................................................................... 171 7.3.6.1. Biochemical analysis ........................................................................................ 171 a. Plasma cholesterol determination ......................................................................... 171 b. Plasma triglyceride determination ........................................................................ 171 c. Plasma glucose determination ............................................................................... 172 vi 7.3.7. Statistical analysis .................................................................................................. 172 7.4. Results and discussion ................................................................................................... 172 7.4.1. Novel object recognition ......................................................................................... 173 7.4.2. Light and dark test .................................................................................................. 173 7.4.3. Barnes test ............................................................................................................... 174 7.4.4. Amyloid plaque burden ........................................................................................... 175 7.4.5. Biochemical analysis............................................................................................... 176 7.4.5.1. Serum cholesterol level .................................................................................... 176 7.4.5.2. Plasma triglyceride level .................................................................................. 177 7.4.5.3. Plasma glucose level ........................................................................................ 177 7.5. Conclusion ..................................................................................................................... 178 CHAPTER 8 ............................................................................................................................ 181 GENERAL CONCLUSIONS AND FUTURE DIRECTIONS ........................................... 181 8.1. Concluding remarks ....................................................................................................... 182 REFERENCES ........................................................................................................................ 187 vii LIST OF TABLES 1.1. Plants with outstanding anti-AD and neuroprotective potential………………………14 3.1. Major peaks identified in olive extracts……………………………………………….79 3.2. SOR scavenging, H O scavenging and FRAP value of olive biophenols………….....86 2 2 7.1. Novel objection recognition task in mice…………………………………………….165 7.2. Barnes maze task in mice…………………………………………………………….168 7.3. Staining protocol of brain sample……………………………………………………170 LIST OF FIGURES 1.1. Schematic diagram illustrating amyloid pathology……………………..………...…7 1.2. Schematic diagram illustrating mitochondrial hypothesis…………………..……...10 1.3. Schematic diagram illustrating oxidative stress hypothesis…………………..…….11 1.4. Chemical structures of important biophenols with anti-AD activities…………..….17 1.5. A holistic approach is required to evaluate the anti-AD properties…………..……19 1.6. Tau pathology and the role of biophenols…………………………………….……43 2.1. Chemical structure of the major olive biophenols………………………….……...61 3.1. Chemical structure of non-flavonoid and flavonoid olive biophenols…………….68 3.2. Calibration curve of gallic acid and quercetin……………………………………73 3.3. HPLC-DAD-ABTS chromatograms of olive biophenols…………………….........78 3.4. SOR scavenging activities of non-flavonoids olive biophenols……………………81 3.5. SOR scavenging activities of flavonoids olive biophenols………….…...………...82 3.6. SOR scavenging activity of olive extracts…………………………….….………..83 3.7. Standard curve for ferric reducing antioxidant power assay and non-flavonoids, flavonoids, and extracts………………………………………………….….…....86 4.1. BACE1 inhibition by olive biophenols………………………………….….…….99 4.2. Dose dependent inhibition of AChE and BChE by galantamine..…….……..….101 4.3. Dose dependent inhibition of AChE by olive biophenols…………….……..…..102 viii 4.4. BChE inhibition by olive biophenols………………………………….……..…104 4.5. Michaelis-Menten curve and Lineweaver-Burk plot for L-DOPA…………...105 4.6. Tyrosinase inhibition by kojic acid and quercetin……………………………106 4.7. Tyrosinase inhibition by equimolar flavonoids mixture………………..…….107 4.8. Standard curve of HDAC standard…………………...……………...............108 4.9. HDAC inhibition by olive biophenols…………………………..……………109 5.1. Aβ fibril formation and inhibition………………………………………….123 42 5.2. Thioflavin T assay…………………………………………………………...125 5.3. Congo red assay………………………………………………………….…127 5.4. HPLC-Chromatograms of Aβ and non-flavonoid olive biophenols.………130 42 5.5. HPLC-Chromatograms of Aβ and flavonoid olive biophenols……………132 42 5.6. HPLC-Chromatograms of Aβ with extract olive biophenols………...........134 42 5.7. Copper chelating activity of Aβ ………………….......................................136 42 6.1. H O induced SH-SY5Y cell toxicity………………………………………..147 2 2 6.2. SH-SY5Y cells morphology with or without Aβ …………………………..148 42 6.3. Aβ induced SH-SY5Y toxicity and protection by olive biophenols……….149 42 6.4. L-DOPA induced SH-SY5Y toxicity………………………………………..150 6.5. Olive biophenols and L-DOPA induced SH-SY5Y toxicity………………...151 6.6. Copper induce SH-SY5Y cells toxicity……………………………………..154 7.1. Novel object recognition task………………………………………….......173 7.2. Light and dark test…………………………………………………………174 7.3. Barnes maze test…………………………………………….......................175 7.4. Amyloid plaque burden and olive biophenol protection…………………..175 7.5. Cholesterol level in APP and wild mice………………………………..176 swe 7.6. Triglyceride level in APP and wild mice……………………………….177 swe 7.7. Glucose level in APP and wild mice……………………………………178 swe ix CERTIFICATE OF AUTHORSHIP “I hereby declare that this submission is my own work and that, to the best of my knowledge and belief, it contains no material previously published or written by another person nor material which to a substantial extent has been accepted for the award of any other degree or diploma at Charles Sturt University or any other educational institution, except where due acknowledgment is made in the thesis. Any contribution made to the research by colleagues with whom I have worked at Charles Sturt University or elsewhere during my candidature is fully acknowledged. I agree that this thesis be accessible for the purpose of study and research in accordance with the normal conditions established by the Executive Director, Library Services or nominee, for the care, loan and reproduction of theses.” SYED HARIS OMAR x

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Ashwagandha. Withania somnifera roots. Steroidal lactones: withanone. Biophenols: catechin nootropic, AChEI, BChEI, anti-amyloid. (Choudhary et
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