1. Introduction
Cancer is considered nowadays one of the main causes of human death worldwide, as a consequence of the interaction of both environmental and genetic factors. Globally, cancer is a polyhedric pathology that implies both genetic alteration through mutations and uncontrolled cell proliferation [
1]. It has been also shown that cancer is associated with the alteration of the nitro-oxidative metabolism in the cells, and oxidative stress and oxidative damage episodes greatly contribute to the initiation, development, metastasis, and progression of cancer [
1,
2,
3,
4,
5,
6,
7]. This situation of oxidative stress seems to down-modulate gene expression of mechanisms involved in DNA repair, cell proliferation, and the antioxidant machinery [
1,
6]. In fact, the analysis of the antioxidant enzymes’ profiles has been set as a promising prognostic index in cancer of several organs like lung, bladder, ovaries, and colon [
7,
8]. Accordingly, strategies and therapies to promote an enhanced and appropriate antioxidant status in the cells have been considered as objectives to be exploited for the treatment of cancer. They include those based on the modulation of the cellular redox state [
9,
10], such as the epigenetic mechanisms driven by histone deacetylases [
4], the photodynamic therapy to regulate the redox balance and the production of reactive oxygen species (ROS) [
11], or those addressed to promote the ROS-associated simple summary autophagy, considering that the dysfunction in the autophagy is linked to cancer disease [
12].
Alternatively, the supplementation of antioxidants or antioxidant-promoting compounds has been set. Thus, from
in vitro and
in vivo studies, it has been proposed that isoflavone genistein is a promising agent for cancer chemoprevention with high potentialities for cancer therapy [
13]. Likewise, the frequent use of vitamins C and E after the diagnosis of breast cancer has been associated with a lower probability of cancer recurrence, although the authors also showed that the effects of the antioxidants supplementation varied by the type of antioxidant [
14]. In this sense, it has been also reported that a meta-analysis made from diverse databases did not support the correlation between antioxidants and the reduction of the risk of breast cancer [
15]. And, the lack of clear evidence for the protective role of selenium (Se) and antioxidants against gastrointestinal cancers has been also referenced [
16]. Nevertheless, it was proved that dietary Se was oppositely associated with the risk of pancreatic cancer. Moreover, Se supplementation attenuated this association [
17], thus confirming the important role of this element, necessary for the glutathione peroxidase function to remove H
2O
2. Thus, Saha and colleagues [
18] found a correlation among nutrition, oxidative stress, and cancer initiation, and assessed the impact of the antioxidant capability against cancer therapy mediated by daily nutrition. In the same way, it was reported that the dietary intake of antioxidants from different plant foods was related to a reduction in the risk of gastric cancer [
19].
The NADPH metabolism is also a key point in cancer episodes. Thus, for example, the over-expression of superoxide-generating NADPH oxidase (NOX) proteins in many tissues is associated with the own tissue and DNA damages promoted by ROS, which accompanies the pre-malignant conditions. It has been reported that several NOX isoforms produce ROS and contribute to the initiation and progression of a diversity of solid and haematopoietic malignancies, including colorectal and pancreatic carcinomas [
20]. Conversely, it has been proposed that cancer cells require enhanced levels of NADPH for nucleotide synthesis and protection from ROS [
21]. With these premises, a mechanism of NADPH homeostasis in cancer cells has been postulated [
22], where enzymatic systems such as those from the oxidative phase of pentose phosphate pathway glucose-6-phosphate dehydrogenase (G6PDH), 6-phosphogluconate dehydrogenase (6PGDH), as well as the NADP-isocitrate dehydrogenase (NADP-ICDH) and the NADP-malic enzyme (NADP-ME) could be involved [
23,
24,
25,
26,
27,
28,
29].
From the human nutrition point of view, many plant species are sources of both macronutrients (carbohydrates, lipids, proteins, and fiber) and micronutrients with bioactive potential. Whereas macronutrients are mainly used for energy and structural purposes, micronutrients are essential in little amounts to modulate chemical reactions and metabolic processes. Within plant products, fruits and vegetables are useful vehicles for the provision of bioactive compounds, although, in some cases, their specific actions and their identification are still undeciphered. In fact, plants contain a great number of compounds as part of their secondary metabolism, including vitamins (A, C, and E), carotenoids, polyphenols (flavonoids, anthocyanins, tannins, etc.), terpenoids, and alkaloids, among others. Most of these metabolites are abundant and well-recognized antioxidants in plant tissues, but their requirement in the human diet is very low since they mainly have regulatory roles [
30].
Pepper (
Capsicum annuum L.) is a herbaceous plant species which, besides other relevant crops like tomato (
Lycopersicum esculentum), potato (
Solanum tuberosum), and aubergine (
Solanum melongena), belongs to the Solanaceae family [
31,
32,
33]. Pepper fruit is one of the most consumed horticultural products worldwide with thousands of varieties cultivated nowadays throughout the world. Likewise, pepper fruit is characterized by its high amounts of antioxidants (vitamins C and A), carotenoids, polyphenols (including flavonoids), and capsaicinoids [
34]. It has been reported that flavonoids, besides antioxidant capacity, show antibacterial, antifungal, and anticancer effects [
35,
36,
37,
38,
39,
40]. Also, capsaicin, an alkaloid that is exclusive from hot pepper fruits and responsible for their pungency, displays antioxidant, anti-inflammatory, antiproliferative, and analgesic activities. Recently, by the use of untargeted metabolomic approaches, it has been found that pepper (
Capsicum annuum) fruits contain a series of compounds with potential therapeutic properties due to the presence, among others, of quercetin and its derivatives, with their content being modulated by nitric oxide (NO) [
41]. Particularly, capsaicin appears to play a role at the levels of the transient receptor potential vanilloid type-1 (TRPV1) and the phosphorylation of the tumor suppressor protein p53 [
42,
43,
44,
45,
46,
47,
48]. Accordingly, due to the great and diverse consumption of pepper fruits worldwide and their molecular composition, this product might be considered as vectors of bioactive compounds with therapeutic potential [
31,
49,
50].
In this work, the anti-proliferative activity of crude extracts from four pepper fruit varieties (California, Padrón, Piquillo, and Alegría riojana) against seven tumor cell lines (lung, skin, liver, colon, breast, pancreas, and prostate) was investigated. The antioxidant status of liver and pancreas tumor cell lines, incubated with pepper fruit extracts from Alegría riojana, was then analyzed, and the activity profile of catalase, superoxide dismutase, glutathione peroxidase, and several NADPH-generating enzyme systems was followed. This allows an understanding of how the anti-proliferative activity exerted by crude extracts from pepper fruits is related to the antioxidant and redox metabolism of the susceptible tumor cells.
4. Discussion
Plants have been always considered as health sources for humans, due to the great amount of their exclusive secondary metabolites which positively interact our physiological functions [
30,
60,
61,
62]. Capsaicin (8-methyl-N-vanillyl-trans-6-nonenamide) is an alkaloid compound with a phenyl-propanoid nature which is exclusively present in fruits from hot hot
Capsicum (pepper) species and where the pungency trait from those products resides [
51,
63]. It has been shown that capsaicin shows antioxidant activity, but it also functions as an analgesic with certain roles against infectious diseases in the nervous, cardiovascular, and immune systems, as well as in inflammation, obesity, and cancer episodes [
41,
43,
44,
64,
65]. It has been reported that in many cancers capsaicin displays proapoptotic activity promoted by the TRPV1 (transient receptor potential vanilloid type-1) channel. Furthermore, this chemical appears to also promote the phosphorylation of the tumor suppressor protein p53, which provokes its activation [
41,
43,
45,
46,
47]. TRPV1 was identified as the neuronal receptor for harmful stimuli which may allow the development of treatment of chronic pains including cancer [
42,
48]. Accordingly, in this study, the potential anti-proliferative activity of crude extract from capsaicin-containing hot pepper fruits was evaluated using several tumor cell lines, and the influence of such pepper homogenates in the antioxidant metabolism of such pathogenic cells was investigated.
As a first unexpected discovery, it was found that not all pepper fruits/tissues which contain the highest capsaicin levels [
51] displayed the greatest anti-proliferative activity. Conversely, the fruit portion that totally inhibited the growth of cell lines corresponded to the green pericarp from the four varieties used (California-Melchor, Piquillo, Padrón, and Alegría riojana). Capsaicin is synthesized in the placenta tissue of fruits and it migrates towards the pericarp as the fruit ripens. Accordingly, in hot pepper fruits, the capsaicin levels basically show the following sequence from the most to the less concentrated tissues: placenta from ripe red fruits > pericarp from ripe red fruits > placenta from immature green fruits > pericarp from green fruits. Fruits from sweet pepper do not contain capsaicin in either placenta or pericarp. Thus, in our study, the green pericarp from the California-Melchor sweet variety displayed the same high anti-proliferative activity as the green pericarp of Alegría riojana, a variety whose fruit is highly pungent when they ripe [
51,
63]. In our assay conditions, when the pericarp of green fruits from Alegría riojana where used to determine the IC50 index for Hep-G2 and MIA PaCa-2 cells, and considering the capsaicin content determined in such tissue previously (8.55 μg capsaicin/g tissue) [
51], values of 0.13 and 0.15 μg per well, respectively, were estimated. When the assays were carried out with pericarps from red fruit of the same pepper variety (766.26 μg capsaicin/g tissue), about 9.58 μg capsaicin per well (100 μL) was used, a value much higher than that obtained when pure capsaicin was assayed (
Table 1). However, very little anti-proliferative activity was shown by this last plant material. This indicates that, although capsaicin was clearly proved to display inhibitory effects on the viability of cells when this compound is present in the pepper fruit material, the effect does not parallel the capsaicin one, but it rather seems that other compounds present in the green tissue are responsible for the anti-proliferative activity. Recently, a series of compounds with anti-carcinogenic potential or related to cancer episodes have been detected in pepper fruits by metabolomic approaches. It was reported that the concentration of those molecules was higher in immature green fruits than in ripe red ones, and they include quercetin, tryptophan (melatonin precursor), and phytosphingosine [41 and references therein, 63]. Thus, new perspectives in the search of for plant metabolites with anti-tumor properties are opened through the combination of metabolomics and biological assays, a research field that can provide a panel of crops with nutraceutical potentialities.
Once preliminary and discriminating assays were performed, green fruits from the Alegría riojana variety were set to investigate their effect on the ROS and NADPH metabolism of tumor cells from Hep-G2 and MIA PaCa-2 lines. Apparently, the progression of cancer does not appear to be affected in Hep-G2 cells by the treatment with the pepper crude extract, since no changes were observed in the ERK1/ERK2 levels. ERK1 and ERK2 are related protein-serine/threonine kinases that take part in the signal transduction cascade associated with a great number of processes, among which cell adhesion, cell cycle progression, cell migration, cell survival, differentiation, metabolism, proliferation, and transcription are the best known [
59]. Besides, it has been reported that this transduction cascade is increased in about one-third of all human cancers [
65]. In the case of MIA PaCa-2 cells, the higher abundance of the larger subunit may indicate that the tumor events are favored by the treatment, and more research is necessary to clearly define the real tumoral status of those cells.
Cancer processes are commonly linked to altered oxidative metabolism in the cells, with oxidative damages occurring through the initiation, development, metastasis, and progression of the pathology [
1,
2,
3,
4,
5,
6,
7]. As a consequence of this oxidative stress, post-translational modifications (PTMs) promoted by nitric oxide (NO) have been reported to take part in cancer [
66,
67]. It has been also reported that the alteration in the profiles of the nitration, S-nitrosation, and carbonylation of proteins, as a consequence of a NO-dependent oxidative/nitrosative stress, was associated with a reduction of cell survival in a hepatoma cell line [
68]. Nitration of proteins is an irreversible PTM that occurs by the addition of a NO
2- group to certain either tyrosines (NO
2-Tyr) or tryptophan (NO
2-Trp) protein residues, whereas S-nitrosation undergoes by the direct addition of NO to some cysteine residues in a reversible way [
69]. The results reported show that, excepting few polypeptides, the profile of nitrated proteins at both tyrosine or tryptophan residues did not vary, and the same occur in the case of S-nitrosated proteins. This indicates that, under our experimental conditions, no remarkable oxidative events seem to take place in both cell lines after the incubation with pepper fruit crude extracts. Likewise, no events of glutathionylation (another type of PTM characterized by the addition of glutathione to some cysteine residues) seem to occur after the treatment, although this PTM has also been related to cancer [
70,
71].
Since cancer causes alteration in the oxidative metabolism, a broader analysis of how the treatment with extracts from pepper fruits influenced the oxidative and the redox metabolism of the two cell lines was aimed in this work. Thus, it was observed that the treatment provoked significant changes in the total antioxidant capacity of both cell lines, although with an opposite trend. We further studied the isozyme profiles of the superoxide dismutase and the glutathione peroxidase systems. In both types of cells, different isoenzyme patterns were observed for GPX and SOD depending on the organ, either the liver or pancreas. Concerning SOD, which scavenges superoxide radicals (O
2•−) and converts them into H
2O
2 plus O
2, MnSOD II, and CuZnSOD II were shared by both organs, although the activity in MIA PaCa-2 was almost negligible. On the contrary, the SOD isozymes present in the pancreas cells were undetected in hepatoma cells. This is an interesting issue that deserves attention, since this may indicate different regulation at the organ, and perhaps developmental levels, and this could be essential for the progress of a localized cancer to metastasis. Thus, it has been reported that in colorectal adenocarcinoma and its liver metastases, the differences in mRNA and protein levels of SOD isoenzymes indicate that SOD takes part in the adaptation of tumor cells to oxidative stress. This situation helps keep a certain level of ROS, necessary for appropriate cell proliferation. Furthermore, the expression of SOD isoenzymes seemed to be regulated both at transcriptional and posttranscriptional levels [
72]. The role of SODs, especially the MnSOD type has been thoroughly reported as a therapy practice in cancer disease [
73,
74,
75]. Likewise, the isoenzyme profile of GPX, a system that reduces H
2O
2 to H
2O using GSH as an electron donor, was distinct in liver and pancreas tumor cells. Only GPX IV was shared by Hep-G2 and MIA PaCa-2 cells, whereas GPX III was exclusive of hepatoma cells and GPX I and GPX II were only detected in pancreas cells. To our knowledge, neither the isoenzyme profile of GPX nor the potential use of the different isozymes (GPX I – GPX IV) as antioxidant markers in cancer cells from different organs have been reported so far. Our results did not show visible differences in the GPX isoenzymatic activity either in Hep-G2 and MIA PaCa-2 cell lines. However, GPX activity has been reported to be modified in cancerous cells and tissues [
76,
77,
78,
79,
80,
81].
Catalase is the main H
2O
2 scavenging system which in eukaryotes is localized in peroxisomes. Thus, by virtue of its enzymatic activity, catalase is called to be a key point in many processes where H
2O
2 may promote oxidative damages, but also in those situations where this species plays a role as a signaling molecule in many physiological situations [81 and references therein]. Catalase has been considered a remarkable enzyme system in the research of cancer and its potential chemotherapy [
73,
83,
84,
85]. In our study, the treatment with pepper fruit extracts promoted a substantial increase of catalase activity of the two cell lines, which could scavenge the high H
2O
2 concentrations which lead to cancer-associated oxidative stress, and help to arrest the tumor evolution.
The NADPH metabolism has been proposed to play important roles in cancer [
22], where NADPH-generating enzymes from the pentose phosphate pathway (G6PDG and 6PGDH), as well as the NADP-ICDH and NADP-ME are relevant [
23,
24,
25,
26,
27,
28,
29]. In this sense, the considerable decrease of the G6PDH, the 6PGDH, and the NADP-ICDH in both Hep-G2 and MIA PaCa-2 cells after the treatment with pepper fruit extracts implies lower NADPH availability in those cells, thus limiting their evolution to advanced tumor stages.
In Figure 9, a model of how Hep-G2 and MIA PaCa-2 tumor cell lines seem to operate after they are incubated with pepper fruit extracts is shown. The higher catalase activity contributes to diminishing the H2O2 levels. This, combined to lower G6PDH, 6PGDH, and NADP-ICDH activities which lead to a decreased NADPH generation, may trigger the stopping of the tumor cell proliferation and further cell death.
Figure 9.
Proposed model of the effect of crude extracts from pepper fruits on the antioxidant and redox metabolism of tumor cells. As a consequence of the treatment with pepper extracts an increase of catalase activity and a decline of the NADPH-generation enzymes occurs, thus provoking lower H2O2 levels and limited NADPH availability. Under these circumstances, cell proliferation is arrested and perhaps cell death is triggered. CAT, catalase. SOD, superoxide dismutase. GPX, glutathione peroxidase. GSH, reduced glutathione. GSSG, oxidized glutathione. GR, glutathione reductase. G6PDH, glucose-6-phosphate dehydrogenase. 6PGDH, 6-phosphogluconate dehydrogensase. ICDH, isocitrate dehydrogenase. G6P, glucose-6-phosphate. 6PG, 6-phosphogluconate. Ru5P, ribulose-5-phosphate. αKG, α-ketoglutarate.
Figure 9.
Proposed model of the effect of crude extracts from pepper fruits on the antioxidant and redox metabolism of tumor cells. As a consequence of the treatment with pepper extracts an increase of catalase activity and a decline of the NADPH-generation enzymes occurs, thus provoking lower H2O2 levels and limited NADPH availability. Under these circumstances, cell proliferation is arrested and perhaps cell death is triggered. CAT, catalase. SOD, superoxide dismutase. GPX, glutathione peroxidase. GSH, reduced glutathione. GSSG, oxidized glutathione. GR, glutathione reductase. G6PDH, glucose-6-phosphate dehydrogenase. 6PGDH, 6-phosphogluconate dehydrogensase. ICDH, isocitrate dehydrogenase. G6P, glucose-6-phosphate. 6PG, 6-phosphogluconate. Ru5P, ribulose-5-phosphate. αKG, α-ketoglutarate.