Review Article

Evidence for a Role of Oxidative Stress in the Carcinogenicity of Ochratoxin A

Table 1

OTA oxidative stress-related studies.

ModelGenderViaTime treatmentDoseAimResults/ConclusionRef.

BALB/c macrophage J774a cell line 24, 48, 72 h30 nM–100 μMOTA immunotoxicity and modulation inflammatory processInduction of iNOs, COX-2 and NF-κb expression by OTA. OTA is an immunotoxic compound[51]
Porcine kidney tubuli cells LL-PK16–24 h1–100 μmol/LCharacterization effect of OTA on Nrf2 responseNrf2 potential signal transduction pathway by which OTA impairs its own detoxification[45]
Porcine kidney tubuli cells LL-PK124 h1–100 μmol/LImpact of OTA on Nrf2, AP-1 activity, antioxidant enzymes and GSTEnhanced production of ROS, GST impairment. Nrf2 and AP-1 disruption by OTA. Impairment of the detoxification machinery[44]
Rat Sprague-Dawleymalediet15 days3.0 mg/kg bwOxidative stress protection studyOTA-induced oxidative stress chemoprotection by Inula crithmoides [102]
Rat F344malegavage7 and 21 days0.5 mg/kg bwMechanism of action study-microarraysOxidative stress, calcium homeostasis, cytoskeleton structure[61]
Human hepatocytes HepG2; Monkey kidney Vero cells0–100 μMDecrease GSHNo induction of heat shock protein (HSP)[103]
Rat Wistarmalediet15 days5 ng/g bw 50 ng/kg bwOxidative damage study (proteins and lipids)Malondialdehyde (MDA) and protein carbonylation (PC) increase in kidney > liver[76]
Chinese Hamster lung V79 cells; Lymphoma mouse LY5178 cells0–438 μMOTA mutagenicityOTA is mutagenic at cytotoxic doses in mammalian cells via oxidative DNA damage induction.[104]
Rats Sprague-Dawleymalediet4 weeks200 ppbOxidative stress protection studyOTA-induced oxidative stress and DNA damage chemoprotection by cyanidin 3-O-β-D-glucoside [105]
Pig kidney cell line LLC-PK124 h0, 10, 15, 20 μMOxidative stress protection studyOTA-induced ROS. Scavenging by cathechins (epigallocathechin gallate (EGCG) and epicatechin gallate (ECG))[106]
Human epithelial colorectal adenocarcinoma Caco-2 cells100 μMEffect of OTA on barrier function impairmentLoss of microdomains associated with tight junctions maybe due to oxidative events[107]
Neural stem/progenitor cells (NSCs)0.01–100 μg/mLVulnerability of brains mouse cells to OTARobust increased in total and mitochondrial SOD activity. OTA impaired hippocampus neurogenesis[108]
RatsMale/liver and kidneyDiet (drinking water)4 weeks289 μg/kgOxidative stress protection studyMelatonin protection against OTA-induced oxidative damage in liver and kidney. CoQ protective in liver.[79]
Human renal cell line HK-26 and 24 h50 μMMechanism of action study-microarraysSignificant increase in ROS level and oxidative DNA damage.[61]
Human renal proximal tubular epithelial cell line HK-250–800 μMEvaluate single-strand DNA breaks and oxidative damage induction by OTAOxidative stress precedes cytotoxicity and genotoxicity[57]
Male Fischer 344; Primary hepatocytes; adherent proximal tubules epithelial NRK cells; rat liver RL-34Rats 2 years; in vitro culture 24–48 h;300 μg–100/kg bw; 1.5–6.0 μMDemonstration of cellular defense reduction by OTAOTA induces depletion of antioxidant defense by inhibition of Nrf2 responsible of oxidative stress response[46]
Eker and wild type ratsmalegavage1–14 days210 μg/kg bwEarly carcinogen-specific gene expression studyOxidative DNA damage response genes, general stress response, and cell proliferation[109]
Wistar ratsgavage90 days289 μg/kg bwEarly effects of chronic OTA administration in liverReduction in the ability to counteract oxidative stress in liver[63]
Swiss ICRmalei. p6, 24, 72 hours0–6 mg/kg bwOxidative stress and OTA neurotoxicityAcute depletion of striate DA on a background of globally increased oxidative stress and transient inhibition of oxidative DNA repair[110]
Swiss micemaleI.p; infusion2 weeksAcute 3.5 mg/kg; chronic 4, 8, 16 mg/kgEffect of chronic low dose OTA exposure on regional brain oxidative stress and stratial DA metabolismLow doses exposure caused global oxidative stress[111]
F344 ratsmalediet7 and 21 d; 4, 7 and 12 months300 mg/kg bwOTA mechanism of action-microarrays study in liver and kidneyOxidative stress and metabolic response modulated involving mainly Nrf2 and HNF4α pathway disruption[47]
Swiss micemaleoral24 hours10 mg/kgImmune cells response after acute OTA exposureOTA-induced oxidative stress response responsible of its own toxicity.[112]
Wistar ratsfemaleIntraperitoneally7, 14 and 21 days0.5 mg/kg bw/dayGenotoxic potential of OTA measuring DNA strand breaks (comet assay) in the kidneyOTA-induced DNA strand breaks were detected, OTA concentration in the kidney and duration of the treatment correlated with severity of the DNA damage[62]
Wistar ratsmaleOral15 days5 ng; 0.05 mg; 0.5 mg/bwEffect of OTA on DNA damageOxidative stress responsible for OTA-DNA damage as shown by Fpg-modified comet assay[113]
Pig kidney microsomes, human bronchial epithelial cells, human kidney cellsCells: 2, 7, 24 hours0.5, 1.0, 2.5 μMGenotoxicity of the hydroquinone (OTHQ) metabolite of OTAOTQ-mediated adduct spots form in a dose-and-time-dependent manner[114]
Wistar ratsfemaleoral7, 14 and 21 days0.5 mg/kg bwEffect of OTA on protein oxidation in kidney and liverIncreased protein carbonyls in the kidney and liver[68]
F344 ratsmalegavage0.03, 0.10, 0.30 mg/kg bwEvaluate relevance of OTA-induced oxidative damage on nephrotoxicity and carcinogenicityTumours in rat kidney may be attributable to oxidative DNA damage in combination with cell-specific cytotoxic and proliferation-stimulating effects as cell-signaling response[69]
V79 (Chinese hamster lung fibroblasts) cells, CV-1 (African green monkey, kidney) cells, primary rat kidney cells1–24 hours2.5, 100 μmol/L OTA Relevance of OTA-induced oxidative damage in nephrotoxicity and carcinogenicityCytotoxicity and oxidative DNA damage already at low doses could be a relevant factor for the nephrocarcinogenicity[58]
Rat lymphoid cells1 hour0.5, 2, 20 μMOTA immune function modificationProtein synthesis inhibition, oxidative metabolism of OTA, prostaglandin synthesis implicated in NK cells toxicity[115]
Human hepatoma—derived cell lines (HepG2), human colonic adenocarcinoma cell line (Caco-2)24, 48, 72 hours0–100 μMOxidative stress protection studyOTA-induced oxidative stress damage. Protective effect by Cyanidin-3-O-β glucopyranoside (C-3-G)[116]
F344 Fischer ratsmalegavage2 weeks0–2000 μg/kg bwGenotoxicity of OTADNA strand breaks in target and nontarget tissues probably involving oxidative stress mechanism[60]
Human hepatoma—derived cell line (HepG2)48–72 hours35–10 mMOxidative damage protection studyNo cytotoxicity protection observed with Vitamine E, polyphenols[117]
Sprague-Dawleymalediet15 days3 mg/kgOxidative stress protection in vivo studyPreventive effect against OTA-induced oxidative stress and lipid peroxidation by melatonin[75]
Human fibroblast cells48–72 hours0–50 μMOxidative stress protection studyReduction of free radical species production and DNA damage prevention by cyanin 3-O-β-D-glucoside (C3G)[118]
Fetal rat telencephalon aggregating cells24–48 hours, 9 days0–20 nMAdverse effect of OTA in brainBrain inflammatory response induction of HO-1, iNOs, PPARγ, cytoskeletal damage[50]
Human hepatoma-derived cell line (HepG2)24 hours0–40 μg/mLGenotoxicity of OTADose-dependent induction of DNA single strand breaks (comet assay) and micronuclei (MN)[119]
Primary proximal tubules renal (PT) cells, proximal tubular cell line (LLC-PK1)0–24 hours0–100 μMOTA mediated oxidative stress response in proximal tubular cells, oxidative stress protectionOxidative stress contributes to tubular toxicity. Antioxidants (α-tocopherol, N-acetyl-Lcysteine (NAC) treatment prevents OTA toxicity[59]
Wistar ratsmalegavage10, 30, 60 days120 μg/kg bwKidney low dose OTA response: sequence of events leading to cell deathLow dose induces oxidative stress, apoptosis in proximal, and distal tubule kidney cells[78]
Human hepatoma—derived cell line (HepG2)1 hour, 24 hours0–50 μg/mLGenotoxicity of OTANo inductions of mutations in the Ames assay, a dose-dependent induction of micronuclei in the MN assay, and DNA migration (comet assay) were detected[120]
Proximal tubular cells (PTC), Wistar ratsmalegavage24–72 hours (in vivo and in vitro)5.0 μM, 12.5 μM in vitro; 1 and 10 mg/kg bwIn vivo and in vitro gene expression comparative studyIn vitro and in vivo gene expression data were comparable. Response to oxidative stress-related genes hypoxia-inducible factor 1 and catalase was observed[121]
Dark Agouti (DA), Lewis ratsmaleIntragastric intubation0.4 mg/kg bwLife-timeLife-time study to evaluate if MESNA leads to a more effective reduction of OTA-induced tumour development or urinary tract damageLack of effect of mesna on OTA-induced urinary tract damage or renal tumor development[122]
Dark Agouti (DA), Lewis ratsmaleIntragastric intubation0.4 mg/kg bw2 yearsLife-time study to evaluate the potential protective effect of 2 mercaptoethane sulfonate (MESNA) and N-acetyl cysteine (NAC )MESNA decreased karyomegalies in kidney, but had no beneficial effect on renal tumour incidence[123]
Fischer ratsmalegavage4, 8, 24, 48 hours0–2.0 mg/kg bwChemical and biological markers induced by OTA exposure associated with oxidative stressOxidative stress may contribute to mechanism of OTA renal toxicity and carcinogenicity in rats over long term exposure[77]
Bronchial epithelial cells incubated with microsomes of seminal vesicles of pig4 hours10 μMRoles of cyclooxygenase and lipoxygenase in ochratoxin A genotoxicity in human epithelial lung cellsOTA is biotransformed into genotoxic metabolite via a lipoxygenase, whereas prostaglandin—H-synthetase (PGHS) decreases OTA genotoxicity[124]
Sprague-Dawley liver microsomes, liver mitochondria and hepatocytes cellsfemale2.5 mMFree radical generation by OTA in hepatocytes, mitochondria, and microsomes using electron paramagnetic resonance (EPR)Oxidative damage may be one of the manifestations of cellular damage in the toxicity of OTA[125]
Bacillus brevis10 min1 mg/mLStudy free radical generation in bacteria as model systemOTA induces free radical production, enhancing permeability of the cellular membrane to Ca2+[37]
Swiss miceMaleGastric intubation48 hours2 mg/kg bwEffects of vitamins on genotoxicity of OTAVitamins E, A, and C also reduced OTA-DNA adduct formation in mice kidney[126]
Wistar ratmaleGastric intubationEvery 48 hours/3 weeks289 μg/kg body weightProtective effect of superoxide dismutase (SOD) and catalaseSOD + catalase prevents the nephrotoxicity induced by OTA in rats[127]
Wistar rat liver microsomes, kidney microsomesmale6 mg/kg bwLipid peroxidation induction by OTAlipid peroxidation may play a role in the observed toxicity of ochratoxin A[73]