Maciej Dobrzynski*a,
Piotr Kuropka
b,
Malgorzata Tarnowskac,
Krzysztof Dudekd,
Marzena Styczynskae,
Anna Leskow
c,
Sara Targonskaf and
Rafal J. Wiglusz
*fg
aDepartment of Conservative Dentistry and Pedodontics, The Faculty of Dentistry, Wroclaw Medical University, Wroclaw, Poland. E-mail: maciej.dobrzynski@umed.wroc.pl
bDepartment of Histology and Embryology, Faculty of Veterinary Medicine, Wroclaw University of Environmental and Life Sciences, Wroclaw, Poland
cDepartment of Nervous System Diseases, Faculty of Health Science, Wroclaw Medical University, Wroclaw, Poland
dDepartment of Logistics and Transport Systems, Faculty of Mechanical Engineering, Wroclaw University of Science and Technology, Wroclaw, Poland
eDepartment of Human Nutrition, Faculty of Food Science, Wroclaw University of Environmental and Life Sciences, Wroclaw, Poland
fInstitute of Low Temperature and Structure Research, Polish Academy of Science, Wroclaw, Poland. E-mail: r.wiglusz@intibs.pl
gCentre for Advanced Materials and Smart Structures, Polish Academy of Sciences, Wroclaw, Poland
First published on 11th March 2019
This paper discusses problems related to the influence of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) on the mineral composition of the calvaria in the offspring of female rats. The female rats were administered with a single dose of TCDD and subsequently, after three-weeks, with α-tocopherol or acetylsalicylic acid. The research focused on analysis of the main mineral elements (Ca, Mg, Fe, Zn). The aim of the study was to determine the effect of dioxins and various doses of drugs on bone mineral composition in a six-month observation period. The mineral composition was analyzed using an atomic spectrometry method. Data were statistically analyzed and verified at a significance level of p = 0.05. The use of α-tocopherol normalizes bone resorption and formation disturbed by TCDD, maintaining the content of the studied elements at the physiological level. In turn, administration of acetylsalicylic acid limits the bone resorption process, which affects the element content.
Dioxins can be created in a number of technological processes, but primarily they are created as a result of combustion of various organic substances in the presence of chlorine in burning temperatures from 200 to 900 °C, with an insufficient amount of oxygen and in the presence of water.3,4 In spite of the strict obligations arising from the provisions of the Stockholm Convention, the emission of dioxins into the environment is still growing.5 Important sources of dioxin emission are combustion engines, such as diesel engines, engine oil leaks and poorly secured garbage dumps.1,4 The release of dioxins into the environment as by-products of technological processes is also observed, for example, in the metallurgy, chemical, paper, paint and textile industry or in the process of the production of pesticides.6,7 Released dioxins accumulate in the food chain, causing a number of negative biological effects in the next generation of animals.1,8,9 Dioxins have no color, taste or smell, and therefore are organoleptically undetectable. Their physical and chemical properties can make these substances a powerful weapon for terrorists, such as the poisoning of the former Ukrainian President Viktor Yushchenko in 2004.10
The molecular effect of dioxins is the activation of the transcription of specific genes including enzymes metabolizing xenobiotics and various forms of cytochrome P450.11–13 In many cases, the reactions catalyzed by this cytochrome result in the formation of toxic metabolites, and mutagenic and carcinogenic intermediate products.13 These products affect the expression of genes that control the growth and differentiation of cells and the expression of genes for hormones, enzymes and growth factors.3,7,14 These genes are controlled by the cytoplasmatic aryl hydrocarbon receptor (AhR) and the aryl hydrocarbon receptor nuclear translocator (ARNT).3,13,15,16 Dioxins which connect with the AhR cause a migration of the receptor into the cell nucleus, which induces the expression of genes for cytochromes.17–19 Furthermore, dioxins have an affinity for the estrogen receptor and owing to this they contribute to reproductive disorders and behavioral disorders associated with the occurrence of changes in the expression of receptors in the central nervous system structures.17
The most significant documented adverse effects of dioxins include: chloracne, changes in the level of thyroid hormones with impairment of the psychomotor abilities, fertility problems or infertility, increased concentration of alpha- and beta-globulins and delayed immune response, and carcinogenic and teratogenic effects in humans.3,4,11,20–24 Many studies involving intoxicated animals reported the following symptoms: porphyria, hepatomegaly, atrophy of the thymus and peripheral lymph nodes, cancers, and inhibition of ovulation.3,20,25–28 In rats poisoned with dioxins hypoplasia of the bones was also observed, which correlates with the findings of other authors working with a model of birds consuming fish which contained dioxins.4,29,30
In spite of the wide range of studies on the biological effects of dioxins on humans and animals, there are only a few publications that have assessed the impact of dioxins on bone tissue, taking into account the mineral composition.
The major components of the bone tissue matrix are calcium and magnesium phosphates. The concentration of the salts of these elements in the bone tissue matrix influences the hardness and elasticity. Moreover, numerous metals, such as zinc and iron, have important influences as co-factors of enzymes on bone development and mineralization.31,32 The process of mineralization of young bone is controlled by a group of proteins in which osteonectin, osteocalcin and alkaline phosphatase play the most important roles. Many xenobiotics, including dioxins, negatively influence the biosynthesis of these proteins. A reduction in the calcium and magnesium content of bone tissue could be a symptom of a microstructure disorder.4,33
Consequently, dioxins can affect the bone structure, particularly during the growth period.28 On the other hand, by affecting the activity of some hormones (estrogens, corticosterone, T3), dioxins can modify the correct development of hard tissues.11,34–36 Owing to the fact that dioxins influence the concentration of the active form of vitamin D3, they also inhibit the activity of fibroblasts.37 In this context, there is a need to search for drugs which can prevent formation of the AhR–dioxin complex and therefore inhibit the formation of toxic metabolites. It has been shown in recent studies that two well-known substances, α-tocopherol and acetylsalicylic acid (ASA), have properties that can reduce the effects of dioxins poisoning.3,31,36,38,39
Nowadays, monitoring the constant exposure of humans and animals to dioxins and their influence on bone mineralization is essential for the prevention of dioxin intoxication and the development of effective pharmacological treatment methods 3,40–43
Acetylsalicylic acid is a non-steroidal anti-inflammatory drug (NSAID) which is a febrifugal, analgesic and anti-inflammatory.44,45 An important issue is the fact that ASA demonstrates a beneficial influence on bone mineral density (BMD)46,47 and studies by MacDonald et al. showed that ASA is an inhibitor of AhR and significantly decreases the binding of TCDD to this receptor.36 Vitamin E is a family consisting of eight compounds with a similar structure, out of which α-tocopherol exhibits the highest biological activity. This is one of the most commonly used forms of pharmacological tocopherols48 and has an antagonistic effect on the aryl hydrocarbon receptor.17,38,39,49
Owing to the fact that exposure of the mother to TCDD can interfere with offspring skeletal development, the aim of this study is to determine whether α-tocopherol or acetylsalicylic acid influences the effect of dioxin on the bone mineral composition in the offspring of TCDD-intoxicated females, during a long-term observation.
(I) Female control group (FC), not treated with any chemicals.
(II) Group of females (FTCDD) treated with a solution of TCDD with a single dose of 5 μg kg−1 of body mass, administered i.m.
(III) Group of females (FTCDD + E) treated with a solution of TCDD in a single dose of 5 μg kg−1 of body mass i.m. and with a solution of α-tocopherol acetate for 3 weeks at a dose of 30 mg kg−1 of body mass per day s.c.
(IV) Group of females (FTCDD + ASA) treated with a solution of TCDD, in a single dose of 5 μg kg−1 of body mass i.m. and treated with a suspension of ASA in a starch solution for 3 weeks, at a dose of 50 mg kg−1 of body mass per day p.o.
The TCDD, α-tocopherol and ASA doses were determined based on previously published data.50
After a period of 3 weeks following administration of TCDD in the individual groups (FTCDD, FTCDD + E, FTCDD + ASA), the above-mentioned groups and the FC group were mated with males that had not been treated with any chemicals. After a period of 7 days after mating, pregnant females were placed in separate cages.
After around 21 days of pregnancy, the births took place. The offspring were divided into four research groups, each consisting of 24 animals, which were euthanized after 1, 4, 6 and 24 weeks of life. Six randomly selected individuals were euthanized at each chosen date.
The offspring were classified into the following groups:
Group 1: offspring (OC) from FC females.
Group 2: offspring (OTCDD) from FTCDD females.
Group 3: offspring (OTCDD + E) from FTCDD + E females.
Group 4: offspring (OTCDD + ASA) from FTCDD + ASA females.
Rats underwent barbiturate anesthesia prior to the collection of biological material for testing. Thiopental (Biochemie GmbH) was injected intraperitoneally at a dose of 120 mg kg−1 of body mass.
The calvaria was removed, stored at −20 °C in sterile boxes, and then analyzed for calcium, magnesium, iron and zinc content.
α-Tocopherol acetate (oil solution of the drug prepared individually by Hasco-Lek S. A., Poland), acetylsalicylic acid (Bayer, Germany), thiopental (Biochemie GmbH, Austria), and 2,3,7,8-tetrachlorodibenzo-p-dioxin (Greyhound Chromatography and Allied Chemicals, UK) dissolved in dimethyl sulfoxide (DMSO; Sigma-Aldrich, Poland) at a concentration of 5 μg ml−1.
Analysis of the calcium content was performed in an acetylene/oxygen flame by means of emission atomic spectrometry using an atomic absorption spectrometer SpectraAA with an AA240FS attachment (Varian Inc. Australia Pty Ltd, Mulgrave Victoria Australia. Varian, Inc.). Measurements of the calcium was performed according to the Laboratory Procedure PB-06/AAS based on standard no. 13805-2014-11.51
Analysis of the magnesium, zinc and iron content was performed in an acetylene/oxygen flame by means of absorption atomic spectrometry with the use of an atomic absorption spectrometer SpectraAA with the AA240FS attachment (Varian). The measurements of magnesium, zinc and iron were performed according to the standard PN-EN 14084:2004.
Element | Ca M ± SD (mg g−1) | Mg M ± SD (mg g−1) | Fe M ± SD (mg g−1) | Zn M ± SD (mg g−1) |
---|---|---|---|---|
a M = mean value; SD = standard deviation; statistical significance: vs. 1st week = x; 4th week = +; 6th week = #; 24th week = *. | ||||
Group 1 | ||||
1st week | 35.2 (±4.4)* | 0.82 (±0.29)* | 0.038 (±0.008)* | 0.029 (±0.010)* |
4th week | 35.1 (±4.5)* | 0.82 (±0.30)* | 0.037 (±0.004)* | 0.030 (±0.011)* |
6th week | 38.2 (±6.7)* | 0.84 (±0.29)* | 0.032 (±0.008)* | 0.038 (±0.008) |
24th week | 64.7 (±5.1)x,+,# | 2.82 (±0.58)x,+,# | 0.017 (±0.005)x,+,# | 0.057 (±0.008)x,+ |
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Group 2 | ||||
1st week | 26.4 (±9.8)+,* | 0.61 (±0.14)+,#,* | 0.040 (±0.011)+,#,* | 0.029 (±0.009)+,* |
4th week | 80.7 (±54.9)x | 2.70 (±0.54)x,* | 0.013 (±0.002)x,* | 0.051 (±0.006)x,* |
6th week | 45.8 (±4.1) | 2.36 (±1.27)x | 0.018 (±0.001)x | 0.049 (±0.013) |
24th week | 59.7 (±16.4)x | 1.92 (±0.52)x + | 0.024 (±0.007)x,+ | 0.071 (±0.018)x,+ |
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Group 3 | ||||
1st week | 46.2 (±25.6)+ | 0.70 (±0.33)+,#,* | 0.037 (±0.014)+,#,* | 0.034 (±0.016)+,* |
4th week | 132.7 (±64.9)x,#,* | 2.60 (±0.19)x | 0.018 (±0.002)x | 0.062 (±0.014)x |
6th week | 52.7 (±32.0)+ | 2.45 (±0.97)x | 0.017 (±0.003)x | 0.055 (±0.016) |
24th week | 74.8 (±14.7)+ | 2.33 (±0.60)x | 0.027 (±0.007)x | 0.074 (±0.013)x |
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Group 4 | ||||
1st week | 39.1 (±13.9) | 0.82 (±0.43)+,#,* | 0.036 (±0.011)+,#,* | 0.030 (±0.008)+,#,* |
4th week | 42.9 (±6.2) | 1.85 (±0.08)x,# | 0.010 (±0.001)x,# | 0.047 (±0.003)x,* |
6th week | 43.9 (±8.9) | 2.84 (±0.09)x,+,* | 0.014 (±0.003)x,+,* | 0.047 (±0.004)x,* |
24th week | 55.9 (±13.7) | 2.04 (±0.48)x # | 0.035 (±0.006)x,# | 0.063 (±0.003)x,+,# |
In group 2, in the 4th week, a significant increase in the content of Ca (80.7 ± 54.9) was observed and this dropped to 45.8 ± 4.1 mg g−1 in the 6th week of the experiment.
In group 3, a big increase in the content of Ca to 132.7 mg g−1 was observed in the 4th week. In the 6th and 24th weeks a statistically significant content decrease was observed to 52.7 and 74.8 mg g−1.
In group 4, the content of Ca was maintained at a level close to that obtained in group 1, however, a statistically significant growth in the content of Ca in the bones in the 24th week was not observed (Table 1).
The calcium content significantly depends on the pharmacological substances administered, which has been shown by means of the interactions observed between the studied groups. An increase in the level of Ca in comparison to group 1 was observed in the 4th week of the experiment, with the exception of group 2 in which a decrease was observed in the 6th week, and then another increase in the 24th week. The largest, approximately 3-fold, increase in the content of Ca compared with group 1 was observed in group 3, which positively correlated with the greatest increase in the calcium content in the 4th week (Fig. 1 and 2).
In groups 2, 3 and 4 in the neonatal period (1 week) the determined content of Fe was comparable to group 1 and was 0.040, 0.037 and 0.036 mg g−1, respectively (Table 1).
In the 4th week, in groups 2, 3 and 4 a statistically significant decrease in the content of Fe, compared with group 1, was observed and amounted to 0.013, 0.018 and 0.010 mg g−1 respectively (Table 1).
In the 6th week in group 3, the iron content significantly increased compared with the 4th week, and this trend continued until the 24th week, and the levels achieved during that time were statistically significantly higher than in group 1. At the same time in group 4, the content of Fe increased during the 6th week of life for the rat offspring. In the course of the experiment a decrease in the iron level in the bones influenced by TCDD was observed. The interaction time multiplied by the pharmacological factor is also important. In group 1, a significant decrease in the iron content was observed in the 24th week of the experiment. In groups with TCDD a decrease in the Fe content was observed in the 4th week (Fig. 1 and 2).
In groups 2, 3 and 4, the content of Zn in neonatal rats (1 week) was similar to the content determined in group 1 (0.029–0.034 mg g−1) (Table 1).
In group 3 the content of Zn increased significantly in the 4th week, slightly dropped in the 6th week and in the 24th week reached the maximum level (0.074 ± 0.013), higher than in group 1 (0.057 ± 0.008) (Table 1).
In group 4, an increase in the Zn content in the bones in the 24th week (0.063 ± 0.003) was observed, in the 4th and 6th week the increase was significant. The increase was lower compared with the results observed for group 3 (Table 1).
In the case of zinc, the content in the bones increased with time, and is influenced by TCDD but is not modulated by ASA or α-tocopherol in the 1st, 4th and 6th week. In group 4 a content of zinc that was similar to that observed in group 1 was observed in the 24th week. However, the difference between the 2nd, 3rd and 4th groups was not statistically significant (Fig. 1 and 2).
The relative change in the ΔC24 (%) content of the chemical element after 24 weeks was calculated on the basis of the following relationship:
Changes in the average content of elements in the calvaria of the rats from the experimental groups are shown in Fig. 2.
At the beginning of the experiment (in the 1st week) a strong positive correlation between the values of analyzed chemical elements was observed in all groups of animals. In the 24th week, the direction and strength of correlation in group 1 had not changed. However, in groups administered with TCDD no correlations were observed in the case of most elements after 24 weeks. A statistically significant positive correlation between iron (r = 0.446) and zinc (r = 0.535) with regard to calcium occurred in group 2. In group 4 significant correlations occurred between magnesium and iron (r = 0.808) and between zinc and calcium (r = 0.909) in the 24th week.
In the case of the correlation between the iron and calcium, even the direction changed after 24 weeks (rho = −0.848). The increase in the iron content was accompanied by a decrease in the calcium content (Fig. 3).
In the present study, dynamic changes in the mineral content after indirect dioxin intoxication in rats' calvaria were evaluated. Owing to the fact that this bone is not exposed to mechanical loads, it provides a good and commonly used experimental model for proper reflection of the processes taking place during embryogenesis and postnatal growth.31,35–37,54–56
After the birth, the calvaria undergoes an intense process of bone remodeling, which is manifested in our results by a subsequent increase in the calcium content. Increased bone resorption in the rat is associated with the development of the skull which occurs between the 4th and 6th week after birth. Then, as a result of the synthesis of new bone tissue and its successive mineralization, the calcium content increases.
The results obtained from the group 1 animals confirm this trend, because the calcium level remains at a constant, low level, for 6 weeks, and then a slow increase is observed.
In group 2, TCDD interferes with bone synthesis in the offspring, which has been proven in previously published studies. As a direct influence on bone cells during embryogenesis, increased bone mineralization followed by resorption at around 6 weeks of life was noted.4,31,33
Limiting the inflammation process by using ASA46 causes inhibition of osteoclast recruitment, which significantly reduces bone resorption. The natural cycle of bone turnover is disrupted and excessive calcium retention in the bones is observed. Excessive stiffness of the calvaria in the postpartum period undoubtedly has a negative effect on brain development.57,58
Compared with group 1, there are significant fluctuations in the level of calcium, zinc and iron in group 2, and there is rapid variability of the content of chemical elements between the 1st and 4th week, with a progressive increase in the level of magnesium in the bones. In this group the level of iron and other elements, except magnesium, increased between the 1st and 4th week. This indicates the ongoing process of bone formation, which means a delay in the calvaria formation process. The dynamics of the decrease in the level of magnesium and zinc were similar to the case for calcium, as described above. In group 2 a markedly increased magnesium content in relation to Ca is noted. This is due to the incorporation of Mg into the hydroxyapatite, which may indicate inadequate mineralization. The obtained results concerning the determination of the presence of calcium and magnesium in the calvaria show that α-tocopherol improves the calcium and magnesium balance that is disturbed by TCDD. The use of α-tocopherol indicates an effective prevention of dioxin intoxication. The results of the elemental composition for all of the elements constituted similar values in the 24th week. In the case of Zn and Fe contents, the results obtained after using TCDD + ASA or α-tocopherol, are not conclusive. The observed decrease in the Fe content in the calvaria is not associated with osteoresorption, neither ASA nor α-tocopherol caused a change in this trend.
These results are in accordance with significant bone hypoplasia occurring in mature individuals from female rats treated with TCDD.11 Other authors have also demonstrated the influence of TCDD on the occurrence of changes in the content of calcium in bones, linking it with endocrine changes caused by dioxin affinity to the estrogen receptor for example, which may affect the development of bone.59 Research by Gierthy et al.35 based on a culture of rat calvarial osteoblasts showed that the administration of TCDD resulted in significant inhibition of the formation of osteoblasts and influenced the expression of alkaline phosphatase and osteocalcin. Moreover, the influence of TCDD on the estrogen levels affects the altered gene expression in osteoblasts during differentiation.35 Carpi et al.60 showed that TCDD causes bone formation disorders. Other studies on bone stem cells indicated that TCDD decreases the concentration of mRNA and reduces the activity of alkaline phosphatase and osteocalcin, and this decrease is closely correlated with the dose of dioxin.61 Naruse et al.62 indicated that the influence of dioxin on the culture of mouse osteoblasts demonstrated a decrease in the alkaline phosphatase activity, a reduction in calcium deposits in these cells, and an increase in expression of AhR after the administration of TCDD. The administration of dioxin to pregnant females caused an inhibition of the normal process of bone tissue calcification.62
Changes in the calcium and magnesium content may be associated with the proinflammatory action of dioxin.31 It was shown that the activation of two pathways of inflammation: by stimulation of interleukin production and through cyclooxygenase 2 (COX-2) activation, have an influence on the process of bone mineralization. These effects have been revealed in archaeological bone material.50 Other studies showed that the use of α-tocopherol in high doses for a period of 3 weeks following the administration of TCDD contributed to a significant reduction in IL-6 and TNF and also protected collagen against degradation.3 The administration of ASA for a period of 3 weeks following the application of TCDD was aimed at reducing the inflammatory reaction induced by the stimulation of COX-2. There are also reports that the use of ASA in high doses blocks COX-2.36,47,63 The anti-inflammatory properties of ASA constitute a valuable addition to the antagonistic effect of this drug on the aryl hydrocarbon receptor.36,38
It is worth mentioning that in the literature there is only a small amount of data concerning the influence of TCDD on the content of magnesium, zinc and iron in bones.64 It was shown that the administration of TCDD contributed to changes in the content of magnesium in the cytosol of liver cells.27 On the other hand, research by Keller et al. showed a significant reduction in the level of magnesium, as well as a decrease in the concentration of alkaline phosphatase.65
The results indicate a significant reduction of the negative effects of dioxin to offspring after intoxication of the mother and also the preventive role of α-tocopherol which can reduce the level of dioxin end products in the mother's body and reduce its transfer via the placenta and milk.
Changes over time have been observed in the bone mineralization dynamics in offspring, characterized by the similar content of elements measured at weeks 1 and 24, but the contents were completely different in the intermediate periods. Intermediate periods are crucial for the final formation of the calvaria and brain development, which undergoes dynamic changes during the formation of the calvaria.
The effects of ASA and α-tocopherol are different and mainly consist of the inhibition of processes of bone tissue remodeling, in which α-tocopherol maintains the same level of mineralization as in healthy tissue.
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