In vitro and in vivo anti-malarial activity of limonoids isolated from the residual seed biomass from Carapa guianensis (andiroba) oil production

Background Carapa guianensis is a cultivable tree used by traditional health practitioners in the Amazon region to treat several diseases and particularly symptoms related to malaria. Abundant residual pressed seed material (RPSM) results as a by-product of carapa or andiroba oil production. The objective of this study was to evaluate the in vitro and in vivo anti-malarial activity and cytotoxicity of limonoids isolated from C. guaianensis RPSM. Methods 6α-acetoxyepoxyazadiradione (1), andirobin (2), 6α-acetoxygedunin (3) and 7-deacetoxy-7-oxogedunin (4) (all isolated from RPSM using extraction and chromatography techniques) and 6α-hydroxy-deacetylgedunin (5) (prepared from 3) were evaluated using the micro test on the multi-drug-resistant Plasmodium falciparum K1 strain. The efficacy of limonoids 3 and 4 was then evaluated orally and subcutaneously in BALB/c mice infected with chloroquine-sensitive Plasmodium berghei NK65 strain in the 4-day suppressive test. Results In vitro, limonoids 1-5 exhibited median inhibition concentrations (IC50) of 20.7-5.0 μM, respectively. In general, these limonoids were not toxic to normal cells (MRC-5 human fibroblasts). In vivo, 3 was more active than 4. At oral doses of 50 and 100 mg/kg/day, 3 suppressed parasitaemia versus untreated controls by 40 and 66%, respectively, evidencing a clear dose–response. Conclusion 6α-acetoxygedunin is an abundant natural product present in C. guianensis residual seed materials that exhibits significant in vivo anti-malarial properties. Electronic supplementary material The online version of this article (doi:10.1186/1475-2875-13-317) contains supplementary material, which is available to authorized users.


Background
In 2010, there were an estimated 219 million cases of malaria infection resulting in 660,000 deaths worldwide [1]. Chloroquine-resistant (CQR) Plasmodium falciparum is now widespread and there are growing numbers of reports of CQR Plasmodium vivax worldwide. In recent years, artemisinin-based combined therapy (ACT) has been introduced as the first-line of treatment for P. falciparum and for the treatment of CQR P. vivax. However, reports of P. falciparum exhibiting resistance to artemisinin derivatives in four Southeast Asian countries, and resistance to ACT in a region of Cambodia are increasing the interest in lead compounds for the development of a new generation of anti-malarial drugs [1][2][3][4].
Natural products are the direct or indirect sources of most of the drugs introduced in the past 30 years [5]. Natural products from plants are a rich source of lead compounds for the development of new drugs against protozoan parasitic diseases such as malaria [6][7][8][9]. Quinine [10] and artemisinin are potent antimalarial natural products from plants. Further development gave rise to synthetic quinoline and artemisinin classes of antimalarials that form the basis of ACT. Today, artemisinin derivatives (e.g. sodium artesunate, arteether, dihydroartemisinin) and quinolines (e.g. chloroquine, primaquine) are the basis of malaria treatment worldwide. The Amazon region has a rich tradition of plant use for the treatment of malaria and a number of natural products have been isolated and semi-synthetic derivatives prepared exhibiting important in vitro and in vivo anti-malarial properties [11].
Andiroba (Carapa guianensis) belongs to the Meliaceae family of plants. It is found in western India, South Africa and South America and is readily cultivated. Its trees can reach heights of 30 m and can produce 50 to 200 kg of seeds per year [12]. Andiroba oil, or carapa oil, as it is also known, is obtained from the seeds and has several uses in traditional medicine including the treatment of malaria [12][13][14][15][16]. A common method for obtaining andiroba oil begins by chopping the seeds into small pieces and then cooking on a fire-heated hot plate at a temperature of cerca 90°C. Then, the cooked seed meal is mechanically pressed to obtain the oil. This process generates a large quantity of residual seed material as a by-product that contains many bioactive constituents, including limonoids [13]. The following limonoids have been previously isolated from andiroba oil and are present in residual seed materials ( Figure 1): 6α-acetoxyepoxyazaradione (1), andirobin (2), 6α-acetoxygedunin (3), 7-deacetoxy-7-oxogedunin (4), gedunin (6), 6α-hydroxygedunin (8), 1, 2-dihydro-3β-hydroxy-7deacetoxy-7-oxogedunin, 17β-hydroxyazadiradione, methyl angolensate and xilocenin K [15,17,18].
Andiroba oil exhibits in vitro activity against P. falciparum. At concentrations of 8.2 μg/mL of the oil and 3.1 μg/mL of a limonoid-rich fraction obtained from this oil, 100% inhibition of the W2 strain of P. falciparum was observed after 24 h. Also, andiroba oil and a limonoid-rich fraction exhibited IC 50 values of 9.4 and 2.4 μg/mL, respectively, after 48 h against the Dd2 strain of P. falciparum [19].
In a recent study, 16 limonoid components of the flowers of Carapa guianensis were isolated and nine of these components were tested for in vitro inhibitory activity against the FCR-3 strain of P. falciparum. Gedunin (6) and structurally-related limonoids 3, 4, 7 and 8 ( Figure 1) exhibited the most in vitro inhibition (IC 50 2.5-2.8 μM) [20]. Despite the in vitro anti-plasmodial potential of gedunin and previous studies on its natural and semi-synthetic derivatives [20][21][22][23][24], in vivo anti-malarial data for gedunin-type limonoids in the literature are limited to gedunin itself and a semi-synthetic derivative of gedunin, 7-deacetyl-7Omethyl-gedunin (10) [22,23]. These and other reasons prompted us to publish the present work on the in vitro anti-plasmodial activity of limonoids 1-4 isolated from C. guianensis and a semi-synthetic derivative 5 ( Figure 1) and the in vivo anti-malarial activity of 3 and 4 in infected mice.

Methods
Collection of andiroba seeds and production of residual pressed seed material (RPSM).
Collection took place on the morning of June 6, 2011. Carapa guiananesis seeds were collected at the National Institute for Amazon Research's (INPA) Adolpho Ducke Forest Reserve located in Manaus, Amazonas State, Brazil from the areas beneath two trees identified by voucher specimens deposited previously in the INPA Herbarium under the accession numbers 192615 and 178658 [25]. Triage was performed by discarding perforated, marred and/or moldy seeds. In the municipality of Manaquiri, 64 km from Manaus, extraction of the oil was performed by first triturating the seeds (fresh weight 10 kg), heating (partially drying) the resulting ground seeds on a hot plate, followed by pressing the dried, ground seeds at room temperature in an industrial press. This last step led to the RPSM (5.3 kg) and crude andiroba oil (500 mL) containing suspended matter. After centrifuging, transparent, slightly yellow andiroba oil was obtained as an upper layer and the dark-coloured suspended matter (330 mg) was concentrated in the lower layer.

Deacetylation of 3
This was carried out by dissolving 3 (40.5 mg, 75 μmol) in high performance liquid chromatography (HPLC) grade methanol (2.7 mL), adding anhydrous potassium carbonate (80 mg, 0.6 mmol) and magnetically stirring the resulting mixture at room temperature for 24 h. The reaction mixture was transferred using washings with chloroform (3 × 2 mL) and the resulting mixture was dried with saturated sodium chloride solution, then anhydrous sodium sulfate and then the drying agent was removed by filtration. The filtrate was totally evaporated and the resulting residue was recrystallized from HPLC grade methanol to obtain the diol product 6α-hydroxydeacetylgedunin (5) (12.8 mg, 28 μmol, 37%).
sample on a Varian Inova 500 MHz and Bruker Avance, 600 MHz and 400 MHz. HRMS and full 1 H and 13 C NMR data on all isolated and prepared compounds are provided as Additional file 1.

In vitro anti-plasmodial assay
In vitro cultures of the K1 strain of P. falciparum were established using A + type blood cells and Roswell Park Memorial Institute (RPMI 1640) culture medium enriched with 10% plasma in accordance with the Trager and Jensen procedure [26]. The in vitro inhibition of the growth of P. falciparum K1 from these cultures by limonoids 1-4 and derivative 5 was evaluated as described previously [27]. Briefly, this procedure involved preparing 5 mg/mL stock solutions of each compound in dimethyl sulfoxide (DMSO). The stock solutions were diluted to provide test solutions having concentrations in the range 0.13-100 μg/mL. Test solutions were transferred to 96-well test plates containing parasitized red blood cells with initial 2% haematocrit and 1% parasitaemia. Each sample was evaluated in duplicate and the test plate was incubated for 48 h at 37°C. After incubation, quantification of parasites was achieved by optical microscopy on blood smears from each well [27].

Animals and ethical approval
Adult BALB/c mice ( In vivo anti-malarial assay Limonoids 3 and 4 were assayed for in vivo anti-malarial activity in the Peters 4-day suppressive test against the Plasmodium berghei NK65 strain in BALB/c female mice, each inoculated with 1 × 10 5 parasitized red blood cells [28]. The mice were randomly divided into groups of five individuals and individual groups were treated orally or subcutaneously with 3 or 4 at doses of 50 or 100 mg/kg/day over four days followed by evaluation of parasitaemia versus controls (negative control groups were treated with 2% DMSO vehicle and positive control groups with chloroquine) on days 5 and 7 following an established procedure [29]. Mortality was monitored in all groups for four weeks after inoculation. Two independent in vivo experiments were performed.

Cytotoxicity assay
The MRC-5 cell line of human fibroblasts was grown in Dulbecco's Modified Eagle's Medium (DMEM) supplemented with 10% fetal bovine serum, 2 mM glutamine, 100 μg/mL streptomycin and 100 U/mL penicillin, and incubated at 37°C with a 5% atmosphere of CO 2 . For assays, the cells were plated in 96-well plates (2.5 × 10 4 cells/well) and the AlamarBlue™ assay was performed using a previously described procedure [30,31]. After incubation for 24 h, compounds 1-5 were individually dissolved in DMSO and the resulting solutions were diluted in culture medium. The resulting dilute solutions of each sample were added to wells at final (well) concentrations of 1.56-100 μg/mL. Control groups had final well concentrations of 0.1% DMSO. The plates were further incubated for 48 h. 3 h before the end of the incubation period, AlamarBlue™ (10 μL) was added to each well. The fluorescent signal was monitored with a multiplate reader using 530-560 nm excitation and 590 nm emission wavelengths.

Results
Isolated and semi-synthetic limonoids 1-5 were fully characterized by high-resolution mass spectrometry (HRMS) and nuclear magnetic resonance (NMR) one and twodimensional spectrometric techniques. Comparison of the NMR spectral data with literature data and analysis of the 1D and 2D NMR data allowed for the positive identification and spectral assignment of isolated limonoids  (Figure 1). Di-deacetylation of 3 led to the formation of a product that exhibited HRMS, 1 H and 13 C NMR data consistent with 6α-hydroxydeacetylgedunin (5). Compound 5 has been reported previously, however, no NMR data were provided [36]. Median inhibitory concentrations (IC 50 ) of compounds 1-5 against P. falciparum K1 strain in vitro are summarized in Table 1. The IC 50 values for these 5 compounds were in the range 5.0-20.7 μM. Semisynthetic derivative 5 exhibited the most inhibitory activity. The in vitro anti-plasmodial activity of the other limonoids was moderate. The natural product 4 exhibited the least activity of all limonoids in vitro. Compounds 1-5 were not considered toxic to MRC-5 cells (4 exhibited an IC 50 = 47.3 μg/mL, all other IC 50 values were > 100 μg/mL) over a period of 48 h. 6α-acetoxygedunin (3) and 7-deacetoxy-7-oxogedunin (4) were each isolated on several hundred milligram scales which permitted further evaluation of these compounds in a rodent malaria model. The results of the suppressive test against P. berghei NK65 in infected mice are presented in Table 2. In general, limonoid 3 exhibited greater in vivo activity than 4. The greatest in vivo activity (65.7% suppression of parasitaemia as compared to untreated controls) was observed for 3 administered orally at doses of 100 mg/ kg/day. At a given dose and 5 or 7 days after infection, oral administration of 3 in general led to greater parasite suppression than did subcutaneous injection of this compound. Both oral and subcutaneous administration of 4 led to a suppression of parasitaemia in a clear dose-response. Mice that received 3 exhibited the longest survival times (24 ± 3 days) at oral doses of 100 mg/kg/day, however, these data were not statistically significant (T-test p > 0.05 compared to controls).

Discussion
Gedunin (6) has been isolated previously from different parts of Carapa guianensis and exhibits in vitro activity (IC 50 = 0.40-2.5 μM) against W2, D6 and FCR-3 strains of P. falciparum [20][21][22]. However, gedunin (6) was not isolated in the present work from RPSM. Interestingly, a recent study on the fruit from the same tree specimens from which fruit for the present study was collected described the isolation of 7-deacetyl gedunin (9), but not gedunin (6) [35]. Gedunin was considered to be an optimal structure for its high in vitro activity against different strains of P. falciparum and because structural modification of gedunin through semi-synthetic reactions yielded derivatives exhibiting decreased in vitro anti-plasmodial activity compared to gedunin [21,22]. This previous work contributed to a partial understanding of structure-activity relationships for the in vitro anti-plasmodial activity of simple gedunin derivatives.
According to previous reports, deacetylation of gedunin (6) produced compound 9 that exhibited about 65 times less in vitro activity (IC 50 = 2.6 and 1.3 μg/mL against D6 and W2, respectively) than gedunin [21] and the in vitro activity of 7-O-methyl-deacetylgedunin (10) and deacetylgedunin (9) are reported to be similar [22]. Based on these and other findings, it was presumed that the presence of a 7α-acetoxy moiety in the gedunin skeleton was important for in vitro anti-plasmodial activity.
Recently, the in vitro activity of limonoids 3 (IC 50 = 2.8 μM) and 7 (IC 50 = 4.0 μM) was reported against the FCR-3 strain of P. falciparum [20]. Both of these compounds exhibit a 6α-acetoxy moiety (however, only 3 exhibits a 7α-acetoxy moiety). Thus, a 7α-acetoxy group was not required for significant in vitro anti-plasmodial activity against P. falciparum as was thought to be the case for gedunin (6) itself. However, the low in vitro activity of gedunin derivative 8 (IC 50 = 90 μM) was attributed to the presence of a 6α-hydroxy group [20]. Herein, the in vitro anti-plasmodial activity of 5 was reported for the first time and was shown to be greater than that of the natural isolates 1-4 against the K1 strain of P. falciparum (IC 50 = 5.0 μM). Thus, in vitro anti-plasmodial data from previous reports on 3, 7 and 8 and data generated herein for 6α-  acetoxygedunin (3) and 6α,7α-dihydroxy derivative 5 are consistent with the notion that within this group of gedunin derivatives, an O-acetyl group at the 6 and/or 7 position is not a requirement for significant in vitro anti-plasmodial activity against P. falciparum. 6α-acetoxygedunin (3) has been isolated previously from the flowers of Carapa guianensis and exhibited an IC 50 = 2.8 μM against the FCR-3 strain of P. falciparum [20]. Herein, 3 was the most active of the isolates from RPSM and exhibited an IC 50 = 7.0 μM against the K1 strain of P. falciparum. Limonoid 1 was half as active in vitro as 3, in good agreement with previously published data and an indication of the modulation of in vitro activity caused by structural changes to ring D [20]. The in vitro activity of limonoid 3 and its availability on a larger scale by isolation from RPSM led us to further explore its anti-malarial potential in P. bergheiinfected mice.
7-deacetoxy-7-oxogedunin (4) has been isolated previously from two species of Meliaceae, Carapa guianensis [20,21] and Pseudocedrela kotschyi [37], and tested for in vitro anti-plasmodial activity against several strains of P. falciparum. In earlier studies, 4 exhibited in vitro activity against the K1 and FCR-3 strains of P. falciparum (IC 50 = 2.5-4.1 μM) [20,37]. However, herein, we found 4 to be relatively inactive against the K1 strain of P. falciparum (IC 50 = 20.7 μM). Similarly, a previous report found 4 to be inactive against the W2 strain of P. falciparum (IC 50 > 22.8 μM) [21]. Parasite strain specificity and/or variability of the anti-plasmodial response may be responsible for the mixed in vitro results obtained herein and elsewhere for 4. We were thus induced to try to shed new light on the anti-malarial potential of 4 by further studying its activity in P. berghei-infected mice.
Herein, andirobin (2), a seco-gedunin, exhibited moderate in vitro anti-plasmodial activity (IC 50 = 15.3 μM). In other work, a 7,8-seco-gedunin andirobin-like compound having an acetyl function instead of the furan ring and otherwise structurally analogous to 2, as well as the 7,8-seco-gedunin, methyl angolensate, were found to have quite similar in vitro activities (IC 50 = 12-15 μM) against the FCR-3 strain of P. falciparum [20]. Thus, an intact B ring may be important for optimal in vitro activity of gedunin derivatives against P. falciparum, and modification of the stereochemistry and type of substituent on the B ring at the 6 and 7 positions (e.g. of derivative 5), could be an important strategy for optimizing the anti-plasmodial activity of gedunin derivatives.
Herein, 6α-acetoxygedunin (3) and 7-deacetoxy-7-oxogedunin (4) administered orally at doses of 50 and 100 mg/ kg/day (Table 2), respectively, to P. berghei strain NK65infected mice exhibited comparable in vivo anti-malarial activity (40% parasitemia suppression compared to untreated controls) to that reported previously by others for the natural isolate gedunin (6) at doses of 50 mg/kg/day in P. berghei strain ANKA-infected mice. Also, 6 reportedly did not suppress P. berghei in mice at oral doses of 25 or 100 mg/kg/day and thus did not exhibit dose-response [22]. However, herein, 3 administered orally at 100 mg/kg/ day exhibited 66% suppression of parasitaemia of P. berghei on day 5 showing a dose-response pattern (and greater in vivo suppression of parasitemia than gedunin at this same dose). Comparable in vivo suppression of P. berghei to that of gedunin and clear dose-response highlight the potential of natural 6-substituted gedunin derivative 3. While experience varies, substances exhibiting 30 to 40% in vivo parasitaemia suppression in mouse malaria models are considered to be moderately active whereas suppression ≥40% at the doses tested herein is associated with active anti-malarial compounds [38][39][40]. The present study was conducted with pure bred BALB/c mice infected with P. berghei, a reliable model that is similar to that used in the identification of drug candidates MK-4815, NITD609 and OZ439 that are now in clinical trials [41,42].
Despite several studies on the in vitro anti-plasmodial activity of limonoids related to gedunin as discussed above, previous in vivo anti-malarial studies on gedunin derivatives were limited to gedunin (6) [22,23,43] and the semi-synthetic compound 10 [22]. The low oral activity of gedunin was attributed to low absorption and instability under physiologic conditions led to the semisynthesis of deacetylgedunin (9). Compound 9 was unstable under physiologic conditions found in mice (and presumably in humans) [23]. For this reason, the 7hydroxy group of compound 9 was methylated to provide 7-methoxy gedunin 10. Compound 10 administered orally at doses of 50 mg/kg/day inhibited parasitaemia of P. berghei ANKA in mice by 68% [22] which is in vivo suppression of parasitaemia comparable to that observed herein for orally-administered isolate 3 at 100 mg/kg/day against P. berghei NK65 (Table 2).
It is important to keep in mind that highly potent and clinically useful anti-malarials were often discovered in plant materials or are derived from plant natural products used directly by humans as part of traditional practice. Often, however, clinically useful anti-malarials provide results that are not optimal for treatment of rodent malaria. Thus, quinine which was the basis for malaria treatment and prophylaxis in the 19th and early 20th centuries, exhibits a median effective dose (ED 50 ) of 34 mg/kg/day in mice infected with P. berghei strain ANKA [44] and Plasmodium vinckeiinfected mice exhibit recrudescence when treated with the artemisinin derivative sodium artesunate at doses <80 mg/ kg/day [45]. Thus, the significant in vivo anti-malarial activity exhibited by limonoid natural product 3 has motivated to us to investigate the anti-malarial potential of its derivatives.
In the future, derivatives of 5 exhibiting O-alkyl and/ or O-acyl groups in the 6 and 7 positions should be investigated. O-derivatization of the 7α-hydroxy group in 5 may be important for chemical stability and in vivo anti-malarial activity given the structural analogy of 5 with 7-deacetyl gedunin (9) and the low in vivo antimalarial activity of the latter compound. The low stability of 9 under simulated gastric (low pH) conditions was shown to be due to B ring-opening provoked by the intrinsic reactivity of the 7α-hydroxy moiety [23]. Thus, O-alkylation or O-acylation with a sterically hindered ester group on the 7α-hydroxy (and 6α-hydroxy) group of 5 should be investigated as a means to generate novel substances for in vitro and in vivo study of anti-malarial activity and could lead to a better understanding of the effects of B ring substituents on the stability and anti-malarial activity of gedunin derivatives.

Conclusions
Today, in the fight against malaria, the clinically most relevant anti-malarials, synthetic quinolines and semisynthetic artemisinin derivatives, owe their origins to the natural products quinine and artemisinin, respectively, found in traditionally-used plants. Furthermore, medicinal plants selected through the ethnopharmacologic approach are proving to be important sources of drugs introduced in the past decades. Thus, limonoids 1-4 were isolated from C. guianensis waste seed materials and their in vitro efficacy against P. falciparum and cytotoxicity to normal cells was evaluated. Limonoids 3 and 4 were further evaluated in vivo against P. berghei in mice. Our in vitro and in vivo results were contextualized within what is known on the inhibitory activity of gedunin derivatives from previous studies. 6α-acetoxygedunin (3) was shown herein to exhibit significant in vivo anti-malarial activity and dose-response that make this natural derivative of gedunin a rival to gedunin (6) itself as a model structure for further investigation. Future work will focus on the in vitro and in vivo activity of 6 and 7-substituted derivatives of semi-synthetic limonoid 5. Also, as a means to avoid monotherapy and to enhance in vivo antimalarial activity, studies are planned on the potential synergism of 3 and derivatives of 5 with dillapiole, a natural product known to strongly inhibit cytochrome P450 and significantly enhance the in vivo anti-malarial activity of gedunin (6) and gedunin derivative 10 according to a previous study in a mouse malaria model [22].

Additional file
Additional file 1: Spectral data for isolated limonoids 1-4 and prepared derivative 5; 1 H and 13 C NMR and HRMS data for these compounds are presented in this file.