Abstract

BackgroundComfrey is consumed by humans as a vegetable and a tea, and has been used as an herbal medicine for more than 2000 years. Comfrey, however, is hepatotoxic in livestock and humans and carcinogenic in experimental animals. Our previous study suggested that comfrey induces liver tumors by a genotoxic mechanism and that the pyrrolizidine alkaloids in the plant are responsible for mutation induction and tumor initiation in rat liver.ResultsIn this study, we identified comfrey-induced gene expression profile in the livers of rats. Groups of 6 male transgenic Big Blue rats were fed a basal diet and a diet containing 8% comfrey roots, a dose that resulted in liver tumors in a previous carcinogenicity bioassay. The animals were treated for 12 weeks and sacrificed one day after the final treatment. We used a rat microarray containing 26,857 genes to perform genome-wide gene expression studies. Dietary comfrey resulted in marked changes in liver gene expression, as well as in significant decreases in the body weight and increases in liver mutant frequency. When a two-fold cutoff value and a P-value less than 0.01 were selected, 2,726 genes were identified as differentially expressed in comfrey-fed rats compared to control animals. Among these genes, there were 1,617 genes associated by Ingenuity Pathway Analysis with particular functions, and the differentially expressed genes in comfrey-fed rat livers were involved in metabolism, injury of endothelial cells, and liver injury and abnormalities, including liver fibrosis and cancer development.ConclusionThe gene expression profile provides us a better understanding of underlying mechanisms for comfrey-induced hepatic toxicity. Integration of gene expression changes with known pathological changes can be used to formulate a mechanistic scheme for comfrey-induced liver toxicity and tumorigenesis.

Highlights

  • Comfrey is consumed by humans as a vegetable and a tea, and has been used as an herbal medicine for more than 2000 years

  • We developed evidence indicating that the liver tumors induced by feeding rats 2% comfrey root were generated by a genotoxic mechanism and that the pyrrolizidine alkaloids (PAs) in the plant were responsible for mutation induction and tumor initiation in rat liver [10]

  • Growth curve of rats fed with 8% comfrey root Male Big Blue transgenic rats were fed with 8% comfrey root for 12 weeks

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Summary

Introduction

Comfrey is consumed by humans as a vegetable and a tea, and has been used as an herbal medicine for more than 2000 years. Comfrey is hepatotoxic in livestock and humans and carcinogenic in experimental animals. Three plant species in the genus Symphytum contribute to the crop known as comfrey, Symphytum officinale L. In addition to essential nutrients, comfrey contains pyrrolizidine alkaloids (PAs). PAs are constituents of over 6000 plants, and many of them are hepatotoxic and carcinogenic in humans and animals [3]. PAs are transformed to pyrroles by the mixed-function oxidases. Pyrroles exert their toxic effect by reacting with cellular macromolecules, including proteins and DNA [4]. In 2001, the US Food and Drug Administration requested voluntary compliance for the removal of products containing comfrey [5]

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