Skip to main content
Log in

In vitro cytogenetic toxicity of bezafibrate in human peripheral blood lymphocytes

  • Original Article
  • Published:
Cytotechnology Aims and scope Submit manuscript

Abstract

Bezafibrate (BF) is a peroxisome proliferator-activated receptor (PPAR) agonist used as a lipid-lowering agent to treat both the familial or acquired combined forms of hyperlipidemia. BF is the only available fibrate drug that acts on all PPAR subtypes of α, β, and δ. Although there are studies that indicate a genotoxic potential associated with the use of fibrates, to our knowledge, the genotoxicity of BF in human peripheral blood lymphocytes has not been studied. In the present study, the genotoxic potential of BF was evaluated using chromosome aberration (CA) and micronucleus (MN) assays in peripheral blood lymphocytes of healthy human subjects. In addition, a high performance liquid chromatography (HPLC) method was used to identify and quantitate the drug passage into the cells. Human peripheral blood lymphocytes were exposed to four different concentrations (100, 175, 250 and 325 μg/mL) of BF for 24- and 48-h treatment periods. As shown by HPLC, in spite of significant passage of BF into human peripheral blood lymphocytes in 24- and 48-h treatment periods, BF was not found to increase the CA and MN frequency. On the other hand, exposing cells to BF for 24- and 48-h treatment periods caused significant concentration-dependent decreases in the mitotic index (r = −0.995, p < 0.01 for 24-h; r = −0.992, p < 0.01 for 48-h) and nuclear division index (r = −0.990, p < 0.01 for 24-h; r = −0.981, p < 0.01 for 48-h). Our results suggest that BF has cytotoxic effect on cultured human peripheral blood lymphocytes.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  • Abd TT, Jacobson TA (2011) Statin-induced myopathy: a review and update. Expert Opin Drug Saf 10:373–387

    Article  CAS  Google Scholar 

  • Albertini RJ, Anderson D, Douglas GR, Hagmar L, Hemminki K, Merlo F, Natarajan AT, Norppa H, Shuker DEG, Tice R, Waters MD, Aitio A (2000) IPCS guidelines for the monitoring of genotoxic effects of carcinogens in humans. Mutat Res 463:111–172

    Article  CAS  Google Scholar 

  • Alvergnas M, Rouleau A, Lucchi G, Heyd B, Ducoroy P, Richert L, Martin H (2011) Proteomic mapping of bezafibrate-treated human hepatocytes in primary culture using two-dimensional liquid chromatography. Toxicol Lett 201:123–129

    Article  CAS  Google Scholar 

  • Anchisi C, Fadda AM, Maccioni AM, Dessì S (1998) Determination of bezafibrate concentration by high performance liquid-chromatography in serum of rats treated with lead nitrate. Farmaco 53:690–692

    Article  CAS  Google Scholar 

  • Ariad S, Hechtlinger V (1993) Bezafibrate-induced neutropenia. Eur J Haematol 50:179

    Article  CAS  Google Scholar 

  • Ashby J, Brady A, Elcombe CR, Elliott BM, Ishmael J, Odum J, Tugwood JD, Kettle S, Purchase IF (1994) Mechanistically based human hazard assessment of peroxisome proliferator-induced hepatocarcinogenesis. Hum Exp Toxicol 13:S1–S117

    Article  Google Scholar 

  • Benigni R, Giuliani A (1996) Quantitative structure-activity relationship (QSAR) studies of mutagens and carcinogens. Med Res Rev 16:267–284

    Article  CAS  Google Scholar 

  • Benn P, Delach J (2008) Human lymphocyte culture and chromosome analysis. Cold Spring Harb Protoc 3:1–7

    Google Scholar 

  • Bonassi S, Norppa H, Ceppi M, Strömberg U, Vermeulen R, Znaor A, Cebulska-Wasilewska A, Fabianova E, Fucic A, Gundy S, Hansteen IL, Knudsen LE, Lazutka J, Rossner P, Sram RJ, Boffetta P (2008) Chromosomal aberration frequency in lymphocytes predicts the risk of cancer: results from a pooled cohort study of 22 358 subjects in 11 countries. Carcinogenesis 29:1178–1183

    Article  CAS  Google Scholar 

  • Bonassi S, El-Zein R, Bolognesi C, Fenech M (2011) Micronuclei frequency in peripheral blood lymphocytes and cancer risk: evidence from human studies. Mutagenesis 26:93–100

    Article  CAS  Google Scholar 

  • Carrano AV, Natarajan AT (1988) International commission for protection against environmental mutagens and carcinogens. ICPEMC publication no. 14. Considerations for population monitoring using cytogenetic techniques. Mutat Res 204:379–406

    Article  CAS  Google Scholar 

  • Cattley RC, DeLuca J, Elcombe C, Fenner-Crisp P, Lake BG, Marsman DS, Pastoor TA, Popp JA, Robinson DE, Schwetz B, Tugwood J, Wahli W (1998) Do peroxisome proliferating compounds pose a hepatocarcinogenic hazard to humans? Regul Toxicol Pharmacol 27:47–60

    Article  CAS  Google Scholar 

  • Chitnis M, Parekh H, Satyamoorthy K (1989) Differential effect of clofibrate on adriamycin cytotoxicity in P388 murine leukemia cells sensitive and resistant to adriamycin. Tumori 75:100–105

    CAS  Google Scholar 

  • Evans HJ (1984) Human Peripheral Blood Lymphocytes for the Analysis of Chromosome Aberrations in Mutagen Tests. In: Kilbey BJ, Legator M, Nichols W, Ramel C (eds) Handbook of mutagenicity test procedures, 2nd edn. Elsevier Science Publishers BV, Amsterdam, pp 405–427

    Chapter  Google Scholar 

  • Fenech M (2000) The in vitro micronucleus technique. Mutat Res 455:81–95

    Article  CAS  Google Scholar 

  • Fenech M, Holland N, Zeiger E, Chang WP, Burgaz S, Thomas P, Bolognesi C, Knasmueller S, Kirsch-Volders M, Bonassi S (2011) The HUMN and HUMNxL international collaboration projects on human micronucleus assays in lymphocytes and buccal cells–past, present and future. Mutagenesis 26:239–245

    Article  CAS  Google Scholar 

  • Forcheron F, Cachefo A, Thevenon S, Pinteur C, Beylot M (2002) Mechanisms of the triglyceride- and cholesterol-lowering effect of fenofibrate in hyperlipidemic type 2 diabetic patients. Diabetes 51:3486–3491

    Article  CAS  Google Scholar 

  • Gonzalez FJ (1997) The role of peroxisome proliferator activated receptor a in peroxisome proliferation, physiological homeostasis, and chemical carcinogenesis. Adv Exp Med Biol 422:109–125

    Article  CAS  Google Scholar 

  • Hagmar L, Bonassi S, Stromberg U, Brogger A, Knudsen LE, Norppa H, Reuterwall C (1998) Chromosomal aberrations in lymphocytes predict human cancer: a report from the European Study Group on Cytogenetic Biomarkers and Health (ESCH). Cancer Res 58:4117–4121

    CAS  Google Scholar 

  • Hagmar L, Stromberg U, Bonassi S, Hansteen IL, Knudsen LE, Lindholm C, Norppa H (2004) Impact of types of lymphocyte chromosomal aberrations on human cancer risk: results from Nordic and Italian cohorts. Cancer Res 64:2258–2263

    Article  CAS  Google Scholar 

  • Heijink AM, Krajewska M, van Vugt MATM (2013) The DNA damage response during mitosis. Mutat Res 750:45–55

    Article  CAS  Google Scholar 

  • Honda A, Ikegami T, Nakamuta M, Miyazaki T, Iwamoto J, Hirayama T, Saito Y, Takikawa H, Imawari M, Matsuzaki Y (2013) Anticholestatic effects of bezafibrate in patients with primary biliary cirrhosis treated with ursodeoxycholic acid. Hepatology 57:1931–1941

    Article  CAS  Google Scholar 

  • Howe B, Umrigar A, Tsien F (2014) Chromosome preparation from cultured cells. J Vis Exp 83:e50203. doi:10.3791/50203

    Google Scholar 

  • Isidori M, Nardelli A, Pascarella L, Rubino M, Parrella A (2007) Toxic and genotoxic impact of fibrates and their photoproducts on non-target organisms. Environ Int 33:635–641

    Article  CAS  Google Scholar 

  • Kacirova I, Grundmann M (2015) Fenofibrate-induced anemia and neutropenia—a case report. Clin Ther 37:103

    Article  Google Scholar 

  • Kirsch-Volders M, Sofuni T, Aardema M, Albertini S, Eastmond D, Fenech M, Ishidate M Jr, Kirchner S, Lorge E, Morita T, Norppa H, Surralles J, Vanhauwaert A, Wakata A (2003) Report from the in vitro micronucleus assay working group. Mutat Res 540:153–163

    Article  CAS  Google Scholar 

  • Lake BG, Rumsby PC, Price RJ, Cunninghame ME (2000) Species differences in hepatic peroxisome proliferation, cell replication and transforming growth factor-beta1 gene expression in the rat, Syrian hamster and guinea pig. Mutat Res 448:213–225

    Article  CAS  Google Scholar 

  • Lawson T, Gwilt PR (1993) Clofibrate enhances the DNA damaging action and cytotoxicity of nitrosoureas. Cancer Lett 70:119–122

    Article  CAS  Google Scholar 

  • Mace ML Jr, Daskal Y, Wray W (1978) Scanning electron microscopy of chromosome aberrations. Mutat Res 52:199–206

    Article  Google Scholar 

  • Maiguma T, Fujisaki K, Itoh Y, Makino K, Teshima D, Takahashi-Yanaga F, Sasaguri T, Oishi R (2003) Cell-specific toxicity of fibrates in human embryonal rhabdomyosarcoma cells. Naunyn-Schmiedeberg’s Arch Pharmacol 367:289–296

    Article  CAS  Google Scholar 

  • Marsman DS, Cattley RC, Conway JG, Popp JA (1988) Relationship of hepatic peroxisome proliferation and replicative DNA synthesis to the hepatocarcinogenicity of the peroxisome proliferators di(2-ethylhexyl)phthalate and [4-chloro-6-(2,3-xylidino)-2-pyrimidinylthio]acetic acid (Wy-14,643) in rats. Cancer Res 48:6739–6744

    CAS  Google Scholar 

  • Nishimura J, Dewa Y, Muguruma M, Kuroiwa Y, Yasuno H, Shima T, Jin M, Takahashi M, Umemura T, Mitsumori K (2007) Effect of fenofibrate on oxidative DNA damage and on gene expression related to cell proliferation and apoptosis in rats. Toxicol Sci 97:44–54

    Article  CAS  Google Scholar 

  • Parekh H, Satyamoorthy K, Advani S, Chitnis M (1990) Sensitization of chronic myeloid leukemia cells to Adriamycin cytotoxicity by clofibrate. Tumori 76:18–21

    CAS  Google Scholar 

  • Paz-y-Miño C, Bustamante G, Sanchez ME, Leone PE (2002) Cytogenetic monitoring in a population occupationally exposed to pesticide in Ecuador. Environ Health Perspect 110:1077–1080

    Article  Google Scholar 

  • Rao MS, Reddy JK (1996) Hepatocarcinogenesis of peroxisome proliferators. Ann N Y Acad Sci 804:573–587

    Article  CAS  Google Scholar 

  • Reddy JK, Lalwai ND (1983) Carcinogenesis by hepatic peroxisome proliferators: evaluation of the risk of hypolipidemic drugs and industrial plasticizers to humans. Crit Rev Toxicol 12:1–58

    Article  CAS  Google Scholar 

  • Rocco L, Peluso C, Cesaroni F, Morra N, Cesaroni D, Stingo V (2012) Genomic damage in human sperm cells exposed ın vitro to environmental pollutants. J Environ Anal Toxicol 2:117

    Article  Google Scholar 

  • Rose ML, Rusyn I, Bojes HK, Belyea J, Cattley RC, Thurman RG (2000) Role of Kupffer cells and oxidants in signaling peroxisome proliferator- induced hepatocyte proliferation. Mutat Res 448:179–192

    Article  CAS  Google Scholar 

  • Rothfuss A, Schutz P, Bochum S, Volm T, Eberhardt E, Kreirenberg R, Vogel W, Speit G (2000) Induced micronucleus frequencies in peripheral lymphocytes as a screening test for carriers of a BRCA1 mutation in breast cancer families. Cancer Res 60:390–394

    CAS  Google Scholar 

  • Schoonjans K, Staels B, Auwerx J (1996) Role of the peroxisome proliferator-activated receptor (PPAR) in mediating the effects of fibrates and fatty acids on gene expression. J Lipid Res 37:907–925

    CAS  Google Scholar 

  • Staels B, Dallongeville J, Auwerx J, Schoonjans K, Leitersdorf E, Fruchart JC (1998) Mechanism of action of fibrates on lipid and lipoprotein metabolism. Circulation 98:2088–2093

    Article  CAS  Google Scholar 

  • Tanaka T (2012) Preclinical cancer chemoprevention studies using animal model of ınflammation-associated colorectal carcinogenesis. Cancers 4:673–700

    Article  CAS  Google Scholar 

  • Tawfeeq MM, Suzuki T, Shimamoto K, Hayashi H, Shibutani M, Mitsumori K (2011) Evaluation of in vivo genotoxic potential of fenofibrate in rats subjected to two-week repeated oral administration. Arch Toxicol 85:1003–1011

    Article  CAS  Google Scholar 

  • Wiedemann PM, Schutz H (2008) The role of evidence in risk characterization: making sense of conflicting data. Weinheim: Wiley-VCH

  • Zhao Y, Okuyama M, Hashimoto H, Tagawa Y, Jomori T, Yang B (2010) Bezafibrate induces myotoxicity in human rhabdomyosarcoma cells via peroxisome proliferator-activated receptor a signaling. Toxicol In Vitro 24:154–159

    Article  CAS  Google Scholar 

Download references

Acknowledgements

This study was sponsored by Cukurova University Research Fund; Grant Number FEF2013YL11.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to E. S. Istifli.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Topaktas, M., Kafkas, N.E., Sadighazadi, S. et al. In vitro cytogenetic toxicity of bezafibrate in human peripheral blood lymphocytes. Cytotechnology 69, 579–589 (2017). https://doi.org/10.1007/s10616-017-0069-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10616-017-0069-4

Keywords

Navigation