Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
DOI 10.1007/s00204-016-1744-5
REVIEW ARTICLE
Received: 3 January 2016 / Accepted: 24 May 2016 / Published online: 3 June 2016
Springer-Verlag Berlin Heidelberg 2016
Abstract Spirulina is a species of filamentous cyanobacteria that has long been used as a food supplement. In particular, Spirulina platensis and Spirulina maxima are the
most important. Thanks to a high protein and vitamin content, Spirulina is used as a nutraceutical food supplement,
although its other potential health benefits have attracted
much attention. Oxidative stress and dysfunctional immunity cause many diseases in humans, including atherosclerosis, cardiac hypertrophy, heart failure, and hypertension.
Thus, the antioxidant, immunomodulatory, and anti-inflammatory activities of these microalgae may play an important role in human health. Here, we discuss the antioxidant,
* Qinghua Wu
wqh212@hotmail.com
* Kamil Kuca
kamil.kuca@fnhk.cz
1
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Introduction
Spirulina, a blue-green algae belonging to the family Oscillatoriaceae, has been used since ancient times as a source
of protein and vitamins (Somchit etal. 2014; Rasool and
Sabina 2009). Spirulina grows naturally in alkaline lakes,
but is commercially produced in large outdoor or greenhouse ponds under controlled conditions (Sotiroudis and
Sotiroudis 2013). Spirulina platensis and Spirulina max
ima are the most common and widely used species and
have been extensively studied in the field of medicine and
by the food industry (Beheshtipour etal. 2012; Hoseini
etal. 2013; Banji etal. 2013). Apart from its protein (60
70%, w/w) and vitamin (4%, w/w) content, Spirulina is
also rich in essential amino acids, minerals, essential fatty
acids, and antioxidants (Kulshreshtha etal. 2008; Soheili
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Antioxidant, anticoagulant,
anticancer, anti-inflammatory,
immunomodulatory, anti-viral,
antinociceptive, anti-hyperlipidemic, anti-hepatotoxic
Antibacterial, antioxidant, antiinflammatory, anticancer, antifibrotic, anti-angiogenic
Sulfated polysaccharide
-Linolenic
acid (GLA)
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-Carotene
References
Specific effects
Biological properties
Ingredient
Table1Summary of the biological properties and specific effects of the major ingredients of Spirulina
JNK, p38, and IB signaling pathways to exert its antioxidant, immunomodulatory, and anti-inflammatory activities
(Khan etal. 2006; Yogianti etal. 2014).
Several excellent reviews provide valuable knowledge
about the nutritional value and medical uses of Spirulina
(Kulshreshtha etal. 2008; Small 2011; Deng and Chow
2010; Hoseini etal. 2013; Sotiroudis and Sotiroudis 2013).
The nutritional value of Spirulina is well described by
Small (2011); however, the review does not mention medical applications. The antioxidant, immunomodulatory, and
anti-inflammatory activities of the microalgae are only
summarized briefly by Kulshreshtha etal. (2008), Hoseini
etal. (2013), and Sotiroudis and Sotiroudis (2013), who
unfortunately do not provide a global overview of these
activities. The hypolipidemic, antioxidant, and anti-inflammatory activities are well summarized by Deng and Chow
(2010). However, during the last 5years, we have learned
much about the antioxidant, immunomodulatory, and antiinflammatory activities of Spirulina. Moreover, the mechanisms underlying these activities are rarely addressed in
earlier reviews.
Thus, the aim of this review article is to update and
critically review data related to the antioxidant activities of
Spirulina. These data were obtained from both invitro and
invivo studies. We will summarize the immunomodulatory and anti-inflammatory effects of Spirulina. Moreover,
we will examine the mechanisms underlying the antioxidant, anti-inflammatory, and immunomodulatory activities.
Finally, the commercial and regulatory status of Spirulina
in different countries is discussed. We hope this review
will further our understanding of the therapeutic potential
of Spirulina in terms of human disease and clarify data
obtained from functional food studies.
Methods
This review was written after searching several databases,
including Web of Science, Elsevier Science Direct, ProQuest, Springer, Scopus, and Emerald, for papers published
between 1999 and 2016. The searches were performed
using the following key words/phrases: Spirulina, phycocyanin, phycocyanobilin, Spirulina and -carotene, Spirulina
and antioxidant, Spirulina and oxidative stress, Spirulina
and immunomodulation, Spirulina and anti-inflammatory,
and Spirulina and mechanism of activity, Spirulina and
commercial, Spirulina and regulatory. The relevant publications were selected as follows:
1. Identification: identification of key words and, consequently, the availability of the relevant sources;
2. Checks to eliminate duplication;
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Results anddiscussion
Antioxidant activity
Reactive oxygen species (ROS) attack and damage molecules in biological systems, leading to various disorders
and diseases. Thus, oxidative stress plays a role in many
diseases, including hypertension, diabetes mellitus, atherosclerosis, ischemic disease, and malignancy. The lipid
peroxides (LPOs) malondialdehyde (MDA) and 4-hydroxynonenal are important markers of oxidative stress (Yoshikawa and Naito 2002). Recently, much attention has been
paid to the antioxidant potential of Spirulina species. Many
invitro and invivo studies show that treatment with Spirulina significantly reduces oxidative stress. These antioxidant and protective effects are mediated by phycocyanins,
-carotene, and other vitamins and minerals contained
within Spirulina (Abdel-Daim etal. 2013; Upasani and
Balaraman 2003).
In vitro studies
A number of invitro studies have identified the potential
antioxidant activity of Spirulina or its extracts. Qing etal.
(2003) found that the activities of two antioxidant enzymes
contained within Spirulina maxima, superoxide dismutase
(SOD) and catalase (CAT), increased under conditions of
light stress, although SOD was more sensitive to external
stress than CAT. Two other studies report a more complicated relationship between the antioxidant activity of
Spirulina and these antioxidant enzymes (Bermejo-Bescs
etal. 2008; Abd El-Baky etal. 2009). Bermejo-Bescs
etal. (2008) examined the ability of Spirulina platensis to
inhibit lipid peroxidation and its effects on the activities of
SOD, CAT, glutathione peroxidase (GPx), and glutathione
reductase (GR) after exposure of SH-SY5Y neuroblastoma
cells to iron-induced oxidative stress. Spirulina platensis
maintained the activity of cellular antioxidant enzymes
(total GPx, GPx-Se, and GR) and increased the levels of
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reduced glutathione in these cells. Intriguingly, the antioxidant capacity of Spirulina platensis could be enhanced
when exposed to additional environmental stress (Abd ElBaky etal. 2009). For example, Abd El-Baky etal. examined the possibility of increasing the amounts of some
bioactive compounds in Spirulina platensis by cultivating
cells in medium supplemented with varying concentrations of hydrogen peroxide (H2O2). They found a positive
correlation between increasing H2O2 concentrations and
increasing amounts of cellular lipophilic antioxidants (total
carotenoids and -tocopherol) and hydrophilic antioxidants
(glutathione and ascorbic acid). In addition, increasing
H2O2 levels led to a significant linear increase in the activities of antioxidant enzymes in Spirulina platensis, including CAT, peroxidase (PX), SOD, and ascorbate peroxidase
(APx). Thus, Spirulina platensis may be useful for treating
diseases that are aggravated by ROS and for developing
novel treatments for neurodegenerative disorders such as
Alzheimers or Parkinsons disease.
Liver fibrosis is a chronic disease, the therapeutic strategy for which involves inhibiting the proliferation of activated hepatic stellate cells (HSCs) and the subsequent
induction of HSC apoptosis (Wu etal. 2005). Based on this
idea, Wu etal. (2005) examined whether the antioxidant
effects of Spirulina inhibited proliferation of HSCs. Spirulina did inhibit proliferation of HSCs and induced apoptosis after 12h. Similar results were reported by Konckov
etal. (2014) who used invitro cell-based models to examine the anticancer effects of Spirulina platensis. The results
showed that Spirulina not only had anti-proliferative
effects, but also inhibited the production of mitochondrial
ROS and affected glutathione redox status.
Iron accumulation in the brain is involved in the pathogenesis of neurodegenerative diseases, most likely through
iron-induced oxidative damage to neuronal cells (Sagara
etal. 2015). Recently, Japanese scientists (Sagara etal.
2015) reported that Spirulina protects PC12 cells against
iron-induced toxicity. They also found that extracts of
Spirulina showed antioxidant and free radical-scavenging
activities in these cells. Thus, Spirulina extracts may protect against neurodegenerative disorders caused by excessive iron accumulation in the brain.
In addition to cell lines, studies have used tissue
homogenates to assess the antioxidant activity of Spirulina.
Miranda etal. (1998) measured the antioxidant activity in a
brain homogenate incubated with Spirulina or with thiobarbituric acid reactant substances (TBARS; used as a control)
for 1h at 37C. Peroxidation of the rat brain homogenate
was inhibited by almost 95% in the presence of 0.5mg of
the Spirulina-containing methanolic extract.
Taken together, the above studies suggest that Spirulina
has potent antioxidant activity invitro and that this activity
is due to its ability to activate cellular antioxidant enzymes
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production of pro-inflammatory TNF- and IFN-; however, further investigations are needed to fully evaluate the
efficacy of Spirulina platensis in tumor-bearing mice.
Recently, Chen etal. (2014) purified phycocyanin from
Spirulina platensis cultured using power plant flue gas.
The immunomodulatory activity of the purified molecule
was then examined using the murine macrophage cell line,
J774A. They found that phycocyanin increased the secretion of TNF-, IL-1, and IL-6 by J774A cells, along with
the expression of IL-1 and COX-2 proteins. In addition,
both Spirulina platensis and phycocyanin inhibited expression of inflammation-related genes by lipopolysaccharide
(LPS)-stimulated BV-2 microglial cells. In an earlier study,
Chen etal. (2012) showed that LPS upregulated the expression of genes encoding inducible nitric oxide synthase
(iNOS), cyclooxygenase-2 (COX-2), TNF-, and IL-6 in
BV-2 microglial cells. However, exposure to Spirulina or
phycocyanin led to a significant reduction in the expression of these genes. Similar results were reported by Sin
etal. (2014) and Ali etal. (2015), who found that Spirulina
maxima inhibited expression of genes encoding TNF- and
IL-6 in the human cell line CCD-986sk. However, TNF-
gene expression was significantly upregulated when rats
were fed a diet supplemented with glucomannanSpirulina (Vzquez-Velasco etal. 2014). Spirulina also affects
the immune response in healthy, elderly male and female
human subjects. Spirulina supplementation resulted in a
significant rise in plasma IL-2 concentrations in both male
and female subjects, along with a marked reduction in IL-6
concentrations (Park etal. 2008).
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Spirulina fusiformis also showed marked immunosuppressive effects in a series of invivo and invitro studies
(Rasool and Sabina 2009). Mice treated with Spirulina
fusiformis (400 or 800mg/kg) showed significant suppression of immune responses, delayed-type hypersensitivity
reactions, and TNF- production. In vitro, Spirulina fusi
formis (50 or 100mg/mL) reduced mitogen-induced proliferation of T lymphocytes in a concentration-dependent
manner. This situation mimics unrestricted proliferation of
T cells invivo, which occurs in diseases such as arthritis.
Thus, Spirulina fusiformis may form the basis of alternative
treatments for arthritis. Another invivo study showed that
mice treated with salicylate showed a significant increase
in expression of mRNA for N-methyl d-aspartate receptor
subunit NR2B, TNF-, and IL-1 mRNA in the cochlea
and colliculus (Hwang etal. 2013). However, dietary supplementation with Spirulina or phycocyanin led to a significant downregulation of the expression of these immuneand inflammatory-related genes.
Anemia and immunosenescence are common in older
subjects. A working group led by Dr. Gershwin (Selmi
etal. 2011) suspected that Spirulina might ameliorate
anemia and immunosenescence in senior citizens. Therefore, they treated volunteers (>50years old) with Spirulina
for 12weeks. They found that the levels of corpuscular
hemoglobin had increased in both sexes after this time.
Moreover, the majority of subjects showed an increased
indoleamine 2,3-dioxygenase enzyme activity, a sign of
immune function, along with an increased white blood cell
count, after 6 and 12weeks of Spirulina supplementation,
H2O2
Medium containing
H2O2
INS-1E pancreatic
beta cells
Microsomal fraction
Human pancreatic
cancer cells
Oxygen radical
absorbance capacity
(ORAC) assay
PC12 cells
HepG2 cells
EDTA
Iron
2,2-Azino-bis(3ethylbenzothiazoline-6-sulfonic
acid
Phorbol12-myristate13-acetate
Methyl linoleate
Hydrophobic system
or phosphatidylcholine liposomes
In vitro
12h
12h
30min
30min
14days
30min
0.951.81M
550mg/mL
0.21.6mg/mL
1mM
Allophycocyanin and
phycocyanin
24h
24h
60min
200400min
Duration
100200g/mL
Spirulina platensis
2.55M
Phycocyanin
501000g/mL
Zn-Spirulina
28mM
10100M
Phycocyanobilin
Spirulina platensis
Dosing
Component
Spirulina platensis
Prevented the free radical-evoked
DNA degradation and showed
antioxidant and free radical-scavenging activities
Decreased generation of mitochon- Spirulina platensis
drial ROS and glutathione redox
status
The generation of hydroxyl radical, Spirulina platensis
the production of peroxyl radicals, and the lipid peroxidation
process were inhibited
Specific effects
Inducing agent
Object
Experimental
model
Table2Antioxidant activity of Spirulina and its active compounds evaluated in invitro systems, animals, and humans
Cherdkiatikul and
Suwanwong (2014)
Li etal. (2009)
Dartsch (2008)
References
13
13
Lead acetate
Mercuric chloride
Lead acetate
Rat
Rat
CCl4
Rat
Deltamethrin
Senescence-accelerated
prone-8 (SAMP8)
mice
Rat
Aflatoxins
Rat
High-cholesterol
New Zealand white
diet
rabbit with hypercholesterolemia
CCl4
Rat
Animals
Inducing agent
Object
Experimental
model
Table2continued
40days
30days
8weeks
800mg/kg b.w
1g/day/rat
Spirulina platensis
Spirulina maxima
Spirulina fusiformis
30days
10mg/kg b.w
Spirulina
30days
1week
30days
5days
0.5g/day/rat
50200mg/kg b.w
50mg/kg b.w
1000mg/kg b.w
45days
106385mg/kg b.w
Spirulina
Duration
Dosing
Component
Spirulina
Antioxidant, radical scavenging,
and metal-chelating activities
in dose-dependent manner were
observed
The lipid peroxidation and amyloid Spirulina platensis
b-protein deposition was significantly reduced
Decreased lipid peroxidation level, Spirulina
increased GSH content and
upregulated PHGPx gene expression; inhibited DNA damage, and
decreased the percentage of DNA
fragmentation
Specific effects
Ponce-Canchihuamn
etal. (2010)
Jeyaprakash and
Chinnaswamy (2007)
References
1826
Arch Toxicol (2016) 90:18171840
Humans
Experimental
model
Trichloroethylene
Flurode
Mice
Mice
Human
Rat
Rat
Mice
Hamster
Mice
Rat
6-OHDA
Rat
Levels of MDA and NO were
decreased, whereas SOD activity
was increased
Specific effects
3weeks
15g/day
5days
1000mg/kg b.w
4days
28days
1.46g/L
50mg/kg b.w
4weeks
11mg/kg feed
4weeks
10weeks
2weeks
300mg/kg b.w
15mg/kg b.w
500mg/kg b.w
15days
7days
7days
60mg/day
Spirulina
40days
Duration
230mg/kg b.w
700mg/kg b.w
Dosing
Spirulina maxima
Component
Inducing agent
Object
Table2continued
Lu etal. (2006)
El-Tantawy (2015)
Tobn-Velasco etal.
(2013)
Gurbuz etal. (2013)
References
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Exercise
Cadmium chloride
Human
Inducing agent
Object
Spirulina
Spirulina decreased carbohydrate
oxidation and increased fat
oxidation rate, attenuated the
exercise-induced increase in lipid
peroxidation
6g/day
4weeks
Experimental
model
Table2continued
Specific effects
Component
Dosing
Duration
References
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and p38 pathways (Li etal. 2009). In addition, phycocyanin regulates the p38 and ERK1/2 pathways and acts as an
antioxidant and anti-apoptotic agent to attenuate cardiac
dysfunction (Khan etal. 2006). Therefore, the up- or downregulation of MAPK, ERK, JNK, and p38 makes a significant contribution to the antioxidant and anti-inflammatory
activities of Spirulina. However, it must be noted that all of
these studies are preliminary. Further studies should examine the effects of Spirulina on key signaling pathways, such
as the JAK/STAT pathway, and their crosstalk with other
signaling events.
Although no studies have yet examined the potential
crosstalk between signaling pathways activated by Spirulina, recent studies show a close correlation between the
antioxidant and anti-inflammatory activities of this microorganism. Spirulina inhibits the inflammatory response
via both antioxidative and anti-inflammatory mechanisms,
thereby breaking the crosstalk between pathways associated with oxidative stress and those associated with inflammation, and effectively inhibiting NASH progression in a
rat model (Pak etal. 2012). Similarly, the protection against
chronic inflammation afforded by Spirulina maxima is due
to its antioxidant activity (Gutirrez-Rebolledo etal. 2015).
Spirulina platensis inhibits LPS-induced inflammatory
activity in RAW264.7 macrophages by suppressing histone
deacetylases (Pham etal. 2013). Thus, it is clear that there
is a strong relationship between the antioxidant and antiinflammatory activities induced by Spirulina.
In summary, phycocyanin and -carotene are the most
important active compounds in Spirulina and both play a
role in its antioxidant and anti-inflammatory activities. Phycocyanin scavenges free radicals, suppresses iNOS expression and nitrite production, and inhibits lipid peroxidation.
-Carotene protects against singlet oxygen-mediated lipid
peroxidation, blocks the intracellular accumulation of ROS,
and inhibits expression of inflammatory genes. Spirulina
also regulates the ERK1/2, JNK, p38, and IB signaling
pathways, resulting in antioxidant and anti-inflammatory
effects. Future research should examine other key signaling
pathways induced by Spirulina, along with their functional
crosstalk. The mechanisms thought to underlie the antioxidant, anti-inflammatory, and immunomodulatory activities
of Spirulina are presented in Fig.2.
Clinical studies
Potential clinical uses of Spirulina have been intensively
investigated. However, in contrast to the numerous animal
studies, a relative low number of clinical trials have been
carried out to evaluate the antioxidant and anti-inflammatory activities of Spirulina in humans.
To date, few studies evaluating the antioxidant properties of Spirulina have been conducted in humans.
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Specific effects
Component
References
Spirulina
Spirulina, phycocyanin
J774A.1 cells
Phycocyanin
Phycocyanin
Spirulina maxima
Fa/Fa rat
Spirulina-surimi
Rat
Spirulina platensis
Spirulina platensis
Spirulina platensis
Phycocyanin
Spirulina platensis
Spirulina
Spirulina fusiformis
Spirulina platensis
Spirulina platensis
Mice
Mice
Mice
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Table3continued
Object
Specific effects
Component
References
Spirulina
Phycocyanin or Spirulina
platensis
Spirulina platensis
Spirulina
Spirulina
Phycocyanin
Spirulina platensis
Spirulina
Spirulina
Spirulina
Spirulina
Spirulina
Spirulina platensis
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Fig.2Proposed mechanisms underlying the antioxidant, anti-inflammatory, and immunomodulatory activities of Spirulina
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Conclusions
Many preclinical and clinical studies suggest that Spirulina
has antioxidant, immunomodulatory, and anti-inflammatory activities. Normally, these studies are performed in
cell lines, tissue homogenates, and animal models, meaning
that human studies are rare. Spirulina acts by activating cellular antioxidants/enzymes and by scavenging free radicals.
Notably, Spirulina exhibits enhanced antioxidant activity
when stimulated by additional factors that induce oxidative
stress. Animal studies show that Spirulina protects against
oxidative stress by inhibiting lipid peroxidation and preventing DNA damage, by scavenging free radicals, and/or
by increasing SOD and CAT activity. In addition, Spirulina
has gained attention as a promising fish food supplement
due to its antioxidant potential.
Notably, there seems to be a threshold concentration
above which Spirulina will taper off the antioxidant activity; however, more studies are needed to support this assertion. Since Spirulina is an effective antioxidant, it may be
effective against mycotoxins, such as trichothecenes and
fumonisins, which increase oxidative stress. Thus, Spirulina may be a potential treatment for mycotoxin-mediated
intoxication of animals and humans. Although studies in
humans are limited, data suggest that Spirulina prevents
damage to skeletal muscle under conditions of exerciseinduced oxidative stress. As reported in animal studies,
Spirulina ameliorates the effects of heavy metal-induced
toxicity, particularly lead-induced toxicity, which makes it
a potential treatment for heavy metal poisoning in humans.
However, more clinical studies are needed to confirm this.
In addition to its antioxidant activity, Spirulina (and
its major active compound phycocyanin) has a variety of
immunomodulatory and anti-inflammatory activities. It
stimulates the production of antibodies and up- or downregulates genes encoding cytokines (although the cytokines
affected differ depending on which study one reads). This
discrepancy may be due to the different cell lines examined, different sources of Spirulina, and the activity of
other unknown constituents present in the Spirulina preparations. Notably, the antioxidant, anti-inflammatory, and
immunomodulation activities are interrelated. Spirulina
inhibits inflammatory responses via antioxidative and antiinflammatory mechanisms, breaks the crosstalk between
pathways linked to oxidative stress and inflammation, and
effectively inhibits NASH progression.
Currently, our understanding of the functional mechanisms underlying the activities of Spirulina is limited.
We know that phycocyanin and -carotene are important
active ingredients in Spirulina and that they contribute to
its antioxidant, immunomodulatory, and anti-inflammatory
properties. Spirulina regulates the ERK1/2, JNK, p38, and
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