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The Influence of Oxidative Stress, Carcinogens and Cloning on DNA ...

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1.3.3.2 Aristolochic acid (AA)<br />

29<br />

Introducti<strong>on</strong><br />

Not <strong>on</strong>ly the envir<strong>on</strong>mental polluants or food derivative heterocyclic amines form <strong>DNA</strong> adducts,<br />

but also some fungal products c<strong>on</strong>tribute to carcinogenesis (305) such as aflatoxin B1<br />

which is a fungal metabolite produced by Aspergillus flavus <str<strong>on</strong>g>and</str<strong>on</strong>g> related fungi that grow <strong>on</strong><br />

improperly stored foods (306-309) . In additi<strong>on</strong>, aristolochic acid (AA) is a natural product recorded<br />

for its carcinogenicity.<br />

Chinese herbs nephropathy (CHN) (310, 311) is a recently described subacute interstitial fibrosis<br />

which progress rapidly causing permanent kidney damage, including end-stage <str<strong>on</strong>g>of</str<strong>on</strong>g> kidney fail-<br />

ure <str<strong>on</strong>g>and</str<strong>on</strong>g> upper urothelial cancer. It is named also AA nephropathy (312, 313) characterising<br />

nephrotoxicity disease which is associated with the prol<strong>on</strong>ged use <str<strong>on</strong>g>of</str<strong>on</strong>g> chinese herbs in the form<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> slimming pills (312, 314-316) . This syndrome has been traced to aristolochic acid (AA) which<br />

is a major alkaloid <str<strong>on</strong>g>of</str<strong>on</strong>g> isochinoline group extracted from Aristolochica species (316) <str<strong>on</strong>g>and</str<strong>on</strong>g> other<br />

plant species. It is c<strong>on</strong>sisting <str<strong>on</strong>g>of</str<strong>on</strong>g> a mixture <str<strong>on</strong>g>of</str<strong>on</strong>g> structurally related nitrophenanthrene derivatives,<br />

AAI <str<strong>on</strong>g>and</str<strong>on</strong>g> AAII (Fig. 14). <str<strong>on</strong>g>The</str<strong>on</strong>g>y form <strong>DNA</strong> adducts after metabolic activati<strong>on</strong> by simple<br />

reducti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> the nitro group (315, 316) .<br />

O<br />

O<br />

COOH<br />

OMe<br />

NO 2<br />

Aristolochic acid I Aristolochic acid II<br />

C 17H 11NO 7<br />

Mol. Wt.: 341.27<br />

O<br />

O<br />

C 16H 9NO 6<br />

Mol. Wt.: 311.25<br />

COOH<br />

Figure 14: Chemical structures <str<strong>on</strong>g>of</str<strong>on</strong>g> aristolochic acid I (8-methoxy-6-nitro-phenanthro[3,4 -<br />

d][1,3]dioxole-5-carboxylic acid) <str<strong>on</strong>g>and</str<strong>on</strong>g> aristolochic acid II (6-nitro-phenanthro[3,4d][1,3]dioxole-5-carboxylic<br />

acid)<br />

Aristolochia is a large genus <str<strong>on</strong>g>of</str<strong>on</strong>g> plants with over 500 species bel<strong>on</strong>ging to the Birthwort family.<br />

At least 180 kinds <str<strong>on</strong>g>of</str<strong>on</strong>g> the plant family Aristolochiaceae are well-known over the world. It<br />

was <str<strong>on</strong>g>of</str<strong>on</strong>g> great interest by the ancient Egyptians, Greeks <str<strong>on</strong>g>and</str<strong>on</strong>g> Romans (317, 318) . Its nomenclature<br />

was developed from Greek words (Aristos: best) <str<strong>on</strong>g>and</str<strong>on</strong>g> (locheia: birth) meaning ‘correct delivery’.<br />

In the Indian folk medicine, it was given to women in labour to expel the placenta (319,<br />

NO 2

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