Secoisolariciresinol diglycoside (SDG) is a common lignan found in foods, and especially flaxseed and flaxseed-containing foods are rich in SDG(Reference Milder, Arts and van de Putte1, Reference Thompson, Boucher and Liu2). Ingested SDG is metabolised to enterolignans such as enterodiol and enterolactone in both rats and human subjects(Reference Axelson, Sjövall and Gustafsson3–Reference Kuijsten, Arts and Vree5). Epidemiological evidence suggests that consumption of diet rich in lignans may decrease the risk of some chronic diseases such as cancer at multiple sites including breast(Reference Torres-Sanchez, Galvan-Portillo and Wolff6–Reference Velentzis, Cantwell and Cardwell8), prostate(Reference McCann, Ambrosone and Moysich9), thyroid(Reference Horn-Ross, Hoggatt and Lee10), glioma(Reference Tedeschi-Blok, Lee and Sison11) and stomach(Reference Hernández-Ramírez, Galván-Portillo and Ward12). In experimental animal models, ingested purified SDG has been shown to inhibit mammary, skin and colon cancers(Reference Thompson13). In postmenopausal women with newly diagnosed breast cancer, flaxseed ingestion before surgical removal of the tumour increased apoptotic index and decreased c-erB2 score of the cancer tissue(Reference Thompson, Chen and Li14). Accordingly, in prostate cancer patients, flaxseed consumption decreased proliferation and increased apoptotic indices of the tumours(Reference Demark-Wahnefried, Price and Polascik15, Reference Demark-Wahnefried, Polascik and George16). These pilot studies indicate the potential of flaxseed as a neoadjuvant therapy for inhibiting cancer progression in patients. In vivo studies indicate that flaxseed lignan SDG and its metabolites mediate at least part of the anticarcinogenic effects of flaxseed(Reference Thompson, Seidl and Rickard17–Reference Bergman Jungeström, Thompson and Dabrosin21).
Very little is known about the effects of prolonged lignan administration on tissue concentrations. We have shown previously that SDG metabolites are accessible to various tissues in female rats, and that prolonged SDG exposure increased the concentration of lignan metabolites in the liver and adipose tissues(Reference Rickard and Thompson22). However, in the earlier study, the radiolabelled SDG was administered to the animals only once, either at day 1 or at day 10 after feeding the animals unlabelled SDG. It is therefore unclear if the SDG metabolites accumulated in the tissues during the feeding period. There is also a lack of studies comparing the serum and tissue distribution of lignans in males and females. One human pharmacokinetic study performed with a single dose of SDG showed a sex difference in the time to reach the maximum lignan concentration in plasma and the mean residence time(Reference Kuijsten, Arts and Vree5). We hypothesise that the SDG metabolites increase in the serum and accumulate in the tissues after prolonged exposure, and that their levels differ in males and females. Therefore, we determined the excretion and serum and tissue distributions of lignan metabolites after a single-dose and prolonged 7 d (one dose per day) regimen of flaxseed SDG in adult male and female rats. Identifying possible sex differences in lignan tissue distributions is important when assessing efficacy and safety of the compounds. A better understanding of SDG metabolism and lignan tissue distribution after acute and prolonged exposure is needed to identify the target organs for the lignan actions in vivo, and to determine the potential effects for different consumer groups of lignan-containing foods.
Materials and methods
3H-labelled secoisolariciresinol diglycoside
SDG isolated from flaxseed(Reference Rickard and Thompson22) was labelled with 3H into benzyl methylene groups of the molecule by Amersham International (Little Chalfont, Buckinghamshire, UK). Previous studies have shown that the label in this position is stable and not affected by intestinal metabolism(Reference Rickard and Thompson22, Reference Rickard and Thompson23). The radiochemical purity of 3H-SDG was 98·5 %. The specific radioactivity of the product was 999 GBq/mmol as described previously(Reference Rickard and Thompson22).
Animals, diets and experimental design
Eight-week-old male (n 18) and female (n 18) Sprague–Dawley rats were obtained from Charles River (St Constant, PQ, Canada). An American Institute of Nutrition-93G-based diet(Reference Reeves, Nielsen and Fahey24) modified to contain 20 % fat was used as a basal diet in the study. The high fat content was used to mimic a Western diet. The diet consisted of casein (200 g/kg), l-cystine (3 g/kg), sucrose (100 g/kg), maize starch (301·06 g/kg), dextrose (99·5 g/kg), soyabean oil (200 g/kg), t-butylhydroquinone (0·04 g/kg), cellulose (50/kg), American Institute of Nutrition-93G mineral mix (35 g/kg), American Institute of Nutrition-93G vitamin mix (10 g/kg) and choline chloride (1·4 mg/kg). After 1-week acclimatisation to high-fat American Institute of Nutrition-93G diet, the rats were weighed daily, and were gavaged accordingly per os once per day with 3H-SDG (3·7 kBq/g body weight) and unlabelled SDG (5·3 μg/g body weight) in 1 ml of distilled water. Serum and tissue samples (liver, kidneys, bladder, spleen, lungs, brain, thymus, heart, muscle, interscapular subcutaneous (s.c.) and ventral intraperitoneal (i.p.) adipose) were collected from all the rats at 0, 12 and 24 h after a single lignan dose and after the last dose of 7 d lignan administration (three rats per sex at each time point). The body weights of female and male rats were 214 (se 4) and 352 (se 4) g after 1 d exposure (n 9 for both sexes) and were 244 (se 4) and 419 (se 4) g after 7 d exposure (n 9 for both sexes). In rats, interscapular s.c. adipose tissue consists mainly of brown adipose, while i.p. adipose tissue is white. Additionally, testis, seminal vesicles (without secretion), coagulating glands and ventral prostate were collected from male rats, and mammary gland, ovaries, vagina and uterus were collected from female rats. The individual rat urine and faecal samples were collected from the metabolic cages. During the collection period, rats had access to water and basal diet ad libitum. The weight or volume of the collected samples was recorded, and the samples were stored at − 20°C until analysis.
Sample preparation and liquid scintillation counting
The radioactivity of the samples, i.e. all lignan metabolites of administered 3H-SDG, was measured using an earlier described method(Reference Rickard and Thompson22, Reference Rickard and Thompson23) with slight modifications. Depending on the size and the fat content of the analysed tissue, the samples were dissolved in 0·5 or 0·7 ml of 1 m-hyamine hydroxide in methanol (9:1, v/v; Packard Bioscience B.V., Groningen, The Netherlands), and were incubated overnight in a shaking water bath at 45°C. A sample of dissolved tissues (50–100 μl), sample of faeces homogenised in distilled water (100 μl), or serum and urine samples (50 μl) were mixed with 5 ml of scintillant (Cytoscint ES, ICN Biomedicals, Costa Mesa, CA, USA). Duplicate samples were counted for 5-min periods using the TRI-CARB 2900 TR liquid scintillation analyser (Packard Instrument Company, Meriden, CT, USA).
The counting efficiencies in different tissues varied from 48 (spleen) to 77 % (ovaries and uterus). The results were corrected for counting efficiency, possible losses in sample preparation, and chemical and colour quenching as described previously(Reference Rickard and Thompson22). The measured radioactivity in samples was converted to picomole equivalents of 3H-SDG by dividing it by the specific activity of the radioisotope. The percentage of radioactivity excreted in faeces and urine or recovered in tissues was calculated by dividing the 24 h total radioactivity excretion or recovery in tissues by the amount of gavaged radioactivity (the dose administered 24 h before sample collection) × 100. Specific tissue recovery of radioactivity was also estimated as a percentage of the sum of all tissue recoveries, i.e. specific tissue picomole value divided by the sum of picomole values of all measured tissues × 100.
For some of the organs with the highest recovered radioactivities, contributions of residual blood as percentage of tissue radioactivity were calculated according to the data published by Smith(Reference Smith25). The residual blood content values (ml/g of tissue) used for residual blood content in liver, brain, kidneys, heart and spleen were 0·182, 0·037, 0·209, 0·243 and 0·157, respectively(Reference Smith25). The proportion of serum was calculated to account for 65 % of the rat blood volume(Reference Lee and Blaufox26).
Ethical approval of the study
Animal care and all experimental procedures in the study were approved by the University of Toronto Animal Ethics Committee, and were performed according to the Guide to the Care and Use of Experimental Animals(27).
Statistical analyses
The statistical analyses were performed using Statistica software for Windows (StatSoft, Tulsa, OK, USA). Because the distribution of the radioactivity data was normal as determined using the Shapiro–Wilk test, the differences in radioactivity content in different tissues were analysed with one-way ANOVA followed by post hoc Tukey's test. The acceptable level of significance was set at P ≤ 0·05 for all the analyses.
Results
Excretion of lignans into urine and faeces
In both male and female rats, most of the radioactivity was excreted in faeces (40–83 % of the administered dose) and urine (1·2–5·2 % of the administered dose) during the 24 h period after both 1 d (a single dose) and 7 d (one dose per day) administration of SDG (Fig. 1). After a single dose, majority of the urinary radioactivity was excreted by the first 12 h, but after a subchronic (7-d) exposure, urinary radioactivity excretion continued to increase for 24 h (Fig. 1(A)). In faeces, however, after both acute and subchronic exposure, most of the radioactivity was excreted after 12 h of the last dose (Fig. 1(B)). Prolonged SDG exposure significantly increased the urinary and faecal lignan excretion in both male and female rats compared with acute exposure (Fig. 1). No significant difference in urinary or faecal radioactivity excretion was observed between sexes.
Serum radioactivity
In both female and male rats, the serum 3H concentrations were significantly increased 12 h after a single 3H-SDG dose, and remained constant for 24 h (Fig. 2). The prolonged lignan exposure increased the serum radioactivity significantly in both male and female rats, and the levels remained constant during the 24 h period (Fig. 2). No differences in serum radioactivity levels were measured between sexes (Fig. 2).
Tissue distribution of lignans
After a single dose of 3H-SDG (1 d exposure), the radioactivity concentrations were similar after 12 and 24 h in all the measured tissues in both sexes except in the male bladder that contained higher 3H activity at 12 h time point (Fig. 3(A)). The 7 d prolonged SDG administration significantly increased the lignan concentrations in all tissues (P < 0·05) compared with the 1 d exposure. In males and females, the highest 3H tissue concentrations were measured 12 h after the last 3H-SDG dose in muscle, thymus, spleen, liver, bladder, and brain. In addition, heart in males and s.c. adipose tissue and lungs in females had the highest radioactivity at 12 h. In males, the tissue 3H concentrations were high after 12 and 24 h in skin, kidneys and lungs, and in females, they were high in skin and kidneys. However, the radioactivity concentration remained constant over 24 h in i.p. adipose tissue. The highest radioactivity concentrations were measured in female heart tissue after 7 d 3H-SDG exposure (P < 0·05), and they remained similar over the 24 h period (Fig. 3(B)). The lowest radioactivity concentrations were found in adipose tissues in both sexes (P < 0·05) (Fig. 3). In all tissues, the radioactivity concentrations were lower than those in the serum.
Differences in tissue lignan distribution between males and females
Twelve hours after a single SDG dose, male bladder contained significantly higher lignan concentrations than female bladder (Fig. 3(A)). All other sex-related differences in tissue lignan distribution were observed after 7 d SDG exposure, and the concentrations were higher in females than in males. Females had higher tissue lignan concentrations in thymus and heart at all time points, while in lung tissue, the lignan concentrations were higher at 0 and 12 h (Fig. 3(B)). In female muscle tissue, the lignan concentration was higher than that in males at 0 h, and that in s.c. adipose tissues at 12 h (Fig. 3(B)). In all other measured tissues, the lignan concentrations were similar in both sexes.
Lignan distribution in female and male reproductive tissues
Similar to non-reproductive tissues, prolonged 3H-SDG administration significantly increased (P < 0·05) the radioactivity concentrations in all female (Fig. 4) and male (Fig. 5) reproductive tissues. In females, the mammary gland had the lowest and the vagina had the highest tissue lignan concentrations (P < 0·05) (Fig. 4(B)). After prolonged exposure, the tissue 3H concentrations in ovaries, uterus and mammary gland remained similar over the 24 h period (Fig. 4(B)). In males, the highest radioactivity concentrations were observed in seminal vesicles 12 h after the last 3H-SDG dose of 7 d exposure (Fig. 5(B)). Testis, seminal vesicle and ventral prostate also had the highest radioactivity concentrations at 12 h, and coagulating glands had the highest radioactivity concentrations at 24 h after the last lignan dose (Fig. 5(B)).
Organ distribution of lignans
As expected, in both sexes, liver contained majority of the recovered tissue radioactivity after both a single-dose (53–56 % in males and 51 % in females) and multiple-dose (one dose per day for 7 d) administration (48–56 % in males and 50–55 % in females) (Table 1). However, significant proportions of the 3H activity were also recovered in brain and kidneys (8–16 and 6–11 %, respectively). In male reproductive organs, testes contained majority (6–11 %) of the recovered tissue radioactivity, and in females, uterus contained up to 1·2 % of the recovered tissue radioactivity (Table 1).
* Picomole value of specific tissue divided by the sum of picomole values of all measured tissues × 100. n 3 per time point.
The percentage of radioactivity recovered of the administered 3H-SDG dose was relatively low in all organs (Table 1). Liver contained up to 2·1 % of the administered dose, while in all other tissues, the recovery was below 1 %. There were no significant differences in organ weights adjusted for the body weight of 1- and 7 d SDG-administered male or female rats (data not shown). At necropsy, no visible changes in tissue colour or texture were observed in rats exposed to SDG compared with non-exposed animals.
In individual samples of liver, spleen, kidneys, heart and brain, residual blood accounted for 13–22, 11–23, 15–28, 14–30 and 2–5 % of the measured radioactivity, respectively. No statistically significant differences in the tissue residual blood radioactivities between sexes or duration of lignan exposure were observed.
Discussion
SDG is known to be metabolised by human intestinal microbiota to secoisolariciresinol and then to enterolignans enterodiol and enterolactone(Reference Clavel, Borrmann and Braune28, Reference Liu, Saarinen and Thompson29) that are found in urine, faeces and serum of SDG-exposed rats and human subjects(Reference Axelson, Sjövall and Gustafsson3–Reference Kuijsten, Arts and Vree5, Reference Saarinen, Smeds and Mäkelä30). The present study has shown for the first time increased tissue lignan concentrations in rats after prolonged (7-d) SDG exposure compared with acute (1-d) exposure regimen and lignan accumulation in specific tissues. Moreover, tissue-specific sex differences in lignan distribution were observed.
The majority of the radioactivity was excreted in urine and faeces after 1 d 3H-SDG administration, which was further increased after prolonged lignan exposure, in agreement with previous studies(Reference Rickard and Thompson22, Reference Smeds, Saarinen and Hurmerinta31). In the present study, the urinary and faecal excretion of lignans was similar in males and females. However, while the faecal excretion was similar to, the urinary excretion of SDG-derived lignans at 24 h was about two times less than that in our previous study in female rats(Reference Rickard and Thompson22), but was similar to that in male rats(Reference Smeds, Saarinen and Hurmerinta31). As in human subjects, the urinary excretion of lignans varies significantly between rats. The lignan excretion may vary few folds even between the littermates housed and treated in similar conditions and having the same basal diet (unpublished results from our laboratory). The 40 % urinary excretion observed in human subjects fed SDG extract(Reference Kuijsten, Arts and Vree5) was higher partly because it was based on cumulative urinary excretion at up to 48–72 h instead of 24 h. The difference in urinary excretion of SDG in rats and human subjects or pigs may be explained in part by individual differences in lignan uptake, liver metabolism and biotransformation capability of ingested lignans by gut microbiota.
In the previous study(Reference Rickard and Thompson22), majority of faecal radioactivity was excreted during the first 12 h after a single 3H-SDG dose, while in the present study, a majority was excreted after 12 h. This may be due to the fact that rats in the previous study were fasted before SDG administration, which may have resulted in faster faecal excretion, while rats in the present study were not fasted. In 7 d exposed rats, majority of lignans were excreted in urine 12–24 h after the last SDG dose, indicating delayed excretion compared with acute exposure when most of the lignans were excreted during the first 12 h.
Prolonged exposure to SDG increased serum lignan levels approximately 4-fold in both male and female rats. This concurs with previous studies with flaxseed showing increased plasma and serum enterolignan concentrations in human subjects after prolonged flaxseed consumption(Reference Nesbitt, Lam and Thompson32, Reference Tarpila, Aro and Salminen33). In rats in the present study, the serum lignan concentrations levelled off after 7 d SDG administration. Accordingly, in women consuming daily 25 g of flaxseed, no significant differences in the plasma enterolignan levels were observed within the eighth day of flaxseed consumption(Reference Nesbitt, Lam and Thompson32), indicating that approximately 1-week exposure to flaxseed or SDG is sufficient to stabilise the serum enterolignan concentrations. Moreover, the radioactivity concentrations in serum were always higher than those in tissues. However, after 7 d 3H-SDG exposure, the tissue radioactivity concentrations remained elevated at 24 h time point compared with 0 h time point in skin and kidney in both sexes, and in s.c. adipose tissue, muscle, spleen, lung, brain, heart, seminal vesicles, testis and ventral prostate in males. The further increase in the tissue lignan concentrations after serum concentration has plateaued indicates slow tissue-specific lignan accumulation and the possibility for tissue concentrations higher than those in serum after long-term exposure. When sesaminol triglucoside, which like SDG can be metabolised to enterolignans, was administered to rats at a high dose (1500 mg/kg per d), caecal and colon tissue enterolignan concentrations exceeded those of plasma(Reference Jan, Hwang and Ho34). Also in men, higher concentrations of enterolignans in prostate tissue than in plasma have been reported(Reference Hong, Kim and Kwon35). These findings by others and the accumulation of SDG-derived lignans in specific tissues in the present study suggest an active transport mechanism of lignans. Thus, serum concentrations alone do not fully reflect the concentrations in specific tissues.
The specific metabolites of 3H-SDG were not measured in the present study, but our previous study(Reference Rickard and Thompson23) has shown that the radioactivity in urine after feeding 3H-SDG is from enterolactone (10 %), enterodiol (55 %) and secoisolariciresinol (13 %), with the rest from four unidentified metabolites. Whether the plasma and tissue levels of different lignan metabolites in the present study follow the same distribution as previously seen in urine remains to be explored.
Significant radioactivity concentrations were found in brain tissue after 3H-SDG administration, indicating access of the lignan metabolites across the blood–brain barrier. This concurs with our previous study in rats(Reference Rickard and Thompson22) and athymic mice(Reference Saarinen, Power and Chen36). Enterolactone has been detected in the brain of sesaminol triglucoside-administered rats(Reference Jan, Hwang and Ho34) and rye-fed pigs(Reference Lærke, Mortensen and Hedemann37) although the concentrations were low.
The significant access of lignans into tissues such as heart, brain, lung and prostate indicates the possibility for local effects. In hypercholesterolaemic rats, dietary SDG has been shown to enhance neovascularisation of infracted myocardium(Reference Penumathsa, Koneru and Zhan38). SDG and its metabolites have been shown to inhibit lipid oxidation(Reference Kitts, Yuan and Wijewickreme39, Reference Hu, Yuan and Kitts40), which is considered an important factor for developing many neurological disorders(Reference Adibhatla and Hatcher41). In mice, dietary flaxseed decreased pro-oxidant-induced inflammation and lipid peroxidation in lung tissue(Reference Kinniry, Amrani and Vachani42). Lignans in prostate tissue may be locally involved in reported alleviation of benign prostatic hyperplasia symptoms in men(Reference Zhang, Wang and Liu43) as well as in the inhibition of prostate carcinogenesis after flaxseed supplementation in mice(Reference Lin, Gingrich and Bao44) and patients(Reference Demark-Wahnefried, Price and Polascik15, Reference Demark-Wahnefried, Polascik and George16). We have shown previously in mice that SDG metabolites accumulate in human breast cancer tumours(Reference Saarinen, Power and Chen36), indicating increased uptake of lignans into tumour tissue, and exert antitumourigenic effect.
In rats, s.c. adipose at interscapular region contains mainly brown adipose tissue, while i.p. adipose tissue is white. We found a difference in the lignan concentrations between s.c. and i.p. adipose tissues, indicating that lignan uptake or accumulation between different adipose types may vary. Our study indicated for the first time sex differences in total lignan concentration in specific tissues. After prolonged 3H-SDG exposure, higher radioactivity concentrations in heart, thymus, lung, muscle and s.c. adipose tissues were observed in female rats. Indeed, the radioactivity concentrations in heart and thymus were higher in females than in males at all time points measured. A sex difference in total production of lignan metabolites, intestinal absorption or serum kinetics is an unlikely explanation, as no differences in serum, urine or faecal concentrations were observed between males and females. It is possible, however, that the pharmacokinetics of lignans differs between sexes in these particular tissues, and may result in diverse treatment responses between sexes. Thus, identification of those tissues with a sex difference in lignan concentrations is important when assessing their effectiveness as well as safety.
In the present study, the calculated contribution of tissue residual blood to tissue radioactivities was low, did not differ significantly between sexes and duration of exposure and did not explain the observed differences between sexes or tissue distributions.
In conclusion, prolonged 3H-SDG exposure increased radioactivity excretion and serum and tissue concentrations in both males and females. The significant access of SDG metabolites into tissues indicates the possibility for local effects in situ. In specific tissues, accumulation still occurred after 7 d exposure regimen when serum concentrations were already stabilised, indicating that serum concentrations alone do not fully reflect specific tissue concentrations. Moreover, observed sex differences in lignan tissue distribution indicate the possibility for distinct treatment responses in males and females. These findings will facilitate the identification of target tissues of lignan actions, and will help in the better understanding of the mechanisms of lignan action in vivo.
Acknowledgements
This work was supported by Natural Sciences and Engineering Research Council of Canada Grant A9995 (L. U. T.), National Technology Agency of Finland, TEKES (40285/02) and Academy of Finland (115459/06) (N. M. S.). The authors have no conflicts of interest. Both the authors designed the study and wrote the paper. The laboratory work was conducted by N. M. S.