Open access peer-reviewed chapter

Biological Role of Withania somnifera against Promiscuity of Zinc Oxide Nano Particles and Its Interaction with Macrophages

Written By

Jitendra Kumar, Chander Datt, Surya Kant Verma and Kavita Rani

Submitted: 13 June 2019 Reviewed: 14 October 2019 Published: 03 January 2020

DOI: 10.5772/intechopen.90128

From the Edited Volume

Biochemical Toxicology - Heavy Metals and Nanomaterials

Edited by Muharrem Ince, Olcay Kaplan Ince and Gabrijel Ondrasek

Chapter metrics overview

1,041 Chapter Downloads

View Full Metrics

Abstract

In agriculture and food industry, nanotechnology can be utilized to improve crop yield, food quality, shelf life, safety, cost and nutritional benefits. Zinc is a trace element and its deficiency causes health problems in human beings and animals. The use of zinc oxide nanoparticles (ZnO NPs) is growing exponentially in food industry, biomedicine and nanofertilizer segment. A remarkable presence of nanomaterials in ecosystem and consumer products can cause adverse effects. Hence, it is an important challenge for the use of nanoparticles in agriculture as fertilizer to enhance plant yield on one hand and their interaction with the cells of the innate immune system in animals on the other hand. So, public concern about their potential toxicity is increasing. ZnO NPs interact with cells and produce harmful effects in a dose dependent manner. The reactive oxygen species generation might be a reason for the toxicity of ZnO NPs. The toxicity is caused due to dissolved Zn++ ions by absorption which causes adverse effect on phagocytosis and oxidative stress by free radical while Withania somnifera induced the phagocytosis activity by antioxidant mechanism thus having protective effects. It is emphasized that further research is needed on the use of nanoparticles in agriculture, animal husbandry, and human health sector so that their safer levels for use could be ascertained.

Keywords

  • agriculture
  • immunotoxicity
  • macrophages
  • nanofertilizer
  • nanoparticles
  • Withania somnifera
  • zinc oxide

1. Introduction

Nanotechnology is an emerging technology which can lead to a new revolution in many fields of science [1]. Nanoparticles (NPs) are gaining importance recently due to their exciting applications in different fields like biomedical, pharmaceutical, agriculture, etc. The properties of the materials change as their size approaches the nanoscale, and nanoparticles have a very high surface area to volume ratio and high energy. Application of nanoparticle in the agriculture and food sectors is relatively new as compared to their use in health sector.

In India, more than 60% of the population survive on agriculture, but unfortunately this sector is facing various global challenges. Therefore, nanotechnology has a dominant position in transforming agriculture and food industry. Nanotechnology has a great ability to transform conventional agricultural practices and boost yield and growth of corps. Zinc oxide NPs (ZnO NPs) are used as fertilizer which support their growth and improves production [2].

Zinc oxide NPs may be used as a source of Zn in supplements and functional foods [3]. ZnO NPs also act as antimicrobial agents against harmful bacteria. The antimicrobial activity of ZnO NPs has been partly attributed to their ability to penetrate into microbial cells and animal cells and generate reactive oxygen species (ROS) that damage cellular components thereby leading to cytotoxicity [4]. A single oral dose of ZnO NPs caused hepatic cell injury, kidney toxicity, and lung damage [5]. The studies in frogs showed that ZnO NPs exhibited more toxicity than a dissolved form of Zn which was attributed to their greater ability to induce oxidative damage in cells [6]. The administration of ZnO NPs increased all liver enzymes [7]. In this chapter, we attempted to explore the potential use of nanoparticles in agriculture, biological, and pharmacological significance of Withania somnifera against the promiscuity of zinc oxide ZnO NPs and their interaction with macrophages.

Advertisement

2. Use of zinc oxide nanoparticles in agriculture and animal husbandry

2.1 ZnO NPs and their potential use in agriculture

Once nanomaterials (NMs) are released to the environment, they accumulate in ecosystems and pose threats to living organisms; therefore, it is important to understand the behavior of NMs in soil and to assess the risks for arable soil ecosystems [8]. About 260,000–309,000 metric tons (MT) of NMs were produced globally in 2010 [9], and worldwide consumption of NMs is likely to grow from 225,060 to 585,000 MT during 2014–2019 [10]. The third most commonly used metal-containing NMs are ZnO NPs with an estimated global annual production between 550 and 33,400 tons [11]. The concentration of ZnO NPs in the environment was found to be 3.1–31 μg kg−1 and 76–760 μg L−1 in soil and water, respectively [12]. ZnO NPs can strongly attach to soil particles. They exhibit low mobility at various ionic strengths [13] and show higher sorption compared to ionic zinc, and possible uptake mechanism has been illustrated in Figure 1.

Figure 1.

Plant uptake, transport and environmental transformation mechanism of nanofertilizer (ZnO NPs) into ecosystem and entry in food chain [14, 15]. Designed by first author using Google as tool.

2.2 Effects of ZnO nanoparticles on animal health

Unplanned use of ZnO NPs as nanofertilizer in agriculture leads to their entry in the food chain, and ultimately nanofertilizers enter in the body directly or indirectly, and their interaction with immune cells may have deleterious effects. The effects of ZnO NPs on the immune system are not completely understood. Some researchers postulated that increased cytosolic Zn2+ and the generation of ROS play important roles [16]. In innate immune, cells recognize ZnO NPs via toll-like receptors (TLR) which bind to corresponding antigens ZnO NPs and activate signal transduction pathway and inflammatory response. The ZnO NPs induce apoptosis and necrosis in macrophages in relation to their important role in the clearance of entered particulates and the regulation of immune responses during inflammation.

Withania somnifera (L.) Dual (Solanaceae) Indian ginseng or Indian winter cherry is a medicinal plant. Different parts of the plant have been used in Ayurvedic medicine formulations. Withaferin A is a steroidal lactone found in the leaves and roots of W. somnifera. The biological properties of crude root extracts have been largely reported and only a few are related to the pure compound (withaferin A) as immunomodulatory function.

Advertisement

3. Immunological health importance of zinc as microelement

Zinc is crucial for normal development and function of cells mediating innate immunity, neutrophils, and natural killer cells (NKs). Phagocytosis, intracellular killing, and cytokine production are affected by Zn deficiency. Zinc is a micronutrient required by organisms and plays a vital role in maintaining immune and macrophage function. There is a progressive decline in immune response with the advance in aging due to the deficiency of Zn [17]. There is impairment of monocytes, reduced cytotoxicity in NK cells, and reduced phagocytosis in neutrophils [18]. Zinc is also a major intracellular regulator of lymphocyte apoptosis [19]. Impaired immune function in elderly subjects due to Zn deficiency has been shown to be reversed by an adequate Zn supplementation [18]. The beneficial effects of lower doses of Zn (≤ 50 mg/d) on immune function have been reported while very high doses of Zn (≥ 150 mg/d) may impair cellular immunity [20].

Advertisement

4. Mechanism of innate immunity in animals

The defense system is the bedrock of living systems and innate immunity is an integral part of health. It is the first line of the defense mechanism of the body from lower organism to mammals. Any alteration in innate immunity leads to disease conditions; however, adaptive immunity plays a great role in defense mechanism. Innate immunity has two arms, i.e., the afferent and efferent. The afferent arm is lipopolysaccharide (LPS) or endotoxin [21]. As to the effector arm of innate immunity, Hunter (1774) first recognized leukocytes at the site of inflammation. The cellular theory of immunity was given by Metchnikoff, 1884 [22] and must be recognized in the functional analysis of innate immune cells. Massart and Bordet had showed that injured cells secrete chemicals that attract phagocytes in 1917. The myeloid cells in invertebrates’ are precursors of the innate immunity. Macrophages are professional immune cells that engulf and destroy foreign particles. Myeloid cells include mononuclear phagocytes and polymorph nuclear phagocytes. Macrophages are mononuclear phagocytes derived from blood monocytes. Macrophages are distributed in all parts of the body of the host and also present within the parenchyma of the heart, lungs, liver, brain, and peritoneal cavity. Pathogens invading the host body through any route are killed by macrophages. Macrophages have the potential ability of supervisory of innate immunity. Reactive oxygen intermediates are produced in phagosomes of neutrophils and macrophages. Superoxide radicals (O2) are generated by the p91 subunit of cytochrome form (O2) [23]. Superoxide (H2O2) is produced from O2 anions where superoxide dismutase is the catalytic enzyme.

2O2+NADPHoxidase2O2+NADP+H+E1
2H++2O2=H2O2+O2E2

Hypochlorous acid (HO Cl), a reactive halide, is produced from H2O2 by the action of myeloperoxidase. These radicals not only kill microbes directly but also generate other metabolites for this purpose, and singlet oxygen can be generated by O Cl, the former being strangely reactive with C: C double bands. Hydroxyl radicals can be produced where HO Cl react with superoxide.

Cl+H2O2+H+=HOCl+H2OE3
O2+HOCl=O2+OH+ClE4

Therefore, hydroxyl radical (OH•) could be produced were agent using upper oxide as substrate, reactive nitrogen species (NO•) can be produced.

O2+H2O2=OH+OH+O2E5
O2+NO=ONOOE6

Complement, lactoferrin, lysozyme, and antimicrobial peptides are the humoral component of innate immunity. Lysozyme present in the saliva and tear inhibits the cell wall synthesis in bacteria. Complement is an enzymatic proton which plays an important role in innate immunity. Antimicrobial peptides and C-reactive proteins (CRP) are also having defense ability by disrupting plasma membrane.

Advertisement

5. Macrophages and their roles in animal health

The macrophages are mononuclear phagocytes and are committed progenitor cells in the bone marrow [24]. There are mainly two types of phagocytic cells, namely, macrophages and dendritic cells (DCs), which have similar cell surface receptors but different functional activities which are short-lived, and their life span depends on the nature of immune response [25]. All types of macrophages are differentiated from circulating monocyte and DCs by their expression of Fc, F4/80, and CD11b receptors. Macrophages are the main inducers of the adaptive T cell responses. Macrophages are skilled in scavenging dead cells, cellular debris, phagocytosis, and remodeling after tissue injury [26]. Their names and phenotypes vary based on their anatomical location. Physiological characters and significant roles of macrophages are listed in Table 1 [27].

Table 1.

Physiological characters and significant roles of animal macrophages.

There are three main subtypes of macrophages: one is classically activated M1 macrophages which play an important role in host defense and antitumor immunity, while another one is M2 macrophages, the suppressor and regulator of wound healing. Third type is M3 which are phagocytic cells that continuously express different types of receptors that facilitate removal of necrotic tissue, aged red blood cells, and toxin molecules from the circulation. Macrophages maintain tissue homeostasis, while macrophages and DCs act as sentinel cells for the immune response [26]. Neutrophils are recruited and inflammation is promoted by mediators as indicated by macrophages [28]. Last main classes of macrophages are known as regulatory macrophages and are similar to suppressive M2 macrophages [29]. Regulatory macrophages are induced by toll-like receptor (TLR) agonist in the presence of prostaglandin, apoptotic cells, and immunoglobulin G (IgG) immune complexes and defined the release of the immunosuppressive cytokines IL-10 and TGF-1 [29]. Regulatory macrophages are poor antigen-presenting cells (APCs) and have the inclination to induce TH2 and regulatory T cell responses that can further suppress antitumor and chronic inflammatory responses.

5.1 Significance of macrophages in innate immunity

The macrophages are important cells of immune system that function in innate and adaptive immunity and can play major role in the protective and pathogenic activity. Different types of pattern recognition receptors including biosensor like C-type lectin receptors, helicase RIG like receptors, NOD-like receptors and TLRs are expressed in macrophages.

The invading pathogens, foreign substances (ZNFs, silica, and stone dust particle), microbes and dead and dying cells are recognized by these receptors as a danger signal [30]. Adaptors induced signaling causes myeloid differentiation and regulation of inflammatory vesicle formation activity. This cascade further triggers antimicrobial activity of M1 macrophages by stimulating the production of cytokines TNF and IL-1 [31]. Apart from innate immunity, macrophages also play an important role in wound healing [32].

5.2 Promiscuity and interaction of zinc oxide nanoparticles with macrophages

The ZnO NPs have been engineered, synthesized, and commonly used in products including sunscreens, cosmetic products, food and medical materials. These play a significant role in the biomedical area for disease diagnosis and therapy [33]. ZnO NPs are also widely used in the food industry and as nanofertilizer in agriculture. The wide application of ZnO NPs increased the chance of human and animal’s exposure [34]. They can be absorbed into the body and redistributed into various organs after environmental exposure [34]. Hence, the safety assessment of nanoparticle is mandatory. The ZnO NPs can influence the immune system and affect the process of diseases and the emergency responses of immunity governed by macrophages [35]. ZnO NPs are foreign particles, and the macrophages play an important role in the recognition, processing, and removal of ZnO NPs [36]. The ZnO NPs interact with soluble proteins to form a halo corona that affects NP activity. The composition of protein coronas varies according to the size of NPs [37]. Protein coronas of NP surface have two layers including hard corona nearer to the NP surface and soft corona composed of reversibly adsorbed materials and large-size NPs phagocytized by macrophages through nanoparticle protein complexes corona. ZnO NPs deflate phagocytosis of macrophages and show cytotoxic and bactericidal activities by enhancing oxidative stress which may disrupt bacterial outer cell membrane and causes cell apoptosis. The ZnO NPs also inhibit nitric oxide (NO) production through the NF-Kβ signaling. NO reduces ZnONPs toxicity in rice seedlings by regulating oxidative damage and antioxidant defense systems [38].

5.3 Mechanism of ZnO NPs induced toxic effects on cells of immune system

The effects of ZnO NPs on the immune system depend on their physicochemical properties [39]. A nanotoxicological effect of NPs depends on the size, size distribution, surface area, electrostatic charge, and solubility [40]. The ZnO NPs are more water-soluble which result in more dissolution of toxic ions and ROS production [41]. ZnO NPs undergo endocytosis into the macrophages cells, dissolve into bioavailable zinc ion, and increase oxidative stress through ROS which cause immunotoxicity. The important factor for the immunotoxicity of ZnO NPs is ROS. Intracellular ROS production has at least some contribution in cell death induced by ZnO NPs [42, 43].

Advertisement

6. Effect on epithelial barriers of innate immunity

The important components of the innate immune system are epithelial barriers, phagocytic cells (dendritic cells, polymorphonuclear leukocytes, monocytes/macrophages), phagocytic leukocytes, basophils, mast cells, eosinophils, natural killer cells, circulating plasma proteins. TLR is the main signaling in the innate immunity which induce expression of inflammatory gene. Metal oxide nanoparticles trigger the TLR signaling pathway.

Advertisement

7. The innate immune system and role of TLRS signaling pathway

The innate immune system relies on the recognition of pathogen-associated microbial particles (PAMPs) through a limited number of germ line-encoded pattern recognition receptors belonging to the family of TLRs [44]. The activation of TLR signaling induces cytokines production and phagocytosis of macrophages along with catalytic activity of NK cells. More importantly, TLR signaling activation can also enhance antigen presentation via upregulating the expression of major histocompatibility complex (MHC) and co-stimulatory molecules (CD80 and CD86) on dendritic cells leading to adaptive immunity activations. Nanoparticles enhanced TLR signaling pathways which act as adjuvants [45]. The TLR antagonists or inhibitors that reduced the inflammatory response would have beneficial therapeutic effects in autoimmune diseases and sepsis [46].

7.1 Effect of NPs on TLR signaling of innate immunity health

The TLR is a type I transmembrane receptors which contain an N-terminal domain (leucine-rich repeat) and a C-terminal toward cytoplasm. When macrophage receptors recognized PAMP, TLRs recruit a TIR domain such as MyD88 and TRIF and initiate signaling events called downstream signaling by the secretion of different inflammatory molecules (chemokines, inflammatory cytokines, and IFNs I) [47]. The TLR signaling is responsible for the transcription of inflammatory and immune responses genes [48]. ZnO nanoparticles induced MyD88-dependent proinflammatory cytokines via a TLR signal pathway [49]. The TLRs may have important roles in NP uptake and for their cellular response which is directly proportional to the size of NPs.

7.2 Effects of NPs on phagocytic cells

Macrophages and dendritic cells have phagocytic activity; hence they readily uptake nanoparticles. Therefore, magnetic nanoparticles and nanoparticles-based PET agents were usually used for the visualization of macrophages in human diseases (cancer, atherosclerosis, myocardial infarction, aortic aneurysm, and diabetes).

Advertisement

8. Indian ayurvedic medicinal plant: Withania somnifera

Withania somnifera (Ashwagandha), an Indian Ayurvedic medicinal plant, is a green shrub and belongs to the Solanaceae family. For over 3000 years, Indians cultivated and applied its whole plant extract or separate constituents in Ayurvedic and indigenous medicine [50]. It was shown to have anti-inflammatory, antitumor, anti-stress, antioxidant, immuno-modulatory, hematopoietic, and rejuvenating properties thus benefiting the endocrine, cardiopulmonary, and central nervous systems [51]. It inhibits immunologically induced inflammation and a variety of pharmacological effects in Babl/c mice [52]. Various mechanisms have been proposed to explain the antitumor activity of Ashwagandha including potent anti-inflammatory, anti-angiogenic, anti-metastatic, pro-apoptotic, and radio-sensitizing properties [53]. An extract of W. somnifera showed immunological activity in Balb/c mice. Treatment with different doses of W. somnifera root extract (20 mg/dose/animal; i.p.) enhanced the total WBC counts. W. somnifera extract along with sheep red blood cell antigen (SRBC) increased antibody titer in circulation and plaque-forming cell numbers (PFC) in the spleen and reduced the delayed-type hypersensitivity reaction in mice model. Withania extract improved in phagocytic activity of macrophages when compared to untreated mice. The immunomodulatory effects of W. somnifera against ZnO NP-mediated toxicity in Balb/c mice study showed a dose-dependent reduction in phagocytosis, an increase in the levels of NO production along with upregulation of TLR6, and arginase gene. However, the adverse effect of ZnO NP on macrophages was reduced by W. somnifera extract and withaferin A with decreased TLR6 overexpression and improved phagocytic activities [14].

8.1 Pharmacological and medicinal activities of withaferin a

Withaferin A is the key withanolide prototype which has been shown to have anti-inflammatory [54], antitumor [55], anti-angiogenesis [56], radio-sensitizing activity, and chemopreventive [57] and immunosuppressive [58] properties. Withaferin A is highly reactive because of the ketone containing unsaturated A ring, the epoxide in B ring, and unsaturated lactone ring. In another study, withaferin A inhibited NF-κB at a very low concentration by targeting the ubiquitin-mediated proteasome pathway in endothelial cells. In vitro experiments demonstrated that withaferin A interfered with TNF-induced NF-κB activation at the level or upstream of IKKβ [57]. Withaferin A inhibited the expression of iNOS in the lipopolysaccharide (LPS)-stimulated murine macrophage cell line [59]. Withaferin-A inhibited, LPS-induced COX-2 expression and PGE2 production in BV2 murine microglial cells [60]. Both pre and post-treatment of astrocytes with Withaferin-A attenuated LPS-induced production of tumor necrosis factor-α and the expression of COX-2 with expression of induced nitric oxide synthase by blocking the NF-κB activity [61]. Treatment with withaferin A increased SOD, catalase, and glutathione peroxidase activity in rat brain frontal cortex and striatal concentrations [62].

Advertisement

9. Conclusions

Nanoparticles are gaining importance recently due to their exciting applications in different fields like agriculture, human health, and livestock sector. Increased application of ZnO NPs is clearly indicating the adverse effect on immunity. It is, therefore, necessary to explore safety level of ZnO NPs and their role in humans and animals. The future work must be placed in the context of current risk assessments which must be associated with ZnO NPs toxicity and safety level and their uses. Further research work is emphasized for elucidating the nature of ZnO nanoparticles and their fate in living and non living matrices which can serve as to safeguard the ecosystem functioning. The ecosystem strengthening should be in term of agriculture and livestock particularly concerns production, food resource, immune and health status of animals. The role of W. somnifera as an antidote to immune complication induced by ZnO NPs exposure needs further research.

Advertisement

Conflict of interest

The authors declare no competing interest.

Notes/thanks/other declarations

We would like to acknowledge the support from the Director, ICAR-National Dairy Research Institute, Karnal-132,001, Haryana, India.

Author contributions

The authors’ responsibilities were as follows: Dr. Jitendra Kumar, Dr. Chander Datt, Suryakant Verma and Kavita Rani conceived and designed the chapter.

References

  1. 1. Rico CM, Majumdar S, Duarte-Gardea M, Peralta-Videa JR, Gardea-Torresdey JL. Interaction of nanoparticles with edible plants and their possible implications in the food chain. Journal of Agricultural and Food Chemistry. 2011;59(8):3485-3498
  2. 2. Liu R, Lal R. Potentials of engineered nanoparticles as fertilizers for increasing agronomic productions. Science of the Total Environment. 2015;514:131-139
  3. 3. Wang Y, Yuan L, Yao C, Ding L, Li C, Fang J, et al. A combined toxicity study of zinc oxide nanoparticles and vitamin C in food additives. Nanoscale. 2014;6(24):15333-15342
  4. 4. Sirelkhatim A, Mahmud S, Seeni A, Kaus NHM, Ann LC, Bakhori SKM, et al. Review on zinc oxide nanoparticles: Antibacterial activity and toxicity mechanism. Nano-Micro Letters. 2015;7(3):219-242
  5. 5. Li CH, Shen CC, Cheng YW, Huang SH, Wu CC, Kao CC, et al. Organ biodistribution, clearance, and genotoxicity of orally administered zinc oxide nanoparticles in mice. Nanotoxicology. 2012;6(7):746-756
  6. 6. Bacchetta R, Moschini E, Santo N, Fascio U, Del Giacco L, Freddi S, et al. Evidence and uptake routes for zinc oxide nanoparticles through the gastrointestinal barrier in Xenopus laevis. Nanotoxicology. 2014;8(7):728-744
  7. 7. Saman S, Moradhaseli S, Shokouhian A, Ghorbani M. Histopathological effects of ZnO nanoparticles on liver and heart tissues in wistar rats. Advances in Bioresearch. 2013;4(2):83-88
  8. 8. Shrestha B, Acosta-Martinez V, Cox SB, Green MJ, Li S, Cañas-Carrell JE. An evaluation of the impact of multi-walled carbon nanotubes on soil microbial community structure and functioning. Journal of Hazardous Materials. 2013;261:188-197
  9. 9. Yadav T, Mungray AA, Mungray AK. Fabricated nanoparticles. Reviews of Environmental Contamination and Toxicology. 2014;230:83-110
  10. 10. BCC Research. Global Markets for Nanocomposites, Nanoparticles, Nanoclays, and Nanotubes; 2014. Available form: https://www.bccresearch.com/market-research/nanotechnology/nanocompositesmarketnan021f.html?vsmaid=203/. [Accessed: 19 October 2017]
  11. 11. Peng YH, Tsai YC, Hsiung CE, Lin YH, Shih Y. Influence of water chemistry on the environmental behaviors of commercial ZnO nanoparticles in various water and wastewater samples. Journal of Hazardous Materials. 2017;322:348-356
  12. 12. Boxall ABA, Chaudhry Q, Sinclair C, Jones A, Aitken R, Jefferson B. et al. Current and future predicted environmental exposure to engineered nanoparticles. Report by the Central Science Laboratory (CSL) York for the Department of the Environment and Rural Affairs (DEFRA), UK; 2007. Available from: wwTv.de-fra.gov.uk/science/Project_Data/DocumentLibrary/CB01098/CB01098_627()_FRP.pdf
  13. 13. Zhao L, Peralta-Videa JR, Ren M, Varela-Ramirez A, Li C, Hernandez-Viezcas JA, et al. Transport of Zn in a sandy loam soil treated with ZnO NPs and uptake by corn plants: Electron microprobe and confocal microscopy studies. Chemical Engineering Journal. 2012;184:1-8
  14. 14. Kumar J, Mitra MD, Hussain A, Kaul G. Exploration of immunomodulatory and protective effect of Withania somnifera on trace metal oxide (zinc oxide nanoparticles) induced toxicity in Balb/c mice. Molecular Biology Reports. 2019;46:2447-2459
  15. 15. Adams LK, Lyon DY, Alvarez PJ. Comparative eco-toxicity of nanoscale TiO2, SiO2, and ZnO water suspensions. Water Research. 2006;40(19):3527-3532
  16. 16. Sahu D, Kannan GM, Vijayaraghavan R, Anand T, Khanum F. Nanosized zinc oxide induces toxicity in human lung cells. International Scholarly Research Notices: Toxicology. 2013;2013:316075
  17. 17. Dardenne M. Zinc and immune function. European Journal of Clinical Nutrition. 2002;56(S3):S20
  18. 18. Shankar AH, Prasad AS. Zinc and immune function: The biological basis of altered resistance to infection. The American Journal of Clinical Nutrition. 1998;68(2):447S-463S
  19. 19. Ibs KH, Lothar R. Zinc-altered immune function. The Journal of Nutrition. 2003;133(5):1452S-1456S
  20. 20. Chandra RK. Excessive intake of zinc impairs immune responses. JAMA. 1984;252(11):1443-1446
  21. 21. Pfeiffer R. Untersuchungen uber das Choleragift. Medical Microbiology and Immunology. 1892;11(1):393-412
  22. 22. Metchnikoff E. Ueber eine sprosspilzkrankheit der daphnien. Beitrag Zur Lehre Über Den Kampf Der Phagozyten Gegen Krankheitserreger. Archiv für pathologische Anatomie und Physiologie und für. 1884;96(2):177-195
  23. 23. Wentworth P, Wentworth AD, Zhu X, Wilson IA, Janda KD, Eschenmoser A, et al. Evidence for the production of trioxygen species during antibody-catalyzed chemical modification of antigens. Proceedings of the National Academy of Sciences. 2003;100(4):1490-1493
  24. 24. Doulatov S, Notta F, Eppert K, Nguyen LT, Ohashi PS, Dick JE. Revised map of the human progenitor hierarchy shows the origin of macrophages and dendritic cells in early lymphoid development. Nature Immunology. 2010;11(7):585-593
  25. 25. Geissmann F, Manz MG, Jung S, Sieweke MH, Merad M, Ley K. Development of monocytes, macrophages, and dendritic cells. Science. 2010b;327(5966):656-661
  26. 26. Gordon S, Taylor PR. Monocyte and macrophage heterogeneity. Nature Reviews Immunology. 2005;5(12):953-964
  27. 27. Galli SJ, Borregaard N, Wynn TA. Phenotypic and functional plasticity of cells of innate immunity: Macrophages, mast cells and neutrophils. Nature Immunology. 2011;12(11):1035
  28. 28. Cros J, Cagnard N, Woollard K, Patey N, Zhang SY, Senechal B, et al. Human CD14 dim monocytes patrol and sense nucleic acids and viruses via TLR7 and TLR8 receptors. Immunity. 2010;33(3):375-386
  29. 29. Mosser DM, Edwards JP. Exploring the full spectrum of macrophage activation. Nature Reviews Immunology. 2008;8(12):958-969
  30. 30. Geissmann F, Gordon S, Hume DA, Mowat AM, Randolph GJ. Unravelling mononuclear phagocyte heterogeneity. Nature Reviews Immunology. 2010a;10(6):453-460
  31. 31. Martinon F, Burns K, Tschopp J. The inflammasome: A molecular platform triggering activation of inflammatory caspases and processing of proIL-β. Molecular Cell. 2002;10(2):417-426
  32. 32. Wynn TA, Barron L. Macrophages: Master regulators of inflammation and fibrosis. Seminars in Liver Disease. 2010;30(03):245-257
  33. 33. Mahapatro A, Singh DK. Biodegradable nanoparticles are excellent vehicle for site directed in-vivo delivery of drugs and vaccines. Journal of Nanobiotechnology. 2011;9(1):55
  34. 34. Newman MD, Stotland M, Ellis JI. The safety of nanosized particles in titanium dioxide and zinc oxide-based sunscreens. Journal of the American Academy of Dermatology. 2009;61(4):685-692
  35. 35. Laskin DL, Sunil VR, Gardner CR, Laskin JD. Macrophages and tissue injury: Agents of defense or destruction? Annual Review of Pharmacology and Toxicology. 2011;51:267-288
  36. 36. Dobrovolskaia MA, McNeil SE. Immunological properties of engineered nanomaterials. Nature Nanotechnology. 2007;2(8):469-478
  37. 37. Lundqvist M, Stigler J, Elia G, Lynch I, Cedervall T, Dawson KA. Nanoparticle size and surface properties determine the protein corona with possible implications for biological impacts. Proceedings of the National Academy of Sciences. 2008;105(38):14265-14270
  38. 38. Chen J, Liu X, Wang C, Yin SS, Li XL, Hu WJ, et al. Nitric oxide ameliorates zinc oxide nanoparticles-induced phytotoxicity in rice seedlings. Journal of Hazardous Materials. 2015;297:173-182
  39. 39. Zolnik BS, Gonzalez-Fernandez A, Sadrieh N, Dobrovolskaia MA. Minireview: Nanoparticles and the immune system. Endocrinology. 2010;151(2):458-465
  40. 40. Brun NR, Lenz M, Wehrli B, Fent K. Comparative effects of zinc oxide nanoparticles and dissolved zinc on zebrafish embryos and eleuthero-embryos: Importance of zinc ions. Science of the Total Environment. 2014;476:657-666
  41. 41. Magdolenova Z, Collins A, Kumar A, Dhawan A, Stone V, Dusinska M. Mechanisms of genotoxicity. A review of in vitro and in vivo studies with engineered nanoparticles. Nanotoxicology. 2014;8(3):233-278
  42. 42. Xia T, Kovochich M, Brant J, Hotze M, Sempf J, Oberley T, et al. Comparison of the abilities of ambient and manufactured nanoparticles to induce cellular toxicity according to an oxidative stress paradigm. Nano Letters. 2006;6(8):1794-1807
  43. 43. Song W, Zhang J, Guo J, Zhang J, Ding F, Li L, et al. Role of the dissolved zinc ion and reactive oxygen species in cytotoxicity of ZnO nanoparticles. Toxicology Letters. 2010;199(3):389-397
  44. 44. Takeda K, Akira S. TLR signaling pathways. Seminars in Immunology. 2004;16(1):3-9
  45. 45. Tamayo I, Irache JM, Mansilla C, Ochoa-Repáraz J, Lasarte JJ, Gamazo C. Poly (anhydride) nanoparticles act as active Th1 adjuvants through toll-like receptor exploitation. Clinical and Vaccine Immunology. 2010;17(9):1356-1362
  46. 46. Tse K, Horner AA. Update on toll-like receptor-directed therapies for human disease. Annals of the Rheumatic Diseases. 2007;66(suppl 3):iii77-iii80
  47. 47. Kawai T, Akira S. The role of pattern-recognition receptors in innate immunity: Update on toll-like receptors. Nature Immunology. 2010;11(5):373-384
  48. 48. Lafferty EI, Qureshi ST, Schnare M. The role of toll-like receptors in acute and chronic lung inflammation. Journal of Inflammation. 2010;7(1):57
  49. 49. Chang H, Ho CC, Yang CS, Chang WH, Tsai MH, Tsai HT, et al. Involvement of MyD88 in zinc oxide nanoparticle-induced lung inflammation. Experimental and Toxicologic Pathology. 2013;65(6):887-896
  50. 50. Mirjalili MH, Moyano E, Bonfill M, Cusido RM, Palazón J. Steroidal lactones from Withania somnifera, an ancient plant for novel medicine. Molecules. 2009;14(7):2373-2393
  51. 51. Mishra L, Mishra P, Pandey A, Sangwan RS, Sangwan NS, Tuli R. Withanolides from Withania somnifera roots. Phytochemistry. 2008;69(4):1000-1004
  52. 52. Davis L, Girija K. Suppressive effect of cyclophosphamide-induced toxicity by Withania somnifera extract in mice. Journal of Ethnopharmacology. 1998;62(3):209-214
  53. 53. Yu SM, Kim SJ. Production of reactive oxygen species by withaferin a causes loss of type collagen expression and COX-2 expression through the PI3K/Akt, p38, and JNK pathways in rabbit articular chondrocytes. Experimental Cell Research. 2013;319(18):2822-2834
  54. 54. Sabina EP, Chandal S, Rasool MK. Inhibition of monosodium urate crystal-induced inflammation by withaferin a. Journal of Pharmacy & Pharmaceutical Sciences. 2008;11(4):46-55
  55. 55. Devi PU, Sharada AC, Solomon FE. In vivo growth inhibitory and radiosensitizing effects of withaferin a on mouse Ehrlich ascites carcinoma. Cancer Letters. 1995;95(1–2):189-193
  56. 56. Mohan R, Hammers H, Bargagna-Mohan P, Zhan X, Herbstritt C, Ruiz A, et al. Withaferin a is a potent inhibitor of angiogenesis. Angiogenesis. 2004;7(2):115-122
  57. 57. Manoharan S, Panjamurthy K, Balakrishnan S, Vasudevan K, Vellaichamy L. Circadian time-dependent chemopreventive potential of withaferin-a in 7, 12-dimethyl-benz [a] anthracene-induced oral carcinogenesis. Pharmacological Reports. 2009b;61(4):719-726
  58. 58. Shohat B, Kirson I, Lavie D. Immunosuppressive activity of two plant steroidal lactones withaferin a and withanolide E. Biomedicine. 1978;28(1):18-24
  59. 59. Oh JH, Lee TJ, Park JW, Kwon TK. Withaferin a inhibits iNOS expression and nitric oxide production by Akt inactivation and down-regulating LPS-induced activity of NF-κB in RAW 264.7 cells. European Journal of Pharmacology. 2008;599(1):11-17
  60. 60. Choi MJ, Park EJ, Min KJ, Park JW, Kwon TK. Endoplasmic reticulum stress mediates withaferin A-induced apoptosis in human renal carcinoma cells. Toxicology In Vitro. 2011;25(3):692-698
  61. 61. Martorana F, Guidotti G, Brambilla L, Rossi D. Withaferin a inhibits nuclear factor-κB-dependent pro-inflammatory and stress response pathways in the astrocytes. Neural Plasticity. 2015;38:1964
  62. 62. Bhattacharya SK, Satyan KS, Ghosal S. Antioxidant activity of glycowithanolides from Withania somnifera. Indian Journal of Experimental Biology. 1997;35:236-239

Written By

Jitendra Kumar, Chander Datt, Surya Kant Verma and Kavita Rani

Submitted: 13 June 2019 Reviewed: 14 October 2019 Published: 03 January 2020