Abstract. Background Since primary liver cancer is the third leading cause of cancer mortality worldwide, chemopreventive strategies aimed at reducing its risk or delaying its onset are highly desirable. The most common type of primary liver cancer is an inflammation-associated cancer developing from hepatocytes, hepatocellular carcinoma (HCC). Hepatocarcinogenesis progresses from chronic intrahepatic inflammation within the state of oxidative stress, which results in continuous cellular injury, necrosis and regeneration along with a genotoxic effect (1, 2). Despite a clear viral etiology, HCC is also mediated through exposure to hepatocarcinogens such as nitrosamines, which cause the generation of radicals or cellular mitochondrial dysfunction (2).White mulberry (Morus alba) leaves contain abundant varieties of polyphenols, including chlorogenic acid, rutin, isoquercitrin, quercetin, astragalin and kaempferol, which are considered strong antioxidants (3). Mulberry leaf extract has been reported to scavenge 1,1-diphenyl-2-picryl-hydrazyl radical and prevent lipid peroxidation in rabbit and human low-density lipoproteins (4). Its antioxidant effect has been also revealed in streptozotocin-induced diabetic rats (5). Anticancer properties of mulberry leaf polyphenols have been demonstrated in numerous assays with various types of human cancer cells of colon (6), liver (7), breast (6), and lung (8), and the underlying mechanisms including antioxidant, antiinflammatory, and proliferative, and cytotoxic activity have been shown. However, to the best of our knowledge, the anticancer effect in an animal model has not yet been investigated.The present study was designed to evaluate the chemopreventive effect of mulberry leaf extract on Nnitrosodiethylamine (NDEA)-induced liver carcinogenesis in rats. This experimental model of hepatocarcinogenesis, due to histological and biochemical similarities between rodents and human hepatic lesions, is widely used in chemoprevention studies (9).
Materials and MethodsMaterials. Dried and crushed M. alba L. (var. wielkolistna zolwinska) leaves were mixed with water (80-90˚C) using a counterflow process (1:10 w/w) and subjected to continuous extraction in a twin-screw extractor (IBPRS, Poznan, Poland). The resulting extract was then concentrated using a vacuum periodic spherical evaporator