Indian Journal of Experimental Biology Vol. 45, July 2007, pp. 579-593 Review Article Bioactive molecules from amphibian skin: Their biological activities with reference to therapeutic potentials for possible drug development Antony Gomes1, Biplab Giri1, Archita Saha1, R Mishra1, Subir C Dasgupta1, A Debnath2 & Aparna Gomes2 1 Laboratory of Toxinology and Experimental Pharmacodynamics Department of Physiology, University of Calcutta 92 A. P. C. Road, Kolkata 700 009, India 2 Division of New Drug Development, Indian Institute of Chemical Biology 4 S. C. Mullick Road, Kolkata 700 032, India The amphibian skin contains various bioactive molecules (peptides, proteins, steroids, alkaloids, opiods) that possess potent therapeutic activities like antibacterial, antifungal, antiprotozoal, antidiabetic, antineoplastic, analgesic and sleep inducing properties. Research on amphibian skin derived biomolecules can provide potential clue towards newer drug development to combat various pathophysiological conditions. An overview on the bioactive molecules of various amphibian skins has been discussed. Keywords: Amphibians, Frog skin, Medicinal application, Skin bioactive molecules, Therapeutic potential, Toad skin The amphibians are defenseless creatures that are consumed preferably by a great variety of predators. In order to protect themselves from the potential predators, the amphibians have evolved different morphological, physiological and behavioral features. One such defense mechanism is the slimy glandular secretion by the skin. Frogs and toads have two types of skin glands–the mucous and the granular. The mucous glands occur throughout the skin and their secretion provides a moist coating that is necessary for cutaneous respiration. The granular glands, also called the serous or poison glands, may be distributed across the body but are often concentrated around the head or neck, and are usually activated by stress or injury, and their secretions vary from species to species from being slightly noxious to extraordinarily toxic1. In many ancient cultures, amphibians are believed to possess medicinal properties. Frog potions are used as aphrodisiacs, impotence and infertility preventions, contraceptives and in many other illnesses. Also, newts are often burned to ashes and then used in medicinal formulas and concoctions. Even today, the skins, bodies and body parts of salamanders are used _______________ Phone: +91-33-2350-8386 (Extn 229); Fax: +91-33-2351-9755; +91-33-2241-3288 E-mail: [email protected] in traditional medicines. Torched newts are sometimes sold in Asia as aphrodisiacs and the skin of certain species are said to cure illnesses. Superstitions and folklore as these may be, they were actually the stepping-stones to modern biological sciences. In fact, toad and frog skin extracts have been used in Chinese medicine for treating various ailments. Chan Su is a traditional Chinese medicine prepared from dried white secretion of the skin glands of Chinese toad and has been used as an oriental drug for treating heart diseases, toothache, sinusitis, haemorrhage of gums and other systemic illnesses. Chinese doctors prescribed drinking of wine (in which toad skin has been soaked) for the treatment of leukemia. A well known, but somewhat toxic patent medicine, Liu Shen Wan (containing toad secretion and realgar), is sometimes recommended by Chinese doctors for leukemia. Scientific research has confirmed the presence of bufalin in Chan Su, which is responsible for digoxin-like action2. Scientists have also found that Chan Su possesses antineoplastic properties3 and components of Chan Su are capable of potentiating immune responses in experimental animals4. Scientists throughout the world are now exploring the therapeutic potential of various toad and frog skin extracts and secretions. India, being a tropical country with diverse geographical variations, is home to wide species of toads, frogs and newts. 580 INDIAN J EXP BIOL, JULY 2007 There are about 200 species of frogs and toads in India. However, not much work has been carried out on toads and frog skin secretions in India as compared to the rest of the world. Though, the jacket (coat) of some of the most toxic frogs and toads might just be the treasure house, storing some of the best pharmaceutical promises. The present communication is an effort to enlighten the importance of amphibian skin – a future treasure house for development of novel drugs against several pathophysiological conditions. Cardiotonic and anti-arrhythmic activity Chan Su is prepared from skin secretion of Chinese toad (Bufo bufo gargarizans), for treating arrhythmia and other heart diseases. It had been introduced in Europe in 17th century and was later replaced by digitalis some 200 years ago5. Kyushin (Japanese medicine similar to Chan Su) shows a beneficial effect on congestive heart failure models in rabbits due to its cardiotonic property6,7. The vasodilating effect and positive inotropic action of Kyushin is probably due to beta-adrenergic action8. Kyushin significantly inhibits the aconitine-induced and thyroxine-induced arrhythmia in guinea pigs. The decrease in heart rate induced by electrical stimulation to the parasympathetic nerve (vagus nerve) can be restored by Kyushin, though Kyushin itself does not affect the conduction system in Langendorff preparation of rabbit hearts9. Kyushin dosedependently increases the left ventricular pressure and mean aortic pressure and decreases the left ventricular end-diastolic pressure in a dose-dependent manner, but the myocardial oxygen consumption and heart rate are not significantly affected in anaesthetized dogs10. Bufalin and cinobufagin are the main components of Chan Su, which are responsible for its digitalis-like action. Although Kyushin itself does not affect the conduction system, bufalin (0.3mg/ml) and cinobufagin (1 mg/ml) inhibit conduction in Langendorff preparation of isolated rabbit heart9. Bufalin, cinobufagin and some other bufadienolides like bufotalin, cinobufotalin, gamabufotalin and resibufogenin⎯all show the cardiotonic effect in a concentration-dependent manner in guinea pig isolated heart preparations and cinobufagin possesses the most cardiotonic action, similar to digitoxin, in experimentally induced heart failure due to acute local ischemia11. The cardiotonic steroids derived from toad venom (bufalin, bufotalin, resibufagenin, marinobufagenin, marinoic acid, marinosin) all inhibit Na-K-ATPase activity12-17. The secretion from Bufo viridis Laur. skin glands produces a marked cardiotonic and vasotonic effect, increasing the intraventricular and aortal pressure, the rate of pressure growth in the ventricles and the contraction index of the myocardium on experimental dogs under anaesthesia18. Antidiabetic activity Many insulinotropic peptides have been isolated from different toad and frog skins. Insulin-releasing peptides (peaks 21, 22, 23, 24, 25) purified by reverse phase HPLC from skin secretions of the toad Bombina variegata have molecular masses of 1.64, 1.66, 1.68, 1.65 and 2.30 kDa, respectively19. They significantly increase the insulin release by glucose responsive BRIN-BD11 cells as compared to glucose (5.6mM) alone. Peaks 21, 22 and 23 have sequence homology to bombesin (Pyr-QRLGNQWAVGHLM) originally isolated from Bombina bombina, while peaks 24 and 25 are new. The mechanism underlying their insulinotropic actions suggests possible involvement of a cAMP dependent G-protein insensitive pathway19. Fractions purified from skin secretion of Rana palustris by reverse-phase HPLC also increased the insulin-releasing activity of BRINBD11 cells. One such peptide (2.87 kDa) has a 27 amino acid sequence, ALSILRGLEKLAKMGIALTNCKATKKC (having 48% homology with antimicrobial peptide Brevinin-120. Insulinotropic peptides are also present in the skin secretions of Phyllomedusa trinitatis frog. One of them−a 28amino-acid peptide had 100% homology with the Cterminal of the 75-amino-acid dermaseptin BIV precursor in the skin of the Phyllomedusinae subfamily21. Insulinotropic peptides were also secreted by the skin of Agalychnis litodryas22 and Agalychnis calcarifer frogs23. An insulin-releasing peptide isolated from Rana pipiens had 100% sequence homology with an antimicrobial peptide pipinin-124. Skin secretions of Rana saharica possessed nontoxic insulinotropic peptides25. Two were novel 1.89 and 2.93 kDa peptides. Other four (2.67, 3.51, 4.92 and 4.8 kDa) were identical to brevinin-1E, brevinin-2EC, esculentin-1 and esculentin-1B, which belong to the group of antimicrobial peptides isolated from skin secretions of various Rana frog species. Contrast to the peptides from Bombina, the mechanism underlying the insulinotropic actions of esculentins-1 and -1B possibly involves both cyclic AMP-protein kinase A GOMES et al.: THERAPEUTIC POTENTIAL OF AMPHIBIAN SKIN BIOACTIVE MOLECULES and C dependent G-protein sensitive pathways 26. However, all the studies reported were done in vitro. It would be interesting to see if such compounds could increase the insulin release in vivo. These insulinotropic peptides may be exploited as antidiabetic agents in the long run. Immunomodulatory activity The water-soluble, non-dialyzable fraction from crude Chan Su can activate proliferation of lymphocyte. It increases IL-2 and IL-12 level in the supernatant of spleen cell culture, and increased the natural killer activity of the C3H/HeN mice. These results show that Chan Su contains immunopotentiating substances that may serve as an immunomodulator in an organism4. Cinobufagin, the second major component of Chan Su, has been used successfully in high doses in attenuation and treatment of infection and granulocytopenia during combined chemotherapy. In patients with malignant blood disease, after treatment with high dose of cinobufocini, infection was significantly decreased without a significant change in the number of granulocytes before and after the treatment 28. In experimental animals, TSE - skin extract of the Indian common toad (Bufo melanostictus) presently known as Duttaphrynus melanostictus, significantly increases blood lymphocyte, splenic lymphocyte and macrophage count, strongly suggesting the possible involvement of toad skin component in first line of defense through immunomodulation of lymphoid cell28,29. It is assumed that TSE contained a variety of immunomodulators, which might be involved in immunopotentiation as judged by its positive chemotactic property, negative T-cell rosette formation and macrophage migration inhibition property29. An octadecapeptide pLR (LVRGCWTKSYPPKPCFVR) was purified by reverse-phase HPLC from the skin extract of the Northern Leopard frog (Rana pipiens). Synthetic pLR produces rapid, noncytolytic histamine release that has a 2-fold greater potency when compared with one of the most active histamine-liberating peptides, melittin. pLR can permeabilize negatively charged unilamellar lipid vesicles but not neutral vesicles, a finding that is consistent with its nonhemolytic action. pLR inhibits the early development of granulocyte macrophage colonies from bone marrow stem cells but does not induce apoptosis of the end stage granulocytes, i.e. mature neutrophils30. An octadecapeptide pYR (YLKGCWTKSYPPKPCFSR) 581 from the skin secretions of the dusky gopher frog (Rana sevosa), shares 77.8% homology with pLR, can release histamine from rat peritoneal mast cells and inhibits the early development of granulocyte macrophage colonies from bone marrow stem cells but does not induce apoptosis of the end stage granulocytes31. Antimicrobial activity Ambhibian skin has probably been the most exploited for their antimicrobial components. Amphibian granular glands produce certain secretions that might be effective against microbial and fungal infections1. A 6.7 kDa thermostable protein purified from Bombina variegata pachypus was found to be antimicrobially active32. Magainins, a family of peptides isolated from the skin of African clawed toad Xenopus laevis exhibit wide spectrum antibiotic activity, inhibiting the growth of both Gram positive and Gram negative bacteria, fungal species such as Candida albicans, Cryptococcus neoformans and Saccharomyces cerevisiae33. Two other peptides isolated from Xenopus laevis skin secretions − PGLa and a peptide released from the xenopsin precursor, exhibit antimicrobial properties comparable to the magainins34. It has also been reported that certain sequences of the magainins are relevant for increased antimirobial activity and for decreased haemolytic activity. Amino acid omissions in the N-terminal region (residues 1-14) result in the complete loss of antimicrobial activity in both Magainin 1 and 2 and also shows very low hemolytic activity against human erythrocytes. But analogs with omissions in the Cterminal region, especially residues alanine-15, glycine-18 or glutamic acid-19, while having equal or increased antimicrobial activity relative to the original magainin 1 or magainin 2 forms, have variable hemolytic action. With omission of glutamic acid 19, both magainin 1 and magainin 2 have equal activity against E. coli and increased activity against S. epidermis, while having lower hemolytic activity than the original sequences. When glycine18 was omitted from magainin-2-amide, the resulting analogue had equal antimicrobial activity, but significantly increased hemolytic activity. The C-terminal carboxyl form of magainin 1, however, showed equal antimicrobial activity, but substantially decreased hemolytic action35. The magainins, PGLa and magainin-2-amide dissipate the electric potential across various energy-transducing membranes and thus uncouple respiration from other free-energy- 582 INDIAN J EXP BIOL, JULY 2007 requiring processes and that is likely to be the mechanism for the antimicrobial effects of these compounds36. Central American tree-frogs in Phyllomedusa genus secrete antimicrobial peptides known as dermaseptins (28-34 residues) that are cationic molecules which permeabilize the membrane of Gram-positive and Gram-negative bacteria, yeasts, and filamentous fungi, but show negligible hemolytic activity. Some of the potent antimicrobial dermaseptins are dermaseptin I, dermaseptin b, dermatoxin, DS0137-40. Adenoregulin (33 amino acid) and PS-1 (phylloseptins) isolated from Phyllomedusa skin secretions also show antimicrobial activity41,42. An antimicrobial peptide fraction isolated from the skin of Bombina variegata contains a number of 27 amino acid residue peptides that are all related though not identical to bombinin43. Bombinin-like peptides (BLP1, BLP2, BLP3) isolated from the Asian toad Bombina orientalis show strong antimicrobial activity and are found to be more potent than magainin 2 in their ability to kill bacteria44. Two groups of antimicrobial peptides have been isolated from skin secretions of Bombina maxima. One group has been named maximins (maximins 1, 2, 3, 4 and 5), which are structurally related to bombinin-like peptides (BLPs). The other group named maximin H (H1, H2, H3 and H4), are homologous with bombinin H peptides45. Recently, a bombesin-like peptide PRbombesin derived from the skin of the Chinese red belly toad, Bombina maxima, showed antimicrobial activity, which is likely due to the proline rich sequence46. Two antimicrobial peptides brevinin-1 and brevinin-2 were isolated from Rana brevipoda porsa47. Three antimicrobial peptides have been isolated from skin secretion of the European frog Rana esculenta, out of which, two have similarities with brevinin-1 and brevinin-2 and the third named esculentin (46 residues) represents a different type of peptide48. Six brevinin family antimicrobial peptides were also identified from the Tsushima brown frog Rana tsushimensis Stejneger49. Ranalexin, from Rana catesbeiana (Bullfrog), is structurally related to the bacterial antibiotic polymyxin50. Antimicrobial peptide families, named gaegurins and rugosins were isolated from the skin of a Korean frog Rana rugosa51,52. Temporins, isolated from the skin of Rana temporaria, are the smallest antibacterial peptides found in nature and are active against gram-positive bacteria53. Nine peptides (ranatuerins 1-9) isolated from Rana catesbeiana show antimicrobial activity towards Staphylococcus aureus. Among them, ranatuerin 1 (SMLSVLKNLGKVGLG FVACKINKQC) exhibits the broadest spectrum of antimicrobial action with inhibitory activity against S. aureus, Escherichia coli and Candida albicans54. Ranatuerin 1T isolated from European brown frog Rana temporaria also possesses growth-inhibiting activity toward Staphylococcus aureus55. Ten peptides with differential growth-inhibitory activity against the Gram-positive bacterium Staphylococcus aureus, the Gram-negative bacterium, Escherichia coli, and the yeast Candida albicans were isolated from an extract of the skin of a North American green frog Rana clamitans56. Broad-spectrum antimicrobial peptides named tigerinins (Rana tigrina)57, nigrocin 1 and 2 (Rana nigromaculata)58, japonicin-1, japonicin-2 (Rana japonica)59, temporin-1Ja (Rana japonica)59 have also been identified. Six antimicrobial peptides isolated from skin of the Japanese mountain brown frog Rana ornativentris were found to be related to the brevinin-2 and temporin family60. Eight peptides with antimicrobial and hemolytic activity belonging to the previously identified brevinin-1, temporin-1, palustrin-2, palustrin-3, esculentin-1 (two peptides), and ranatuerin-2 (two peptides) families have been isolated and characterized from skin glands of the crawfish frog, Rana areolata61. Two peptides with antimicrobial and cytolytic properties were purified from an extract of the skin of Tago's brown frog Rana tagoi, one of which is temporin related and the other is similar to melittin from honeybee venom. Two new antimicrobial cyclic 17-residue peptides named ranacyclins E and T have been isolated from Rana esculenta and Rana temporaria skin, respectively62. Five antimicrobial peptides belonging to the brevinin2 family have been identified from the skin extract of Hokkaido frog Rana pirica. The most abundant peptide, brevinin-2PRa (680 nmol/g weight of dry skin) shows high potency against a range of clinical isolates of Pseudomonas aeruginosa63. Antimicrobial peptides from the skin of the Yunnanfu Kunming frog Rana grahami are structurally related to nigrocins, brevinins and esculentins64,65. Frenatin 3 belonging to a group of frenatin peptides isolated from the skin of giant tree frog Litoria infrafrenata, exhibits wide spectrum antimicrobial properties66. The largest group of antimicrobial peptides isolated from amphibian skin is the caerin group of peptides, with more than 30 identified from the Australian frog species of Litoria GOMES et al.: THERAPEUTIC POTENTIAL OF AMPHIBIAN SKIN BIOACTIVE MOLECULES genus. All caerin 1 peptides have similar primary structures based on that of caerin1.1 (GLLSVLGSVAKHVLPHVVPVIAEHL-NH2, 2.58 kD), and are active mainly against Gram-positive bacteria67,68. Four maculatin peptides isolated from the skin of the tree frog Litoria genimaculata show antibiotic activity, with maculatin 1.1 showing the most pronounced activity, particularly against Grampositive organisms69. Two major citropin peptides isolated from skin glands of the Blue Mountains tree frog Litoria citropa, namely citropin 1.1 and citropin 1.2 show significant wide-spectrum antibacterial activity70. Kassinatuerin-1 (from Kassina senegalensis) and pseudins 1-4 (from the paradoxical frog Pseudis paradoxa) possess broad spectrum antimicrobial activity71,72. Fallaxin (from Leptodactylus fallax skin) and pentadactylin (from Leptodactylus pentadactylus skin) possess antimicrobial activity, but potencies are relatively low (MIC values in the range 25-200 microM)73,74. Syphaxin 1.5 (1.58 kDa peptide) from Leptodactylus syphax show antimicrobial activity on Staphylococcus aureus and Escherichia coli75. Though mostly antimicrobial peptides have been identified from amphibian skin, a recent interesting finding showed that two bufadienolides from the skin secretions of the Brazilian toad Bufo rubescens, named telocinobufagin (402.16 D) and marinobufagin (400.15 D) are active against Staphylococcus aureus and Escherichia coli76. Antiprotozoal activity has been demonstrated by many antimicrobial peptides. Dermaseptin (DS), a 34 amino acid residue cationic peptide isolated from Phyllomedusa sauvagii skin, has been studied in vitro on promastigotes of Leishmania mexicana. Immunocytochemical, freeze fracture, label fracture and electron microscopic observations showed that the amphipathic peptide generates perturbations of the lipid bilayer leading to altered permeability of the surface membrane and death of the parasite77. Temporins A and B secreted from the skin of European red frog Rana temporaria show antileishmania activity at micromolar concentrations, with no cytolytic activity against human erythrocytes. They cause severe membranolysis of the parasite, which is likely to make it difficult for the pathogen to develop resistance78. Synthetic dermaseptin derivatives have been found to exert antimalarial activity79. Recently, caerin 1 peptides have been reported to be active against malarial parasite among 583 which caerin 1.8 is the most potent68. Dermaseptin DS01 (from the skin of from Phyllomedusa oreades), phylloseptins PS-4 and PS-5 is active against Trypanasoma cruzi40,42. Antiviral activity Amphibian skin secretions contain certain compounds having strong antiviral properties. Brevenin1, a frog skin defensive peptide possesses potent antiviral activity on Herpes simplex virus 1 and 2 and its antiviral activity is maintained even after reduction and carboxamidomethylation procedures that abolish its prominent hemolytic and cytolytic effects80. Esculentin-2P (E2P) and ranateurin-2P (R2P), two microbial peptides isolated from Rana pipiens, can inactivate frog virus 3 and channel catfish herpes virus. Antimicrobial peptides, E2P and R2P can act within minutes and at temperatures as low as 0oC to inhibit viral infections. Moreover, these compounds appear to inactivate the virus directly and do not act by inhibiting replication in infected cells81. Synthetic dermaseptins⎯dermaseptins (S1-S5) are effective against herpes simplex virus type 1 (HSV1)82. Maximin 3 from Bombina maxima, possesses significant anti-HIV activity45. A novel 63 kDa heme-containing protein BAS-AH isolated from skin secretions of Bufo andrewsi shows dosedependent inhibition on HIV-1 infection and replication83. The discovery that the frog peptides can kill HIV virus even when it is hidden in dendritic cells suggests that they could be developed as mucosal preventives84. Antineoplastic activity Magainins, a class of antibiotic peptides, also possess anti-tumor activity. Magainin 2 and its synthetic analogues could rapidly and irreversibly lyse hematopoietic tumor and solid tumor target cells though the concentrations are relatively non-toxic to well-differentiated cells85. Synthetic magainin A (MAG A) and magainin G (MAG G) show in vitro antitumor activity against small cell lung cancer cell lines86. Bombina variegata cutaneous venom has been shown to inhibit the proliferation of human leukaemic cell line HL 60 in a dose-dependent manner87. Citropin 1.1, another wide spectrum antibacterial peptide, also shows anticancer activity by inhibiting nNOS88. The concentration for anticancer activity is significantly less compared to that required for lysis of red blood cells. A4K14-citropin, a synthetic modification of citropin 1.1 results in a 10-fold 584 INDIAN J EXP BIOL, JULY 2007 increase in the anticancer activity. Five 20,21epoxybufenolides, namely, 20S,21-epoxyresibufogenin, 20R,21-epoxyresibufogenin, 3-O-formyl20S,21-epoxyresibufogenin, 3-O-formyl-20R,21epoxyresibufogenin, and 3-oxo-20S,21epoxyresibufogenin, isolated from Chan Su significantly inhibit the leukemia MH-60 cell line89. Bufalin, one of the major components of Chan Su, has been shown to have anti-cancer properties in leukemia as well as melanoma cells. It induces differentiation in human erythroleukemia K562 cells and also produces a strong differentiation-inducing activity in three other human leukemia-derived cell lines HL60, U937, ML1 to monocyte/macrophagelike cells90,91. Bufalin arrests the growth of ML1 cells preferentially at the G2 phase and U937 cells at the S and G2 phases of the cell cycle92. Bufalin induces differentiation of ML1 cells through the modulation of several protein kinase activities in a distinct way from RA and 1 alpha, 25(OH) 2D3. This effect of bufalin on the cell cycle of leukemia cells is similar to that of topoisomerase inhibitors93. Bufalin reduces the level of topoisomerase II in human leukemia HL60 cells and also increases the inhibitory effects of anticancer drugs like cisplatin and RA on cell growth and enhanced the induction of cell death. Na-KATPase inhibition by Bufalin initiates the process of K562 cell differentiation94. Bufalin also shows that growth inhibitory and differentiation inducing effects on SSCC-1 cells95 and also decreases the rate of cell proliferation of mouse melanoma clone B16-F10 cells with a concomitant stimulation of expression of its melanotic phenotype96. Bufalin or cinobufagin increases the intracellular calcium concentration and apoptosis in prostate cancer cell lines LNCaP, DU145, and PC397. Bufalin significantly inhibits the cell proliferation and DNA synthesis of cultured ovarian endometriotic cyst stromal cells and induces apoptosis and the G0/G1 phase cell cycle arrest of these cells by down-regulation of the cyclin A, Bcl-2, and Bcl-X(L) expression with the simultaneous upregulation of the p21 and Bax expression, and caspase-9 activation98. Recently, it has been reported that Chan Su induces apoptosis in a human bladder carcinoma cell line, T24 in a concentration dependent manner, which is associated with a down-regulation of anti-apoptotic Bcl-2 and Bcl-X(S/L) expression and an up-regulation of pro-apoptotic Bax expression. Chan Su treatment induces the proteolytic activation of caspase-3 and caspase-9, and a concomitant degradation of poly(ADP-ribose)-polymerase and beta-catenin protein. Chan Su also decreases the levels of COX-2 mRNA and protein expression without significant changing the levels of COX-1, which is correlated with an inhibition in prostaglandin E(2) synthesis3. The Indian toad (Bufo melanostictus) skin methanolic extract TSE possesses significant antineoplastic activity on EAC cells and human leukemic cell lines (U937 and K562)29,99,100. EAC bearing mice when treated with TSE survive for a longer period as compared to untreated mice. TSE inhibits the proliferation of U937 and K562 cells by apoptosis. Leukemic cells are much more susceptible toward TSE as compared to normal lymphocytes. A non-protein crystalline antineoplastic compound (BMANF1) has been isolated from TSE by alumina gel column chromatography and HPLC and has been found to be active against EAC cells and human leukemic cell lines (K562 and U937) (unpublished data)101. Sleep inducing activity Amphibian glandular secretions contain large amounts of small peptides related to tryptophyllin (tryptophan containing peptide), first discovered in the South American hylid frog Phyllomedusa rhodei102. One of the tryptophyllin (FPPWM-NH2) has been found to be immunoreactive to a set of cells in the rat adenohypophysis103. The tryptophyllins may play a role as neurotransmitters or neuromodulators, and some of them induce sedation and behavioural sleep in birds. The Indian toad (Bufo melanostictus) skin methanolic extract TSE shows a significant potentiation of sleeping time in mice104. A non-lethal sleep-inducing factor SIF (880D conjugated aromatic compound with a hydroxyl and carbonyl functional group) has been purified from TSE105. EEG studies have shown that SIF increases sleep and decreases awakening condition of freely moving rats. SIF probably acts through serotonergic/histaminergic receptors. It significantly increases brain MAO and tryptophan hydoxylase activity in mice. Analgesic activity Amphibian skin secretions are the potential source of many powerful analgesics which also include many of the bufogenins and bufotoxins. Dermorphin, a heptapeptide with very potent opiate-like activity, has been isolated from methanol extracts of the skin of the South American frog Phyllomedusa sauvagei. Surprisingly, it contains a D-amino acid residue in its GOMES et al.: THERAPEUTIC POTENTIAL OF AMPHIBIAN SKIN BIOACTIVE MOLECULES 585 species world-wide, is thousand times more potent analgesic than morphine and has been used during gall-bladder operation117. sequence (H-Try-D-Ala-Phe-Gly-Tyr-Pro-Ser-NH2) and perhaps this is of critical importance106. Dermorphin and its analogue Hyp6-dermorphin isolated from methanolic extracts of the skin of the Brazilian frog Phyllomedusa rhodei are potent opioid peptides occurring in amphibian skin107. Dermorphin is much more potent than met-enkephalin, leuenkephalin, beta-endorphin, and morphine on the guinea-pig ileum and vas deferens opiate receptors. Dermorphin produces potent and long-lasting analgesia in mice by intravenous injection, and in rats by intracerebroventricular injection108. Intracerebroventricular injections of dermorphin result in analgesia. It was suggested that dermorphin acted on the central receptor populations activated by morphine and enkephalins109. The effect of dermorphin on the spontaneous and evoked neuronal activity by a nociceptive stimuli has been studied in the nucleus lateralis anterior and ventrobasal complex of the rat thalamus. The high firing frequency induced by nociceptive stimuli is blocked by dermorphin (1.5mg/kg, ip) under the same experimental conditions110. Recently, it is proposed that κ and μ opiod receptors are involved in the antinociceptive activity of methanolic skin extract of Phyllomedusa rhodei111. Contraceptive activity Synthetic magainins (Magainin A and G) show in vitro spermicidal activity by disrupting the outer plasma membrane of sperm cells and has the potential to develop into a contraceptive agent118. In vitro and in vivo studies on rats have shown that magainin-A, other than having anti-bacterial, anti-viral, anti-fungal action also shows spermicidal activities, and thus could be a potent vaginal contraceptive. In vivo studies on monkeys have indicated that magainin-A may be used as an effective and safe intravaginal contraceptive compound with additional protection against sexually transmitted infection-causing pathogens excepting HIV-1 and HIV-2119,120. Magainin-2-amide is strongly embryotoxic and may have a potential role as a contraceptive agent121. The maximin group of antimicrobial peptides secreted from the Chinese red belly frog Bombina maxima also possess significant spermicidal action45. Synthetic antimicrobial dermaseptin (DS4) exhibits potent spermicidal action and could be developed to be a potent vaginal contraceptive122. A nonopioid analgesic epibatidine isolated from the skin of the Ecuadorian poison frog Epipedobates tricolor by Daly and co-workers112 has been found to be a highly potent nicotinic analgesic and in tests of analgesic properties it is about 120 times more potent and has longer duration than nicotine in analgesia and acts as a nicotine acetylcholine receptor agonist113. The epibatidines have little or no activity at a variety of other central receptors, including opioid receptors, muscarinic receptors, adrenergic receptors, dopamine receptors, serotonin receptors, and gammaaminobutyric acid receptors114. It has been suggested that epibatidine is a potent agonist of ganglionic nicotinic receptors and that the alkaloid elicits cardiorespiratory effects similar to those of nicotine115. Researchers at Abbott Laboratories in North Chicago, Illinois synthesized up to 500 variations of epibatidine before developing a new painkiller, ABT-594. In controlled studies of hepatic cancerous pain, Bufalin exhibited analgesic effects through increase in hepatic blood circulation116. The majority of frogs of Litoria genus contain at least one neuropeptide of caerulein group. Caerulein 1.1, a common neuropeptide found in many frog Other activities It should be mentioned that apart from the abovementioned therapeutic potential of amphibian skin bioactive molecules, they may also be useful in certain other clinical treatments. Amphibian skin secretions have been shown to possess various endocrine functions in mammals. The insulin releasing activity of amphibian skin peptides have already been discussed. Thyrotropin-releasing hormone, a hypothalamic tripeptide that stimulates the secretion of pituitary thyroid-stimulating hormone in mammalian species is present in the skin of the frog Rana pipiens123. Sauvagine, a polypeptide from the skin of Phyllomedusa sauvagei, a frog of Central and South America possesses pharmacological actions on diuresis, cardiovascular system and endocrine glands124. Dermorphin (having potent analgesic activity), dose-dependently raises and decreases prolactin (PRL) and luteinizing hormone (LH) levels, respectively in ovarectomized rat125,126. Dermorphin also inhibits gastrointestinal motility125 and significantly stimulates TSH secretion in rats127. It also significantly stimulates plasma glucagon as well as decreases plasma glucose, both 10 and 30 min 586 INDIAN J EXP BIOL, JULY 2007 GOMES et al.: THERAPEUTIC POTENTIAL OF AMPHIBIAN SKIN BIOACTIVE MOLECULES 587 588 INDIAN J EXP BIOL, JULY 2007 given to salamander dermal secretions for exploring their therapeutic potential. Fredericks and Dankert following injection, suggesting an effect of dermorphin on the endocrine pancreas128. TPH-7 and TPH-13, (tryptophyllin peptides) isolated from the skin of Phyllomedusa rohdei shows endocrine and behavioural effects129. The 8kDa protein Bv8, secreted by the skin of the frog Bombina variegata, injected into the lateral ventricles of rat brain suppresses diurnal, nocturnal, deprivation-induced and neuropeptide Y-stimulated feeding and stimulates diurnal drinking. Nocturnal drinking is increased only in fasted rats. Bv8 injections into other brain areas does not change rat ingestive behaviours130. Recently, studies with skin extracts of Phyllomedusa rhodei have shown that it could affect mice behaviour in experimental models131. Amphibian skin may be an effective candidate in healing of wounds and in plastic surgery in the future. The clue lies in the healing of wounds by toad skin. Experimental wounds created on albino rat skin healed faster when dressed with dorsal skin of freshly sacrificed Indian frog (Rana tigrina) as compared to control that were dressed with cotton gauze132. A part of the healing efficacy of frog skin may be due to collagen since proliferation, migration and differentiation of epithelial cells are prime requisites for a normal healing mechanism133. A novel two domain trefoil factor family (TFF) protein named BmTFF2 purified and cloned from frog Bombina maxima skin secretions can activate human platelets in a dosedependent manner and activation of integrin alpha(IIb)beta(3) is involved134. Other than frogs and toads, salamanders are also important amphibians that are believed to have medicinal implications. But little attention has been have examined the skin from the tail region for the production of antimicrobial peptides in the terrestrial salamander, Plethodon cinereus. Fractionation of tail skin extracts by cation-exchange chromatography and reverse-phase HPLC eluted an antimicrobial fraction that is active against Staphylococcus aureus, but not against Escherichia coli135. Water-soluble skin secretions of salamander Tylototriton verrucosus display a wide spectrum of antimicrobial activities and also contain both proteolytic activity and trypsin inhibitory activity136. Conclusion This overview is an attempt to enlighten the fact that amphibian skin is capable of providing a wide variety of bioactive compounds that may be turned to therapeutic advantage. Table 1 provides an insight into the therapeutic potential of different frog and toad skin biomolecules. Though many areas have been explored, scientists may venture for therapeutic activities of amphibian skin biomolecules towards emerging pathophysiological conditions such as stroke, depression, inflammation, seizures and convulsion, memory and learning dysfunction and other neurodegenerative diseases (Alzheimer’s, Parkinson’s, etc.). Advanced knowledge on biotechnology and chemistry may be put to use to synthesize derivatives of the natural biomolecules, which may turn out to be more effective than the parent molecule. Thus, the multidimensional, multifunctional components of the amphibian skin GOMES et al.: THERAPEUTIC POTENTIAL OF AMPHIBIAN SKIN BIOACTIVE MOLECULES warrant much more attention, which may lead to newer and more effective drug development in the near future. Acknowledgement Dedicated to Late Professor S C Lahiri (Calcutta School of Tropical Medicine) and Late Professor A K Nagchowdhury (Department of Pharmaceutical Technology, Jadavpur University, Kolkata). 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