# Anthocyanin-Rich Berry Extracts Affect SN-38-Induced Response: A Comparison of Non-Tumorigenic HCEC-1CT and HCT116 Colon Carcinoma Cells

## TL;DR

This study shows that anthocyanin-rich berry extracts, especially blackberry, may interfere with chemotherapy effectiveness and fail to protect healthy cells.

## Contribution

The study reveals that anthocyanins can reduce DNA damage in healthy cells without affecting chemotherapy-induced damage in cancer cells.

## Key findings

- Blackberry extract showed the strongest cytotoxic effect in both healthy and cancer cells.
- Blackberry extract reduced DNA/topoisomerase I complexes in healthy cells without reducing SN-38-induced DNA strand breaks.
- Anthocyanins may interfere with chemotherapy effectiveness and lack protective properties in healthy cells.

## Abstract

Chemotherapy with irinotecan (CPT-11), the pro-drug of the highly cytotoxic SN-38, is among the standard-of-care treatments for colorectal cancer. To counteract undesired toxic side effects on healthy tissue such as the intestinal epithelium, the use of preparations rich in polyphenols with anti-oxidative and anti-inflammatory properties such as anthocyanins has been proposed. In the present study, the question of whether non-tumorigenic human epithelium cells (HCEC-1CT) can be protected against the cytotoxic impact of SN-38 by anthocyanin-rich polyphenol extracts without compromising the desired therapeutic effect against tumor cells (HCT-116) was addressed. Hence, single and combinatory effects of anthocyanin-rich polyphenol extracts of elderberry (EB), bilberry (Bil), blackberry (BB) and black currant (BC) with the chemotherapeutic drug SN-38 were investigated. Out of the extracts, BB showed the most potent concentration-dependent cytotoxicity alone and in combination with SN-38, with even stronger effects in non-tumorigenic HCEC-1CT cells. In cytotoxic concentrations, BB decreased the level of DNA/topoisomerase I covalent complexes in HCEC-1CT cells below base level but without concomitant reduction in SN-38-induced DNA strand breaks. The herein reported data argue towards an interference of anthocyanins with successful treatment of cancer cells and a lack of protective properties in healthy cells.