**Antioxidant and Anti-Inflammatory Properties of Cherry Extract: Nanosystems-Based Strategies to Improve Endothelial Function and Intestinal Absorption**


Received: 31 December 2019; Accepted: 14 February 2020; Published: 17 February 2020

**Abstract:** Cherry fruit has a high content in flavonoids. These are important diet components protecting against oxidative stress, inflammation, and endothelial dysfunction, which are all involved in the pathogenesis of atherosclerosis, which is the major cause of cardiovascular diseases (CVD). Since the seasonal availability of fresh fruit is limited, research has been focused on cherry extract (CE), which also possesses a high nutraceutical potential. Many clinical studies have demonstrated the nutraceutical efficacy of fresh cherries, but only a few studies on CE antioxidant and anti-inflammatory activities have been carried out. Here, the results concerning the antioxidant and anti-inflammatory activities of CE are reviewed. These were obtained by an in vitro model based on Human Umbilical Vein Endothelial Cells (HUVEC). To clarify the CE mechanism of action, cells were stressed to induce inflammation and endothelial dysfunction. Considering that antioxidants' polyphenol compounds are easily degraded in the gastrointestinal tract, recent strategies to reduce the degradation and improve the bioavailability of CE are also presented and discussed. In particular, we report on results obtained with nanoparticles (NP) based on chitosan derivatives (Ch-der), which improved the mucoadhesive properties of the chitosan polymers, as well as their positive charge, to favor high cellular interaction and polyphenols intestinal absorption, compared with a non-mucoadhesive negative surface charged poly(lactic-co-glycolic) acid NP. The advantages and safety of different nanosystems loaded with natural CE or other nutraceuticals are also discussed.

**Keywords:** cherry; nutraceuticals; polyphenols; antioxidant; anti-inflammatory; intestinal absorption; nanoparticles; nanosystems; HUVEC

#### **1. Introduction**

Cardiovascular diseases (CVD) have always been recognized as the leading cause of death and invalidity in the Occidental world. Atherosclerosis (ATS), a fibroproliferative inflammatory disease due to endothelial dysfunction, is considered the major cause of CVD. Cardiovascular risk factors such as smoking, hypertension, dyslipidemia, diabetes, obesity, and a sedentary lifestyle lead to oxidative stress, which is the most important known factor involved in endothelial dysfunction (Figure 1).

**Figure 1.** Main cardiovascular risk factors and their involvement in endothelial dysfunction.

Recent studies have demonstrated that a Mediterranean-type diet has a preventive effect on ATS and CVD [1–3]. In particular, the consumption of nutraceuticals contained in plant derivatives has showed a very important role in preventing ATS plaque formation. Among agri-food products, soft fruit such as strawberries, grapes, apples, cherries, etc. are widely consumed due to their good taste based on the balance between sugar and acid content in the fruit. Among soft fruit, sweet cherries (*Prunus avium* L.) have been studied for their high content in biologically active substances, such as phenolic acids. It is known that p-coumaric, p-hydroxybenzoic, chlorogenic, ferulic, and gallic acid, which are found in a lot of different sweet cherry cultivars, have antioxidant properties. Indeed, antioxidants have strong scavenging activity for superoxide and 2,2-diphenyl-1-picrylhydrazil (DPPH) radicals. Moreover, sweet cherries have an anti-inflammatory effect principally due to a decrease in plasma C-reactive protein (CPR) and nitric oxide (NO) levels [4].

However, a low bioavailability is the major problem of using antioxidants from cherry extract in therapy. A poor intestinal absorption along with oxidation in the gastrointestinal tract (GI) and marked metabolism in liver make it unlikely that high concentrations of these antioxidants are found in the organism for long after ingestion and reach the blood, which is the action site. From here, the notion came of preparing nanoparticles loaded with these natural extracts. This nanosystem prolongs the polyphenols residence in the GI lumen, reducing the intestinal clearance mechanisms and increasing the interaction with the intestinal epithelium, which is the absorption surface. Moreover, the nanoparticles can penetrate the tissues through the capillaries and are internalized in cells [5].

Despite the enormous success and consequent use of many synthetic polymers to prepare nanoparticles, using this polymer type in the nutraceutical field is not advisable, as substances of natural origin are required for this purpose. For this reason, we will only review nanosystems that are based on polymers of natural origin (chitosan and its derivatives), made of endogenous monomers (poly(lactic-co-glycolic acid)), or consist of natural phospholipids (liposomes).

#### **2. Cardiovascular Diseases**

CVD are disorders that include coronary heart disease, cerebrovascular disease, and peripheral vessel disease. According to the World Health Organization (WHO) report [6], CVD have been responsible for 17.9 million deaths per year, 85% of which are due to heart attack and stroke. The WHO stated that most CVD can be prevented by adopting a healthy lifestyle, e.g., reducing the use of alcohol and tobacco as well as improving diet and physical activities. Consequently, detection and management using counseling and medicines, as appropriate, is a promising strategy to reduce CVD risk factors.

The dominant pathogenesis of CVD is represented by ATS, which is an inflammatory disease that is increasing worldwide as a result of the adoption of the Western lifestyle, and it is likely to reach epidemic proportions in the coming decades [7]. The major direct cause of CVD appears to be the atherosclerotic plaques [8]. Nowadays, it is well-known that ATS is a chronic metabolic and inflammatory process affecting the intima of medium-sized and large arteries. This process is characterized by the formation of plaques made of a cholesterol-rich core (atheroma) surrounded by a fibrous cap (Figure 2). ATS risk factors such as smoking, hypertension, dyslipidemia, diabetes, a sedentary lifestyle, and obesity lead to the activation (dysfunction) of the endothelium [9]. The activated endothelium exhibits an increased permeability, generates reactive oxygen species (ROS), and expresses inflammatory adhesion proteins and chemokines, contributing to the formation of the atherosclerotic plaque, which can be classified into types I and II (early lesions) or types II to VI (advanced lesions) on the basis of the lesion progression [9]. In addition, neoangiogenesis contributes to the progression of atherosclerotic plaque and complications [10].

**Figure 2.** Atherosclerotic plaque formation in a damaged endothelium.

#### **3. Inflammation**

Cytokines are often classified in pro-inflammatory (tumor necrosis factor-α (TNF-α), interleukin-1 (IL-1), interleukin-12 (IL-12), interleukin-18 (IL-18), interferon γ (IFNγ)) or anti-inflammatory (interleukin-4 (IL-4), interleukin-10 (IL-10), interleukin-13 (IL-13), transforming growth factor-β (TGF-β)) molecules, according to their activities during the inflammation process (Figure 3). Cytokines, secondary mediators of inflammation, are produced by monocytes, neutrophils and natural killer T (NKT) cells in response to microbial infection, toxic reagents, trauma, antibodies, or immune complexes. After inflammation has been triggered, there is a release of cytokines, the production of which is maintained and amplified by several other factors [11].

**Figure 3.** Cytokines involved in atherogenesis (adapted from [11]); Mac. = macrophage, SMC = smooth muscle cells.

Caspases are cysteine proteases that have an important role in the execution of apoptosis. A subfamily of caspases known as inflammatory caspases is involved in innate immunity. Caspase-1 is the prototypic member of this subfamily: its activation requires the assembly of the inflammasome, which is a unique intracellular complex that cleaves and activates IL-1 and IL-18 and contributes to the production of all the other cytokines [11]. Recently, the activation of Nucleotide-binding domain and Leucine-rich repeat Receptor containing a Pyrin domain 3 (NLRP3) inflammasome activation, the oxidative stress causing immune cell dysregulation, and chronic infections have showed a pivotal role in ATS and in inflammaging, which is a condition involved in CVD [12,13].

#### **4. Role of Oxidative Stress**

Oxidative stress results from an imbalance between free radicals and antioxidants in the body that could promote endothelial dysfunction and lead to cardiovascular dysfunctions [14].

There are tight relations between ROS generation and vascular functions in the normal physiological state and various pathologies, ATS being among them [15]. A high concentration of ROS can damage endothelium cellular structures and components, resulting in cellular death [16]. Cells expressed in the atherosclerotic plaque can generate ROS in response to activation by cytokines (TNF-α, IL-1), growth factors (platelet-derived growth factor (PDGF)), vasoactive peptides (angiotensin II), and platelet-derived products (thrombin, serotonin). Although different enzymes are present in the atherosclerotic plaque, NADPH oxidase-like activity appears to be the most important enzymatic source of ROS in the vascular wall [11].

#### *Model for the Study of Endothelial Dysfunction*

Endothelial cells (EC) lining the blood vessels are very sensitive to injury caused by oxidative stress [17]. The injury leads to compensatory responses that alter the normal homeostatic properties of the EC, increases the adhesiveness of the endothelium to leukocytes and platelets, as well as its permeability [18], and induces a procoagulant state and the release of vasoactive molecules, cytokines, and growth factors. If the inflammatory response is not effectively neutralized or the offending agents are not removed, the process can continue indefinitely [18].

Human Umbilical Vein Endothelial Cells (HUVEC) have been considered a good standard model for EC in normal and diseased conditions [19–24]. HUVEC were cultured for the first time in 1973 and isolated by the perfusion of healthy donors' umbilical veins with trypsin or collagenase [20]. HUVEC offer several advantages not only because they are relatively easy to recover and isolate from the umbilical vein, but also because they can be made to proliferate, and they can be maintained by a standard protocol. Moreover, HUVEC have been shown to be responsive to physiological and/or pathological stimuli such as high glucose, lipopolysaccharide (LPS), and shear stress [21–23].

Many in vitro studies performed on EC demonstrated the beneficial effects of natural products and their derivatives in protection from aging and oxidative stress [25–27].

#### **5. Nutraceutical Intervention**

The term "nutraceutical" derives from the fusion of the words "nutrition" and "pharmaceutical" [28]. According to DeFelice, nutraceutical can be defined as "a food (or a part of food) that provides medical or health benefits, including the prevention and/or treatment of disease".

Since the term nutraceutical has no regulatory meaning in marketing, different definitions have been proposed to help distinguish between functional food, nutraceuticals, and dietary supplements [29,30]. In 1994, Zeisel [31] provided two additional useful definitions of nutraceutical and functional food. A nutraceutical can be defined as "a diet supplement that delivers a concentrated form of a biologically active component of food in a non-food matrix to enhance health". Functional food is not a dietary supplement, but it includes "any food or food ingredient that may provide a health benefit beyond the traditional nutrients it contains" [32].

For these reasons, the interest in nutraceuticals and functional food has gained ground for its safety and potential nutritional and therapeutic effects. From here, it can be stated that because any functional food/nutraceutical is a source of macro and micronutrients, depending on the dose, it has the potentiality to be used as a drug [33].

In particular, nutraceuticals have showed a physiological benefit or provided protection against chronic inflammatory disorders, such as CVD [34].

Therefore, lowering inflammation is the most promising strategy for the prevention of atherosclerosis and its complications. Many clinical studies, e.g., the Lyon Diet Hearth Study [1], have demonstrated the protective effects in the primary and secondary prevention of CVD [2,3]. The consumption of plant derivatives, with a high intake of fruit and vegetables, such as plant sterols/stanols, red year rice, green tea catechins, curcumin, berberine, garlic etc., reducing physiological threats, including CVD and ATS risk factors [35], and improving the immune responses and defense system [36–38], could be used in monotherapy or combination therapy to significantly reduce CVD-related complications [39].

The constant increase of the nutraceutical market led the nutraceutical industry to develop innovative research in the delivery systems of molecules that have poor solubility or adsorption. These molecules without an appropriate oral formulation have limited efficacy [40].

#### **6. Polyphenols and Sweet Cherry (***Prunus avium* **L.)**

Polyphenols are biologically active substances that are contained in plants derivatives or produced as secondary metabolites, which can be chemically distinguished into three main classes: phenolic acids, flavonoids, and non-flavonoids (stilbenes—resveratrol and lignans) (Figure 4). Polyphenols found in fruit, vegetables, nuts, and their derivatives have antioxidant and anti-inflammatory activities. Among phenolic acids, hydroxicynnamic, e.g., p-coumaric acid, and hydrobenzoic acids, e.g., gallic acid, have important antioxidant properties. Most polyphenols are represented by flavonoids, such as anthocyanins (cyanidin) and anthoxantins (flavonols—quercetin, flavanols—catechin etc.), which have both antioxidant and anti-inflammatory properties [41–43]. Flavonoids are found in chocolate, tea, and wine. Since oxidative stress is a determining factor in many chronic and degenerative pathologies, e.g., ATS, numerous efforts have been made to study antioxidant compounds that could prevent these diseases and hamper their progression. Indeed, numerous types of polyphenols (e.g., p-coumaric acid, gallic acid, and ferulic acid) have been found to have radical scavenging and antioxidant activity [44]. The literature also shows by in vitro and/or in vivo models that polyphenols could reduce the inflammation, inhibit the edema, and stop the progression of tumors, as a virtue of their proapoptotic and anti-angiogenic actions. In addition, they could modulate the immune system, prevent the bones disturbances associated with the osteoporosis, increase the capillary resistance by acting on the constituents of blood vessels, protect the cardiovascular system, etc. [45].

**Figure 4.** Schematic classification of polyphenols and examples of chemical structures. The main molecules present in sweet cherries are represented in bold.

Among plant products, cherry fruit has been studied for its nutritional properties and beneficial effects [46,47]. Cherries are within the Rosaceae family and belong to the genes *Prunus* and subspecies *Cerasus*, according to the Linneus classification. Sweet cherry (*Prunus avium*) and tart or sour cherry (*Prunus cerasus*) have global trading importance and are now growing widely around the world. Depending on pre- and post-harvest factors, sweet cherry contains high levels of nutrients and

bioactive compounds, which present various health benefits [48–50]. Srednicka-Tober et al. [ ´ 51] showed the in vitro antioxidant potential of different cultivars of commercial sweet cherries, having a high variability in phenolics profile, and the ability to prevent disease. Other studies [52,53] confirmed the high phenol content variability and demonstrated that local sweet cherry varieties represent an interesting source of bioactive molecules and promote sustainability and biodiversity. Several clinical studies have showed that cherry fruit or juice consumption plays an important role in inflammatory diseases [54–56] by preventing or reducing inflammation related to muscle damage from intense strength exercise and also by accelerating recovery from strenuous physical activity. Ben Lagha et al. [57] reported that the tart cherry fractions and their bioactive constituents have antiplaque action due to their ability to inhibit the adherence properties of oral pathogens and increase the epithelial barrier function. Moreover, a recent study has confirmed the importance of cherry fruit in ATS risk factors prevention due to the effect of its polyphenols to reduce inflammation and endothelial dysfunction [58]. Nowadays, the interest is also moving toward the possibility of using coffee cherry extracts for brain health improvement, although further studies are required [59].

The most representative molecules in cherries are polyphenols, such as phenolic acids and flavonoids (see Figure 4), which also represent the most abundant antioxidants in the diet [60]. In particular, cherry extracts (CE) have a high content in phenols that reflects their nutraceutical potential, which could prevent chronic diseases [52]. Anthocyanins, the water-soluble subclass of flavonoids, are the ones responsible for the red color of cherry fruit and for the major part of CE vasoprotective properties [61], e.g., anti-inflammatory, anti-atherogenic, and vasodilatory action in vitro [62]. The antioxidant ability and the protective effect against oxidative stress of CE phenols have been investigated and demonstrated mainly by in vivo studies [48]. Regarding their anti-inflammatory activity, some studies have demonstrated that anthocyanins, such as cyanidin-3-o-glucoside and quercetin, inhibit LPS-induced inflammation and the release of endothelial-derived vasoactive factors after vascular endothelial damage [43,63,64]. A possible CE phenols mechanism of action in the cells has been recently reported by Console et al. [65]. In particular, they demonstrated the activation of recombinant human mitochondrial carnitine/acylcarnitine transporter, which was reconstituted in liposomes, by polyphenolic extract from *Prunus avium* L, thus confirming their antioxidant properties and showing their involvement in the mitochondrial fatty acid oxidation pathway.

In our own experience, the sweet CE polyphenols from *Prunus avium* L. showed a potential antioxidant effect by protecting HUVEC against oxidative stress, in addition to an ability to reduce ROS [66]. CE also demonstrated the ability to reduce inflammatory cytokines production, which resulted to be as efficient as that of the strong anti-inflammatory drug dexamethasone [67].

However, the use of antioxidants extracted from fruit is restricted because of their poor oral bioavailability. Indeed, they have a poor intestinal absorption, because of the oxidation in the intestinal tract and metabolic degradation in liver. Hence, there is a low probability of finding effective concentrations of these substances in the blood that is their site of action for a long time after ingestion. From this, the importance is clear of a formulation that could maintain the structural integrity of polyphenols, increase their water solubility and bioavailability, and transport them toward the physiological target [45].

#### **7. Nanotechnology in Nutraceutical**

To avoid the problem of polyphenols' low oral bioavailability, nanotechnology has been applied in nutraceutical and nanomedicine [68], which resulted in new drug delivery systems. The delivery of nutraceuticals provides protective mechanisms that are able to (1) maintain the active molecular form until the time of consumption and (2) deliver the active form to the physiological target within the organism [69].

From a technological point of view, nanocarriers are promising candidate as nutraceuticals delivery because they have a minimum influence on the appearance of final food products such as beverages [70].

Many types of nanosystems are increasingly studied to increase the stability of bioactives during storage and consumption, such as polymeric nanoparticles (NP), solid lipid NP, and liposomes. These nanosystems could deliver molecules with low bioavailability such as polyphenols [71]. In particular, nanoparticles are able to encapsulate phenolic compounds via hydrogen bonds and hydrophobic interactions, consequently increasing their aqueous solubility and preventing the oxidation in the GI tract [72]. NP having subcellular size improve the bioavailability of nutraceutical compounds. In particular, NP are able to prolong the polyphenols residence time in the GI tract, decreasing the intestinal clearance mechanisms and the interaction with the biological target [73]. Furthermore, NP can also penetrate into tissue through fine capillaries, cross the epithelial lining fenestration (e.g., in the liver), and are generally taken up efficiently by cells [74], thus allowing the efficient delivery of active compounds to target sites in the body.

Nanoparticles are solid colloidal particles with diameters in the range of 1–1000 nm. They are distinguished into nanospheres and nanocapsules. In particular, nanospheres have the drug dispersed inside the polymeric matrix or adsorbed on their surface. The polymeric matrix can be natural or synthetic: generally, natural polymers are preferred because of their biocompatibility, biodegradability, and relative non-toxicity; moreover, polymeric NP have various different structures and bio-imitative characteristics [75]. The ability of mucoadhesive polymeric nanoparticles to be internalized by cells and promote the absorption of phenolic compounds has been demonstrated [76,77]. In particular, more mucoadhesive NP were more able to enhance the bioavailability of the encapsulated drug than less mucoadhesive ones [78]. Among mucoadhesive polymeric matrices, natural chitosan and its derivatives are considered polymers of prime interest. Another polymer that has been approved by the United States Food and Drug Administration and European Medicine Agency and is considered one of the best biomaterials available for drug delivery [79] is synthetic poly(lactic-co-glycolic acid) (PLGA).

Therefore, bioavailability, targeting, and controlled release are the main advantages of using natural product-based nanomedicine [80]. The increased solubility and bioavailability, and improved sustained release by nanoencapsulation may elevate the phytochemicals' bioactivities [81]. However, the problem related to the nanosystems potential toxicity needs to be investigated. The minimal systemic toxicity of a nanosystem, based on biodegradable and biocompatible PLGA, could be of some advantage and represent an alternative to chitosan derivatives [82].

From here, the idea emerged of developing nanosystems based on mucoadhesive chitosan derivatives, which showed the ability to promote polyphenols intestinal absorption and antioxidant activity for the entrapment and the delivery of CE polyphenols. In addition, a comparison was made between such nanosystems and those based on non-mucoadhesive PLGA, which have different physical–chemical properties, in order to evaluate and select the best delivery system for CE polyphenols [82].

In addition to polymeric nanocarriers, an interesting strategy for drug delivery is represented by lipid-based nanocarriers, including vesicles, which were introduced as drug delivery vehicles for the first time in the 1970s. Vesicles are denominated either as liposomes, if the amphiphilic molecules are represented by phospholipids, or niosomes if they are based on non-ionic surfactants [83,84]. Liposomes have a spherical bilayer structure with sizes ranging from 20 nm to several μm. They are made of natural or synthetic phospholipids and cholesterol, and they can be loaded with either hydrophilic or hydrophobic molecules. Liposomes have shown many advantages, such as cell-like membrane structure [85,86], high biocompatibility, low immunogenicity, protection of the drugs or active groups, prolongation of drug half-life, reducing drug toxicity, and increasing efficiency. Moreover, structural and surface modifications can be made by using targeting ligands to generate a novel generation of liposomes and promote receptor-mediated endocytosis [87], thus expanding the application of liposomes in biomedicine [88]. Liposomes can be classified on the basis of their structural parameters, preparation methods [89], composition, and therapeutic applications. Their ability to encapsulate natural substances, e.g., plant-derived essential oils, grape seed extracts (GSE), curcumin, and enhance their antioxidant and anti-inflammatory activity has been demonstrated [90–92]. The liposome coating with chitosan led to a system for the controlled and sustained release of GSE polyphenols in water-based food [92]. Then, liposomes represent innovative vectors for the prolonged and sustained release of nutraceuticals and other active molecules, and their structure can be easily modified for multiple specific therapeutic applications.

A more recent trend in nanotechnology is represented by the use of complex systems. However, there are only a few data regarding the application of these systems as vehicles for nutraceuticals. Ma et al. [93] demonstrated the ability of nitric oxide-releasing chitosan nanoparticles (GSNO-Ch NP) to maintain the quality of sweet cherries during cold storage, thus improving their antioxidant properties. In effect, the authors showed that the combined treatment with S-nitrosoglutathione (GSNO) and Ch NP can preserve the soluble solid content and enhance the activity of antioxidants enzymes, in addition to reducing nitric oxide production, during its storage, better than GSNO or Ch alone.

#### *7.1. Nanoparticles Based on Chitosan Derivatives*

Chitosan (Figure 5) is a cationic polysaccharide composed of d-glucosamine and *N*-acetyl-d-glucosamine units, which are linked by β-(1,4)-glycosidic bonds. It is obtained by the incomplete deacetylation of chitin, which is a homopolymer of β-(1,4)-linked *N*-acetil-d-glucosamine present in the shell of crustaceans and molluscs, the cell walls of fungi, and the cuticle of insects. Chitosan is biocompatible, biodegradable, mucoadhesive, and non-toxic, and it has antimicrobial, antiviral, and immunoadjuvant activities.

**Figure 5.** Chemical structures of chitosan (Ch) derivatives: quaternary ammonium chitosan (QA-Ch), its thiolated derivative (QA-Ch-SH) and S-protected quaternary ammonium chitosan (QA-Ch-S-pro).

Chitosan obtained by a heterogeneous reaction is not soluble in water, although it is soluble in acid conditions. Water-soluble chitosan is instead obtained with homogeneous reaction. The acetylation of highly deacetylated chitin can also produce soluble chitosan. As a result, chitosan is available on the market in various forms that are different in molecular weight (MW) and deacetylation degree. Moreover, chitosan can be chemically modified because of the presence of –NH2 and –OH groups on the repetition units, leading to different derivatives. Chitosan has been found to enhance drug penetration across the cell monolayer, such as the intestinal epithelia [94]. Due to its absorption-enhancing effect, chitosan can be used for the development of new therapeutic drug delivery systems [95] administered by the oral route. Thus, the mucoadhesive properties of chitosan could be applied in nanomedicine with

the purpose of improving the effectiveness of nutraceuticals and drug delivery systems in age-related and diet-related diseases, e.g., ATS [96].

However, the use of chitosan is restricted because of its limited mucoadhesive strength and low water solubility at neutral and basic pH. For these reasons, various chemical modifications of chitosan have been studied in order to improve its solubility and consequently its applications [97]. In its protonated form, chitosan facilitates the paracellular transport of hydrophilic drugs combining the bioadhesion to a transient widening of the tight junction in the membrane. However, it is incapable of enhancing the absorption in the more basic environment of the small intestine. Therefore, positive charges have been introduced on the chitosan polymer chains [98,99] to obtain chitosan derivatives with increased solubility properties, especially at neutral and basic pH values.

A promising class of chitosan derivatives called N,O-[N,N-diethylaminomethyl(diethyldimethy leneammonium)nmethyl chitosan, or quaternary ammonium chitosan (QA-Ch) (Figure 5), was prepared by reacting chitosan with 2-diethylaminoethyl chloride under different conditions [4].

QA-Ch has a high fraction of free, unsubstituted, primary amino groups that are potentially available for the covalent attachment of thiol-bearing compounds via the formation of 3-marcaptopropionamide moieties. This has led to water-soluble thiolated chitosan-quaternary ammonium conjugates (QA-Ch-SH), which are also called thiomers (Figure 5). Thiol groups tend to keep the polymer adherent to the epithelium by reacting with the thiol groups of the epithelium mucus to form disulfide bonds, thus favoring the permeability-enhancing action of the positive ions. The synergism of quaternary ammonium and thiol groups has been evidenced [100]. Indeed, it has been demonstrated that the thiomer was more effective than the non-thiolated parent polymer in promoting absorption. The quaternary ammonium ions of the thiomer are responsible for the permeabilization of epithelium and the polymer mucoadhesion, while the thiols increase the latter. This synergistic effect is the basis of the polymer bioactivity [100].

To confirm the NP penetration mechanism, sections of the intestinal wall were observed under a fluorescence microscope following incubation with NP [101]. Microphotographs showed discrete fluorescent spots across the gut section, which were representative of integral NP penetration from the mucosal to serosal side of the intestine. This demonstrated that the NP did not disintegrate in their transit across the intestinal wall [101].

Despite the innumerable qualities, the thiomers have shown instability problems in solution; in particular, the thiol groups can be subject to oxidation at pH values ≥ 5. The early oxidation of thiols can limit the interaction with glycoproteins in the mucus, drastically reducing the effectiveness of these polymers. To overcome this problem, it was necessary to design and develop a second generation of oxidation-stable thiomer, called S-protected chitosan (QA-Ch-S-pro) (Figure 5). The protection of the sulfhydryl ends with mercaptonicotinamide groups allows increasing the mucoadhesive and cohesive properties of the thiomers, independently of the pH of the environment. Moreover, the amplified adhesive properties of the polymer make it possible to prolong the contact time with the mucosal membranes, the residence time of any vehiculated drugs, or small molecules, thus increasing the concentration gradient of these at the absorption site. Consequently, the more facilitated transport allows increasing the bioavailability of the drugs, with consequent reduction of the dose and the frequency of administration. Thus, chitosan-S-protected polymers can be considered a promising category of mucoadhesive polymers for the future development of new, effective, and safe non-invasive delivery systems for polyphenols.

The antioxidant, anti-inflammatory, antidiabetic, and anticancer properties of chitosan and its derivatives [96], especially when combined with such natural antioxidants as polyphenols, are promising for the prevention, delay, mitigation, and treatment of age-related dysfunctions and diseases, such as CVD. Moreover, NP are able to enhance the absorption of phenolic compounds because they are able to disrupt the tight junctions of biological membranes and can be directly uptaken by epithelial cells via endocytosis (Figure 6) [102].

**Figure 6.** Cellular uptake of nanoparticles (NP) carrying polyphenols by intestinal epithelial cells.

To prepare Ch-der NP, different techniques have been used [103], but the choice of a particular method should consider the nature of the drug to be entrapped, the delivery system, the administration route, and the absorption site. One of the established methods for the preparation of mucoadhesive Ch-der NP, which is intended for oral absorption, is the ionotropic gelation with de-polymerized hyaluronic acid (HA) [104], which is very simple because it does not require the use of organic solvents. The NP are obtained by the addition of a solution of HA containing or not the drug to a dilute solution of chitosan, under stirring. Nanoparticle size strictly depends on the concentration of both chitosan and HA. The efficacy of Ch-der NP prepared with this method to encapsulate red grape polyphenols, thereby promoting their oral absorption and producing beneficial effects on endothelial cells, has been demonstrated [76,77]. Moreover, a recent study on Caco-2 cells demonstrated that Ch-der NP were easily internalized by adsorptive endocytosis [97].

Chitosan and its derivatives were used also to prepare nanoparticles complex systems. Ba et al. [105] prepared zein-carboxymethyl chitosan-tea polyphenols (zein-CMCS-TP) for the delivery of β-carotene. These ternary complexes had more stability against heat and acid conditions and antioxidant activity than single protein and protein-polysaccharide binary systems. Zein NP coated with alginate/chitosan were used also to encapsulate resveratrol [106]. These complexes reduce the photodegradation of resveratrol, could improve its stability, and could represent a useful potential delivery system for application in functional food and pharmaceutical products.

#### *7.2. Poly(Lactic-co-glycolic Acid) Nanoparticles*

The polyester PLGA is a synthetic copolymer of poly lactic acid (PLA) and poly glycolic acid (PGA) (Figure 7). PLGA is biocompatible and biodegradable, and it is used not only as a delivery vehicle for drugs, proteins, and other macromolecules, but also for the development of NP containing nutraceuticals [107]. It is soluble in a wide range of common solvents including chlorinated solvents, tetrahydrofuran, acetone, or ethyl acetate. In water, PLGA is degraded by the hydrolysis of its ester linkages (Figure 7). PLGA NP can be used to encapsulate either hydrophilic or hydrophobic small molecules by using different formulation methods.

**Figure 7.** Degradation of poly(lactic-co-glycolic acid) (PLGA) based on the hydrolysis of the copolymer.

The most common technique for the preparation of PLGA NP that is able to encapsulate small hydrophilic molecules is the double emulsion technique (w/o/w), which is a modification of the emulsification-solvent evaporation technique [108]. PLGA NP are internalized by cells partly through pinocytosis and also through clathrin-mediated endocytosis and enter the cytoplasm within 10 min of incubation [107]. The controlled release, biocompatibility, and biodegradability properties of PLGA NP have produced an overall decrease in cytotoxicity; therefore, they have been used as delivery systems for polyphenols rich-materials from fruit and other nutraceuticals [108–111]. The negative surface charges of PLGA could also be modified by PEGylation of the polymer [112] or coating NP with chitosan [113]. In the first case, NP with a neutral surface were obtained; in the second case, the NP surface was positively charged. In both cases, the NP cellular uptake was improved. Another advantage of using PLGA nanoparticles or nanospheres is in the possibility of reducing local inflammation through a long-term treatment, thanks to the slow biodegradation of NP and the consequent release of the drug [114]. In particular, PLGA NP have been successfully used for the preparation of polyphenol nanoformulations in cancer therapy [115].

In addition to simple PLGA NP, more complex and recent strategies have been applied for the delivery of nutraceuticals different from cherry. PEG-lipid-PLGA hybrid NP were prepared by Yu et al. [116] to enhance the liposolubility and the oral delivery of berberine, which is a natural compound that presents potential anti-cancer and anti-inflammatory activity. Complex nanoparticles systems could be also prepared by the combination of PLGA with Ch. Abd-Rabou et al. [117] used polyethylene glycol/chitosan-blended PLGA (PLGA-Ch-PEG) to prepare *Moringa oleifera* leaves extract-loaded nanocomposites, which could be used as a natural source of anti-cancer compounds. Another study reported the possibility of co-encapsulating Nigella sativa oil (NSO) and plasmid DNA (pDNA) in chitosan-PLGA NP, in order to improve the gene therapy for Alzheimer neurodegenerative disease [118].

#### *7.3. Liposomes*

Liposomes are bilayer vesicles with an aqueous core entirely covered by a phospholipid membrane. They are attractive encapsulation systems for water-soluble phenolic compounds [119] (Figure 8).

**Figure 8.** Structural and design considerations for liposomal drug delivery (adapted from [87]).

The thin layer evaporation technique is one of the simplest and most used methods [120] to prepare liposomes by hydrating lipid films [85,121,122], which involves the encapsulation of active principles in the organic phase (with lipophilic actives) or in the aqueous phase (with hydrophilic ones) during the initial steps of liposomal preparation. However, using this technique, the encapsulation efficiency is generally higher with lipophilic molecules than with hydrophilic ones. Another limitation of using conventional liposomes is represented by a rapid elimination from the bloodstream, which could reduce the therapeutic efficacy [123].

In the food area, these vesicles could be used for the encapsulation of functional bioactives. Among the bioactive substances, the essential oils have been thoroughly studied, since many of them have strong antioxidant and antimicrobial properties [124]. However, the difficulties with their dispersion in aqueous formulations and their high oxidation sensitivity require their encapsulation in water-dispersible systems and protection from degradation. A recent work [125] demonstrated the ability of multilamellar liposomes prepared by the dry film hydration technique to incorporate essential oil from Brazilian cherry (*Eugenia uniflora* L.) leaves, which is a plant that is known for its anti-inflammatory properties.

Liposomal aqueous dispersions have low stability; therefore, anhydrous liposomal preparations have been studied. Anhydrous preparations have the advantage of being stable and can be hydrated to regenerate the liposomal dispersion at the time of use. For this reason, transforming the aqueous liposomal dispersion into powder means creating a release system that is more fit for industrial production. This was the goal of Akgün et al. [126], who showed a promising industrially applicable delivery system for sour cherry phenols that were efficiently loaded in a liposomal powder incorporated into a stirred-type yoghurt system. Since the spray-drying process did not degrade phenolic compounds encapsulated in liposomes, this technique could represent another strategy for reducing polyphenols degradation and enhancing their beneficial activity.

#### **8. Intestinal Absorption**

The oral route is the preferred one for drug administration because it is the physiological mechanism of nutrients and other exogenous molecules [127]. A drug administered by the oral route is mainly absorbed in the small intestine. The small intestinal epithelium is mainly composed of enterocytes, which have well-ordered projections, called microvilli, on their apical side. Microvilli increase the absorptive area, making up a total intestinal surface area of 300–400 m2. The intestine also comprises mucus-secreting goblet cells, which are the second most abundant cell type.

Mucus has an essential role in the GI tract. In fact, it has transport activity as well as lubricant and protective properties. It is the first physical barrier encountered by biopharmaceuticals after their oral administration [128]. Mucus is a complex hydrogel composed of proteins, carbohydrates, lipids, salts, antibodies, bacteria, and cellular debris. The main protein components of mucus are mucins, which are responsible for the gel properties of mucus [129]. An example of the dynamic barrier properties of mucus is represented by its ability to act as a selective barrier to the diffusion of acids, due to interactions that change depending on the environmental pH and pKa of the acid.

Since the primary site of absorption after oral administration is represented by the small intestine, rather than the colon [127], it is important to establish the best epithelial cells-based model that is able to simulate the intestinal barrier, in order to evaluate the nutrients intake. After being transported across the epithelial lining, molecules reach the lamina propria, which contains a network of capillaries responsible for their drainage into blood circulation and thus to their action site. All epithelial cells are interconnected by tight junctions, which have an important role in retaining the polarization of the cells and maintaining the integrity of the epithelium [130].

Nanoparticles have the potential to enhance the absorption of phenolic phytochemicals because they are able to disrupt tight junctions and/or they could be directly uptaken by epithelial cells via endocytosis [102] (see Figure 6).

The in vitro model most widely accepted to study the human oral drug absorption is the colon epithelial cancer cells (Caco-2) monolayer. Caco-2 clones from adenocarcinoma have morphologic and functional characteristics similar to enterocytes: e.g., they show tight junctions, apical and basolateral sides, and a brush border with microvilli on the apical surface. However, these Caco-2 monolayers have several limitations. One of these is represented by tight junctions being tighter than those present in the small intestine. In addition, they are more similar to colon epithelium cells, as they have a reduced permeability to drugs through the paracellular route. Hence, many research groups have proposed to use the co-culture of Caco-2/methotrexate mucus-secreting subclones HT29-MTX, as a model that is able to mime the human intestinal epithelium better than the simple Caco-2 monolayer. The mucus-producing HT29-MTX cell line is used as a model to study the mucus role in the transport of drugs through the intestinal tract. Mucus-secreting goblet cells are usually obtained from adenocarcinoma cell line HT29. HT29 cells are treated with methotrexate to get mature goblet cells, which are so-called HT29-MTX.

#### *Triple Cell Co-Culture (Caco-2*/*HT29-MTX*/*Raji B) as a Model of Study*

A more recent in vitro model based on a triple cell co-culture of Caco-2/HT29-MTX/Raji B, as represented in Figure 9, has been developed in order to reproduce the intestinal epithelium [127,130]. Caco-2 cells cultured with Raji B lymphocytes acquire the M cell phenotype. Caco-2 cells losing the brush border organization, the microvilli, and the typical digestive function from enterocytes play an important role in the immune system, and they have the ability to take up bacteria, viruses, nanoparticles, and microparticles by endocytosis. Previous studies [127,130] proved that the three cell types, when cultured together, present the features of the human intestinal barrier.

In our studies [66,67,82], we tested Ch-der and PLGA NP on both HUVEC and Caco-2 cells in order to evaluate NP cytotoxicity, their ability to protect polyphenols from degradation in the GI, and the mucoadhesive properties that are able to promote intestinal absorption. Our results demonstrated that Ch-der NP, based on mucoadhesive QA-Ch and QA-Ch-S-pro derivatives, were able to encapsulate CE polyphenols and protect them from GI degradation [66]. In particular, QA-Ch and QA-Ch-S-pro NP enhanced the anti-inflammatory and antioxidant activity, respectively, of the lowest CE polyphenolic concentration tested (2 μg/mL). This was ineffective when non-encapsulated [66,67]. PLGA NP were able to encapsulate higher polyphenolic concentrations, maintain their beneficial activities, and promote intestinal permeation [82]. Both Ch-der NP had the ability to reduce ROS production, but only QA-Ch-S-pro NP significantly protected HUVEC from oxidative stress [66], which was probably because of the highest affinity between CE and NP. It is probable that the presence of protected thiol groups on the surface, acting as reducing groups [131], enhances the polyphenols' antioxidant effect. Moreover, QA-Ch-S-pro NP were able to promote CE polyphenols intestinal permeability through the in vitro triple co-culture model based on epithelial cells (Caco-2/HT29-MTX/Raji B) better than non-mucoadhesive PLGA NP [82]. For its part, QA-Ch NP showed the ability of reducing inflammatory cytokines production, nitric oxide, and NLRP3 production in stressed HUVEC, to the same extent as the anti-inflammatory synthetic drug dexamethasone [67]. Although all the NP types were efficiently internalized by HUVEC after 2 h of incubation, the mucoadhesive properties and the positive surface charge of Ch-der NP showed higher cellular interaction than the non-mucoadhesive and negatively charged PLGA NP [67].

**Figure 9.** Scheme of Caco-2/HT29 (HT29-MTX)/Raji B triple cell co-culture model preparation (adapted from [127]).

The results obtained have shown that all the types of NP tested are promising from the nutraceutical standpoint. Chitosan NP, thanks to their chemical–physical properties, could be used as efficient transport systems for polyphenols; nevertheless, if higher polyphenolic concentrations are needed, the use of PLGA NP, as nanosystems with low cytotoxicity, could be more convenient [82].

Triple cell co-cultures of Caco-2/HT29-MTX/Raji B were also used as a model to assess the liposomes' permeation ability. Otero et al. [132] demonstrated that non-encapsulated bacteriophages were able to cross the intestinal barrier with respect to the encapsulated ones, which was probably because liposomes containing bacteriophages had a prolonged residence time in the stomach, thus adhering to the intestinal wall and protecting phages until they release. In another study, Belubbi et al. [133] encapsulated nelfinavir mesylate (NFV) in liposomes and studied their permeability using the triple cell co-culture method. They found that the liposomes had a high NFV encapsulation efficiency, but no liposomes permeation was observed. However, the authors demonstrated that these liposomes were able to protect the drug in the gastric environment.

Although no liposomes containing polyphenolic compounds have already been investigated using triple cell co-cultures of a Caco-2/HT29-MTX/Raji B model, these results suggest that liposomes can protect the encapsulated drugs from degradation in the GI tract and that the triple cell co-culture model can yield sound information about polyphenols' transcytosis.

#### **9. Conclusions**

Many clinical studies have reported that the consumption of cherries and their derivatives has a beneficial effect on human health. In addition, in vitro studies have demonstrated that natural polyphenols-rich sweet cherry extracts are able to protect endothelial cells from oxidative stress. Regarding inflammatory stress protection, CE was found to be as efficient as the most used anti-inflammatory synthetic drug dexamethasone.

The encapsulation of CE in nanoparticles based on chitosan derivatives improves the intestinal absorption of cherry polyphenols and enhances their antioxidant and anti-inflammatory activity. The mucoadhesive properties of the NP favor cellular internalization and promote the CE biological effects.

For all these reasons, the use of nanosystems based on chitosan derivatives represents a good and innovative strategy for the delivery of polyphenols from cherry extracts. PLGA-based nanosystems are a valid alternative in case higher polyphenol concentrations are needed. The differences in nutraceutical properties between the different types of nanoparticles loaded with cherry extracts have been attributed to the chemical differences between NP surfaces. Indeed, the surface properties of the nanoparticles influence their ability to be internalized by the cells and to cross the mucus that lines the intestine.

Other types of carriers, such as liposomes, should be taken into account for the development of future delivery systems for polyphenols or essential oils. A more recent approach is the use of complex systems based on nanoparticles to enhance the stability of phytochemicals and thus preserve the therapeutic properties of the encapsulated bioactive compounds.

In conclusion, considering that the fresh cherry fruit is a seasonal fruit, the use of nanosystems protects CE from degradation in the GI, thus allowing cherry consumption and its benefits to not be limited by seasonality.

**Author Contributions:** Conceptualization, D.B., F.F., Y.Z., and R.D.S.; methodology, D.B., F.F., and A.F.; investigation, D.B. and A.F.; resources, R.D.S., B.S., and Y.Z.; writing—original draft preparation, D.B.; writing—review and editing, Y.Z., A.F., and R.D.S.; supervision, R.D.S. and Y.Z.; project administration, R.D.S. All authors have read and agreed to the published version of the manuscript.

**Funding:** This research received no external funding.

**Acknowledgments:** Thanks to the Tuscany Region for support. Thanks to Claudio Cantini, Roberto Berni, and the National Research Council of Italy—Trees and Timber Institute (CNR-IVALSA) for providing *Prunus avium* L. cherry fresh fruits and extracts to study.

**Conflicts of Interest:** The authors declare no conflict of interest.

#### **References**


© 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).

## *Review* **Phytochemicals and Traditional Use of Two Southernmost Chilean Berry Fruits: Murta (***Ugni molinae* **Turcz) and Calafate (***Berberis buxifolia* **Lam.)**

#### **Carolina Fredes 1, Alejandra Parada 1, Jaime Salinas <sup>2</sup> and Paz Robert 3,\***


Received: 30 November 2019; Accepted: 30 December 2019; Published: 6 January 2020

**Abstract:** Murta and calafate have been traditionally used by indigenous and rural peoples of Chile. Research on murta and calafate has gained interest due to their attractive sensory properties as well as a global trend in finding new fruits with potential health benefits. The objective of this review was to summarize the potential use of murta and calafate as sources of nutraceuticals regarding both the traditional and the up-to-date scientific knowledge. A search of historical documents recorded in the Digital National Library as well as scientific articles in the Web of Science database were performed using combinations of keywords with the botanical nomenclature. Peer-reviewed scientific articles did meet the inclusion criteria (*n* = 38) were classified in phytochemicals (21 papers) and biological activity (17 papers). Murta and calafate are high oxygen radical absorbance capacity (ORAC)-value fruits and promising sources of natural antioxidants, antimicrobial, and vasodilator compounds with nutraceutical potential. The bioactivity of anthocyanin metabolites in murta and calafate must continue to be studied in order to achieve adequate information on the biological activity and health-promoting effects derived for the consumption of murta and calafate fruit.

**Keywords:** anti-inflammatory; antimicrobial; antioxidant; anthocyanins; medicinal foods; nutraceuticals

#### **1. Introduction**

Historically, indigenous peoples of Chile have had a deep relationship with nature; flora native to their territories has been used for various purposes, such as food, fuel, religious ceremonies, decoration, dyeing, and medicine [1]. In this context, the Mapuche ("people of the earth" in the Mapuzugun language) hold a vast, rich body of knowledge about flora that has been learned and transmitted within the culture throughout space and time [2,3]. Moreover, southernmost communities, such as the Aónikenk ("people of the south" in the Aónikoaish language) and the Yámana ("human being" in the Yahgan language), collected several edible plant roots, wild fruits, and seeds to survive in extremally harsh conditions [4]. In these particular areas, two small berry-type fruits known as murta, murtilla, or uñi (*Ugni molinae* Turcz, *Myrtaceae*) and calafate (*Berberis buxifolia* Lam., *Berberidaceae*) grow in the wild of the Patagonia. Murta is an evergreen bush that naturally grows in Chile from south of Talca (35◦ SL) to the Palena River (44◦ SL) (Figure 1), forming part of the deciduous forests of *Nothofagus* as well as the southern evergreen forests [5]. In these habitats, murta grows alongside other edible Chilean fruit plants such as peumo (*Cryptocarya alba*), boldo (*Peumus boldus*), keule (*Gomortega queule*), avellano or gevuin

(*Gevuina avellana*), diverse michay species (*Berberis darwinii*, *B. serrata*, *B. dentata*), litre (*Lithraea caustica*), pitra (*Myrceugenia planipes*), and luma (*Amomyrtus luma*) [1]. Calafate is an evergreen spiny bush which naturally grows in Chile from Curicó (35◦ SL) to the Cape Horn Archipelago (56◦ SL) [6]. Nevertheless, it is most abundant from Valdivia (40◦ SL) to the Strait of Magellan (54◦ SL) (Figure 1).

**Figure 1.** Distribution of murta (**red**) and calafate (**blue**) in a Chilean map, and the territory of Mapuche (**winter white**), Aónikenk (**soft blue**) and Yámana (**brown**).

During the last decade, interest in studying these berry-type fruits has increased, due to their attractive sensory properties as well as a global trend in finding new fruits with potential health benefits. Berry-type fruits are well known for their high polyphenol, and especially anthocyanin content [7]. Specifically, wild berry-type fruits stand out over their cultivated counterparts in terms of polyphenol content [8]. Furthermore, the extreme weather conditions that predominate during southern Chilean summers (a high-temperature oscillation) may favor the plant biosynthesis of anthocyanins [9]. Both murta and calafate fruits can be sources of anthocyanins with nutraceutical potential. Lee [10] defined Nutraceuticals as foods or part of foods that provide both health benefits to reduce the risk of chronic diseases and basic nutrition. Therefore, this review summarizes the potential use of murta and calafate as sources of nutraceuticals regarding both the traditional and the up-to-date scientific knowledge. This review would like to contribute to the development of both new research and indigenous peoples, in line with the 2030 agenda for sustainable development goals of the United Nations with its promise to "leave no one behind".

#### **2. Traditional Knowledge around Murta and Calafate**

The search strategy of historical documents was focused in revising manuscripts written by recognized naturalists of the Chilean flora such as Juan Ignacio Molina (1740–1829) [11], Claude Gay (1800–1873) [12,13], Charles Darwin (1809–1882) [4], and Ernesto Wilhelm de Mosbach (1882–1963) [1] available in Digital National Library database (www.memoriachilena.cl). At the same time, ethnobotany and ethnopharmacology books were also suitable publications that were extensively reviewed.

#### *2.1. Murta and Calafate in the Mapuche and Rural Culture*

The Mapuche are the most prominent indigenous peoples in Chile, due to both their social and demographic weight and cultural identity. Mapuche have historically settled between the Itata (36◦ SL) and Toltén (38◦ SL) Rivers (Figure 1) in Chile [2]. In this sense, Figure 1 contrasts the wild distribution of murta and calafate and the historically territory occupied by the Mapuche people.

The first records regarding the traditional uses of murta fruit (Figure 2a) by the Mapuche indicate the preparation of a sweet stomach wine that was an appetite stimulant, and "whose aroma was appreciated as the most delicate Muscat" [11]. In this sense, the aromatic properties of murta fruits were early recognized; Gay [13] indicated that country people eat murta fruits with a great pleasure and prepared pleasant and aromatic confections. Nowadays people from the countryside consume murta as dried fruits and in the preparation of jams [14].

**Figure 2.** Murta (**a**) and calafate (**b**) fruits.

Mapuche used the word *maki* to name black fruits [1]. In this sense, calafate (Figure 2b) were appreciated as fruit rich in pigments where the root and bark of calafate were also used to obtain purple and yellow dyes [14].

The Mapuche tradition of using plants for medicinal purposes was recorded in the archives of the several settlers and naturalists who, in turn, enriched them with the contribution of medicinal plants from Europe and other regions [15]. Since 2008, the traditional use of medicinal plants has been recognized by the Chilean Health Ministry [16]. The traditional use of murta includes making a leaf infusion to treat urinary and throat infections, while the fruit is known for its astringent power [14,17]. In the case of calafate, traditional uses include using its roots to control fevers, as an anti-inflammatory, and to ease stomach pains, indigestion, and colitis [14,17].

#### *2.2. Calafate in the Extreme South Communities of Chile*

Historical records on the use of native flora as food and medicine by extreme south communities are more limited than the information available about the indigenous peoples of the central and southern zone of Chile. Among the communities of the extreme south Chile, the Aónikenk were an exclusively cultural entity defined by a particular tradition, language, and lifestyle [18], who occupied the territory located between the Santa Cruz River (50◦ SL) and the Strait of Magellan (54◦ SL) (Figure 1). The Aónikenk had a significant collecting tradition in which not only women participated but also involved men, children, and occasionally elderly people [18]. Calafate as well as other native fruits like zarzaparrilla (*Ribes magellanicum*), chaura (*Pernettya mucronata*), murtilla (*Empetrum rubrum*), and strawberry (*Rubus geoides*) were consumed mainly as fresh fruits during the harvest season (November to March) [4]. Furthermore, Aónikenk women occasionally painted their faces with calafate juice, believing it would whiten the skin tone [18].

The Yámana were the southernmost ethnic group in the world who lived in the territory of the Cape Horn Archipelago (56◦ SL) in the south of Tierra del Fuego Island and the Beagle Channel (Figure 1) [18]. Yámana were maritime hunter-gatherers who spent much of their lives in their anan (tree bark canoe). Men collected firewood, fruits, and vegetables [19]. A Yámana legend says that whoever tastes the bittersweet flavor of calafate will return to the extreme south territory [20].

#### **3. Scientific Knowledge around Murta and Calafate**

The search strategy of scientific literature is detailed in the flow diagram of Figure 3.

**Figure 3.** Summary of the search and selection protocols used to identify scientific articles included in the review.

Relevant publications were identified through an initial search in Web of Science database using the current botanical nomenclature in the title. The time interval for obtaining the records was between 1975 and 2020. Since 1994, the search results identified a higher number of documents on murta (58 records) than on calafate (31 records). Each abstract was revised and publications associated to plant sciences, environmental sciences and ecology that did not report any information about nutritional and phytochemical composition of murta and calafate (36 records) were excluded. At the same time, publications that did not contain original data (four records) were also excluded. Suitable publications were extensively reviewed and scientific articles contained the same data as other studies (11 papers) were excluded. Papers did meet the inclusion criteria were classified in phytochemicals (21 papers) and biological activity (17 papers) in terms to analize the the up-to-date scientific evidence of murta and calafate as sources of nutraceuticals.

#### *3.1. Nutritional Content of Murta and Calafate Fruits*

Murta fruit has a soluble solid content (SS) around 19 ◦Brix, a titratable acid around 8 meq Na OH/100 g, and a pH around 4.3 [21]. The sensory properties of murta fruit include the sweetness of a strawberry, the pungency of a guava, and the texture of a dried blueberry [22]. Furthermore, volatile compounds identified in murta fruit aroma have been described as fruity, sweet, and floral; ethyl hexanoate and 4-methoxy-2,5-dimethyl-furan-3-one are the most potent compounds found in murta [23]. The proximate analysis of murta fruit shows a content in moisture of 76.9%, protein of 1.2 g/100 g, fat of 0.9 g/100 g, crude fibre of 2.5 g/100 g, ash of 0.5 g/100 g and carbohydrates (by difference) of 18.5 g/100g expressed on fresh weight (FW) [24]. Furthermore, murta has a content in ascorbic acid of 210 mg/100 g [25].

Calafate fruit has a SS content between 25–31 ◦Brix and a titratable acid around 2 g malic acid/100 g (15 meq NaOH/100 g) [26]. Calafate fruit has a higher SS content than murta, and the highest SS content in comparison to other berries such as maqui (19 ◦Brix), pomegranate (15 ◦Brix), blueberry (14 ◦Brix), blackberry (13 ◦Brix), red raspberry (11 ◦Brix), and strawberry (9 ◦Brix) [27]. The proximate composition, sugars, and ascorbic acid of calafate fruit shows a content in moisture of 75%, protein of 2.6 g/100 g, ether extract of 0.18 g/100 g, crude fibre of 7.0 g/100 g, ash of 0.9 g/100 g, glucose of 3.0 g/100 g, fructose of 0.8 g/100 g and ascorbic acid of 74.0 mg/100 g expressed on FW [28].

#### *3.2. Phytochemicals in Murta and Calafate Fruits*

Phytochemicals (i.e., phenolic compounds, terpenoids, alkaloids, and nitrogen-containing compounds) can be defined as non-nutrient chemicals found in plants that demonstrate biological activity against chronic diseases [29,30]. Furthermore, several phytochemicals such as phenolic compounds and terpenoids have been used throughout human history as condiments and pigments [31].

#### 3.2.1. Anthocyanins in Murta and Calafate Fruit

Anthocyanins are the common coloring compounds found in a large number of plants and are responsible for the purple, red, blue, and orange colors of berry-type fruits [32]. Chemically, anthocyanins are phenolic compounds belonging to the flavonoid class, with two benzene rings joined by a linear three-carbon chain, possessing the C6–C3–C6 basic skeleton [33]. Anthocyanins are formed by the modification of anthocyanidins by glycosyl and aromatic or aliphatic acyl moieties [34]. The basic structure of an anthocyanidin is a flavonoid ion (2-phenylbenzopyrilium) that can vary based on the different positions of hydroxyl groups (OH) or methoxyls (OCH3) (Figure 4a). Six anthocyanidins (cyanidin, delphinidin, pelargonidin, peonidin, malvidin, and petunidin) are the most common in plants [33,35] and are present in berry-type fruits [32,36].



**Figure 4.** Anthocyanidin basic chemical structure (**a**), anthocyanins in murta (**b**) and calafate (**c**), and their different glycosylation patters.

The use of LC-MS as an analytical chemistry technique has allowed for the identification and/or tentative identification of the anthocyanin profile of murta and calafate. In a first report, two anthocyanins (cyanidin-3-*O*-glucoside and peonidin-3-*O*-glucoside) were identified in murta whereas 18 anthocyanins (3-*O*-monoglycosylated and 3,5-*O*-diglycosylated delphinidins, cyanidins, petunidins, peonidins, and malvidins) were most abundant in calafate [28,37,38]. As can be expected by the wide variability of colors observed in murta ecotypes, subsequent studies [39] have described a greater number of anthocyanins where 3-*O*-glucosides of delphinidin, petunidin, and malvidin have been also identified in murta fruit. Based on these findings, murta (Figure 4a) and calafate (Figure 4b) could be used as promising sources of a wide variety of anthocyanins.

#### 3.2.2. Phenolic Acids and Other Flavonoids in Murta and Calafate Fruit

The identification of other phenolic compounds in murta and calafate indicate the presence of phenolic acids (gallic acid, benzoic acid, p-coumaric acid, and hydrocaffeic acid), flavan-3-ols (epicatechin) and flavonols (quercetin, rutin, luteolin, kaempferol, and myricetin) in murta fruits [39,40]. On the other hand, 20 hydroxycinnamic acids and flavonols such as hyperoside, isoquercitrin, quercetin, rutin, myricetin, and isorhamnetin are more abundant in calafate fruits [39,41,42]. Furthermore, among flavonoid subclasses, murta shows higher flavonol and flava-3-ols content (0.29 and 0.27 μmoL/g FW respectively) than calafate (0.16 and 0.24 μmoL/g FW respectively) whereas calafate has a higher anthocyanin content (17.8 μmoL/g FW) than murta (0.21 μmoL/g FW) associated with the deep-blue color of the calafate fruit [28].

The existing research on murta and calafate show that phenolic compounds are the main phytochemicals studied in these berry-type fruits.

#### *3.3. Phytochemical Changes in Murta and Calafate*

The main factors that affect the polyphenol content in plants are genotype, environment, stage at fruit harvest, and storage and processing [15]. When wild plants are studied, domestication emerges as a key factor affecting polyphenol content due to changes in the allocation of nutrients within the plant (domestication syndrome) that occur during the continuous process of selection [43].

#### 3.3.1. Genotype vs. Environment

Phytochemical changes in murta have been studied in its leaves and stems and its fruits. The total amount of flavonols (rutin, kaempferol, and quercetin) in wild murta plant (leaves) is significantly higher (~20%) than in cultivated murta plants, showing the domestication effect [44]. Results on the flavonol content in murta fruit have been inconsistent. In one study, no significant differences between wild and cultivated murta fruits were found [44,45]. Conversely, in another study by Augusto [40], the total phenolic compounds in the fruits of wild and selected murta (14-4) genotype were 19.4 and 40.3 mg GAE/g in dry weight, respectively. Consistent with the results of phenolic compound content, the antioxidant capacity (AC) of the wild murta genotype was lower than the selected murta (14-4) genotype for both DPPH (76.5 and 134.4 mu moL TEAC/g) and ABTS (157.0 and 294.0 mu moL TEAC/g) tests [40]. These results show that phenolic content and AC in murta fruits did not decrease as a result of the domestication process.

In addition to differences in polyphenol content among different murta genotypes, the effect of the environment may cause the same variety to present differences depending on the harvest year. In this context, Alfaro et al. [46] indicate that genotype and growing season have a significant effect on the polyphenol content and AC of murta fruits; the lowest polyphenol content (283 ± 72 mg GAE/100 g DW) was obtained for the 14-4 genotype in 2008, and the highest value (2152 ± 290 mg GAE/100 g DW) was observed for the variety South Pearl-INIA in 2007. Furthermore, a canonical discriminant analysis of seasonal differences showed that the South Pearl-INIA variety had the greatest variation in polyphenol content in relation to the other genotypes studied [46]. The same authors indicate that rainfall and frosts were the most relevant climate factors that may explain the seasonal variation of total polyphenol content of murta fruits [46].

In the case of calafate, the effect of genotype and environment on phytochemical changes is scarce. Mariangel et al. [47] indicated that the phenolic composition of calafate fruit can vary according to the geographical area of fruit collection. However, it is difficult to determine if these differences are attributed to the different genotypes evaluated and/or to the effect of the environment. On the other hand, Arena et al. [48] demonstrated that calafate fruits from field conditions with different light intensities (i.e., 100%, 57%, 24% of natural irradiance) show significant differences in anthocyanin content. Fruits grown under high light intensity (299.7 mg/100 g FW) had an anthocyanin content 2.9 times higher than fruits grown under medium light intensity (103.8 mg/100 g FW) [48]. The authors associated a higher anthocyanin content with a higher photosynthetic rate and a concomitant increase in SS and sugar content measured under the same conditions [48].

#### 3.3.2. Stage at Fruit Harvest

Berry-type fruits harvested at different maturity stages present different chemical characteristics as well as phenolic compound profiles; in immature fruits proanthocyanidins are predominant while in mature fruits anthocyanins predominate [49–51]. From an ecological point of view, plants with immature fruits—without viable seeds—have high phenolic and proanthocyanidin contents that act as deterrent compounds to prevent their consumption by insects and herbivores [52]. In contrast, ripe fruits have attractive colors (anthocyanins and other pigments) and a sweet taste to stimulate their consumption by herbivores and the consequent dispersion of seeds [52].

Phytochemical changes during fruit development and ripening have been studied in calafate fruits as well as other berry-type fruits [49–51,53]. Early studies attempted to understand the main changes in phenolic compounds and AC during the process of fruit maturation and ripening in order to establish the best maturity index for calafate fruit according to phenolic compound content [26,54]. According to this study, for calafate fruits collected in March, the maximum anthocyanin content (761 mg/100 g FW) coincided with the highest accumulation of SS (25 ◦Brix) 126 days after flowering [54].

#### 3.3.3. Storage and Fruit Processing

In fruits, anthocyanins are mainly found in the epicarp (peel) [55] where they are stored in the cell vacuole and remain stable in intact fruits [56]. During fruit processing, the plant cell loses its compartmentalization and anthocyanins are exposed to the action of enzymes (polyphenol oxidase), other fruit components, and environmental conditions that favor their degradation [57]. Several factors such as temperature, pH, light, oxygen, ascorbic acid, metal ions, sugars, and enzymes may affect the stability of anthocyanins during processing and storage [58]. The mechanism of anthocyanin degradation has been studied in some plant species such as roselle (*Hibiscus sabdari*ff*a*); a metal-catalyzed oxidation followed by condensation (brown polymer) and a deglycosylation followed by scission (phloroglucinaldehyde and phenolic acids) were identified as two pathways of anthocyanin degradation [59].

Fleshy fruits have high moisture content, thereby they are classified as highly perishable commodities [60]. The dehydration of murta and calafate fruits emerges as an attractive conservation alternative given also the high seasonality of their production, allowing for the commercialization of value-added dehydrated fruit products throughout the year. Different drying processes for murta, such as freeze-drying [61,62], convective drying, combined infrared-convective drying [63], vacuum drying [62,64,65], atmospheric drying [62,64], infrared-radiation [62], and sun-drying [62] have been evaluated in order to preserve the polyphenols, the AC, and/or the microstructure of fresh murta fruit. Lopez et al. [62] reported that freeze-drying showed the highest retention of total flavonoids as well as anthocyanins and the least damage of murta microstructure. No studies on the drying of calafate fruit have been published.

The understanding of the phytochemical changes in murta and calafate facilitates the design and development of formulations and the evaluation of the efficacy of new nutraceutical products.

#### *3.4. Validation of Traditional Use and New Insights in the Research of Murta and Calafate*

Different methods of biological activity have been used to validate the traditional uses of murta and calafate as well as to examine some potential uses of calafate shoots and fruits (Table 1).

Some studies identified phytochemicals such as triterpenoids, phenolic compounds, and isoquinoline alkaloids. However, in many cases it is difficult to correlate a specific compound to a specific biological effect. In addition, some studies lacked detailed information about the genotype and time of harvest of raw materials. This information is particularly important because, as was discussed previously, genotype, environment, and time of harvest have been shown to affect the phytochemistry of murta and calafate.


**Table 1.** Traditional medicinal use, biological activity, and phytochemicals reported for murta and calafate.

NR: Not reported.

#### 3.4.1. Antioxidant Capacity

Based on a traditional use of murta leaf that suggests antioxidant, anti-inflammatory, and antimicrobial activity, an early study of murta leaf AC (ORAC method) in vivo was evaluated in the plasma of healthy volunteers before and after the ingestion of a murta leaf infusion (1%) twice a day for three days [66]. The results indicated a significant increase (from 2.258 to 3.108 μM TE/L) in the AC of the volunteers' plasma. Later, murta leaf AC was attributed to the presence of polyphenols such as phenolic acids, hydrolyzable tannins, flavanols (epicatechin), and flavonols (myricetin, quercetin) [67]. In another study, Albrecht et al. [82] examined the beneficial effect of calafate fruit on oxidative stress induced by chloramphenicol. Calafate-fruit aqueous extracts were shown to reduce oxidative stress caused by chloramphenicol in human blood cells by significantly diminishing reactive oxygen species (ROS). In parallel with the decrease of ROS, the fruit extract protected the viability of leukocytes [82].

#### 3.4.2. Anti-Inflammatory Activity

To study the biological activity of murta-leaf triterpenoids, the topical anti-inflammatory activity of alphitolic, asiatic, and corosolic acids isolated from murta leaf were evaluated in vivo in a mouse ear model; inflammation was induced with either arachidonic acid or 12-*O*-tetradecanoylphorbol-13 acetate [69]. Only corosolic acid was active in the arachidonic acid-induced inflammation assay, with similar potency to nimesulide, while the three triterpene acids together inhibited 12-*O*-tetradecanoylphorbol-13 acetate-induced inflammation with potencies comparable to that of indomethacin [69]. Furthermore, Goity et al. [70] and Arancibia-Radich et al. [71] indicated that the differences in the anti-inflammatory activity of murta leaf is associated to the different quantitative composition of phenolic compounds and triterpenoids.

The anti-inflammatory potential of calafate fruit has been studied by Reyes-Farias et al. [83] where aqueous extracts were able to modulate the proinflammatory state generated by the interaction between adipocytes and macrophages in vitro.

#### 3.4.3. Antimicrobial Activity

The antimicrobial activity of murta leaf extract against clinically important microorganisms with antibiotic resistance (*Staphylococcus aureus*, *Enterobacter aerogenes*, *Pseudomonas aeruginosa*, and *Candida albicans*) in vitro has been shown by Avello et al. [72] and Shen et al. [73]. Furthermore, Shene et al. [74] described the antimicrobial activity of murta leaf in human gut bacteria and Di Castillo et al. [75] showed the antimicrobial activity of murta leaf against *Escherichia coli* and *Listeria monocytogenes*.

Junqueira-Gonzalves et al. [39] studied the antibacterial activity (*E. coli* (ATCC 25922) and *Salmonella typhi* (ATCC 14028)) of ethanolic and acidic methanolic extracts. A methanolic murta fruit extract (100 μL) was equivalent to the activity of all of the antibiotics (tetracycline, clotrimazole, gentamicin, amikacin, ceftriaxone, cefuroxim, cefotaxim, ampicillin, ciprofloxacin, and ampicillin/sulbactam) tested in the case of *S. typhi*. However, in the case of *E. coli*, 100 μL of the extract was equivalent to the activity of tetracycline, amikacin, cefuroxim, cefotaxim, ampicillin, and ciprofloxacin.

The antimicrobial activity of calafate roots and shoots (stem and leaves) against Gram-positive bacteria (*Staphylococcus aureus*, *Bacillus cereus*, *Staphylococcus epidermidis*, and *Bacillus subtilis*) has been associated with the presence of isoquinoline alkaloids [78,81]. Calafate root had the highest alkaloid yield and berberine was the main alkaloid identified [79].

#### 3.4.4. Analgesic Activity

Delporte et al. [68] studied the analgesic activity of dichloromethane, ethyl acetate, and methanol extracts from murta leaves on acute pain in mice. Murta-leaf extracts produced antinociception in chemical and thermal pain models through a mechanism partially linked to either lipooxygenase and/or cyclooxygenase via the arachidonic acid cascade and/or opioid receptors. Flavonoids and triterpenoids were associated with the antinociceptive activity [68].

#### 3.4.5. New Insights in the Research of Murta and Calafate

In order to explore in the potential beneficial effect of murta and calafate fruit on the management of cardiovascular disease, Jofre et al. [76] and Calfío and Huidobro-Toro [77] studied the antioxidant and vasodilator activity of murta and calafate fruit in rat models. Dose-dependent vasodilator activity in the presence of endothelium was shown in aortic rings. Its hypotensive mechanism is partially mediated by nitric oxide synthase/guanylate cyclase and large-conductance calcium-dependent potassium channels [76]. Similarly, vascular responses of main glycosylated anthocyanins found in calafate fruit were endothelium-dependent and mediated by NO production [77]. Nevertheless, the authors propose that the anthocyanin-induced vasodilation is not due to an antioxidant mechanism [77]. Furthermore, Furrianca et al. [80] showed that a calafate-root ethanolic extract had hypoglycemic effects, stimulating glucose uptake in non-resistant and insulin-resistant liver (HepG2) cells by activating AMPK protein.

#### *3.5. Potential Health Benefits Associated with Murta and Calafate Fruit Consumption*

The high consumption of anthocyanin-rich foods has been associated with several health benefits in humans [84–87]. Internationally, these potential anti-inflammatory, antioxidant, hypoglycaemic, and cardioprotective health benefits found in berry-type fruits are used as a strategy to promote consumption. Antioxidant capacity measured in vitro is commonly determined in studies of phenolic profiling [9,88] however the in vitro method of measuring total antioxidant capacity is questionable due to it having almost zero relevance for human (animal) physiology. Nevertheless, the ORAC value as a way to determine AC in vitro is considered a quality parameter in the international market of berry-type agri-foods [88]. Speisky et al. [89] reported 27 fruit species grown in Chile, where the total phenolic content of murta (863 mg GAE/100g FW) and calafate (1201 mg GAE/100g FW) were higher than well-known polyphenol-rich fruits such as blackberry (671 mg GAE/100g FW) and blueberry (529 mg

GAE/100g FW). Murta and calafate were grouped among the highest ORAC (10,000–25,000 μmoL TE/100 g FW) fruits where calafate had the highest ORAC (25,662 μmoL TE/100 g FW) value; 2.8-fold higher than blackberry and 2.9-fold higher than blueberry [89].

As was mentioned previously, polyphenols are susceptible to degradation by heat, oxygen, and changes in pH, among others that may occur not only during product storage, but also into the gastrointestinal (GI) tract [57]. For example, it is well known that anthocyanins are unstable at high pH, and the shift from the acidic pH (pH 2) of the stomach to the almost neutral pH of the duodenum (pH 6) may be responsible for their specific hydrolysis and/or degradation [90–92]. Bioaccessibility, defined as the amount of compounds that are released from the food matrix after digestion [90] is measured to determine the impact of the food matrix on the protection and/or release of bioactive compounds as well as the stability of bioactive compounds during GI digestion. Ah-Hen et al. [93] compared the bioaccessibility of murta fruit and juice during an in vitro GI digestion process showing that juice as food matrix released bioactive compounds earlier in the gastric stage, while murta fruit released bioactive compounds in the small intestine. However, both murta fruit and juice achieved a high bioaccessibility index of polyphenols (70%) after being digested by the small intestine [93].

According to anthocyanin metabolism, its degradation is a result of chemical instability and the impact of bacterial catabolism, resulting in a number of circulating phenolic metabolites [94]. Along this line, Bustamante et al. [95] performed a pharmacokinetic study of phenolic compounds in gerbil plasma after the consumption of calafate, where the amount of 16 phenolic acids increased 4–8 h post-intake. Although all catabolites were found in concentration peaks between 0.1 and 1 mu M, no parental anthocyanins were detected [95]. Currently, it is postulated that anthocyanin bioactivity in vivo results from lesser studied, though more bioavailable, phenolic metabolites [96,97] and some authors have demonstrated that these phenolic metabolites are more active on inflammatory biomarkers than their precursor structures (parent anthocyanins) [97,98]. In this sense, the bioactivity of anthocyanin metabolites in murta and calafate must continue to be studied in order to achieve adequate information on the biological activity and health-promoting effects derived for the consumption of murta and calafate fruit.

#### **4. Conclusions and Future Perspectives**

This review, for the first time, approximates the traditional knowledge of murta and calafate with the scientific research on both species. Scientific knowledge of murta and calafate is much more limited compared to other South American fruits such as maqui (*Aristotelia chilensis* (Mol.) Stuntz) and acai (*Euterpe oleracea* Mart.) for which there are 96 and 232 records (article, proceedings paper, book chapter, and review) available in the Web of Science database, respectively. Advances in the study of the nutritional composition of fruits, the identification of phytochemicals, the validation of traditional use, and the biological activity of certain phytochemicals indicate that murta and calafate are promising sources of natural antioxidants, antimicrobial, and vasodilator compounds with nutraceutical potential. Like international studies on nutraceuticals in other berry-type fruits such as blueberries [95–97] future studies are needed to establish the mechanisms of action of both murta and calafate anthocyanins (and their metabolites) in antioxidant and anti-inflammatory activity. These studies are needed in order to further the study of the potential health benefits associated with the consumption of these berry-type fruits. From the nutritional point of view, murta appears to be a good source of ascorbic acid, similar to other fruits in the Myrtaceae family such as camu camu (*Myrciaria dubia* (Kunth) McVaugh, 397 mg/100 g FW) and white guava (*Psidium guajava* L., 142 mg/100 g FW), which are internationally recognized as good sources of vitamin C [99].

Plant domestication is a necessary strategy to guarantee the sustainable use of Chilean botanical resources and to standardize the quality of the raw materials derived from murta and calafate. Murta domestication programs are around 20 years old, while calafate has only very recently been domesticated. At the same time, sustainable harvesting of wild murta and calafate performed by several indigenous and rural communities can be an alternative for supplying raw materials for future

research. This review will be a useful reference for new research on murta and calafate, respecting and recognizing the traditional knowledge in the hands of indigenous and rural peoples from south and extreme south of Chile.

**Author Contributions:** C.F. performed the historical and scientific search of literature; C.F. and P.R. structured the review and analyzed the main papers; A.P. provided the review on nutritional composition; J.S. provided the review on botany and distribution. All authors have read and agreed to the published version of the manuscript.

**Funding:** This research received no external funding.

**Acknowledgments:** We are sincerely grateful to the Biblioteca Nacional of Chile for granting us access to and permission to use images of Abate José Ignacio Molina, Claudio Gay, and Charles Darwin, and to Carlos Aldunate, Director of the Museo Chileno de Arte Precolombino for the permission to use the picture of Father Ernesto Wilhem de Mösbach.

**Conflicts of Interest:** The authors declare no conflict of interest.

#### **References**


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