1. Introduction
Cancer is now a significant public health problem, with over 18 million new cases and 9.6 million deaths in 2018 [
1]. Cancer is among the leading causes of morbidity and mortality worldwide [
2]. It is characterized by the excessive proliferation of abnormal cells, which can be lethal if not effectively treated. This mortality remains high despite recent advances in treatment in developed regions in recent years. The number of new cancer cases per year worldwide has increased from 14 million in 2012 to more than 10 million in 2020 [
3], with a rate of more than one million new cases recorded in Africa [
4]. Africa, once considered the preserve of high-income countries, is not exempt from cancer. In Africa, more than 700,000 deaths were recorded in 2020 [
4], and for the 2030 projections, the estimated figures are, among others, 1.4 million new cases and 1 million deaths [
2]. More than 95% of cancer patients in African countries are diagnosed at an advanced stage [
5]. Delayed diagnosis for these patients is due to insufficient awareness and a lack of qualified centers with well-trained personnel [
5]. This delay is also dominated by financial problems, the lack of motivation of elderly patients, and the absence of the concept and word “cancer” in several African languages [
6]. In Benin, since 2013, the number of cancer patients has been growing, and 1500 cases are recorded yearly in Cotonou, with 55% of deaths [
7].
Modern medicine has already developed various alternatives against the disease, such as chemotherapy, surgery, gene therapy, radiotherapy, immunotherapy, and others. However, conventional cancer therapies are associated with a lack of selectivity and severe side effects [
7]. These chemotherapies are therefore considered risky drugs. Indeed, they combine multiple risks concerning the environment, the caregivers, the patients, and, more generally, all users in healthcare institutions, making the safety of their use a significant issue [
8,
9]. In addition, most of these chemotherapies are included in the list of “hazardous to handle” drugs established by the National Institute for Occupational Safety and Health (NIOSH) in the United States in 2004 and whose latest version dates from 2016 [
10]. Occupational chemotherapeutic exposure induces three main risks: immediate organ toxicity, impairment of reproductive functions [
11], and cancer pathology [
12]. Therefore, despite all modern medicine’s efforts, the mortality rate is still increasing worldwide.
The natural world abounds with a multitude of species and plant diversity. The diversity of chemical structures and their relatively low toxicity make natural products of plant origin a promising source for developing new anti-cancer therapies that are more effective and capable of targeting multiple characteristics of cancer. In Benin, several testimonies have been reported regarding treating diseases of microbial and viral origin with the organs of cassava. This plant is highly produced in Benin and used mainly in human food in various artisanal and industrial forms [
13]. The root is consumed as a food product (in the form of “
gari”, “
tapioca”, “
lafun”, and “
agbeli”) and is a good source of starch and biofuel. Besides their nutritional importance, cassava leaves and roots are also used to treat several diseases, such as diabetes, rheumatoid arthritis, cell aging, and cardiovascular diseases, including atherosclerosis [
14]. These organs contain bioactive molecules like vitamins C and A and secondary metabolites such as flavonoids, saponins, steroids, and cyanogenic glycosides [
14]. Besides these bioactive molecules, cassava contains amygdalin, which has proven therapeutic effects.
Amygdalin is a popular cyanogenic disaccharide [
15]. This compound is attributed to the high therapeutic effects provided by several authors, such as the anti-inflammatory and analgesic actions of neurodegenerative diseases [
16]. It also treats asthma, bronchitis, emphysema, leprosy, and diabetes [
17]. Extracted from apricot (
Prunus armeniaca), amygdalin inhibits breast, lung, and bladder cancer cells [
18]. Regarding the toxicity of this molecule, low and medium doses (50 and 100 mg/kg) of amygdalin administered orally do not induce toxicity in mice [
19]. While amygdalin in a high amount (200 mg/kg) can induce toxicity, causing adverse effects on the oxidative balance of liver tissues and a pronounced impact on mouse histopathology [
19]. So, the highest dose of amygdalin that does not cause unacceptable side effects in mice, rabbits, and dogs is 3 g/kg for intravenous and intramuscular injections and 0.075 g/kg for oral administration. Moreover, the maximum tolerated dose of amygdalin injected intravenously in humans is approximately 0.07 g/kg [
20]. Because of these multiple bioactive molecules, studies on quantifying and analyzing the therapeutic effects of amygdalin extracted from cassava remain to be explored.
In Benin, cancer treatment is not affordable for all population groups. Moreover, cassava is a plant with a prominent place in the population’s diet and contains bioactive molecules. Furthermore, cassava is a plant in several varieties whose organs are used. These organs occupy a place of choice in the diet of the Beninese population and are full of bioactive molecules. Do we wonder which plant varieties, organs, or derivatives contain more amygdalin? The objectives of the present study were (i) to identify the major groups of secondary metabolites of cassava varieties and (ii) to evaluate the efficacy of amygdalin extracted from three of the most consumed cassava varieties in Benin. Specifically, the aim was to assess the antioxidant, antimicrobial, anti-inflammatory, and anticancer activities of amygdalin extracted from three cassava varieties in Benin.
3. Discussion
The phytochemical study characterized the presence of glycosides, flavonoids, saponosides, steroids, tannins, leuco-anthocyanins, coumarins, and cyanogenic derivatives in ethanolic extracts of leaves of cassava varieties (BEN, RB, and MJ). The content of these secondary metabolites varies from one type to another. These same metabolites were found in the leaves of a cassava variety harvested in Côte d’Ivoire [
21]. Cyanogenetic compounds were detected in the sample powders. These are anti-nutritional factors that contribute to cassava’s low protein and mineral content. However, this toxicity can be reduced, or even eliminated, in the finished ready-to-eat products obtained after various transformations.
Determining total phenolic compounds, flavonoids, and total tannins showed a variation in their contents from one variety to another. The ethanolic extracts from MJ and BEN varieties are much more concentrated in total flavonoids. In contrast, these varieties show a low level of total phenols and total tannins compared to the extract from the RB variety. Different studies have shown that external factors (geographical and climatic factors), genetic factors, but also the degree of maturation of the plant, and storage time strongly influence the content of secondary metabolites [
22].
Amygdalin was determined in 39 samples of cassava produced in southern Benin. Pure methanol (99.8% for HPLC. LABO CHEMIE PVT. Ltd., Mumbai, India) was used for the HPLC assay, which allowed a good quantification of amygdalin in each sample. Because methanol is an excellent mobile phase for amygdalin separation by HPLC in less than 50 mn [
23]. The recovery rate found in this study was 98% (with a correlation coefficient of R = 0.99). This result corroborates a study [
24] that separated amygdalin within 15 mn in almond seeds and food products in the UK. The result is similar to that of [
25], who worked on artemisinin grown in Benin. These authors also found a recovery rate of 98%.
The content of amygdalin varied significantly (
p < 0.05) between different organs and derivatives of cassava. Among the samples analyzed, amygdalin was more abundant in young stems and fresh leaves of cassava, with a content of 11,142.99 µg 10 g
−1 and 9251.14 µg 10 g
−1, respectively. While, among cassava derivatives, the
Agbeli derivative was more concentrated in amygdalin with a range of 401.56 µg/10 g. These contents are lower than the 141.000 µg 10 g
−1 and 155.000 µg 10 g
−1 obtained, respectively, with almond seeds and Mongolian almonds reported in the studies of [
26] in China. High levels were also received with green plum, apricot, black plum, peach, red cherry, and black cherry, as reported by [
24] (17.5 mg g
−1, 14.4 mg g
−1, 10 mg g
−1, 6.8 mg g
−1, 3.9 mg g
−1 and 2.7 mg g
−1, respectively). The differences observed with these results can be explained by variations in the plant species studied, climatic and environmental factors, and the soil types exploited to grow these plants. Geographic environment and genomic differences could greatly influence amygdalin biosynthesis and accumulation [
26].
The antioxidant activity of plant extracts containing phenolic compounds is due to their ability to act as hydrogen or electron donors and scavenge free radicals. The DPPH test is commonly used to prove the antioxidant capacity of fractions and isolated pure compounds to act as hydrogen atom donors [
27]. The results obtained in our case study show that the sun-dried cassava organs proved to be the more potent scavengers of DPPH radicals than the shade-dried organs with IC
50 values, including one below 0.19 mg/mL and others of 0.25, 0.5, 0.75, and 2.35 mg mL
−1. These values are also more attractive than the leaves of the three varieties. They are also better than the IC
50 of ethanolic extracts of cassava stems (0.518 and 0.616 mg mL
−1) reported by [
28] in China and then those of methanolic extracts of peels, which contain a yellow-fleshed variety of cassava (425 and 234 μM TE g
−1) reported in the studies conducted by [
29] in Nigeria. At the same time, authors [
30] said that water yam and dasheen (
Colocasia esculenta) had the same high percentage of DPPH inhibition activity, with 95.83% and 93.41%, respectively. The high values of antioxidant activity can be attributed to high levels of phenols and flavonoids coupled with other compounds such as phenylpropanoids and anthocyanins [
31]. Furthermore, leaf ethanolic extracts of leaves showed significantly higher DPPH radical scavenging activity than cassava leaf stem extracted with acidified methanol, simple methanol, and acetone, as reported by [
32] in India. These observed differences may be related to the different phytochemical compositions of the plant parts and the extraction solvents. Indeed, according to [
33], the antioxidant capacities of the extracts have a strong relationship with the solvent used, mainly due to the different antioxidant potentials of compounds of different polarities.
Furthermore, the reducing power value of quercetin, chosen as the reference molecule, is lower (82.35%) than the reducing power values of most of our samples. Therefore, the organs of all sun-dried varieties are more active in the DPPH test than those of shade-dried varieties. This could be explained by the variation in the level of secondary metabolites contained in the different organs of each cassava variety and the temperature related to the drying methods of these organs.
Furthermore, extracts from BEN and MJ leaves are more active in the FRAP test than extracts from other organs. The reducing power of these extracts is undoubtedly due to the presence of hydroxyl groups in the phenolic compounds, which serve as electron donors. Thus, antioxidants are considered to be reducers and inactivators of oxidants [
34].
This study also assessed possible risks to the population using the leaves of the three cassava varieties. The larval cytotoxicity curves showed that larval mortality increases with concentration, and referring to the toxicity scale established by [
35], all the LC
50 values of our ethanolic extracts are higher than 0.1 mg/mL, a value above which the section is considered not to present toxicity. These results show that the ethanolic extracts of the leaves of the three cassava varieties (RB, BEN, and MJ) are biologically active at a dose of 100 mg/mL and are non-cytotoxic. Therefore, these leaves’ medicinal and food uses do not present any short- or long-term intoxication risk to the populations. It should be recalled that this study showed the presence of secondary metabolites, preeminent chemical groups such as flavonoids and phenols. The detected components have various therapeutic properties, such as the astringent effects of tannins and the anti-inflammatory and anti-allergic effects of flavonoids. Besides their antioxidant power, they are anti-ulcerous, antispasmodic, antisecretory, and antidiarrheal [
36]. They are also endowed with aphrodisiac virtues [
37].
The results obtained from the anti-inflammatory tests show that ethanolic extracts of the leaves of the three cassava varieties at 100 mg/kg appreciably reduce the edema induced by formalin. Injection of 5% formalin into the paws of mice provoked an almost immediate inflammatory response manifested by the appearance of classical signs of acute local inflammation, such as redness, pain, heat, and edema, in all four experimental groups. This inflammation begins with a phase that lasts about 1 h 30 min after injecting 5% formalin and is triggered by the production of serotonin, histamine, and bradykinin. Formalin causes local inflammation when injected into the fascia of the sole [
38], as does carrageenan [
39]. The second phase, which occurs after the second hour until the fifth hour, is due to the biosynthesis of prostaglandin [
40] associated with leukocyte migration to the inflamed area [
41]. The cause of this inflammatory response is a tissue injury that induces the synthesis of histamine, prostaglandins, leukotrienes [
42], PAF (p1aqueta activating factor), cytokines, NO (nitric oxide), and TNF (tumor necrosis factor) [
43]. According to [
44], these mediators promote vasodilation, which causes redness and heat at the site of inflammation.
In addition, the 100 mg/kg ethanolic extract of BEN leaves reduced edema more significantly (
p < 0.0001). On the other hand, there was no significant difference (
p > 0.05) between the anti-inflammatory effect of the two ethanolic extracts (BEN and MJ) and that of the 100 mg/kg standard. It can be deduced that BEN and MJ extracts act in the same way as salicylic acid. Studies have shown that salicylic acid, used as a standard, works in the second phase of inflammation while inhibiting the synthesis of these different mediators [
45]. By inhibiting the production of prostaglandins through the inhibition of cyclooxygenase (COX2), it will limit the lowering of the pain threshold, hence its analgesic action, as well as inflammatory reactions, hence its antipyretic activity [
46,
47]. This presages the same pharmacological responses with our extracts. These results suggest that amygdalin extracted from cassava leaves has an effect that opposes the action of endogenous pro-inflammatory mediators. This action would be exerted more on cyclooxygenase, the enzyme responsible for synthesizing prostaglandins [
48].
The anticancer activity test shows that subcutaneous injection of DMH into treated rats induces high levels of biochemical parameters and, consequently, the observation of tumors in the colons of the rats that received it. 1,2-dimethylhydrazine is an effective carcinogen for the induction of colon and rectal tumors in rats and mice by systemic subcutaneous or intraperitoneal injections [
49]. In addition, researchers studied the efficacy of DMH in female mice. They found that 83% of the mice developed visible tumors, and many had them primarily in the distal part of the colon [
50]. This justifies the result observed in the colon of batch 2 rats (R2 treated with DMH). Recall that the procarcinogen DMH, after a series of metabolic reactions, finally reaches the colon, where it produces the ultimate carcinogen and an imbalance in the production of reactive oxygen species (ROS), which alkylate DNA and initiate the advent and development of colon carcinogenesis [
51]. The preneoplastic lesions and histopathological observations of DMH-induced colon tumors can provide a typical understanding of the disease in rodents and humans. Therefore, the interpretation of histopathological observations revealed cellular abnormalities mainly in the colon of these rats from batch 2. On the other hand, the absence of visible tumors in the colon, liver, and kidney of rats of batches 1, 3, 4, and 5 (batches that received amygdalin from BEN leaves and 5-fluorouracil) attests that the ethanolic extracts (amygdalin), as well as the reference molecule, affected DMH-induced cell proliferation.
Previous studies have reported that high levels of amygdalin ingested directly can be toxic to humans. Amygdalin comprises two glucose molecules, benzaldehyde and hydrogen cyanide, and can exist as two epimers, R and S [
52]. The R-amygdalin is the natural amygdalin, and the S-amygdalin is called neo-amygdalin. Beta-glucosidase stored in plant cell compartments is also present in the human small intestine [
53] and degrades amygdalin to prunasin, mandelonitrile, glucose, benzaldehyde, and hydrogen cyanide. Hydrogen cyanide (HCN), benzaldehyde, prunasin, and mandelonitrile can be absorbed into the lymphatic and portal circulations [
54]. The anticancer activity of amygdalin is thought to be related to the cytotoxic effects of enzymatically released HCN and unhydrolyzed cyanogenic glycosides [
55]. But low and medium doses (50 and 100 mg kg
−1) of amygdalin administered orally do not induce any toxicity, while high doses of amygdalin (200 mg kg
−1) can cause toxicity [
19].
5. Conclusions
The present study evaluated the antioxidant, anti-inflammatory, and anticancer activities of amygdalin extracted from organs and derivatives of Benin’s most produced cassava varieties. The survey carried out on the powders obtained from the leaves of Manihot esculenta allowed us to identify some large families of its molecules, among which we can quote alkaloids, flavonoids, tannins, glycosides, saponosides, steroids, leuco-anthocyanins, coumarins, etc.
Cytotoxicity tests did not reveal any toxic effects of the extracts at the dose studied. So, this work presents the reasons that underlie the results of our investigations, stipulating the strong production and transformations of the three varieties of cassava (BEN, RB, and MJ) in Benin.
This study highlights all the organs (leaves, stems, roots, peelings, and second skin) of the three varieties of Manihot esculenta, some of which were neglected by the population, thus causing environmental pollution. It also enhances the value of the by-products resulting from cassava processing in Benin. This can contribute to the fight against problems related to food insecurity and the improvement of living conditions for our populations, on the one hand, and to the prevention and relief of chronic non-communicable diseases, on the other.
The study evaluated the in vitro and in vivo biological activities of amygdalin extracts from the plant. The results revealed that cassava varieties grown in Benin possess remarkable antioxidant activities and anti-inflammatory properties similar to those of non-steroidal anti-inflammatory drugs (NSAIDs). In addition, amygdalin extracts from BEN cassava leaves had anticancer activities in cancer-prone Wistar rats. This molecule effectively prevents and cures cancer by inhibiting the proliferation of cancer cells induced by DMH, which is confirmed by biochemical analysis of blood samples and histological examination.
Indeed, amygdalin, a molecule known for its numerous pharmacological properties, was quantified in cassava organs and derivatives. The results revealed the presence of this molecule in all samples but at variable levels. The leaves of the different cassava varieties and the Agbeli derivative showed a higher level of amygdalin. The anticancer power of the plant is due to the presence of a high level of amygdalin in its leaves.