The main result reported in the present paper is that saffron diet supplementation mitigates retinal damage induced by exposure to continuous bright light. The morphology and the function of the retina are highly preserved in animals prefed saffron. Saffron, the dried stigma of
C. sativus, was widely used for many centuries in traditional medicine, following the common pathways of many drugs. Recently, its crude extract and purified chemicals have been demonstrated to prevent tumor formation, atherosclerosis, hepatic damage, and renal damage.
18 The mechanism of action of the crocin, a carotenoid pigment of saffron, has been extensively investigated in PC12 cells under serum-free and hypoxic conditions.
23 Crocin significantly suppressed cell death, membrane lipid peroxidation, and caspase-3 activation in serum-deprived and hypoxic PC12 cells. Crocin increases GSH levels and prevents the activation of the JNK pathway, which has a role in the signaling cascade downstream ceramide. Because reduced GSH levels make cells sensitive to various apoptosis-inducing agents, the restoration or maintenance of intracellular GSH levels by increased synthesis may be expected to protect cells from damage or death.
24 Interestingly, crocin seems to act only in living cells after the induction of gene expression.
23 The antiapoptotic characteristic of saffron components makes them interesting candidates in the treatment of retinal neurodegenerative disease. Recently, crocin was proved to reduce apoptosis in photoreceptors isolated in primary retinal cell cultures and exposed to damaging blue light,
25 supporting this hypothesis. The possibility of protecting photoreceptors using a diet supplement has never been tested before. Here we provide evidence that saffron extract strongly reduces photoreceptor death induced by environmental stresses, suggesting that this effect could be attributed to the crocin introduced with the diet. For this to occur, crocin has to be absorbed at the intestinal level and reach the retina in a sufficient concentration. In addition, it has been shown that intravenous injection of crocin reduced the infarct volume in an ischemia-reperfusion brain model; therefore, crocin may pass the blood-brain barrier.
23 With respect to the mechanisms of intestinal absorption, some evidence indicates that orally administered crocin is hydrolyzed to crocetin before or during intestinal absorption. Absorbed crocetin is partly metabolized to monoglucuronide and diglucuronide conjugates,
26 suggesting either a more complicated mechanism of action or a different intestinal absorption when crocins are supplied together with the other saffron components. Further experiments are necessary to elucidate these questions. The relevance of the present data comes from the growing evidence of the pivotal role of the diet in maintaining health. Improving our knowledge on the chemical characteristics of food intake means thinking not only in terms of calories but in terms of activation of metabolic cellular and molecular mechanisms. As already reported for “in vitro” experiments on cell lines,
23 crocins are able to activate metabolic pathways to protect cells from apoptosis. An alternative mechanism of action of saffron components is suggested by experimental evidence that crocetin increases oxygen diffusivity through liquids, such as plasma. Considering the high metabolic rate of photoreceptors, the availability of oxygen may be a critical factor in protecting them from death.
18 Interestingly, according to our results on FGF2 immunolocalization and Western blot analysis, it seems that saffron does not follow the protective pathway of upregulating trophic factors. It has recently been shown that the amplitude of the ERG main components (a and b waves) can be regulated by an upregulation of trophic factors; specifically, CNTF acts at the photoreceptor level reducing the dark current
19 while FGF2 controls the amplitude of the b wave by modulating synaptic contacts.
5 19 21 22 As already indicated, rescue of photoreceptor morphology is not necessarily correlated with rescue of function.
19 21 22 Thus, it appears essential that any rescue strategy that yields satisfactory preservation of morphology is verified by testing retinal function. This statement is confirmed by the present results, which demonstrate that although treatment with β-carotene was effective in preserving retinal morphology, it was ineffective in maintaining function. This may explain conflicting results reported in the literature on the efficacy of vitamin A supplementation.
12 In this study we have shown that saffron treatment preserves morphology and function, and this result may offer new possibilities in the treatment of retinal neurodegeneration. Many open questions, however, remain to be answered, among them whether different pathologies activate different death pathways, making it more difficult to develop rescue strategies.