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<journal-id journal-id-type="publisher-id">Front. Plant Sci.</journal-id>
<journal-title>Frontiers in Plant Science</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Plant Sci.</abbrev-journal-title>
<issn pub-type="epub">1664-462X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fpls.2016.01406</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Plant Science</subject>
<subj-group>
<subject>Mini Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Carotenoid Derivates in Achiote (<italic>Bixa orellana</italic>) Seeds: Synthesis and Health Promoting Properties</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Rivera-Madrid</surname> <given-names>Renata</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/350957/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Aguilar-Espinosa</surname> <given-names>Margarita</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>C&#x00E1;rdenas-Conejo</surname> <given-names>Yair</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/302246/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Garza-Caligaris</surname> <given-names>Luz E.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/367569/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Unidad de Bioquimica y Biologia Molecular de Plantas, Centro de Investigaci&#x00F3;n Cient&#x00ED;fica de Yucat&#x00E1;n A.C.</institution> <country>M&#x00E9;rida, Mexico</country></aff>
<aff id="aff2"><sup>2</sup><institution>CONACYT Laboratorio de Bioingenier&#x00ED;a, Universidad de Colima</institution> <country>Coquimatl&#x00E1;n, Mexico</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: <italic>Marta Wilton Vasconcelos, Catholic University of Portugal, Portugal</italic></p></fn>
<fn fn-type="edited-by"><p>Reviewed by: <italic>James Stangoulis, Flinders University, Australia; Rumen Ivanov, Heinrich Heine University D&#x00FC;sseldorf, Germany</italic></p></fn>
<fn fn-type="corresp" id="fn001"><p>&#x002A;Correspondence: <italic>Renata Rivera-Madrid, <email>renata@cicy.mx</email></italic></p></fn>
<fn fn-type="other" id="fn002"><p>This article was submitted to Plant Nutrition, a section of the journal Frontiers in Plant Science</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>21</day>
<month>09</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="collection">
<year>2016</year>
</pub-date>
<volume>7</volume>
<elocation-id>1406</elocation-id>
<history>
<date date-type="received">
<day>10</day>
<month>06</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>02</day>
<month>09</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2016 Rivera-Madrid, Aguilar-Espinosa, C&#x00E1;rdenas-Conejo and Garza-Caligaris.</copyright-statement>
<copyright-year>2016</copyright-year>
<copyright-holder>Rivera-Madrid, Aguilar-Espinosa, C&#x00E1;rdenas-Conejo and Garza-Caligaris</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p><italic>Bixa orellana</italic> (family Bixaceae) is a neotropical fast growing perennial tree of great agro-industrial value because its seeds have a high carotenoid content, mainly bixin. It has been used since pre-colonial times as a culinary colorant and spice, and for healing purposes. It is currently used as a natural pigment in the food, in pharmaceutical, and cosmetic industries, and it is commercially known as annatto. Recently, several studies have addressed the biological and medical properties of this natural pigment, both as potential source of new drugs or because its ingestion as a condiment or diet supplement may protect against several diseases. The most documented properties are anti-oxidative; but its anti-cancer, hypoglucemic, antibiotic and anti-inflammatory properties are also being studied. Bixin&#x2019;s pathway elucidation and its regulation mechanisms are critical to improve the produce of this important carotenoid. Even though the bixin pathway has been established, the regulation of the genes involved in bixin production remains largely unknown. Our laboratory recently published <italic>B. orellana&#x2019;s</italic> transcriptome and we have identified most of its MEP (methyl-<sc>D</sc>-erythritol 4-phosphate) and carotenoid pathway genes. Annatto is a potential source of new drugs and can be a valuable nutraceutical supplement. However, its nutritional and healing properties require further study.</p>
</abstract>
<kwd-group>
<kwd>achiote</kwd>
<kwd>annatto</kwd>
<kwd>apocarotenoids</kwd>
<kwd>bixin biosynthesis</kwd>
<kwd>anti-cancer</kwd>
<kwd>antigenotoxic</kwd>
<kwd>antioxidant</kwd>
<kwd>hypoglycemic</kwd>
</kwd-group>
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<fig-count count="1"/>
<table-count count="0"/>
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<ref-count count="57"/>
<page-count count="7"/>
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</front>
<body>
<sec><title>Introduction</title>
<p><italic>Bixa orellana</italic> L. (family Bixaceae) is a neotropical species, commonly known as achiote in Mexico. <italic>Bixa orellana</italic> was probably domesticated from <italic>Bixa urucurana</italic> Wild (<xref ref-type="bibr" rid="B1">Ambr&#x00F3;sio Moreira et al., 2015</xref>). This perennial, rapidly growing tree is of great agroindustrial interest because of its seeds have a high carotenoid content, mainly bixin (<xref ref-type="bibr" rid="B42">Rivera-Madrid et al., 2006</xref>), (<bold>Figure <xref ref-type="fig" rid="F1">1A</xref></bold>). The natural achiote pigments are commercially known as annatto (E160b), and their main orange-red colored component is bixin. It has been used for many years as a dye in various food products such as dairy and bakery products, vegetable oils, beverages and dietary supplement (<xref ref-type="bibr" rid="B13">Dendy, 1966</xref>; <xref ref-type="bibr" rid="B54">Tirimanna, 1981</xref>). It is also used in the textile, paintings, and cosmetics industries mostly (mainly suntan lotions), (<xref ref-type="bibr" rid="B24">Giuliano et al., 2003</xref>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p><bold>(A)</bold> <italic>Bixa orellana</italic> L. buds, flower (left), fruit and seeds (right). <bold>(B)</bold> Carotenoid biosynthesis Pathway. Carotene biosynthesis start with the phytoene synthesis by condensation of two geranilygeranyl diphosphate molecules mediated by phytoene synthase enzymes (BoPSY1 and BoPSY2). The phytoene is convert to Lycopene by successive steps of desaturation (phytoene desaturase: BoPDS1 and BoPDS2; &#x03B6;-carotene desaturase: BoZDS) and isomerization (&#x03B6;-carotene isomerase: BoZ-ISO; Carotenoid isomerase: BoCRTISO1, BoCRTISO2 and BoCRTISO3). <bold>(C)</bold> Bixin biosynthesis pathway. Lycopene is convert into bixin by three serial step reactions. (1) Lycopene is cleaved at the 5-6 and 5&#x2032;-6&#x2032; double bonds by carotenoid cleavage enzymes from family 4 (BoLCD; BoCCD4-1: KT359022; BoCCD4-2: KT359023; BoCCD4-3: KT359024). (2) Bixin aldehyde is the oxidation product of aldehyde groups by aldehyde dehydrogenase enzymes (BoBADH; BoALDH3I1: KT359036; BoALDH3H1: KT359033). (3) Norbixin is converted into bixin by the addition a methyl group in carboxyl groups by a methyl transferase enzyme belonging to SABATH methyl transferase family (BonBMT; BoSABATH3: KT359051; BoSABATH4: KT359052). Dashed lines indicate the position of lycopene cleavage. A single asterisk indicates the proved enzymes that convert lycopene into bixin. A double asterisk indicates the proposed new set of genes involved in bixin synthesis.</p></caption>
<graphic xlink:href="fpls-07-01406-g001.tif"/>
</fig>
<p>Bixin was the first <italic>cis</italic>-carotenoid to be isolated from natural sources, (<xref ref-type="bibr" rid="B34">Mercadante et al., 1996</xref>); some seeds contain bixin at levels as high as 80 per cent of the total pigment. However, a wide variety of apocarotenoids, including linear and cyclic molecules, can also be found (<xref ref-type="bibr" rid="B34">Mercadante et al., 1996</xref>; <xref ref-type="bibr" rid="B4">Bittencourt et al., 2005</xref>).</p>
<p>Several studies have addressed the biological and medical properties of this natural pigment. This oil-soluble carotenoid lacks pro-vitamin A activity (<xref ref-type="bibr" rid="B14">De-Olivera et al., 2003</xref>), and is one of the more effective biological singlet molecular-oxygen (<sup>1</sup>O<sub>2</sub>) quenchers and scavengers of free radicals (<xref ref-type="bibr" rid="B30">Kovary et al., 2001</xref>). Several research groups have also been studying <italic>Bixa orellana</italic> anticancer and apoptotic properties (<xref ref-type="bibr" rid="B12">Coronado-C&#x00E1;ceres et al., 2014</xref>). These nutritional and healing properties require further study.</p>
</sec>
<sec><title>Characteristics and Properties of Bixin</title>
<p>Bixin is a lineal apocarotenoid of 25 carbon atoms with 9 double bonds and a molecular weight of 394.5 g/mole (<xref ref-type="bibr" rid="B22">Francis, 1987</xref>; <xref ref-type="bibr" rid="B6">Britton et al., 2004</xref>); its molecular empiric formula is C<sub>25</sub>H<sub>30</sub>O<sub>4,</sub> and its scientific name is methyl hydrogen 9&#x2032;-<italic>cis</italic>-6,6&#x2032;-diapocaroteno-6,6&#x2032;-dioate ester (<xref ref-type="bibr" rid="B38">Preston and Rickard, 1980</xref>; <xref ref-type="bibr" rid="B34">Mercadante et al., 1996</xref>). Apocarotenoids are terpenoid compounds derived from the oxidative cleavage of carotenoids (<xref ref-type="bibr" rid="B3">Auldridge et al., 2006</xref>; <xref ref-type="bibr" rid="B56">Walter et al., 2010</xref>). Seed extracts contain a wide variety of apocarotenoids, including both linear (i.e., methyl (9 Z)-apo-8&#x2032;-lycopenoate) and cyclic molecules (all-E)-8&#x2032;-apo-&#x03B2;-caroten-8&#x2032;-oate) (<xref ref-type="bibr" rid="B34">Mercadante et al., 1996</xref>, <xref ref-type="bibr" rid="B35">1997</xref>). Lycopene is described as bixin precursor (<bold>Figure <xref ref-type="fig" rid="F1">1B</xref></bold>), although it may also have other non-studied biosynthetic pathways, since bixin is produced despite the inhibition of carotenogenesis using the highest concentration of norfluorazon, a phytoene desaturase inhibitor (<xref ref-type="bibr" rid="B41">Rivera-Madrid et al., 2013</xref>).</p>
<p>Bixin has two different stereochemical configurations: <italic>cis</italic>-bixin and <italic>trans</italic>-bixin. The former <italic>cis</italic> is soluble in most polar organic solvents to which it imparts an orange color and is largely insoluble in vegetable oil (<xref ref-type="bibr" rid="B33">Mckeown and Mark, 1962</xref>; <xref ref-type="bibr" rid="B22">Francis, 1987</xref>; <xref ref-type="bibr" rid="B47">Scotter, 1995</xref>; <xref ref-type="bibr" rid="B49">Scotter et al., 2002</xref>). It may be readily converted to the all-<italic>trans</italic>-isomers due to the instability of the isolated form in solution. <italic>Trans</italic>-bixin is a more stable isomer, it exhibits a red color in solution and is soluble in vegetable oil (<xref ref-type="bibr" rid="B22">Francis, 1987</xref>; <xref ref-type="bibr" rid="B48">Scotter, 2011</xref>).</p>
<p>Commercially, isomerization is achieved by heating a suspension of the <italic>cis</italic>-isomer in oil to 130&#x00B0;C <italic>in vacuo</italic>. The water-soluble analog 9&#x2032;-<italic>cis</italic>-norbixin can be isolated from annatto seeds by agitation in aqueous alkali at &#x003C;70&#x00B0;C or formed by alkaline hydrolysis of <italic>cis</italic>-bixin to obtain either the sodium or potassium salt (<xref ref-type="bibr" rid="B10">Carvalho, 1992</xref>; <xref ref-type="bibr" rid="B48">Scotter, 2011</xref>). Bixin is sensible to light, temperature, air, anti-oxidants, and pro-oxidants, and pH (<xref ref-type="bibr" rid="B36">Najar et al., 1988</xref>). Its isomers have a maximum absorption with 500 and 470 nm using chloroform (<xref ref-type="bibr" rid="B46">Scotter, 2009</xref>). Its fusion point is 189.5&#x2013;198.5&#x00B0;C (<xref ref-type="bibr" rid="B17">dos Santos, 2007</xref>).</p>
<p>Toxicological data on annatto pigments are limited, possibly because food additives derived from natural sources have been exempt from certification (<xref ref-type="bibr" rid="B25">Hallagan et al., 1995</xref>). The Joint FAO/WHO Expert Committee on Food Additives (JECFA) estimated the ADI (Acceptable Daily Intake) for annatto as 0&#x2013;2.5 mg/Kg body weight day<sup>-1</sup> expressed as the pure pigment (<xref ref-type="bibr" rid="B18">JECFA, 2012</xref>). Annatto&#x2019;s use is permitted for use in food commodities such as savory snack products, coated nuts, extruded products and flavored breakfast cereals. Although JECFA does not allow its use in spices (<xref ref-type="bibr" rid="B48">Scotter, 2011</xref>), it is extensively used as such in Mexico, Central and South America. The amounts of the active pigments, bixin and norbixin in annatto can vary from less than 1% to over 85%, depending on the type of annatto extract (e.g., water, vegetable oil or, solvent) (<xref ref-type="bibr" rid="B52">Tennant and O&#x2019;Callaghan, 2005</xref>; <xref ref-type="bibr" rid="B48">Scotter, 2011</xref>), and depending on the seed source, as bixin concentration differs greatly among plant variants (<xref ref-type="bibr" rid="B42">Rivera-Madrid et al., 2006</xref>).</p>
</sec>
<sec><title>Bixin Biosynthesis in <italic>Bixa orellana</italic></title>
<p>Plant carotenoids have a crucial role in photosynthesis helping to collect light and conferring protection against its excess. Carotenoids are also important precursors of bioactive compounds, such as apocarotenoids which are important in several physiological processes, such as retinol in humans and abscisic acid in plants. Most apocarotenoids are carotenoid degradation products bio-catalyzed by carotenoid cleavage oxygenase enzymes (CCDs). Similar to others apocarotenoids pathways, the biosynthesis pathway of bixin, elucidated in the early 2000 s, involves carotenoid cleavage by CCDs enzymes; the first step is lycopene cleavage in 5&#x2013;6 and 5&#x2032;&#x2013;6&#x2032; double bonds (<bold>Figures <xref ref-type="fig" rid="F1">1B,C</xref></bold>).</p>
<p>Based on expressed sequences tags (ESTs) library from immature seeds, the first bixin biosynthesis pathway was proposed by <xref ref-type="bibr" rid="B27">Jako et al. (2002)</xref>. They found cluster of genes related to dioxygenase, aldehyde dehydrogenase and methyl transferase genes with high number of ESTs, suggesting that bixin pathway should be similar to abscisic acid pathway and that bixin&#x2019;s precursor is a C<sub>40</sub> carotenoid, probably lycopene, which is converted to bixin by dioxygenase, aldehyde dehydrogenase and methyl transferase genes (<xref ref-type="bibr" rid="B27">Jako et al., 2002</xref>). Additionally, they found cluster of genes expressed in immature seeds, where the main production of bixin takes place, related to 1-Deoxy-<sc>D</sc>-xylulose-5-phosphate synthase (DXS), 1-Deoxy-<sc>D</sc>-xylulose-5-phosphate reductoisomerase (DXR), 4-Hydroxy-3-methylbut-2-en-1-yl diphosphate synthase (HDS) and 4-Hydroxy-3-methylbut-2-enyl diphosphate reductase (HDR) from methyl-<sc>D</sc>-erythritol 4-phosphate (MEP) pathway and Phytoene synthase (PSY), Phytoene desaturase (PDS) and &#x03B6;-carotene desaturase (ZDS) from carotenoid pathway.</p>
<p>Simultaneously, <xref ref-type="bibr" rid="B5">Bouvier et al. (2003)</xref> proposed a similar bixin pathway; they hypothesized that bixin pathway should be similar to saffron pigment crocetin and that the reaction could implicate a dioxygenase, an aldehyde dehydrogenase, and a methyltransferase enzyme that converted lycopene to bixin in serial step reactions (<xref ref-type="bibr" rid="B5">Bouvier et al., 2003</xref>) (<bold>Figure <xref ref-type="fig" rid="F1">1C</xref></bold>). They identified and isolated a family 4 dioxygenase (<italic>BoLCD</italic>), aldehyde dehydrogenase (<italic>BoBADH</italic>), and methyltransferase (<italic>BonBMT</italic>) genes. These genes were introduced into engineered <italic>Escherichi coli</italic> lycopene producer; transformed bacterias were able to convert lycopene to bixin (<xref ref-type="bibr" rid="B5">Bouvier et al., 2003</xref>).</p>
<p>Although bixin pathway has been established, the expression regulation of genes involved in bixin production is unknown, perhaps because the MEP and carotenoids pathways genes, as well as the transcription factor that regulate them remain unaddressed. Recently, during the <italic>B. orellana</italic> transcriptome analysis, the authors identified most of its MEP and carotenoid pathway genes for this plant (<xref ref-type="bibr" rid="B9">C&#x00E1;rdenas-Conejo et al., 2015</xref>). Interestingly, a quantitative real time PCR (qRT-PCR) showed that <italic>BoDXS2a, BoPDS1</italic> and <italic>BoZDS</italic> genes were overexpressed in immature seeds, where most bixin is produced, as compared to leaves, whereas carotenoids pathway genes downstream of lycopene were not overexpressed (<xref ref-type="bibr" rid="B9">C&#x00E1;rdenas-Conejo et al., 2015</xref>).</p>
<p>Surprisingly, the three genes identified by <xref ref-type="bibr" rid="B5">Bouvier et al. (2003)</xref> were not present in <italic>B. orellana</italic> transcriptome, and may have been misplaced in the original study (<xref ref-type="bibr" rid="B9">C&#x00E1;rdenas-Conejo et al., 2015</xref>). Based on subcellular localization prediction, function of homologous proteins and qRT-PCR quantification, <xref ref-type="bibr" rid="B9">C&#x00E1;rdenas-Conejo et al. (2015)</xref> proposed a new set of genes involved in the conversion of lycopene into bixin (<bold>Figure <xref ref-type="fig" rid="F1">1C</xref></bold>); enzymatic activities for this new set of genes need to be characterized.</p>
<p>The enzymes involved in bixin production are present in most plants. Since these enzymes play other important metabolic roles, finding other plants with the ability to produce bixin is not surprising. <italic>Crocus sativus, Vitis vinifera</italic>, and <italic>Costus pictus</italic> produce bixin in detectable levels (<xref ref-type="bibr" rid="B51">Siva et al., 2010</xref>; <xref ref-type="bibr" rid="B2">Annadurai et al., 2012</xref>). The high quantity of bixin produced in <italic>B. orellana</italic> immature seeds is likely due to the gene expression synchronization of the expression of the genes involved in bixin production, including MEP and carotenoid pathways genes.</p>
<p><xref ref-type="bibr" rid="B9">C&#x00E1;rdenas-Conejo et al. (2015)</xref>, proposed an hypothetical model for bixin production in <italic>B. orellana</italic> immature seeds involving the coordinated expression of MEP, carotenoid and bixin pathway genes: (1) MEP genes involved in generation of carotenoids precursors, such as BoDXS2a, BoDXR and BoHDR are induced to produce carotenoids in non-photosynthetic tissue. Enzymes from the DXS2 clade, but not from the DXS1 or DXS3 clades, are involved in carotenoid and apocarotenoid accumulation in non-photosynthetic tissues (<xref ref-type="bibr" rid="B21">Floss et al., 2008</xref>; <xref ref-type="bibr" rid="B37">Peng et al., 2013</xref>; <xref ref-type="bibr" rid="B45">Saladi&#x00E9; et al., 2014</xref>). (2) Similar to the tomato ripping process, lycopene cyclase genes from <italic>B. orellana</italic> are turned off, thus blocking metabolic flow toward cyclic carotenoids down-stream of lycopene. The low concentrations of cyclic carotenoids induce the expression of <italic>BoPDS1</italic> and <italic>BoZDS</italic> and promote lycopene production. (3) The bixin pathway genes are then turned on, leading to the conversion of lycopene into bixin.</p>
<p>Full elucidation of the molecular mechanisms that govern bixin production will help understand the mechanisms responsible for the variation of bixin accumulation in <italic>B. orellana</italic> varieties and identify the candidate genes for genetic improvement of this plant to enhance the bixin production.</p>
</sec>
<sec><title>Promising Applications of <italic>Bixa orellana</italic> in Medicine</title>
<p><italic>Bixa orellana</italic> has been extensively used since pre-hispanic times in America as a remedy for different illness. Now a days achiote trees are still used in many communities as a source of treatment for many diseases. During the XVII and XVIII Centuries, it spread widely to countries in Asia and Africa, where it also became part of the ethnobotanical cultural heritage. Although many of these properties have not been studied by modern science, the similarities of the uses given by different cultures could credit certain effectiveness, and shows the relevance of the studying its active principles. Ethnobotanical researchers have documented the use of different parts of the plant, especially leaves, seeds and roots (<xref ref-type="bibr" rid="B31">Kumar et al., 2009</xref>; <xref ref-type="bibr" rid="B15">Dike et al., 2012</xref>). In Southern Mexico it is used for smallpox and other rashes. It is also used in digestive illness, such as diarrhea, abdominal pain, indigestion and dysentery. Other uses include headaches and sore throat, as abortive, to cure urinary illness and against gonorrhea, and as an abortive agent (<xref ref-type="bibr" rid="B26">Ini-Unam, 2009</xref>). In Nigeria it is used against malaria, as an antiseptic and anti-bacterial agent, and against rheumatism (<xref ref-type="bibr" rid="B15">Dike et al., 2012</xref>). Similar effects have been documented in Brazil, Peru, Colombia, and other countries in Central America (<xref ref-type="bibr" rid="B55">Vilar Dde et al., 2014</xref>) and India (<xref ref-type="bibr" rid="B31">Kumar et al., 2009</xref>). Modern science has studied just a few of the healing properties attributed to this species, generally using a mixture of compounds extracted from different parts of the plants.</p>
<p>The most documented effect of bixin in medicine is its antioxidant activity. <italic>In vitro</italic> experiments have shown that seed extracts have a high capacity to scavenge reactive oxygen species (ROS), which correlate to bixin concentration in the extracts (<xref ref-type="bibr" rid="B8">Campos et al., 2011</xref>). The possible mechanism for this effect is the electron transfer allowed by the double bonds found in this apocarotenoid or the hydrogen abstraction from carotenoid molecule functioning this way as a chain breaking antioxidant (<xref ref-type="bibr" rid="B28">Junior et al., 2005</xref>; <xref ref-type="bibr" rid="B16">dos Santos et al., 2012</xref>). The authors concluded that this great scavenging capacity could have clinical applications because bixin is capable of acting as an antioxidant by intercepting free radicals generated by commonly used chemotherapeutic drugs. The protective effect of seed extracts administered to cells and animals treated with cisplatin (<italic>cis</italic>-diamminedichloroplatinum II), a potent antitumoral agent with important side effects, has been documented (<xref ref-type="bibr" rid="B50">Silva et al., 2001</xref>; <xref ref-type="bibr" rid="B40">Rios et al., 2009</xref>). Important antigenotoxic effects were observed as a reduction of chromosomal aberration, ROS generation, lipid peroxidation, and inhibition of renal glutathione depletion. The effect is observed under a non-toxic dose and is a bixin concentration-dependent manner. <xref ref-type="bibr" rid="B28">Junior et al. (2005)</xref> reported not only a protective effect against chemotherapy, but also an anti-mutagenic effect on cells subjected to ultraviolet light. Other research papers also document anti-cancer effects of achiote seeds attributed to compounds such as geranylgeraniol, squalene and beta-sistosterol (<xref ref-type="bibr" rid="B31">Kumar et al., 2009</xref>). <xref ref-type="bibr" rid="B53">Tibodeau and Isham (2010)</xref> suggest that the anticancer effect could be possible because <italic>cis</italic>-bixin exerts its cytotoxic effects via imposition of cellular ROS mediated, at least in part, by inhibition of the thioredoxin = thioredoxin reductase redox pathway. Another possible use of achiote is in the prevention of diabetic complications due to oxidative stress. <xref ref-type="bibr" rid="B43">Rossoni-J&#x00FA;nior et al. (2012)</xref> showed that that supplementation with beta carotene and annatto is able to modulate the production of reactive species in diabetic animals.</p>
<p>Other medical uses of <italic>Bixa orellana</italic> might be re associated to other bioactive metabolites present both in leaves and seeds. A recent study validated the anti-inflammatory effect of this plant. Acute inflammation by injection of histamine in rats was inhibited by oral administration of leaf extracts, comparable to loratadine&#x2019;s effect. A reduction on vascular permeability was observed as a result of reduced expression of biochemical mediators such as nitrogen oxide and VEGF (vascular endothelium growth factor) (<xref ref-type="bibr" rid="B57">Yong et al., 2013</xref>).</p>
<p>In an experiment using tocotrienol extract from achiote to prevent osteoporosis, rats with testosterone deficiencies were treated with achiote seed extract. These rats showed less bone damage as compared to not-treated controls, and an increased expression of bone formation genes (<xref ref-type="bibr" rid="B11">Chin and Ima-Nirwana, 2014</xref>).</p>
<p>The antimicrobial activity of ethanol extracts of <italic>Bixa orellana</italic> leaves and seeds was tested <italic>in vitro</italic> on seven common microorganisms: <italic>Staphylococcus aureus, Staphylococcus pyogenes, Salmonella typhi, Escherichi coli, Candida albicans, Bacillus subtilis and Pseudomonas aeruginosa</italic>. Annatto extract inhibited growth of both fungi and bacteria. The effects were slightly lower compared to gentamicin for bacteria and nystatin for fungi (<xref ref-type="bibr" rid="B20">Fleischer et al., 2003</xref>). The effect of leaves and root alcoholic extracts on a resistant strain of <italic>N. gonorrhoeae</italic> was also tested <italic>in vitro</italic> showing an important growth inhibition, which was greater with leaf extracts (<xref ref-type="bibr" rid="B7">C&#x00E1;ceres et al., 1995</xref>).</p>
<p><xref ref-type="bibr" rid="B23">Giorgi et al. (2013)</xref> documented the repellent efficiency of seed extracts using hexane, ethanol, and ethanol/water as solvents. They found repellence activity against <italic>Aedes aegiptii</italic> mosquito ranging from 22 to 90%, being the hexane extract at high concentrations (113.8 mg/ml) the most effective treatment.</p>
<p><italic>Bixa orellana</italic> is a potential source of new drugs for a variety of conditions, due to the high concentration of carotenoid derived compounds, and probably because of the presence of other metabolites and peptides, some of them still uncharacterized. More pharmacological studies of this promising plant are needed before it can be used in modern medicine.</p>
</sec>
<sec><title>Dietary Contribution</title>
<p>Achiote was used as a coloring agent in pre-hisipanc Mayan religious ceremonies and has been used since to color and flavor certain traditional dishes. In Yucat&#x00E1;n, Mexico, the pigment is widely used in its internationally recognized local gastronomy. Achiote seeds contribute to human diet in Mexico and other American countries, and achiote pigments are distributed worldwide. Little is known about its protein and peptidic content, and still less about the biological functions of these molecules which could make the consumption of this natural product even more attractive (<xref ref-type="bibr" rid="B12">Coronado-C&#x00E1;ceres et al., 2014</xref>). A potential value of this product is the antioxidative function that could reduce the damage caused by free radicals, and be useful in cancer prevention (<xref ref-type="bibr" rid="B39">Reddy et al., 2005</xref>). Preliminary studies in our laboratory have given us clues about certain achiote peptides that could be established them as new nutraceutical cancer preventives against cancer (<xref ref-type="bibr" rid="B12">Coronado-C&#x00E1;ceres et al., 2014</xref>).</p>
<p>Carotenoids that have antioxidative effects have been identified in achiote; it has also been reported that the ingestion of this condiment reduces triglycerides in plasma (<xref ref-type="bibr" rid="B29">Kiokias and Gordon, 2003</xref>). It is well known that a key element in the development of diabetic complications is oxidative stress (<xref ref-type="bibr" rid="B43">Rossoni-J&#x00FA;nior et al., 2012</xref>). <xref ref-type="bibr" rid="B32">Levy et al. (1997)</xref> found in a study with a group of volunteers that after ingesting a single dose of 1 ml of a commercial annatto food colorant, bixin levels reached high concentrations in human plasma and were completely cleared in 8 h. Thus, the bixin present in processed foods may be an important nutritional factor that can promote human health. A study using carotenoid mixture found that they have antioxidative and anticarcinogenic effects (<xref ref-type="bibr" rid="B39">Reddy et al., 2005</xref>). However, more accurate studies need to be developed to demonstrate the specific effect of achiote pigments.</p>
<p>Interestingly, these pigments were found to have hypoglycemic effect using dogs, rats and human volunteers as experimental models (<xref ref-type="bibr" rid="B19">Fernandes et al., 2002</xref>; <xref ref-type="bibr" rid="B28">Junior et al., 2005</xref>; <xref ref-type="bibr" rid="B44">Russell et al., 2005</xref>). Thus annatto extract may have therapeutic potential for diabetes.</p>
</sec>
<sec><title>Conclusion</title>
<p>Antioxidant effects of bixin and other achiote compounds have been demonstrated, so its consumption, either as a pigment or spice may provide health benefits. Other properties such as hypoglucemic and anticancer activities are being studied. Preliminary investigations in our laboratory with active peptides from seeds also suggest an effect in cancerous tumors (<xref ref-type="bibr" rid="B12">Coronado-C&#x00E1;ceres et al., 2014</xref>). It is important to promote the intake of achiote seeds and pigment in the diet for its medical, nutraceutical and nutritional potential values, as well as to promote its cultivation and production. Elucidation of bixin synthesis in achiote, and metabolite profiles are important research topics contributing to increase produce and use to promote human health. Further studies are still needed before bixin and other achiote compounds can be used extensively by modern medicine.</p>
</sec>
<sec><title>Author Contributions</title>
<p>RR-M conceived and designed this manuscript. All authors wrote, critically read, contributed to and commented on the manuscript.</p>
</sec>
<sec><title>Conflict of Interest Statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</body>
<back>
<ack>
<p>This work was financially supported through Grant no. 220259 from the Consejo Nacional de Ciencia y Tecnolog&#x00ED;a (CONACYT) with grant no. 220259. LG-C was supported through CONACYT&#x2019;s Postdoctoral Position Grant.</p>
</ack>
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