Antiparasitic activity of chicory (Cichorium intybus) and its natural bioactive compounds in livestock: a review.

Increasing drug resistance in gastrointestinal (GI) parasites of livestock and concerns about chemical residues in animal products and the environment are driving the development of alternative control strategies that are less reliant on the use of synthetic drugs. An increasingly investigated approach is the use of bioactive forages with antiparasitic properties as part of the animal's diet (nutraceuticals) or as potential sources of novel, natural parasiticides. Chicory (Cichorium intybus) is a multi-purpose crop and one of the most promising bioactive forages in temperate regions, and numerous in vivo trials have explored its potential against parasitic nematodes in livestock. However, it is unclear whether chicory can induce a direct and broad activity against various GI parasites in different livestock species, and the levels of chicory in the diet that are required to exert an efficient antiparasitic effect. Moreover, the mechanisms leading to the reported parasiticidal activity of chicory are still largely unknown, and its bioactive phytochemicals have only recently been investigated. In this review, we summarise the progress in the study of the antiparasitic activity of chicory and its natural bioactive compounds against GI parasites in livestock, through examination of the published literature. The available evidence indicates that feeding chicory can reduce faecal egg counts and/or worm burdens of abomasal nematodes, but not infections with intestinal worms, in ruminants. Highly chicory-rich diets (≥ 70% of chicory dry matter in the diet) may be necessary to directly affect abomasal parasitism. Chicory is known to synthesise several bioactive compounds with potential antiparasitic activity, but most research has been devoted to the role of sesquiterpene lactones (SL). Recent in vitro studies have confirmed direct and potent activity of SL-rich extracts from chicory against different GI helminths of livestock. Chicory SL have also been reported to exhibit antimalarial properties and its potential antiprotozoal activity in livestock remains to be evaluated. Furthermore, the detailed identification of the main antiparasitic metabolites of chicory and their pharmacokinetics need further confirmation. Research gaps and perspectives on the potential use of chicory as a nutraceutical forage and a source of bioactive compounds for parasite control in livestock are discussed.

Background

Infections with gastrointestinal (GI) parasites are ubiquitous in grazing livestock worldwide, inducing subclinical and clinical diseases that can markedly impair animal health, food production and agricultural economies [1-3]. In ruminants, abomasal and intestinal nematodes are among the most pathogenic GI parasites and efficient deworming programs to control them are essential for sustainable animal farming [4, 5]. Currently, nematode control in livestock largely relies on repeated treatments with synthetic anthelmintic drugs. However, the sustainability of this approach is at risk due to the rapid spread of drug-resistant parasite populations [6-8]. Furthermore, there is a growing public awareness, in several countries, of the need to reduce the prophylactic use of veterinary drugs and the subsequent risk of chemical residues in animal products and the environment [9-11]. Outdoor-reared and pasture-based livestock are also progressively being promoted to enhance grassland biodiversity and avoid the feeding of animals with human-edible crops [12-14], but an inevitable consequence of these production systems is the persistent exposure to parasitic infections. Consequently, it is imperative to generate novel antiparasitic tools to reduce the dependence on existing drugs and progress towards the development of integrated and sustainable parasite control strategies [15, 16].

An increasingly explored approach is the use of bioactive forages with antiparasitic properties in the animal’s diet as nutraceuticals, i.e. a feed which combines nutritional value with beneficial effects on animal health [17-20]. Bioactive plants can also be used as potential sources of novel natural products with activity against livestock (and human) parasites [21-23]. Plants or plant components have been used as dewormers for centuries [24], but only in the last 10–15 years has comprehensive scientific research been conducted to evaluate their in vitro and in vivo activity under experimental and farming conditions [25, 26]. As a result, bioactive forages are now being considered as potential tools for integrated parasite control in livestock [27, 28].

The antiparasitic mechanisms of bioactive forages can be broadly grouped in direct or indirect effects. Direct effects refer to the chemical interaction between plant compounds and specific parasite molecules or structures, resulting in subsequent mortality and removal from the host, whilst indirect effects involve the stimulation or boosting of host responses that can induce worm expulsion, either through overall improved nutrition or a direct interaction between plant compounds and host cells (e.g. leukocytes) [20]. Until now, most of the research focus on antiparasitic forages has been devoted to tannin-rich plants [e.g. sulla (Hedysarum coronarium), sainfoin (Onobrychis viciifolia), sericea lespedeza (Lespedeza cuneata)] [19, 20]. However, a promising non-tanniniferous bioactive forage in temperate regions is chicory (Cichorium intybus L., Asteraceae), a multi-purpose crop that has attracted considerable interest from farmers and scientists for its reported anthelmintic effects in livestock. Yet, it is still unclear from the available studies whether chicory diets can exert a broad activity against major parasites in different livestock species, and the levels of chicory in the diet that are required to exert an efficient in vivo effect. This knowledge is critical to validate the use of chicory as an antiparasitic forage and an essential step before chicory can appropriately be included in parasite control programs [29]. In addition, the mechanisms behind the reported anthelmintic effects of chicory are still largely unknown and the potential role of its bioactive phytochemicals has not been, until recently, thoroughly investigated.

In this review, we summarise the progress in the study of the antiparasitic activity of chicory and its natural bioactive compounds against GI parasites in livestock, through examination of the published literature. In addition, we identify gaps for future research to advance our understanding on the dietary modulation of parasitism using chicory as a model plant, and perspectives on the practical use of chicory as a nutraceutical forage and a potential source of novel plant compounds with broad antiparasitic activity.

Chicory: a multi-purpose crop for livestock

Chicory is a perennial, deep-rooting herb that can be found as a wild plant in natural grasslands and roadsides and as cultivated varieties in most temperate areas of the world, including Northern Europe [30, 31]. In some European, Asian and Middle Eastern countries, chicory has traditionally been used for human consumption and as a medicinal plant to treat several diseases, including malaria and digestive, liver and urinary disorders [32, 33]. Based on its current applications, cultivated chicory can be classified in four types [33]: (i) industrial or root chicory used for the production of inulin-type fructans and as coffee substitute; (ii) Brussels or witloof chicory, for production of etiolated leaves (“chicons”); (iii) leaf chicory for human consumption (fresh salad or cooked); and (iv) forage chicory for animal feeding. In the 1980s, selection of chicory for livestock feeding resulted in the release of the first commercial forage variety, “Grasslands Puna” [34]. Since then, several forage chicory cultivars have been developed [35-38]. The use of chicory diets in livestock nutrition has been previously reviewed [37, 39]. In general, forage chicory varieties grow predominantly at temperatures > 10 °C, are rich in minerals (Zn, B, Mn) with variable protein levels [100–250 g crude protein/kg dry matter (DM), depending on N input and defoliation frequency], low neutral detergent fibre levels and high voluntary feed intakes in ruminants [37, 39–41]. Ruminants grazing pure forage chicory have shown similar or higher weight gains in comparison with animals grazed on ryegrass, if provided at comparable levels of DM intake [42-44]. Chicory-based diets have also been reported to sustain milk production in cattle [45-47] and in sheep [48]. However, milk from cows fed pure-chicory had a reportedly bitter taint that has prompted the recommendation to restrict its intake in dairy cows [39].

Anthelmintic activity of chicory against GI parasites

Over the last two decades, several peer-reviewed studies have explored the in vivo effects of dietary forage chicory against GI nematode infections in ruminants. Table 1 summarises the main results reported in these experiments, as well as the ruminant species involved (sheep, cattle and deer), the parasite species (abomasal and/or small intestinal nematodes) and experimental design. If available, information of the chicory cultivar used, the percentage of chicory DM in the diets and the screening of bioactive compounds are also presented. Despite major differences between the studies listed in Table 1, two general conclusions can be drawn. First, feeding with forage chicory can reduce worm faecal egg counts (FEC) and/or worm burdens with abomasal nematodes (Haemonchus contortus and Teladorsagia circumcincta in sheep and Ostertagia ostertagi in cattle), but not infections with intestinal worms in ruminants [49-56]. Secondly, from trials involving experimental infection of worm-naïve animals, feeding levels of ≥ 70% of chicory DM in the diet resulted in a significant reduction of abomasal parasitism with T. circumcincta [49, 52] and O. ostertagi [56], and in reduction of H. contortus FEC [53]. The lowest level of chicory DM in the diet to be associated with an anthelmintic activity was ~50% [54], whereas diets with 24% of chicory DM or lower did not result in any noticeable antiparasitic effect [57, 58].

Table 1

Summary of peer-reviewed in vivo experiments studying the anthelmintic effects of dietary chicory in ruminants

Livestock species	Chicory DMa (%)	Chicory cv. (sown)	Bioactive compounds in chicory (% DM)b	Nematode infection and experimental designc	Anthelmintic effects in chicory-fed animalsd	Reference
Sheep	91	ni (pure)	Total CT = 0.83%	Exp. T. circumcincta trickle infection while grazing chicory. After 40 days p.i. animals were stabled, treated with levamisole + ivermectin and challenged with T. circumcincta L3	Lower numbers of mid/late L4 and L5/adult worms from the challenge infection. No effect on FEC while grazing on chicory and trickle infected	[61]
	87	ni (pure)	Total CT = 0.05%; total phenolics = 26.2%	Exp. T. circumcincta infection	Reduction in adult male worms and lower total adult counts by 43% (ns). No effect on FEC, female per capita fecundity or immature worm counts	[52]
	80	Grasslands Puna (pure)	nr	Exp. Teladorsagia spp., Trichostrongylus spp., Oesophagostomum spp., Cooperia spp. and Nematodirus spp. infection + reinfection from pasture	Reduced FEC and Teladorsagia spp. worm counts	[49]
	80	ni (pure)	Total CT = 0.05%; total phenolics = 26.2%	Exp. T. colubriformis infection	No effect on FEC, adult or immature worm counts	[51]
	80	Grasslands Puna (pure)	Total CT = 0.31%	Exp. H. contortus and C. curticei infection (animals stabled)	Reduced total egg output and FECDM of H. contortus. No effect on adult worm counts, on FECDM of C. curticei or on total FECDM	[53]
	50	Puna II (pure)	nr	Exp. T. circumcincta trickle infection of ewes and reinfection from pasture for ewes and lambs	Reduced FEC in lambs and ewes on chicory and lower T. circumcincta L3 recovered from chicory swards (ns)	[54]
	nr	Grasslands Puna (pure)	nr	Natural infection	Reduced abomasal adult counts by 41% and abomasal L4 by 60%. No effect on FEC or intestinal worm counts	[50]
	nr	Grasslands Puna (pure)	Total phenolics = 1.8–2.7%	Natural infections in ewes and their lambs. Ewes were either treated or not treated with anthelmintics	Lower FEC in lambs from untreated ewes on chicory. No effect on FEC of undrenched ewes or on adult worm burden in lambs	[62]
	nr	Oasis (pure)	nr	Natural infection	Reduced FEC. Chicory-fed lambs had lower FAMACHA scores and required less anthelmintic treatments	[55]
	3–6	Grasslands Puna (mixed with RG/WC)	nr	Natural infection	No effect on FEC	[57]
	nr	Grasslands Puna (nr)	nr	Exp. T. circumcincta and T. colubriformis infection + reinfection from pasture	Reduced FEC and serum pepsinogen levels at Day 42 p.i.	[59]
Cattle	90	Spadona (pure)	Total CT = ni; total SL = 1.7–2.3%	Exp. O. ostertagi infections	Reduced worm burdens by 66%. Reduced FEC from Day 21 p.i. onwards	[56]
	70	Spadona (pure)	Total CT = ni; total SL = 1.2%	Exp. Ostertagia ostertagi and Cooperia oncophora infection (stabled animals)	Reduced O. ostertagi worm burdens by 60%. Reduced recovery of O. ostertagi L3. No effect on total FEC and worm burdens of C. oncophora	[56]
	24	Puna II (mixed with RG)	nr	Natural infection	No effect on FEC, proportion of O. ostertagi or Cooperia spp. L3 in larval cultures, serum pepsinogen or O. ostertagi-antibodies	[58]
Deer	56–71	Grasslands Puna (pure)	Total CT = 0.17–0.26%	Natural infection	Fewer clinical signs associated with parasitism, requiring less anthelmintic treatment. No effect on FEC or lungworm L1 counts	[60]

aIn sward/diet

bDetection of bioactive compounds were performed with different methodologies and are not comparable between studies

cAll studies were grazing experiments, unless otherwise indicated (stabled animals). In all the trials ryegrass or ryegrass/white clover were used as diets for control animals, with the exception of Heckendorn et al. [53] who fed control lambs with ryegrass/lucerne fresh-cut and Miller et al. [55] who used Bermuda grass

dIn comparison to infected animals fed with control diets

Abbreviations: cv cultivar, ns not significant, DM dry matter, exp. experimental, p.i. post-infection, CT condensed tannins, SL sesquiterpene lactones, FEC faecal egg counts, FECDM FEC adjusted per g of faecal DM, L1 first-stage larvae, L3 third-stage larvae (free-living), L4 fourth-stage larvae (immature), L5 fifth-stage larvae, nr not reported, ni not identified

Grazing trials in New Zealand were the first to explore the anthelmintic effects of chicory in livestock [49, 59, 60]. Niezen et al. [59] described lower strongyle FEC and serum pepsinogen levels in chicory-fed lambs at Day 42 post-experimental infection with T. circumcincta and Trichostrongylus colubriformis. Subsequently, Scales et al. [49] reported significantly lower FEC and reduced worm burdens of Teladorsagia spp. but not intestinal Trichostrongylus spp. in lambs grazing forage chicory, as compared to lambs on control ryegrass (Lolium perenne), cooksfoot (Dactylis glomerata) or tall fescue (Festuca arundinacea). Later studies were in agreement with these findings; e.g. Marley et al. [50] reported a significant reduction of adult and fourth-stage larvae (L4) abomasal nematodes in chicory-fed lambs, while no effect was observed on intestinal worms. Following trials using experimental infections in lambs confirmed that feeding forage chicory-based diets could directly affect the adult burden and FEC of abomasal worms, but not of intestinal nematodes in sheep [51-53]. In cattle, Marley et al. [58] reported that beef steers naturally infected with GI nematodes and grazing a mixed chicory/ryegrass pasture (~24% chicory DM in the field), showed no differences in FEC, O. ostertagi/Cooperia spp. third-stage larvae (L3) proportions in faecal cultures, serum pepsinogen or O. ostertagi-antibodies levels, when compared to infected controls grazing ryegrass. A recent study described two independent trials exploring the anthelmintic effects of chicory-rich diets (≥ 70% forage chicory in the DM intake) against experimental infections with GI nematodes in cattle [56]. In the first (indoor) experiment, stabled calves infected with O. ostertagi and Cooperia oncophora and fed chicory silage diets had a largely similar FEC pattern throughout the trial, in comparison with infected control calves fed a balanced protein/energy diet. However, post-mortem nematode recovery revealed that calves fed chicory silage had significantly lower worm burdens of O. ostertagi (geometric mean reduction of 60%) in comparison with control animals. In contrast, adult counts of C. oncophora in the small intestine were not statistically different between groups. In a second (grazing) experiment, calves mono-infected with O. ostertagi and grazed without possibilities of reinfections on a pure-chicory field (90% chicory DM in the sward), and later supplemented with chicory silage, had similar FEC in comparison with animals grazing a ryegrass/clover pasture until Day 20 post-infection. However, from Day 22 post-infection onwards a rapid and significant reduction in faecal egg excretion was observed in chicory-fed calves, with a 65% lower mean FEC compared with control animals at the end of the trial. Post-mortem worm recovery revealed that calves fed chicory had highly significant reductions in the adult worm burdens of O. ostertagi (geometric mean reduction of 66%) in comparison with control animals [56]. These results strongly indicate that chicory feeding can directly reduce abomasal parasitism in ruminants, particularly affecting adult nematodes.

Furthermore, some evidence of potential indirect anthelmintic effects of chicory has been described [61, 62]. Tzamaloukas et al. [61] reported that chicory-fed lambs had higher levels of abomasal mucosal mast cells and globule leucocytes, correlating with lower larval development and worm establishment in these animals. The authors attributed this enhanced cellular immunity to the higher protein content of the chicory diet (crude protein 18.3% in chicory vs 11.3% in clover-grass) [61]. Athanasiadou et al. [62] reported lower FEC and higher body weight gains in suckling, naturally-infected lambs from ewes on chicory compared with lambs from ewes grazing grass/clover, although no effect was observed on abomasal/intestinal worm counts in lambs or in the FEC of their periparturient dams. Whereas the reduced FEC in lambs from chicory-fed ewes could be explained by a reduced worm fecundity or reduced challenge from pasture (see below), the authors related the improved performance of these lambs to the higher nutritional quality of chicory rather than to a direct anthelmintic effect, given the similar worm burdens in lambs grazing chicory or grass/clover [62]. These two studies suggest that chicory diets can either indirectly affect GI parasitism by enhancing the immune response [61] or by increasing the animals’ resilience to parasite infections [62]. Further research is needed to confirm these initial observations and to identify if chicory feeding can induce immune-stimulatory effects on concurrent parasitic infections. Moreover, in a different approach, some studies have also suggested that chicory can induce detrimental effects on free-living stages of GI nematodes, potentially due to the activity of undigested bioactive compounds in faeces or due to changes in the sward environment, that could affect nematode survival and the level of parasite challenge from pasture [63-65]. However, at present the strongest evidence exists for a direct anthelmintic effect of chicory inside the host digestive tract, and recent studies combining parasitology and phytochemistry have begun to probe the constituent antiparasitic compounds in chicory.

Antiparasitic activity of chicory: unveiling the bioactive compounds

Chicory has previously been referred to as a “tanniniferous forage”, although only low levels of condensed tannins (≤ 0.8% in DM) are commonly detected in chicory leaves [52, 53, 56, 66, 67]. As a member of the Asteraceae, chicory is known to synthesise sesquiterpene lactones (SL), a group of biologically-active natural terpenoids which are also partly responsible for its bitter taste [68-72]. Sesquiterpene lactones are present in chicory leaves (~2% in DM; [56]) and roots (~0.4% in DM; [68]) and can be detected as free molecules and/or as glycosides [73]. Beside SL, four other groups of phytochemicals with reported bioactivities have been described in chicory: hydroxycinnamic acids (e.g. chicoric, cholorogenic and caffeic acid derivatives), flavonoids (e.g. quercetin and kaempferol derivatives), anthocyanins and coumarins [68, 73, 74]. The bioactive phytochemicals described in chicory are presented in Table 2, as well as their reported bioactivity. Several of these compounds have been investigated for their bioactivity as single molecules [68, 75–81]. Noticeably, some of the chicory SL have exhibited antimalarial activity against Plasmodium falciparum [72], as well as insecticidal [68] and anti-inflammatory [75] properties. Chicory leaves and roots also contain sugars (fructose, glucose and sucrose) and high levels of pectins (uronic acids as building blocks) [82-84]. Chicory roots are rich in inulin-type fructans (comprising up to 70% of the DM in chicory roots), with only traces present in leaves [33, 82, 85]. Inulin is known for its prebiotic properties and pigs supplemented with dried chicory roots (30–35% DM in the diet) had significantly lower FEC and worm burdens of Oesophagostomum spp. and reduced larval counts of Ascaris suum [86, 87]. These anthelmintic effects are believed to be related to the high content of easily-fermentable fructans (inulin) in the tested chicory roots, which can modify the large intestinal environment and microflora, leading to the increased production of short-chain fatty acids and lactic acids: all factors that can directly or indirectly affect the parasites [88, 89]. Thus, whilst it is probable that chicory roots may have indirect anthelmintic properties in monogastrics due to a prebiotic effect of inulin, the antiparasitic effects of forage chicory observed in grazing ruminants are more likely related to the more abundant bioactive phytochemicals in the leaves.

Table 2

Bioactive phytochemicals in chicory (Cichorium intybus) and their reported bioactivity

Bioactive compounds	Molecular formula	Reported bioactivity	Model	Reference for bioactivity
Guaianolide sesquiterpene lactones
Lactucin	C15H16O5	antiprotozoal	Plasmodium falciparum	[72]
11,13-dihydrolactucin	C15H18O5	nr
8-deoxylactucin	C15H16O4	anti-inflammatory	HT29 cells	[75]
		insecticidal	Schistocerca gregaria	[68]
11,13-dihydro-8-deoxylactucin	C15H18O4	nr
Lactucopicrin	C23H22O7	antiprotozoal	Plasmodium falciparum	[72]
		insecticidal	Schistocerca gregaria	[68]
11,13-dihydrolactucopicrin	C23H24O7	nr
Hydroxycinnamic acids
Monocaffeoyl tartaric acid (Caftaric acid)	C13H12O9	nr
Chlorogenic acid	C16H18O9	antibacterial	Staphylococcus aureus, Streptococcus pneumoniae, Bacillus subtilis, Escherichia coli, Shigella dysenteriae, Salmonella typhimurium	[76]
Caffeic acid	C9H8O4	anticancer	Fibrosarcoma (HT-1080)	[77]
		acaricidal	Rhipicephalus annulatus	[78]
Chicoric acid	C22H18O12	insecticidal	Schistocerca gregaria	[68]
p-Coumaric acid	C9H8O3	anti-inflammatory	Female albino rats of Wistar strain (in vivo)	[79]
Caffeoylmalic acid	C13H12O8	nr
Ferulic acid	C10H10O4	nr
Flavonoids
Quercetin 3-O-glucuronide + Luteolin 7-O-glucuronide	C21H18O13	acaricidal	Rhipicephalus annulatus	[78]
Quercetin malonyl glucoside	C24H22O15	nr
Apigenin glucuronide	C21H18O11	nr
Kaempferol glucuronide	C21H18O12	anticancer and anti-inflammatory	Human pancreatic cancer cells	[80]
Isorhamnetin 3-glucuronide	C22H20O13	nr
Kaempferol-7-O-(6″-O-malonyl)-glucoside	C24H22O14	nr
Anthocyanins
Cyanidin 3-O-glucoside	C21H21O11+	nr
Cyanidin 3-O-(6-malonyl)-glucoside	C24H23O14+	anti-inflammatory	Lipid peroxidation and cyclooxygenase (COX-1 and -2) inhibition assay	[81]
Coumarins
Cichoriin	C18H20O3	insecticidal	Schistocerca gregaria	[68]

Notes: p-Coumaric acid, p-Coumaric acid, Ferulic acid, Isorhamnetin 3-glucuronide and kaempferol-7-O-(6″-O-malonyl)-glucoside were purified and identified by Papetti et al. [74]. Cichorin A was detected and identified by Rees & Harboure [68]. The remaining compounds were identified by Ferioli et al. [73]. All studies reporting bioactivity were performed in vitro, unless otherwise indicated (in vivo)

Abbreviations: nr not reported

Sesquiterpene lactones: the main antiparasitic compounds in chicory?

The SL are a group of extremely diverse natural terpenoids, including around 5000 different molecules, which are mainly found in Asteraceae plants [90]. The SL are primarily involved in plant defence against herbivory [68, 91, 92]. Numerous studies have demonstrated substantial biological properties exerted by SL, including antibiotic, antiprotozoal, trematocidal and anticancer activities [91, 93–95]. As an example, artemisinin, a SL originally isolated from the Chinese herb Artemisia annua (“qinghao”; “sweet wormwood”) and artemisinin-derivatives (dihydroartemisinin, artesunate, artemether) are currently the front-line antimalarial drugs worldwide [96, 97]. Natural SL are classified in groups depending on their structural conformation, including: germacranolides, eudesmanolides, elemanolides, heliangolides, cadinanolides, eremophilanolides, xanthanolides, guaianolides and pseudoguaianolides, among others [71, 98]. In species of the Cichorieae tribe (including chicory) around 360 SL have been reported, all part of the groups of guaianolides (~243 SL), eudesmanolides (~73 SL) or germacranolides (~44 SL) [71]. In chicory leaves, three guaianolide SL and their 11,13-dihydro-derivatives are commonly present: lactucin (LAC), 8-deoxylactucin (8-DOL), lactucopicrin (LCP), 11,13-dihydro-LAC, 11,13-dihydro-8-DOL and 11,13-dihydro-LCP (Table 2, Fig. 1) [68, 70, 99–102]. Other SL have also been detected in chicory rhizomes [103], but not yet described in other parts of the plant.

Fig. 1

Structures of the guaianolide sesquiterpene lactones reported in chicory

The anthelmintic potential of chicory SL was first suggested by Schreurs et al. [104] in a study describing the reduced motility of Dictyocaulus spp. first-stage larvae (L1) incubated in rumen and abomasal fluid from deer grazing chicory. The authors attributed the observed effects to chicory SL in the digestive fluids, although no detection of SL was reported [104]. Further research by Molan et al. [105] described inhibitory in vitro effects of water/ethyl acetate crude SL-extracts from chicory roots on the motility of Dictyocaulus spp. L1 and L3 and of GI nematode L3 from deer. However, no chemical identification of SL in the tested chicory extracts was performed [105]. Stronger evidence of the antiparasitic activity of chicory SL has been provided by novel studies involving in vitro assays and high-throughput chemical profiling of the tested chicory extracts. Foster et al. [100] described a dose-dependent inhibition of egg hatching in free-living stages of H. contortus by SL-rich extracts from two forage chicory cultivars (“Grasslands Puna” and “Forage Feast”). The authors identified the main guaianolide SL of chicory in the tested extracts (LAC, 8-DOL and LCP) and observed an increased ovicidal activity of the Grasslands Puna-extract, which correlated with its higher content of 8-DOL [100]. Recent studies have shown a potent and dose-dependent in vitro activity of SL-containing chicory extracts against parasitic stages of cattle nematodes (adult O. ostertagi and C. oncophora), which are expected to be main targets of dietary SL in the host [102, 106]. The same chicory extracts were subsequently tested in vitro against the phylogenetically distinct pig nematodes A. suum and Oesophagostomum dentatum, observing also a potent activity on these helminths [107]. Chemical profiling of these tested SL-extracts (isolated from two chicory cultivars, “Spadona” and “Puna II”) revealed the presence of LAC, 8-DOL and LCP and their 11,13-dihydro-derivatives, although with differences in the concentration of individual SL between cultivars [102]. Interestingly, these SL-extracts showed distinct anthelmintic potencies against cattle and pig nematodes, and this variable activity was possibly linked to the different SL profiles in the tested extracts [102, 107]. Table 3 summarises the EC50 values obtained in in vitro assays with parasitic stages of cattle and pig GI nematodes exposed to similar chicory SL-extracts. These results indicate that chicory SL-extracts have potent and broad-spectrum activity against parasitic stages of GI nematodes.

Table 3

In vitro activity of purified chicory extracts (cv. Spadona) against parasitic stages of gastrointestinal nematodes of livestock

Nematode species	Life-stage	Incubation period with extract (h)	EC50 μg/ml	Reference
Ostertagia ostertagi	Adults	24	80	[102]
Cooperia oncophora	Adults	24	150	[106]
Ascaris suum	L3/L4	16/12	81/116	[107]
Oesophagostomum dentatum	Adults/L4	24/36	305/372	[107]

Abbreviation: EC50, effective concentration of purified chicory extracts able to inhibit the motility in 50% of exposed nematodes

Based on two in vivo experiments in which chicory diets (with SL profiling) induced a reduction in adult O. ostertagi counts in cattle, the estimated daily consumption of total chicory SL was 27.3 g SL/animal (Exp. 1; 70% chicory DM in diet) and 128.3 g SL/animal (Exp. 2; 90% chicory DM in diet), equivalent to 222 and 761 mg total SL/kg of body weight in animals from Exp. 1 and 2, respectively [56]. However, these estimations do not indicate the concentration of individual SL, which may potentially induce an antiparasitic effect at lower concentrations. Other studies reporting anthelmintic activity of chicory in vivo did not describe the content of SL in the diets, although it is expected that the concentrations of total and individual chicory SL vary depending on cultivar, crop age, season of the year and cultivation site [38, 108]. Nevertheless, if SL are truly the compounds behind the direct activity of chicory against GI parasites, these bioactive metabolites should reach the target organs in sufficient concentrations to exert their antiparasitic effect. Potential differences in the activity and concentration of free and glycoside (bound) SL and their metabolisation in different gut compartments can influence their total concentration and activity [100]. Yet, the pharmacokinetics of chicory SL in livestock have not been investigated. Nonetheless, the metabolism of costunolide (Fig. 2a), a germacranolide SL and the parent compound of chicory guaianolide SL [109], has been studied in rats [110-112]. Poor absorption and a peak plasma concentration of 0.024 μg costunolide/ml at 9.0 h post-treatment were observed in rats orally treated with a single dose of costunolide (25 mg/kg) [110]. Similar results were reported in rats orally dosed with a costunolide-containing extract of the herb Aucklandia lappa (given at a single dose of 2 g extract/kg, equivalent to 15.7 mg costunolide/kg) [112]. In that study, costunolide was detected in plasma at 5 min after administration and reached a peak concentration of 0.02 μg/ml at 10.5 h post-treatment [112]. These results contrast observations after intravenous injection of costunolide (20 mg/kg), resulting in peak plasma concentrations of 12.3 μg/ml in rats [111]. Previous researchers have explored the pharmacokinetics of other SL such as artemisinin (Fig. 2b) and its derivatives, which are structurally unrelated with chicory guaianolide SL, but knowledge of their metabolism may provide useful insights to elucidate the fate of chicory SL in livestock. Goats treated orally with artemisinin (23 mg/kg) partially absorbed the compound, which was metabolised into the more biologically active dihydroartemisinin (DHA). However, the bioavailability was low (peak of 0.7 μg DHA/mL plasma at 12 h post-treatment) and most of the compound was excreted as unabsorbed artemisinin in faeces (2.4 μg artemisinin/g faeces at 24 h post-treatment) [113]. The same authors incubated artemisinin with alfalfa hay in rumen liquid in vitro and did not detect metabolisation of artemisinin to DHA by the rumen microbiota. They also reported a good artemisinin stability at pH 3.0 and 6.8, with a tendency of artemisinin to bind to rumen content and poor solubility in rumen fluid medium [113]. Similarly, Cala et al. [114] reported that sheep treated orally with artemisinin (100 mg/kg) excreted the unabsorbed compound in faeces (peak of 126.5 μg artemisinin/g faeces 24 h post-treatment). These results suggest that oral/dietary SL can survive rumen fermentation and passage through the GI tract, while being partly metabolised and poorly absorbed by ruminants, leading to a low systemic distribution of the bioactive metabolites. However, despite the evidence of a low absorption of oral/dietary SL, the metabolisation of these compounds could lead to the formation of more active compounds inside the digestive tract that can directly affect GI parasites. Previously, it was reported that the guaianolide SL matricin, naturally present in chamomile (Matricaria recutita) and other Asteraceae plants, is partly metabolised into the anti-inflammatory compound chamazulene carboxylic acid (a natural profen) in artificial gastric fluid, but not in artificial intestinal fluid [115]. The metabolisation of chicory SL into more active compounds inside the GI tract of livestock warrants further investigation, and this knowledge could help to explain the differences in anthelmintic activities of chicory against abomasal and small intestinal parasites reported in ruminants.

Fig. 2

Structures of the sesquiterpene lactones costunolide (a) and artemisinin (b)

Elucidating the anthelmintic mechanisms of SL

Guaianolides and other SL are known to exert potent cytotoxic activities, mainly related to the presence of an α-methylene (CH2) group attached to the γ-lactone in the SL molecule (Fig. 1: Core A) [91, 116]. This α-methylene group reacts with sulfhydryl (thiol) groups of free cysteine or with cysteine-containing peptides, enzymes or other proteins by a Michael-type addition, leading to an alkylation of cellular macromolecules and disruption of cellular functions (e.g. impairing cell signalling, cell replication and mitochondrial respiration) [98, 116, 117]. As an example, natural SL were reported to reduce the intracellular concentration of free glutathione in Leishmania mexicana promastigotes, which led to a toxic intracellular accumulation of reactive oxygen species and blocked cell proliferation in vitro [118]. However, there is also evidence that SL may interact with amino acids other than cysteine [91] and SL lacking the α-methylene group (like chicory SL dihydro-derivatives with a CH3 group attached to the γ-lactone instead, Fig. 1: Core B) can still exert activity in different biological systems [95, 119], suggesting that there is not only one mechanism of action for all SL. In comparison, artemisinin and its derivatives are thought to have a distinct mechanism of antimalarial activity through the cleavage of a peroxide bridge (present in the artemisinins but absent in chicory SL), which reacts with heme-iron in infected erythrocytes and leads to the production of highly reactive free radicals and parasite death [120].

In previous studies, cattle and swine nematodes exposed to chicory SL-extracts in vitro and examined by electron microscopy showed no obvious structural damage in the buccal opening, cuticle or muscle tissue, suggesting that SL may induce anthelmintic activity via specific and subtle mechanisms rather than a more generalised degenerative effect [102, 107]. This is in contrast with the reported anthelmintic activities of other plant bioactive compounds such as condensed tannins or cysteine proteinases, which are known to induce marked disruptions in the cuticle of exposed worms [22, 121, 122]. Given the potent and rapid paralysis of nematodes exposed to SL-extracts [102, 107], SL may act as selective inhibitors in the nematode neuromuscular system. A previous study has reported that 8-DOL and LCP isolated from chicory roots can inhibit the activity of acetylcholinesterase (AChE) in vitro [123]. A potential inhibition of AChE in nematodes could lead to a build-up of acetylcholine in the neuromuscular junctions resulting in worm paralysis due to permanent contraction [124, 125]. Nematode AChE contains cysteine residues [124], that may interact with the α-CH2-γ-lactone group of SL via Michael addition, and/or by other alkylation process induced by SL. However, the potential activity of chicory SL on nematode AChE remains to be investigated.

Further research and perspectives on the use of chicory for parasite control in livestock

One the major gaps in the understanding of the antiparasitic activity of chicory is the precise identification of the responsible compounds. Based on their broad bioactivity, SL are likely the main antiparasitic phytochemicals in chicory, which is supported by previous work reporting differences in the anthelmintic potency of chicory extracts with distinct content of SL [100, 102, 107]. However, further fractionation, compound identification and potential isolation of individual SL, with subsequent bioassays, will be necessary to show conclusively that SL are responsible for the antiparasitic activity of chicory. This research can also help to identify whether individual SL or the combined activity of several SL can induce parasiticidal activity. Notably, it is also necessary to scrutinise if antiparasitic compounds other than SL are present in chicory by studying the activity of different plant fractions and describing their components.

Pharmacokinetic studies are warranted to confirm whether chicory SL and/or other phytochemicals are metabolised into more active compounds in the digestive tract of ruminants and monogastrics, as well as the concentration and activity of these molecules in different organs against various GI parasites. At present, it is unknown whether the discrepant in vivo efficacy of chicory against abomasal and intestinal nematodes is explained by distinctly different concentrations of active metabolites reaching the different target organs, as described for condensed tannins in cattle [126]. Recently it has been confirmed that purified chicory extracts can induce dose-dependent and potent effects against adult C. oncophora in vitro [106], which suggests that the lack of in vivo activity of chicory diets against small intestinal nematodes may be the result of physico-chemical changes in the digestive tract of the host. Therefore, the fate of chicory antiparasitic compounds in the GI tract of ruminants, as well as monogastrics, needs to be investigated. Furthermore, the molecular mechanisms underpinning the direct activity of SL and/or other chicory bioactive compounds against GI parasites need to be elucidated by exploring the potential inhibitory effects on vital processes, like metabolic routes and enzymatic pathways. In addition, it is also pertinent to study the potential parasite adaptation to natural SL and other chicory phytochemicals, as earlier described for condensed tannins and H. contortus [127].

The available evidence has confirmed that chicory diets selectively affect abomasal nematodes in infected ruminants, particularly O. ostertagi in cattle and T. circumcincta in sheep. Only one study has reported in vivo effects of chicory against the major abomasal nematode H. contortus, observing a significant reduction in FEC but no effect on adult worm burdens in chicory-fed lambs [53]. In relation, a previous study described that feeding of lambs with the SL-containing herb wormwood (Artemisia absinthium, Asteraceae) at 20% of DM intake, induced a significant reduction in H. contortus worm burdens and FEC [128]. Therefore, additional studies are needed to confirm the activity of chicory towards the highly pathogenic H. contortus in small ruminants. Furthermore, all the available in vivo studies to date testing the antiparasitic activity of forage chicory diets have been performed in ruminants. Promising in vitro activity of SL-extracts of forage chicory against pig nematodes [107] must be confirmed in vivo, and potentially also explored in other livestock species.

At present, the antiparasitic activity of chicory has been primarily evaluated in GI helminths and substantial research is needed to explore the potential effects of chicory and its bioactive metabolites against other major GI parasites, such as protozoans. In relation, a previous study confirmed direct antiprotozoal effects of purified SL (LCP and LAC) from chicory roots against the malarial parasite P. falciparum (Honduras-1 strain) in vitro, with total inhibition of parasite growth at 50 and 10 μg/ml of LCP and LAC, respectively [72]. Besides antiplasmodial effects, potent activity of other natural SL against trypanosomes and Leishmania spp. has been demonstrated [129-133]. Artemisinin was also reported to induce apoptosis in merozoites of Eimeria tenella [134] and inhibition of Neospora caninum intracellular multiplication [135]. Therefore, the potential activity of chicory SL against protozoans of veterinary (and medical) importance warrants confirmation. An interesting approach would be to test the activity of chicory and its bioactive compounds against coccidial infections in livestock. Previously, in vivo anticoccidial effects of extracts from SL-containing plants (e.g. A. annua, A. absinthium, A. sieberi) and/or single SL (e.g. artemisinin) have been reported in goats [136] and poultry [137-140]. These results strongly support the investigation of the potential anticoccidial activity of chicory in ruminants and monogastrics.

In a nutraceutical approach, the existing evidence sustains the use of chicory-rich diets to target adult abomasal nematode infections in ruminants, which are amongst the most pathogenic and economically important parasitic infections in sheep and cattle [4, 5]. Additional experimental and on-farm studies need to corroborate this selective activity in field conditions and to evaluate the use of chicory as an anthelmintic forage under farming settings. These field studies should primary test the effects of chicory rich-diets on patent infections of abomasal nematodes using FEC with species identification by larval cultures techniques or molecular methods [141, 142], potentially with the use of anti-Ostertagia specific antibodies in cattle [143], and whenever possible, confirmed with worm counting post-mortem. The available evidence indicates that levels ≥ 70% chicory DM in the diet can exert anthelmintic effects, but the lower effective intake is currently not established and will probably depend on cultivar, growth conditions, seasonality and other factors that could influence the presence and concentration of bioactive compounds. Notably, the length of the chicory feeding (hours/days) that is required to exert an antiparasitic effect in vivo must be elucidated, as previous research has suggested a rapid activity of chicory compounds against parasitic nematodes in vitro [102] and a significant and rapid reduction in FEC in chicory-fed calves infected with O. ostertagi [56]. Moreover, the consistent differences in anthelmintic potency between chicory cultivars in vitro, linked to distinct SL profiles between different varieties [100, 102, 107], remain to be tested in vivo. Whether sufficiently high concentrations of chicory can be achieved in commercial farming systems needs additional research, though the use of pure chicory swards for livestock nutrition has been explored [42, 47, 144].

To further validate the practical use of chicory, the economic benefits of including chicory-rich diets in production systems (measured as enhanced animal productivity derived from its antiparasitic effects and improved nutritional value) must be assessed and compared with the extra costs associated with the growth and/or access to chicory. These benefits are expected to vary according to management systems (e.g. availability of land for cultivation of pure chicory, length of the grazing season, parasite exposure, etc.) and in relation to different livestock age groups (e.g. infected with different parasite species). In a nutraceutical approach, and as any other bioactive forage, chicory is also a feed and therefore both its nutritional and antiparasitic value should be evaluated [20]. In addition, several other aspects must be addressed before recommending the use of chicory diets for on-farm parasite control. One issue is the apparent lack of activity against small intestinal worms in ruminants, as grazing animals are normally infected with mixed nematode species. The agronomical shortcoming of cultivating forage chicory should also be considered, like the rapid growth of low-quality reproductive stems in late spring/early summer (from the second year onwards), high vulnerability to damage by grazing stock, its relatively low persistency of around three years and its dormant state during winter, droughts and in dry summers [145, 146]. Another challenge is to ensure chicory feeding for parasitised animals, as the timing of chicory growth and infection dynamics may not match during the grazing season. An alternative could be the preservation of chicory for use when needed, independent of season and pasture availability. Previous studies have explored the conservation of forage chicory as silage to feed cattle and pigs [56, 147, 148] and further research needs to evaluate whether ensiling can affect the concentration and structure of chicory antiparasitic metabolites. However, the ensiling of chicory can be challenging due to the low DM of forage chicory and its broad leaves that can lead to soil contamination during harvest, reducing silage quality [149].

In a future prospect, the comprehensive screening and identification of the main antiparasitic phytochemicals in chicory could help the selection of cultivars with enhanced concentration of these metabolites for use as a nutraceutical forage, or as source of natural parasiticidal compounds. These bioactive metabolites could be selectively isolated to prepare purified extracts that can be used as feed additives for livestock. Such natural antiparasitic feed additives could be given to infected animals in both outdoor (e.g. grazing ruminants) and indoor (e.g. intensive pig) systems. For this purpose, it would be important to define the chicory cultivar(s) and the most suitable part of the plant (leaf, roots) for the extraction of active molecules, as well as the standardisation of the extraction technique to efficiently obtain the desired phytochemicals. In addition, lead parasiticidal molecules identified in chicory could be used to develop novel antiparasitic compounds, as previously discovered with Artemisia annua and artemisinin [150]. Once a purified extract or compound(s) can be developed, its best administration route in livestock should be assessed. It is known that SL when given orally to livestock are poorly absorbed and reach a low bioavailability in comparison with injected SL, but these molecules can survive passage through the digestive tract and therefore reach the target GI parasites. Certainly, a better understanding of the pharmacokinetics of chicory bioactive compounds in the host (including the potential metabolisation into more active molecules inside the animal) can help define the best administration routes and delivery strategy to achieve the desired antiparasitic effect. Furthermore, and given the widespread biological activity of SL, it could be expected that these molecules not only interact with parasites in the GI tract, but also with the rumen or intestinal microbiota of the host, which may have a profound influence on animal health and performance. Therefore, a thorough knowledge of the metabolism of SL and their interactions may also shed light on the overall effects of chicory and other SL-rich bioactive forages on animal health and productivity, and to improve our understanding on the interactions between bioactive plant compounds, GI parasites and their hosts.

Conclusions

Chicory is a bioactive forage with reported antiparasitic activity in ruminants when animals are fed with chicory-rich diets (≥ 70% of chicory DM in the diet). This antiparasitic activity is likely related with its content of bioactive compounds, particularly SL, which have been reported to exert potent effects against helminths and protozoa in vitro. The available evidence has confirmed the in vivo effects of chicory diets against abomasal nematodes in ruminants, and substantial research is needed to elucidate the potential broad antiparasitic activity of chicory against protozoans and in other livestock species. Additional knowledge of chicory’s antiparasitic metabolites and mechanism(s) of action may indicate ways of improving its efficacy, e.g. by selection of cultivars with increased activity and/or the isolation of leading parasiticides. In addition, future research on chicory may also open new paths for exploring other SL-containing plants and improve our basic understanding of the interactions between bioactive phytochemicals, GI parasites and their hosts.