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Manganoporphyrins and ascorbate enhance gemcitabine cytotoxicity in pancreatic cancer
Journal article   Peer reviewed

Manganoporphyrins and ascorbate enhance gemcitabine cytotoxicity in pancreatic cancer

John A Cieslak, Robert K Strother, Malvika Rawal, Juan Du, Claire M Doskey, Samuel R Schroeder, Anna Button, Brett A Wagner, Garry R Buettner and Joseph J Cullen
Free radical biology & medicine, Vol.83, pp.227-237
06/2015
DOI: 10.1016/j.freeradbiomed.2015.02.018
PMCID: PMC4441864
PMID: 25725418

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Abstract

Pharmacological ascorbate (AscH(-)) selectively induces cytotoxicity in pancreatic cancer cells vs normal cells via the generation of extracellular hydrogen peroxide (H2O2), producing double-stranded DNA breaks and ultimately cell death. Catalytic manganoporphyrins (MnPs) can enhance ascorbate-induced cytotoxicity by increasing the rate of AscH(-) oxidation and therefore the rate of generation of H2O2. We hypothesized that combining MnPs and AscH(-) with the chemotherapeutic agent gemcitabine would further enhance pancreatic cancer cell cytotoxicity without increasing toxicity in normal pancreatic cells or other organs. Redox-active MnPs were combined with AscH(-) and administered with or without gemcitabine to human pancreatic cancer cell lines, as well as immortalized normal pancreatic ductal epithelial cells. The MnPs MnT2EPyP (Mn(III)meso-tetrakis(N-ethylpyridinium-2-yl) porphyrin pentachloride) and MnT4MPyP (Mn(III)tetrakis(N-methylpyridinium-4-yl) porphyrin pentachloride) were investigated. Clonogenic survival was significantly decreased in all pancreatic cancer cell lines studied when treated with MnP + AscH(-) + gemcitabine, whereas nontumorigenic cells were resistant. The concentration of ascorbate radical (Asc(•-), an indicator of oxidative flux) was significantly increased in treatment groups containing MnP and AscH(-). Furthermore, MnP + AscH(-) increased double-stranded DNA breaks in gemcitabine-treated cells. These results were abrogated by extracellular catalase, further supporting the role of the flux of H2O2. In vivo growth was inhibited and survival increased in mice treated with MnT2EPyP, AscH(-), and gemcitabine without a concomitant increase in systemic oxidative stress. These data suggest a promising role for the use of MnPs in combination with pharmacologic AscH(-) and chemotherapeutics in pancreatic cancer.
Free Radical Scavengers - pharmacology Oxidation-Reduction Apoptosis - drug effects Humans Pancreatic Neoplasms - pathology Deoxycytidine - pharmacology Metalloporphyrins - pharmacology Hydrogen Peroxide - metabolism Catalase - metabolism Drug Synergism Pancreatic Neoplasms - drug therapy Xenograft Model Antitumor Assays Animals Mice, Nude Oxygen Consumption - drug effects Ascorbic Acid - pharmacology Fluorescent Antibody Technique Antimetabolites, Antineoplastic - pharmacology Mice Catalysis Histones - metabolism Oxidative Stress - drug effects Deoxycytidine - analogs & derivatives

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