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Updated: Aug 19, 2026

Exploring the Two Herb Combination Strategy to Treat Injured PC12 Cells
Published on: November 18, 2022
Regulation of apoptosis by glutathione redox state in PC12 cells exposed simultaneously to iron and ascorbic acid
Mayo Hiroi1, Tohru Ogihara, Kazuya Hirano
1Division of Neonatology, Department of Pediatrics, Osaka Medical College, 2-7, Daigaku-machi, Takatsuki, Osaka 569-8686, Japan. ped025@poh.osaka-med.ac.jp
Insights
Iron and ascorbic acid (AA) trigger cell death in infants with perinatal asphyxia. Antioxidants like alpha-tocopherol and glutathione (GSH) prevent this, highlighting a key mechanism in neuroprotection.
Area of Science:
- Neuroscience
- Biochemistry
- Cell Biology
Background:
- Elevated non-protein-bound iron (NPBI) and ascorbic acid (AA) levels are observed in the cerebrospinal fluid of infants experiencing perinatal asphyxia.
- Perinatal asphyxia is a critical condition in newborns that can lead to significant neurological damage.
Purpose of the Study:
- To elucidate the cytotoxic mechanisms of iron and ascorbic acid (AA) in neuronal cells.
- To investigate the role of oxidative stress and glutathione (GSH) redox state in iron-AA induced apoptosis.
Main Methods:
- PC12 cells were treated with ferrous sulfate (FeSO4) and AA.
- Apoptosis was assessed, and protective effects of alpha-tocopherol and GSH ethyl ester were evaluated.
- Levels of free radical damage markers, intracellular GSH/GSSG ratio, and half-cell reduction potential (Ehc) were measured.
Main Results:
- FeSO4 and AA synergistically induced apoptosis in PC12 cells, preventable by antioxidants.
- Exposure to AA and ferrous NPBI triggered apoptosis within hours, associated with increased markers of free radical damage.
- Apoptosis correlated with a progressive decrease in intracellular GSH, an increase in GSSG, and a shift in Ehc to a critical oxidizing potential (-200 mV to -165 mV).
Conclusions:
- Ferrous iron catalyzes hydroxyl radical generation and lipid peroxidation, potentiated by AA.
- Depletion of intracellular GSH leads to a critical increase in Ehc, triggering or enhancing the apoptotic cascade.
- These findings explain the Fe-AA cytotoxicity mechanism and suggest therapeutic targets for neuroprotection.
Abstract:
We previously reported that the levels of non-protein-bound iron (NPBI) and ascorbic acid (AA) are markedly increased in the cerebrospinal fluid of infants with perinatal asphyxia. The present study showed that FeSO4 and AA synergistically induced apoptosis of PC12 cells, which was prevented by alpha-tocopherol and glutathione (GSH) ethyl ester. Markers of free radical damage, such as ortho-tyrosine, meta-tyrosine, and F(2alpha)-isoprostane, showed a gradual increase. AA and ferrous NPBI disappeared rapidly from the culture medium, but exposure for only a few hours was sufficient to trigger apoptosis. Intracellular GSH decreased progressively along with a concomitant increase of glutathione disulfide (GSSG). The baseline half-cell reduction potential (Ehc) for GSSG, 2H+/2GSH couple was -246 mV and an Ehc of -200 mV was the critical level to switch on apoptosis, although some cells escaped this fate by transient increase of intracellular GSH. Once Ehc reached around -165 mV (81 mV oxidation from the baseline), all cells lost the ability to maintain an adequate intracellular GSH level and subsequently underwent apoptosis. These findings at least partly explain the mechanism of Fe-AA cytotoxicity, in that ferrous iron catalyzes hydroxyl radical generation and induces lipid peroxidation, after which subsequent depletion of GSH raises Ehc to the critical level for triggering or potentiating the apoptotic cascade.
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