Possible involvement of oxidative stress in 5-fluorouracil-mediated myelosuppression in mice

Satoshi Numazawa1, Kazuko Sugihara, Shota Miyake

  • 1Department of Biochemical Toxicology, Showa University School of Pharmacy, Shinagawa, Tokyo, Japan. numazawa@pharm.showa-u.ac.jp

Insights

5-fluorouracil (5-FU) chemotherapy causes oxidative stress in bone marrow, leading to myelotoxicity. Boosting glutathione and Nrf2-dependent genes may mitigate these chemotherapy side effects.

Area of Science:

  • Biochemistry
  • Pharmacology
  • Toxicology

Background:

  • Chemotherapeutic agents can induce cellular oxidative stress, contributing to adverse effects.
  • The precise mechanisms behind 5-fluorouracil (5-FU)-induced myelotoxicity remain unclear.
  • Oxidative stress is implicated in various drug-induced toxicities.

Purpose of the Study:

  • To investigate whether 5-FU-induced myelotoxicity is a consequence of oxidative stress.
  • To elucidate the role of oxidative stress in 5-FU's impact on bone marrow.

Main Methods:

  • Mice were treated with 5-FU (75 mg/kg, i.p.).
  • Assessed indicators of oxidative stress: haem oxygenase-1 induction and glutathione content in bone marrow cells.
  • Examined myeloid colony formation in wild-type and Nrf2(-/-) mice.
  • Evaluated the effect of N-Acetylcysteine (NAC) administration.

Main Results:

  • 5-FU treatment significantly increased haem oxygenase-1 and decreased glutathione levels in bone marrow cells.
  • Myelotoxicity, indicated by reduced myeloid colony formation, was more severe in Nrf2(-/-) mice.
  • N-Acetylcysteine treatment ameliorated 5-FU-induced decreases in glutathione, bone marrow cellularity, and myeloid colony formation.

Conclusions:

  • 5-FU induces oxidative stress in mouse bone marrow, contributing to myelotoxicity.
  • Nrf2-dependent genes and glutathione levels represent potential therapeutic targets for mitigating 5-FU side effects.
  • Targeting oxidative stress pathways could offer a strategy to improve 5-FU chemotherapy tolerability.