Metal-mediated oxidative DNA damage induced by methylene blue
Yusuke Hiraku1, Hiroyuki Goto1, Masaki Kohno1
1Department of Environmental and Molecular Medicine, Mie University Graduate School of Medicine, Tsu, Mie 514-8507, Japan.
Background:
Methylene blue (MB) is used for various clinical purposes, including chromoendoscopy and methemoglobinemia treatment. However, MB induces tumors of pancreatic islets and small intestine in experimental animals. This finding raises a possibility that MB induces carcinogenicity in these organs via light-independent mechanisms, although MB is known to cause light-dependent DNA damage.
Methods:
We investigated the mechanism of MB-induced DNA damage using (32)P-5'-end-labeled DNA fragments of human tumor-relevant genes. We investigated the redox reaction of MB by UV-visible spectrometry.
Results:
MB induced DNA damage at the 5'-ACG-3' sequence, a hot spot of the p53 gene, in the presence of NADH and Cu(II). DNA damage was inhibited by catalase and bathocuproine, a Cu(I)-specific chelator. MB induced DNA damage at every nucleotide in the presence of NADH and Fe(III)-ethylenediaminetetraacetic acid, which was inhibited by OH scavengers and catalase. MB significantly increased the formation of 8-oxo-7,8-dihydro-2'-deoxyguanosine, an oxidative DNA lesion, in the presence of NADH and metal ions. UV-visible spectrometry revealed that the absorbance of oxidized form of MB at 668nm was decreased by NADH, and the addition of metal ions attenuated the spectral change.
Conclusions:
MB undergoes NADH-dependent reduction followed by metal ion-mediated reoxidation. Reduced metal ions [Cu(I) and Fe(II)] interact with H2O2, generated during the redox reaction, to produce Cu(I)OOH and OH that cause DNA damage, respectively. These findings suggest that metal-mediated DNA damage contributes to MB-mediated carcinogenesis.
General Significance:
This study would provide an insight into the mechanism of MB-induced carcinogenesis and its safety assurance for clinical use.
Insights
Methylene blue (MB) causes DNA damage through a metal-mediated mechanism involving NADH and hydrogen peroxide. This explains how MB may lead to cancer, informing its clinical safety.
Area of Science:
- Biochemistry
- Molecular Biology
- Toxicology
Background:
- Methylene blue (MB) is clinically utilized for chromoendoscopy and methemoglobinemia treatment.
- MB has been shown to induce tumors in experimental animals, suggesting light-independent carcinogenic mechanisms.
- Understanding MB's DNA damaging potential is crucial for assessing its clinical safety.
Purpose of the Study:
- To elucidate the mechanism of Methylene blue-induced DNA damage.
- To investigate the role of redox reactions and metal ions in MB's genotoxicity.
- To provide insights into MB-mediated carcinogenesis for clinical safety assurance.
Main Methods:
- Utilized (32)P-5'-end-labeled DNA fragments of human tumor-relevant genes to assess DNA damage.
- Employed UV-visible spectrometry to investigate the redox reactions of Methylene blue.
- Assessed the role of reactive oxygen species and metal ions in DNA damage induction.
Main Results:
- Methylene blue induced DNA damage at the 5'-ACG-3' sequence in the presence of NADH and Cu(II), inhibited by catalase and a Cu(I) chelator.
- DNA damage occurred at all nucleotide positions with NADH and Fe(III)-EDTA, inhibited by OH scavengers and catalase.
- MB significantly increased 8-oxo-7,8-dihydro-2'-deoxyguanosine formation, indicating oxidative DNA lesions, in the presence of NADH and metal ions.
- UV-visible spectrometry showed NADH-dependent reduction of MB, with metal ions influencing reoxidation and spectral changes.
Conclusions:
- Methylene blue undergoes NADH-dependent reduction and metal ion-mediated reoxidation.
- Reduced metal ions (Cu(I), Fe(II)) interact with H2O2 to generate reactive species (Cu(I)OOH, OH) that cause DNA damage.
- Metal-mediated DNA damage is a key contributor to Methylene blue-induced carcinogenesis, informing its clinical safety.
Related Concept Videos
Spontaneous and Induced Mutations
Bioactivation and Tissue Toxicity
Overview of DNA Repair
Chemically...
Mutations
Chromosomal Alterations Are Large-Scale Mutations
While point mutations are changes in a single nucleotide in...


