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Published on: January 11, 2019
Digoxin reduces the mutagenic effects of Mitomycin C in human and rodent cell lines
Júlia Teixeira de Oliveira1,2, Maria C da Silva Barbosa1,2, Luiz F de Camargos1,2
1Laboratório de Biologia Celular e Mutagênese (LaBCeM), Universidade Federal de São João del Rei (UFSJ), Divinópolis, MG, 35501-506, Brazil.
Abstract:
Digoxin is a drug widely used to treat heart failure and studies have demonstrated its potential as anticancer agent. In addition, digoxin presents the potential to interact with a series of other compounds used in medicine. The aim of the present study was to evaluate in vitro the cytotoxicity, genotoxicity and mutagenicity of digoxin and its potential to interact with the mutagen Mitomycin C (MMC). The cytotoxicity of digoxin was assessed by employing the MTT method and the comet assay was performed to assess the genotoxicity of this medicine in CHO-K1 and HeLa cell lines. Besides, the cytokinesis-block micronucleus assay was performed to assess the mutagenicity and the antimutagenicity of this drug. The Ames assay was also performed with TA98 and TA100 strains of S. typhimurium. Results showed that digoxin was cytotoxic, genotoxic and mutagenic for HeLa and CHO-K1 cell lines at concentrations many times higher than those observed in human therapeutic conditions. Nevertheless, an antimutagenic effect against the mutagen MMC was observed on both cell lines in concentrations near those used therapeutically in humans. This chemoprotective effect observed is an interesting finding that should be better explored regarding its impact in anticancer chemotherapy.
Insights
Digoxin exhibits anticancer potential but can be cytotoxic, genotoxic, and mutagenic at high doses. However, at therapeutic concentrations, it shows a protective effect against the mutagen Mitomycin C (MMC).
Area of Science:
- Pharmacology
- Toxicology
- Oncology
Background:
- Digoxin is a widely used heart failure medication with demonstrated anticancer properties.
- Digoxin's potential to interact with other medical compounds necessitates further investigation.
- Understanding digoxin's toxicological profile is crucial given its dual role.
Purpose of the Study:
- To evaluate the in vitro cytotoxicity, genotoxicity, and mutagenicity of digoxin.
- To assess digoxin's potential to interact with Mitomycin C (MMC).
- To explore digoxin's chemoprotective effects in the context of chemotherapy.
Main Methods:
- Cytotoxicity assessed via MTT assay.
- Genotoxicity evaluated using the comet assay in CHO-K1 and HeLa cells.
- Mutagenicity and antimutagenicity determined by cytokinesis-block micronucleus assay and Ames test (S. typhimurium TA98, TA100).
Main Results:
- Digoxin demonstrated cytotoxicity, genotoxicity, and mutagenicity in HeLa and CHO-K1 cells at supra-therapeutic concentrations.
- An antimutagenic effect of digoxin against Mitomycin C (MMC) was observed at therapeutically relevant concentrations.
- Digoxin showed a chemoprotective effect against MMC-induced mutagenicity in both cell lines.
Conclusions:
- Digoxin exhibits a dual effect: cytotoxic/genotoxic/mutagenic at high doses, but antimutagenic at therapeutic doses.
- The observed chemoprotective effect of digoxin against MMC warrants further research for anticancer chemotherapy applications.
- Digoxin's interactions and effects at therapeutic levels may offer novel strategies in cancer treatment.
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