The selectivity of artemisinin-based drugs on human lung normal and cancer cells

Xinyang Li1, Shiyan Gu1, Donglei Sun1

  • 1Department of Environmental Health and Occupational Medicine, West China School of Public Health, Sichuan University, Chengdu, Sichuan, People's Republic of China.

Insights

Artemisinin and artesunate show anticancer potential but also harm normal cells. These drugs induce cell damage via reactive oxygen species (ROS), indicating significant side effects for normal human bronchial epithelial (HBE) cells and A549 lung cancer cells.

Area of Science:

  • Pharmacology
  • Cell Biology
  • Cancer Research

Background:

  • Artemisinin-based drugs exhibit anticancer properties, but their selective efficacy against cancer cells remains debated.
  • The precise mechanism underlying artemisinin's action on cancer cells is not fully elucidated.

Purpose of the Study:

  • To investigate the cytotoxic effects of artemisinin and artesunate on normal human bronchial epithelial (HBE) cells and A549 lung adenocarcinoma cells.
  • To clarify the discrepancy regarding the selective anticancer potential of artemisinin-based compounds.

Main Methods:

  • Utilized five distinct assays to assess cytotoxicity.
  • Evaluated the impact of artemisinin and artesunate on HBE and A549 cell lines.
  • Measured intracellular reactive oxygen species (ROS) levels and DNA damage.

Main Results:

  • Artemisinin and artesunate demonstrated dose-dependent cytotoxicity in both HBE and A549 cells.
  • A slight selectivity towards A549 cancer cells was observed, but significant cytotoxicity occurred in normal HBE cells.
  • Both cell types exhibited increased intracellular ROS and DNA damage.

Conclusions:

  • Artemisinin and artesunate exert cytotoxic effects on both normal and cancer cells through a common pathway involving ROS-mediated DNA damage.
  • The potential side effects on normal cells must be carefully considered during the development of artemisinin-based antitumor therapies.