Topotecan induces hepatocellular injury via ASCT2 mediated oxidative stress

Guoliang Zhou1, Meisong Qin1, Xiaolin Zhang1

  • 1Department of Pharmacy, School of Life and Health Sciences, Anhui Science and Technology University, Fengyang, Anhui, China.

Gastroenterologia Y Hepatologia
|October 11, 2020
PubMed
Abstract

Insights

Topotecan chemotherapy causes liver injury by downregulating the ASCT2 transporter, reducing glutathione and increasing oxidative stress. Restoring ASCT2 levels protects against topotecan-induced hepatocellular damage.

Area of Science:

  • Hepatology
  • Oncology
  • Biochemistry

Background:

  • Topotecan is an anti-cancer drug known to cause hepatotoxicity.
  • Mechanisms of topotecan-induced liver injury beyond DNA damage require elucidation.

Purpose of the Study:

  • Investigate the role of ASCT2 in topotecan-induced hepatocellular injury.
  • Determine the impact of ASCT2 modulation on cell proliferation, apoptosis, oxidative stress, and glutathione levels.

Main Methods:

  • Cell proliferation assays (MTT) and apoptosis assays (flow cytometry) were employed.
  • Western blot and qRT-PCR assessed ASCT2 expression.
  • Glutamine uptake, glutathione (GSH), and reactive oxygen species (ROS) levels were quantified.

Main Results:

  • Topotecan inhibited proliferation and induced apoptosis in L02 and HepG2 cells.
  • Topotecan decreased ASCT2 expression and glutamine uptake.
  • ASCT2 overexpression increased glutamine uptake and GSH, reduced ROS, and attenuated topotecan-induced injury.

Conclusions:

  • Topotecan-induced hepatocyte death is linked to ASCT2 downregulation.
  • ASCT2 downregulation contributes to oxidative stress by inhibiting GSH production.

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