Iodinated contrast agents decrease the activity of multidrug resistance protein, cell migration, and induce cell

Jessica Sodré Silva de Abreu1, Morgana Teixeira Lima Castelo-Branco2, Janaina Fernandes1

  • 1NUMPEX-BIO, Universidade Federal do Rio de Janeiro, Duque de Caxias, Rio de Janeiro, Brazil.

Insights

Iodinated contrast agents like TIBA and iohexol show promise as cancer treatments. These agents exhibit cytotoxicity against chemotherapy-resistant cancer cells by inducing reactive oxygen species (ROS) and apoptosis.

Area of Science:

  • Oncology
  • Radiology
  • Biochemistry

Background:

  • Iodinated contrast agents (ICAs) are used in medical imaging.
  • Previous research indicates ICAs can induce tumor cell death via reactive oxygen species (ROS) and apoptosis.
  • Limited data exists on ICA efficacy against chemotherapy-resistant cancers.

Purpose of the Study:

  • To investigate the cytotoxic effects of TIBA (triiodobenzoic acid) and iohexol on chemotherapy-resistant cancer cell lines.
  • To explore the mechanisms of action, including ROS generation, apoptosis, and multidrug resistance modulation.
  • To assess the potential of ICAs as adjuvant therapy for resistant tumors.

Main Methods:

  • Cytotoxicity assays were performed on glioblastoma (A172), chronic myeloid leukemia (K562, Lucena 1), and normal renal (VERO) cell lines.
  • Evaluated cell viability, ROS production, apoptosis, mitochondrial membrane potential, Pgp/MRP1 activity, glucose influx, and cell migration.
  • Utilized cell lines with varying resistance profiles, including chemotherapy-resistant Lucena 1.

Main Results:

  • Both TIBA and iohexol demonstrated dose-dependent cytotoxicity against Lucena 1 and A172 cells.
  • Iohexol exhibited the highest cytotoxicity in spheroid models.
  • Contrast agent-induced cell death was linked to ROS generation, mitochondrial dysfunction, and inhibition of multidrug resistance proteins (Pgp, MRP1).
  • TIBA and iohexol reduced glucose influx and glioblastoma cell migration.

Conclusions:

  • TIBA and iohexol possess significant cytotoxic potential against chemotherapy-resistant cancer cells.
  • These agents offer a promising avenue for adjuvant cancer therapy, particularly in resistant malignancies.
  • The mechanism involves ROS generation and modulation of key cellular processes related to resistance and proliferation.