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Methotrexate: pentose cycle and oxidative stress

R M Babiak1, A P Campello, E G Carnieri

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Cell Biochemistry and Function
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Methotrexate (MTX) impairs the pentose cycle and antioxidant defenses by inhibiting key enzymes and depleting glutathione levels in HeLa cells. Leucovorin (LCV) does not counteract these MTX effects.

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Area of Science:

  • Biochemistry
  • Cell Biology
  • Pharmacology

Background:

  • Methotrexate (MTX) is a chemotherapy drug with known cellular effects.
  • Reactive oxygen species (ROS) can cause cellular damage.
  • Antioxidant defense systems protect cells from oxidative stress.

Purpose of the Study:

  • To investigate the impact of methotrexate (MTX) and leucovorin (LCV) on pentose cycle enzymes.
  • To examine the effect of MTX and LCV on antioxidant enzyme activities and glutathione levels in HeLa cells.

Main Methods:

  • HeLa cells were treated with MTX and LCV.
  • Enzyme activities of the pentose cycle and antioxidant defense mechanisms were measured.
  • Cellular glutathione levels were quantified.

Main Results:

  • MTX significantly inhibited glucose-6-phosphate dehydrogenase, 6-phosphogluconate dehydrogenase, glutathione reductase, and gamma-glutamylcysteine synthetase.
  • MTX decreased cellular glutathione levels by 70%.
  • LCV did not affect any measured enzyme activities or mitigate MTX's effects on glutathione.

Conclusions:

  • MTX treatment compromises the pentose phosphate pathway and the cellular antioxidant defense system.
  • The observed reduction in glutathione and enzyme inhibition suggests increased susceptibility to oxidative stress.
  • LCV does not restore the antioxidant capacity affected by MTX.