Key result
In silico simulations demonstrated that a constant exposure to 50 μM doxorubicin depletes cytosolic glutathione by 64.6% over 10 hours, overwhelming cellular antioxidant defenses.
Why the study?
Doxorubicin's therapeutic index is undermined by dose-dependent cardiotoxicity, which may be driven by quinone redox cycling, but measuring and tracking radical species presents experimental difficulties.
An in silico model of doxorubicin redox metabolism demonstrates that constant exposure severely depletes glutathione pools, providing a computational framework to study quinone-induced oxidative stress and cardiotoxicity.
Does not support clinical changes in doxorubicin use; leaves open validation of glutathione-targeted cardioprotection.
Redox cycling is an understated mechanism of toxicity associated with a plethora of xenobiotics, responsible for preventing the effective treatment of serious conditions such as malaria and cardiomyopathy. Quinone compounds are notorious redox cyclers, present in drugs such as doxorubicin, which is used to treat a host of human cancers. However, the therapeutic index of doxorubicin is undermined by dose-dependent cardiotoxicity, which may be a function of futile redox cycling. In this study, a doxorubicin-specific in silico quinone redox metabolism model is described. Doxorubicin-GSH adduct formation kinetics are thermodynamically estimated from its reduction potential, while the remainder of the model is parameterised using oxygen consumption rate data, indicative of hydroquinone auto-oxidation. The model is then combined with a comprehensive glutathione metabolism model, facilitating the simulation of quinone redox cycling, and adduct-induced GSH depletion. Simulations suggest that glutathione pools are most sensitive to exposure duration at pharmacologically and supra-pharmacologically relevant doxorubicin concentrations. The model provides an alternative method of investigating and quantifying redox cycling induced oxidative stress, circumventing the experimental difficulties of measuring and tracking radical species. This in silico framework provides a platform from which GSH depletion can be explored as a function of a compound's physicochemical properties.
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Kelly et al. (2019) studied Oxidative stress and glutathione depletion. Doxorubicin (in silico model) was evaluated on Cytosolic glutathione (GSH) depletion. In silico simulations demonstrated that a constant exposure to 50 μM doxorubicin depletes cytosolic glutathione by 64.6% over 10 hours, overwhelming cellular antioxidant defenses.
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