Inhibiting effects of antioxidants on drug-induced phototoxicity in cell cultures. Investigations with sulphonamide-derived oral antidiabetics and diuretics

Hydrochlorothiazide Use and Risk of Nonmelanoma Skin Cancers: A Biological Plausibility Study

Recent studies reported the association between increased risk of nonmelanoma skin cancers (NMSCs) and the use of hydrochlorothiazide (HCTZ), one of the most commonly prescribed diuretic, antihypertensive drug, over the world. Although HCTZ is known to be photosensitizing, the mechanisms involved in its potential prophotocarcinogenic effects remain unclear. Under acute exposure, therapeutically relevant concentrations of HCTZ (70, 140, and 370 ng/mL) amplified UVA-induced double-strand breaks, oxidative DNA, and protein damage in HaCaT human keratinocytes, and this effect was associated to a defective activity of the DNA repair enzyme, OGG1. Oxidative damage to DNA, but not that to proteins, was reversible within few hours. After chronic, combined exposure to HCTZ (70 ng/mL) and UVA (10 J/cm2), for 9 weeks, keratinocytes acquired a dysplastic-like phenotype characterized by a multilayered morphology and alterations in cell size, shape, and contacts. At the ultrastructural level, several atypical and enlarged nuclei and evident nucleoli were also observed. These transformed keratinocytes were apoptosis resistant, exhibited enhanced clonogenicity capacity, increased DNA damage and inflammation, defective DNA repair ability, and increased expression of the oncogene ΔNp63α and intranuclear β-catenin accumulation (a hallmark of Wnt pathway activation), compared to those treated with UVA alone. None of these molecular, morphological, or functional effects were observed in cells treated with HCTZ alone. All these features resemble in part those of preneoplastic lesions and NMSCs and provide evidence of a biological plausibility for the association among exposure to UVA, use of HCTZ, and increased risk of NMSCs. These results are of translational relevance since we used environmentally relevant UVA doses and tested HCTZ at concentrations that reflect the plasma levels of doses used in clinical practice. This study also highlights that drug safety data should be followed by experimental evaluations to clarify the mechanistic aspects of adverse events.

Spectroscopic and DFT studies of 2,4-dichloro-N-phenethylbenzenesulfonamide

The Fourier-transform infrared spectroscopy (FT-IR) spectrum of 2,4-dichloro-N-phenethylbenzenesulfonamide (DPBS) was obtained and the compound was studied theoretically. The optimized geometry, total electronic energy and vibrational wavenumbers of DPBS were examined using Hartree–Fock (HF) and density functional theory (DFT) method such as B3LYP, BP86 and M06 functionals with the basis set of 6-311++G(d,p) for all atoms. A complete vibrational assignment was studied for DPBS. The molecular orbital energies, polarizability and thermodynamic properties of DPBS were also computed. Analysis of molecular orbitals reveals the parameters such as chemical potential, chemical hardness and electrophilicity index. The molecular properties such as electric dipole moment µ, polarizability α, and hyperpolarizability β reveal the non-linear optical (NLO) property of DPBS. Natural bond analysis study reveals charge delocalization of the molecule. The experimental and computational results are found to have good agreement among themselves. The results of this work will pave the way for further insight in the study of the applications of DPBS.

Graphical Abstract:

Drug and chemical induced photosensitivity from a clinical perspective

Drug photosensitivity is a relatively common occurrence and a range of mechanisms may be involved. Some of these mechanisms will be discussed, including the most common, that of drug phototoxicity. Different types of photosensitivity are addressed with respect to clinical presentation, mechanisms and additionally the contribution to our understanding through clinically directed investigations and regulatory requirements. Repeated controlled therapeutic use of drug phototoxicity, with psoralen-UVA (PUVA) photochemotherapy and photodynamic therapy (PDT) will also be discussed. Finally, the potential for drug-induced photocarcinogenesis will also be covered.

The oxidative stress in the liver of Carassius auratus exposed to acesulfame and its UV irradiance products

Acesulfame (ACE) is listed as an emerging contaminant due to its environmental persistence and wide occurrence in the environment. ACE can be degraded partially in the regular UV disinfection process but the eco-toxicity of its irradiation products remains unclear. This study focused on the possible oxidative status change in the liver of Carassius auratus exposed to ACE and its irradiation products. The UV degradation of ACE follows pseudo-first-order kinetics, and eight irradiation products were identified. Fish were exposed 7days to 0.1 and 10mg/L ACE (ACE group) and ACE after UV irradiance (ACE-UV group). The oxidative stress in fish liver exposed to ACE group had no distinct change. However, in the ACE-UV group, the quantity of OH was induced by 17.96-55% and the MDA content increased by 16.28-68.28% compared to control. Time-effect exposure in the ACE-UV group showed that in the first 3days the quantity of OH reached its peak, causing severe inhibition of SOD and continuous inducement of GPx. GSH helped scavenge OH and decreased below control after 3days. An increased toxicity of ACE after UV irradiance was observed and its transfer after into aquatic environment needs to be recognized as an environmental risk.

Protective Effects of Glurenorm (Gliquidone) Treatment on the Liver Injury of Experimental Diabetes

Oxidative stress plays an important role in chronic complications of diabetes mellitus, and hence the regulation of free radicals is essential in the treatment of diabetes. The aim of the current study is to investigate the effect of glurenorm (10 mg/kg) on liver tissue in experimental diabetes. Diabetes was induced by intraperitoneal injection of 65 mg/kg streptozotocin. Glurenorm was administered to one diabetic and one control group separately, from days 14 to 42. On day 42, cardiac blood samples and liver tissue were taken from each rat. In diabetic rats, blood glucose, serum alkaline phosphatase and serum amino transferase activities, serum uric acid, serum sodium and potassium levels, liver nonenzymatic glycosylation, and lipid peroxidation increased, whereas body weight and liver glutathione levels decreased. The diabetic group given glurenorm blood glucose, serum alkaline phosphatase and aminotransferase activities, serum uric acid, sodium and potassium, liver nonenzymatic glycosylation, and lipid peroxidation levels decreased, and liver glutathione levels increased. As a result of all the biochemical findings obtained, it was concluded that glurenorm has a protective effect on damage of liver of streptozotocin-induced diabetes in rats.

Environmental levels of ultraviolet light potentiate the toxicity of sulfonamide antibiotics in Daphnia magna

We assessed the phototoxicity of several major sulfonamide antibiotics, i.e., sulfathiazole, sulfamethazine, and sulfamethoxazole, using acute 48 and 96 h Daphnia magna immobilization toxicity test under several indoor and outdoor lighting conditions. The lighting conditions were as follows: (1) fluorescent light only, (2) continuous irradiation with 15 microW/cm(2) UVB, (3) pulsed irradiation with 90 microW/cm(2) UVB for 4 h/d, and (4) natural sunlight (outdoors). Laboratory tests showed that phototoxicity resulting from exposure to continuous UVB light generally increased the acute toxicity of the sulfonamides in D. magna by up to 2.3-fold. However, pulsed UVB exposure resulted in a greater increase in phototoxicity. Compared to fluorescent light only (no UVB), pulsed UVB irradiation (96 h) resulted in 12.0-, 5.8-, and 4.4-fold increases in toxicity for sulfamethazine, sulfathiazole, and sulfamethoxazole, respectively. This suggests that the mode of UV irradiation is more important than the dose (UV-intensity x exposure time) for the photo-enhancement of sulfonamide toxicity. Natural sunlight enhanced the toxicity of the sulfonamides to an even greater degree, likely because of the contribution of UVA light. This study suggests that without taking into account the effects of UV irradiation, it is possible to underestimate the actual consequences of phototoxic sulfonamide antibiotics in the aquatic environment.

Use of the photo-micronucleus assay in Chinese hamster V79 cells to study photochemical genotoxicity

Photochemical genotoxicity can be detected using appropriately adapted versions of most of the standard in vitro genotoxicity assays. The most sensitive approach to detect potentially photogenotoxic agents seems to be the investigation of DNA damage (DNA strand breakage, chromosomal aberrations, micronuclei) in mammalian cells in vitro. In a previous paper, we proposed the use of the micronucleus assay in Chinese hamster V79 cells for this purpose. This assay was found suitable to detect various photogenotoxic compounds with different photoactivation mechanisms. In order to extend the experimental experiences with this assay, we present here further data from a screening mode testing of 16 different potential photosensitizers. The photoclastogenic and photocytotoxic potential of the compounds was investigated concomitantly. So far, all substances detected in the photo-micronucleus assay as photogenotoxins also exhibited photocytotoxic properties but not vice versa. Among the compounds tested in the present study, tiaprofenic acid, 5-MOP, angelicin, nitrazepam, bendroflumethiazide, and dacarbazine were photogenotoxic and photocytotoxic. Further, 6-mercaptopurine, a metabolite of azathioprine was positive for both endpoints, whereas azathioprine was found negative. Azathioprine seems to be an example of a compound which lacks photo(geno)toxic properties in vitro but may be converted to a photosensitizer by enzymatical metabolization. With the results obtained in this study, the data base for the photo-micronucleus assay was extended to 35 compounds, which were tested using the same protocol and the same irradiation conditions. The photogenotoxicity results of all these compounds are summarized and discussed in correlation to their different photoactivation mechanisms, photocytotoxicity and photocarcinogenicity.

Phototoxicity to diuretics and antidiabetics in the cultured keratinocyte cell line HaCaT: evaluation by clonogenic assay and single cell gel electrophoresis Comet assay)

BACKGROUND

Potential phototoxicity has been described for a number of drugs and chemical substances. Psoralens, chlorpromazines and fluoroquinolones have been described as inducing photomutagenicity and photocarcinogenicity in vitro and in vivo. We wanted to investigate oral antidiabetics and diuretics for potential phototoxicity and possible DNA damage in the HaCaT cell line.

METHODS

: The oral antidiabetics tolbutamide, glibenclamide and glipizide, and the diuretics bendroflumethiazide, butizide, furosemide, hydrochlorothiazide and trichlormethiazide were dissolved in DMSO to final concentrations of 1 mM, 0.1 mM, and 0.01 mM, incubated together with the cells, and exposed to UVA1 (23 or 48 J/cm2). Cell survival was evaluated in a clonogenic assay and phototoxic DNA damage was investigated by single cell gel electrophoresis (comet assay). To investigate possible inhibiting effects of antioxidants, L-ascorbic acid and alpha-tocopherol were added at a final concentration of 1 mM 24 h before treatment with the drugs.

RESULTS

Bendroflumethiazide, furosemide, hydrochlorothiazide, trichlormethiazide and tolbutamide induced dose-dependent phototoxicity in the clonogenic assay. Cells incubated with bendroflumethiazide, tolbutamide and glibenclamide and irradiated with UVA1 demonstrated increased oxidative DNA damage, revealed as alkali-labile sites in the comet assay. Pretreatment with L-ascorbic acid or alpha-tocopherol suppressed the UVA-induced DNA damage in cells incubated with 1 mM bendroflumethiazide, furosemide, glibenclamide, glipizide, tolbutamide or trichloromethiazide.

CONCLUSION

Several oral antidiabetics and diuretics show phototoxic effects in the HaCaT cell line. Inhibiting effects of antioxidants point towards involvement of reactive oxygen species in phototoxic DNA damage, suggesting a link between the phototoxic and photocancerogenic potential of the sulfonamide-derived oral antidiabetic and diuretic drugs. Excessive exposure to UV light may be deleterious for patients treated with oral antidiabetic and diuretic drugs.

Photodegradation and phototoxicity studies of furosemide. Involvement of singlet oxygen in the photoinduced hemolysis and lipid peroxidation

The phototoxic diuretic drug furosemide (1), a 5-(aminosulfonyl)-4-chloro-2-[(2-furanylmethyl)-amino] benzoic acid is photolabile under aerobic and anaerobic conditions. Irradiation of a methanol solution of 1 under oxygen produces photoproducts 2, 3, 4 and singlet oxygen, while under argon the photoproducts 2 and 4 were isolated. A peroxidic unstable photoproduct was detected during the photolysis under oxygen atmosphere. The formation of singlet oxygen by photolysis of 1 was evidenced by trapping with 2,5-dimethylfuran (GC-mass), furfuryl alcohol and 1,3-cyclohexadiene-1,4-diethanoate (HPLC) as 1O2 scavengers and by the histidine test. Furosemide was screened in vitro at different concentrations for UV-Vis-induced phototoxic effects in a photohemolysis test, in the presence and absence of different radical scavengers, singlet oxygen and hydroxyl radical quenchers. However, furosemide photosensitized the peroxidation of linoleic acid, as monitored by the UV-detection of dienic hydroperoxides and it also photosensitized the oxidation of histidine. The photodegradation was catalyzed in the presence of human serum albumin. Studies on peripheral blood mononuclear and polymorphonuclear cells (lymphocytes and neutrophils) demonstrated no phototoxicity on these cell lines.