α-tocopherol as a selective modulator of toxicogenic damage induced by antineoplastic agents cyclophosphamide and doxorubicin

J Toxicol Environ Health A. 2023 Feb 16;86(4):87-102. doi: 10.1080/15287394.2023.2168224. Epub 2023 Feb 9.

Abstract

The aim of this study was to determine the oxidative/antioxidative effects, modulatory and selective potential of α-tocopherol (vitamin E) on antineoplastic drug-induced toxicogenetic damage. The toxicity, cytotoxicity and genotoxicity induced by antineoplastic agents cyclophosphamide (CPA) and doxorubicin (DOX) was examined utilizing as models Saccharomyces cerevisiae, Allium cepa, Artemia salina and human peripheral blood mononuclear cells (PBMCs) in the presence of α-tocopherol. For these tests, concentrations of α- tocopherol 100 IU/ml (67mg/ml), CPA 20 µg/ml, DOX 2 µg/ml were used. The selectivity of α-tocopherol was assessed by the MTT test using human mammary gland non-tumor (MCF10A) and tumor (MCF-7) cell lines. Data showed cytoplasmic and mitochondrial oxidative damage induced by CPA or DOX was significantly diminished by α-tocopherol in S. cerevisiae. In addition, the toxic effects on A. salina and cytotoxic and mutagenic effects on A. cepa were significantly reduced by α-tocopherol. In PBMCs, α-tocopherol alone did not markedly affect these cells, and when treated in conjunction with CPA or DOX, α-tocopherol reduced the toxicogenetic effects noted after antineoplastic drug administration as evidenced by decreased chromosomal alterations and lowered cell death rate. In human mammary gland non-tumor and tumor cell lines, α-tocopherol produced selective cytotoxicity with 2-fold higher effect in tumor cells. Evidence indicates that vitamin E (1) produced anti-cytotoxic and anti-mutagenic effects against CPA and DOX (2) increased higher selectivity toward tumor cells, and (3) presented chemoprotective activity in PBMCs.

Keywords: Cancer treatment; antioxidant activity; chemoprotection; cytotoxicity; vitamin E supplementation.

MeSH terms

  • Antineoplastic Agents* / therapeutic use
  • Antineoplastic Agents* / toxicity
  • Cyclophosphamide / toxicity
  • Doxorubicin / toxicity
  • Humans
  • Leukocytes, Mononuclear
  • Saccharomyces cerevisiae
  • Vitamin E
  • alpha-Tocopherol* / pharmacology

Substances

  • alpha-Tocopherol
  • Antineoplastic Agents
  • Doxorubicin
  • Cyclophosphamide
  • Vitamin E