Normal tissue radioprotection by amifostine via Warburg-type effects

Abstract The mechanism of Amifostine (WR-2721) mediated radioprotection is poorly understood. The effects of amifostine on human basal metabolism, mouse liver metabolism and on normal and tumor hepatic cells were studied. Indirect calorimetric canopy tests showed significant reductions in oxygen con...

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Main Authors: Michael I. Koukourakis, Alexandra Giatromanolaki, Christos E. Zois, Dimitra Kalamida, Stamatia Pouliliou, Ilias V. Karagounis, Tzu-Lan Yeh, Martine I. Abboud, Timothy D. W. Claridge, Christopher J. Schofield, Efthimios Sivridis, Costantinos Simopoulos, Savvas P. Tokmakidis, Adrian L. Harris
Format: Article
Language:English
Published: Nature Portfolio 2016-08-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/srep30986
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author Michael I. Koukourakis
Alexandra Giatromanolaki
Christos E. Zois
Dimitra Kalamida
Stamatia Pouliliou
Ilias V. Karagounis
Tzu-Lan Yeh
Martine I. Abboud
Timothy D. W. Claridge
Christopher J. Schofield
Efthimios Sivridis
Costantinos Simopoulos
Savvas P. Tokmakidis
Adrian L. Harris
author_facet Michael I. Koukourakis
Alexandra Giatromanolaki
Christos E. Zois
Dimitra Kalamida
Stamatia Pouliliou
Ilias V. Karagounis
Tzu-Lan Yeh
Martine I. Abboud
Timothy D. W. Claridge
Christopher J. Schofield
Efthimios Sivridis
Costantinos Simopoulos
Savvas P. Tokmakidis
Adrian L. Harris
author_sort Michael I. Koukourakis
collection DOAJ
description Abstract The mechanism of Amifostine (WR-2721) mediated radioprotection is poorly understood. The effects of amifostine on human basal metabolism, mouse liver metabolism and on normal and tumor hepatic cells were studied. Indirect calorimetric canopy tests showed significant reductions in oxygen consumption and of carbon dioxide emission in cancer patients receiving amifostine. Glucose levels significantly decreased and lactate levels increased in patient venous blood. Although amifostine in vitro did not inhibit the activity of the prolyl-hydroxylase PHD2, experiments with mouse liver showed that on a short timescale WR-1065 induced expression of the Hypoxia Inducible Factor HIF1α, lactate dehydrogenase LDH5, glucose transporter GLUT2, phosphorylated pyruvate dehydrogenase pPDH and PDH-kinase. This effect was confirmed on normal mouse NCTC hepatocytes, but not on hepatoma cells. A sharp reduction of acetyl-CoA and ATP levels in NCTC cells indicated reduced mitochondrial usage of pyruvate. Transient changes of mitochondrial membrane potential and reactive oxygen species ROS production were evident. Amifostine selectively protects NCTC cells against radiation, whilst HepG2 neoplastic cells are sensitized. The radiation protection was correlates with HIF levels. These findings shed new light on the mechanism of amifostine cytoprotection and encourage clinical research with this agent for the treatment of primary and metastatic liver cancer.
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spelling doaj-art-c69a6c00eac843e78e856d126f0b005f2025-02-02T12:25:45ZengNature PortfolioScientific Reports2045-23222016-08-016111410.1038/srep30986Normal tissue radioprotection by amifostine via Warburg-type effectsMichael I. Koukourakis0Alexandra Giatromanolaki1Christos E. Zois2Dimitra Kalamida3Stamatia Pouliliou4Ilias V. Karagounis5Tzu-Lan Yeh6Martine I. Abboud7Timothy D. W. Claridge8Christopher J. Schofield9Efthimios Sivridis10Costantinos Simopoulos11Savvas P. Tokmakidis12Adrian L. Harris13Department of Radiotherapy/Oncology, Democritus University of Thrace, Alexandroupolis 68100, GreeceDepartment of Pathology, Democritus University of Thrace, Alexandroupolis 68100, GreeceDepartment of Radiotherapy/Oncology, Democritus University of Thrace, Alexandroupolis 68100, GreeceDepartment of Radiotherapy/Oncology, Democritus University of Thrace, Alexandroupolis 68100, GreeceDepartment of Radiotherapy/Oncology, Democritus University of Thrace, Alexandroupolis 68100, GreeceDepartment of Radiotherapy/Oncology, Democritus University of Thrace, Alexandroupolis 68100, GreeceThe Chemistry Research laboratoryThe Chemistry Research laboratoryThe Chemistry Research laboratoryThe Chemistry Research laboratoryDepartment of Pathology, Democritus University of Thrace, Alexandroupolis 68100, GreeceLaboratory of Experimental Surgery, University Hospital of Alexandroupolis, Democritus University of ThraceDepartment of Physical Education and Sports Science. Democritus University of ThraceCancer Research UK, Molecular Oncology Laboratories, Weatherall Institute of Molecular Medicine, University of OxfordAbstract The mechanism of Amifostine (WR-2721) mediated radioprotection is poorly understood. The effects of amifostine on human basal metabolism, mouse liver metabolism and on normal and tumor hepatic cells were studied. Indirect calorimetric canopy tests showed significant reductions in oxygen consumption and of carbon dioxide emission in cancer patients receiving amifostine. Glucose levels significantly decreased and lactate levels increased in patient venous blood. Although amifostine in vitro did not inhibit the activity of the prolyl-hydroxylase PHD2, experiments with mouse liver showed that on a short timescale WR-1065 induced expression of the Hypoxia Inducible Factor HIF1α, lactate dehydrogenase LDH5, glucose transporter GLUT2, phosphorylated pyruvate dehydrogenase pPDH and PDH-kinase. This effect was confirmed on normal mouse NCTC hepatocytes, but not on hepatoma cells. A sharp reduction of acetyl-CoA and ATP levels in NCTC cells indicated reduced mitochondrial usage of pyruvate. Transient changes of mitochondrial membrane potential and reactive oxygen species ROS production were evident. Amifostine selectively protects NCTC cells against radiation, whilst HepG2 neoplastic cells are sensitized. The radiation protection was correlates with HIF levels. These findings shed new light on the mechanism of amifostine cytoprotection and encourage clinical research with this agent for the treatment of primary and metastatic liver cancer.https://doi.org/10.1038/srep30986
spellingShingle Michael I. Koukourakis
Alexandra Giatromanolaki
Christos E. Zois
Dimitra Kalamida
Stamatia Pouliliou
Ilias V. Karagounis
Tzu-Lan Yeh
Martine I. Abboud
Timothy D. W. Claridge
Christopher J. Schofield
Efthimios Sivridis
Costantinos Simopoulos
Savvas P. Tokmakidis
Adrian L. Harris
Normal tissue radioprotection by amifostine via Warburg-type effects
Scientific Reports
title Normal tissue radioprotection by amifostine via Warburg-type effects
title_full Normal tissue radioprotection by amifostine via Warburg-type effects
title_fullStr Normal tissue radioprotection by amifostine via Warburg-type effects
title_full_unstemmed Normal tissue radioprotection by amifostine via Warburg-type effects
title_short Normal tissue radioprotection by amifostine via Warburg-type effects
title_sort normal tissue radioprotection by amifostine via warburg type effects
url https://doi.org/10.1038/srep30986
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