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Blood, 15 May 2005, Vol. 105, No. 10, pp. 4004-4012.
Prepublished online as a Blood First Edition Paper on January 27, 2005; DOI 10.1182/blood-2003-03-0772.


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Submitted March 12, 2003
Accepted January 11, 2005

Vitamin C protects HL60 and U266 cells from arsenic toxicity

Nicos Karasavvas, Juan M Carcamo*, George Stratis, and David W Golde

Program in Molecular Pharmacology and Chemistry, Memorial Sloan-Kettering Cancer Center, New York, NY, USA
Program in Molecular Pharmacology and Chemistry, Memorial Sloan-Kettering Cancer Center, New York, NY, USA; Department of Clinical Laboratories, Memorial Sloan-Kettering Cancer Center, New York, NY, USA
Program in Molecular Pharmacology and Chemistry, Memorial Sloan-Kettering Cancer Center, New York, NY, USA; Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY, USA

* Corresponding author; email: carcamoj{at}mskmail.mskcc.org.

Although there is no compelling evidence that vitamin C has anti-tumor activity in humans, clinical trials are testing the hypothesis that ascorbic acid (AA) will enhance the efficacy of arsenic trioxide (As2O3) in myeloma. In vitro, AA cytoxicity depends on its interaction with free transition metal ions in culture media leading to the generation of H2O2 and other reactive oxygen species (ROS). Therefore, to circumvent the extracellular in vitro pro-oxidant effects of AA, we loaded HL60, U266 and RPMI-8226 cells with vitamin C by incubation with dehydroascorbic acid (DHA). Loading cells in this manner resulted in prominent, dose-dependent protection of As2O3 treated cells as measured by viability, colony formation, and apoptosis assays. Glutathione depletion enhanced cell sensitivity to the cytotoxic effects of As2O3 and vitamin C loading provided protection. AA was found to generate cytotoxic concentrations of H2O2 in culture medium without cells and copper/iron chelators inhibited this reaction. However, AA did not generate H2O2 in simple buffer or human plasma. Direct incubation with AA resulted in increased intracellular ROS, whereas DHA incubation decreased it. These results clarify an apparent paradox and indicate that vitamin C loading in HL60, U266 and RPMI-8226 cells ameliorates As2O3 cytotoxicity.


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