Pharmacological ascorbate has been proposed as a potential anti-cancer agent when combined with radiation\r<br />and chemotherapy. The anti-cancer effects of ascorbate are hypothesized to involve the autoxidation of\r<br />ascorbate leading to increased steady-state levels of H2O2; however, the mechanism(s) for cancer cell-selective\r<br />toxicity remain unknown. The current study shows that alterations in cancer cell mitochondrial oxidative\r<br />metabolism resulting in increased levels of O2\r<br />, and H2O2 are capable of disrupting intracellular iron metabolism,\r<br />thereby selectively sensitizing non-small-cell lung cancer (NSCLC) and glioblastoma (GBM) cells\r<br />to ascorbate through pro-oxidant chemistry involving redox-active labile iron and H2O2. In addition, preclinical\r<br />studies and clinical trials demonstrate the feasibility, selective toxicity, tolerability, and potential efficacy\r<br />of pharmacological ascorbate in GBM and NSCLC therapy.
Joshua D. Schoenfeld,1 Zita A. Sibenaller,1 Kranti A. Mapuskar,1 Brett A. Wagner,1 Kimberly L. Cramer-Morales, 1, Muhammad Furqan,2 Sonia Sandhu,2 Thomas L. Carlisle,2 Mark C. Smith,1 Taher Abu Hejleh,2 Daniel J. Berg,2 Jun Zhang, 2, John Keech,3 Kalpaj R. Parekh,3 Sudershan Bhatia,1 Varun Monga,2 Kellie L. Bodeker,1 Logan Ahmann,1 Sandy Vollstedt, 1, Heather Brown,1 Erin P. Shanahan Kauffman,2 Mary E. Schall,2 Ray J. Hohl,2 Gerald H. Clamon,2 Jeremy D. Greenlee, 4, Matthew A. Howard,4 Michael K. Shultz,5 Brian J. Smith,6 Dennis P. Riley,7 Frederick E. Domann,1 Joseph J. Cullen, 3, Garry R. Buettner,1 John M. Buatti,1 Douglas R. Spitz,1, 8, … *. (2017). O2 ,– and H2O2-Mediated Disruption of Fe Metabolism Causes the Differential Susceptibility of NSCLC and GBM Cancer Cells to Pharmacological Ascorbate. Cancer Cell, 31, 487–500. Retrieved from http://www.cell.com/cancer-cell/pdf/S1535-6108(17)30062-4.pdf