Pharmacological Vitamin C-induced high H2O2 generation mediates apoptotic cell death by caspase 3/7 activation in breast cancer tumor spheroids

Abstract Background Pharmacological vitamin C (Vit-C), or high-dose Vit-C has recently gained attention as a potential cancer therapeutic. However, the anticancer activity of Vit-C has not been investigated in realistic 3D models of human cancers, especially with respect to breast cancer (BC), and i...

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Main Authors: Ali Mussa, Mahasin Hamid, Khalid Hajissa, Ahmad Hafiz Murtadha, Mohammad A. I. Al-Hatamleh, Noor Fatmawati Mokhtar, Vuk Uskoković, Magdalena Plebanski, Rohimah Mohamud, Rosline Hassan
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Translational Medicine
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Online Access:https://doi.org/10.1186/s12967-024-06016-7
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author Ali Mussa
Mahasin Hamid
Khalid Hajissa
Ahmad Hafiz Murtadha
Mohammad A. I. Al-Hatamleh
Noor Fatmawati Mokhtar
Vuk Uskoković
Magdalena Plebanski
Rohimah Mohamud
Rosline Hassan
author_facet Ali Mussa
Mahasin Hamid
Khalid Hajissa
Ahmad Hafiz Murtadha
Mohammad A. I. Al-Hatamleh
Noor Fatmawati Mokhtar
Vuk Uskoković
Magdalena Plebanski
Rohimah Mohamud
Rosline Hassan
author_sort Ali Mussa
collection DOAJ
description Abstract Background Pharmacological vitamin C (Vit-C), or high-dose Vit-C has recently gained attention as a potential cancer therapeutic. However, the anticancer activity of Vit-C has not been investigated in realistic 3D models of human cancers, especially with respect to breast cancer (BC), and its potential benefits remain under debate. Herein, we investigate the activity and mechanism of action of pharmacological Vit-C on two BC tumor spheroids. Methods We developed two distinct types of BC tumor spheroids from MDA-MB-231 and MCF-7 cells. The spheroids underwent treatment with a range of concentrations of pharmacological Vit-C (1, 5, 10, 15, and 20 mM). Assessments were conducted to determine the cell viability, H2O2 levels, glutathione-to-glutathione disulfide (GSH/GSSG) ratios, and apoptosis. Both flow cytometry analyses of Annexin V/PI staining and caspase3/7 activity assay were used to check apoptosis. Results We showed that Vit-C induced dose-dependent cell death in both types of tumor spheroids, primarily driven by elevated H2O2 production and a concomitant oxidative stress imbalance induced by the GSH depletion. The high levels of H2O2 generated by Vit-C triggered the apoptosis of spheroids. In MCF-7 spheroids, Vit-C-induced H2O2 production was higher, with a more pronounced decrease in the GSH/GSSG ratio, indicating greater susceptibility to oxidative stress-induced cell death. However, MDA-MB-231 spheroids exhibited a more severe cytotoxic response. Conclusions This study reveals that Vit-C induces oxidative stress-mediated cell death in both non-aggressive and aggressive BC spheroids. Unlike traditional in vitro studies, this work provides novel insights into the response of two BC tumor subtypes to Vit-C, demonstrating its potential as a targeted common therapy for BC.
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issn 1479-5876
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spelling doaj-art-82b2684712af427aa4ceec30861dbf872025-01-12T12:37:34ZengBMCJournal of Translational Medicine1479-58762025-01-0123111510.1186/s12967-024-06016-7Pharmacological Vitamin C-induced high H2O2 generation mediates apoptotic cell death by caspase 3/7 activation in breast cancer tumor spheroidsAli Mussa0Mahasin Hamid1Khalid Hajissa2Ahmad Hafiz Murtadha3Mohammad A. I. Al-Hatamleh4Noor Fatmawati Mokhtar5Vuk Uskoković6Magdalena Plebanski7Rohimah Mohamud8Rosline Hassan9Department of Haematology, School of Medical Sciences, Universiti Sains MalaysiaDepartment of Pharmaceutics, Xiangya School of Pharmaceutical Sciences, Central South UniversityDepartment of Zoology, Faculty of Science and Technology, Omdurman Islamic UniversityInstitute for Research in Molecular Medicine (INFORMM), Universiti Sains Malaysia, Health CampusUPMC Hillman Cancer Center, Division of Malignant Hematology and Medical Oncology, Department of Medicine, University of Pittsburgh School of MedicineInstitute for Research in Molecular Medicine (INFORMM), Universiti Sains Malaysia, Health CampusAdvanced Materials and Nanobiotechnology Laboratory, TardigradeNano LLCThe Accelerator for Translation in Clinical Trials (ATRACT) Centre, School of Health and Biomedical Sciences, RMIT UniversityDepartment of Immunology, School of Medical Sciences, Universiti Sains MalaysiaDepartment of Haematology, School of Medical Sciences, Universiti Sains MalaysiaAbstract Background Pharmacological vitamin C (Vit-C), or high-dose Vit-C has recently gained attention as a potential cancer therapeutic. However, the anticancer activity of Vit-C has not been investigated in realistic 3D models of human cancers, especially with respect to breast cancer (BC), and its potential benefits remain under debate. Herein, we investigate the activity and mechanism of action of pharmacological Vit-C on two BC tumor spheroids. Methods We developed two distinct types of BC tumor spheroids from MDA-MB-231 and MCF-7 cells. The spheroids underwent treatment with a range of concentrations of pharmacological Vit-C (1, 5, 10, 15, and 20 mM). Assessments were conducted to determine the cell viability, H2O2 levels, glutathione-to-glutathione disulfide (GSH/GSSG) ratios, and apoptosis. Both flow cytometry analyses of Annexin V/PI staining and caspase3/7 activity assay were used to check apoptosis. Results We showed that Vit-C induced dose-dependent cell death in both types of tumor spheroids, primarily driven by elevated H2O2 production and a concomitant oxidative stress imbalance induced by the GSH depletion. The high levels of H2O2 generated by Vit-C triggered the apoptosis of spheroids. In MCF-7 spheroids, Vit-C-induced H2O2 production was higher, with a more pronounced decrease in the GSH/GSSG ratio, indicating greater susceptibility to oxidative stress-induced cell death. However, MDA-MB-231 spheroids exhibited a more severe cytotoxic response. Conclusions This study reveals that Vit-C induces oxidative stress-mediated cell death in both non-aggressive and aggressive BC spheroids. Unlike traditional in vitro studies, this work provides novel insights into the response of two BC tumor subtypes to Vit-C, demonstrating its potential as a targeted common therapy for BC.https://doi.org/10.1186/s12967-024-06016-7Vitamin CPharmacologyOncologySpheroidsBreast cancerFree radicals
spellingShingle Ali Mussa
Mahasin Hamid
Khalid Hajissa
Ahmad Hafiz Murtadha
Mohammad A. I. Al-Hatamleh
Noor Fatmawati Mokhtar
Vuk Uskoković
Magdalena Plebanski
Rohimah Mohamud
Rosline Hassan
Pharmacological Vitamin C-induced high H2O2 generation mediates apoptotic cell death by caspase 3/7 activation in breast cancer tumor spheroids
Journal of Translational Medicine
Vitamin C
Pharmacology
Oncology
Spheroids
Breast cancer
Free radicals
title Pharmacological Vitamin C-induced high H2O2 generation mediates apoptotic cell death by caspase 3/7 activation in breast cancer tumor spheroids
title_full Pharmacological Vitamin C-induced high H2O2 generation mediates apoptotic cell death by caspase 3/7 activation in breast cancer tumor spheroids
title_fullStr Pharmacological Vitamin C-induced high H2O2 generation mediates apoptotic cell death by caspase 3/7 activation in breast cancer tumor spheroids
title_full_unstemmed Pharmacological Vitamin C-induced high H2O2 generation mediates apoptotic cell death by caspase 3/7 activation in breast cancer tumor spheroids
title_short Pharmacological Vitamin C-induced high H2O2 generation mediates apoptotic cell death by caspase 3/7 activation in breast cancer tumor spheroids
title_sort pharmacological vitamin c induced high h2o2 generation mediates apoptotic cell death by caspase 3 7 activation in breast cancer tumor spheroids
topic Vitamin C
Pharmacology
Oncology
Spheroids
Breast cancer
Free radicals
url https://doi.org/10.1186/s12967-024-06016-7
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