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Vol. 59, Issue 4, 795-805, April 2001
Department of Biochemistry and Molecular Biology, Mount Sinai
School of Medicine of New York University, New York, New York
Sodium salicylate and acetylsalicylic acid are drugs used as
anti-inflammatory agents. Salicylate prevents nuclear factor-
B activation and can cause apoptosis. However, salicylate, a substrate of
CYP2E1, is also an antioxidant and can scavenge reactive oxygen species. Experiments were carried out to evaluate whether salicylate can modulate CYP2E1-dependent toxicity. Addition of a polyunsaturated fatty acid such as arachidonic acid (AA) to HepG2 cells resulted in
loss of cell viability, especially in cells expressing CYP2E1 (E47
cells). Toxicity was enhanced by the addition of 1 to 10 mM salicylate
to the E47 cells but not to control HepG2 cells or HepG2 cells
expressing CYP3A4. Salicylate alone was not toxic, and the enhanced
toxicity by AA in the presence of salicylate was prevented by diallyl
sulfide, a CYP2E1 inhibitor, and by the antioxidant
(±)6-hydroxy-2,5,7,8-tetramethylchroman-2-carboxylic acid. Salicylate
potentiated AA-induced lipid peroxidation in the E47 cells, a reaction
blocked by diallyl sulfide. CYP2E1 levels were elevated by salicylate
at concentrations (<5 mM), which did not increase CYP2E1 mRNA levels.
This increase was associated with a decrease of CYP2E1 turnover by
salicylate in the presence of cycloheximide. Salicylate also
potentiated AA toxicity in hepatocytes isolated from pyrazole treated
rats with high levels of CYP2E1 and from saline controls. In view of
the potential role of CYP2E1 in contributing to alcohol-induced
oxidative stress and liver injury, the potentiation of CYP2E1-dependent
toxicity and the elevation of CYP2E1 levels by salicylate may be of
clinical significance and merit caution in the use of salicylate and
salicylate precursors such as acetylsalicylic acid with certain other drugs.
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