Abstract

Previously, we showed that desethylamiodarone (DEA), a major metabolite of the widely used antiarrhythmic drug amiodarone, has direct mitochondrial effects. We hypothesized that these effects account for its observed cytotoxic properties and ability to limit in vivo metastasis. Accordingly, we examined DEA’s rapid (3–12 h) cytotoxicity and its early (3–6 h) effects on various mitochondrial processes in B16F10 melanoma cells. DEA did not affect cellular oxygen radical formation, as determined using two fluorescent dyes. However, it did decrease the mitochondrial transmembrane potential, as assessed by JC-1 dye and fluorescence microscopy. It also induced mitochondrial fragmentation, as visualized by confocal fluorescence microscopy. DEA decreased maximal respiration, ATP production, coupling efficiency, glycolysis, and non-mitochondrial oxygen consumption measured by a Seahorse cellular energy metabolism analyzer. In addition, it induced a cyclosporine A–independent mitochondrial permeability transition, as determined by Co2+-mediated calcein fluorescence quenching measured using a high-content imaging system. DEA also caused outer mitochondrial membrane permeabilization, as assessed by the immunoblot analysis of cytochrome C, apoptosis inducing factor, Akt, phospho-Akt, Bad, and phospho-Bad. All of these data supported our initial hypothesis.

Highlights

  • Mitochondrial processes are indispensable for most eukaryotic cells

  • We found that 10 μM of DEA did induce mitochondrial superoxide formation, which was much smaller in extent than the one caused by 5 μM of Taxol (Figure 1)

  • The respiratory chain, situated in the inner mitochondrial membrane (IMM), is responsible for the majority of the ATP production under physiological conditions; it is a massive source of Reactive Oxygen Species (ROS) formation in various maladies, including cancer [32,33]

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Summary

Introduction

Mitochondrial processes are indispensable for most eukaryotic cells. As a metabolic compartment, mitochondria produce ~90% of cellular ATP and represent a hub in the catabolism and synthesis of essential intermediates and macromolecule precursors for cell growth and proliferation [1]. AM is one of the most frequently prescribed antiarrhythmics in the United States and is widely used in various life-threatening ventricular tachyarrhythmias worldwide, AM therapy is often limited by the toxic side effects of both the parent molecule and DEA itself [10]. These side effects include thyroid, hepatic, pulmonary, cardiac, psychiatric, ocular, dermatologic, hematological, and neuromuscular symptoms [10], which in most cases appear when the AM plasma concentration exceeds the recommended therapeutic value of 5.7 μM [11]. Based on the tissue accumulation properties and toxic effects of DEA, we previously proposed that the compound has a potential use in cancer therapy and provided experimental evidence for its cytostatic and metastasis-limiting properties in the bladder, cervix, and melanoma cell lines [15,16,17]

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