Drug-induced oxidative stress and toxicity
Open accessAbstract
Reactive oxygen species (ROS) are a byproduct of normal metabolism and have roles in cell signaling and homeostasis. Species include oxygen radicals and reactive nonradicals. Mechanisms exist that regulate cellular levels of ROS, as their reactive nature may otherwise cause damage to key cellular components including DNA, protein, and lipid. When the cellular antioxidant capacity is exceeded, oxidative stress can result. Pleiotropic deleterious effects of oxidative stress are observed in numerous disease states and are also implicated in a variety of drug-induced toxicities. In this paper, we examine the nature of ROS-induced damage on key cellular targets of oxidative stress. We also review evidence implicating ROS in clinically relevant, drug-related side effects including doxorubicin-induced cardiac damage, azidothymidine-induced myopathy, and cisplatin-induced ototoxicity.
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The efficacy of chemotherapeutic agents that function through oxygen-dependent ROS generation-such as doxorubicin, cisplatin, and imexon-is markedly diminished in hypoxic regions due to insufficient oxygen availability.
“For instance, the efficacy of chemotherapeutic agents that function through oxygen-dependent ROS generation—such as doxorubicin, cisplatin, and imexon—is markedly diminished in hypoxic regions due to insufficient oxygen availability [109,110,111,112].”
From Modeling Tumor Microenvironment Complexity In Vitro: Spheroids as Physiologically Relevant Tumor Models and Strategies for Their Analysis (2025) · cites this paper as [111]
Section 3.1.1 describes doxorubicin generating ROS by reducing molecular oxygen under aerobic conditions, and section 3.3 reports cisplatin-induced oxidative stress. These passages concern toxicity, not reduced antitumor efficacy in hypoxic regions; our copy does not establish that effect for either drug or discuss imexon (page numbers unavailable). (LLM, conf=0.84)
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- Authors
- Deavall, D. G., Martin, E. A., Horner, J. M., & Roberts, R.
- Affiliations
- AstraZeneca (United Kingdom) (GB)
- Corresponding author
- Roberts, Ruth
- ORCID
- Roberts, Ruth
- Venue
- Journal of Toxicology
- Publisher
- Wiley
- Published
- 2012
- Volume
- 2012
- Pages
- 1-13
- ISSN
- 1687-8191 (ISSN-L)
- 1687-8205
- PMC
- PMC3420138
- OpenAlex
- W2102785500
- Cited by
- 689
- References
- 120
- Citations by year
- 2026: 21 · 2025: 38 · 2024: 43 · 2023: 57 · 2022: 58 · 2021: 57 · 2020: 74 · 2019: 62 · 2018: 73 · 2017: 47 · 2016: 59 · 2015: 50 · 2014: 25 · 2013: 20 · 2012: 1
- FWCI
- 12.35
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Journal of Toxicology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Redox biology and oxidative stress
- Health Sciences › Medicine › Biochemistry › Antioxidant Activity and Oxidative Stress
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Drug-Induced Hepatotoxicity and Protection
- Keywords
- reactive oxygen species, oxidative stress, drug toxicity, antioxidant capacity, DNA damage, lipid peroxidation, protein oxidation, doxorubicin cardiotoxicity, cisplatin ototoxicity, chemotherapy side effects
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