Our study proposes a pharmacological strategy to target cancerous mitochondria via redox-cycling "mitocans" such as
quinone/ascorbate (Q/A) redox-pairs, which makes
cancer cells fragile and sensitive without adverse effects on normal cells and tissues. Eleven Q/A redox-pairs were tested on cultured cells and
cancer-bearing mice. The following parameters were analyzed: cell proliferation/viability, mitochondrial
superoxide, steady-state
ATP, tissue redox-state,
tumor-associated NADH oxidase (tNOX) expression,
tumor growth, and survival. Q/A redox-pairs containing unprenylated
quinones exhibited strong dose-dependent antiproliferative and cytotoxic effects on
cancer cells, accompanied by overproduction of mitochondrial
superoxide and accelerated
ATP depletion. In normal cells, the same redox-pairs did not significantly affect the viability and energy homeostasis, but induced mild mitochondrial oxidative stress, which is well tolerated.
Benzoquinone/ascorbate redox-pairs were more effective than
naphthoquinone/ascorbate, with
coenzyme Q0/ascorbate exhibiting the most pronounced anticancer effects in vitro and in vivo. Targeted anticancer effects of Q/A redox-pairs and their tolerance to normal cells and tissues are attributed to: (i) downregulation of
quinone prenylation in
cancer, leading to increased mitochondrial production of semiquinone and, consequently,
superoxide; (ii) specific and accelerated redox-cycling of unprenylated
quinones and ascorbate mainly in the impaired cancerous mitochondria due to their redox imbalance; and (iii) downregulation of tNOX.