Molecular hydrogen attenuates gefitinib-induced exacerbation of naphthalene-evoked acute lung injury through a reduction in oxidative stress and inflammation.

Abstract

Although inhibition of epidermal growth factor receptor (EGFR)-mediated cell signaling by the EGFR tyrosine kinase inhibitor gefitinib is highly effective against advanced non-small cell lung cancer, this drug might promote severe acute interstitial pneumonia. We previously reported that molecular hydrogen (H2) acts as a therapeutic and preventive anti-oxidant. Here, we show that treatment with H2 effectively protects the lungs of mice from severe damage caused by oral administration of gefitinib after intraperitoneal injection of naphthalene, the toxicity of which is related to oxidative stress. Drinking H2-rich water ad libitum mitigated naphthalene/gefitinib-induced weight loss and significantly improved survival, which was associated with a decrease in lung inflammation and inflammatory cytokines in the bronchoalveolar lavage fluid. Naphthalene decreased glutathione in the lung, increased malondialdehyde in the plasma, and increased 4-hydroxy-2-nonenal production in airway cells, all of which were mitigated by H2-rich water, indicating that the H2-rich water reverses cellular damage to the bronchial wall caused by oxidative stress. Finally, treatment with H2 did not interfere with the anti-tumor effects of gefitinib on a lung cancer cell line in vitro or on tumor-bearing mice in vivo. These results indicate that H2-rich water has the potential to improve quality of life during gefitinib therapy by mitigating lung injury without impairing anti-tumor activity.

• Authors: Yasuhiro Terasaki, Tetsuya Suzuki, Kozue Tonaki, Mika Terasaki, Naomi Kuwahara, Jumi Ohsiro, Masumi Iketani, Mayumi Takahashi, Makoto Hamanoue, Yusuke Kajimoto, Seisuke Hattori, Hideo Kawaguchi, Akira Shimizu, Ikuroh Ohsawa
• Journal: Laboratory investigation; a journal of technical methods and pathology (Lab Invest) Vol. 99 Issue 6 Pg. 793-806 (06 2019) ISSN: 1530-0307 [Electronic] United States
• PMID: 30710119 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Antineoplastic Agents
• Naphthalenes
• naphthalene
• Hydrogen
• Gefitinib

Topics

• Acute Lung Injury (chemically induced, prevention & control)
• Animals
• Antineoplastic Agents (adverse effects)
• Disease Models, Animal
• Drug Evaluation, Preclinical
• Female
• Gefitinib (adverse effects)
• Hydrogen (pharmacology, therapeutic use)
• Lung (drug effects)
• Lung Neoplasms (drug therapy)
• Mice, Inbred C57BL
• Naphthalenes
• Oxidative Stress (drug effects)
• Random Allocation