PMID- 27255387 OWN - NLM STAT- MEDLINE DCOM- 20180402 LR - 20180420 IS - 1096-0929 (Electronic) IS - 1096-0929 (Linking) VI - 153 IP - 1 DP - 2016 Sep TI - Editor's Highlight: Characterization of Hepatotoxicity Mechanisms Triggered by Designer Cathinone Drugs (beta-Keto Amphetamines). PG - 89-102 LID - 10.1093/toxsci/kfw105 [doi] AB - The use of cathinone designer drugs in recreational settings has been associated with severe toxic effects, including liver damage. The precise mechanisms by which cathinones induce hepatotoxicity and whether they act by common pathways remain to be elucidated. Herein, we assessed the toxicity of the cathinones methylone, pentedrone, 3,4-methylenedioxypyrovalerone (MDPV) and 4-methylethcathinone (4-MEC) in primary rat hepatocytes (PRH) and HepaRG cells, and compared with that of 3,4-methylenedioxymethamphetamine (MDMA). MDPV and pentedrone were significantly more toxic than MDMA, while methylone was the least cytotoxic compound. Importantly, PRH revealed to be the most sensitive experimental model and was thus used to explore the mechanisms underlying the observed toxicity. All drugs elicited the formation of reactive oxygen and nitrogen species (ROS and RNS), but more markedly for methylone, pentedrone and 4-MEC. GSH depletion was also a common effect at the highest concentration tested, whereas only MDPV and pentedrone caused a significant decrease in ATP levels. The antioxidants ascorbic acid or N-acetyl-L-cysteine partially attenuated the observed cell death. All cathinones triggered significant caspase activation and apoptosis, which was partially reversed by the caspase inhibitor Ac-LETD-CHO. In conclusion, the present data shows that (1) cathinones induce in vitro hepatotoxic effects that vary in magnitude among the different analogues, (2) oxidative stress and mitochondrial dysfunction play a role in cathinones-induced hepatic injury, and (3) apoptosis appears to be an important pathway of cell death elicited by these novel drugs. CI - (c) The Author 2016. Published by Oxford University Press on behalf of the Society of Toxicology. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com. FAU - Valente, Maria Joao AU - Valente MJ AD - *UCIBIO, REQUIMTE, Laboratory of Toxicology, Faculty of Pharmacy, University of Porto, Porto, Portugal; mcarv@ufp.edu.pt. FAU - Araujo, Ana Margarida AU - Araujo AM AD - *UCIBIO, REQUIMTE, Laboratory of Toxicology, Faculty of Pharmacy, University of Porto, Porto, Portugal; FAU - Bastos, Maria de Lourdes AU - Bastos Mde L AD - *UCIBIO, REQUIMTE, Laboratory of Toxicology, Faculty of Pharmacy, University of Porto, Porto, Portugal; FAU - Fernandes, Eduarda AU - Fernandes E AD - UCIBIO, REQUIMTE, Laboratory of Applied Chemistry, Faculty of Pharmacy, University of Porto, Porto, Portugal; FAU - Carvalho, Felix AU - Carvalho F AD - *UCIBIO, REQUIMTE, Laboratory of Toxicology, Faculty of Pharmacy, University of Porto, Porto, Portugal; FAU - Guedes de Pinho, Paula AU - Guedes de Pinho P AD - *UCIBIO, REQUIMTE, Laboratory of Toxicology, Faculty of Pharmacy, University of Porto, Porto, Portugal; FAU - Carvalho, Marcia AU - Carvalho M AD - *UCIBIO, REQUIMTE, Laboratory of Toxicology, Faculty of Pharmacy, University of Porto, Porto, Portugal; FP-ENAS, CEBIMED, Fundacao Ensino e Cultura Fernando Pessoa, Porto, Portugal mcarv@ufp.edu.pt. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160602 PL - United States TA - Toxicol Sci JT - Toxicological sciences : an official journal of the Society of Toxicology JID - 9805461 RN - 0 (Alkaloids) RN - 0 (Antioxidants) RN - 0 (Designer Drugs) RN - 540EI4406J (cathinone) SB - IM MH - Alkaloids/*toxicity MH - Animals MH - Antioxidants/pharmacology MH - Apoptosis/drug effects MH - Cells, Cultured MH - Designer Drugs/*toxicity MH - Liver/*drug effects MH - Male MH - Models, Biological MH - Oxidative Stress/drug effects MH - Rats MH - Rats, Wistar OTO - NOTNLM OT - apoptosis OT - hepatotoxicity OT - oxidative stress OT - synthetic cathinones OT - beta-keto amphetamines EDAT- 2016/06/04 06:00 MHDA- 2018/04/03 06:00 CRDT- 2016/06/04 06:00 PHST- 2016/06/04 06:00 [entrez] PHST- 2016/06/04 06:00 [pubmed] PHST- 2018/04/03 06:00 [medline] AID - kfw105 [pii] AID - 10.1093/toxsci/kfw105 [doi] PST - ppublish SO - Toxicol Sci. 2016 Sep;153(1):89-102. doi: 10.1093/toxsci/kfw105. Epub 2016 Jun 2.