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Adverse outcome pathways induced by 3,4-dimethylmethcathinone and 4-methylmethcathinone in differentiated human SH-SY5Y neuronal cells

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Abstract

Cathinones (β-keto amphetamines), widely abused in recreational settings, have been shown similar or even worse toxicological profile than classical amphetamines. In the present study, the cytotoxicity of two β-keto amphetamines [3,4-dimethylmethcathinone (3,4-DMMC) and 4-methylmethcathinone (4-MMC)], was evaluated in differentiated dopaminergic SH-SY5Y cells in comparison to methamphetamine (METH). MTT reduction and NR uptake assays revealed that both cathinones and METH induced cytotoxicity in a concentration- and time-dependent manner. Pre-treatment with trolox (antioxidant) partially prevented the cytotoxicity induced by all tested drugs, while N-acetyl-l-cysteine (NAC; antioxidant and glutathione precursor) and GBR 12909 (dopamine transporter inhibitor) partially prevented the cytotoxicity induced by cathinones, as evaluated by the MTT reduction assay. Unlike METH, cathinones induced oxidative stress evidenced by the increase on intracellular levels of reactive oxygen species (ROS), and also by the decrease of intracellular glutathione levels. Trolox prevented, partially but significantly, the ROS generation elicited by cathinones, while NAC inhibited it completely. All tested drugs induced mitochondrial dysfunction, since they led to mitochondrial membrane depolarization and to intracellular ATP depletion. Activation of caspase-3, indicative of apoptosis, was seen both for cathinones and METH, and confirmed by annexin V and propidium iodide positive staining. Autophagy was also activated by all drugs tested. Pre-incubation with bafilomycin A1, an inhibitor of the vacuolar H+-ATPase, only protected against the cytotoxicity induced by METH, which indicates dissimilar toxicological pathways for the tested drugs. In conclusion, the mitochondrial impairment and oxidative stress observed for the tested cathinones may be key factors for their neurotoxicity, but different outcome pathways seem to be involved in the adverse effects, when compared to METH.

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Acknowledgements

Jorge Soares acknowledges University of Porto/Faculty of Medicine University of Porto through FSE—Fundo Social Europeu, NORTE2020—Programa Operacional Regional do Norte for his grant (NORTE-08-5369-FSE-000011). This work was supported by the Applied Molecular Biosciences Unit—UCIBIO through UID/MULTI/04378/2019 support with funding from FCT/MCTES through national funds. Centro de Química Estrutural, BioISI—Biosystems and Integrative Sciences Institute, and MARE—Marine and Environmental Sciences Centre, acknowledges the financial support of Fundação para a Ciência e Tecnologia—FCT (UIDB/00100/2020, UID/MULTI/04046/2019 and UIDB/04292/2020, respectively). Vera Marisa Costa acknowledges Fundação da Ciência e Tecnologia (FCT) for her grant (SFRH/BPD/110001/2015) that was funded by national funds through FCT—Fundação para a Ciência e a Tecnologia, I.P., under the Norma Transitória—DL57/2016/CP1334/CT0006. The authors wish to thank the Laboratório de Polícia Científica da Polícia Judiciária (LPC-PJ) for providing the smartshop product within the scope of the protocol established between LPC-PJ, FCUL, and FFUP.

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Correspondence to Jorge Soares or João Paulo Capela.

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Supplementary file1. Supplementary Table 1: Concentrations of 3,4-DMMC, 4-MMC and METH inducing 25, 50 and 75 % of toxicity (IC25, IC50 and IC75, respectively) in RA-TPA differentiated SH-SY5Y cells after a 24-h exposure. MTT and NR concentration-response curves were fitted using least squares as the fitting method and the comparisons between the curves concerning the two cytotoxicity assays performed (MTT reduction and NR uptake) were made using the extra sum-of-squares F test [*p < 0.05, ***p < 0.001 4-MMC (NR uptake) vs. 4-MMC (MTT reduction); ##p < 0.01 METH (NR uptake) vs. METH (MTT reduction)]. Data, as mean and 95 % confidence Intervals (95 % CI), are presented in mM. At the bottom of the table, the MTT and NR concentration-response curves can be observed (TIFF 1390 kb)

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Soares, J., Costa, V.M., Gaspar, H. et al. Adverse outcome pathways induced by 3,4-dimethylmethcathinone and 4-methylmethcathinone in differentiated human SH-SY5Y neuronal cells. Arch Toxicol 94, 2481–2503 (2020). https://doi.org/10.1007/s00204-020-02761-y

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