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ORAL PRESENTATION / SÖZLÜ SUNUM



                            Antioxidant and Antiproliferative Effects of Propofol, Ketamine, and
                   Their Combination Against Hydrogen Peroxide-Induced Oxidative Stress in A549 Cells

                                 Zeyno NUHOĞLU¹ *                    Abdurrahman AKSOY     1
                                                   ,

                 ¹Department of Veterinary Pharmacology and Toxicology, Faculty of Veterinary Medicine,
                                       Ondokuz Mayıs University, Samsun, TÜRKIYE

               *Correspound Author: zeyno.nuhoglu@omu.edu.tr

                     This study aims to investigate the antiproliferative and antioxidant effects of ketamine,

               propofol, and their combination in A549 lung cancer cells under oxidative stress induced by

               hydrogen peroxide (H₂O₂).
                     Initially, the cytotoxic effects of propofol, ketamine and their combinations (10–2000

               µg/mL) were evaluated over 24-hours using the MTT assay following exposure to 100-2000
               µM H₂O₂. Based on the results, the IC₅₀ value of H₂O₂ was determined to be 501 µM. For

               propofol,  ketamine,  and  the  propofol-ketamine  combination,  the  three  most  effective
               concentrations  (75,  125,  and  250  µg/mL)  were  identified  and  used  for  subsequent

               experimental treatments. Oxidative stress markers, including malondialdehyde (MDA), and

               antioxidant parameters such as superoxide dismutase (SOD), total glutathione (tGSH), and
               total antioxidant capacity (TAS) were measured in cell lysates following treatment with the

               selected doses.
                     Both propofol and ketamine were found to suppress H₂O₂-induced cell proliferation and

               reduce oxidative stress. Treatments with increasing concentrations significantly decreased
               MDA levels while enhancing SOD, tGSH, and TAS levels. Notably, the combination therapy

               demonstrated a stronger antioxidant effect. compared to individual treatments, suggesting

               an additive or potentially synergistic interaction.
                     These  findings  suggest  that  ketamine  and  propofol  may  exert  antiproliferative  and

               cytoprotective effects in lung cancer cells not only through their anesthetic properties but
               also via modulation of oxidative stress. The observed reduction in reactive oxygen species

               (ROS)  and  cytotoxicity  supports  the  potential  application  of  these  agents  as  adjunctive
               therapies in lung cancer treatment. Further molecular and in vivo studies are warranted to

               elucidate the underlying mechanisms and assess their clinical relevance.
               Keywords: A549 cells, anesthetics, cytotoxicity, oxidative stress, ketofol.


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