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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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