Superoxide radicals have been implicated in the pathogenesis of aging,
cataract,
ischemia-reperfusion,
cancer and inflammatory diseases. In the present work, we found that
deferiprone (L1), an
iron-chelating
drug, and dietary dihydroxycinnamic
acids (
catechols) were much more effective at protecting isolated rat hepatocytes against
hypoxia-reoxygenation injury if complexed with Fe(3+). Furthermore, the 2:1
catechol-
metal complexes with Cu(2+), Fe(2+), and Fe(3+) were also more effective than uncomplexed
catechols in scavenging
superoxide radicals generated enzymically (
xanthine oxidase/
hypoxanthine). The 2:1
deferiprone:Fe(3+) complex was less effective at scavenging enzymically generated
superoxide radicals even though it was effective at preventing hepatocyte
hypoxia-reoxygenation injury. On the other hand, the 1:1
deferoxamine:Fe(3+) complex, another
iron-chelating
drug, did not prevent hepatocyte
hypoxia-reoxygenation injury and did not scavenge enzymically generated
superoxide radicals. Furthermore, hepatocytes readily reduced the 2:1
deferiprone:Fe(3+) complex but not the
deferoxamine:Fe(3+) complex. These results suggest that the initial step in
superoxide radical scavenging (SRS) activity is the formation of a redox complex between Fe(3+) and
deferiprone or
catechols. The [
deferiprone:Fe(3+)] complex was more cytoprotective than would be expected from its SRS activity. This suggests that [
deferiprone:Fe(3+)] complex is reduced by a
ferrireductase present on the hepatocyte membrane to form [
deferiprone:Fe(2+)] complex, which then scavenges
superoxide radicals. Therefore, the clinically used
deferiprone (L1) may have therapeutic advantages over
deferoxamine in having a double role therapeutically: (a) it
chelates iron to alleviate
iron overload pathology, and (b) the readily formed
iron complex protects hepatocytes from
superoxide radical-mediated
hypoxia-reoxygenation injury.