Revisiting the Interaction of the Radical Anion Metabolite
of Nitrofurantoin with Glutathione
Catherine Miller,*
,1
Lisa K. Folkes,† Carolyn Mottley,‡ Peter Wardman,† and Ronald P. Mason§
*Department of Chemistry, John Carroll University, Cleveland, Ohio 44118; †Gray Laboratory Cancer Research Trust,
Mount Vernon Hospital, Northwood, Middlesex HA6 2JR, United Kingdom; ‡Department of Chemistry, Luther College,
Decorah, Iowa 52101-1045; and §Laboratory of Pharmacology and Chemistry, National Institute of Environmental
Health Sciences, National Institutes of Health, Research Triangle Park, North Carolina 27709
Received September 17, 2001, and in revised form October 22, 2001; published online December 4, 2001
There have been several conflicting reports as to the
scavenging nature of glutathione toward the nitro
radical anion of the drug nitrofurantoin. We produced
the radical anion enzymatically using the xanthine
oxidase/hypoxanthine system at pH 7.4 and pH 9.0 in
the presence of various levels of glutathione from 10 to
100 mM and monitored any changes in the radical
concentration via electron spin resonance spectros-
copy. Independent of glutathione concentration, there
was no decrease in the steady-state concentration of
the radical. In fact, there was an average 30% increase
in the concentration of the radical anion, which sug-
gests enhanced enzyme activity in the presence of glu-
tathione (GSH). These results, together with observa-
tions of the effects of glutathione on the stability of the
radical anion generated by radiolysis or dithionite,
rule out any detectable reaction between the nitro-
furantoin radical anion and GSH under physiologi-
cally relevant conditions. © 2001 Elsevier Science
Key Words: free radical; glutathione; nitrofurantoin;
electron spin resonance; pulse radiolysis; stopped
flow.
Nitrofurantoin (N-(5-nitro-2-furfuryldine)-1-amino-
hydantoin) (NFT)
2
is a nitroaromatic compound that is
used as a urinary antimicrobial agent (1, 2). It belongs
to the class of nitroheterocyclic compounds, which in-
cludes nitrofurans and nitroimidazoles. These com-
pounds been investigated for use in cancer therapy as
radiosensitizers and hypoxia-specific cytotoxic agents
(3–7). However, these compounds have been associated
with lung and liver damage (2). The mechanism(s) of
cytotoxicity is not well understood, except that the
nitro radical anion is an obligate intermediate, and
chemical damage may be linked to its further reduction
products such as the corresponding nitroso and hydrox-
ylamine derivatives (8).
The one-electron reduction of NFT to the nitro radi-
cal anion is catalyzed by several intracellular flavopro-
tein reductases such as cytochrome P450 reductase,
xanthine oxidase, and aldehyde oxidase. The NFT rad-
ical anion may also be generated using biochemical
reducing agents such as ascorbate and catecholamines
(3, 5, 8).
ArNO
2
O ¡
1e–
enzyme
ArNO
2
•-
[1]
Once formed, the nitro anion radical disproportionates
under hypoxic conditions to form the nitroso, hydroni-
troxide, and amine derivatives. Under aerobic conditions,
in the presence of liver and lung microsomes, NFT un-
dergoes redox cycling where the radical anion reduces
oxygen to the superoxide radical anion, O
2
•-
(9 –11).
ArNO
2
•-
+ O
2
3 ArNO
2
+ O
2
•-
[2]
This redox cycling, also referred to as “futile metabo-
lism” (12), is in competition with an acid-catalyzed,
second-order decay pathway of disproportionation (9).
2ArNO
2
•-
+ 2H
+
3 ArNO
2
+ ArNO + H
2
O [3]
1
To whom correspondence and reprint requests should be ad-
dressed at Department of Chemistry, John Carroll University, 20700
North Park Boulevard, Cleveland, OH 44118. Fax: (216) 39-1791.
E-mail: cmiller@jcu.edu.
2
Abbreviations used: NFT, N-(5-nitro-2-furfuryldine)-1-aminohy-
dantoin; ESR, electron spin resonance; GSH, glutathione.
0003-9861/01 $35.00 113
© 2001 Elsevier Science
All rights reserved.
Archives of Biochemistry and Biophysics
Vol. 397, No. 1, January 1, pp. 113–118, 2002
doi:10.1006/abbi.2001.2670, available online at http://www.idealibrary.com on