Lithium Induces Oxidative Stress, Apoptotic Cell Death, and G2/M Phase Cell Cycle Arrest in A549 Lung Cancer Cells

Lithium has been identified more than six decades ago as a preferred treatment option for manic depression. Due to its affordability, stability, minimal side effects, and immunomodulatory effects, recent studies on lithium have focused on its potential anticancer properties and possible mechanisms o...

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Main Authors: Pearl Ramushu, Dikgale D. Mangoakoane, Raymond T. Makola, Thabe M. Matsebatlela
Format: Article
Language:English
Published: MDPI AG 2025-04-01
Series:Molecules
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Online Access:https://www.mdpi.com/1420-3049/30/8/1797
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author Pearl Ramushu
Dikgale D. Mangoakoane
Raymond T. Makola
Thabe M. Matsebatlela
author_facet Pearl Ramushu
Dikgale D. Mangoakoane
Raymond T. Makola
Thabe M. Matsebatlela
author_sort Pearl Ramushu
collection DOAJ
description Lithium has been identified more than six decades ago as a preferred treatment option for manic depression. Due to its affordability, stability, minimal side effects, and immunomodulatory effects, recent studies on lithium have focused on its potential anticancer properties and possible mechanisms of action. Lung cancer ranks the highest as the main cause of death in males and has high mortality rates with low survival rates. In this study, lung adenocarcinoma (A549) cells were treated with various concentrations of lithium chloride to evaluate its inflammatory and anticancer properties. The in vitro cytotoxic effects of lithium chloride were assessed using the MTT [3-(4, 5-dimethythiazol-2-yl)-2, 5-diphenyltetrazolium bromide] assay, Muse<sup>®</sup> cell death, and cell cycle analysis. The nitric oxide and oxidative stress flow cytometry Muse<sup>®</sup> assays were used to monitor inflammation profiles of lithium-treated lung adenocarcinoma cells. The MTT viability assay showed the safe use of LiCl on the noncancerous RAW 264.7 macrophage cells below a concentration of 40 mM. Lithium reduced cell viability, induced late apoptotic cell death, and disrupted normal cell cycle progression in a dose-dependent manner, leading to cell cycle arrest in the S and G2/M phases of A549 cells. The induction of cell death by lithium in A549 cells is accompanied by increased ROS and nitric oxide production. This study shows that lithium chloride possesses some immunomodulatory cytotoxic effects on A549 lung cancer cells and can be further investigated for use in lung cancer treatment.
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spelling doaj-art-500e02fb41e34a6da40facf7d146c19c2025-08-20T03:13:48ZengMDPI AGMolecules1420-30492025-04-01308179710.3390/molecules30081797Lithium Induces Oxidative Stress, Apoptotic Cell Death, and G2/M Phase Cell Cycle Arrest in A549 Lung Cancer CellsPearl Ramushu0Dikgale D. Mangoakoane1Raymond T. Makola2Thabe M. Matsebatlela3Department of Biochemistry, Microbiology and Biotechnology, Faculty of Science and Agriculture, University of Limpopo, P/bag x1106, Sovenga 0727, South AfricaDepartment of Biochemistry, Microbiology and Biotechnology, Faculty of Science and Agriculture, University of Limpopo, P/bag x1106, Sovenga 0727, South AfricaDepartment of Biochemistry, Microbiology and Biotechnology, Faculty of Science and Agriculture, University of Limpopo, P/bag x1106, Sovenga 0727, South AfricaDepartment of Biochemistry, Microbiology and Biotechnology, Faculty of Science and Agriculture, University of Limpopo, P/bag x1106, Sovenga 0727, South AfricaLithium has been identified more than six decades ago as a preferred treatment option for manic depression. Due to its affordability, stability, minimal side effects, and immunomodulatory effects, recent studies on lithium have focused on its potential anticancer properties and possible mechanisms of action. Lung cancer ranks the highest as the main cause of death in males and has high mortality rates with low survival rates. In this study, lung adenocarcinoma (A549) cells were treated with various concentrations of lithium chloride to evaluate its inflammatory and anticancer properties. The in vitro cytotoxic effects of lithium chloride were assessed using the MTT [3-(4, 5-dimethythiazol-2-yl)-2, 5-diphenyltetrazolium bromide] assay, Muse<sup>®</sup> cell death, and cell cycle analysis. The nitric oxide and oxidative stress flow cytometry Muse<sup>®</sup> assays were used to monitor inflammation profiles of lithium-treated lung adenocarcinoma cells. The MTT viability assay showed the safe use of LiCl on the noncancerous RAW 264.7 macrophage cells below a concentration of 40 mM. Lithium reduced cell viability, induced late apoptotic cell death, and disrupted normal cell cycle progression in a dose-dependent manner, leading to cell cycle arrest in the S and G2/M phases of A549 cells. The induction of cell death by lithium in A549 cells is accompanied by increased ROS and nitric oxide production. This study shows that lithium chloride possesses some immunomodulatory cytotoxic effects on A549 lung cancer cells and can be further investigated for use in lung cancer treatment.https://www.mdpi.com/1420-3049/30/8/1797lithium chloridelung canceroxidative stressapoptosiscell cycle arrest
spellingShingle Pearl Ramushu
Dikgale D. Mangoakoane
Raymond T. Makola
Thabe M. Matsebatlela
Lithium Induces Oxidative Stress, Apoptotic Cell Death, and G2/M Phase Cell Cycle Arrest in A549 Lung Cancer Cells
Molecules
lithium chloride
lung cancer
oxidative stress
apoptosis
cell cycle arrest
title Lithium Induces Oxidative Stress, Apoptotic Cell Death, and G2/M Phase Cell Cycle Arrest in A549 Lung Cancer Cells
title_full Lithium Induces Oxidative Stress, Apoptotic Cell Death, and G2/M Phase Cell Cycle Arrest in A549 Lung Cancer Cells
title_fullStr Lithium Induces Oxidative Stress, Apoptotic Cell Death, and G2/M Phase Cell Cycle Arrest in A549 Lung Cancer Cells
title_full_unstemmed Lithium Induces Oxidative Stress, Apoptotic Cell Death, and G2/M Phase Cell Cycle Arrest in A549 Lung Cancer Cells
title_short Lithium Induces Oxidative Stress, Apoptotic Cell Death, and G2/M Phase Cell Cycle Arrest in A549 Lung Cancer Cells
title_sort lithium induces oxidative stress apoptotic cell death and g2 m phase cell cycle arrest in a549 lung cancer cells
topic lithium chloride
lung cancer
oxidative stress
apoptosis
cell cycle arrest
url https://www.mdpi.com/1420-3049/30/8/1797
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AT raymondtmakola lithiuminducesoxidativestressapoptoticcelldeathandg2mphasecellcyclearrestina549lungcancercells
AT thabemmatsebatlela lithiuminducesoxidativestressapoptoticcelldeathandg2mphasecellcyclearrestina549lungcancercells