Author/Editor     Šoltésová Prnová, Marta; Račková, Lucia; Kováčiková, Lucia; Balleková, Jana; Viskupičová, Jana; Micháliková, Silvia; Taşkoparan, Betul; Elmazoğlu, Zübeyir; Lanišnik-Rižner, Tea; Karasu, Cimen
Title     General toxicity assessment of the novel aldose reductase inhibitor cemtirestat
Type     članek
Vol. and No.     Letnik 12, št. 3
Publication year     2019
Volume     str. 120-128
ISSN     1337-6853 - Interdisciplinary toxicology
Language     eng
Abstract     Cemtirestat, 3-mercapto-5H-[1,2,4]-triazino[5,6-b]indole-5-acetic acid was recently designed and patented as a highly selective and efficient aldose reductase inhibitor endowed with antioxidant activity. The aim of the present study was to assess the general toxicity of cemtirestat using in silico predictions, in vitro and in vivo assays. ProTox-II toxicity prediction software gave 17 "Inactive" outputs, a mild hepatotoxicity score (0.52 probability) along with a predicted LD50 of 1000 mg/kg. Five different cell lines were used including the immortalized mouse microglia BV-2, the primary human fibroblasts VH10, the insulinoma pancreatic [beta]-cells INS-1E, the human colon cancer cells HCT116 and the human immortalized epithelial endometrial cell lines HIEEC. In contrast to the clinically used epalrestat, cemtirestat showed remarkably low cytotoxicity in several different cell culture viability tests such as MTT proliferation assay, neutral red uptake, BrdU incorporation, WST-1 proliferation assay and propidium iodide staining followed by flow cytometry. In a yeast spotting assay, the presence of cemtirestat in incubation of Saccaromyces cerevisiae at concentrations as high as 1000 [micro]M did not affect cell growth rate significantly. In the 120-day repeated oral toxicity study in male Wistar rats with daily cemtirestat dose of 6.4 mg/kg, no significant behavioral alterations or toxicological manifestations were observed in clinical and pathological examinations or in hematological parameters. In summary, these results suggest that cemtirestat is a safe drug that can proceed beyond preclinical studies.
Keywords     cemtirestat
aldose reductase inhibitor
toxicity assessment
cemtirestat
inhibitor aldoze reduktaze
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