Free radicals may produce cytotoxicity to pancreatic islets under pathophys
iological conditions. The aim of our in vitro investigations was to compare
functional and morphological changes in pancreatic beta-cells induced by r
eactive oxygen species (ROS) generated by alloxan or xanthine oxidase/hypox
anthine (XO/HX), respectively. We demonstrate that short-term exposure to a
lloxan or to XO/HX leads to a temporarily elevated insulin release from iso
lated pancreatic islets, On application of alloxan, this effect is caused b
y beta-cell necrosis and can be prevented by administration of melatonin, w
hile in contrast, XO/HX did not lead to long-term morphological changes in
the majority of the cells. Among the cells destroyed by alloxan, only necro
sis could be detected, while in contrast, some apoptotic cells were identif
ied by the terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick
end labeling (TUNEL) reaction and electron microscopic examinations of cell
s treated with XO/HX. Melatonin was able to prevent the changes caused by a
lloxan, but failed to influence the alterations caused by XO/HX. Using elec
tron spin resonance and lipid peroxidation assay, respectively, it was conf
irmed that melatonin effectively detoxifies hydroxyl radicals. Therefore, w
e believe that hydroxyl radicals are the toxic principle of alloxan, but no
t of XO/HX toxicity.