Intestinal epithelial cells have an active apical iron uptake system that i
s involved in the regulated absorption of iron. By the action of this syste
m, intestinal cells acquire increasing amounts of iron with time. Since int
racellular reactive iron is a source of free radicals and a possible cause
of colon carcinoma, this study analyzed the oxidative damages generated by
iron accumulation in Caco-2 cells. Cells cultured with increasing concentra
tions of iron increased both total intracellular iron and the reactive iron
pool, despite an active IRE/IRP system, which regulates intracellular iron
levels. Increasing concentrations of iron resulted in increased protein ox
idative damage, as shown by the immunoreactivity for 4-hydroxy-2-nonenal-mo
dified proteins, and markedly induced DNA oxidation determined by 8-hydroxy
-2'-deoxyguanidine production. Iron also impaired cell viability, resulting
in increased cell death after 6 days of culture. In summary, iron accumula
tion by intestinal Caco-2 cells correlated with oxidative damage to protein
s and DNA. Oxidative damage finally resulted in loss of cell viability. The
Fe-induced oxidative damage observed may be relevant in understanding the
cascade of events associated with iron-mediated colon carcinogenesis.