Artemisinin becomes cytotoxic in the presence of ferrous iron. Since iron i
nflux is high in cancer cells, artemisinin and its analogs selectively kill
cancer cells under conditions that increase intracellular iron concentrati
ons. We report here that after incubation with holotransferrin, which incre
ases the concentration of ferrous iron in cancer cells, dihydroartemisinin,
an analog of artemisinin, effectively killed a type of radiation-resistant
human breast cancer cell in vitro. The same treatment had considerably les
s effect on normal human breast cells. Since it is relatively easy to incre
ase the iron content inside cancer cells in vivo, administration of artemis
inin-like drugs and intracellular iron-enhancing compounds may be a simple,
effective, and economical treatment for cancer. (C) 2001 Elsevier Science
Inc. All rights reserved.