Figure 3. Agents that modulate reactive oxygen species.
Agents targeting multiple steps of mitochondrial mechanism have been evaluated in early phase clinical trials. Agents that augment production of reactive oxygen species include mangafodipir/calmangafodipir, motexafin, ARQ-501, ele-sclomol, arsenic trioxide, STA-4783, 2-ME, ENMD-1198, and ATN-224. Other agents affect mitochondrial metabolism via alternate routes, including phenylethyl isothiocyanate downregulation of glutathione, buthionine sulphoximine inhibition of GSH synthesis, and imexon depletion of GSH via thiol binding.
GSH: Reduced glutathione; GSR: Glutathione reductase; GSSG: Glutathione disulfide; H2O: Water; H2O2: Hydrogen peroxide; O2: Oxygen; ROS: Reactive oxygen species; SOD: Superoxide dismutase.