An imbalance between oxidants and antioxidants, in favor of oxidants, potentially leads to oxidative stress (
20). The study of oxidative stress is medically necessary because it is associated with many human diseases, including cancer (
21). In this study, the potential of AuNPs in increasing ROS production was evaluated by the fluorometric method. This study showed a concentration-dependent increase in ROS production in cells treated with AuNPs. It was observed that with increasing concentration and incubation time of HCT-116 cells, ROS production increased. Consistent with our results, the study by Enea et al. in 2020, which was performed on renal cell carcinoma treated with AuNPs, also observed increased intracellular ROS (
22). Additionally, a study by Martinez-Torres et al. in 2018 showed that AuNPs induced cell death in cervical and breast cancer cell lines due to oxidative stress through ROS production (
23). These findings suggest that these nanoparticles can cause ROS accumulation in cells, leading to cell death due to oxidative stress.
In a study by Akbarzadeh Khiavi et al. in 2020, the effect of AuNPs on the SW-480 colon cancer cell line was investigated, showing an increase in ROS production dependent on the concentration (
24). Similarly, a study by Chakraborty et al. in 2020 found that MG63 cells treated with AuNPs showed an increase in ROS production with increased mitochondrial depolarization (
24,
25).
To further evaluate the state of oxidative stress in HCT-116 cells, TAC and TOS levels were determined in the study groups. The results showed a significant increase in TOS levels after 48 hours of incubation of cells with AuNPs. In addition, the TAC level in treated cells was significantly reduced, which was consistent with the results of the MTT and ROS assays. Metin Budak in 2019 analyzed the effects of different nanoparticles on the induction of oxidative stress in the HT-29 colon cancer cell line, and their results showed that the performance of nanoparticles in causing oxidative stress after 48 hours is higher than after 24 hours (
26). After measuring the enzyme activities of ROS, TAC, and TOS, results showed that HCT-116 cancer cells in the presence of dose- and time-dependent AuNPs exhibit increased ROS production, elevated TOS levels, and decreased TAC levels. This indicates an increase in the activity of oxygen-free radicals. One of the characteristics of cancer cells is their ability to adapt and create a redox balance by increasing ROS levels, which provides resistance to oxidative stress inducers compared to normal cells. As a result, cancer cells continue to proliferate and develop resistance to oxidative stress inducers. Due to the inherent capacity of nanoparticles to promote ROS production, this increase can be partially neutralized by the antioxidant system (
27).
To investigate the effect of AuNPs on antioxidant indices, the activity of SOD, GPX, and CAT enzymes was evaluated. The activity of these enzymes in the presence of AuNPs showed a significant decrease compared to untreated cells, with increasing concentration and incubation time. Similarly, in a study by Nellore et al. in 2012, the incubation of PC-12 cell lines with AuNPs increased MDA and LDH levels, decreased non-protein thiol and glutathione (GSH) levels, and reduced the activity of antioxidant enzymes SOD, CAT, and glutathione S-transferase (
28). Furthermore, in the study by Domsa et al. in 2020, the activity of SOD and CAT in the Caco-2 cell line was measured under the influence of AuNPs. It was observed that CAT activity was significantly reduced compared to the control group, and the antioxidant activity of superoxide dismutase was also considerably reduced with AuNP treatment. In a study by Zhang et al. in 2020 on the SH-SY5Y cell line, an increase in oxidative stress and a decrease in the activity of key antioxidant enzymes, including glutathione peroxidase (GSH-Px), SOD, and CAT, were observed after prolonged exposure to coated AuNPs (
29,
30). Additionally, the importance of antioxidant enzyme activity in cancer was highlighted in a study by Mateo et al. in 2014, which demonstrated that oxidative stress helps AuNPs increase cytotoxicity. In this study, two cell lines (HL-60 and HepG2) were exposed to AuNPs of different sizes (30, 50, and 90 nm) (
12). In both cell lines, glutathione levels were reduced by the different sizes of AuNPs after 72 hours. However, the enzyme activity of SOD decreased only in the HepG2 cell line, and ROS activity increased in both cell lines. In contrast, a 2015 study by Kumar et al. investigated the effect of biologically synthesized AuNPs on the A431 cell line. Oxidative activity and antioxidant enzyme activity were measured using the FRAP method (
31). In this study, exposure to AuNPs increased the activity of antioxidant enzymes and TAC, leading to apoptosis in the A431 cell line. The differences observed in the results of oxidative stress parameter measurements between the mentioned study and the present study could be due to physicochemical differences in the nanoparticles or different responses of the cell lines used.
Cancer cells generally have a higher antioxidant capacity and require small molecules that can reduce antioxidant defense capacity by increasing ROS levels (
32,
33). The results of the present study indicate that AuNPs can increase TOS levels and decrease TAC, in addition to increasing ROS production. This, in turn, affects the activity of antioxidant enzymes, including SOD, GPX, and CAT, in HCT-116 cancer cells. As the concentration of AuNPs increases, enzyme activity decreases further, leading to apoptosis or programmed cell death. Therefore, AuNPs have significant potential to be used as an anticancer therapy for colon cancer. Further studies are needed to investigate the pathways involved in AuNPs toxicity in colon cancer cell lines.
4.1. Conclusions
Our results showed that gold nanoparticles (AuNPs) can reduce the viability and induce apoptosis in HCT116 colon cancer cells in a time- and concentration-dependent manner. Specifically, AuNPs at a concentration of 50 µg/mL induced significant oxidative stress compared to the control group in the HCT116 cell line. This study aimed to assess the importance of AuNPs in increasing oxidative stress, reducing the activity of antioxidant enzymes, and decreasing cell survival in colon cancer cells.
Our findings illustrate that AuNPs can increase TOS, enhance ROS production, reduce the activity of antioxidant enzymes such as CAT, SOD, and GPX, and decrease TAC in this cell line. It is suggested that the anticancer effects of AuNPs and the oxidative stress induced by AuNPs be investigated in other cancer cell lines. Additionally, other factors involved in oxidative stress, such as glutathione peroxidase, xanthine oxidase, glutathione reductase, H2O2, superoxide anion, etc., as well as the toxicity of AuNPs in in vivo studies, should be considered for further investigation.