Objective
Lithium chloride has been shown to demonstrate anti-cancer properties at supratherapeutic doses. This study was designed to determine whether lithium chloride, as a single agent or in combination with cytotoxic agents reduces ovarian cancer cell growth and metabolic activity at clinically achievable levels.
Materials and Methods
We studied the effects of lithium chloride on two high-grade serous ovarian cancer cell lines, SKOV3 and OVCA 433, and primary cultures developed from ascitic fluid collected from patients with metastatic high-grade serous ovarian cancer. We assessed proliferation and metabolism using cell cycle analysis, MTT assays and cellular proliferation and clonogenic potential assays.
Results
Treatment with 1mM LiCl had no effect on the cell cycle distribution or metabolic activity of the SKOV3 and OVCA 433 cell lines. Combination treatment with cisplatin or paclitaxel led to statistically significant decreases in metabolic activity in the OVCA 433 cell line and 50% of cultures investigated. The decreased metabolic activity was not, however, associated with decreased cell growth or clonogenic potential.
Conclusions
Combination treatment with LiCl and cytotoxic agents at physiologically achievable drug concentrations reduces ovarian cancer cell metabolism but does not appear to effect cellular proliferation. The potential for combined lithium/cytoxic therapies appears to be limited based on our analysis of both established cell lines and short term ovarian cancer cultures.