<b>Background:</b> The presence of COPD increases the risk of lung cancer up to 4.5-fold. Oxidative stress is a major cause of COPD and may promote the development of lung cancer. Oxidative stress may drive/derive from the mitochondrial dysfunction. We therefore assessed mitochondrial function in epithelial cells at baseline and following oxidative stress. <b>Hypothesis:</b> We hypothesized that oxidative stress may differentially affect mitochondrial function in primary bronchial epithelial cells and cell lines. <b>Methods:</b> Normal primary human bronchial epithelial cells (NHBE), the bronchial epithelial cell line (BEAS-2B), and the adenocarcinoma alveolar epithelial cell line (A549) were treated with 100µM H<sub>2</sub>O<sub>2</sub> or left untreated for 4 hours. Mitochondrial membrane potential (ΔΨ<sub>m</sub>), mitochondrial ROS (mROS), and intracellular ROS were measured using MitoProbe<sup>TM</sup> JC-1, MitoSOX<sup>TM</sup> Red and DCFH-DA respectively, using flow cytometry. Mitochondrial activity was measured using MTT assays and cell proliferation measured using the BrdU assay. <b>Results:</b> At baseline, A549 cells had higher mROS than BEAS-2B (p<0.05), NHBE had higher ΔΨ<sub>m</sub> than A549 (p<0.05) and NHBE had higher intracellular ROS than BEAS-2B (p<0.05). BEAS2B cells had a significantly higher rate of proliferation compared to A549 (p<0.05), which were significantly higher than NHBE (p<0.05). H<sub>2</sub>O<sub>2</sub> significantly increased mROS in BEAS-2B cells compared to control (p<0.05), but not in NHBE or A549 cells. H<sub>2</sub>O<sub>2</sub> (100mM) had minimal effect on ΔΨ<sub>m</sub>, mitochondrial activity and intracellular ROS in all three cell types. <b>Conclusion:</b> Baseline mitochondrial function differs between cell types, as does the response to H<sub>2</sub>O<sub>2</sub>, with increased mROS and reduced ΔΨ<sub>m</sub> found in the A549 cancer cells.
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