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Methylene blue (MB), also known as methylthioninium chloride, is a thiazine dye that can be used as a medication, and can be administered orally, subcutaneously or intravenously.
Mainly used to treat methemoglobinemia by chemically reducing the ferric iron in hemoglobin to ferrous iron
Methylene blue is commonly used in medical practice, especially as a dye in microbiological staining
Antidote in cyanide poisoning: an oxidation-reduction indicator: an antiseptic
Pathways:
-increases the oxygen consumption of normal tissues having aerobic glycolysis, and of tumors
- generate reactive oxygen species (ROS) upon light activation
-effects on mitochondrial metabolism may contribute to modulation of apoptosis and energy metabolism in cancer cells.
-can affect the generation of reactive oxygen species.
-Historically, it was used in patients with urinary tract infection
-MB has also been used as a tracer for cancer diagnosis and as a photosensitizer for cancer treatment
-methylene blue reverses Warburg effect
-can cross BBB and reach brain at concentrations 10 times higher than that in the circulation
-causes shift from shift from glycolysis to oxidative phosphorylation.
-reduces glutathione reductase GSR (an enzyme of glutathione metabolism)