“…5,24,25 In addition, intense proinflammatory cytokine release, due to excessive ROS formation, has been reported during MTX treatment for cancer and autoimmune diseases. 5,6,24,25 Accumulation of ROS leads to neutrophil infiltration and proinflammatory cytokine release, which triggers apoptosis. 5,6,24,25 Methotrexate is used for the treatment of pancreatic cancer, but has been shown to destroy the beta cells of the pancreas, primarily through oxidative stress.…”