Organometallic complexes offer chemistry that is not accessible to purely organic molecules and, hence, potentially new mechanisms of drug action. We show here that the presence of both an iodido ligand and a -donor/ -acceptor phenylazopyridine ligand confers remarkable inertness toward ligand substitution on the half-sandwich ''piano-stool'' ruthenium arene complexes [( 6 -arene)Ru(azpy)I] ؉ (where arene ؍ p-cymene or biphenyl, and azpy ؍ N,Ndimethylphenyl-or hydroxyphenyl-azopyridine) in aqueous solution. Surprisingly, despite this inertness, these complexes are highly cytotoxic to human ovarian A2780 and human lung A549 cancer cells. Fluorescence-trapping experiments in A549 cells suggest that the cytotoxicity arises from an increase in reactive oxygen species. Redox activity of these azopyridine Ru II complexes was confirmed by electrochemical measurements. The first one-electron reduction step (half-wave potential ؊0.2 to ؊0.4 V) is assignable to reduction of the azo group of the ligand. In contrast, the unbound azopyridine ligands are not readily reduced. Intriguingly the ruthenium complex acted as a catalyst in reactions with the tripeptide glutathione (␥-L-Glu-L-Cys-Gly), a strong reducing agent present in cells at millimolar concentrations; millimolar amounts of glutathione were oxidized to glutathione disulfide in the presence of micromolar ruthenium concentrations. A redox cycle involving glutathione attack on the azo bond of coordinated azopyridine is proposed. Such ligand-based redox reactions provide new concepts for the design of catalytic drugs.arenes ͉ cytotoxicity ͉ glutathione ͉ redox reactions ͉ ruthenium complexes O rganometallic complexes offer potential for the development of new materials with a wide range of applications (1, 2). Organometallic complexes can exhibit chemical reactivity not possessed by either the metal or organic ligands alone and this reactivity can be fine-tuned by subtle changes in the electronic and steric properties of the bound ligands, or by variation of the metal and its oxidation state. These features provide a versatile platform for drug design that is now being exploited in several areas. For example, the redox activity of the organometallic ferrocenylphenol substitutents enhances the anticancer activity of tamoxifen derivatives by conferring an ability to generate reactive oxygen species in cells (3). Here we consider the anticancer activity of ruthenium(II) arene complexes. Such complexes are well known as catalysts in industry, for example, for hydrogenation reactions (4). Although organometallic complexes can catalyze hydrogenation of intracellular biomolecules (5), metal-centered catalysts might be readily poisoned and be ineffective in biological media.Organometallic half-sandwich Ru II arenes of the type [( 6 -arene)Ru(YZ)(X)] ϩ where YZ is typically a chelating diamine ligand (e.g., ethylenediamine, en) and X is a halide (e.g., Cl) exhibit anticancer activity in vitro and in vivo (6, 7). As with many metal-based anticancer drugs, the primary cellula...